"CMS Contract Number","Contract Name","GENERAL-10","GENERAL-11","GENERAL-14","GENERAL-15","GENERAL-20","GENERAL-50","GENERAL-60","GENERAL-70","GENERAL-80","GENERAL-90","GENERAL-95","GENERAL-100","GENERAL-105","GENERAL-110","GENERAL-115","GENERAL-120","GENERAL-125","GENERAL-130","GENERAL-135","GENERAL-140"
"H0104","BLUE CROSS AND BLUE SHIELD OF ALABAMA","Local CCP","Local PPO","Yes","Yes","PPO",7665,"04","Atlanta","Medicare","006","Blue Advantage Special Needs Plan","Yes","Dual-Eligible","Yes","No","7","1",8,"No",154.00
"H0150","HEALTHSPRING OF ALABAMA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",30576,"04","Atlanta","Medicare","007","HealthSpringTotalCare","Yes","Dual-Eligible","Yes","No","10","2",12,"No",14079.00
"H0151","UNITED HEALTHCARE OF ALABAMA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",33083,"04","Atlanta","Medicare","015","SecureHorizons MedicareComplete Plan 4","Yes","Dual-Eligible","Yes","No","7","2",9,"No",4390.00
"H0302","SUN HEALTH MEDISUN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",18350,"09","San Francisco","Medicare","004","Sun Health MediSunONE HeartSmart","Yes","Chronic or Disabling Condition","Yes","No","1","1",2,"No",374.00
"H0303","PACIFICARE OF ARIZONA, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",99199,"09","San Francisco","Medicare","034","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","13","1",14,"No",4710.00
"H0316","UNITEDHEALTHCARE OF ARIZONA INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",5037,"09","San Francisco","Medicare","012","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","5","1",6,"No",471.00
"H0319","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",7380,"09","San Francisco","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","0","3",3,"Yes",1069.00
"H0319","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",7380,"09","San Francisco","Medicare","002","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","0","3",3,"Yes",3289.00
"H0321","ARIZONA PHYSICIANS IPA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",12486,"09","San Francisco","Medicare","002","APIPA Personal Care Plus","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",12486.00
"H0351","HEALTH NET OF ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",45467,"09","San Francisco","Medicare","029","Health Net Amber","Yes","Dual-Eligible","Yes","No","6","2",8,"No",3758.00
"H0354","CIGNA HEALTHCARE OF ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",31439,"07","Kansas City","Medicare","012","CIGNA HealthCare for Seniors-Platinum Plus","Yes","Dual-Eligible","Yes","No","4","1",5,"No",1681.00
"H0401","UNITEDHEALTHCARE OF ARKANSAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",473,"06","Dallas","Medicare","004","Evercare Plan DH-POS","Yes","Dual-Eligible","Yes","No","3","1",4,"No",115.00
"H0524","KAISER FOUNDATION HP, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",673911,"09","San Francisco","Medicare","030","Senior Advantage Medicare Medi-Cal Plan","Yes","Dual-Eligible","Yes","No","14","2",16,"No",25929.00
"H0524","KAISER FOUNDATION HP, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",673911,"09","San Francisco","Medicare","029","Senior Advantage Medicare Medi-Cal Plan","Yes","Dual-Eligible","Yes","No","14","2",16,"No",28762.00
"H0543","PACIFICARE OF CALIFORNIA/SECURE HORIZONS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",342775,"09","San Francisco","Medicare","081","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","56","5",61,"No",2055.00
"H0543","PACIFICARE OF CALIFORNIA/SECURE HORIZONS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",342775,"09","San Francisco","Medicare","079","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","56","5",61,"No",1167.00
"H0543","PACIFICARE OF CALIFORNIA/SECURE HORIZONS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",342775,"09","San Francisco","Medicare","130","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","56","5",61,"No",334.00
"H0543","PACIFICARE OF CALIFORNIA/SECURE HORIZONS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",342775,"09","San Francisco","Medicare","078","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","56","5",61,"No",2867.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",25675,"09","San Francisco","Medicare","005","CareMore Touch","Yes","Institutional","Yes","No","3","3",6,"No",190.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",25675,"09","San Francisco","Medicare","003","CareMore Connect","Yes","Dual-Eligible","Yes","No","3","3",6,"No",328.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",25675,"09","San Francisco","Medicare","004","CareMore Reliance","Yes","Chronic or Disabling Condition","Yes","No","3","3",6,"No",3829.00
"H0562","HEALTH NET_OF CA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",105135,"09","San Francisco","Medicare","070","Health Net Seniority Plus Amber II","Yes","Dual-Eligible","Yes","No","35","3",38,"No",5236.00
"H0562","HEALTH NET_OF CA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",105135,"09","San Francisco","Medicare","055","Health Net Seniority Plus Amber I","Yes","Dual-Eligible","Yes","No","35","3",38,"No",766.00
"H0562","HEALTH NET_OF CA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",105135,"09","San Francisco","Medicare","056","Health Net Seniority Plus Amber","Yes","Chronic or Disabling Condition","Yes","No","35","3",38,"No",251.00
"H0571","CHINESE COMMUNITY HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",6899,"09","San Francisco","Medicare","005","CCHP Senior Select Program","Yes","Dual-Eligible","Yes","No","3","1",4,"No",2561.00
"H0620","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",2226,"08","Denver","Medicare","002","Evercare Plan IP","Yes","Institutional","Yes","No","0","1",1,"Yes",2226.00
"H0621","COLORADO ACCESS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2293,"08","Denver","Medicare","001","Access Advantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",2293.00
"H0624","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1867,"08","Denver","Medicare","001","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","2","2",4,"No",1798.00
"H0630","KAISER FOUNDATION HP OF CO","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",60680,"08","Denver","Medicare","014","Senior Advantage Medicare Medicaid Plan","Yes","Dual-Eligible","Yes","No","7","1",8,"No",1512.00
"H0710","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",2848,"01","Boston","Medicare","002","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","0","3",3,"Yes",832.00
"H0710","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",2848,"01","Boston","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","0","3",3,"Yes",1233.00
"H0712","WELLCARE OF CONNECTICUT, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3227,"01","Boston","Medicare","005","WellCare Access","Yes","Dual-Eligible","Yes","No","3","2",5,"No",1024.00
"H0712","WELLCARE OF CONNECTICUT, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3227,"01","Boston","Medicare","011","WellCare Select","Yes","Dual-Eligible","Yes","No","3","2",5,"No",180.00
"H0755","HEALTH NET OF CONNECTICUT","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",43629,"01","Boston","Medicare","021","Health Net Amber","Yes","Dual-Eligible","Yes","No","9","1",10,"No",591.00
"H0838","HMO CALIFORNIA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",834,"09","San Francisco","Medicare","020","Brand New Day - for Seriously Mentally Ill","Yes","Chronic or Disabling Condition","Yes","No","0","1",1,"Yes",834.00
"H1013","VISTA HEALTHPLAN OF SOUTH FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",13453,"04","Atlanta","Medicare","024","Platinum Choice Plan","Yes","Dual-Eligible","Yes","No","5","1",6,"No",537.00
"H1019","CARE PLUS HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",53034,"04","Atlanta","Medicare","024","CareNeeds Plan","Yes","Dual-Eligible","Yes","No","9","4",13,"No",3920.00
"H1019","CARE PLUS HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",53034,"04","Atlanta","Medicare","023","CareNeeds Plan","Yes","Dual-Eligible","Yes","No","9","4",13,"No",790.00
"H1019","CARE PLUS HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",53034,"04","Atlanta","Medicare","026","CareNeeds Plan","Yes","Dual-Eligible","Yes","No","9","4",13,"No",691.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","137","WellCare Select","Yes","Dual-Eligible","Yes","No","36","28",64,"No",219.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","123","WellCare Access","Yes","Dual-Eligible","Yes","No","36","28",64,"No",415.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","065","WellCare Select","Yes","Dual-Eligible","Yes","No","36","28",64,"No",494.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","064","WellCare Select","Yes","Dual-Eligible","Yes","No","36","28",64,"No",437.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","126","WellCare Select","Yes","Dual-Eligible","Yes","No","36","28",64,"No",140.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","138","WellCare Access","Yes","Dual-Eligible","Yes","No","36","28",64,"No",433.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","128","WellCare Access","Yes","Dual-Eligible","Yes","No","36","28",64,"No",248.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","124","WellCare Access","Yes","Dual-Eligible","Yes","No","36","28",64,"No",526.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","122","Wellcare Access","Yes","Dual-Eligible","Yes","No","36","28",64,"No",225.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","136","WellCare Select","Yes","Dual-Eligible","Yes","No","36","28",64,"No",358.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","134","WellCare Access","Yes","Dual-Eligible","Yes","No","36","28",64,"No",220.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","060","WellCare Select","Yes","Dual-Eligible","Yes","No","36","28",64,"No",424.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","130","WellCare Access","Yes","Dual-Eligible","Yes","No","36","28",64,"No",788.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","061","WellCare Select","Yes","Dual-Eligible","Yes","No","36","28",64,"No",1178.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","063","WellCare Select","Yes","Dual-Eligible","Yes","No","36","28",64,"No",473.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","127","WellCare Access","Yes","Dual-Eligible","Yes","No","36","28",64,"No",130.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","104","WellCare Select","Yes","Dual-Eligible","Yes","No","36","28",64,"No",165.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","085","WellCare Access","Yes","Dual-Eligible","Yes","No","36","28",64,"No",1124.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","089","WellCare Access","Yes","Dual-Eligible","Yes","No","36","28",64,"No",469.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","101","WellCare Select","Yes","Dual-Eligible","Yes","No","36","28",64,"No",376.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","086","WellCare Access","Yes","Dual-Eligible","Yes","No","36","28",64,"No",601.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","102","WellCare Select","Yes","Dual-Eligible","Yes","No","36","28",64,"No",480.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","088","WellCare Access","Yes","Dual-Eligible","Yes","No","36","28",64,"No",268.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","125","WellCare Access","Yes","Dual-Eligible","Yes","No","36","28",64,"No",245.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","106","WellCare Select","Yes","Dual-Eligible","Yes","No","36","28",64,"No",650.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","066","WellCare Select","Yes","Dual-Eligible","Yes","No","36","28",64,"No",222.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72118,"04","Atlanta","Medicare","107","WellCare Select","Yes","Dual-Eligible","Yes","No","36","28",64,"No",1199.00
"H1036","HUMANA MEDICAL PLAN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",249032,"04","Atlanta","Medicare","102","Humana Gold Plus HMO H1036-102","Yes","Dual-Eligible","Yes","No","26","4",30,"No",945.00
"H1036","HUMANA MEDICAL PLAN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",249032,"04","Atlanta","Medicare","103","Humana Gold Plus HMO H1036-103A","Yes","Dual-Eligible","Yes","No","26","4",30,"No",1015.00
"H1036","HUMANA MEDICAL PLAN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",249032,"04","Atlanta","Medicare","104","Humana Gold Plus HMO H1036-104A","Yes","Dual-Eligible","Yes","No","26","4",30,"No",540.00
"H1036","HUMANA MEDICAL PLAN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",249032,"04","Atlanta","Medicare","077","Humana Gold Plus HMO H1036-077A","Yes","Dual-Eligible","Yes","No","26","4",30,"No",2668.00
"H1076","VISTA HEALTHPLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5727,"04","Atlanta","Medicare","011","Platinum Choice Plan","Yes","Dual-Eligible","Yes","No","5","1",6,"No",1635.00
"H1080","UNITED HEALTHCARE OF FL, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",25836,"04","Atlanta","Medicare","036","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","5","1",6,"No",432.00
"H1099","HEALTH FIRST HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",22301,"04","Atlanta","Medicare","008","Health First Sunshine Plan","Yes","Dual-Eligible","Yes","No","5","1",6,"No",497.00
"H1108","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",5500,"04","Atlanta","Medicare","002","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","0","3",3,"Yes",1585.00
"H1108","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",5500,"04","Atlanta","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","0","3",3,"Yes",2331.00
"H1111","UNITED HEALTHCARE OF GEORGIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",861,"04","Atlanta","Medicare","004","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","3","1",4,"No",314.00
"H1112","WELLCARE OF GEORGIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2071,"04","Atlanta","Medicare","006","WellCare Access","Yes","Dual-Eligible","Yes","No","3","2",5,"No",502.00
"H1112","WELLCARE OF GEORGIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2071,"04","Atlanta","Medicare","005","WellCare Select","Yes","Dual-Eligible","Yes","No","3","2",5,"No",243.00
"H1170","KAISER FOUNDATION HP OF GA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",14914,"04","Atlanta","Medicare","008","Senior Advantage Medicare Medicaid Plan","Yes","Dual-Eligible","Yes","No","3","1",4,"No",1049.00
"H1303","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",2161,"10","Seattle","Medicare","004","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","3","1",4,"No",716.00
"H1415","HEALTHSPRING, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8531,"05","Chicago","Medicare","005","HealthSpring TotalCare","Yes","Dual-Eligible","Yes","No","10","2",12,"No",2614.00
"H1416","HARMONY HEALTH PLAN OF ILLINOIS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",9506,"05","Chicago","Medicare","007","WellCare Access","Yes","Dual-Eligible","Yes","No","3","2",5,"No",2104.00
"H1416","HARMONY HEALTH PLAN OF ILLINOIS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",9506,"05","Chicago","Medicare","003","WellCare Select","Yes","Dual-Eligible","Yes","No","3","2",5,"No",379.00
"H1509","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",2834,"05","Chicago","Medicare","004","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","3","1",4,"No",429.00
"H1807","UNIVERSITY HEALTH CARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",9819,"04","Atlanta","Medicare","001","Passport Advantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",9819.00
"H1903","WELLCARE OF LOUISIANA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3753,"06","Dallas","Medicare","014","WellCare Select","Yes","Dual-Eligible","Yes","No","3","2",5,"No",262.00
"H1903","WELLCARE OF LOUISIANA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3753,"06","Dallas","Medicare","011","WellCare Access","Yes","Dual-Eligible","Yes","No","3","2",5,"No",805.00
"H1961","TENET CHOICES, INC. / PEOPLES HEALTH NETWORK","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",35867,"06","Dallas","Medicare","003","Secure Health","Yes","Dual-Eligible","Yes","No","2","1",3,"No",1273.00
"H2108","BRAVO HEALTH MID- ATLANTIC INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8554,"03","Philadelphia","Medicare","001","Bravo Select","Yes","Dual-Eligible","Yes","No","2","1",3,"No",4580.00
"H2111","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",2831,"03","Philadelphia","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","0","3",3,"Yes",2436.00
"H2111","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",2831,"03","Philadelphia","Medicare","002","Evercare Plan IP","Yes","Institutional","Yes","No","0","3",3,"Yes",76.00
"H2111","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",2831,"03","Philadelphia","Medicare","003","Evercare Plan IP","Yes","Institutional","Yes","No","0","3",3,"Yes",319.00
"H2174","TRILLIUM COMMUNITY HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2342,"10","Seattle","Medicare","001","Trillium Advantage SNP","Yes","Dual-Eligible","Yes","No","1","1",2,"No",2284.00
"H2224","SENIOR WHOLE HEALTH, LLC","Demo","MA Health Senior Care Options","Yes","Yes","HMO",3730,"01","Boston","Medicare","001","Senior Whole Health","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",3730.00
"H2225","COMMONWEALTH CARE ALLIANCE, INC.","Demo","MA Health Senior Care Options","Yes","Yes","HMO",1157,"01","Boston","Medicare","001","Senior Care Options Program","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1157.00
"H2226","UNITED HEALTHCARE INSURANCE COMPANY","Demo","MA Health Senior Care Options","Yes","Yes","HMO",2720,"01","Boston","Medicare","001","Evercare Mass SCO","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",2720.00
"H2228","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",8318,"01","Boston","Medicare","004","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","0","6",6,"Yes",1680.00
"H2228","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",8318,"01","Boston","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","0","6",6,"Yes",4648.00
"H2228","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",8318,"01","Boston","Medicare","002","Evercare Plan IP","Yes","Institutional","Yes","No","0","6",6,"Yes",1179.00
"H2237","INDEPENDENT CARE HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2021,"05","Chicago","Medicare","001","iCare Medicare Plan","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",2020.00
"H2323","FIDELIS SECURECARE OF MICHIGAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",912,"05","Chicago","Medicare","001","Fidelis Medicare Plus","Yes","Institutional","Yes","No","0","2",2,"Yes",910.00
"H2406","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",2167,"05","Chicago","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","0","1",1,"Yes",2167.00
"H2407","UCARE MINNESOTA","Demo","MN Disability Health Options","Yes","Yes","HMO",549,"05","Chicago","Medicare","001","UCare Complete / Partners Choice Network","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",549.00
"H2416","PRIMEWEST HEALTH SYSTEM","Demo","MN Senior Health Options","Yes","Yes","HMO",2057,"05","Chicago","Medicare","001","PrimeWest Senior Health Complete","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",2057.00
"H2417","ITASCA MEDICAL CARE","Demo","MN Senior Health Options","Yes","Yes","HMO",461,"05","Chicago","Medicare","001","IMCare Classic","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",461.00
"H2419","SOUTH COUNTRY HEALTH ALLIANCE","Demo","MN Senior Health Options","Yes","Yes","HMO",2019,"05","Chicago","Medicare","001","SeniorCare Complete","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",2019.00
"H2422","HEALTHPARTNERS","Demo","MN Senior Health Options","Yes","Yes","HMO",2601,"05","Chicago","Medicare","002","Classic Minnesota Senior Health Options","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",2601.00
"H2424","FIRST PLAN OF MINNESOTA","Demo","MN Senior Health Options","Yes","Yes","HMO",946,"05","Chicago","Medicare","001","First Plan Blue - MSHO","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",946.00
"H2425","BLUE PLUS","Demo","MN Senior Health Options","Yes","Yes","HMO",10084,"05","Chicago","Medicare","001","SecureBlue","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",10084.00
"H2456","UCARE MINNESOTA","Demo","MN Senior Health Options","Yes","Yes","HMO",7745,"05","Chicago","Medicare","002","Minnesota Senior Health Options","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",7745.00
"H2457","METROPOLITAN HEALTH PLAN","Demo","MN Senior Health Options","Yes","Yes","HMO",807,"05","Chicago","Medicare","002","MHP-MSHO","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",807.00
"H2458","MEDICA HEALTH PLANS","Demo","MN Senior Health Options","Yes","Yes","HMO",8388,"05","Chicago","Medicare","002","Medica Dual Solution","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",8388.00
"H2654","UNITED HEALTHCARE OF THE MIDWEST, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",44036,"07","Kansas City","Medicare","023","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","10","3",13,"No",199.00
"H2654","UNITED HEALTHCARE OF THE MIDWEST, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",44036,"07","Kansas City","Medicare","024","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","10","3",13,"No",943.00
"H2663","GROUP HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",22707,"07","Kansas City","Medicare","009","Advantra Extra 2","Yes","Chronic or Disabling Condition","Yes","No","10","2",12,"No",710.00
"H2663","GROUP HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",22707,"07","Kansas City","Medicare","008","Advantra Extra 1","Yes","Chronic or Disabling Condition","Yes","No","10","2",12,"No",1350.00
"H2802","UNITED HEALTHCARE OF THE MIDLANDS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5837,"07","Kansas City","Medicare","005","Evercare Plan IH","Yes","Institutional","Yes","No","2","1",3,"No",142.00
"H2803","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",5315,"07","Kansas City","Medicare","010","Evercare Plan DH-POS","Yes","Dual-Eligible","Yes","No","5","3",8,"No",77.00
"H3112","AMERIHEALTH HMO_INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5185,"03","Philadelphia","Medicare","001","AmeriHealth 65 Basic","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",5185.00
"H3113","OXFORD HEALTH PLANS OF NEW JERSEY, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",298,"02","New York","Medicare","001","Evercare Plan IH","Yes","Institutional","Yes","No","0","1",1,"Yes",298.00
"H3164","AMERICHOICE OF NEW JERSEY, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2188,"02","New York","Medicare","003","AmeriChoice Personal Care Plus","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",2188.00
"H3209","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",397,"06","Dallas","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","0","2",2,"Yes",97.00
"H3209","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",397,"06","Dallas","Medicare","002","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",300.00
"H3307","OXFORD HEALTH PLANS (NY) INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",69061,"02","New York","Medicare","020","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","9","1",10,"No",1502.00
"H3328","NEW YORK STATE CATHOLIC HLTH PLAN INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1114,"02","New York","Medicare","007","Fidelis Dual Advantage NYC","Yes","Dual-Eligible","Yes","No","6","3",9,"No",98.00
"H3328","NEW YORK STATE CATHOLIC HLTH PLAN INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1114,"02","New York","Medicare","002","Fidelis Dual Advantage Upstate","Yes","Dual-Eligible","Yes","No","6","3",9,"No",63.00
"H3330","HIP OF GREATER NEW YORK","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",126449,"02","New York","Medicare","029","HIP VIP Dual Eligible","Yes","Dual-Eligible","Yes","No","23","8",31,"No",6935.00
"H3330","HIP OF GREATER NEW YORK","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",126449,"02","New York","Medicare","030","HIP VIP Chronic Care","Yes","Chronic or Disabling Condition","Yes","No","23","8",31,"No",894.00
"H3336","NEIGHBORHOOD HEALTH PROVIDERS LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2360,"02","New York","Medicare","003","Neighborhood Medicare Supreme","Yes","Dual-Eligible","Yes","No","4","1",5,"No",488.00
"H3337","LIBERTY HEALTH ADVANTAGE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1856,"02","New York","Medicare","002","Liberty Health Advantage Dual Power-Nassau","Yes","Dual-Eligible","Yes","No","1","3",4,"No",79.00
"H3337","LIBERTY HEALTH ADVANTAGE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1856,"02","New York","Medicare","003","Liberty Health Advantage Dual Power - NYC","Yes","Dual-Eligible","Yes","No","1","3",4,"No",577.00
"H3340","GROUP HEALTH INCORPORATED","Local CCP","Local PPO","Yes","Yes","PPO",768,"02","New York","Medicare","001","GHI Medicare PPO Value","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",677.00
"H3340","GROUP HEALTH INCORPORATED","Local CCP","Local PPO","Yes","Yes","PPO",768,"02","New York","Medicare","002","GHI Medicare PPO Value","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",91.00
"H3347","ELDERPLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",118,"02","New York","Medicare","001","Elderplan, Inc","Yes","Institutional","Yes","No","0","1",1,"Yes",118.00
"H3359","MANAGED HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",62638,"02","New York","Medicare","021","Healthfirst Life Improvement Plan","Yes","Dual-Eligible","Yes","No","7","2",9,"No",31686.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20665,"02","New York","Medicare","068","WellCare Access","Yes","Dual-Eligible","Yes","No","23","20",43,"No",113.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20665,"02","New York","Medicare","110","WellCare Access","Yes","Dual-Eligible","Yes","No","23","20",43,"No",1518.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20665,"02","New York","Medicare","109","WellCare Access","Yes","Dual-Eligible","Yes","No","23","20",43,"No",2260.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20665,"02","New York","Medicare","084","WellCare Select","Yes","Dual-Eligible","Yes","No","23","20",43,"No",272.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20665,"02","New York","Medicare","080","WellCare Select","Yes","Dual-Eligible","Yes","No","23","20",43,"No",19.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20665,"02","New York","Medicare","079","WellCare Select","Yes","Dual-Eligible","Yes","No","23","20",43,"No",29.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20665,"02","New York","Medicare","069","WellCare Access","Yes","Dual-Eligible","Yes","No","23","20",43,"No",99.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20665,"02","New York","Medicare","064","WellCare Access","Yes","Dual-Eligible","Yes","No","23","20",43,"No",42.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20665,"02","New York","Medicare","043","WellCare Select","Yes","Dual-Eligible","Yes","No","23","20",43,"No",840.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20665,"02","New York","Medicare","031","WellCare Access","Yes","Dual-Eligible","Yes","No","23","20",43,"No",1115.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20665,"02","New York","Medicare","098","WellCare Select","Yes","Dual-Eligible","Yes","No","23","20",43,"No",78.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20665,"02","New York","Medicare","067","WellCare Access","Yes","Dual-Eligible","Yes","No","23","20",43,"No",61.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20665,"02","New York","Medicare","065","WellCare Access","Yes","Dual-Eligible","Yes","No","23","20",43,"No",427.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20665,"02","New York","Medicare","057","WellCare Select","Yes","Dual-Eligible","Yes","No","23","20",43,"No",95.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20665,"02","New York","Medicare","072","WellCare Access","Yes","Dual-Eligible","Yes","No","23","20",43,"No",118.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20665,"02","New York","Medicare","081","WellCare Select","Yes","Dual-Eligible","Yes","No","23","20",43,"No",44.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20665,"02","New York","Medicare","111","WellCare Access","Yes","Dual-Eligible","Yes","No","23","20",43,"No",1099.00
"H3362","INDEPENDENT HEALTH ASSOCIATION, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",42324,"02","New York","Medicare","020","IH's Medicare Family Choice","Yes","Institutional","Yes","No","10","1",11,"No",915.00
"H3366","TOUCHSTONE HEALTH HMO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5891,"02","New York","Medicare","022","Touchstone Health Grand","Yes","Dual-Eligible","Yes","No","6","1",7,"No",422.00
"H3370","EMPIRE HEALTHCHOICE HMO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",67055,"02","New York","Medicare","018","MediBlue Total Solutions","Yes","Dual-Eligible","Yes","No","19","1",20,"No",206.00
"H3379","UNITED HEALTHCARE OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10545,"02","New York","Medicare","022","Evercare Plan IH","Yes","Institutional","Yes","No","8","2",10,"No",1234.00
"H3379","UNITED HEALTHCARE OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10545,"02","New York","Medicare","002","Evercare Plan IH","Yes","Institutional","Yes","No","8","2",10,"No",4465.00
"H3387","AMERICHOICE OF NEW YORK, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",719,"02","New York","Medicare","005","AmeriChoice Personal Care Plus","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",719.00
"H3456","UNITED HEALTHCARE OF NORTH CAROLINA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",40259,"04","Atlanta","Medicare","010","Evercare Plan IH","Yes","Institutional","Yes","No","3","2",5,"No",1340.00
"H3456","UNITED HEALTHCARE OF NORTH CAROLINA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",40259,"04","Atlanta","Medicare","016","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","3","2",5,"No",6703.00
"H3653","PARAMOUNT CARE, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",14275,"05","Chicago","Medicare","020","Paramount Elite Plus - Special Needs Plan","Yes","Dual-Eligible","Yes","No","9","1",10,"No",279.00
"H3659","UNITED HEALTHCARE OF OHIO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",53243,"05","Chicago","Medicare","056","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","10","3",13,"No",4606.00
"H3708","SELECTCARE OF OKLAHOMA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",158,"06","Dallas","Medicare","001","SelectCare of Oklahoma","Yes","Institutional","Yes","No","0","1",1,"Yes",158.00
"H3749","PACIFICARE OF OKLAHOMA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",19483,"06","Dallas","Medicare","011","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","8","1",9,"No",421.00
"H3810","MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1838,"10","Seattle","Medicare","002","CareSource - SNP","Yes","Dual-Eligible","Yes","No","4","1",5,"No",707.00
"H3811","SAMARITAN HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3281,"10","Seattle","Medicare","003","The Samaritan Advantage Special Needs Plan","Yes","Dual-Eligible","Yes","No","2","1",3,"No",1606.00
"H3812","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",2672,"10","Seattle","Medicare","004","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","3","2",5,"No",175.00
"H3812","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",2672,"10","Seattle","Medicare","005","Evercare Plan IP","Yes","Institutional","Yes","No","3","2",5,"No",150.00
"H3814","ATRIO HEALTH PLANS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3269,"10","Seattle","Medicare","007","ATRIO MyAdvantage SNP","Yes","Dual-Eligible","Yes","No","4","1",5,"No",2754.00
"H3818","FAMILYCARE HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1546,"10","Seattle","Medicare","002","PremierCare Plus","Yes","Dual-Eligible","Yes","No","3","1",4,"No",1086.00
"H3907","UNIVERSITY OF PITTSBURGH MEDICAL CENTER","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",56833,"03","Philadelphia","Medicare","020","UPMC for Life Specialty Plan","Yes","Dual-Eligible","Yes","No","6","1",7,"No",15018.00
"H3912","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",1793,"03","Philadelphia","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","0","4",4,"Yes",574.00
"H3912","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",1793,"03","Philadelphia","Medicare","005","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","0","4",4,"Yes",514.00
"H3912","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",1793,"03","Philadelphia","Medicare","004","Evercare Plan IP","Yes","Institutional","Yes","No","0","4",4,"Yes",299.00
"H3920","UNISON HEALTH PLAN OF PENNSYLVANIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",12557,"03","Philadelphia","Medicare","003","Unison Advantage Plus","Yes","Dual-Eligible","Yes","No","2","1",3,"No",11440.00
"H3949","BRAVO HEALTH PENNSYLVANIA INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",14359,"03","Philadelphia","Medicare","009","Bravo Select","Yes","Dual-Eligible","Yes","No","3","1",4,"No",5354.00
"H3952","KEYSTONE HEALTH PLAN EAST, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",134033,"03","Philadelphia","Medicare","018","Keystone 65 Complete","Yes","Dual-Eligible","Yes","No","8","1",9,"No",24349.00
"H3954","GEISINGER HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",34013,"03","Philadelphia","Medicare","097","Geisinger Health Plan Gold Special","Yes","Dual-Eligible","Yes","No","86","1",87,"No",379.00
"H3957","KEYSTONE HEALTH PLAN WEST, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",185053,"03","Philadelphia","Medicare","030","SecurityBlue Care","Yes","Dual-Eligible","Yes","No","13","1",14,"No",736.00
"H3964","SENIOR PARTNERS BY BRAVO HEALTH","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",22928,"03","Philadelphia","Medicare","002","Senior Partners Silver","Yes","Dual-Eligible","Yes","No","2","1",3,"No",13291.00
"H4003","MMM HEALTHCARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",119413,"02","New York","Medicare","009","Medicare y Mucho Ms - SUPREMO","Yes","Chronic or Disabling Condition","Yes","No","6","3",9,"No",57700.00
"H4003","MMM HEALTHCARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",119413,"02","New York","Medicare","010","Medicare y Mucho Ms - DIAMANTE","Yes","Dual-Eligible","Yes","No","6","3",9,"No",33461.00
"H4004","PREFERRED MEDICARE CHOICE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",47149,"02","New York","Medicare","035","MA-PD Medicare en el Hogar Plus","Yes","Institutional","Yes","No","5","4",9,"No",1434.00
"H4004","PREFERRED MEDICARE CHOICE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",47149,"02","New York","Medicare","030","MA-PD Premier","Yes","Dual-Eligible","Yes","No","5","4",9,"No",5163.00
"H4004","PREFERRED MEDICARE CHOICE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",47149,"02","New York","Medicare","001","MA-PD Premier Plus","Yes","Dual-Eligible","Yes","No","5","4",9,"No",26875.00
"H4006","MCS ADVANTAGE INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",83992,"02","New York","Medicare","013","MCS Classicare Ideal D","Yes","Dual-Eligible","Yes","No","12","5",17,"No",281.00
"H4006","MCS ADVANTAGE INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",83992,"02","New York","Medicare","018","MCS Classicare Ideal E","Yes","Dual-Eligible","Yes","No","12","5",17,"No",51596.00
"H4006","MCS ADVANTAGE INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",83992,"02","New York","Medicare","009","MCS Classicare Ideal A","Yes","Dual-Eligible","Yes","No","12","5",17,"No",917.00
"H4007","HUMANA HEALTH PLANS OF PUERTO RICO INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",17816,"02","New York","Medicare","002","Humana Gold Plus HMO H4007-002D","Yes","Dual-Eligible","Yes","No","4","3",7,"No",16221.00
"H4007","HUMANA HEALTH PLANS OF PUERTO RICO INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",17816,"02","New York","Medicare","005","Humana Gold Plus HMO H4007-005E","Yes","Dual-Eligible","Yes","No","4","3",7,"No",1543.00
"H4009","SDM HEALTHCARE MANAGEMENT, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3923,"02","New York","Medicare","006","SDM Medicare Platino","Yes","Dual-Eligible","Yes","No","0","7",7,"Yes",3012.00
"H4009","SDM HEALTHCARE MANAGEMENT, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3923,"02","New York","Medicare","007","SDM Medicare Platino Dorado","Yes","Dual-Eligible","Yes","No","0","7",7,"Yes",180.00
"H4012","TRIPLE-S, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",18223,"02","New York","Medicare","001","Triple-S Medicare Selecto","Yes","Dual-Eligible","Yes","No","0","3",3,"Yes",18202.00
"H4106","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",360,"01","Boston","Medicare","001","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",360.00
"H4152","BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND","Local CCP","HMO/HMOPOS","Yes","Yes","POS",39957,"01","Boston","Medicare","012","BlueCHiP for Medicare Optima","Yes","Dual-Eligible","Yes","No","9","1",10,"No",2601.00
"H4406","UNITED HEALTHCARE OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",1499,"04","Atlanta","Medicare","004","SecureHorizons MedicareComplete","Yes","Dual-Eligible","Yes","No","3","1",4,"No",119.00
"H4407","HEALTHSPRING OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",824,"04","Atlanta","Medicare","003","HealthSpring TotalCare (N)","Yes","Dual-Eligible","Yes","No","8","4",12,"No",172.00
"H4407","HEALTHSPRING OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",824,"04","Atlanta","Medicare","004","HealthSpring TotalCare (S)","Yes","Dual-Eligible","Yes","No","8","4",12,"No",116.00
"H4454","HEALTHSPRING OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",50465,"04","Atlanta","Medicare","008","HealthSpring TotalCare","Yes","Dual-Eligible","Yes","No","8","2",10,"No",8564.00
"H4461","CARITEN HEALTH PLAN IN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",43506,"04","Atlanta","Medicare","011","Cariten Senior Health Complete","Yes","Dual-Eligible","Yes","No","9","2",11,"No",11067.00
"H4510","HUMANA HEALTH PLAN OF TEXAS,INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",25141,"06","Dallas","Medicare","017","Humana Gold Plus HMO H4510-017","Yes","Dual-Eligible","Yes","No","6","2",8,"No",281.00
"H4510","HUMANA HEALTH PLAN OF TEXAS,INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",25141,"06","Dallas","Medicare","016","Humana Gold Plus HMO H4510-016","Yes","Dual-Eligible","Yes","No","6","2",8,"No",136.00
"H4513","TEXAS HEALTHSPRING LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",36546,"06","Dallas","Medicare","010","Texas HealthSpring TotalCare","Yes","Dual-Eligible","Yes","No","9","2",11,"No",4520.00
"H4514","EVERCARE OF TEXAS, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",13079,"06","Dallas","Medicare","001","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","3","4",7,"No",9807.00
"H4521","VALLEY BAPTIST INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2280,"06","Dallas","Medicare","002","Valley Advantage Select","Yes","Dual-Eligible","Yes","No","5","1",6,"No",1722.00
"H4522","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",6367,"06","Dallas","Medicare","007","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","3","1",4,"No",1470.00
"H4525","SHA, L.L.C","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1285,"06","Dallas","Medicare","003","FirstCare Advantage Select","Yes","Dual-Eligible","Yes","No","8","1",9,"No",805.00
"H4527","PSO HEALTH SERVICES, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",6794,"06","Dallas","Medicare","003","Physicians Health Choice Select","Yes","Dual-Eligible","Yes","No","3","4",7,"No",1150.00
"H4527","PSO HEALTH SERVICES, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",6794,"06","Dallas","Medicare","004","Physicians Health Choice Select","Yes","Dual-Eligible","Yes","No","3","4",7,"No",1877.00
"H4527","PSO HEALTH SERVICES, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",6794,"06","Dallas","Medicare","006","Physicians Health Choice Select","Yes","Dual-Eligible","Yes","No","3","4",7,"No",436.00
"H4528","BRAVO HEALTH TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4625,"06","Dallas","Medicare","002","Bravo Select","Yes","Dual-Eligible","Yes","No","2","1",3,"No",2598.00
"H4529","ARCADIAN HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10893,"06","Dallas","Medicare","007","El Paso -  SNP","Yes","Dual-Eligible","Yes","No","8","1",9,"No",1278.00
"H4590","PACIFICARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",120068,"06","Dallas","Medicare","022","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","11","6",17,"No",5916.00
"H4590","PACIFICARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",120068,"06","Dallas","Medicare","020","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","11","6",17,"No",4606.00
"H4590","PACIFICARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",120068,"06","Dallas","Medicare","033","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","11","6",17,"No",853.00
"H4604","UNITEDHEALTHCARE OF UTAH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",4360,"08","Denver","Medicare","006","Evercare Plan DH-POS","Yes","Dual-Eligible","Yes","No","3","2",5,"No",508.00
"H5008","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1230,"10","Seattle","Medicare","001","Evercare Plan IH","Yes","Institutional","Yes","No","0","2",2,"Yes",328.00
"H5008","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1230,"10","Seattle","Medicare","002","Evercare Premier","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",902.00
"H5206","PARTNERSHIP HEALTH PLAN, INC.","Demo","WI Partnership Program","Yes","Yes","HMO",1196,"05","Chicago","Medicare","002","Community Health Partnership","Yes","Institutional","Yes","No","0","2",2,"Yes",1196.00
"H5207","COMMUNITY CARE HEALTH PLAN, INC","Demo","WI Partnership Program","Yes","Yes","HMO",247,"05","Chicago","Medicare","001","Community Care's Partnership Program","Yes","Institutional","Yes","No","0","1",1,"Yes",247.00
"H5209","CARE WISCONSIN HEALTH PLAN, INC.","Demo","WI Partnership Program","Yes","Yes","HMO",638,"05","Chicago","Medicare","002","Elder Care Partnership","Yes","Institutional","Yes","No","0","1",1,"Yes",638.00
"H5253","UNITED HEALTHCARE OF WISCONSIN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",19558,"05","Chicago","Medicare","024","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","6","2",8,"No",865.00
"H5253","UNITED HEALTHCARE OF WISCONSIN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",19558,"05","Chicago","Medicare","007","Evercare Plan IH","Yes","Institutional","Yes","No","6","2",8,"No",751.00
"H5301","PENNSYLVANIA LIFE INSURANCE COMPANY","Demo","ESRD I","No","No","FFS/Indemnity",188,"06","Dallas","Medicare","002","Fresenius Medical Care Health Plan","No",,"No","No","2","0",2,"No",77.00
"H5301","PENNSYLVANIA LIFE INSURANCE COMPANY","Demo","ESRD I","No","No","FFS/Indemnity",188,"06","Dallas","Medicare","003","Fresenius Medical Care Health Plan","No",,"No","No","2","0",2,"No",111.00
"H5402","QUALITY HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8153,"04","Atlanta","Medicare","024","Value One","Yes","Dual-Eligible","Yes","No","8","1",9,"No",277.00
"H5404","UNIVERSAL HEALTH CARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",29685,"04","Atlanta","Medicare","111","Universal DP","Yes","Dual-Eligible","Yes","No","27","4",31,"No",83.00
"H5407","CITRUS HEALTH CARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",6962,"04","Atlanta","Medicare","011","Citrus Special Needs Plan","Yes","Dual-Eligible","Yes","No","17","1",18,"No",5094.00
"H5417","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",20148,"04","Atlanta","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","1","2",3,"No",1941.00
"H5420","MEDICA HEALTHCARE PLANS, INC.","Local CCP","PSO (State License)","Yes","Yes","HMO",10230,"04","Atlanta","Medicare","006","MedicareMax Plus","Yes","Dual-Eligible","Yes","No","4","1",5,"No",424.00
"H5424","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",3456,"09","San Francisco","Medicare","005","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","3","1",4,"No",638.00
"H5426","METCARE HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",6060,"04","Atlanta","Medicare","014","Mandarin Plan","Yes","Dual-Eligible","Yes","No","6","3",9,"No",205.00
"H5426","METCARE HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",6060,"04","Atlanta","Medicare","013","Mandarin Plan","Yes","Dual-Eligible","Yes","No","6","3",9,"No",274.00
"H5426","METCARE HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",6060,"04","Atlanta","Medicare","015","Mandarin Plan","Yes","Dual-Eligible","Yes","No","6","3",9,"No",81.00
"H5427","FREEDOM HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",12409,"04","Atlanta","Medicare","049","Freedom Medi-Medi Plan","Yes","Dual-Eligible","Yes","No","8","2",10,"No",398.00
"H5428","SAN MATEO HEALTH COMMISSION","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",7525,"09","San Francisco","Medicare","001","HPSM CareAdvantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",7525.00
"H5430","CARE1ST HEALTH PLAN OF ARIZONA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1552,"09","San Francisco","Medicare","001","ONECare by Care1st Health Plan Arizona","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1552.00
"H5433","ORANGE COUNTY HEALTH AUTHORITY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",7700,"09","San Francisco","Medicare","001","OneCare","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",7700.00
"H5440","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1157,"04","Atlanta","Medicare","001","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1157.00
"H5539","MARYLAND CARE - MEDICARE, INC.","Local CCP","PSO (State License)","Yes","Yes","HMO",58,"03","Philadelphia","Medicare","001","Golden Advantage Plus","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",58.00
"H5549","VNS CHOICE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",623,"02","New York","Medicare","001","VNS CHOICE SELECT","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",623.00
"H5554","SANTA CLARA COUNTY HEALTH AUTHORITY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1256,"09","San Francisco","Medicare","001","Healthy Generations","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1256.00
"H5575","FIDELIS SECURECARE OF NORTH CAROLINA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",475,"01","Boston","Medicare","001","Fidelis Medicare Plus","Yes","Institutional","Yes","No","0","2",2,"Yes",474.00
"H5575","FIDELIS SECURECARE OF NORTH CAROLINA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",475,"01","Boston","Medicare","002","Fidelis Medicare Plus Complete","Yes","Institutional","Yes","No","0","2",2,"Yes",1.00
"H5580","SOUTHWEST CATHOLIC HEALTH NETWORK CORPORATION","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",13972,"09","San Francisco","Medicare","001","Mercy Care Advantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",13972.00
"H5586","SOUTH DAKOTA STATE MEDICAL HOLDING COMPANY, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3535,"08","Denver","Medicare","001","HeartLine Plus","Yes","Chronic or Disabling Condition","Yes","No","0","2",2,"Yes",3245.00
"H5587","HEALTH CHOICE ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3472,"09","San Francisco","Medicare","001","Health Choice Generations","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",3472.00
"H5598","UNITED HEALTHCARE INSURANCE COMPANY","Demo","ESRD II","Yes","Yes","HMO/POS Combined",100,"04","Atlanta","Medicare","001","Evercare Plan RD","Yes","Chronic or Disabling Condition","Yes","No","0","1",1,"Yes",100.00
"H5606","STERLING LIFE INSURANCE COMPANY","Demo","ESRD I","No","No","FFS/Indemnity",139,"06","Dallas","Medicare","001","FRESENIUS MEDICAL CARE HEALTH PLAN","No",,"No","No","1","0",1,"No",139.00
"H5608","DENVER HEALTH MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1909,"08","Denver","Medicare","001","Denver Health Medicare Choice","Yes","Dual-Eligible","Yes","No","2","1",3,"No",1105.00
"H5609","GEMCARE HEALTH PLAN INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5386,"09","San Francisco","Medicare","002","GEMCare Medicare Plus Dual Eligible Plan","Yes","Dual-Eligible","Yes","No","2","1",3,"No",407.00
"H5628","MOLINA HEALTHCARE OF UTAH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1860,"08","Denver","Medicare","001","Molina Advantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1860.00
"H5640","IEHP HEALTH ACCESS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1416,"09","San Francisco","Medicare","001","IEHP Medicare DualChoice","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1416.00
"H5649","CENTRAL HEALTH PLAN OF CALIFORNIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1947,"09","San Francisco","Medicare","002","Central Health Medi-Medi Plan","Yes","Dual-Eligible","Yes","No","1","1",2,"No",800.00
"H5665","CARE IMPROVEMENT PLUS  OF MARYLAND, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","POS",5369,"03","Philadelphia","Medicare","001","Care Improvement Plus Silver Rx","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",187.00
"H5665","CARE IMPROVEMENT PLUS  OF MARYLAND, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","POS",5369,"03","Philadelphia","Medicare","006","Care Improvement Plus Platinum Rx Plus","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",96.00
"H5665","CARE IMPROVEMENT PLUS  OF MARYLAND, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","POS",5369,"03","Philadelphia","Medicare","007","Care Improvement Plus Platinum Rx Premier","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",604.00
"H5665","CARE IMPROVEMENT PLUS  OF MARYLAND, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","POS",5369,"03","Philadelphia","Medicare","002","Care Improvement Plus Gold Rx","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",3349.00
"H5665","CARE IMPROVEMENT PLUS  OF MARYLAND, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","POS",5369,"03","Philadelphia","Medicare","005","Care Improvement Plus Gold Rx Plus","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",88.00
"H5665","CARE IMPROVEMENT PLUS  OF MARYLAND, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","POS",5369,"03","Philadelphia","Medicare","004","Care Improvement Plus Gold Rx Premier","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",155.00
"H5665","CARE IMPROVEMENT PLUS  OF MARYLAND, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","POS",5369,"03","Philadelphia","Medicare","003","Care Improvement Plus Platinum Rx","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",890.00
"H5685","MIDWEST HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",231,"05","Chicago","Medicare","001","Midwest Health Plan, Inc.","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",231.00
"H5698","WINDSOR HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10374,"04","Atlanta","Medicare","003","Windsor Medicare Extra Comprehensive Plan","Yes","Dual-Eligible","Yes","No","18","6",24,"No",2406.00
"H5698","WINDSOR HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10374,"04","Atlanta","Medicare","022","Windsor Medicare Extra Comprehensive Plan","Yes","Dual-Eligible","Yes","No","18","6",24,"No",611.00
"H5698","WINDSOR HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10374,"04","Atlanta","Medicare","030","Windsor Medicare Extra Comprehensive Plan","Yes","Dual-Eligible","Yes","No","18","6",24,"No",980.00
"H5698","WINDSOR HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10374,"04","Atlanta","Medicare","038","Windsor Medicare Extra Comprehensive Plan","Yes","Dual-Eligible","Yes","No","18","6",24,"No",134.00
"H5698","WINDSOR HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10374,"04","Atlanta","Medicare","009","Windsor Medicare Extra Comprehensive Plan","Yes","Dual-Eligible","Yes","No","18","6",24,"No",2805.00
"H5698","WINDSOR HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10374,"04","Atlanta","Medicare","014","Windsor Medicare Extra Comprehensive Plan","Yes","Dual-Eligible","Yes","No","18","6",24,"No",205.00
"H5700","ARKANSAS COMMUNITY CARE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5848,"06","Dallas","Medicare","023","Arcadian Health Plan- Dual Plus (Oklma)","Yes","Dual-Eligible","Yes","No","10","3",13,"No",59.00
"H5700","ARKANSAS COMMUNITY CARE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5848,"06","Dallas","Medicare","022","Arkansas Comm. Care - Dual Plus","Yes","Dual-Eligible","Yes","No","10","3",13,"No",72.00
"H5703","SOUTH COUNTRY HEALTH ALLIANCE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",636,"05","Chicago","Medicare","001","AbilityCare","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",636.00
"H5729","MD MEDICARE CHOICE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4275,"04","Atlanta","Medicare","001","PartnerCare Medicare Maximum - LTC","Yes","Institutional","Yes","No","6","2",8,"No",1216.00
"H5760","COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO","Local CCP","HMO/HMOPOS","Yes","Yes","POS",4272,"02","New York","Medicare","004","CosviMed Care Platino","Yes","Dual-Eligible","Yes","No","4","2",6,"No",171.00
"H5774","AMERICAN HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",21375,"02","New York","Medicare","010","Active Plus","Yes","Chronic or Disabling Condition","Yes","No","9","3",12,"No",7.00
"H5774","AMERICAN HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",21375,"02","New York","Medicare","009","Classic Plus","Yes","Chronic or Disabling Condition","Yes","No","9","3",12,"No",2136.00
"H5774","AMERICAN HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",21375,"02","New York","Medicare","004","Basic Plus","Yes","Dual-Eligible","Yes","No","9","3",12,"No",16388.00
"H5782","SOLANO-NAPA-YOLO COMMISSION ON MEDICAL CARE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1994,"09","San Francisco","Medicare","001","PartnershipAdvantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1994.00
"H5783","ARCADIAN HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1360,"04","Atlanta","Medicare","008","Southeast Comm. Care- Dual Plus","Yes","Dual-Eligible","Yes","No","4","1",5,"No",296.00
"H5810","MOLINA HEALTHCARE OF CALIFORNIA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1064,"09","San Francisco","Medicare","001","Molina Advantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1064.00
"H5811","MEDCORE HP","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1182,"09","San Francisco","Medicare","002","Medcore Gold Select (Medicare & Medi-Cal)","Yes","Dual-Eligible","Yes","No","2","1",3,"No",501.00
"H5817","AMERIGROUP TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4770,"06","Dallas","Medicare","001","AMERIVANTAGE Special Needs Plan","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",4770.00
"H5821","MAPFRE LIFE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8350,"02","New York","Medicare","009","MAPFRE Medicare Excel Platino","Yes","Dual-Eligible","Yes","No","5","2",7,"No",4569.00
"H5823","MOLINA HEALTHCARE OF WASHINGTON, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",515,"10","Seattle","Medicare","001","Molina Advantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",515.00
"H5826","COMMUNITY HEALTH PLAN OF WASHINGTON","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1601,"10","Seattle","Medicare","005","Community HealthFirst MA SNP","Yes","Dual-Eligible","Yes","No","4","1",5,"No",310.00
"H5838","COMMONWEALTH CARE ALLIANCE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",182,"01","Boston","Medicare","001","Commonwealth Care Connection","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",182.00
"H5850","SUMMIT HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",9212,"04","Atlanta","Medicare","002","Summit Maximum Plan","Yes","Dual-Eligible","Yes","No","8","2",10,"No",4189.00
"H5852","AIDS HEALTHCARE FOUNDATION","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",686,"09","San Francisco","Medicare","001","POSITIVE HEALTHCARE PARTNERS","Yes","Chronic or Disabling Condition","Yes","No","0","1",1,"Yes",686.00
"H5859","HEALTH PLAN OF CAREOREGON, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5359,"10","Seattle","Medicare","001","CareOregon Advantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",5359.00
"H5887","FIRST MEDICAL HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4894,"02","New York","Medicare","005","First Plus Medicare Platino 2","Yes","Dual-Eligible","Yes","No","1","2",3,"No",1172.00
"H5893","CARE WISCONSIN HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",77,"05","Chicago","Medicare","002","Elder Care CareSurround","Yes","Chronic or Disabling Condition","Yes","No","0","2",2,"Yes",61.00
"H5893","CARE WISCONSIN HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",77,"05","Chicago","Medicare","001","Elder Care InFocus Health","Yes","Institutional","Yes","No","0","2",2,"Yes",16.00
"H5896","AMERIGROUP MARYLAND, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",228,"03","Philadelphia","Medicare","001","AMERIVANTAGE Special Needs Plan","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",228.00
"H5909","AMERICAN PROGRESSIVE LIFE AND HEALTH OF NEW YORK","Demo","ESRD I","No","No","FFS/Indemnity",153,"06","Dallas","Medicare","001","Fresenius Medical Care Health Plan","No",,"No","No","1","0",1,"No",153.00
"H5926","MOLINA HEALTHCARE OF MICHIGAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1116,"05","Chicago","Medicare","001","Molina Advantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1116.00
"H5928","CARE1ST HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2477,"09","San Francisco","Medicare","001","Care1st Health Plan, Special Needs Plan","Yes","Dual-Eligible","Yes","No","1","1",2,"No",1735.00
"H5932","GATEWAY HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",24503,"03","Philadelphia","Medicare","001","Gateway Health Plan Medicare Assured","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",24503.00
"H5943","SCAN HEALTH PLAN","Demo","ESRD II","Yes","Yes","HMO",374,"09","San Francisco","Medicare","001","VillageHealth","Yes","Chronic or Disabling Condition","Yes","No","0","1",1,"Yes",374.00
"H5948","ARTA MEDICARE HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",268,"09","San Francisco","Medicare","002","Arta Select","Yes","Dual-Eligible","Yes","No","1","1",2,"No",145.00
"H5962","STERLING LIFE INSURANCE COMPANY","Demo","ESRD I","No","No","FFS/Indemnity",213,"06","Dallas","Medicare","001","FRESENIUS MEDICAL CARE HEALTH PLAN","No",,"No","No","1","0",1,"No",213.00
"H5969","ALOHACARE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1016,"09","San Francisco","Medicare","002","AlohaCare Advantage Plus","Yes","Dual-Eligible","Yes","No","1","1",2,"No",407.00
"H5980","FIDELIS SECURECARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",348,"06","Dallas","Medicare","001","Fidelis Medicare Plus","Yes","Institutional","Yes","No","0","2",2,"Yes",346.00
"H5985","ABRAZO ADVANTAGE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3356,"09","San Francisco","Medicare","002","Abrazo Advantage Plus","Yes","Dual-Eligible","Yes","No","1","1",2,"No",3137.00
"H5991","AFFINITY HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",679,"02","New York","Medicare","001","Affinity Medicare Ultimate","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",406.00
"H5991","AFFINITY HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",679,"02","New York","Medicare","002","Affinity Medicare Solutions","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",273.00
"H5995","MARION POLK COMMUNITY HEALTH PLAN ADVANTAGE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3310,"10","Seattle","Medicare","001","Marion Polk Community HealthPlan Advantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",3310.00
"H5998","UNISON HEALTH PLAN OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",792,"04","Atlanta","Medicare","003","Unison Advantage Plus","Yes","Dual-Eligible","Yes","No","2","1",3,"No",638.00
"H6934","UAHC HEALTH PLAN OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",827,"04","Atlanta","Medicare","001","UAHC Gold Plus","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",827.00
"H9001","FALLON COMMUNITY HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",30889,"01","Boston","Medicare","012","Fallon Senior Plan Value","Yes","Dual-Eligible","Yes","No","12","1",13,"No",927.00
"H9011","UNITED HEALTHCARE OF FLORIDA INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3888,"04","Atlanta","Medicare","011","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","4","1",5,"No",33.00
"H9016","CARE1ST HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",6885,"09","San Francisco","Medicare","011","Care1st San Bernardino, Special Needs Plan","Yes","Dual-Eligible","Yes","No","3","3",6,"No",134.00
"H9101","ELDERPLAN, INC.  - SHMO","Demo","SHMO","Yes","Yes","HMO",16319,"02","New York","Medicare","007","Elderplan, INC","Yes","Institutional","Yes","No","0","1",1,"Yes",16319.00
"H9104","SCAN HEALTH PLAN","Demo","SHMO","Yes","Yes","HMO",93097,"09","San Francisco","Medicare","008","SCAN Health Plan","Yes","Institutional","Yes","No","4","4",8,"No",22170.00
"H9104","SCAN HEALTH PLAN","Demo","SHMO","Yes","Yes","HMO",93097,"09","San Francisco","Medicare","007","SCAN Health Plan","Yes","Institutional","Yes","No","4","4",8,"No",16404.00
"H9104","SCAN HEALTH PLAN","Demo","SHMO","Yes","Yes","HMO",93097,"09","San Francisco","Medicare","006","SCAN Health Plan","Yes","Institutional","Yes","No","4","4",8,"No",43940.00
"H9104","SCAN HEALTH PLAN","Demo","SHMO","Yes","Yes","HMO",93097,"09","San Francisco","Medicare","009","SCAN Health Plan","Yes","Institutional","Yes","No","4","4",8,"No",8122.00
"H9385","SCAN HEALTH PLAN OF ARIZONA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",537,"09","San Francisco","Medicare","001","SCAN Health Plan","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",537.00
"R3175","UNITED HEALTHCARE INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",1403,"09","San Francisco","Medicare","003","Evercare Plan RDP","Yes","Dual-Eligible","Yes","No","4","1",5,"No",126.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",17998,"07","Kansas City","Medicare","004","Care Improvement Plus Gold Rx Premier","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",382.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",17998,"07","Kansas City","Medicare","006","Care Improvement Plus Platinum Rx Plus","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",623.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",17998,"07","Kansas City","Medicare","003","Care Improvement Plus Platinum Rx","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",2834.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",17998,"07","Kansas City","Medicare","002","Care Improvement Plus Gold Rx","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",11053.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",17998,"07","Kansas City","Medicare","001","Care Improvement Plus Silver Rx","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",1099.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",17998,"07","Kansas City","Medicare","007","Care Improvement Plus Platinum Rx Premier","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",1588.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",17998,"07","Kansas City","Medicare","005","Care Improvement Plus Gold Rx Plus","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",419.00
"R5287","UNITED HEALTHCARE INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",39061,"09","San Francisco","Medicare","003","Evercare Plan RDP","Yes","Dual-Eligible","Yes","No","4","1",5,"No",9216.00
"R5342","UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK","Regional CCP","Regional PPO","Yes","Yes","PPO",7963,"09","San Francisco","Medicare","003","Evercare Plan RDP","Yes","Dual-Eligible","Yes","No","4","1",5,"No",2641.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",22410,"06","Dallas","Medicare","001","Care Improvement Plus Silver Rx","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",1645.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",22410,"06","Dallas","Medicare","002","Care Improvement Plus Gold Rx","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",14492.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",22410,"06","Dallas","Medicare","003","Care Improvement Plus Platinum Rx","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",2605.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",22410,"06","Dallas","Medicare","004","Care Improvement Plus Gold Rx Premier","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",372.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",22410,"06","Dallas","Medicare","005","Care Improvement Plus Gold Rx Plus","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",1022.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",22410,"06","Dallas","Medicare","007","Care Improvement Plus Platinum Rx Premier","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",1733.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",22410,"06","Dallas","Medicare","006","Care Improvement Plus Platinum Rx Plus","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",541.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO","Regional CCP","Regional PPO","Yes","Yes","PPO",38965,"04","Atlanta","Medicare","007","Care Improvement Plus Platinum Rx Premier","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",2497.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO","Regional CCP","Regional PPO","Yes","Yes","PPO",38965,"04","Atlanta","Medicare","005","Care Improvement Plus Gold Rx Plus","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",1611.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO","Regional CCP","Regional PPO","Yes","Yes","PPO",38965,"04","Atlanta","Medicare","004","Care Improvement Plus Gold Rx Premier","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",577.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO","Regional CCP","Regional PPO","Yes","Yes","PPO",38965,"04","Atlanta","Medicare","003","Care Improvement Plus Platinum Rx","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",3650.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO","Regional CCP","Regional PPO","Yes","Yes","PPO",38965,"04","Atlanta","Medicare","002","Care Improvement Plus Gold Rx","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",28410.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO","Regional CCP","Regional PPO","Yes","Yes","PPO",38965,"04","Atlanta","Medicare","001","Care Improvement Plus Silver Rx","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",1157.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO","Regional CCP","Regional PPO","Yes","Yes","PPO",38965,"04","Atlanta","Medicare","006","Care Improvement Plus Platinum Rx Plus","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",1063.00
