"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",71451,"04","Atlanta","Medicare","006","Blue Advantage Special Needs Plan","Yes","Dual-Eligible","Yes","No","6","1",7,"No",4122.00
"H0117","WELLCARE OF OHIO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2247,"04","Atlanta","Medicare","007","WellCare Access","Yes","Dual-Eligible","Yes","No","2","3",5,"No",384.00
"H0141","CARESOURCE MICHIGAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",172,"05","Chicago","Medicare","001","CareSource Advantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",172.00
"H0150","HEALTHSPRING OF ALABAMA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",31397,"08","Denver","Medicare","019","HealthSpring OptimaCare","Yes","Chronic or Disabling Condition","Yes","No","9","3",12,"No",1649.00
"H0150","HEALTHSPRING OF ALABAMA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",31397,"08","Denver","Medicare","007","HealthSpringTotalCare","Yes","Dual-Eligible","Yes","No","9","3",12,"No",13333.00
"H0151","UNITEDHEALTHCARE OF ALABAMA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",32919,"09","San Francisco","Medicare","015","SecureHorizons MedicareComplete","Yes","Dual-Eligible","Yes","No","5","2",7,"No",9020.00
"H0154","VIVA HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",28990,"04","Atlanta","Medicare","010","VIVA Medicare Plus Rx Extra Care","Yes","Dual-Eligible","Yes","No","6","2",8,"No",6337.00
"H0251","UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",11447,"09","San Francisco","Medicare","001","AmeriChoice Secure Plus Complete","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",11447.00
"H0302","BANNER MEDISUN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",18790,"10","Seattle","Medicare","004","MediSunONE HeartSmart","Yes","Chronic or Disabling Condition","Yes","No","1","1",2,"No",1460.00
"H0303","PACIFICARE OF ARIZONA, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",94393,"09","San Francisco","Medicare","034","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","8","1",9,"No",3060.00
"H0316","UNITEDHEALTHCARE OF ARIZONA,  INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",7412,"09","San Francisco","Medicare","013","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","4","2",6,"No",391.00
"H0319","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",7354,"09","San Francisco","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","0","5",5,"Yes",1293.00
"H0319","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",7354,"09","San Francisco","Medicare","004","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","0","5",5,"Yes",4007.00
"H0321","ARIZONA PHYSICIANS IPA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",16554,"09","San Francisco","Medicare","002","APIPA Personal Care Plus","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",16554.00
"H0351","HEALTH NET OF ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",60561,"10","Seattle","Medicare","029","Health Net Amber","Yes","Dual-Eligible","Yes","No","8","2",10,"No",8573.00
"H0354","CIGNA HEALTHCARE OF ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",34059,"07","Kansas City","Medicare","012","CIGNA Medicare Select Plus Rx-Dual","Yes","Dual-Eligible","Yes","No","4","2",6,"No",1934.00
"H0408","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",32,"09","San Francisco","Medicare","002","Evercare Plan IH-POS","Yes","Institutional","Yes","No","0","2",2,"Yes",32.00
"H0410","UNITEDHEALTHCARE INSURANCE COMPANY","Demo","Continuing Care Retirement Community","Yes","Yes","HMO/POS Combined",431,"09","San Francisco","Medicare","003","Erickson Advantage Champion","Yes","Chronic or Disabling Condition","Yes","No","2","2",4,"No",304.00
"H0423","METROPLUS HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2187,"02","New York","Medicare","002","MetroPlus Partnership in Care Plan","Yes","Chronic or Disabling Condition","Yes","No","0","3",3,"Yes",257.00
"H0423","METROPLUS HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2187,"02","New York","Medicare","001","MetroPlus Advantage Plan","Yes","Dual-Eligible","Yes","No","0","3",3,"Yes",1907.00
"H0524","KAISER FOUNDATION HP, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",724250,"09","San Francisco","Medicare","030","Senior Advantage Medicare Medi-Cal Plan","Yes","Dual-Eligible","Yes","No","23","2",25,"No",27835.00
"H0524","KAISER FOUNDATION HP, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",724250,"09","San Francisco","Medicare","029","Senior Advantage Medicare Medi-Cal Plan","Yes","Dual-Eligible","Yes","No","23","2",25,"No",29270.00
"H0543","PACIFICARE OF CALIFORNIA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",324946,"09","San Francisco","Medicare","137","Evercare Plan MH-S","Yes","Chronic or Disabling Condition","Yes","No","41","11",52,"No",802.00
"H0543","PACIFICARE OF CALIFORNIA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",324946,"09","San Francisco","Medicare","079","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","41","11",52,"No",1042.00
"H0543","PACIFICARE OF CALIFORNIA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",324946,"09","San Francisco","Medicare","078","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","41","11",52,"No",2524.00
"H0543","PACIFICARE OF CALIFORNIA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",324946,"09","San Francisco","Medicare","081","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","41","11",52,"No",2209.00
"H0543","PACIFICARE OF CALIFORNIA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",324946,"09","San Francisco","Medicare","136","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","41","11",52,"No",309.00
"H0543","PACIFICARE OF CALIFORNIA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",324946,"09","San Francisco","Medicare","133","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","41","11",52,"No",1260.00
"H0543","PACIFICARE OF CALIFORNIA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",324946,"09","San Francisco","Medicare","134","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","41","11",52,"No",646.00
"H0543","PACIFICARE OF CALIFORNIA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",324946,"09","San Francisco","Medicare","135","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","41","11",52,"No",1988.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",33668,"09","San Francisco","Medicare","010","CareMore Reliance","Yes","Chronic or Disabling Condition","Yes","No","4","5",9,"No",1516.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",33668,"09","San Francisco","Medicare","003","CareMore Connect","Yes","Dual-Eligible","Yes","No","4","5",9,"No",450.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",33668,"09","San Francisco","Medicare","004","CareMore Reliance","Yes","Chronic or Disabling Condition","Yes","No","4","5",9,"No",9259.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",33668,"09","San Francisco","Medicare","005","CareMore Touch","Yes","Institutional","Yes","No","4","5",9,"No",686.00
"H0545","INTER VALLEY HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",12207,"10","Seattle","Medicare","009","Inter Valley Health Plan Focus SNP","Yes","Chronic or Disabling Condition","Yes","No","5","2",7,"No",522.00
"H0545","INTER VALLEY HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",12207,"10","Seattle","Medicare","008","Inter Valley Health Plan Value SNP","Yes","Dual-Eligible","Yes","No","5","2",7,"No",27.00
"H0562","HEALTH NET OF CALIFORNIA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",130984,"10","Seattle","Medicare","055","Health Net Seniority Plus Amber I","Yes","Dual-Eligible","Yes","No","35","4",39,"No",1723.00
"H0562","HEALTH NET OF CALIFORNIA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",130984,"10","Seattle","Medicare","070","Health Net Seniority Plus Amber II","Yes","Dual-Eligible","Yes","No","35","4",39,"No",11630.00
"H0571","CHINESE COMMUNITY HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",7527,"09","San Francisco","Medicare","005","CCHP Senior Select Program","Yes","Dual-Eligible","Yes","No","4","1",5,"No",3139.00
"H0620","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",1897,"09","San Francisco","Medicare","002","Evercare Plan IP","Yes","Institutional","Yes","No","0","1",1,"Yes",1897.00
"H0621","COLORADO ACCESS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3435,"08","Denver","Medicare","004","Colorado Access Advantage - Plan B","Yes","Chronic or Disabling Condition","Yes","No","2","3",5,"No",280.00
"H0621","COLORADO ACCESS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3435,"08","Denver","Medicare","005","Colorado Access Advantage - Plan C","Yes","Chronic or Disabling Condition","Yes","No","2","3",5,"No",245.00
"H0621","COLORADO ACCESS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3435,"08","Denver","Medicare","001","Colorado Access Advantage - Plan D","Yes","Dual-Eligible","Yes","No","2","3",5,"No",2387.00
"H0624","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5163,"09","San Francisco","Medicare","001","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","0","3",3,"Yes",2193.00
"H0624","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5163,"09","San Francisco","Medicare","005","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","0","3",3,"Yes",2953.00
"H0630","KAISER FOUNDATION HP OF CO","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",64954,"09","San Francisco","Medicare","014","Senior Advantage Medicare Medicaid Plan","Yes","Dual-Eligible","Yes","No","17","1",18,"No",2512.00
"H0710","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",7075,"09","San Francisco","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","0","3",3,"Yes",1290.00
"H0710","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",7075,"09","San Francisco","Medicare","002","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","0","3",3,"Yes",2965.00
"H0710","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",7075,"09","San Francisco","Medicare","003","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","0","3",3,"Yes",2820.00
"H0712","WELLCARE OF CONNECTICUT, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3497,"04","Atlanta","Medicare","005","WellCare Access","Yes","Dual-Eligible","Yes","No","7","2",9,"No",994.00
"H0838","HMO CALIFORNIA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1504,"09","San Francisco","Medicare","020","Brand New Day","Yes","Chronic or Disabling Condition","Yes","No","0","1",1,"Yes",1504.00
"H0908","BUCKEYE COMMUNITY HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",203,"10","Seattle","Medicare","001","Buckeye Community Health Plan","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",203.00
"H0913","WELLCARE HEALTH PLANS OF NEW JERSEY, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2016,"04","Atlanta","Medicare","003","WellCare Access","Yes","Dual-Eligible","Yes","No","3","3",6,"No",110.00
"H0974","HMO MINNESOTA D/B/A BLUE PLUS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",871,"05","Chicago","Medicare","001","CareBlue","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",871.00
"H1013","VISTA HEALTHPLAN OF SOUTH FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8121,"08","Denver","Medicare","024","VISTA Platinum Choice Plan","Yes","Dual-Eligible","Yes","No","7","1",8,"No",715.00
"H1019","CARE PLUS HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",64283,"07","Kansas City","Medicare","024","CareNeeds Plan","Yes","Dual-Eligible","Yes","No","14","15",29,"No",6608.00
"H1019","CARE PLUS HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",64283,"07","Kansas City","Medicare","026","CareNeeds Plan","Yes","Dual-Eligible","Yes","No","14","15",29,"No",1993.00
"H1019","CARE PLUS HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",64283,"07","Kansas City","Medicare","023","CareNeeds Plan","Yes","Dual-Eligible","Yes","No","14","15",29,"No",1806.00
"H1019","CARE PLUS HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",64283,"07","Kansas City","Medicare","032","CareDirect Plan","Yes","Chronic or Disabling Condition","Yes","No","14","15",29,"No",207.00
"H1019","CARE PLUS HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",64283,"07","Kansas City","Medicare","035","CareDirect Plan","Yes","Chronic or Disabling Condition","Yes","No","14","15",29,"No",332.00
"H1019","CARE PLUS HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",64283,"07","Kansas City","Medicare","028","CareNeeds Plan","Yes","Dual-Eligible","Yes","No","14","15",29,"No",1633.00
"H1019","CARE PLUS HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",64283,"07","Kansas City","Medicare","025","CareNeeds Plan","Yes","Dual-Eligible","Yes","No","14","15",29,"No",714.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72253,"04","Atlanta","Medicare","101","WellCare Select","Yes","Dual-Eligible","Yes","No","37","29",66,"No",217.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72253,"04","Atlanta","Medicare","124","WellCare Access","Yes","Dual-Eligible","Yes","No","37","29",66,"No",2302.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72253,"04","Atlanta","Medicare","123","WellCare Access","Yes","Dual-Eligible","Yes","No","37","29",66,"No",575.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72253,"04","Atlanta","Medicare","107","WellCare Select","Yes","Dual-Eligible","Yes","No","37","29",66,"No",446.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72253,"04","Atlanta","Medicare","106","WellCare Select","Yes","Dual-Eligible","Yes","No","37","29",66,"No",444.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72253,"04","Atlanta","Medicare","085","WellCare Access","Yes","Dual-Eligible","Yes","No","37","29",66,"No",1071.00
"H1032","WELL CARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",72253,"04","Atlanta","Medicare","061","WellCare Select","Yes","Dual-Eligible","Yes","No","37","29",66,"No",1503.00
"H1036","HUMANA MEDICAL PLAN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",265512,"07","Kansas City","Medicare","077","Humana Gold Plus HMO SNP-DE H1036-077A","Yes","Dual-Eligible","Yes","No","29","20",49,"No",3614.00
"H1036","HUMANA MEDICAL PLAN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",265512,"07","Kansas City","Medicare","102","Humana Gold Plus HMO SNP-DE H1036-102","Yes","Dual-Eligible","Yes","No","29","20",49,"No",2585.00
"H1036","HUMANA MEDICAL PLAN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",265512,"07","Kansas City","Medicare","125","Humana Gold Plus HMO SNP-DB H1036-125C","Yes","Chronic or Disabling Condition","Yes","No","29","20",49,"No",245.00
"H1036","HUMANA MEDICAL PLAN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",265512,"07","Kansas City","Medicare","130","Humana Gold Plus HMO SNP-DB H1036-130C","Yes","Chronic or Disabling Condition","Yes","No","29","20",49,"No",360.00
"H1036","HUMANA MEDICAL PLAN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",265512,"07","Kansas City","Medicare","104","Humana Gold Plus HMO SNP-DE H1036-104A","Yes","Dual-Eligible","Yes","No","29","20",49,"No",1247.00
"H1036","HUMANA MEDICAL PLAN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",265512,"07","Kansas City","Medicare","121","Humana Gold Plus HMO SNP-DB H1036-121C","Yes","Chronic or Disabling Condition","Yes","No","29","20",49,"No",355.00
"H1036","HUMANA MEDICAL PLAN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",265512,"07","Kansas City","Medicare","103","Humana Gold Plus HMO SNP-DE H1036-103A","Yes","Dual-Eligible","Yes","No","29","20",49,"No",2120.00
"H1045","PREFERRED CARE PARTNERS INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",21021,"04","Atlanta","Medicare","012","Preferred Care Partners Medicare Assist","Yes","Dual-Eligible","Yes","No","8","1",9,"No",141.00
"H1076","VISTA HEALTHPLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4275,"08","Denver","Medicare","011","VISTA Platinum Choice Plan","Yes","Dual-Eligible","Yes","No","7","1",8,"No",1500.00
"H1080","UNITEDHEALTHCARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20725,"09","San Francisco","Medicare","036","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","5","1",6,"No",620.00
"H1108","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",12397,"09","San Francisco","Medicare","006","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","5","3",8,"No",6720.00
"H1108","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",12397,"09","San Francisco","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","5","3",8,"No",2289.00
"H1108","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",12397,"09","San Francisco","Medicare","002","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","5","3",8,"No",2725.00
"H1111","UNITEDHEALTHCARE OF GEORGIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",1905,"09","San Francisco","Medicare","004","Evercare Plan DH-POS","Yes","Dual-Eligible","Yes","No","5","2",7,"No",418.00
"H1111","UNITEDHEALTHCARE OF GEORGIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",1905,"09","San Francisco","Medicare","005","Evercare Plan MH-POS","Yes","Chronic or Disabling Condition","Yes","No","5","2",7,"No",556.00
"H1112","WELLCARE OF GEORGIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5236,"04","Atlanta","Medicare","005","WellCare Select","Yes","Dual-Eligible","Yes","No","8","2",10,"No",224.00
"H1112","WELLCARE OF GEORGIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5236,"04","Atlanta","Medicare","006","WellCare Access","Yes","Dual-Eligible","Yes","No","8","2",10,"No",1139.00
"H1170","KAISER FOUNDATION HP OF GA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",15191,"09","San Francisco","Medicare","008","Senior Advantage Medicare Medicaid Plan","Yes","Dual-Eligible","Yes","No","5","1",6,"No",832.00
"H1216","HARMONY HEALTH PLAN OF ILLINOIS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1190,"04","Atlanta","Medicare","003","WellCare Access","Yes","Dual-Eligible","Yes","No","1","2",3,"No",378.00
"H1264","WELLCARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5711,"04","Atlanta","Medicare","007","WellCare Access","Yes","Dual-Eligible","Yes","No","6","5",11,"No",582.00
"H1303","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",4083,"09","San Francisco","Medicare","004","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","4","2",6,"No",703.00
"H1303","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",4083,"09","San Francisco","Medicare","006","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","4","2",6,"No",375.00
"H1350","BLUE CROSS OF IDAHO HEALTH SERVICES, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",21664,"10","Seattle","Medicare","009","True Blue Special Needs Plan","Yes","Dual-Eligible","Yes","No","2","1",3,"No",696.00
"H1415","HEALTHSPRING OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",11245,"08","Denver","Medicare","005","HealthSpring TotalCare","Yes","Dual-Eligible","Yes","No","8","3",11,"No",2831.00
"H1415","HEALTHSPRING OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",11245,"08","Denver","Medicare","015","HealthSpring OptimaCare","Yes","Chronic or Disabling Condition","Yes","No","8","3",11,"No",1221.00
"H1416","HARMONY HEALTH PLAN OF ILLINOIS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",12051,"04","Atlanta","Medicare","007","WellCare Access","Yes","Dual-Eligible","Yes","No","11","4",15,"No",2364.00
"H1509","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",14899,"09","San Francisco","Medicare","005","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","7","3",10,"No",1016.00
"H1509","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",14899,"09","San Francisco","Medicare","004","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","7","3",10,"No",1323.00
"H1657","HARMONY HEALTH PLANS OF ILLINOIS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1820,"04","Atlanta","Medicare","004","WellCare Access","Yes","Dual-Eligible","Yes","No","4","4",8,"No",328.00
"H1717","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",1340,"09","San Francisco","Medicare","007","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","5","5",10,"No",178.00
"H1717","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",1340,"09","San Francisco","Medicare","006","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","5","5",10,"No",146.00
"H1717","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",1340,"09","San Francisco","Medicare","010","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","5","5",10,"No",431.00
"H1777",,,,"No","No","HMO",574,,,"Medicare",,,,,,,,,,,574.00
"H1807","UNIVERSITY HEALTH CARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",9578,"04","Atlanta","Medicare","001","Passport Advantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",9578.00
"H1903","WELLCARE OF LOUISIANA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3738,"04","Atlanta","Medicare","011","WellCare Access","Yes","Dual-Eligible","Yes","No","8","2",10,"No",567.00
"H1951","HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",69896,"07","Kansas City","Medicare","019","Humana Gold Plus HMO SNP-DE H1951-019","Yes","Dual-Eligible","Yes","No","8","3",11,"No",875.00
"H1951","HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",69896,"07","Kansas City","Medicare","017","Humana Gold Plus HMO SNP-DE H1951-017","Yes","Dual-Eligible","Yes","No","8","3",11,"No",1090.00
"H1961","PEOPLES HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",42585,"06","Dallas","Medicare","003","Secure Health","Yes","Dual-Eligible","Yes","No","6","1",7,"No",5542.00
"H2108","BRAVO HEALTH MID- ATLANTIC INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",13381,"03","Philadelphia","Medicare","020","Bravo Traditions","Yes","Institutional","Yes","No","6","2",8,"No",430.00
"H2108","BRAVO HEALTH MID- ATLANTIC INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",13381,"03","Philadelphia","Medicare","001","Bravo Select","Yes","Dual-Eligible","Yes","No","6","2",8,"No",4199.00
"H2111","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",6512,"09","San Francisco","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","0","7",7,"Yes",2511.00
"H2111","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",6512,"09","San Francisco","Medicare","008","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","0","7",7,"Yes",482.00
"H2174","TRILLIUM COMMUNITY HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3056,"10","Seattle","Medicare","001","Trillium Advantage Dual SNP","Yes","Dual-Eligible","Yes","No","2","2",4,"No",2340.00
"H2224","SENIOR WHOLE HEALTH, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5362,"01","Boston","Medicare","001","Senior Whole Health","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",5362.00
"H2225","COMMONWEALTH CARE ALLIANCE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2175,"01","Boston","Medicare","001","Senior Care Options Program","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",2175.00
"H2226","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4001,"09","San Francisco","Medicare","001","Evercare Senior Care Options","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",4001.00
"H2228","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",9435,"09","San Francisco","Medicare","009","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","0","4",4,"Yes",3502.00
"H2228","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",9435,"09","San Francisco","Medicare","002","Evercare Plan IP","Yes","Institutional","Yes","No","0","4",4,"Yes",1290.00
"H2228","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",9435,"09","San Francisco","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","0","4",4,"Yes",2418.00
"H2237","INDEPENDENT CARE HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3449,"05","Chicago","Medicare","001","iCare Medicare Plan","Yes","Dual-Eligible","Yes","No","1","2",3,"No",3374.00
"H2323","FIDELIS SECURECARE OF MICHIGAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",659,"05","Chicago","Medicare","006","Fidelis Secure Comfort Plus","Yes","Institutional","Yes","No","0","3",3,"Yes",38.00
"H2323","FIDELIS SECURECARE OF MICHIGAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",659,"05","Chicago","Medicare","005","Fidelis Secure Comfort","Yes","Institutional","Yes","No","0","3",3,"Yes",613.00
"H2406","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",2027,"09","San Francisco","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","0","1",1,"Yes",2027.00
"H2416","PRIMEWEST HEALTH SYSTEM","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2026,"05","Chicago","Medicare","001","PrimeWest Senior Health Complete","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",2026.00
"H2417","ITASCA MEDICAL CARE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",469,"05","Chicago","Medicare","001","IMCare Classic","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",469.00
"H2419","SOUTH COUNTRY HEALTH ALLIANCE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1852,"05","Chicago","Medicare","001","SeniorCare Complete","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1852.00
"H2422","HEALTHPARTNERS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2730,"05","Chicago","Medicare","002","Classic Minnesota Senior Health Options","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",2730.00
"H2425","BLUE PLUS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",9943,"05","Chicago","Medicare","001","SecureBlue","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",9943.00
"H2456","UCARE MINNESOTA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8476,"05","Chicago","Medicare","002","UCare's Minnesota Senior Health Options","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",8476.00
"H2457","METROPOLITAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",745,"05","Chicago","Medicare","002","MHP-MSHO","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",745.00
"H2458","MEDICA HEALTH PLANS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8613,"05","Chicago","Medicare","002","Medica Dual Solution","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",8613.00
"H2459","UCARE MINNESOTA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",62330,"05","Chicago","Medicare","016","UCare Connect","Yes","Dual-Eligible","Yes","No","8","2",10,"No",146.00
"H2610","ESSENCE HEALTHCARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",19476,"07","Kansas City","Medicare","010","Essence Advantage Special Needs Plan","Yes","Chronic or Disabling Condition","Yes","No","4","1",5,"No",1484.00
"H2643","L. A. CARE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",531,"09","San Francisco","Medicare","001","L.A. Care","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",531.00
"H2649","HUMANA HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",21655,"07","Kansas City","Medicare","015","Humana Gold Plus HMO SNP-DE H2649-015","Yes","Dual-Eligible","Yes","No","8","1",9,"No",256.00
"H2654","UNITEDHEALTHCARE OF THE MIDWEST, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",43856,"09","San Francisco","Medicare","026","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","13","4",17,"No",3729.00
"H2654","UNITEDHEALTHCARE OF THE MIDWEST, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",43856,"09","San Francisco","Medicare","024","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","13","4",17,"No",1214.00
"H2654","UNITEDHEALTHCARE OF THE MIDWEST, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",43856,"09","San Francisco","Medicare","027","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","13","4",17,"No",544.00
"H2803","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5801,"09","San Francisco","Medicare","010","Evercare Plan DH-POS","Yes","Dual-Eligible","Yes","No","6","5",11,"No",304.00
"H2803","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5801,"09","San Francisco","Medicare","012","Evercare Plan DH-POS","Yes","Dual-Eligible","Yes","No","6","5",11,"No",133.00
"H2899","ARCADIAN HEALTH PLAN OF NORTH CAROLINA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2611,"06","Dallas","Medicare","002","Southeast Community Care - Dual Plus","Yes","Dual-Eligible","Yes","No","2","1",3,"No",644.00
"H2926","PRIMEWEST HEALTH SYSTEM","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",192,"05","Chicago","Medicare","001","Prime Health Complete","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",192.00
"H2931","HEALTH PLAN OF NEVADA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1021,"09","San Francisco","Medicare","015","Sierra VillageHealth","Yes","Chronic or Disabling Condition","Yes","No","6","1",7,"No",133.00
"H3059","PHYSICIANS HEALTH CHOICE OF NEW MEXICO","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1143,"06","Dallas","Medicare","004","Physicians Health Choice Select","Yes","Dual-Eligible","Yes","No","2","1",3,"No",422.00
"H3113","OXFORD HEALTH PLANS (NJ), INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",837,"09","San Francisco","Medicare","001","Evercare Plan IH","Yes","Institutional","Yes","No","0","3",3,"Yes",263.00
"H3132","AHF MCO OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",233,"09","San Francisco","Medicare","001","POSITIVE HEALTHCARE PARTNERS","Yes","Chronic or Disabling Condition","Yes","No","0","1",1,"Yes",233.00
"H3152","AETNA HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",36942,"01","Boston","Medicare","074","Aetna Golden Medicare Dual Advantage Plan","Yes","Dual-Eligible","Yes","No","9","2",11,"No",453.00
"H3164","AMERICHOICE OF NEW JERSEY, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2975,"09","San Francisco","Medicare","003","AmeriChoice Personal Care Plus","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",2975.00
"H3209","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",1321,"09","San Francisco","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","0","3",3,"Yes",123.00
"H3209","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",1321,"09","San Francisco","Medicare","002","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","0","3",3,"Yes",1033.00
"H3240","AMERIGROUP NEW JERSEY, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1748,"02","New York","Medicare","013","Amerivantage Specialty + Rx","Yes","Dual-Eligible","Yes","No","5","1",6,"No",725.00
"H3307","OXFORD HEALTH PLANS (NY), INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",70700,"09","San Francisco","Medicare","020","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","12","1",13,"No",1325.00
"H3327","TOUCHSTONE HEALTH HMO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",14171,"02","New York","Medicare","026","Touchstone Health Medicare Prestige","Yes","Dual-Eligible","Yes","No","14","4",18,"No",703.00
"H3327","TOUCHSTONE HEALTH HMO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",14171,"02","New York","Medicare","027","Touchstone Health Medicare Prestige","Yes","Dual-Eligible","Yes","No","14","4",18,"No",40.00
"H3327","TOUCHSTONE HEALTH HMO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",14171,"02","New York","Medicare","029","Touchstone Health Medicare Lunar Plan 2","Yes","Dual-Eligible","Yes","No","14","4",18,"No",143.00
"H3328","NEW YORK STATE CATHOLIC HLTH PLAN INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5908,"02","New York","Medicare","002","Fidelis Dual Advantage","Yes","Dual-Eligible","Yes","No","4","2",6,"No",295.00
"H3328","NEW YORK STATE CATHOLIC HLTH PLAN INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5908,"02","New York","Medicare","013","Fidelis Dual Advantage Flex Plan","Yes","Dual-Eligible","Yes","No","4","2",6,"No",872.00
"H3330","HEALTH INSURANCE PLAN OF GREATER NEW YORK","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",132776,"02","New York","Medicare","029","HIP VIP Dual Eligible","Yes","Dual-Eligible","Yes","No","18","10",28,"No",5982.00
"H3330","HEALTH INSURANCE PLAN OF GREATER NEW YORK","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",132776,"02","New York","Medicare","031","HIP VIP Medicaid Advantage","Yes","Dual-Eligible","Yes","No","18","10",28,"No",2701.00
"H3337","LIBERTY HEALTH ADVANTAGE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3236,"02","New York","Medicare","003","Liberty Health Advantage Dual Power - NYC","Yes","Dual-Eligible","Yes","No","1","3",4,"No",1047.00
"H3337","LIBERTY HEALTH ADVANTAGE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3236,"02","New York","Medicare","002","Liberty Health Advantage Dual Power - Nassau","Yes","Dual-Eligible","Yes","No","1","3",4,"No",59.00
"H3347","ELDERPLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",979,"02","New York","Medicare","003","Elderplan Advantage","Yes","Institutional","Yes","No","6","3",9,"No",150.00
"H3347","ELDERPLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",979,"02","New York","Medicare","001","Elderplan Classic","Yes","Institutional","Yes","No","6","3",9,"No",328.00
"H3347","ELDERPLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",979,"02","New York","Medicare","002","Elderplan Access","Yes","Dual-Eligible","Yes","No","6","3",9,"No",258.00
"H3359",,,,"No","No","HMO",87119,,,"Medicare",,,,,,,,,,,
"H3359","MANAGED HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",87119,"02","New York","Medicare","021","Healthfirst Life Improvement Plan","Yes","Dual-Eligible","Yes","No","8","2",10,"No",43859.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",21437,"04","Atlanta","Medicare","043","WellCare Select","Yes","Dual-Eligible","Yes","No","26","13",39,"No",279.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",21437,"04","Atlanta","Medicare","109","WellCare Access","Yes","Dual-Eligible","Yes","No","26","13",39,"No",1388.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",21437,"04","Atlanta","Medicare","105","WellCare Advocate Complete","Yes","Dual-Eligible","Yes","No","26","13",39,"No",85.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",21437,"04","Atlanta","Medicare","065","WellCare Access","Yes","Dual-Eligible","Yes","No","26","13",39,"No",1175.00
"H3361","WELLCARE_OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",21437,"04","Atlanta","Medicare","098","WellCare Select","Yes","Dual-Eligible","Yes","No","26","13",39,"No",208.00
"H3362","INDEPENDENT HEALTH ASSOCIATION, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52128,"02","New York","Medicare","020","Independent Health Medicare Family Choice","Yes","Institutional","Yes","No","9","1",10,"No",1314.00
"H3366","TOUCHSTONE HEALTH HMO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",129,"02","New York","Medicare","022","Touchstone Grand","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",129.00
"H3379","UNITEDHEALTHCARE OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8691,"09","San Francisco","Medicare","036","Evercare Plan DH-U","Yes","Dual-Eligible","Yes","No","3","3",6,"No",96.00
"H3379","UNITEDHEALTHCARE OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8691,"09","San Francisco","Medicare","022","Evercare Plan IH","Yes","Institutional","Yes","No","3","3",6,"No",1545.00
"H3379","UNITEDHEALTHCARE OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8691,"09","San Francisco","Medicare","002","Evercare Plan IH","Yes","Institutional","Yes","No","3","3",6,"No",3512.00
"H3387","UNITEDHEALTHCARE OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1486,"09","San Francisco","Medicare","005","AmeriChoice Personal Care Plus","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1486.00
"H3435","UNITEDHEALTHCARE INSURANCE COMPANY","Demo","Continuing Care Retirement Community","Yes","Yes","HMO",281,"09","San Francisco","Medicare","003","Erickson Advantage Champion","Yes","Chronic or Disabling Condition","Yes","No","2","1",3,"No",196.00
"H3456","UNITEDHEALTHCARE OF NORTH CAROLINA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",66365,"09","San Francisco","Medicare","022","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","4","3",7,"No",23204.00
"H3456","UNITEDHEALTHCARE OF NORTH CAROLINA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",66365,"09","San Francisco","Medicare","010","Evercare Plan IH","Yes","Institutional","Yes","No","4","3",7,"No",1480.00
"H3456","UNITEDHEALTHCARE OF NORTH CAROLINA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",66365,"09","San Francisco","Medicare","016","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","4","3",7,"No",8071.00
"H3528","CONNECTICARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",16686,"02","New York","Medicare","004","ConnectiCare VIP Custom 1","Yes","Chronic or Disabling Condition","Yes","No","10","1",11,"No",2565.00
"H3659","UNITEDHEALTHCARE OF OHIO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",66233,"09","San Francisco","Medicare","056","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","10","4",14,"No",6276.00
"H3659","UNITEDHEALTHCARE OF OHIO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",66233,"09","San Francisco","Medicare","058","Evercare Plan IH","Yes","Institutional","Yes","No","10","4",14,"No",109.00
"H3659","UNITEDHEALTHCARE OF OHIO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",66233,"09","San Francisco","Medicare","059","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","10","4",14,"No",6586.00
"H3708","SELECTCARE OF OKLAHOMA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",136,"06","Dallas","Medicare","001","Tribute powered by CCRx","Yes","Institutional","Yes","No","0","1",1,"Yes",136.00
"H3749","PACIFICARE OF OKLAHOMA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",21312,"09","San Francisco","Medicare","016","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","7","6",13,"No",362.00
"H3749","PACIFICARE OF OKLAHOMA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",21312,"09","San Francisco","Medicare","011","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","7","6",13,"No",552.00
"H3749","PACIFICARE OF OKLAHOMA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",21312,"09","San Francisco","Medicare","014","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","7","6",13,"No",608.00
"H3810","MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5342,"10","Seattle","Medicare","002","CareSource - SNP","Yes","Dual-Eligible","Yes","No","14","1",15,"No",1020.00
"H3811","SAMARITAN HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4964,"10","Seattle","Medicare","003","Samaritan Advantage Special Needs Plan","Yes","Dual-Eligible","Yes","No","3","1",4,"No",1842.00
"H3812","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",5624,"09","San Francisco","Medicare","007","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","3","2",5,"No",1951.00
"H3812","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",5624,"09","San Francisco","Medicare","005","Evercare Plan IP","Yes","Institutional","Yes","No","3","2",5,"No",216.00
"H3814","ATRIO HEALTH PLANS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3900,"10","Seattle","Medicare","007","ATRIO MyAdvantage SNP","Yes","Dual-Eligible","Yes","No","14","1",15,"No",1716.00
"H3818","FAMILYCARE HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2562,"10","Seattle","Medicare","002","PremierCare Plus","Yes","Dual-Eligible","Yes","No","3","1",4,"No",1342.00
"H3887","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5304,"09","San Francisco","Medicare","002","Evercare Plan DH-POS","Yes","Dual-Eligible","Yes","No","6","3",9,"No",458.00
"H3887","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5304,"09","San Francisco","Medicare","001","Evercare Plan IH-POS","Yes","Institutional","Yes","No","6","3",9,"No",251.00
"H3887","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5304,"09","San Francisco","Medicare","005","Evercare Plan MH-POS","Yes","Chronic or Disabling Condition","Yes","No","6","3",9,"No",1862.00
"H3907","UNIVERSITY OF PITTSBURGH MEDICAL CENTER","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",73521,"03","Philadelphia","Medicare","020","UPMC for Life Specialty Plan","Yes","Dual-Eligible","Yes","No","6","1",7,"No",17153.00
"H3912","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",3451,"09","San Francisco","Medicare","008","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",406.00
"H3912","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",3451,"09","San Francisco","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","0","7",7,"Yes",1181.00
"H3912","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",3451,"09","San Francisco","Medicare","005","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","0","7",7,"Yes",522.00
"H3920","UNISON HEALTH PLAN OF PENNSYLVANIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",18203,"09","San Francisco","Medicare","003","Unison Advantage Plus","Yes","Dual-Eligible","Yes","No","5","1",6,"No",11652.00
"H3949","BRAVO HEALTH PENNSYLVANIA INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",21964,"03","Philadelphia","Medicare","016","Bravo Traditions","Yes","Institutional","Yes","No","8","4",12,"No",306.00
"H3949","BRAVO HEALTH PENNSYLVANIA INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",21964,"03","Philadelphia","Medicare","009","Bravo Select","Yes","Dual-Eligible","Yes","No","8","4",12,"No",4821.00
"H3954","GEISINGER HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",35037,"03","Philadelphia","Medicare","097","Geisinger Gold Secure 1","Yes","Dual-Eligible","Yes","No","74","2",76,"No",797.00
"H3957","KEYSTONE HEALTH PLAN WEST, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",168033,"03","Philadelphia","Medicare","030","SecurityBlue HMO Care","Yes","Dual-Eligible","Yes","No","15","1",16,"No",1160.00
"H3964","BRAVO HEALTH PENNSYLVANIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",24038,"03","Philadelphia","Medicare","002","Senior Partners Silver","Yes","Dual-Eligible","Yes","No","2","1",3,"No",14986.00
"H4003","MMM HEALTHCARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",133191,"02","New York","Medicare","010","Medicare y Mucho Mas - DIAMANTE","Yes","Dual-Eligible","Yes","No","9","4",13,"No",381.00
"H4003","MMM HEALTHCARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",133191,"02","New York","Medicare","009","Medicare y Mucho Mas - SUPREMO","Yes","Chronic or Disabling Condition","Yes","No","9","4",13,"No",24201.00
"H4003","MMM HEALTHCARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",133191,"02","New York","Medicare","017","Medicare y Mucho Mas - DIAMANTE CHOICE","Yes","Dual-Eligible","Yes","No","9","4",13,"No",66062.00
"H4004","PREFERRED MEDICARE CHOICE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52576,"02","New York","Medicare","048","Premier Preferred","Yes","Dual-Eligible","Yes","No","3","4",7,"No",40704.00
"H4004","PREFERRED MEDICARE CHOICE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52576,"02","New York","Medicare","035","Medicare en el Hogar Plus","Yes","Institutional","Yes","No","3","4",7,"No",598.00
"H4004","PREFERRED MEDICARE CHOICE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52576,"02","New York","Medicare","001","Premier Plus","Yes","Dual-Eligible","Yes","No","3","4",7,"No",248.00
"H4006","MCS ADVANTAGE INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52974,"02","New York","Medicare","013","MCS Classicare Ideal D","Yes","Dual-Eligible","Yes","No","11","3",14,"No",736.00
"H4006","MCS ADVANTAGE INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52974,"02","New York","Medicare","018","MCS Classicare Ideal E","Yes","Dual-Eligible","Yes","No","11","3",14,"No",932.00
"H4007","HUMANA HEALTH PLANS OF PUERTO RICO INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",12314,"07","Kansas City","Medicare","005","Humana Gold Plus HMO SNP-DE H4007-005","Yes","Dual-Eligible","Yes","No","6","3",9,"No",9721.00
"H4007","HUMANA HEALTH PLANS OF PUERTO RICO INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",12314,"07","Kansas City","Medicare","002","Humana Gold Plus HMO SNP-DE H4007-002","Yes","Dual-Eligible","Yes","No","6","3",9,"No",119.00
"H4012","TRIPLE-S SALUD, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",19911,"02","New York","Medicare","003","Triple-S Medicare Selecto Superior","Yes","Dual-Eligible","Yes","No","0","4",4,"Yes",19906.00
"H4106","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2921,"09","San Francisco","Medicare","002","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","0","2",2,"Yes",2030.00
"H4125","ARCADIAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",963,"06","Dallas","Medicare","005","Arcadian Health Plan - Dual Plus","Yes","Dual-Eligible","Yes","No","3","1",4,"No",107.00
"H4152","BLUE CROSS & BLUE SHIELD OF RHODE ISLAND","Local CCP","HMO/HMOPOS","Yes","Yes","POS",39454,"01","Boston","Medicare","012","BlueCHiP for Medicare Optima","Yes","Dual-Eligible","Yes","No","9","1",10,"No",2875.00
"H4407","HEALTHSPRING OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4578,"08","Denver","Medicare","003","HealthSpring TotalCare NMS","Yes","Dual-Eligible","Yes","No","12","6",18,"No",215.00
"H4407","HEALTHSPRING OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4578,"08","Denver","Medicare","013","HealthSpring OptimaCare","Yes","Chronic or Disabling Condition","Yes","No","12","6",18,"No",250.00
"H4407","HEALTHSPRING OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4578,"08","Denver","Medicare","004","HealthSpring TotalCare","Yes","Dual-Eligible","Yes","No","12","6",18,"No",518.00
"H4454","HEALTHSPRING OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",58161,"08","Denver","Medicare","020","HealthSpring TotalCare","Yes","Dual-Eligible","Yes","No","13","6",19,"No",3764.00
"H4461","CARITEN HEALTH PLAN IN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",48851,"07","Kansas City","Medicare","011","Cariten Senior Health Complete","Yes","Dual-Eligible","Yes","No","8","1",9,"No",7356.00
"H4510","HUMANA HEALTH PLAN OF TEXAS,INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",33134,"07","Kansas City","Medicare","017","Humana Gold Plus HMO SNP-DE H4510-017","Yes","Dual-Eligible","Yes","No","7","2",9,"No",1082.00
"H4510","HUMANA HEALTH PLAN OF TEXAS,INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",33134,"07","Kansas City","Medicare","019","Humana Gold Plus HMO SNP-DE H4510-019","Yes","Dual-Eligible","Yes","No","7","2",9,"No",172.00
"H4513","TEXAS HEALTHSPRING,  LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",49330,"08","Denver","Medicare","019","Texas HealthSpring OptimaCare","Yes","Chronic or Disabling Condition","Yes","No","9","3",12,"No",7273.00
"H4513","TEXAS HEALTHSPRING,  LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",49330,"08","Denver","Medicare","010","Texas HealthSpring TotalCare","Yes","Dual-Eligible","Yes","No","9","3",12,"No",10153.00
"H4514","EVERCARE OF TEXAS, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",16169,"09","San Francisco","Medicare","001","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","6","3",9,"No",9094.00
"H4514","EVERCARE OF TEXAS, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",16169,"09","San Francisco","Medicare","004","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","6","3",9,"No",4161.00
"H4522","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",10728,"09","San Francisco","Medicare","007","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","5","2",7,"No",2934.00
"H4522","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",10728,"09","San Francisco","Medicare","008","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","5","2",7,"No",792.00
"H4523","AETNA HEALTH INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4768,"01","Boston","Medicare","014","Aetna Golden Medicare Dual Advantage Plan","Yes","Dual-Eligible","Yes","No","8","1",9,"No",451.00
"H4525","SHA, L.L.C","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2115,"06","Dallas","Medicare","003","FirstCare Advantage Select","Yes","Dual-Eligible","Yes","No","9","1",10,"No",1215.00
"H4527","PHYSICIANS HEALTH CHOICE OF TEXAS LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",17893,"06","Dallas","Medicare","008","Physicians Health Choice Wellness","Yes","Chronic or Disabling Condition","Yes","No","13","7",20,"No",113.00
"H4527","PHYSICIANS HEALTH CHOICE OF TEXAS LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",17893,"06","Dallas","Medicare","006","Physicians Health Choice Select","Yes","Dual-Eligible","Yes","No","13","7",20,"No",991.00
"H4527","PHYSICIANS HEALTH CHOICE OF TEXAS LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",17893,"06","Dallas","Medicare","004","Physicians Health Choice Select","Yes","Dual-Eligible","Yes","No","13","7",20,"No",2622.00
"H4527","PHYSICIANS HEALTH CHOICE OF TEXAS LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",17893,"06","Dallas","Medicare","003","Physicians Health Choice Select","Yes","Dual-Eligible","Yes","No","13","7",20,"No",1091.00
"H4527","PHYSICIANS HEALTH CHOICE OF TEXAS LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",17893,"06","Dallas","Medicare","015","Physicians Health Choice Select","Yes","Dual-Eligible","Yes","No","13","7",20,"No",514.00
"H4528","BRAVO HEALTH TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",16009,"03","Philadelphia","Medicare","006","Bravo Select","Yes","Dual-Eligible","Yes","No","3","4",7,"No",1636.00
"H4528","BRAVO HEALTH TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",16009,"03","Philadelphia","Medicare","002","Bravo Select","Yes","Dual-Eligible","Yes","No","3","4",7,"No",3588.00
"H4529","ARCADIAN HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",11793,"06","Dallas","Medicare","007","Texas Commun. Care- Dual Plus (El Paso)","Yes","Dual-Eligible","Yes","No","4","1",5,"No",997.00
"H4590","PACIFICARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",135275,"09","San Francisco","Medicare","035","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","9","8",17,"No",6608.00
"H4590","PACIFICARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",135275,"09","San Francisco","Medicare","033","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","9","8",17,"No",704.00
"H4590","PACIFICARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",135275,"09","San Francisco","Medicare","022","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","9","8",17,"No",7788.00
"H4590","PACIFICARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",135275,"09","San Francisco","Medicare","037","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","9","8",17,"No",2488.00
"H4590","PACIFICARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",135275,"09","San Francisco","Medicare","036","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","9","8",17,"No",88.00
"H4590","PACIFICARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",135275,"09","San Francisco","Medicare","020","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","9","8",17,"No",5571.00
"H4604","UNITEDHEALTHCARE OF UTAH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",14564,"09","San Francisco","Medicare","006","Evercare Plan DH-POS","Yes","Dual-Eligible","Yes","No","6","3",9,"No",838.00
"H4604","UNITEDHEALTHCARE OF UTAH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",14564,"09","San Francisco","Medicare","008","Evercare Plan MH-POS","Yes","Chronic or Disabling Condition","Yes","No","6","3",9,"No",1523.00
"H4779","UNITEDHEALTHCARE INSURANCE COMPANY","Demo","Continuing Care Retirement Community","Yes","Yes","HMO",221,"09","San Francisco","Medicare","003","Erickson Advantage Champion","Yes","Chronic or Disabling Condition","Yes","No","2","1",3,"No",158.00
"H5008","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5774,"09","San Francisco","Medicare","006","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","0","6",6,"Yes",423.00
"H5008","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5774,"09","San Francisco","Medicare","004","Evercare Plan MH","Yes","Chronic or Disabling Condition","Yes","No","0","6",6,"Yes",3153.00
"H5008","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5774,"09","San Francisco","Medicare","001","Evercare Plan IH","Yes","Institutional","Yes","No","0","6",6,"Yes",328.00
"H5008","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5774,"09","San Francisco","Medicare","002","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","0","6",6,"Yes",1619.00
"H5050","GROUP HEALTH COOPERATIVE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",55876,"10","Seattle","Medicare","012","Group Health Clear Care Sound","Yes","Chronic or Disabling Condition","Yes","No","5","1",6,"No",711.00
"H5087","EASY CHOICE HEALTH PLAN INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5204,"10","Seattle","Medicare","001","Easy Choice Freedom Plan","Yes","Dual-Eligible","Yes","No","2","1",3,"No",2699.00
"H5206","PARTNERSHIP HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1714,"05","Chicago","Medicare","002","Community Health Partnership","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",1687.00
"H5207","COMMUNITY CARE HEALTH PLAN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",236,"05","Chicago","Medicare","001","Community Care's Partnership Program","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",236.00
"H5209","CARE WISCONSIN HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",874,"05","Chicago","Medicare","002","Partnership","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",874.00
"H5215","NETWORK HEALTH INSURANCE CORPORATION","Local CCP","Local PPO","Yes","Yes","PPO",21131,"05","Chicago","Medicare","007","Network Cares","Yes","Dual-Eligible","Yes","No","8","1",9,"No",633.00
"H5253","UNITEDHEALTHCARE OF WISCONSIN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",31676,"09","San Francisco","Medicare","027","Evercare Plan MH-POS","Yes","Chronic or Disabling Condition","Yes","No","7","3",10,"No",3246.00
"H5253","UNITEDHEALTHCARE OF WISCONSIN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",31676,"09","San Francisco","Medicare","024","Evercare Plan DH-POS","Yes","Dual-Eligible","Yes","No","7","3",10,"No",1457.00
"H5253","UNITEDHEALTHCARE OF WISCONSIN, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",31676,"09","San Francisco","Medicare","007","Evercare Plan IH-POS","Yes","Institutional","Yes","No","7","3",10,"No",710.00
"H5294","SUPERIOR HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",159,"10","Seattle","Medicare","001","Superior HealthPlan","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",159.00
"H5301","PENNSYLVANIA LIFE INSURANCE COMPANY","Demo","ESRD I","Yes","Yes","FFS/Indemnity",229,"06","Dallas","Medicare","002","Fresenius Medical Care Health Plan","No",,"No","No","5","0",5,"No",75.00
"H5301","PENNSYLVANIA LIFE INSURANCE COMPANY","Demo","ESRD I","Yes","Yes","FFS/Indemnity",229,"06","Dallas","Medicare","003","Fresenius Medical Care Health Plan","No",,"No","No","5","0",5,"No",140.00
"H5402","QUALITY HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",13951,"04","Atlanta","Medicare","035","Advantage Health Florida","Yes","Chronic or Disabling Condition","Yes","No","8","2",10,"No",1888.00
"H5402","QUALITY HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",13951,"04","Atlanta","Medicare","041","Value One Florida","Yes","Dual-Eligible","Yes","No","8","2",10,"No",1475.00
"H5404","UNIVERSAL HEALTH CARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",19981,"04","Atlanta","Medicare","111","Universal DP","Yes","Dual-Eligible","Yes","No","31","4",35,"No",77.00
"H5407","CITRUS HEALTH CARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",12212,"04","Atlanta","Medicare","011","Citrus Special Needs Plan","Yes","Dual-Eligible","Yes","No","12","1",13,"No",5796.00
"H5417","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",31333,"09","San Francisco","Medicare","005","Evercare Plan MP","Yes","Chronic or Disabling Condition","Yes","No","1","2",3,"No",22964.00
"H5417","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",31333,"09","San Francisco","Medicare","001","Evercare Plan IP","Yes","Institutional","Yes","No","1","2",3,"No",1332.00
"H5420","MEDICA HEALTHCARE PLANS, INC.","Local CCP","PSO (State License)","Yes","Yes","HMO",17289,"04","Atlanta","Medicare","006","Medica HealthCare Plans MedicareMax Plus","Yes","Dual-Eligible","Yes","No","7","1",8,"No",2196.00
"H5424","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",10536,"09","San Francisco","Medicare","005","Evercare Plan DP","Yes","Dual-Eligible","Yes","No","4","1",5,"No",4566.00
"H5425","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",38453,"09","San Francisco","Medicare","012","SCAN Health Plan","Yes","Dual-Eligible","Yes","No","16","3",19,"No",265.00
"H5425","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",38453,"09","San Francisco","Medicare","011","SCAN Health Plan","Yes","Dual-Eligible","Yes","No","16","3",19,"No",350.00
"H5425","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",38453,"09","San Francisco","Medicare","010","SCAN Health Plan","Yes","Dual-Eligible","Yes","No","16","3",19,"No",1206.00
"H5426","HUMANA ADVANTAGECARE PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8922,"07","Kansas City","Medicare","013","Humana Gold Plus HMO SNP-DE H5426-013","Yes","Dual-Eligible","Yes","No","4","3",7,"No",349.00
"H5427","FREEDOM HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",36129,"04","Atlanta","Medicare","070","Freedom VIP Care","Yes","Chronic or Disabling Condition","Yes","No","9","3",12,"No",6337.00
"H5427","FREEDOM HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",36129,"04","Atlanta","Medicare","072","Freedom VIP Care Savings","Yes","Chronic or Disabling Condition","Yes","No","9","3",12,"No",11804.00
"H5428","SAN MATEO HEALTH COMMISSION","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",7813,"09","San Francisco","Medicare","001","HPSM CareAdvantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",7813.00
"H5430","CARE1ST HEALTH PLAN OF ARIZONA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1540,"09","San Francisco","Medicare","001","ONECare by Care1st Health Plan Arizona, Inc.","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1540.00
"H5433","ORANGE COUNTY HEALTH AUTHORITY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",9942,"09","San Francisco","Medicare","001","OneCare","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",9942.00
"H5440","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1069,"09","San Francisco","Medicare","001","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1069.00
"H5528","GROUP HEALTH INCORPORATED","Local CCP","Local PPO","Yes","Yes","PPO",22153,"02","New York","Medicare","013","GHI Medicare PPO Value","Yes","Dual-Eligible","Yes","No","19","2",21,"No",978.00
"H5528","GROUP HEALTH INCORPORATED","Local CCP","Local PPO","Yes","Yes","PPO",22153,"02","New York","Medicare","014","GHI Medicare PPO Value","Yes","Dual-Eligible","Yes","No","19","2",21,"No",135.00
"H5549","VNS CHOICE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2908,"02","New York","Medicare","001","VNS CHOICE Medicare Option I","Yes","Dual-Eligible","Yes","No","0","3",3,"Yes",1377.00
"H5549","VNS CHOICE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2908,"02","New York","Medicare","002","VNS CHOICE Medicare Option II","Yes","Dual-Eligible","Yes","No","0","3",3,"Yes",1506.00
"H5575","FIDELIS SECURECARE OF NORTH CAROLINA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",444,"05","Chicago","Medicare","005","Fidelis Secure Comfort","Yes","Institutional","Yes","No","0","3",3,"Yes",401.00
"H5575","FIDELIS SECURECARE OF NORTH CAROLINA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",444,"05","Chicago","Medicare","007","Fidelis Secure Independence","Yes","Institutional","Yes","No","0","3",3,"Yes",40.00
"H5577","MCS ADVANTAGE INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",47241,"02","New York","Medicare","002","MCS Classicare Especial","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",47241.00
"H5578","ARCADIAN HEALTH PLAN OF GEORGIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2426,"06","Dallas","Medicare","007","Southeast Community Care - Dual Plus","Yes","Dual-Eligible","Yes","No","3","1",4,"No",332.00
"H5580","SOUTHWEST CATHOLIC HEALTH NETWORK CORPORATION","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",14929,"09","San Francisco","Medicare","001","Mercy Care Advantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",14929.00
"H5587","HEALTH CHOICE ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3847,"09","San Francisco","Medicare","001","Health Choice Generations","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",3847.00
"H5590","BRIDGEWAY HEALTH SOLUTIONS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",702,"10","Seattle","Medicare","001","Bridgeway Health Solutions","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",702.00
"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",2858,"08","Denver","Medicare","001","Denver Health Medicare Choice","Yes","Dual-Eligible","Yes","No","3","1",4,"No",1173.00
"H5619","ARCADIAN HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4755,"06","Dallas","Medicare","003","Northeast Community Care - Dual Plus","Yes","Dual-Eligible","Yes","No","5","1",6,"No",2023.00
"H5628","MOLINA HEALTHCARE OF UTAH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3830,"08","Denver","Medicare","006","Healthy Advantage","Yes","Dual-Eligible","Yes","No","1","2",3,"No",1497.00
"H5628","MOLINA HEALTHCARE OF UTAH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3830,"08","Denver","Medicare","001","Molina Medicare Options Plus","Yes","Dual-Eligible","Yes","No","1","2",3,"No",2199.00
"H5640","IEHP HEALTH ACCESS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2893,"09","San Francisco","Medicare","001","IEHP Medicare DualChoice","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",2893.00
"H5649","CENTRAL HEALTH PLAN OF CALIFORNIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4953,"10","Seattle","Medicare","002","Central Health Medi-Medi Plan","Yes","Dual-Eligible","Yes","No","1","1",2,"No",1128.00
"H5652","UNITEDHEALTHCARE INSURANCE COMPANY","Demo","Continuing Care Retirement Community","Yes","Yes","HMO",1032,"09","San Francisco","Medicare","004","Erickson Advantage Champion","Yes","Chronic or Disabling Condition","Yes","No","2","2",4,"No",472.00
"H5652","UNITEDHEALTHCARE INSURANCE COMPANY","Demo","Continuing Care Retirement Community","Yes","Yes","HMO",1032,"09","San Francisco","Medicare","003","Erickson Advantage Guardian","Yes","Institutional","Yes","No","2","2",4,"No",119.00
"H5665","CARE IMPROVEMENT PLUS  OF MARYLAND, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","POS",1088,"03","Philadelphia","Medicare","002","Care Improvement Plus Gold Rx","Yes","Chronic or Disabling Condition","Yes","No","0","1",1,"Yes",1088.00
"H5678","UNITEDHEALTHCARE INSURANCE COMPANY","Demo","Continuing Care Retirement Community","Yes","Yes","HMO",124,"09","San Francisco","Medicare","004","Erickson Advantage Champion","Yes","Chronic or Disabling Condition","Yes","No","2","2",4,"No",64.00
"H5685","MIDWEST HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",366,"05","Chicago","Medicare","001","Midwest  Advantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",366.00
"H5696","PHYSICIANS UNITED PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",18576,"04","Atlanta","Medicare","021","PUP Extra","Yes","Dual-Eligible","Yes","No","6","2",8,"No",1120.00
"H5697","UNITEDHEALTHCARE INSURANCE COMPANY","Demo","Continuing Care Retirement Community","Yes","Yes","HMO",1155,"09","San Francisco","Medicare","003","Erickson Advantage Champion","Yes","Chronic or Disabling Condition","Yes","No","2","2",4,"No",688.00
"H5698","WINDSOR HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",28544,"08","Denver","Medicare","058","Windsor Medicare Extra Comprehensive Plan","Yes","Dual-Eligible","Yes","No","34","30",64,"No",492.00
"H5698","WINDSOR HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",28544,"08","Denver","Medicare","003","Windsor Medicare Extra Comprehensive Plan","Yes","Dual-Eligible","Yes","No","34","30",64,"No",2714.00
"H5698","WINDSOR HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",28544,"08","Denver","Medicare","009","Windsor Medicare Extra Comprehensive Plan","Yes","Dual-Eligible","Yes","No","34","30",64,"No",4265.00
"H5698","WINDSOR HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",28544,"08","Denver","Medicare","022","Windsor Medicare Extra Comprehensive Plan","Yes","Dual-Eligible","Yes","No","34","30",64,"No",1970.00
"H5698","WINDSOR HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",28544,"08","Denver","Medicare","030","Windsor Medicare Extra Comprehensive Plan","Yes","Dual-Eligible","Yes","No","34","30",64,"No",3415.00
"H5698","WINDSOR HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",28544,"08","Denver","Medicare","038","Windsor Medicare Extra Comprehensive Plan","Yes","Dual-Eligible","Yes","No","34","30",64,"No",1004.00
"H5700","ARKANSAS COMMUNITY CARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",7864,"06","Dallas","Medicare","018","Arkansas Comm. Care -Dual Plus","Yes","Dual-Eligible","Yes","No","6","1",7,"No",313.00
"H5703","SOUTH COUNTRY HEALTH ALLIANCE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",713,"05","Chicago","Medicare","001","AbilityCare","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",713.00
"H5746","AMERIGROUP NEW MEXICO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1182,"02","New York","Medicare","006","Amerivantage Specialty + Rx","Yes","Dual-Eligible","Yes","No","3","1",4,"No",439.00
"H5754","UNITEDHEALTHCARE INSURANCE COMPANY","Demo","Continuing Care Retirement Community","Yes","Yes","HMO",492,"09","San Francisco","Medicare","004","Erickson Advantage Champion","Yes","Chronic or Disabling Condition","Yes","No","2","2",4,"No",286.00
"H5774","AMERICAN HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",28396,"02","New York","Medicare","019","AHM_Platino Plus","Yes","Dual-Eligible","Yes","No","10","4",14,"No",19417.00
"H5774","AMERICAN HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",28396,"02","New York","Medicare","009","AHM_Classic Plus","Yes","Chronic or Disabling Condition","Yes","No","10","4",14,"No",4130.00
"H5782","PARTNERSHIP HEALTHPLAN OF CALIFORNIA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4587,"09","San Francisco","Medicare","001","PartnershipAdvantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",4587.00
"H5783","ARCADIAN HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5725,"06","Dallas","Medicare","008","Southeast Comm. Care-Dual Plus(Greenville)","Yes","Dual-Eligible","Yes","No","4","1",5,"No",752.00
"H5810","MOLINA HEALTHCARE OF CALIFORNIA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2045,"08","Denver","Medicare","001","Molina Medicare Options Plus","Yes","Dual-Eligible","Yes","No","1","1",2,"No",1868.00
"H5811","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2123,"09","San Francisco","Medicare","002","Medcore Gold Select (Medicare and Medi-Cal)","Yes","Dual-Eligible","Yes","No","2","1",3,"No",497.00
"H5817","AMERIGROUP TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5984,"02","New York","Medicare","015","Amerivantage Specialty + Rx","Yes","Dual-Eligible","Yes","No","5","2",7,"No",688.00
"H5817","AMERIGROUP TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5984,"02","New York","Medicare","009","Amerivantage Specialty + Rx","Yes","Dual-Eligible","Yes","No","5","2",7,"No",4668.00
"H5823","MOLINA HEALTHCARE OF WASHINGTON, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1250,"08","Denver","Medicare","001","Molina Medicare Options Plus","Yes","Dual-Eligible","Yes","No","1","1",2,"No",838.00
"H5826","COMMUNITY HEALTH PLAN OF WASHINGTON","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4172,"10","Seattle","Medicare","005","Community HealthFirst Medicare Advantage SNP","Yes","Dual-Eligible","Yes","No","5","1",6,"No",1081.00
"H5850","SUMMIT HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",21875,"08","Denver","Medicare","002","Summit Maximum Plan","Yes","Dual-Eligible","Yes","No","19","1",20,"No",6534.00
"H5852","AIDS HEALTHCARE FOUNDATION","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",687,"09","San Francisco","Medicare","001","POSITIVE HEALTHCARE PARTNERS","Yes","Chronic or Disabling Condition","Yes","No","0","1",1,"Yes",687.00
"H5859","HEALTH PLAN OF CAREOREGON, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5730,"10","Seattle","Medicare","001","CareOregon Advantage Plus","Yes","Dual-Eligible","Yes","No","1","1",2,"No",5569.00
"H5887","FIRST MEDICAL HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1581,"02","New York","Medicare","007","First+Plus Complete","Yes","Chronic or Disabling Condition","Yes","No","1","2",3,"No",263.00
"H5895","CONTRA COSTA CO MED SVCS DBA CONTRA COSTA HEALTH","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",122,"09","San Francisco","Medicare","001","SelectCare","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",122.00
"H5896","AMERIGROUP MARYLAND, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2571,"02","New York","Medicare","007","Amerivantage Specialty + Rx","Yes","Dual-Eligible","Yes","No","3","1",4,"No",936.00
"H5909","AMERICAN PROGRESSIVE LIFE AND HEALTH OF NEW YORK","Demo","ESRD I","Yes","Yes","FFS/Indemnity",161,"06","Dallas","Medicare","001","Fresenius Medical Care Health Plan","No",,"No","No","2","0",2,"No",82.00
"H5918","UNITEDHEALTHCARE INSURANCE COMPANY","Demo","Continuing Care Retirement Community","Yes","Yes","HMO",543,"09","San Francisco","Medicare","004","Erickson Advantage Champion","Yes","Chronic or Disabling Condition","Yes","No","2","2",4,"No",284.00
"H5926","MOLINA HEALTHCARE OF MICHIGAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3211,"08","Denver","Medicare","001","Molina Medicare Options Plus","Yes","Dual-Eligible","Yes","No","1","1",2,"No",2933.00
"H5928","CARE1ST HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",11790,"09","San Francisco","Medicare","005","Care1st Dual Plus Plan","Yes","Dual-Eligible","Yes","No","7","4",11,"No",61.00
"H5928","CARE1ST HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",11790,"09","San Francisco","Medicare","009","Care1st Dual Plus Value Plan","Yes","Dual-Eligible","Yes","No","7","4",11,"No",782.00
"H5928","CARE1ST HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",11790,"09","San Francisco","Medicare","007","Care1st Dual Plus Plan","Yes","Dual-Eligible","Yes","No","7","4",11,"No",219.00
"H5928","CARE1ST HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",11790,"09","San Francisco","Medicare","001","Care1st Dual Plus Value Plan","Yes","Dual-Eligible","Yes","No","7","4",11,"No",2216.00
"H5932","GATEWAY HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",24911,"03","Philadelphia","Medicare","001","Gateway Health Plan Medicare Assured","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",24911.00
"H5943","SCAN HEALTH PLAN","Demo","ESRD II","Yes","Yes","HMO",436,"09","San Francisco","Medicare","001","VillageHealth","Yes","Chronic or Disabling Condition","Yes","No","0","1",1,"Yes",436.00
"H5948","ARTA MEDICARE HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",533,"09","San Francisco","Medicare","002","Arta Select","Yes","Dual-Eligible","Yes","No","2","1",3,"No",191.00
"H5962","STERLING LIFE INSURANCE COMPANY","Demo","ESRD I","Yes","Yes","FFS/Indemnity",202,"10","Seattle","Medicare","001","FRESENIUS MEDICAL CARE HEALTH PLAN","No",,"No","No","1","0",1,"No",202.00
"H5969","ALOHACARE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1243,"09","San Francisco","Medicare","002","AlohaCare Advantage Plus","Yes","Dual-Eligible","Yes","No","1","1",2,"No",447.00
"H5980","FIDELIS SECURECARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",141,"05","Chicago","Medicare","005","Fidelis Secure Comfort","Yes","Institutional","Yes","No","0","3",3,"Yes",136.00
"H5985","ABRAZO ADVANTAGE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2733,"09","San Francisco","Medicare","002","Abrazo Advantage Plus","Yes","Dual-Eligible","Yes","No","1","1",2,"No",2297.00
"H5991","AFFINITY HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1979,"02","New York","Medicare","002","Affinity Medicare Solutions","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",394.00
"H5991","AFFINITY HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1979,"02","New York","Medicare","001","Affinity Medicare Ultimate","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",1585.00
"H5995","MARION POLK COMMUNITY HEALTH PLAN ADVANTAGE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3995,"10","Seattle","Medicare","001","Marion Polk Community Health Plan Advantage","Yes","Dual-Eligible","Yes","No","2","1",3,"No",3167.00
"H5998","UNISON HEALTH PLAN OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5120,"09","San Francisco","Medicare","003","Unison Advantage Plus","Yes","Dual-Eligible","Yes","No","5","1",6,"No",4142.00
"H6178","CARESOURCE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",511,"05","Chicago","Medicare","001","CareSource Advantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",511.00
"H6181","AMERIGROUP NEW YORK, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",611,"02","New York","Medicare","007","Amerivantage Specialty + Rx","Yes","Dual-Eligible","Yes","No","3","1",4,"No",343.00
"H6228","UNITEDHEALTHCARE INSURANCE COMPANY","Demo","Continuing Care Retirement Community","Yes","Yes","HMO/POS Combined",153,"09","San Francisco","Medicare","003","Erickson Advantage Champion","Yes","Chronic or Disabling Condition","Yes","No","2","1",3,"No",74.00
"H6793","UNITEDHEALTHCARE INSURANCE COMPANY","Demo","Continuing Care Retirement Community","Yes","Yes","HMO",93,"09","San Francisco","Medicare","003","Erickson Advantage Champion","Yes","Chronic or Disabling Condition","Yes","No","2","1",3,"No",73.00
"H6864","GUILDNET, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",155,"02","New York","Medicare","001","GuildNet Gold","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",155.00
"H6952","GREAT LAKES HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",869,"09","San Francisco","Medicare","001","Great Lakes Health Plan","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",869.00
"H7015","HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3416,"02","New York","Medicare","004","Healthfirst NJ Maximum Plan","Yes","Dual-Eligible","Yes","No","4","1",5,"No",691.00
"H7086","COMMUNITY HEALTH GROUP","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",792,"09","San Francisco","Medicare","001","CommuniCare Advantage","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",792.00
"H7179","ARCADIAN HEALTH PLAN OF LOUISIANA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3584,"06","Dallas","Medicare","003","Arcadian Community Care - Dual Plus","Yes","Dual-Eligible","Yes","No","7","1",8,"No",912.00
"H7187","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",2098,"09","San Francisco","Medicare","002","Evercare Plan DH-POS","Yes","Dual-Eligible","Yes","No","6","6",12,"No",492.00
"H7187","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",2098,"09","San Francisco","Medicare","008","Evercare Plan MH-POS","Yes","Chronic or Disabling Condition","Yes","No","6","6",12,"No",454.00
"H7200","AMERIGROUP TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1104,"02","New York","Medicare","006","Amerivantage Specialty + Rx","Yes","Dual-Eligible","Yes","No","2","1",3,"No",961.00
"H7292","ALAMEDA ALLIANCE JOINT POWERS AUTHORITY (JPA)","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1682,"09","San Francisco","Medicare","001","Alliance CompleteCare","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1682.00
"H7352","UPH/MIHS VENTURES L.L.C.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1477,"09","San Francisco","Medicare","003","Maricopa Care Advantage","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",933.00
"H7352","UPH/MIHS VENTURES L.L.C.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1477,"09","San Francisco","Medicare","002","University Physicians Care Advantage","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",544.00
"H7475","CARE WISCONSIN HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",92,"05","Chicago","Medicare","001","Partnership","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",92.00
"H7526","MEDICA HEALTH PLANS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",704,"05","Chicago","Medicare","001","Medica Complete Solution","Yes","Chronic or Disabling Condition","Yes","No","0","2",2,"Yes",121.00
"H7526","MEDICA HEALTH PLANS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",704,"05","Chicago","Medicare","002","Medica AccessAbility","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",583.00
"H7678","MOLINA HEALTHCARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",465,"08","Denver","Medicare","001","Molina Medicare Options Plus","Yes","Dual-Eligible","Yes","No","1","1",2,"No",425.00
"H8991","AMERIGROUP FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1800,"02","New York","Medicare","017","Amerivantage Specialty + Rx","Yes","Dual-Eligible","Yes","No","5","2",7,"No",1260.00
"H8991","AMERIGROUP FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1800,"02","New York","Medicare","011","Amerivantage Specialty + Rx","Yes","Dual-Eligible","Yes","No","5","2",7,"No",175.00
"H9011","UNITEDHEALTHCARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5466,"09","San Francisco","Medicare","011","Evercare Plan DH","Yes","Dual-Eligible","Yes","No","6","1",7,"No",39.00
"H9101","ELDERPLAN, INC.  - SHMO","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",14360,"02","New York","Medicare","007","Elderplan, Inc. Classic","Yes","Institutional","Yes","No","0","1",1,"Yes",14360.00
"H9104","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",70103,"09","San Francisco","Medicare","009","SCAN Health Plan","Yes","Institutional","Yes","No","4","7",11,"No",5596.00
"H9104","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",70103,"09","San Francisco","Medicare","008","SCAN Health Plan","Yes","Institutional","Yes","No","4","7",11,"No",15394.00
"H9104","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",70103,"09","San Francisco","Medicare","007","SCAN Health Plan","Yes","Institutional","Yes","No","4","7",11,"No",12894.00
"H9104","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",70103,"09","San Francisco","Medicare","006","SCAN Health Plan","Yes","Institutional","Yes","No","4","7",11,"No",33004.00
"H9104","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",70103,"09","San Francisco","Medicare","015","SCAN  Health Plan","Yes","Dual-Eligible","Yes","No","4","7",11,"No",87.00
"H9104","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",70103,"09","San Francisco","Medicare","014","SCAN Health Plan","Yes","Dual-Eligible","Yes","No","4","7",11,"No",140.00
"H9104","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",70103,"09","San Francisco","Medicare","013","SCAN Health Plan","Yes","Dual-Eligible","Yes","No","4","7",11,"No",407.00
"H9385","SCAN HEALTH PLAN OF ARIZONA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1675,"09","San Francisco","Medicare","001","SCAN Health Plan Arizona","Yes","Dual-Eligible","Yes","No","5","1",6,"No",1380.00
"R3175","UNITEDHEALTHCARE INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",3264,"09","San Francisco","Medicare","003","Evercare Plan RDP","Yes","Dual-Eligible","Yes","No","6","2",8,"No",1185.00
"R3175","UNITEDHEALTHCARE INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",3264,"09","San Francisco","Medicare","004","Evercare Plan RMP","Yes","Chronic or Disabling Condition","Yes","No","6","2",8,"No",346.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",9782,"03","Philadelphia","Medicare","007","Care Improvement Plus Platinum Rx Advantage","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",219.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",9782,"03","Philadelphia","Medicare","003","Care Improvement Plus Platinum Rx","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",305.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",9782,"03","Philadelphia","Medicare","006","Care Improvement Plus Platinum Rx Plus","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",32.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",9782,"03","Philadelphia","Medicare","004","Care Improvement Plus Gold Rx Advantage","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",621.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",9782,"03","Philadelphia","Medicare","005","Care Improvement Plus Gold Rx Plus","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",309.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",9782,"03","Philadelphia","Medicare","002","Care Improvement Plus Gold Rx","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",4154.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",9782,"03","Philadelphia","Medicare","001","Care Improvement Plus Silver Rx","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",4142.00
"R5287","UNITEDHEALTHCARE INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",75529,"09","San Francisco","Medicare","003","Evercare Plan RDP","Yes","Dual-Eligible","Yes","No","6","1",7,"No",11640.00
"R5342","UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK","Regional CCP","Regional PPO","Yes","Yes","PPO",17904,"09","San Francisco","Medicare","003","Evercare Plan RDP","Yes","Dual-Eligible","Yes","No","6","2",8,"No",4611.00
"R5342","UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK","Regional CCP","Regional PPO","Yes","Yes","PPO",17904,"09","San Francisco","Medicare","004","Evercare Plan RMP","Yes","Chronic or Disabling Condition","Yes","No","6","2",8,"No",1603.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",14829,"03","Philadelphia","Medicare","002","Care Improvement Plus Gold Rx","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",6965.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",14829,"03","Philadelphia","Medicare","001","Care Improvement Plus Silver Rx","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",4935.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",14829,"03","Philadelphia","Medicare","007","Care Improvement Plus Platinum Rx Advantage","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",255.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",14829,"03","Philadelphia","Medicare","004","Care Improvement Plus Gold Rx Advantage","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",1542.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",14829,"03","Philadelphia","Medicare","005","Care Improvement Plus Gold Rx Plus","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",804.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",14829,"03","Philadelphia","Medicare","006","Care Improvement Plus Platinum Rx Plus","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",45.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",14829,"03","Philadelphia","Medicare","003","Care Improvement Plus Platinum Rx","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",283.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO","Regional CCP","Regional PPO","Yes","Yes","PPO",33842,"03","Philadelphia","Medicare","007","Care Improvement Plus Platinum Rx Advantage","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",458.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO","Regional CCP","Regional PPO","Yes","Yes","PPO",33842,"03","Philadelphia","Medicare","006","Care Improvement Plus Platinum Rx Plus","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",96.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO","Regional CCP","Regional PPO","Yes","Yes","PPO",33842,"03","Philadelphia","Medicare","004","Care Improvement Plus Gold Rx Advantage","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",2755.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO","Regional CCP","Regional PPO","Yes","Yes","PPO",33842,"03","Philadelphia","Medicare","003","Care Improvement Plus Platinum Rx","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",540.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO","Regional CCP","Regional PPO","Yes","Yes","PPO",33842,"03","Philadelphia","Medicare","002","Care Improvement Plus Gold Rx","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",13509.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO","Regional CCP","Regional PPO","Yes","Yes","PPO",33842,"03","Philadelphia","Medicare","001","Care Improvement Plus Silver Rx","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",15685.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO","Regional CCP","Regional PPO","Yes","Yes","PPO",33842,"03","Philadelphia","Medicare","005","Care Improvement Plus Gold Rx Plus","Yes","Chronic or Disabling Condition","Yes","No","0","7",7,"Yes",799.00
