"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",42963,"04","Atlanta","Medicare","006","Blue Advantage Special Needs Plan","Yes","Dual-Eligible","Yes","No","6","1",7,"No",1485.00
"H0117","WELLCARE OF OHIO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1417,"04","Atlanta","Medicare","007","WellCare Access","Yes","Dual-Eligible","Yes","No","6","3",9,"No",394.00
"H0150","HEALTHSPRING OF ALABAMA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",29073,"08","Denver","Medicare","007","HealthSpringTotalCare","Yes","Dual-Eligible","Yes","No","8","3",11,"No",12734.00
"H0151","UNITED HEALTHCARE OF ALABAMA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",33714,"09","San Francisco","Medicare","015","SecureHorizons MedicareComplete Plan 4","Yes","Dual-Eligible","Yes","No","4","2",6,"No",7113.00
"H0154","VIVA HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27703,"04","Atlanta","Medicare","009","VIVA Medicare Plus Rx Healthy Lifestyles","Yes","Chronic or Disabling Condition","Yes","No","6","2",8,"No",2060.00
"H0154","VIVA HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27703,"04","Atlanta","Medicare","010","VIVA Medicare Plus Rx Extra Care","Yes","Dual-Eligible","Yes","No","6","2",8,"No",1281.00
"H0251","UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",6951,"09","San Francisco","Medicare","001","AmeriChoice Secure Plus Complete","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",6951.00
"H0302","BANNER MEDISUN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",18438,"09","San Francisco","Medicare","004","Sun Health MediSunONE HeartSmart","Yes","Chronic or Disabling Condition","Yes","No","1","1",2,"No",874.00
"H0303","PACIFICARE OF ARIZONA, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",91734,"09","San Francisco","Medicare","034","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","9","1",10,"No",3955.00
"H0316","UNITEDHEALTHCARE OF ARIZONA INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",4944,"09","San Francisco","Medicare","012","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","3","2",5,"No",530.00
"H0316","UNITEDHEALTHCARE OF ARIZONA INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4944,"09","San Francisco","Medicare","013","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","3","2",5,"No",180.00
"H0319","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",7463,"09","San Francisco","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","0","5",5,"Yes",1098.00
"H0319","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",7463,"09","San Francisco","Medicare","002","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","0","5",5,"Yes",1413.00
"H0319","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",7463,"09","San Francisco","Medicare","004","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","0","5",5,"Yes",3181.00
"H0319","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",7463,"09","San Francisco","Medicare","006","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","0","5",5,"Yes",1746.00
"H0321","ARIZONA PHYSICIANS IPA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",15346,"09","San Francisco","Medicare","002","APIPA Personal Care Plus","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",15346.00
"H0351","HEALTH NET OF ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",61672,"10","Seattle","Medicare","029","Health Net Amber","Yes","Dual-Eligible","Yes","No","7","2",9,"No",7114.00
"H0351","HEALTH NET OF ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",61672,"10","Seattle","Medicare","032","Health Net Sage","Yes","Chronic or Disabling Condition","Yes","No","7","2",9,"No",1713.00
"H0354","CIGNA HEALTHCARE OF ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",31426,"07","Kansas City","Medicare","012","CIGNA Medicare Select Plus Rx-Dual","Yes","Dual-Eligible","Yes","No","4","2",6,"No",1707.00
"H0401","UNITEDHEALTHCARE OF ARKANSAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",562,"09","San Francisco","Medicare","004","Evercare Plan DH-POS","Yes","Dual-Eligible","Yes","No","3","2",5,"No",111.00
"H0408","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",44,"09","San Francisco","Medicare","001","Evercare Plan IH-POS","Yes","Institutional","Yes","No","0","2",2,"Yes",
"H0408","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",44,"09","San Francisco","Medicare","002","Evercare Plan IH-POS","Yes","Institutional","Yes","No","0","2",2,"Yes",44.00
"H0410","UNITED HEALTHCARE INSURANCE COMPANY","Demo","Continuing Care Retirement Community","Yes","Yes","HMO/POS Combined",328,"09","San Francisco","Medicare","003","Erickson Advantage Champion","Yes","Chronic or Disabling Condition","Yes","No","2","2",4,"No",222.00
"H0423","METROPLUS HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1122,"02","New York","Medicare","001","MetroPlus Medicare Advantage","Yes","Dual-Eligible","Yes","No","0","3",3,"Yes",973.00
"H0524","KAISER FOUNDATION HP, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",690364,"09","San Francisco","Medicare","029","Senior Advantage Medicare Medi-Cal Plan","Yes","Dual-Eligible","Yes","No","16","2",18,"No",28406.00
"H0524","KAISER FOUNDATION HP, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",690364,"09","San Francisco","Medicare","030","Senior Advantage Medicare Medi-Cal Plan","Yes","Dual-Eligible","Yes","No","16","2",18,"No",26732.00
"H0543","PACIFICARE OF CALIFORNIA/SECURE HORIZONS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",332448,"09","San Francisco","Medicare","078","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","41","11",52,"No",2952.00
"H0543","PACIFICARE OF CALIFORNIA/SECURE HORIZONS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",332448,"09","San Francisco","Medicare","079","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","41","11",52,"No",1168.00
"H0543","PACIFICARE OF CALIFORNIA/SECURE HORIZONS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",332448,"09","San Francisco","Medicare","081","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","41","11",52,"No",2310.00
"H0543","PACIFICARE OF CALIFORNIA/SECURE HORIZONS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",332448,"09","San Francisco","Medicare","130","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","41","11",52,"No",551.00
"H0543","PACIFICARE OF CALIFORNIA/SECURE HORIZONS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",332448,"09","San Francisco","Medicare","133","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","41","11",52,"No",1172.00
"H0543","PACIFICARE OF CALIFORNIA/SECURE HORIZONS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",332448,"09","San Francisco","Medicare","134","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","41","11",52,"No",565.00
"H0543","PACIFICARE OF CALIFORNIA/SECURE HORIZONS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",332448,"09","San Francisco","Medicare","135","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","41","11",52,"No",1848.00
"H0543","PACIFICARE OF CALIFORNIA/SECURE HORIZONS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",332448,"09","San Francisco","Medicare","136","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","41","11",52,"No",687.00
"H0543","PACIFICARE OF CALIFORNIA/SECURE HORIZONS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",332448,"09","San Francisco","Medicare","137","Evercare Plan MH-S","Yes","Chronic or Disabling Condition","Yes","No","41","11",52,"No",489.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",28997,"09","San Francisco","Medicare","003","CareMore Connect","Yes","Dual-Eligible","Yes","No","3","5",8,"No",460.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",28997,"09","San Francisco","Medicare","004","CareMore Reliance","Yes","Chronic or Disabling Condition","Yes","No","3","5",8,"No",6970.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",28997,"09","San Francisco","Medicare","005","CareMore Touch","Yes","Institutional","Yes","No","3","5",8,"No",380.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",28997,"09","San Francisco","Medicare","010","CareMore Reliance","Yes","Chronic or Disabling Condition","Yes","No","3","5",8,"No",868.00
"H0562","HEALTH NET_OF CA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",125866,"10","Seattle","Medicare","055","Health Net Seniority Plus Amber I","Yes","Dual-Eligible","Yes","No","30","4",34,"No",1446.00
"H0562","HEALTH NET_OF CA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",125866,"10","Seattle","Medicare","056","Health Net Seniority Plus Amber","Yes","Chronic or Disabling Condition","Yes","No","30","4",34,"No",264.00
"H0562","HEALTH NET_OF CA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",125866,"10","Seattle","Medicare","070","Health Net Seniority Plus Amber II","Yes","Dual-Eligible","Yes","No","30","4",34,"No",9340.00
"H0571","CHINESE COMMUNITY HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",7087,"09","San Francisco","Medicare","005","CCHP Senior Select Program","Yes","Dual-Eligible","Yes","No","3","1",4,"No",2836.00
"H0620","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",2111,"09","San Francisco","Medicare","002","Evercare Plan IP","Yes","Institutional","Yes","No","0","1",1,"Yes",2111.00
"H0621","COLORADO ACCESS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2757,"08","Denver","Medicare","001","Colorado Access Advantage - Plan D","Yes","Dual-Eligible","Yes","No","2","3",5,"No",2381.00
"H0621","COLORADO ACCESS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2757,"08","Denver","Medicare","005","Colorado Access Advantage - Plan C","Yes","Chronic or Disabling Condition","Yes","No","2","3",5,"No",155.00
"H0624","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4922,"09","San Francisco","Medicare","001","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","0","3",3,"Yes",2688.00
"H0624","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4922,"09","San Francisco","Medicare","005","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","0","3",3,"Yes",2214.00
"H0630","KAISER FOUNDATION HP OF CO","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",61789,"09","San Francisco","Medicare","014","Senior Advantage Medicare Medicaid Plan","Yes","Dual-Eligible","Yes","No","7","1",8,"No",2121.00
"H0710","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",5988,"09","San Francisco","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","0","3",3,"Yes",1314.00
"H0710","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",5988,"09","San Francisco","Medicare","002","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","0","3",3,"Yes",2013.00
"H0710","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",5988,"09","San Francisco","Medicare","003","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","0","3",3,"Yes",2661.00
"H0712","WELLCARE OF CONNECTICUT, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3857,"04","Atlanta","Medicare","005","WellCare Access","Yes","Dual-Eligible","Yes","No","2","2",4,"No",1312.00
"H0712","WELLCARE OF CONNECTICUT, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3857,"04","Atlanta","Medicare","011","WellCare Select","Yes","Dual-Eligible","Yes","No","2","2",4,"No",187.00
"H0838","HMO CALIFORNIA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1175,"09","San Francisco","Medicare","020","Brand New Day","Yes","Chronic or Disabling Condition","Yes","No","0","1",1,"Yes",1175.00
"H0913","WELLCARE HEALTH PLANS OF NEW JERSEY, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2314,"04","Atlanta","Medicare","003","WellCare Access","Yes","Dual-Eligible","Yes","No","4","3",7,"No",518.00
"H1013","VISTA HEALTHPLAN OF SOUTH FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",9479,"08","Denver","Medicare","024","VISTA Platinum Choice Plan","Yes","Dual-Eligible","Yes","No","4","1",5,"No",605.00
"H1019","CARE PLUS HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",59687,"07","Kansas City","Medicare","023","CareNeeds Plan","Yes","Dual-Eligible","Yes","No","14","15",29,"No",1524.00
"H1019","CARE PLUS HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",59687,"07","Kansas City","Medicare","024","CareNeeds Plan","Yes","Dual-Eligible","Yes","No","14","15",29,"No",5433.00
"H1019","CARE PLUS HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",59687,"07","Kansas City","Medicare","025","CareNeeds Plan","Yes","Dual-Eligible","Yes","No","14","15",29,"No",499.00
"H1019","CARE PLUS HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",59687,"07","Kansas City","Medicare","026","CareNeeds Plan","Yes","Dual-Eligible","Yes","No","14","15",29,"No",1133.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","060","WellCare Select","Yes","Dual-Eligible","Yes","No","44","30",74,"No",455.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","061","WellCare Select","Yes","Dual-Eligible","Yes","No","44","30",74,"No",1528.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","064","WellCare Select","Yes","Dual-Eligible","Yes","No","44","30",74,"No",359.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","065","WellCare Select","Yes","Dual-Eligible","Yes","No","44","30",74,"No",353.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","066","WellCare Select","Yes","Dual-Eligible","Yes","No","44","30",74,"No",197.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","085","WellCare Access","Yes","Dual-Eligible","Yes","No","44","30",74,"No",1477.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","086","WellCare Access","Yes","Dual-Eligible","Yes","No","44","30",74,"No",843.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","088","WellCare Access","Yes","Dual-Eligible","Yes","No","44","30",74,"No",279.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","089","WellCare Access","Yes","Dual-Eligible","Yes","No","44","30",74,"No",710.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","101","WellCare Select","Yes","Dual-Eligible","Yes","No","44","30",74,"No",248.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","102","WellCare Select","Yes","Dual-Eligible","Yes","No","44","30",74,"No",470.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","104","WellCare Select","Yes","Dual-Eligible","Yes","No","44","30",74,"No",99.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","106","WellCare Select","Yes","Dual-Eligible","Yes","No","44","30",74,"No",502.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","107","WellCare Select","Yes","Dual-Eligible","Yes","No","44","30",74,"No",850.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","122","Wellcare Access","Yes","Dual-Eligible","Yes","No","44","30",74,"No",494.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","123","WellCare Access","Yes","Dual-Eligible","Yes","No","44","30",74,"No",676.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","124","WellCare Access","Yes","Dual-Eligible","Yes","No","44","30",74,"No",2252.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","125","WellCare Access","Yes","Dual-Eligible","Yes","No","44","30",74,"No",989.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","126","WellCare Select","Yes","Dual-Eligible","Yes","No","44","30",74,"No",124.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","127","WellCare Access","Yes","Dual-Eligible","Yes","No","44","30",74,"No",210.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","128","WellCare Access","Yes","Dual-Eligible","Yes","No","44","30",74,"No",229.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","130","WellCare Access","Yes","Dual-Eligible","Yes","No","44","30",74,"No",1087.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","136","WellCare Select","Yes","Dual-Eligible","Yes","No","44","30",74,"No",267.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","138","WellCare Access","Yes","Dual-Eligible","Yes","No","44","30",74,"No",494.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",80335,"04","Atlanta","Medicare","163","WellCare Access","Yes","Dual-Eligible","Yes","No","44","30",74,"No",202.00
"H1036","HUMANA MEDICAL PLAN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",259114,"07","Kansas City","Medicare","077","Humana Gold Plus HMO SNP-DE H1036-077A","Yes","Dual-Eligible","Yes","No","31","21",52,"No",3160.00
"H1036","HUMANA MEDICAL PLAN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",259114,"07","Kansas City","Medicare","102","Humana Gold Plus HMO SNP-DE H1036-102","Yes","Dual-Eligible","Yes","No","31","21",52,"No",1586.00
"H1036","HUMANA MEDICAL PLAN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",259114,"07","Kansas City","Medicare","103","Humana Gold Plus HMO SNP-DE H1036-103A","Yes","Dual-Eligible","Yes","No","31","21",52,"No",1619.00
"H1036","HUMANA MEDICAL PLAN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",259114,"07","Kansas City","Medicare","104","Humana Gold Plus HMO SNP-DE H1036-104A","Yes","Dual-Eligible","Yes","No","31","21",52,"No",1004.00
"H1036","HUMANA MEDICAL PLAN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",259114,"07","Kansas City","Medicare","105","Humana Gold Plus HMO SNP-DE H1036-105","Yes","Dual-Eligible","Yes","No","31","21",52,"No",949.00
"H1036","HUMANA MEDICAL PLAN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",259114,"07","Kansas City","Medicare","109","Humana Gold Plus HMO SNP-DE H1036-109C","Yes","Dual-Eligible","Yes","No","31","21",52,"No",605.00
"H1036","HUMANA MEDICAL PLAN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",259114,"07","Kansas City","Medicare","114","Humana Gold Plus HMO SNP-DE H1036-114","Yes","Dual-Eligible","Yes","No","31","21",52,"No",1336.00
"H1076","VISTA HEALTHPLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4435,"08","Denver","Medicare","011","VISTA Platinum Choice Plan","Yes","Dual-Eligible","Yes","No","3","1",4,"No",1515.00
"H1080","UNITED HEALTHCARE OF FL, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",22081,"09","San Francisco","Medicare","036","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","4","1",5,"No",447.00
"H1099","HEALTH FIRST HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",22419,"04","Atlanta","Medicare","008","Health First Sunshine Plan","Yes","Dual-Eligible","Yes","No","6","1",7,"No",374.00
"H1108","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",12172,"09","San Francisco","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","3","3",6,"No",2603.00
"H1108","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",12172,"09","San Francisco","Medicare","002","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","3","3",6,"No",2692.00
"H1108","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",12172,"09","San Francisco","Medicare","006","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","3","3",6,"No",6656.00
"H1111","UNITED HEALTHCARE OF GEORGIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1672,"09","San Francisco","Medicare","004","Evercare Plan DH-POS","Yes","Dual-Eligible","Yes","No","3","2",5,"No",410.00
"H1111","UNITED HEALTHCARE OF GEORGIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1672,"09","San Francisco","Medicare","005","Evercare Plan MH-POS","Yes","Chronic or Disabling Condition","Yes","No","3","2",5,"No",617.00
"H1112","WELLCARE OF GEORGIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4665,"04","Atlanta","Medicare","005","WellCare Select","Yes","Dual-Eligible","Yes","No","8","2",10,"No",312.00
"H1112","WELLCARE OF GEORGIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4665,"04","Atlanta","Medicare","006","WellCare Access","Yes","Dual-Eligible","Yes","No","8","2",10,"No",1318.00
"H1170","KAISER FOUNDATION HP OF GA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",14714,"09","San Francisco","Medicare","008","Senior Advantage Medicare Medicaid Plan","Yes","Dual-Eligible","Yes","No","4","1",5,"No",952.00
"H1216","HARMONY HEALTH PLAN OF ILLINOIS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1407,"04","Atlanta","Medicare","003","WellCare Access","Yes","Dual-Eligible","Yes","No","2","2",4,"No",753.00
"H1216","HARMONY HEALTH PLAN OF ILLINOIS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1407,"04","Atlanta","Medicare","004","WellCare Select","Yes","Dual-Eligible","Yes","No","2","2",4,"No",25.00
"H1264","WELLCARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4346,"04","Atlanta","Medicare","006","WellCare Access","Yes","Dual-Eligible","Yes","No","7","5",12,"No",607.00
"H1264","WELLCARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4346,"04","Atlanta","Medicare","007","WellCare Access","Yes","Dual-Eligible","Yes","No","7","5",12,"No",750.00
"H1264","WELLCARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4346,"04","Atlanta","Medicare","009","WellCare Select","Yes","Dual-Eligible","Yes","No","7","5",12,"No",136.00
"H1264","WELLCARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4346,"04","Atlanta","Medicare","011","WellCare Select","Yes","Dual-Eligible","Yes","No","7","5",12,"No",64.00
"H1286","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2005,"09","San Francisco","Medicare","007","Evercare Plan MH-POS","Yes","Chronic or Disabling Condition","Yes","No","4","3",7,"No",118.00
"H1303","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",2821,"09","San Francisco","Medicare","004","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","3","2",5,"No",748.00
"H1303","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",2821,"09","San Francisco","Medicare","006","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","3","2",5,"No",400.00
"H1350","BLUE CROSS OF IDAHO HEALTH SERVICES, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",18698,"10","Seattle","Medicare","009","True Blue Special Needs Plan","Yes","Dual-Eligible","Yes","No","5","1",6,"No",704.00
"H1406","HUMANA HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",26800,"07","Kansas City","Medicare","024","Humana Gold Plus HMO SNP-DE H1406-024F","Yes","Dual-Eligible","Yes","No","6","1",7,"No",104.00
"H1415","HEALTHSPRING, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",9207,"08","Denver","Medicare","005","HealthSpring TotalCare","Yes","Dual-Eligible","Yes","No","8","3",11,"No",2431.00
"H1416","HARMONY HEALTH PLAN OF ILLINOIS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",13259,"04","Atlanta","Medicare","003","WellCare Select","Yes","Dual-Eligible","Yes","No","9","4",13,"No",287.00
"H1416","HARMONY HEALTH PLAN OF ILLINOIS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",13259,"04","Atlanta","Medicare","007","WellCare Access","Yes","Dual-Eligible","Yes","No","9","4",13,"No",3357.00
"H1419","AETNA HEALTH OF ILLINOIS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1084,"01","Boston","Medicare","005","Aetna Golden Medicare Dual Advantage Plan","Yes","Dual-Eligible","Yes","No","5","1",6,"No",98.00
"H1509","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",5922,"09","San Francisco","Medicare","004","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","4","3",7,"No",1146.00
"H1509","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",5922,"09","San Francisco","Medicare","005","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","4","3",7,"No",905.00
"H1609","COVENTRY HEALTH CARE OF IOWA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5460,"08","Denver","Medicare","004","Coventry AdvantraExtra - Diabetes","Yes","Chronic or Disabling Condition","Yes","No","5","3",8,"No",757.00
"H1609","COVENTRY HEALTH CARE OF IOWA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5460,"08","Denver","Medicare","005","Coventry AdvantraExtra - Cholesterol","Yes","Chronic or Disabling Condition","Yes","No","5","3",8,"No",544.00
"H1609","COVENTRY HEALTH CARE OF IOWA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5460,"08","Denver","Medicare","006","Coventry AdvantraOne","Yes","Dual-Eligible","Yes","No","5","3",8,"No",231.00
"H1657","HARMONY HEALTH PLANS OF ILLINOIS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1269,"04","Atlanta","Medicare","004","WellCare Access","Yes","Dual-Eligible","Yes","No","3","4",7,"No",329.00
"H1717","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",987,"09","San Francisco","Medicare","006","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","3","5",8,"No",89.00
"H1777","CATHOLIC SPECIAL NEEDS PLAN, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",384,"02","New York","Medicare","001","ArchCare Advantage","Yes","Institutional","Yes","No","0","1",1,"Yes",384.00
"H1807","UNIVERSITY HEALTH CARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",9554,"04","Atlanta","Medicare","001","Passport Advantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",9554.00
"H1903","WELLCARE OF LOUISIANA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4092,"04","Atlanta","Medicare","011","WellCare Access","Yes","Dual-Eligible","Yes","No","4","2",6,"No",843.00
"H1903","WELLCARE OF LOUISIANA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4092,"04","Atlanta","Medicare","014","WellCare Select","Yes","Dual-Eligible","Yes","No","4","2",6,"No",200.00
"H1951","HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",57523,"07","Kansas City","Medicare","017","Humana Gold Plus HMO SNP-DE H1951-017","Yes","Dual-Eligible","Yes","No","8","3",11,"No",473.00
"H1951","HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",57523,"07","Kansas City","Medicare","019","Humana Gold Plus HMO SNP-DE H1951-019","Yes","Dual-Eligible","Yes","No","8","3",11,"No",513.00
"H1951","HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",57523,"07","Kansas City","Medicare","021","Humana Gold Plus HMO SNP-DE H1951-021","Yes","Dual-Eligible","Yes","No","8","3",11,"No",272.00
"H1961","TENET CHOICES, INC. / PEOPLES HEALTH NETWORK","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",39937,"06","Dallas","Medicare","003","Secure Health","Yes","Dual-Eligible","Yes","No","2","1",3,"No",1627.00
"H2108","BRAVO HEALTH MID- ATLANTIC INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10795,"03","Philadelphia","Medicare","001","Bravo Select","Yes","Dual-Eligible","Yes","No","6","2",8,"No",4218.00
"H2111","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",7815,"09","San Francisco","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","0","7",7,"Yes",2596.00
"H2111","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",7815,"09","San Francisco","Medicare","008","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","0","7",7,"Yes",482.00
"H2111","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",7815,"09","San Francisco","Medicare","010","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","0","7",7,"Yes",475.00
"H2111","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",7815,"09","San Francisco","Medicare","011","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",587.00
"H2111","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",7815,"09","San Francisco","Medicare","012","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",678.00
"H2111","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",7815,"09","San Francisco","Medicare","013","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",2721.00
"H2112","AETNA HEALTH INC. (MARYLAND)","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5190,"01","Boston","Medicare","013","Aetna Golden Medicare Dual Advantage Plan","Yes","Dual-Eligible","Yes","No","8","1",9,"No",397.00
"H2174","TRILLIUM COMMUNITY HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2475,"10","Seattle","Medicare","001","Trillium Advantage Dual SNP","Yes","Dual-Eligible","Yes","No","2","2",4,"No",2195.00
"H2224","SENIOR WHOLE HEALTH, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4701,"01","Boston","Medicare","001","Senior Whole Health","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",4701.00
"H2225","COMMONWEALTH CARE ALLIANCE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1727,"01","Boston","Medicare","001","Senior Care Options Program","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1727.00
"H2226","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3236,"09","San Francisco","Medicare","001","Evercare Senior Care Options","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",3236.00
"H2228","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",10559,"09","San Francisco","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","0","4",4,"Yes",3331.00
"H2228","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",10559,"09","San Francisco","Medicare","002","Evercare Plan IP","Yes","Institutional","Yes","No","0","4",4,"Yes",1312.00
"H2228","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",10559,"09","San Francisco","Medicare","004","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","0","4",4,"Yes",2971.00
"H2228","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",10559,"09","San Francisco","Medicare","009","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","0","4",4,"Yes",2945.00
"H2237","INDEPENDENT CARE HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2740,"05","Chicago","Medicare","001","iCare Medicare Plan","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",2715.00
"H2323","FIDELIS SECURECARE OF MICHIGAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1134,"05","Chicago","Medicare","005","Fidelis Secure Comfort","Yes","Institutional","Yes","No","0","3",3,"Yes",1088.00
"H2406","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",2182,"09","San Francisco","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","0","1",1,"Yes",2182.00
"H2407","UCARE MINNESOTA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",647,"05","Chicago","Medicare","001","UCare Complete","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",624.00
"H2416","PRIMEWEST HEALTH SYSTEM","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2131,"05","Chicago","Medicare","001","PrimeWest Senior Health Complete","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",2131.00
"H2417","ITASCA MEDICAL CARE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",472,"05","Chicago","Medicare","001","IMCare Classic","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",472.00
"H2419","SOUTH COUNTRY HEALTH ALLIANCE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1907,"05","Chicago","Medicare","001","SeniorCare Complete","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1907.00
"H2422","GROUP HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2670,"05","Chicago","Medicare","002","Classic Minnesota Senior Health Options","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",2670.00
"H2424","FIRST PLAN OF MINNESOTA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1015,"05","Chicago","Medicare","001","FirstPlan Blue - MSHO","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1015.00
"H2425","BLUE PLUS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10070,"05","Chicago","Medicare","001","SecureBlue","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",10070.00
"H2456","UCARE MINNESOTA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8038,"05","Chicago","Medicare","002","Minnesota Senior Health Options","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",8038.00
"H2457","METROPOLITAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",749,"05","Chicago","Medicare","002","MHP-MSHO","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",749.00
"H2458","MEDICA HEALTH PLANS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8408,"05","Chicago","Medicare","002","Medica Dual Solution","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",8408.00
"H2610","ESSENCE L.L.P.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",15453,"07","Kansas City","Medicare","010","Essence Special Needs Plan","Yes","Chronic or Disabling Condition","Yes","No","4","1",5,"No",959.00
"H2649","HUMANA HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20438,"07","Kansas City","Medicare","015","Humana Gold Plus HMO SNP-DE H2649-015","Yes","Dual-Eligible","Yes","No","7","1",8,"No",235.00
"H2654","UNITED HEALTHCARE OF THE MIDWEST, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",43706,"09","San Francisco","Medicare","023","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","9","4",13,"No",243.00
"H2654","UNITED HEALTHCARE OF THE MIDWEST, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",43706,"09","San Francisco","Medicare","024","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","9","4",13,"No",1601.00
"H2654","UNITED HEALTHCARE OF THE MIDWEST, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",43706,"09","San Francisco","Medicare","026","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","9","4",13,"No",2802.00
"H2654","UNITED HEALTHCARE OF THE MIDWEST, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",43706,"09","San Francisco","Medicare","027","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","9","4",13,"No",498.00
"H2663","GROUP HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",25837,"08","Denver","Medicare","008","AdvantraExtra 1 Diabetes","Yes","Chronic or Disabling Condition","Yes","No","7","4",11,"No",2055.00
"H2663","GROUP HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",25837,"08","Denver","Medicare","009","AdvantraExtra 2 Diabetes","Yes","Chronic or Disabling Condition","Yes","No","7","4",11,"No",968.00
"H2663","GROUP HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",25837,"08","Denver","Medicare","010","AdvantraExtra 3 Cholesterol","Yes","Chronic or Disabling Condition","Yes","No","7","4",11,"No",921.00
"H2663","GROUP HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",25837,"08","Denver","Medicare","011","AdvantraExtra 4 Cholesterol","Yes","Chronic or Disabling Condition","Yes","No","7","4",11,"No",169.00
"H2802","UNITED HEALTHCARE OF THE MIDLANDS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4884,"09","San Francisco","Medicare","005","Evercare Plan IH","Yes","Institutional","Yes","No","1","1",2,"No",139.00
"H2803","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",5196,"09","San Francisco","Medicare","010","Evercare Plan DH-POS","Yes","Dual-Eligible","Yes","No","4","5",9,"No",252.00
"H2803","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",5196,"09","San Francisco","Medicare","012","Evercare Plan DH-POS","Yes","Dual-Eligible","Yes","No","4","5",9,"No",112.00
"H2899","ARCADIAN HEALTH PLAN OF NORTH CAROLINA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2649,"06","Dallas","Medicare","002","Southeast Community Care - Dual Plus","Yes","Dual-Eligible","Yes","No","1","1",2,"No",724.00
"H2931","HEALTH PLAN OF NEVADA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1159,"09","San Francisco","Medicare","015","Sierra VillageHealth","Yes","Chronic or Disabling Condition","Yes","No","6","1",7,"No",89.00
"H3059","PHYSICIANS HEALTH CHOICE OF NEW MEXICO","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",476,"06","Dallas","Medicare","004","Physicians Health Choice Select","Yes","Dual-Eligible","Yes","No","2","1",3,"No",199.00
"H3113","OXFORD HEALTH PLANS (NJ), INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1013,"09","San Francisco","Medicare","001","Evercare Plan IH","Yes","Institutional","Yes","No","0","3",3,"Yes",307.00
"H3152","AETNA HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",34802,"01","Boston","Medicare","073","Aetna Golden Medicare Dual Advantage Plan","Yes","Dual-Eligible","Yes","No","9","2",11,"No",267.00
"H3152","AETNA HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",34802,"01","Boston","Medicare","074","Aetna Golden Medicare Dual Advantage Plan","Yes","Dual-Eligible","Yes","No","9","2",11,"No",517.00
"H3164","AMERICHOICE OF NEW JERSEY, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2483,"09","San Francisco","Medicare","003","AmeriChoice Personal Care Plus","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",2483.00
"H3209","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",625,"09","San Francisco","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","0","3",3,"Yes",74.00
"H3209","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",625,"09","San Francisco","Medicare","002","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","0","3",3,"Yes",399.00
"H3240","AMERIGROUP NEW JERSEY, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",761,"02","New York","Medicare","013","AMERIVANTAGE Specialty + Rx","Yes","Dual-Eligible","Yes","No","3","1",4,"No",493.00
"H3307","OXFORD HEALTH PLANS (NY) INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",68250,"09","San Francisco","Medicare","020","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","10","1",11,"No",1496.00
"H3327","TOUCHSTONE HEALTH HMO, INC.","Local CCP","PSO (State License)","Yes","Yes","HMO",7464,"02","New York","Medicare","026","Touchstone Health Medicare Prestige","Yes","Dual-Eligible","Yes","No","17","4",21,"No",711.00
"H3327","TOUCHSTONE HEALTH HMO, INC.","Local CCP","PSO (State License)","Yes","Yes","HMO",7464,"02","New York","Medicare","027","Touchstone Health Medicare Prestige","Yes","Dual-Eligible","Yes","No","17","4",21,"No",36.00
"H3327","TOUCHSTONE HEALTH HMO, INC.","Local CCP","PSO (State License)","Yes","Yes","HMO",7464,"02","New York","Medicare","029","Touchstone Health Medicare Lunar Plan 2","Yes","Dual-Eligible","Yes","No","17","4",21,"No",172.00
"H3328","NEW YORK STATE CATHOLIC HLTH PLAN INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2775,"02","New York","Medicare","002","Fidelis Dual Advantage","Yes","Dual-Eligible","Yes","No","3","2",5,"No",233.00
"H3328","NEW YORK STATE CATHOLIC HLTH PLAN INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2775,"02","New York","Medicare","013","Fidelis Dual Advantage Flex Plan","Yes","Dual-Eligible","Yes","No","3","2",5,"No",265.00
"H3330","HIP OF GREATER NEW YORK","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",129645,"02","New York","Medicare","029","HIP VIP Dual Eligible","Yes","Dual-Eligible","Yes","No","20","10",30,"No",5260.00
"H3330","HIP OF GREATER NEW YORK","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",129645,"02","New York","Medicare","030","HIP VIP Chronic Care","Yes","Chronic or Disabling Condition","Yes","No","20","10",30,"No",1980.00
"H3330","HIP OF GREATER NEW YORK","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",129645,"02","New York","Medicare","031","HIP VIP Medicaid Advantage","Yes","Dual-Eligible","Yes","No","20","10",30,"No",2405.00
"H3330","HIP OF GREATER NEW YORK","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",129645,"02","New York","Medicare","810","HIP VIP Dual Eligible Employer","Yes","Dual-Eligible","Yes","Yes","20","10",30,"No",413.00
"H3336","NEIGHBORHOOD HEALTH PROVIDERS LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2527,"02","New York","Medicare","003","Neighborhood Medicare Supreme","Yes","Dual-Eligible","Yes","No","3","2",5,"No",298.00
"H3337","LIBERTY HEALTH ADVANTAGE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2104,"02","New York","Medicare","002","Liberty Health Advantage Dual Power-Nassau","Yes","Dual-Eligible","Yes","No","1","3",4,"No",65.00
"H3337","LIBERTY HEALTH ADVANTAGE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2104,"02","New York","Medicare","003","Liberty Health Advantage Dual Power - NYC","Yes","Dual-Eligible","Yes","No","1","3",4,"No",631.00
"H3347","ELDERPLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",822,"02","New York","Medicare","001","Elderplan Classic","Yes","Institutional","Yes","No","1","3",4,"No",331.00
"H3347","ELDERPLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",822,"02","New York","Medicare","002","Elderplan Access","Yes","Dual-Eligible","Yes","No","1","3",4,"No",275.00
"H3359","MANAGED HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",78359,"02","New York","Medicare","021","Healthfirst Life Improvement Plan","Yes","Dual-Eligible","Yes","No","8","2",10,"No",39447.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27587,"04","Atlanta","Medicare","031","WellCare Access","Yes","Dual-Eligible","Yes","No","30","13",43,"No",1860.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27587,"04","Atlanta","Medicare","043","WellCare Select","Yes","Dual-Eligible","Yes","No","30","13",43,"No",512.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27587,"04","Atlanta","Medicare","065","WellCare Access","Yes","Dual-Eligible","Yes","No","30","13",43,"No",1511.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27587,"04","Atlanta","Medicare","084","WellCare Select","Yes","Dual-Eligible","Yes","No","30","13",43,"No",205.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27587,"04","Atlanta","Medicare","098","WellCare Select","Yes","Dual-Eligible","Yes","No","30","13",43,"No",335.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27587,"04","Atlanta","Medicare","109","WellCare Access","Yes","Dual-Eligible","Yes","No","30","13",43,"No",2613.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27587,"04","Atlanta","Medicare","110","WellCare Access","Yes","Dual-Eligible","Yes","No","30","13",43,"No",2195.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27587,"04","Atlanta","Medicare","111","WellCare Access","Yes","Dual-Eligible","Yes","No","30","13",43,"No",1431.00
"H3362","INDEPENDENT HEALTH ASSOCIATION, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",46281,"02","New York","Medicare","020","Independent Health Medicare Family Choice","Yes","Institutional","Yes","No","11","1",12,"No",1368.00
"H3366","TOUCHSTONE HEALTH HMO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3880,"02","New York","Medicare","022","Touchstone Health Grand Plan","Yes","Dual-Eligible","Yes","No","6","1",7,"No",179.00
"H3370","EMPIRE HEALTHCHOICE HMO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",71038,"05","Chicago","Medicare","018","MediBlue Total Solutions","Yes","Dual-Eligible","Yes","No","10","1",11,"No",611.00
"H3379","UNITED HEALTHCARE OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10074,"09","San Francisco","Medicare","002","Evercare Plan IH","Yes","Institutional","Yes","No","3","3",6,"No",4343.00
"H3379","UNITED HEALTHCARE OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10074,"09","San Francisco","Medicare","022","Evercare Plan IH","Yes","Institutional","Yes","No","3","3",6,"No",1573.00
"H3379","UNITED HEALTHCARE OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10074,"09","San Francisco","Medicare","036","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","3","3",6,"No",126.00
"H3384","HEALTHNOW NEW YORK INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",35887,"02","New York","Medicare","045","Senior Blue 600","Yes","Dual-Eligible","Yes","No","14","2",16,"No",109.00
"H3387","AMERICHOICE OF NEW YORK, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",554,"09","San Francisco","Medicare","005","AmeriChoice Personal Care Plus","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",554.00
"H3435","UNITED HEALTHCARE INSURANCE COMPANY","Demo","Continuing Care Retirement Community","Yes","Yes","HMO",194,"09","San Francisco","Medicare","003","Erickson Advantage Champion","Yes","Chronic or Disabling Condition","Yes","No","2","1",3,"No",145.00
"H3456","UNITED HEALTHCARE OF NORTH CAROLINA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",59434,"09","San Francisco","Medicare","010","Evercare Plan IH","Yes","Institutional","Yes","No","3","3",6,"No",1487.00
"H3456","UNITED HEALTHCARE OF NORTH CAROLINA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",59434,"09","San Francisco","Medicare","016","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","3","3",6,"No",9108.00
"H3456","UNITED HEALTHCARE OF NORTH CAROLINA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",59434,"09","San Francisco","Medicare","022","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","3","3",6,"No",18451.00
"H3528","CONNECTICARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3204,"02","New York","Medicare","004","ConnectiCare VIP Custom 1","Yes","Chronic or Disabling Condition","Yes","No","5","1",6,"No",582.00
"H3653","PARAMOUNT CARE, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",14773,"05","Chicago","Medicare","020","Paramount Elite Plus - Special Needs Plan","Yes","Dual-Eligible","Yes","No","8","1",9,"No",298.00
"H3659","UNITED HEALTHCARE OF OHIO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",54504,"09","San Francisco","Medicare","056","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","7","4",11,"No",5489.00
"H3659","UNITED HEALTHCARE OF OHIO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",54504,"09","San Francisco","Medicare","057","Evercare Plan IH","Yes","Institutional","Yes","No","7","4",11,"No",71.00
"H3659","UNITED HEALTHCARE OF OHIO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",54504,"09","San Francisco","Medicare","058","Evercare Plan IH","Yes","Institutional","Yes","No","7","4",11,"No",111.00
"H3659","UNITED HEALTHCARE OF OHIO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",54504,"09","San Francisco","Medicare","059","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","7","4",11,"No",5369.00
"H3708","SELECTCARE OF OKLAHOMA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",156,"06","Dallas","Medicare","001","Tribute Powered by CCRx","Yes","Institutional","Yes","No","0","1",1,"Yes",156.00
"H3749","PACIFICARE OF OKLAHOMA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20417,"09","San Francisco","Medicare","011","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","6","6",12,"No",569.00
"H3810","MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3262,"10","Seattle","Medicare","002","CareSource - SNP","Yes","Dual-Eligible","Yes","No","12","1",13,"No",892.00
"H3811","SAMARITAN HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4428,"10","Seattle","Medicare","003","Samaritan Advantage Special Needs Plan","Yes","Dual-Eligible","Yes","No","3","1",4,"No",1712.00
"H3812","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",4465,"09","San Francisco","Medicare","005","Evercare Plan IP","Yes","Institutional","Yes","No","2","3",5,"No",188.00
"H3812","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",4465,"09","San Francisco","Medicare","007","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","2","3",5,"No",1877.00
"H3814","ATRIO HEALTH PLANS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4467,"10","Seattle","Medicare","007","ATRIO MyAdvantage SNP","Yes","Dual-Eligible","Yes","No","7","1",8,"No",2700.00
"H3818","FAMILYCARE HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2064,"10","Seattle","Medicare","002","PremierCare Plus","Yes","Dual-Eligible","Yes","No","3","1",4,"No",1102.00
"H3887","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3200,"09","San Francisco","Medicare","001","Evercare Plan IH-POS","Yes","Institutional","Yes","No","7","3",10,"No",189.00
"H3887","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3200,"09","San Francisco","Medicare","002","Evercare Plan DH-POS","Yes","Dual-Eligible","Yes","No","7","3",10,"No",423.00
"H3887","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3200,"09","San Francisco","Medicare","005","Evercare Plan MH-POS","Yes","Chronic or Disabling Condition","Yes","No","7","3",10,"No",1770.00
"H3907","UNIVERSITY OF PITTSBURGH MEDICAL CENTER","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",66654,"03","Philadelphia","Medicare","020","UPMC for Life Specialty Plan","Yes","Dual-Eligible","Yes","No","6","1",7,"No",16585.00
"H3912","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",3035,"09","San Francisco","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","0","7",7,"Yes",1048.00
"H3912","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",3035,"09","San Francisco","Medicare","005","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","0","7",7,"Yes",484.00
"H3912","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",3035,"09","San Francisco","Medicare","006","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","0","7",7,"Yes",402.00
"H3912","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",3035,"09","San Francisco","Medicare","008","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",365.00
"H3912","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",3035,"09","San Francisco","Medicare","009","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",636.00
"H3920","UNISON HEALTH PLAN OF PENNSYLVANIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",14561,"03","Philadelphia","Medicare","003","Unison Advantage Plus","Yes","Dual-Eligible","Yes","No","5","1",6,"No",11272.00
"H3931","AETNA HEALTH INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",40993,"01","Boston","Medicare","069","Aetna Golden Medicare Dual Advantage Plan","Yes","Dual-Eligible","Yes","No","10","1",11,"No",1048.00
"H3949","BRAVO HEALTH PENNSYLVANIA INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",16765,"03","Philadelphia","Medicare","009","Bravo Select","Yes","Dual-Eligible","Yes","No","6","4",10,"No",4889.00
"H3952","KEYSTONE HEALTH PLAN EAST, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",126237,"03","Philadelphia","Medicare","018","Keystone 65 Complete","Yes","Dual-Eligible","Yes","No","8","1",9,"No",22570.00
"H3954","GEISINGER HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",34372,"03","Philadelphia","Medicare","097","Geisinger Gold Secure 1","Yes","Dual-Eligible","Yes","No","77","2",79,"No",681.00
"H3957","KEYSTONE HEALTH PLAN WEST, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",174677,"03","Philadelphia","Medicare","030","SecurityBlue HMO Care","Yes","Dual-Eligible","Yes","No","15","1",16,"No",847.00
"H3959","HEALTHAMERICA PENNSYLVANIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",38367,"08","Denver","Medicare","026","AdvantraOne","Yes","Dual-Eligible","Yes","No","15","5",20,"No",701.00
"H3964","BRAVO HEALTH PENNSYLVANIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",22864,"03","Philadelphia","Medicare","002","Senior Partners Silver","Yes","Dual-Eligible","Yes","No","2","1",3,"No",13596.00
"H4003","MMM HEALTHCARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",124989,"02","New York","Medicare","009","Medicare y Mucho Ms - SUPREMO","Yes","Chronic or Disabling Condition","Yes","No","6","4",10,"No",29261.00
"H4003","MMM HEALTHCARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",124989,"02","New York","Medicare","010","Medicare y Mucho Ms - DIAMANTE","Yes","Dual-Eligible","Yes","No","6","4",10,"No",810.00
"H4003","MMM HEALTHCARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",124989,"02","New York","Medicare","017","Medicare y Mucho Ms - DIAMANTE CHOICE","Yes","Dual-Eligible","Yes","No","6","4",10,"No",60431.00
"H4004","PREFERRED MEDICARE CHOICE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",49928,"02","New York","Medicare","001","Premier Plus","Yes","Dual-Eligible","Yes","No","3","4",7,"No",556.00
"H4004","PREFERRED MEDICARE CHOICE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",49928,"02","New York","Medicare","035","Medicare en el Hogar Plus","Yes","Institutional","Yes","No","3","4",7,"No",727.00
"H4004","PREFERRED MEDICARE CHOICE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",49928,"02","New York","Medicare","048","Premier Preferred","Yes","Dual-Eligible","Yes","No","3","4",7,"No",38065.00
"H4006","MCS ADVANTAGE INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",37572,"02","New York","Medicare","013","MCS Classicare Ideal D","Yes","Dual-Eligible","Yes","No","13","3",16,"No",225.00
"H4006","MCS ADVANTAGE INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",37572,"02","New York","Medicare","018","MCS Classicare Ideal E","Yes","Dual-Eligible","Yes","No","13","3",16,"No",1459.00
"H4007","HUMANA HEALTH PLANS OF PUERTO RICO INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",11105,"07","Kansas City","Medicare","002","Humana Gold Plus HMO SNP-DE H4007-002","Yes","Dual-Eligible","Yes","No","5","3",8,"No",290.00
"H4007","HUMANA HEALTH PLANS OF PUERTO RICO INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",11105,"07","Kansas City","Medicare","005","Humana Gold Plus HMO SNP-DE H4007-005","Yes","Dual-Eligible","Yes","No","5","3",8,"No",8469.00
"H4007","HUMANA HEALTH PLANS OF PUERTO RICO INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",11105,"07","Kansas City","Medicare","008","Humana Gold Plus HMO SNP-DE H4007-008","Yes","Dual-Eligible","Yes","No","5","3",8,"No",47.00
"H4009","SDM HEALTHCARE MANAGEMENT, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5701,"02","New York","Medicare","007","SDM Medicare Platino Dorado","Yes","Dual-Eligible","Yes","No","4","3",7,"No",4168.00
"H4012","TRIPLE-S, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",34188,"02","New York","Medicare","003","Triple-S Medicare Selecto Superior","Yes","Dual-Eligible","Yes","No","0","4",4,"Yes",34068.00
"H4106","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2234,"09","San Francisco","Medicare","001","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",801.00
"H4106","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2234,"09","San Francisco","Medicare","002","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","0","2",2,"Yes",1433.00
"H4125","ARCADIAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",825,"06","Dallas","Medicare","005","Arcadian Health Plan - Dual Plus","Yes","Dual-Eligible","Yes","No","3","1",4,"No",114.00
"H4152","BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND","Local CCP","HMO/HMOPOS","Yes","Yes","POS",40024,"01","Boston","Medicare","012","BlueCHiP for Medicare Optima","Yes","Dual-Eligible","Yes","No","9","1",10,"No",3075.00
"H4407","HEALTHSPRING OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2386,"08","Denver","Medicare","003","HealthSpring TotalCare","Yes","Dual-Eligible","Yes","No","13","6",19,"No",198.00
"H4407","HEALTHSPRING OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2386,"08","Denver","Medicare","004","HealthSpring TotalCare","Yes","Dual-Eligible","Yes","No","13","6",19,"No",270.00
"H4407","HEALTHSPRING OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2386,"08","Denver","Medicare","015","HealthSpring TotalCare South","Yes","Dual-Eligible","Yes","No","13","6",19,"No",244.00
"H4454","HEALTHSPRING OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",49875,"08","Denver","Medicare","008","HealthSpring East & West TotalCare","Yes","Dual-Eligible","Yes","No","11","6",17,"No",3573.00
"H4454","HEALTHSPRING OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",49875,"08","Denver","Medicare","013","HealthSpring SpecialCare","Yes","Institutional","Yes","No","11","6",17,"No",168.00
"H4454","HEALTHSPRING OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",49875,"08","Denver","Medicare","020","HealthSpring Middle TN TotalCare","Yes","Dual-Eligible","Yes","No","11","6",17,"No",3663.00
"H4461","CARITEN HEALTH PLAN IN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",46796,"04","Atlanta","Medicare","011","Cariten Senior Health Complete","Yes","Dual-Eligible","Yes","No","9","1",10,"No",10229.00
"H4510","HUMANA HEALTH PLAN OF TEXAS,INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",28794,"07","Kansas City","Medicare","017","Humana Gold Plus HMO SNP-DE H4510-017","Yes","Dual-Eligible","Yes","No","7","2",9,"No",904.00
"H4510","HUMANA HEALTH PLAN OF TEXAS,INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",28794,"07","Kansas City","Medicare","019","Humana Gold Plus HMO SNP-DE H4510-019","Yes","Dual-Eligible","Yes","No","7","2",9,"No",120.00
"H4513","TEXAS HEALTHSPRING LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",41726,"08","Denver","Medicare","010","Texas HealthSpring TotalCare","Yes","Dual-Eligible","Yes","No","8","3",11,"No",7560.00
"H4514","EVERCARE OF TEXAS, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",16690,"09","San Francisco","Medicare","001","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","6","3",9,"No",9763.00
"H4514","EVERCARE OF TEXAS, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",16690,"09","San Francisco","Medicare","004","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","6","3",9,"No",5147.00
"H4521","TEXAS HEALTH SPRING LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1724,"08","Denver","Medicare","002","Valley Advantage Select","Yes","Dual-Eligible","Yes","No","5","1",6,"No",1295.00
"H4522","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",8900,"09","San Francisco","Medicare","007","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","3","2",5,"No",2634.00
"H4522","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",8900,"09","San Francisco","Medicare","008","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","3","2",5,"No",875.00
"H4523","AETNA HEALTH INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3854,"01","Boston","Medicare","014","Aetna Golden Medicare Dual Advantage Plan","Yes","Dual-Eligible","Yes","No","9","1",10,"No",405.00
"H4525","SHA, L.L.C","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1647,"06","Dallas","Medicare","003","FirstCare Advantage Select","Yes","Dual-Eligible","Yes","No","10","1",11,"No",1015.00
"H4527","PSO HEALTH SERVICES, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",12070,"06","Dallas","Medicare","003","Physicians Health Choice Select","Yes","Dual-Eligible","Yes","No","13","7",20,"No",1072.00
"H4527","PSO HEALTH SERVICES, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",12070,"06","Dallas","Medicare","004","Physicians Health Choice Select","Yes","Dual-Eligible","Yes","No","13","7",20,"No",2356.00
"H4527","PSO HEALTH SERVICES, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",12070,"06","Dallas","Medicare","006","Physicians Health Choice Select","Yes","Dual-Eligible","Yes","No","13","7",20,"No",517.00
"H4527","PSO HEALTH SERVICES, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",12070,"06","Dallas","Medicare","008","Physicians Health Choice Wellness","Yes","Chronic or Disabling Condition","Yes","No","13","7",20,"No",79.00
"H4527","PSO HEALTH SERVICES, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",12070,"06","Dallas","Medicare","015","Physicians Health Choice Select","Yes","Dual-Eligible","Yes","No","13","7",20,"No",316.00
"H4527","PSO HEALTH SERVICES, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",12070,"06","Dallas","Medicare","019","Physicians Health Choice Select","Yes","Dual-Eligible","Yes","No","13","7",20,"No",429.00
"H4528","BRAVO HEALTH TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10982,"03","Philadelphia","Medicare","002","Bravo Select","Yes","Dual-Eligible","Yes","No","4","4",8,"No",2705.00
"H4528","BRAVO HEALTH TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10982,"03","Philadelphia","Medicare","006","Bravo Select","Yes","Dual-Eligible","Yes","No","4","4",8,"No",1347.00
"H4528","BRAVO HEALTH TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10982,"03","Philadelphia","Medicare","009","Bravo Healthy Heart","Yes","Chronic or Disabling Condition","Yes","No","4","4",8,"No",2395.00
"H4529","ARCADIAN HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",11406,"06","Dallas","Medicare","007","Texas Commun. Care- Dual Plus (El Paso)","Yes","Dual-Eligible","Yes","No","3","1",4,"No",781.00
"H4590","PACIFICARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",128991,"09","San Francisco","Medicare","020","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","9","8",17,"No",5633.00
"H4590","PACIFICARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",128991,"09","San Francisco","Medicare","022","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","9","8",17,"No",7064.00
"H4590","PACIFICARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",128991,"09","San Francisco","Medicare","031","Evercare Plan IH","Yes","Institutional","Yes","No","9","8",17,"No",37.00
"H4590","PACIFICARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",128991,"09","San Francisco","Medicare","033","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","9","8",17,"No",746.00
"H4590","PACIFICARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",128991,"09","San Francisco","Medicare","034","Evercare Plan IH","Yes","Institutional","Yes","No","9","8",17,"No",42.00
"H4590","PACIFICARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",128991,"09","San Francisco","Medicare","035","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","9","8",17,"No",6160.00
"H4590","PACIFICARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",128991,"09","San Francisco","Medicare","037","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","9","8",17,"No",1990.00
"H4604","UNITED HEALTHCARE OF UTAH","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",8061,"09","San Francisco","Medicare","006","Evercare Plan DH-POS","Yes","Dual-Eligible","Yes","No","3","3",6,"No",854.00
"H4604","UNITED HEALTHCARE OF UTAH","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8061,"09","San Francisco","Medicare","008","Evercare Plan MH-POS","Yes","Chronic or Disabling Condition","Yes","No","3","3",6,"No",2588.00
"H4779","UNITED HEALTHCARE INSURANCE COMPANY","Demo","Continuing Care Retirement Community","Yes","Yes","HMO",190,"09","San Francisco","Medicare","003","Erickson Advantage Champion","Yes","Chronic or Disabling Condition","Yes","No","2","1",3,"No",133.00
"H5008","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5318,"09","San Francisco","Medicare","001","Evercare Plan IH","Yes","Institutional","Yes","No","0","6",6,"Yes",350.00
"H5008","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5318,"09","San Francisco","Medicare","002","Evercare Premier","Yes","Dual-Eligible","Yes","No","0","6",6,"Yes",1397.00
"H5008","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5318,"09","San Francisco","Medicare","004","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","0","6",6,"Yes",2992.00
"H5008","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5318,"09","San Francisco","Medicare","006","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","0","6",6,"Yes",427.00
"H5050","GROUP HEALTH COOPERATIVE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",56060,"10","Seattle","Medicare","012","Group Health Clear Care Sound","Yes","Chronic or Disabling Condition","Yes","No","5","1",6,"No",379.00
"H5087","EASY CHOICE HEALTH PLAN INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1051,"09","San Francisco","Medicare","001","Easy Choice Health Plan","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1051.00
"H5206","PARTNERSHIP HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1541,"05","Chicago","Medicare","002","Community Health Partnership","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",1517.00
"H5207","COMMUNITY CARE HEALTH PLAN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",222,"05","Chicago","Medicare","001","Community Care's Partnership Program","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",222.00
"H5209","CARE WISCONSIN HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",626,"05","Chicago","Medicare","002","Partnership","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",626.00
"H5215","NETWORK HEALTH INSURANCE CORPORATION","Local CCP","Local PPO","Yes","Yes","PPO",12992,"05","Chicago","Medicare","007","Network Cares","Yes","Dual-Eligible","Yes","No","7","1",8,"No",227.00
"H5253","UNITED HEALTHCARE OF WISCONSIN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",24285,"09","San Francisco","Medicare","007","Evercare Plan IH-POS","Yes","Institutional","Yes","No","5","3",8,"No",765.00
"H5253","UNITED HEALTHCARE OF WISCONSIN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",24285,"09","San Francisco","Medicare","024","Evercare Plan DH-POS","Yes","Dual-Eligible","Yes","No","5","3",8,"No",1626.00
"H5253","UNITED HEALTHCARE OF WISCONSIN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",24285,"09","San Francisco","Medicare","027","Evercare Plan MH-POS","Yes","Chronic or Disabling Condition","Yes","No","5","3",8,"No",2521.00
"H5294","SUPERIOR HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",43,"06","Dallas","Medicare","001","Superior HealthPlan","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",43.00
"H5301","PENNSYLVANIA LIFE INSURANCE COMPANY","Demo","ESRD I","Yes","Yes","FFS/Indemnity",160,"06","Dallas","Medicare","002","Fresenius Medical Care Health Plan","No",,"No","No","5","0",5,"No",60.00
"H5301","PENNSYLVANIA LIFE INSURANCE COMPANY","Demo","ESRD I","Yes","Yes","FFS/Indemnity",160,"06","Dallas","Medicare","003","Fresenius Medical Care Health Plan","No",,"No","No","5","0",5,"No",97.00
"H5402","QUALITY HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",9998,"04","Atlanta","Medicare","024","Value One Florida","Yes","Dual-Eligible","Yes","No","8","2",10,"No",660.00
"H5404","UNIVERSAL HEALTH CARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",18001,"04","Atlanta","Medicare","111","Universal DP","Yes","Dual-Eligible","Yes","No","17","4",21,"No",51.00
"H5407","CITRUS HEALTH CARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",22429,"04","Atlanta","Medicare","011","Citrus Special Needs Plan","Yes","Dual-Eligible","Yes","No","13","1",14,"No",12244.00
"H5417","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",26763,"09","San Francisco","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","1","2",3,"No",1551.00
"H5417","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",26763,"09","San Francisco","Medicare","005","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","1","2",3,"No",23576.00
"H5420","MEDICA HEALTHCARE PLANS, INC.","Local CCP","PSO (State License)","Yes","Yes","HMO",12331,"04","Atlanta","Medicare","006","Medica HealthCare Plans MedicareMax Plus","Yes","Dual-Eligible","Yes","No","6","1",7,"No",1086.00
"H5424","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",5931,"09","San Francisco","Medicare","005","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","3","1",4,"No",1159.00
"H5425","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",23657,"09","San Francisco","Medicare","010","SCAN Health Plan","Yes","Dual-Eligible","Yes","No","12","3",15,"No",790.00
"H5425","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",23657,"09","San Francisco","Medicare","011","SCAN Health Plan","Yes","Dual-Eligible","Yes","No","12","3",15,"No",224.00
"H5426","HUMANA ADVANTAGECARE PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10054,"07","Kansas City","Medicare","013","AdvantageCare Total-Assist","Yes","Dual-Eligible","Yes","No","6","3",9,"No",309.00
"H5426","HUMANA ADVANTAGECARE PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10054,"07","Kansas City","Medicare","014","AdvantageCare Total-Assist","Yes","Dual-Eligible","Yes","No","6","3",9,"No",250.00
"H5426","HUMANA ADVANTAGECARE PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10054,"07","Kansas City","Medicare","015","AdvantageCare Total-Assist","Yes","Dual-Eligible","Yes","No","6","3",9,"No",71.00
"H5427","FREEDOM HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",23574,"04","Atlanta","Medicare","068","Freedom Medi-Medi Plan","Yes","Dual-Eligible","Yes","No","18","3",21,"No",2108.00
"H5428","SAN MATEO HEALTH COMMISSION","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",7353,"09","San Francisco","Medicare","001","HPSM CareAdvantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",7353.00
"H5430","CARE1ST HEALTH PLAN OF ARIZONA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1598,"09","San Francisco","Medicare","001","ONECare by Care1st Health Plan Arizona","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1598.00
"H5433","ORANGE COUNTY HEALTH AUTHORITY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8350,"09","San Francisco","Medicare","001","OneCare","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",8350.00
"H5440","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",912,"09","San Francisco","Medicare","001","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",912.00
"H5509","COVENTRY HEALTH AND LIFE INS. COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",19623,"08","Denver","Medicare","004","AdvantraExtra - Diabetes","Yes","Chronic or Disabling Condition","Yes","No","6","6",12,"No",1225.00
"H5509","COVENTRY HEALTH AND LIFE INS. COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",19623,"08","Denver","Medicare","005","AdvantraExtra - Diabetes","Yes","Chronic or Disabling Condition","Yes","No","6","6",12,"No",200.00
"H5509","COVENTRY HEALTH AND LIFE INS. COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",19623,"08","Denver","Medicare","006","AdvantraExtra - Diabetes","Yes","Chronic or Disabling Condition","Yes","No","6","6",12,"No",173.00
"H5509","COVENTRY HEALTH AND LIFE INS. COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",19623,"08","Denver","Medicare","007","AdvantraExtra - Cholesterol","Yes","Chronic or Disabling Condition","Yes","No","6","6",12,"No",979.00
"H5509","COVENTRY HEALTH AND LIFE INS. COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",19623,"08","Denver","Medicare","008","Advantra Extra - Cholesterol","Yes","Chronic or Disabling Condition","Yes","No","6","6",12,"No",121.00
"H5520","HEALTH NET LIFE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",21560,"10","Seattle","Medicare","007","Health Net Sage","Yes","Chronic or Disabling Condition","Yes","No","10","2",12,"No",726.00
"H5520","HEALTH NET LIFE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",21560,"10","Seattle","Medicare","008","Health Net Sage","Yes","Chronic or Disabling Condition","Yes","No","10","2",12,"No",107.00
"H5528","GROUP HEALTH INCORPORATED","Local CCP","Local PPO","Yes","Yes","PPO",14125,"02","New York","Medicare","013","GHI Medicare PPO Value","Yes","Dual-Eligible","Yes","No","19","2",21,"No",743.00
"H5528","GROUP HEALTH INCORPORATED","Local CCP","Local PPO","Yes","Yes","PPO",14125,"02","New York","Medicare","014","GHI Medicare PPO Value","Yes","Dual-Eligible","Yes","No","19","2",21,"No",99.00
"H5549","VNS CHOICE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1765,"02","New York","Medicare","001","VNS CHOICE Medicare Option I","Yes","Dual-Eligible","Yes","No","0","3",3,"Yes",1459.00
"H5549","VNS CHOICE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1765,"02","New York","Medicare","002","VNS CHOICE Medicare Option II","Yes","Dual-Eligible","Yes","No","0","3",3,"Yes",298.00
"H5554","SANTA CLARA COUNTY HEALTH AUTHORITY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3230,"09","San Francisco","Medicare","001","Healthy Generations","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",3230.00
"H5575","FIDELIS SECURECARE OF NORTH CAROLINA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",818,"05","Chicago","Medicare","005","Fidelis Secure Comfort","Yes","Institutional","Yes","No","0","3",3,"Yes",739.00
"H5577","MCS ADVANTAGE INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",33102,"02","New York","Medicare","002","RedMed Platino","Yes","Dual-Eligible","Yes","No","2","1",3,"No",33102.00
"H5578","ARCADIAN HEALTH PLAN OF GEORGIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2447,"06","Dallas","Medicare","007","Southeast Community Care - Dual Plus","Yes","Dual-Eligible","Yes","No","2","1",3,"No",495.00
"H5580","SOUTHWEST CATHOLIC HEALTH NETWORK CORPORATION","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",14710,"09","San Francisco","Medicare","001","Mercy Care Advantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",14710.00
"H5587","HEALTH CHOICE ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3324,"09","San Francisco","Medicare","001","Health Choice Generations","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",3324.00
"H5588","MOLINA HEALTHCARE OF NEVADA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",605,"08","Denver","Medicare","001","Molina Medicare Options Plus","Yes","Dual-Eligible","Yes","No","1","1",2,"No",600.00
"H5606","STERLING LIFE INSURANCE COMPANY","Demo","ESRD I","Yes","Yes","FFS/Indemnity",126,"10","Seattle","Medicare","001","FRESENIUS MEDICAL CARE HEALTH PLAN","No",,"No","No","1","0",1,"No",126.00
"H5608","DENVER HEALTH MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2388,"08","Denver","Medicare","001","Denver Health Medicare Choice","Yes","Dual-Eligible","Yes","No","2","1",3,"No",1140.00
"H5619","ARCADIAN HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2367,"06","Dallas","Medicare","003","Northeast Community Care - Dual Plus","Yes","Dual-Eligible","Yes","No","2","1",3,"No",1409.00
"H5628","MOLINA HEALTHCARE OF UTAH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2349,"08","Denver","Medicare","001","Molina Medicare Options Plus","Yes","Dual-Eligible","Yes","No","1","2",3,"No",2133.00
"H5640","IEHP HEALTH ACCESS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2362,"09","San Francisco","Medicare","001","IEHP Medicare DualChoice","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",2362.00
"H5649","CENTRAL HEALTH PLAN OF CALIFORNIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3394,"09","San Francisco","Medicare","002","Central Health Medi-Medi Plan","Yes","Dual-Eligible","Yes","No","1","1",2,"No",752.00
"H5652","UNITED HEALTHCARE INSURANCE COMPANY","Demo","Continuing Care Retirement Community","Yes","Yes","HMO",923,"09","San Francisco","Medicare","003","Erickson Advantage Guardian","Yes","Institutional","Yes","No","2","2",4,"No",123.00
"H5652","UNITED HEALTHCARE INSURANCE COMPANY","Demo","Continuing Care Retirement Community","Yes","Yes","HMO",923,"09","San Francisco","Medicare","004","Erickson Advantage Champion","Yes","Chronic or Disabling Condition","Yes","No","2","2",4,"No",364.00
"H5665","CARE IMPROVEMENT PLUS  OF MARYLAND, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","POS",3217,"03","Philadelphia","Medicare","002","Care Improvement Plus Gold Rx","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",1384.00
"H5685","MIDWEST HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",288,"05","Chicago","Medicare","001","Midwest  Advantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",288.00
"H5696","PHYSICIANS UNITED PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",11616,"04","Atlanta","Medicare","021","PUP Extra","Yes","Dual-Eligible","Yes","No","8","2",10,"No",467.00
"H5697","UNITED HEALTHCARE INSURANCE COMPANY","Demo","Continuing Care Retirement Community","Yes","Yes","HMO",875,"09","San Francisco","Medicare","003","Erickson Advantage Champion","Yes","Chronic or Disabling Condition","Yes","No","2","2",4,"No",462.00
"H5698","WINDSOR HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27272,"08","Denver","Medicare","003","Windsor Medicare Extra Comprehensive Plan","Yes","Dual-Eligible","Yes","No","30","30",60,"No",3247.00
"H5698","WINDSOR HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27272,"08","Denver","Medicare","009","Windsor Medicare Extra Comprehensive Plan","Yes","Dual-Eligible","Yes","No","30","30",60,"No",5271.00
"H5698","WINDSOR HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27272,"08","Denver","Medicare","022","Windsor Medicare Extra Comprehensive Plan","Yes","Dual-Eligible","Yes","No","30","30",60,"No",2031.00
"H5698","WINDSOR HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27272,"08","Denver","Medicare","030","Windsor Medicare Extra Comprehensive Plan","Yes","Dual-Eligible","Yes","No","30","30",60,"No",3275.00
"H5698","WINDSOR HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27272,"08","Denver","Medicare","038","Windsor Medicare Extra Comprehensive Plan","Yes","Dual-Eligible","Yes","No","30","30",60,"No",920.00
"H5698","WINDSOR HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27272,"08","Denver","Medicare","058","Windsor Medicare Extra Comprehensive Plan","Yes","Dual-Eligible","Yes","No","30","30",60,"No",426.00
"H5700","ARKANSAS COMMUNITY CARE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",6597,"06","Dallas","Medicare","018","Arkansas Comm. Care -Dual Plus","Yes","Dual-Eligible","Yes","No","5","1",6,"No",126.00
"H5703","SOUTH COUNTRY HEALTH ALLIANCE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",686,"05","Chicago","Medicare","001","AbilityCare","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",686.00
"H5754","UNITED HEALTHCARE INSURANCE COMPANY","Demo","Continuing Care Retirement Community","Yes","Yes","HMO",425,"09","San Francisco","Medicare","004","Erickson Advantage Champion","Yes","Chronic or Disabling Condition","Yes","No","2","2",4,"No",228.00
"H5760","COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO","Local CCP","HMO/HMOPOS","Yes","Yes","POS",5664,"02","New York","Medicare","004","CosviMed Care Platino+","Yes","Dual-Eligible","Yes","No","4","3",7,"No",4707.00
"H5774","AMERICAN HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20502,"02","New York","Medicare","009","Classic Plus","Yes","Chronic or Disabling Condition","Yes","No","12","9",21,"No",2425.00
"H5774","AMERICAN HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20502,"02","New York","Medicare","019","Basic Plus 2","Yes","Dual-Eligible","Yes","No","12","9",21,"No",13785.00
"H5782","SOLANO-NAPA-YOLO COMMISSION ON MEDICAL CARE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2848,"09","San Francisco","Medicare","001","PartnershipAdvantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",2848.00
"H5783","ARCADIAN HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4598,"06","Dallas","Medicare","008","Southeast Comm. Care-Dual Plus(Greenville)","Yes","Dual-Eligible","Yes","No","3","1",4,"No",669.00
"H5810","MOLINA HEALTHCARE OF CALIFORNIA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1530,"08","Denver","Medicare","001","Molina Medicare Options Plus","Yes","Dual-Eligible","Yes","No","3","1",4,"No",1434.00
"H5811","MEDCORE HP","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1808,"09","San Francisco","Medicare","002","Medcore Gold Select (Medicare & Medi-Cal)","Yes","Dual-Eligible","Yes","No","2","1",3,"No",492.00
"H5813","AETNA HEALTH, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",708,"01","Boston","Medicare","005","Aetna Golden Medicare Dual Advantage Plan","Yes","Dual-Eligible","Yes","No","4","1",5,"No",132.00
"H5817","AMERIGROUP TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5054,"02","New York","Medicare","009","AMERIVANTAGE Specialty + Rx","Yes","Dual-Eligible","Yes","No","3","2",5,"No",4480.00
"H5817","AMERIGROUP TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5054,"02","New York","Medicare","015","AMERIVANTAGE Specialty + Rx","Yes","Dual-Eligible","Yes","No","3","2",5,"No",331.00
"H5823","MOLINA HEALTHCARE OF WASHINGTON, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",982,"08","Denver","Medicare","001","Molina Medicare Options Plus","Yes","Dual-Eligible","Yes","No","1","1",2,"No",552.00
"H5826","COMMUNITY HEALTH PLAN OF WASHINGTON","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2304,"10","Seattle","Medicare","005","Community HealthFirst MA SNP","Yes","Dual-Eligible","Yes","No","4","1",5,"No",423.00
"H5850","SUMMIT HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",11757,"08","Denver","Medicare","002","Summit Maximum Plan","Yes","Dual-Eligible","Yes","No","9","1",10,"No",4392.00
"H5852","AIDS HEALTHCARE FOUNDATION","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",682,"09","San Francisco","Medicare","001","POSITIVE HEALTHCARE PARTNERS","Yes","Chronic or Disabling Condition","Yes","No","0","2",2,"Yes",631.00
"H5852","AIDS HEALTHCARE FOUNDATION","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",682,"09","San Francisco","Medicare","002","POSITIVE HEALTHCARE PARTNERS","Yes","Chronic or Disabling Condition","Yes","No","0","2",2,"Yes",51.00
"H5859","HEALTH PLAN OF CAREOREGON, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5202,"10","Seattle","Medicare","001","CareOregon Advantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",5202.00
"H5887","FIRST MEDICAL HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1154,"02","New York","Medicare","006","First+Plus Platino - Premium","Yes","Dual-Eligible","Yes","No","1","4",5,"No",42.00
"H5887","FIRST MEDICAL HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1154,"02","New York","Medicare","007","First+Plus Complete","Yes","Chronic or Disabling Condition","Yes","No","1","4",5,"No",115.00
"H5895","CONTRA COSTA CO MED SVCS DBA CONTRA COSTA HEALTH","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",96,"09","San Francisco","Medicare","001","SelectCare","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",96.00
"H5896","AMERIGROUP MARYLAND, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",958,"02","New York","Medicare","007","AMERIVANTAGE Specialty + Rx","Yes","Dual-Eligible","Yes","No","2","1",3,"No",583.00
"H5909","AMERICAN PROGRESSIVE LIFE AND HEALTH OF NEW YORK","Demo","ESRD I","Yes","Yes","FFS/Indemnity",78,"06","Dallas","Medicare","001","Fresenius Medical Care Health Plan","No",,"No","No","2","0",2,"No",76.00
"H5918","UNITED HEALTHCARE INSURANCE COMPANY","Demo","Continuing Care Retirement Community","Yes","Yes","HMO",468,"09","San Francisco","Medicare","003","Erickson Advantage Guardian","Yes","Institutional","Yes","No","2","2",4,"No",28.00
"H5918","UNITED HEALTHCARE INSURANCE COMPANY","Demo","Continuing Care Retirement Community","Yes","Yes","HMO",468,"09","San Francisco","Medicare","004","Erickson Advantage Champion","Yes","Chronic or Disabling Condition","Yes","No","2","2",4,"No",204.00
"H5926","MOLINA HEALTHCARE OF MICHIGAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1720,"08","Denver","Medicare","001","Molina Medicare Options Plus","Yes","Dual-Eligible","Yes","No","1","1",2,"No",1664.00
"H5928","CARE1ST HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10777,"09","San Francisco","Medicare","001","Care1st Dual Plus Plan","Yes","Dual-Eligible","Yes","No","6","4",10,"No",2145.00
"H5928","CARE1ST HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10777,"09","San Francisco","Medicare","005","Care1st Dual Plus Plan","Yes","Dual-Eligible","Yes","No","6","4",10,"No",50.00
"H5928","CARE1ST HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10777,"09","San Francisco","Medicare","007","Care1st Dual Plus Plan","Yes","Dual-Eligible","Yes","No","6","4",10,"No",207.00
"H5928","CARE1ST HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10777,"09","San Francisco","Medicare","009","Care1st Dual Plus Plan","Yes","Dual-Eligible","Yes","No","6","4",10,"No",945.00
"H5932","GATEWAY HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",23913,"03","Philadelphia","Medicare","001","Gateway Health Plan Medicare Assured","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",23913.00
"H5943","SCAN HEALTH PLAN","Demo","ESRD II","Yes","Yes","HMO",404,"09","San Francisco","Medicare","001","VillageHealth","Yes","Chronic or Disabling Condition","Yes","No","0","1",1,"Yes",404.00
"H5948","ARTA MEDICARE HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",546,"09","San Francisco","Medicare","002","Arta Select","Yes","Dual-Eligible","Yes","No","2","1",3,"No",203.00
"H5962","STERLING LIFE INSURANCE COMPANY","Demo","ESRD I","Yes","Yes","FFS/Indemnity",169,"10","Seattle","Medicare","001","FRESENIUS MEDICAL CARE HEALTH PLAN","No",,"No","No","1","0",1,"No",169.00
"H5969","ALOHACARE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1064,"09","San Francisco","Medicare","002","AlohaCare Advantage Plus","Yes","Dual-Eligible","Yes","No","1","1",2,"No",416.00
"H5980","FIDELIS SECURECARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",274,"05","Chicago","Medicare","005","Fidelis Secure Comfort","Yes","Institutional","Yes","No","0","3",3,"Yes",269.00
"H5985","ABRAZO ADVANTAGE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3028,"09","San Francisco","Medicare","002","Abrazo Advantage Plus","Yes","Dual-Eligible","Yes","No","2","1",3,"No",2695.00
"H5991","AFFINITY HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1395,"02","New York","Medicare","001","Affinity Medicare Ultimate","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",953.00
"H5991","AFFINITY HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1395,"02","New York","Medicare","002","Affinity Medicare Solutions","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",442.00
"H5992","SENIOR WHOLE HEALTH, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",629,"01","Boston","Medicare","001","Senior Whole Health of New York","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",629.00
"H5995","MARION POLK COMMUNITY HEALTH PLAN ADVANTAGE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3806,"10","Seattle","Medicare","001","Marion Polk Community HealthPlan Advantage","Yes","Dual-Eligible","Yes","No","2","1",3,"No",3236.00
"H5998","UNISON HEALTH PLAN OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2799,"03","Philadelphia","Medicare","003","Unison Advantage Plus","Yes","Dual-Eligible","Yes","No","3","1",4,"No",2248.00
"H6181","AMERIGROUP NEW YORK, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",439,"02","New York","Medicare","007","AMERIVANTAGE Specialty + Rx","Yes","Dual-Eligible","Yes","No","2","1",3,"No",284.00
"H6934","UAHC HEALTH PLAN OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",804,"04","Atlanta","Medicare","001","UAHC Gold Plus","Yes","Dual-Eligible","Yes","No","1","1",2,"No",754.00
"H6952","GREAT LAKES HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",286,"09","San Francisco","Medicare","001","Great Lakes Health Plan","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",286.00
"H7086","COMMUNITY HEALTH GROUP","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",432,"09","San Francisco","Medicare","001","CommuniCare Advantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",432.00
"H7146","MD CARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1555,"09","San Francisco","Medicare","002","San Miguel Health Plan, Preferred","Yes","Dual-Eligible","Yes","No","1","1",2,"No",1183.00
"H7179","ARCADIAN HEALTH PLAN OF LOUISIANA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2988,"06","Dallas","Medicare","003","Arcadian Community Care - Dual Plus","Yes","Dual-Eligible","Yes","No","2","1",3,"No",902.00
"H7187","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",1724,"09","San Francisco","Medicare","002","Evercare Plan DH-POS","Yes","Dual-Eligible","Yes","No","3","6",9,"No",470.00
"H7187","UNITED HEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",1724,"09","San Francisco","Medicare","008","Evercare Plan MH-POS","Yes","Chronic or Disabling Condition","Yes","No","3","6",9,"No",593.00
"H7200","AMERIGROUP TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",688,"02","New York","Medicare","006","AMERIVANTAGE Specialty + Rx","Yes","Dual-Eligible","Yes","No","2","1",3,"No",656.00
"H7292","ALAMEDA ALLIANCE JOINT POWERS AUTHORITY (JPA)","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",802,"09","San Francisco","Medicare","001","Alliance CompleteCare","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",802.00
"H7352","UPH/MIHS VENTURES L.L.C.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1120,"09","San Francisco","Medicare","002","University Physicians Care Advantage","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",393.00
"H7352","UPH/MIHS VENTURES L.L.C.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1120,"09","San Francisco","Medicare","003","Maricopa Care Advantage","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",727.00
"H7678","MOLINA HEALTHCARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",398,"08","Denver","Medicare","001","Molina Medicare Options Plus","Yes","Dual-Eligible","Yes","No","1","1",2,"No",370.00
"H8991","AMERIGROUP FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",744,"02","New York","Medicare","017","AMERIVANTAGE Specialty + Rx","Yes","Dual-Eligible","Yes","No","5","2",7,"No",556.00
"H9001","FALLON COMMUNITY HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",29798,"01","Boston","Medicare","012","Fallon Senior Plan Value 1","Yes","Dual-Eligible","Yes","No","11","2",13,"No",895.00
"H9011","UNITED HEALTHCARE OF FLORIDA INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4433,"09","San Francisco","Medicare","011","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","3","1",4,"No",36.00
"H9101","ELDERPLAN, INC.  - SHMO","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",15524,"02","New York","Medicare","007","Elderplan, Inc.","Yes","Institutional","Yes","No","0","1",1,"Yes",15524.00
"H9104","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",79544,"09","San Francisco","Medicare","006","SCAN Health Plan","Yes","Institutional","Yes","No","4","7",11,"No",37458.00
"H9104","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",79544,"09","San Francisco","Medicare","007","SCAN Health Plan","Yes","Institutional","Yes","No","4","7",11,"No",14542.00
"H9104","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",79544,"09","San Francisco","Medicare","008","SCAN Health Plan","Yes","Institutional","Yes","No","4","7",11,"No",18261.00
"H9104","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",79544,"09","San Francisco","Medicare","009","SCAN Health Plan","Yes","Institutional","Yes","No","4","7",11,"No",6486.00
"H9385","SCAN HEALTH PLAN OF ARIZONA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1040,"09","San Francisco","Medicare","001","SCAN Health Plan Arizona","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1040.00
"R3175","UNITED HEALTHCARE INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",2213,"09","San Francisco","Medicare","003","Evercare Plan RDP","Yes","Dual-Eligible","Yes","No","4","2",6,"No",268.00
"R3175","UNITED HEALTHCARE INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",2213,"09","San Francisco","Medicare","004","Evercare Plan RMP","Yes","Chronic or Disabling Condition","Yes","No","4","2",6,"No",445.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",11000,"03","Philadelphia","Medicare","001","Care Improvement Plus Silver Rx","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",2961.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",11000,"03","Philadelphia","Medicare","002","Care Improvement Plus Gold Rx","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",4622.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",11000,"03","Philadelphia","Medicare","003","Care Improvement Plus Platinum Rx","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",1525.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",11000,"03","Philadelphia","Medicare","004","Care Improvement Plus Gold Rx Premier","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",348.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",11000,"03","Philadelphia","Medicare","005","Care Improvement Plus Gold Rx Plus","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",341.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",11000,"03","Philadelphia","Medicare","006","Care Improvement Plus Platinum Rx Plus","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",271.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",11000,"03","Philadelphia","Medicare","007","Care Improvement Plus Platinum Rx Premier","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",932.00
"R5287","UNITED HEALTHCARE INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",50414,"09","San Francisco","Medicare","003","Evercare Plan RDP","Yes","Dual-Eligible","Yes","No","4","1",5,"No",9379.00
"R5342","UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK","Regional CCP","Regional PPO","Yes","Yes","PPO",13317,"09","San Francisco","Medicare","003","Evercare Plan RDP","Yes","Dual-Eligible","Yes","No","4","2",6,"No",3981.00
"R5342","UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK","Regional CCP","Regional PPO","Yes","Yes","PPO",13317,"09","San Francisco","Medicare","004","Evercare Plan RMP","Yes","Chronic or Disabling Condition","Yes","No","4","2",6,"No",2042.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",19936,"03","Philadelphia","Medicare","001","Care Improvement Plus Silver Rx","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",4994.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",19936,"03","Philadelphia","Medicare","002","Care Improvement Plus Gold Rx","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",8159.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",19936,"03","Philadelphia","Medicare","003","Care Improvement Plus Platinum Rx","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",2801.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",19936,"03","Philadelphia","Medicare","004","Care Improvement Plus Gold Rx Premier","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",473.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",19936,"03","Philadelphia","Medicare","005","Care Improvement Plus Gold Rx Plus","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",900.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",19936,"03","Philadelphia","Medicare","006","Care Improvement Plus Platinum Rx Plus","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",634.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",19936,"03","Philadelphia","Medicare","007","Care Improvement Plus Platinum Rx Premier","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",1975.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO","Regional CCP","Regional PPO","Yes","Yes","PPO",34757,"03","Philadelphia","Medicare","001","Care Improvement Plus Silver Rx","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",11730.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO","Regional CCP","Regional PPO","Yes","Yes","PPO",34757,"03","Philadelphia","Medicare","002","Care Improvement Plus Gold Rx","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",15158.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO","Regional CCP","Regional PPO","Yes","Yes","PPO",34757,"03","Philadelphia","Medicare","003","Care Improvement Plus Platinum Rx","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",3018.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO","Regional CCP","Regional PPO","Yes","Yes","PPO",34757,"03","Philadelphia","Medicare","004","Care Improvement Plus Gold Rx Premier","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",826.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO","Regional CCP","Regional PPO","Yes","Yes","PPO",34757,"03","Philadelphia","Medicare","005","Care Improvement Plus Gold Rx Plus","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",1349.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO","Regional CCP","Regional PPO","Yes","Yes","PPO",34757,"03","Philadelphia","Medicare","006","Care Improvement Plus Platinum Rx Plus","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",763.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO","Regional CCP","Regional PPO","Yes","Yes","PPO",34757,"03","Philadelphia","Medicare","007","Care Improvement Plus Platinum Rx Premier","Yes","Chronic or Disabling Condition","Yes","No","0","9",9,"Yes",1913.00
