| AR | DEVOTED CHOICE GIVEBACK EXTRAS 012 AR (PPO) | $840.00 | $10,100.00 | H7397 | 012 | Devoted | $0.00 | Yes | AR: 40 countiesAR: Baxter, Benton, Boone, Calhoun, Carroll, Clay, Cleburne, Conway, Crittenden, Cross, Dallas, Faulkner, Franklin, Fulton, Grant, Hot Spring, Izard, Johnson, Lee, Logan, Lonoke, Madison, Marion, Mississippi, Newton, Perry, Poinsett, Polk, Prairie, Pulaski, Saline, Scott, Searcy, Sharp, St. Francis, Stone, Van Buren, Washington, Woodruff, Yell |
| AR | Aetna Medicare Signature Giveback (PPO) | $816.00 | $13,900.00 | H5521 | 725 | Aetna | $0.00 | Yes | AR: Benton, Crawford, Faulkner, Garland, Lonoke, Pulaski, Saline, Sebastian, Washington |
| AR | Aetna Medicare Signature Classic Plus (PPO) | $0.00 | $13,900.00 | H1608 | 021 | Aetna | $0.00 | Yes | AR: 39 countiesAR: Benton, Calhoun, Carroll, Clark, Columbia, Crawford, Crittenden, Dallas, Faulkner, Franklin, Garland, Grant, Hempstead, Hot Spring, Howard, Johnson, Lafayette, Logan, Lonoke, Madison, Miller, Montgomery, Nevada, Newton, Ouachita, Perry, Phillips, Pike, Poinsett, Polk, Pope, Pulaski, Saline, Scott, Sebastian, St. Francis, Union, Washington, Yell |
| AR | Aetna Medicare Elite Classic (PPO) | $0.00 | $10,750.00 | H1608 | 054 | Aetna | $0.00 | Yes | AR: 21 countiesAR: Benton, Carroll, Clark, Crawford, Faulkner, Franklin, Garland, Johnson, Logan, Madison, Montgomery, Newton, Perry, Pike, Pope, Pulaski, Saline, Scott, Sebastian, Washington, Yell |
| AR | Aetna Medicare Signature Plus (PPO) | $0.00 | $13,900.00 | H5521 | 722 | Aetna | $0.00 | Yes | AR: 39 countiesAR: Benton, Calhoun, Carroll, Clark, Columbia, Crawford, Crittenden, Dallas, Faulkner, Franklin, Garland, Grant, Hempstead, Hot Spring, Howard, Johnson, Lafayette, Logan, Lonoke, Madison, Miller, Montgomery, Nevada, Newton, Ouachita, Perry, Phillips, Pike, Poinsett, Polk, Pope, Pulaski, Saline, Scott, Sebastian, St. Francis, Union, Washington, Yell |
| AR | Aetna Medicare Elite (PPO) | $0.00 | $10,750.00 | H5521 | 723 | Aetna | $0.00 | Yes | AR: 21 countiesAR: Benton, Carroll, Clark, Crawford, Faulkner, Franklin, Garland, Johnson, Logan, Madison, Montgomery, Newton, Perry, Pike, Pope, Pulaski, Saline, Scott, Sebastian, Washington, Yell |
| AR | Aetna Medicare Signature Extra Plus (PPO) | $0.00 | $10,750.00 | H5521 | 726 | Aetna | $0.00 | Yes | AR: Benton, Crawford, Sebastian, Washington |
| AR | DEVOTED CHOICE 001 AR (PPO) | $0.00 | $9,100.00 | H7397 | 001 | Devoted | $0.00 | Yes | AR: 40 countiesAR: Baxter, Benton, Boone, Calhoun, Carroll, Clay, Cleburne, Conway, Crittenden, Cross, Dallas, Faulkner, Franklin, Fulton, Grant, Hot Spring, Izard, Johnson, Lee, Logan, Lonoke, Madison, Marion, Mississippi, Newton, Perry, Poinsett, Polk, Prairie, Pulaski, Saline, Scott, Searcy, Sharp, St. Francis, Stone, Van Buren, Washington, Woodruff, Yell |
| AR | Humana Value Choice (PPO) | $0.00 | $8,400.00 | H7617 | 066 | Humana | $0.00 | Yes | AR: 58 countiesAR: Arkansas, Baxter, Benton, Boone, Bradley, Calhoun, Carroll, Chicot, Clark, Cleburne, Cleveland, Columbia, Conway, Crawford, Crittenden, Dallas, Faulkner, Franklin, Fulton, Garland, Grant, Hempstead, Hot Spring, Izard, Jefferson, Johnson, Lawrence, Lee, Lincoln, Little River, Logan, Lonoke, Madison, Marion, Miller, Monroe, Montgomery, Newton, Ouachita, Perry, Phillips, Pike, Poinsett, Polk, Pope, Prairie, Pulaski, Randolph, Saline, Scott, Searcy, Sebastian, Sevier, Stone, Union, Van Buren, Washington, Yell |
| AR | HealthSpring True Choice (PPO) | $0.00 | $14,800.00 | H7849 | 102 | HealthSpring | $0.00 | Yes | AR: 15 countiesAR: Clay, Craighead, Crittenden, Cross, Greene, Independence, Jackson, Lawrence, Lee, Mississippi, Poinsett, Randolph, St. Francis, White, Woodruff |
| AR | HealthSpring True Choice (PPO) | $0.00 | $11,300.00 | H7849 | 102 | HealthSpring | $0.00 | Yes | AR: 16 countiesAR: Calhoun, Clark, Cleburne, Conway, Faulkner, Garland, Grant, Hot Spring, Lonoke, Perry, Pope, Prairie, Pulaski, Saline, Stone, Van Buren |
| AR | HealthSpring True Choice (PPO) | $0.00 | $11,300.00 | H7849 | 102 | HealthSpring | $0.00 | Yes | AR: 16 countiesAR: Calhoun, Clark, Cleburne, Conway, Faulkner, Garland, Grant, Hot Spring, Lonoke, Perry, Pope, Prairie, Pulaski, Saline, Stone, Van Buren |
| AR, IL, MO, OK, WI | HumanaChoice H7617-007 (PPO) | $0.00 | $13,900.00 | H7617 | 007 | Humana | $60.00 | Yes | AR: 8 counties · IL: 1 counties · MO: 34 counties · OK: 21 counties · WI: 36 countiesAR: Clay, Cross, Drew, Howard, Jackson, Lafayette, Polk, Sharp; IL: McHenry; MO: Adair, Andrew, Atchison, Caldwell, Chariton, Clark, Clinton, Daviess, DeKalb, Dunklin, Grundy, Henry, Holt, Johnson, Knox, Lewis, Linn, Macon, Marion, Mercer, Mississippi, Monroe, New Madrid, Pemiscot, Putnam, Ralls, Randolph, Ripley, Schuyler, Scotland, Shannon, Shelby, Sullivan, Worth; OK: Alfalfa, Atoka, Blaine, Choctaw, Cotton, Dewey, Grant, Greer, Haskell, Jackson, Jefferson, Kiowa, Latimer, Love, Major, Marshall, McCurtain, Nowata, Pushmataha, Tillman, Woods; WI: Adams, Buffalo, Burnett, Chippewa, Clark, Columbia, Crawford, Dane, Douglas, Dunn, Eau Claire, Florence, Green, Iowa, Iron, Jackson, Jefferson, Juneau, La Crosse, Lafayette, Langlade, Lincoln, Monroe, Oneida, Pepin, Pierce, Polk, Richland, Rock, Rusk, Sauk, Taylor, Trempealeau, Vernon, Vilas, Walworth |
| AZ | DEVOTED CHOICE MA ONLY 005 AZ (PPO) | $2,216.40 | $9,000.00 | H6586 | 005 | Devoted | $0.00 | No | AZ: Cochise, Coconino, Graham, La Paz, Maricopa, Pima, Pinal, Santa Cruz, Yavapai, Yuma |
| AZ | DEVOTED CHOICE GIVEBACK 006 AZ (PPO) | $1,507.20 | $11,150.00 | H6586 | 006 | Devoted | $0.00 | Yes | AZ: Cochise, Coconino, Graham, La Paz, Santa Cruz, Yavapai, Yuma |
| AZ | Humana Essentials Plus Giveback (PPO) | $840.00 | $9,750.00 | H7617 | 051 | Humana | $0.00 | Yes | AZ: Maricopa, Pima, Pinal |
| AZ | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 554 | Aetna | $0.00 | Yes | AZ: Maricopa, Pima, Pinal |
| AZ | Aetna Medicare Value Care (PPO) | $0.00 | $8,900.00 | H5521 | 649 | Aetna | $16.80 | Yes | AZ: Maricopa, Pima, Pinal |
| AZ | DEVOTED CHOICE 001 AZ (PPO) | $0.00 | $8,950.00 | H6586 | 001 | Devoted | $0.00 | Yes | AZ: Maricopa, Pinal |
| AZ | DEVOTED CHOICE 002 AZ (PPO) | $0.00 | $9,150.00 | H6586 | 002 | Devoted | $0.00 | Yes | AZ: Cochise, Coconino, Graham, La Paz, Santa Cruz, Yavapai, Yuma |
| AZ | DEVOTED CHOICE 003 AZ (PPO) | $0.00 | $8,950.00 | H6586 | 003 | Devoted | $0.00 | Yes | AZ: Pima |
| AZ | Humana Value Choice (PPO) | $0.00 | $9,750.00 | H7617 | 124 | Humana | $0.00 | Yes | AZ: Maricopa, Pima, Pinal |
| AZ | HealthSpring True Choice (PPO) | $0.00 | $9,350.00 | H7849 | 065 | HealthSpring | $0.00 | Yes | AZ: Maricopa, Pima, Pinal |
| CA | Humana USAA Honor Giveback (PPO) | $1,080.00 | $10,100.00 | H5525 | 078 | Humana | $0.00 | No | CA: Los Angeles, Orange, Riverside, San Bernardino, San Diego |
| CA | Humana USAA Honor Giveback (PPO) | $900.00 | $10,100.00 | H5525 | 079 | Humana | $0.00 | No | CA: Alpine, Calaveras, Lassen, Marin, Mariposa, Mono, Plumas, San Francisco, San Joaquin, Sierra, Stanislaus |
| CA | Humana USAA Honor Giveback with Rx (PPO) | $660.00 | $9,050.00 | H5525 | 057 | Humana | $0.00 | Yes | CA: Los Angeles, Orange, Riverside, San Bernardino, San Diego |
| CA | HumanaChoice H5525-056 (PPO) | $0.00 | $10,750.00 | H5525 | 056 | Humana | $97.00 | Yes | CA: Alpine, Calaveras, Lassen, Mariposa, Mono, Plumas, Sierra |
| CA | HumanaChoice H5525-074 (PPO) | $0.00 | $5,500.00 | H5525 | 074 | Humana | $49.00 | Yes | CA: Los Angeles, Orange, Riverside, San Bernardino |
| CA | HumanaChoice H5525-075 (PPO) | $0.00 | $6,200.00 | H5525 | 075 | Humana | $0.00 | Yes | CA: Los Angeles, Orange, Riverside, San Bernardino |
| CA | HumanaChoice H5525-080 (PPO) | $0.00 | $10,750.00 | H5525 | 080 | Humana | $53.00 | Yes | CA: San Joaquin, Stanislaus |
| CA | HumanaChoice H5525-084 (PPO) | $0.00 | $10,100.00 | H5525 | 084 | Humana | $93.00 | Yes | CA: Contra Costa |
| CA | HumanaChoice H5525-087 (PPO) | $0.00 | $10,750.00 | H5525 | 087 | Humana | $96.00 | Yes | CA: Marin, San Francisco |
| CO | DEVOTED CHOICE MA ONLY 004 CO (PPO) | $1,992.00 | $10,000.00 | H4808 | 004 | Devoted | $0.00 | No | CO: 36 countiesCO: Adams, Arapahoe, Bent, Boulder, Broomfield, Chaffee, Clear Creek, Conejos, Costilla, Crowley, Custer, Denver, Douglas, El Paso, Elbert, Fremont, Gilpin, Grand, Gunnison, Hinsdale, Huerfano, Jackson, Jefferson, Larimer, Las Animas, Lincoln, Mineral, Ouray, Park, Pitkin, Pueblo, Saguache, San Juan, Teller, Washington, Weld |
| CO | Humana Essentials Plus Giveback (PPO) | $1,164.00 | $13,900.00 | H7617 | 061 | Humana | $0.00 | Yes | CO: Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, Jefferson |
| CO | DEVOTED CHOICE 002 CO (PPO) | $120.00 | $10,500.00 | H4808 | 002 | Devoted | $0.00 | Yes | CO: Adams, Arapahoe, Boulder, Broomfield, Clear Creek, Denver, Douglas, Elbert, Gilpin, Jefferson, Park |
| CO | DEVOTED CHOICE 005 CO (PPO) | $24.00 | $9,000.00 | H4808 | 005 | Devoted | $0.00 | Yes | CO: Conejos, Gunnison, Hinsdale, Kiowa, Lake, Mineral, Ouray, Pitkin, San Juan, Summit |
| CO | DEVOTED CHOICE 001 CO (PPO) | $0.00 | $9,700.00 | H4808 | 001 | Devoted | $0.00 | Yes | CO: 18 countiesCO: Bent, Chaffee, Costilla, Crowley, Custer, El Paso, Fremont, Grand, Huerfano, Jackson, Larimer, Las Animas, Lincoln, Pueblo, Saguache, Teller, Washington, Weld |
| CO | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 207 | Aetna | $0.00 | Yes | CO: El Paso, Fremont, La Plata, Mesa, Montrose, Pueblo |
| CO | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 250 | Aetna | $0.00 | Yes | CO: Adams, Denver, Grand, Jefferson, Larimer |
| CO | Aetna Medicare Value Care (PPO) | $0.00 | $10,750.00 | H5521 | 443 | Aetna | $18.40 | Yes | CO: 16 countiesCO: Adams, Arapahoe, Boulder, Broomfield, Delta, Denver, Douglas, El Paso, Fremont, Grand, Jefferson, La Plata, Larimer, Mesa, Montrose, Weld |
| CO | HealthSpring True Choice (PPO) | $0.00 | $11,000.00 | H7849 | 147 | HealthSpring | $0.00 | Yes | CO: 16 countiesCO: Adams, Arapahoe, Boulder, Broomfield, Clear Creek, Delta, Denver, Douglas, El Paso, Fremont, Jefferson, Larimer, Mesa, Pueblo, Teller, Weld |
| DE | DEVOTED CHOICE GIVEBACK 002 DE (PPO) | $1,918.80 | $14,500.00 | H0413 | 002 | Devoted | $0.00 | Yes | DE: New Castle |
| DE | DEVOTED CHOICE 001 DE (PPO) | $0.00 | $9,250.00 | H0413 | 001 | Devoted | $0.00 | Yes | DE: New Castle |
| DE | HealthSpring True Choice (PPO) | $0.00 | $11,000.00 | H7849 | 146 | HealthSpring | $14.00 | Yes | DE: New Castle |
| FL | DEVOTED CHOICE GIVEBACK 013 FL (PPO) | $2,216.40 | $13,900.00 | H9884 | 013 | Devoted | $0.00 | Yes | FL: Escambia, Santa Rosa |
| FL | DEVOTED CHOICE MA ONLY 014 FL (PPO) | $2,216.40 | $13,900.00 | H9884 | 014 | Devoted | $0.00 | No | FL: Escambia, Santa Rosa |
| FL | DEVOTED CHOICE GIVEBACK 008 FL (PPO) | $2,096.40 | $13,900.00 | H9884 | 008 | Devoted | $0.00 | Yes | FL: Brevard, Hernando, Hillsborough, Indian River, Martin, Okeechobee, Pasco, Pinellas, St. Lucie |
| FL | HumanaChoice Giveback H7617-110 (PPO) | $1,938.00 | $10,750.00 | H7617 | 110 | Humana | $0.00 | Yes | FL: Brevard, Broward, Glades, Indian River, Martin, Miami-Dade, Okeechobee, Palm Beach, St. Lucie |
| FL | Aetna Medicare Signature Legacy (PPO) | $0.00 | $10,100.00 | H5521 | 269 | Aetna | $0.00 | Yes | FL: Clay, Duval, Flagler, Nassau, St. Johns, Volusia |
| FL | Aetna Medicare Signature Legacy (PPO) | $0.00 | $10,750.00 | H5521 | 270 | Aetna | $0.00 | Yes | FL: Hernando, Hillsborough, Pasco, Pinellas, Polk |
| FL | Aetna Medicare Signature Legacy (PPO) | $0.00 | $10,750.00 | H5521 | 271 | Aetna | $0.00 | Yes | FL: Lake, Marion, Sumter |
| FL | Aetna Medicare Signature Legacy (PPO) | $0.00 | $10,100.00 | H5521 | 272 | Aetna | $0.00 | Yes | FL: Charlotte, Collier, DeSoto, Highlands, Lee, Manatee, Sarasota |
| FL | Aetna Medicare Signature Legacy (PPO) | $0.00 | $10,750.00 | H5521 | 305 | Aetna | $0.00 | Yes | FL: Escambia, Santa Rosa |
| FL | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 433 | Aetna | $0.00 | Yes | FL: Brevard |
| FL | Aetna Medicare Signature Extra (PPO) | $0.00 | $10,750.00 | H5521 | 434 | Aetna | $0.00 | Yes | FL: Clay, Duval, Flagler, Nassau, St. Johns, Volusia |
| FL | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 435 | Aetna | $0.00 | Yes | FL: Escambia, Okaloosa, Santa Rosa, Walton |
| FL | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 439 | Aetna | $0.00 | Yes | FL: Lake, Marion, Sumter |
| FL | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 569 | Aetna | $0.00 | Yes | FL: Orange, Osceola, Seminole |
| FL | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 702 | Aetna | $0.00 | Yes | FL: Hernando, Hillsborough, Pasco, Pinellas, Polk |
| FL | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 705 | Aetna | $0.00 | Yes | FL: Clay, Duval, Flagler, Nassau, St. Johns, Volusia |
| FL | Aetna Medicare Premier (PPO) | $0.00 | $10,750.00 | H5521 | 706 | Aetna | $100.00 | Yes | FL: Clay, Duval, Flagler, Nassau, St. Johns, Volusia |
| FL | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 710 | Aetna | $0.00 | Yes | FL: Charlotte, Collier, DeSoto, Highlands, Lee, Manatee, Sarasota |
| FL | HumanaChoice Florida H7284-008 (PPO) | $0.00 | $6,200.00 | H7284 | 008 | Humana | $52.00 | Yes | FL: Brevard, Broward, Miami-Dade, Palm Beach |
| FL | HumanaChoice Florida H7284-009 (PPO) | $0.00 | $8,900.00 | H7284 | 009 | Humana | $38.90 | Yes | FL: 34 countiesFL: Alachua, Baker, Bay, Calhoun, Clay, Columbia, Dixie, Duval, Escambia, Flagler, Gadsden, Gilchrist, Gulf, Hamilton, Holmes, Jackson, Jefferson, Lafayette, Lake, Levy, Liberty, Madison, Marion, Nassau, Putnam, Santa Rosa, Seminole, St. Johns, Sumter, Taylor, Volusia, Wakulla, Walton, Washington |
| FL | HumanaChoice Florida H7617-107 (PPO) | $0.00 | $6,100.00 | H7617 | 107 | Humana | $0.00 | Yes | FL: Broward, Miami-Dade, Palm Beach |
| FL | DEVOTED CHOICE 015 FL (PPO) | $0.00 | $10,750.00 | H9884 | 015 | Devoted | $0.00 | Yes | FL: Escambia, Santa Rosa |
| GA | DEVOTED CHOICE GIVEBACK 011 GA (PPO) | $1,977.60 | $13,650.00 | H5453 | 011 | Devoted | $0.00 | Yes | GA: 14 countiesGA: Bryan, Bulloch, Burke, Camden, Chatham, Columbia, Effingham, Jenkins, Lincoln, Long, McDuffie, McIntosh, Richmond, Screven |
| GA | DEVOTED CHOICE GIVEBACK 005 GA (PPO) | $1,969.20 | $13,900.00 | H5453 | 005 | Devoted | $0.00 | Yes | GA: 103 countiesGA: Appling, Atkinson, Bacon, Baker, Baldwin, Banks, Barrow, Ben Hill, Berrien, Brantley, Brooks, Butts, Candler, Catoosa, Charlton, Chattahoochee, Chattooga, Clinch, Coffee, Colquitt, Cook, Crawford, Dade, Dawson, Dodge, Dooly, Echols, Elbert, Emanuel, Evans, Fannin, Franklin, Gilmer, Glascock, Greene, Habersham, Hall, Hancock, Haralson, Harris, Hart, Heard, Irwin, Jasper, Jeff Davis, Jefferson, Johnson, Jones, Lamar, Lanier, Lowndes, Lumpkin, Macon, Madison, Marion, Meriwether, Mitchell, Monroe, Montgomery, Morgan, Murray, Muscogee, Newton, Oconee, Oglethorpe, Peach, Pike, Polk, Pulaski, Putnam, Quitman, Rabun, Randolph, Schley, Stephens, Stewart, Talbot, Taliaferro, Tattnall, Taylor, Telfair, Thomas, Tift, Toombs, Towns, Treutlen, Turner, Twiggs, Union, Upson, Walker, Walton, Warren, Washington, Wayne, Webster, Wheeler, White, Whitfield, Wilcox, Wilkes, Wilkinson, Worth |
| GA | Wellcare Patriot Giveback Open (PPO) | $1,680.00 | $14,800.00 | H0111 | 007 | Wellcare | $0.00 | No | GA: 141 countiesGA: Appling, Atkinson, Bacon, Baker, Baldwin, Banks, Barrow, Bartow, Ben Hill, Berrien, Bibb, Bleckley, Brantley, Brooks, Bryan, Burke, Butts, Camden, Candler, Catoosa, Charlton, Chatham, Chattahoochee, Chattooga, Cherokee, Clarke, Clayton, Clinch, Coffee, Colquitt, Columbia, Cook, Coweta, Crawford, Crisp, Dade, Dawson, DeKalb, Decatur, Dodge, Dooly, Douglas, Echols, Elbert, Emanuel, Evans, Fannin, Fayette, Forsyth, Franklin, Fulton, Gilmer, Glascock, Grady, Greene, Gwinnett, Habersham, Hall, Hancock, Haralson, Harris, Hart, Heard, Henry, Houston, Irwin, Jackson, Jasper, Jeff Davis, Jefferson, Jenkins, Johnson, Jones, Lamar, Lanier, Laurens, Liberty, Lincoln, Long, Lowndes, Lumpkin, Macon, Madison, Marion, McDuffie, McIntosh, Meriwether, Miller, Mitchell, Monroe, Montgomery, Morgan, Murray, Muscogee, Newton, Oconee, Oglethorpe, Paulding, Peach, Pickens, Pike, Pulaski, Putnam, Quitman, Rabun, Randolph, Richmond, Rockdale, Schley, Screven, Seminole, Spalding, Stephens, Stewart, Talbot, Taliaferro, Tattnall, Taylor, Telfair, Thomas, Tift, Towns, Treutlen, Troup, Turner, Twiggs, Union, Upson, Walker, Walton, Ware, Warren, Washington, Wayne, Webster, Wheeler, White, Wilcox, Wilkes, Wilkinson, Worth |
| GA | Wellcare Simple Open (PPO) | $0.00 | $13,900.00 | H0111 | 001 | Wellcare | $0.00 | Yes | GA: 141 countiesGA: Appling, Atkinson, Bacon, Baker, Baldwin, Banks, Barrow, Bartow, Ben Hill, Berrien, Bibb, Bleckley, Brantley, Brooks, Bryan, Burke, Butts, Camden, Candler, Catoosa, Charlton, Chatham, Chattahoochee, Chattooga, Cherokee, Clarke, Clayton, Clinch, Coffee, Colquitt, Columbia, Cook, Coweta, Crawford, Crisp, Dade, Dawson, DeKalb, Decatur, Dodge, Dooly, Douglas, Echols, Elbert, Emanuel, Evans, Fannin, Fayette, Forsyth, Franklin, Fulton, Gilmer, Glascock, Grady, Greene, Gwinnett, Habersham, Hall, Hancock, Haralson, Harris, Hart, Heard, Henry, Houston, Irwin, Jackson, Jasper, Jeff Davis, Jefferson, Jenkins, Johnson, Jones, Lamar, Lanier, Laurens, Liberty, Lincoln, Long, Lowndes, Lumpkin, Macon, Madison, Marion, McDuffie, McIntosh, Meriwether, Miller, Mitchell, Monroe, Montgomery, Morgan, Murray, Muscogee, Newton, Oconee, Oglethorpe, Paulding, Peach, Pickens, Pike, Pulaski, Putnam, Quitman, Rabun, Randolph, Richmond, Rockdale, Schley, Screven, Seminole, Spalding, Stephens, Stewart, Talbot, Taliaferro, Tattnall, Taylor, Telfair, Thomas, Tift, Towns, Treutlen, Troup, Turner, Twiggs, Union, Upson, Walker, Walton, Ware, Warren, Washington, Wayne, Webster, Wheeler, White, Wilcox, Wilkes, Wilkinson, Worth |
| GA | Aetna Medicare Value Extra Care (PPO) | $0.00 | $14,800.00 | H2293 | 001 | Aetna | $25.40 | Yes | GA: 108 countiesGA: Appling, Atkinson, Bacon, Baker, Baldwin, Bartow, Ben Hill, Berrien, Bibb, Bleckley, Brantley, Brooks, Bryan, Burke, Butts, Calhoun, Candler, Catoosa, Charlton, Chatham, Chattooga, Clarke, Clay, Clinch, Coffee, Colquitt, Columbia, Cook, Crawford, Crisp, Dade, Dawson, Decatur, Dodge, Dooly, Dougherty, Early, Echols, Elbert, Emanuel, Evans, Gilmer, Glascock, Glynn, Grady, Greene, Habersham, Hancock, Haralson, Hart, Heard, Irwin, Jasper, Jeff Davis, Jefferson, Jenkins, Johnson, Jones, Lamar, Lanier, Laurens, Liberty, Lincoln, Long, Lowndes, Macon, Madison, McDuffie, McIntosh, Meriwether, Miller, Mitchell, Monroe, Montgomery, Morgan, Oconee, Peach, Polk, Pulaski, Putnam, Quitman, Randolph, Richmond, Schley, Screven, Seminole, Stephens, Stewart, Talbot, Taliaferro, Tattnall, Taylor, Telfair, Thomas, Toombs, Treutlen, Troup, Turner, Twiggs, Union, Upson, Warren, Washington, Webster, Wheeler, Whitfield, Wilcox, Wilkinson |
| GA | Aetna Medicare Eagle Extra Plus (PPO) | $0.00 | $13,900.00 | H2293 | 009 | Aetna | $0.00 | No | GA: 151 countiesGA: Appling, Atkinson, Bacon, Baker, Baldwin, Banks, Barrow, Bartow, Ben Hill, Berrien, Bibb, Bleckley, Brantley, Brooks, Bryan, Burke, Butts, Calhoun, Camden, Candler, Catoosa, Charlton, Chattahoochee, Chattooga, Cherokee, Clarke, Clay, Clinch, Coffee, Colquitt, Columbia, Cook, Coweta, Crawford, Crisp, Dade, Dawson, DeKalb, Decatur, Dodge, Dooly, Dougherty, Early, Echols, Effingham, Elbert, Emanuel, Evans, Fannin, Fayette, Floyd, Forsyth, Franklin, Gilmer, Glascock, Glynn, Gordon, Grady, Greene, Gwinnett, Habersham, Hall, Hancock, Haralson, Harris, Hart, Heard, Henry, Houston, Irwin, Jackson, Jasper, Jeff Davis, Jefferson, Jenkins, Johnson, Jones, Lamar, Lanier, Laurens, Lee, Liberty, Lincoln, Long, Lowndes, Lumpkin, Macon, Madison, Marion, McDuffie, McIntosh, Meriwether, Miller, Mitchell, Monroe, Montgomery, Morgan, Murray, Muscogee, Newton, Oconee, Oglethorpe, Paulding, Peach, Pickens, Pierce, Pike, Polk, Pulaski, Putnam, Quitman, Rabun, Randolph, Richmond, Rockdale, Schley, Screven, Seminole, Spalding, Stephens, Stewart, Sumter, Talbot, Taliaferro, Tattnall, Taylor, Telfair, Terrell, Thomas, Tift, Toombs, Towns, Treutlen, Troup, Turner, Twiggs, Union, Upson, Walton, Ware, Warren, Washington, Wayne, Webster, Wheeler, White, Whitfield, Wilcox, Wilkes, Wilkinson, Worth |
| GA | Aetna Medicare Value Care (PPO) | $0.00 | $14,800.00 | H2293 | 023 | Aetna | $29.00 | Yes | GA: 24 countiesGA: Bibb, Bryan, Chatham, Cobb, Columbia, Crawford, Dooly, Glascock, Hancock, Houston, Jenkins, Liberty, Lincoln, McDuffie, McIntosh, Muscogee, Paulding, Peach, Pulaski, Richmond, Taylor, Warren, Wayne, Wilkinson |
| GA | Aetna Medicare Signature Care (PPO) | $0.00 | $14,800.00 | H2293 | 029 | Aetna | $0.00 | Yes | GA: 24 countiesGA: Baldwin, Bibb, Bleckley, Burke, Camden, Dooly, Floyd, Glascock, Houston, Jefferson, Jenkins, Lamar, Liberty, Long, Macon, McDuffie, Monroe, Muscogee, Paulding, Peach, Pulaski, Richmond, Screven, Twiggs |
| GA | Aetna Medicare Elite Plus (PPO) | $0.00 | $14,800.00 | H2293 | 031 | Aetna | $0.00 | Yes | GA: 111 countiesGA: Appling, Atkinson, Bacon, Baker, Banks, Bartow, Ben Hill, Berrien, Brantley, Brooks, Bryan, Butts, Calhoun, Candler, Carroll, Catoosa, Charlton, Chatham, Chattahoochee, Chattooga, Clarke, Clay, Clinch, Coffee, Colquitt, Columbia, Cook, Crawford, Crisp, Dade, Dawson, Decatur, Dodge, Dougherty, Early, Echols, Elbert, Emanuel, Evans, Fannin, Franklin, Glynn, Gordon, Grady, Greene, Hall, Hancock, Haralson, Harris, Hart, Heard, Irwin, Jackson, Jasper, Jeff Davis, Johnson, Jones, Lanier, Laurens, Lee, Lincoln, Lowndes, Lumpkin, Madison, Marion, McIntosh, Miller, Mitchell, Montgomery, Morgan, Murray, Newton, Oconee, Oglethorpe, Pickens, Pierce, Pike, Polk, Putnam, Quitman, Rabun, Randolph, Schley, Seminole, Stephens, Stewart, Sumter, Talbot, Taliaferro, Tattnall, Taylor, Telfair, Terrell, Thomas, Toombs, Treutlen, Turner, Upson, Walton, Ware, Warren, Washington, Wayne, Webster, Wheeler, White, Whitfield, Wilcox, Wilkes, Wilkinson, Worth |
| GA | Aetna Medicare Value Plus (PPO) | $0.00 | $14,800.00 | H2293 | 033 | Aetna | $25.40 | Yes | GA: 28 countiesGA: Camden, Chattahoochee, Effingham, Fannin, Floyd, Franklin, Hall, Harris, Houston, Lee, Lumpkin, Marion, Murray, Muscogee, Oglethorpe, Pickens, Pierce, Pike, Rabun, Sumter, Tift, Towns, Walton, Ware, Wayne, White, Wilkes, Worth |
| GA | Aetna Medicare Elite (PPO) | $0.00 | $14,800.00 | H3288 | 027 | Aetna | $0.00 | Yes | GA: 63 countiesGA: Baldwin, Banks, Barrow, Bibb, Burke, Camden, Chatham, Chattahoochee, Chattooga, Clarke, Clay, Coffee, Colquitt, Columbia, Dooly, Emanuel, Evans, Fannin, Franklin, Glascock, Glynn, Greene, Habersham, Hancock, Hart, Houston, Irwin, Jackson, Jefferson, Johnson, Lamar, Laurens, Liberty, Lincoln, Macon, Madison, McDuffie, Monroe, Morgan, Murray, Muscogee, Oconee, Oglethorpe, Peach, Pierce, Putnam, Quitman, Rabun, Richmond, Screven, Stewart, Taliaferro, Tattnall, Taylor, Towns, Treutlen, Troup, Twiggs, Union, Upson, Ware, Webster, Wilkes |
| GA | Aetna Medicare Eagle Plus (PPO) | $0.00 | $13,900.00 | H3288 | 034 | Aetna | $0.00 | No | GA: 123 countiesGA: Appling, Baker, Baldwin, Banks, Barrow, Bartow, Bibb, Bryan, Burke, Butts, Camden, Carroll, Catoosa, Chatham, Chattahoochee, Chattooga, Cherokee, Clarke, Clay, Clayton, Cobb, Coffee, Colquitt, Columbia, Coweta, Crawford, Crisp, Dawson, DeKalb, Dooly, Dougherty, Douglas, Effingham, Elbert, Emanuel, Evans, Fannin, Fayette, Floyd, Forsyth, Franklin, Fulton, Gilmer, Glascock, Glynn, Gordon, Gwinnett, Habersham, Hall, Hancock, Haralson, Harris, Hart, Heard, Henry, Houston, Irwin, Jackson, Jasper, Jefferson, Johnson, Jones, Lamar, Laurens, Lee, Liberty, Lincoln, Lumpkin, Macon, Madison, Marion, McDuffie, McIntosh, Meriwether, Monroe, Morgan, Murray, Muscogee, Newton, Oconee, Oglethorpe, Paulding, Peach, Pickens, Pierce, Pike, Polk, Putnam, Quitman, Rabun, Randolph, Richmond, Rockdale, Schley, Screven, Spalding, Stephens, Stewart, Sumter, Talbot, Taliaferro, Tattnall, Taylor, Terrell, Tift, Toombs, Towns, Treutlen, Troup, Turner, Twiggs, Union, Upson, Walton, Ware, Warren, Washington, Wayne, Webster, White, Wilkes, Wilkinson, Worth |
| GA | Aetna Medicare Enhanced (PPO) | $0.00 | $14,800.00 | H3288 | 042 | Aetna | $53.00 | Yes | GA: 77 countiesGA: Baker, Baldwin, Banks, Barrow, Bibb, Burke, Camden, Catoosa, Chatham, Chattahoochee, Chattooga, Clay, Coffee, Colquitt, Columbia, Crisp, Dooly, Effingham, Evans, Fannin, Franklin, Gilmer, Glascock, Glynn, Gordon, Hall, Hart, Heard, Houston, Irwin, Jackson, Jefferson, Jones, Lamar, Laurens, Lee, Liberty, Lumpkin, Macon, Madison, Marion, McDuffie, McIntosh, Meriwether, Monroe, Morgan, Murray, Muscogee, Oconee, Oglethorpe, Peach, Pike, Putnam, Quitman, Rabun, Randolph, Richmond, Screven, Stephens, Stewart, Sumter, Taliaferro, Tattnall, Tift, Toombs, Towns, Turner, Twiggs, Union, Upson, Washington, Wayne, Webster, White, Wilkes, Wilkinson, Worth |
| GA | DEVOTED CHOICE 001 GA (PPO) | $0.00 | $12,800.00 | H5453 | 001 | Devoted | $0.00 | Yes | GA: 16 countiesGA: Bartow, Cherokee, Clayton, Cobb, Coweta, DeKalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, Henry, Paulding, Pickens, Rockdale, Spalding |
| GA | DEVOTED CHOICE 004 GA (PPO) | $0.00 | $11,900.00 | H5453 | 004 | Devoted | $0.00 | Yes | GA: 103 countiesGA: Appling, Atkinson, Bacon, Baker, Baldwin, Banks, Barrow, Ben Hill, Berrien, Brantley, Brooks, Butts, Candler, Catoosa, Charlton, Chattahoochee, Chattooga, Clinch, Coffee, Colquitt, Cook, Crawford, Dade, Dawson, Dodge, Dooly, Echols, Elbert, Emanuel, Evans, Fannin, Franklin, Gilmer, Glascock, Greene, Habersham, Hall, Hancock, Haralson, Harris, Hart, Heard, Irwin, Jasper, Jeff Davis, Jefferson, Johnson, Jones, Lamar, Lanier, Lowndes, Lumpkin, Macon, Madison, Marion, Meriwether, Mitchell, Monroe, Montgomery, Morgan, Murray, Muscogee, Newton, Oconee, Oglethorpe, Peach, Pike, Polk, Pulaski, Putnam, Quitman, Rabun, Randolph, Schley, Stephens, Stewart, Talbot, Taliaferro, Tattnall, Taylor, Telfair, Thomas, Tift, Toombs, Towns, Treutlen, Turner, Twiggs, Union, Upson, Walker, Walton, Warren, Washington, Wayne, Webster, Wheeler, White, Whitfield, Wilcox, Wilkes, Wilkinson, Worth |
| GA | DEVOTED CHOICE 010 GA (PPO) | $0.00 | $11,600.00 | H5453 | 010 | Devoted | $0.00 | Yes | GA: 14 countiesGA: Bryan, Bulloch, Burke, Camden, Chatham, Columbia, Effingham, Jenkins, Lincoln, Long, McDuffie, McIntosh, Richmond, Screven |
| GA | Aetna Medicare Elite (PPO) | $0.00 | $14,800.00 | H5521 | 091 | Aetna | $0.00 | Yes | GA: Bartow, Clayton, Coweta, DeKalb, Douglas, Fulton, Henry, Jasper, Newton, Rockdale, Spalding, Walton |
| GA | Aetna Medicare Value Care (PPO) | $0.00 | $14,800.00 | H5521 | 364 | Aetna | $25.40 | Yes | GA: Cherokee, Clayton, Coweta, DeKalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, Henry, Rockdale, Spalding |
| GA | HumanaChoice H7617-092 (PPO) | $0.00 | $14,800.00 | H7617 | 092 | Humana | $0.00 | Yes | GA: 31 countiesGA: Barrow, Bartow, Butts, Catoosa, Clarke, Coweta, Dade, Dawson, DeKalb, Douglas, Floyd, Haralson, Harris, Heard, Jackson, Jasper, Madison, Marion, Meriwether, Murray, Muscogee, Paulding, Pike, Polk, Spalding, Stewart, Talbot, Upson, Walker, Walton, Whitfield |
| GA | HumanaChoice H7617-093 (PPO) | $0.00 | $14,800.00 | H7617 | 093 | Humana | $0.00 | Yes | GA: 158 countiesGA: Appling, Atkinson, Bacon, Baker, Baldwin, Banks, Barrow, Bartow, Ben Hill, Berrien, Bibb, Bleckley, Brantley, Brooks, Bryan, Bulloch, Burke, Butts, Calhoun, Camden, Candler, Catoosa, Charlton, Chatham, Chattahoochee, Chattooga, Cherokee, Clarke, Clay, Clayton, Clinch, Cobb, Coffee, Colquitt, Columbia, Cook, Coweta, Crawford, Crisp, Dade, Dawson, DeKalb, Decatur, Dodge, Dooly, Dougherty, Douglas, Early, Echols, Effingham, Elbert, Emanuel, Evans, Fannin, Fayette, Floyd, Forsyth, Franklin, Fulton, Gilmer, Glascock, Glynn, Gordon, Grady, Greene, Gwinnett, Habersham, Hall, Hancock, Haralson, Harris, Hart, Heard, Henry, Houston, Irwin, Jackson, Jasper, Jeff Davis, Jefferson, Jenkins, Johnson, Jones, Lamar, Lanier, Laurens, Lee, Liberty, Lincoln, Long, Lowndes, Lumpkin, Macon, Madison, Marion, McDuffie, McIntosh, Meriwether, Miller, Mitchell, Monroe, Montgomery, Morgan, Murray, Muscogee, Newton, Oconee, Oglethorpe, Paulding, Peach, Pickens, Pierce, Pike, Polk, Pulaski, Putnam, Quitman, Rabun, Randolph, Richmond, Rockdale, Schley, Screven, Seminole, Spalding, Stephens, Stewart, Sumter, Talbot, Taliaferro, Tattnall, Taylor, Telfair, Terrell, Thomas, Tift, Toombs, Towns, Treutlen, Troup, Turner, Twiggs, Union, Upson, Walker, Walton, Ware, Warren, Washington, Wayne, Webster, Wheeler, White, Whitfield, Wilcox, Wilkes, Wilkinson, Worth |
| GA | HumanaChoice H7617-114 (PPO) | $0.00 | $14,800.00 | H7617 | 114 | Humana | $13.00 | Yes | GA: 158 countiesGA: Appling, Atkinson, Bacon, Baker, Baldwin, Banks, Barrow, Bartow, Ben Hill, Berrien, Bibb, Bleckley, Brantley, Brooks, Bryan, Bulloch, Burke, Butts, Calhoun, Camden, Candler, Catoosa, Charlton, Chatham, Chattahoochee, Chattooga, Cherokee, Clarke, Clay, Clayton, Clinch, Cobb, Coffee, Colquitt, Columbia, Cook, Coweta, Crawford, Crisp, Dade, Dawson, DeKalb, Decatur, Dodge, Dooly, Dougherty, Douglas, Early, Echols, Effingham, Elbert, Emanuel, Evans, Fannin, Fayette, Floyd, Forsyth, Franklin, Fulton, Gilmer, Glascock, Glynn, Gordon, Grady, Greene, Gwinnett, Habersham, Hall, Hancock, Haralson, Harris, Hart, Heard, Henry, Houston, Irwin, Jackson, Jasper, Jeff Davis, Jefferson, Jenkins, Johnson, Jones, Lamar, Lanier, Laurens, Lee, Liberty, Lincoln, Long, Lowndes, Lumpkin, Macon, Madison, Marion, McDuffie, McIntosh, Meriwether, Miller, Mitchell, Monroe, Montgomery, Morgan, Murray, Muscogee, Newton, Oconee, Oglethorpe, Paulding, Peach, Pickens, Pierce, Pike, Polk, Pulaski, Putnam, Quitman, Rabun, Randolph, Richmond, Rockdale, Schley, Screven, Seminole, Spalding, Stephens, Stewart, Sumter, Talbot, Taliaferro, Tattnall, Taylor, Telfair, Terrell, Thomas, Tift, Toombs, Towns, Treutlen, Troup, Turner, Twiggs, Union, Upson, Walker, Walton, Ware, Warren, Washington, Wayne, Webster, Wheeler, White, Whitfield, Wilcox, Wilkes, Wilkinson, Worth |
| GA | HealthSpring True Choice (PPO) | $0.00 | $14,800.00 | H7849 | 145 | HealthSpring | $0.00 | Yes | GA: 42 countiesGA: Banks, Barrow, Bartow, Butts, Carroll, Chattooga, Cherokee, Clarke, Clayton, Cobb, Coweta, Dawson, DeKalb, Douglas, Fayette, Floyd, Forsyth, Franklin, Fulton, Gordon, Greene, Gwinnett, Habersham, Hall, Haralson, Heard, Henry, Jackson, Lumpkin, Madison, Morgan, Newton, Oconee, Oglethorpe, Paulding, Pickens, Polk, Rockdale, Spalding, Stephens, Walton, White |
| GA, MS, TN | HealthSpring True Choice (PPO) | $0.00 | $14,800.00 | H7849 | 153 | HealthSpring | $0.00 | Yes | GA: 3 counties · MS: 4 counties · TN: 78 countiesGA: Catoosa, Dade, Walker; MS: DeSoto, Marshall, Tate, Tunica; TN: Anderson, Bedford, Benton, Bledsoe, Blount, Bradley, Campbell, Cannon, Carroll, Cheatham, Claiborne, Clay, Cocke, Coffee, Cumberland, Davidson, DeKalb, Decatur, Dickson, Fayette, Fentress, Giles, Grainger, Grundy, Hamblen, Hamilton, Hancock, Hardeman, Hardin, Haywood, Henderson, Henry, Hickman, Houston, Humphreys, Jackson, Jefferson, Knox, Lauderdale, Lawrence, Lewis, Lincoln, Loudon, Macon, Madison, Marion, Marshall, Maury, McNairy, Meigs, Monroe, Moore, Morgan, Overton, Perry, Pickett, Polk, Putnam, Rhea, Robertson, Rutherford, Scott, Sequatchie, Sevier, Shelby, Smith, Stewart, Sumner, Tipton, Trousdale, Union, Van Buren, Warren, Wayne, Weakley, White, Williamson, Wilson |
| GA, NC, SC | HumanaChoice H5525-049 (PPO) | $0.00 | $14,800.00 | H5525 | 049 | Humana | $52.00 | Yes | GA: 31 counties · NC: 46 counties · SC: 7 countiesGA: Atkinson, Bacon, Barrow, Berrien, Bibb, Brantley, Butts, Charlton, Clinch, Coffee, Crawford, Dodge, Fannin, Gilmer, Heard, Houston, Jasper, Johnson, Jones, Lamar, Laurens, Lincoln, Macon, Monroe, Montgomery, Peach, Polk, Putnam, Tattnall, Twiggs, Wayne; NC: Ashe, Beaufort, Bladen, Brunswick, Burke, Camden, Columbus, Cumberland, Currituck, Dare, Duplin, Durham, Edgecombe, Franklin, Gates, Granville, Greene, Halifax, Harnett, Hertford, Hoke, Hyde, Johnston, Jones, Lee, Lenoir, Martin, Moore, Nash, New Hanover, Northampton, Orange, Pamlico, Pasquotank, Pender, Richmond, Robeson, Scotland, Surry, Tyrrell, Vance, Warren, Washington, Wayne, Wilkes, Wilson; SC: Bamberg, Chester, Georgetown, Kershaw, Lancaster, Lee, Orangeburg |
| IA | Aetna Medicare Signature Classic (PPO) | $0.00 | $10,750.00 | H1608 | 001 | Aetna | $0.00 | Yes | IA: 53 countiesIA: Allamakee, Benton, Black Hawk, Boone, Bremer, Buchanan, Calhoun, Carroll, Cedar, Clarke, Clay, Clinton, Dallas, Delaware, Dickinson, Fayette, Floyd, Franklin, Fremont, Grundy, Guthrie, Hamilton, Hancock, Hardin, Henry, Humboldt, Ida, Iowa, Jackson, Jasper, Johnson, Jones, Kossuth, Linn, Madison, Marshall, Mills, Muscatine, Osceola, Plymouth, Polk, Pottawattamie, Poweshiek, Scott, Shelby, Tama, Warren, Washington, Webster, Winnebago, Woodbury, Worth, Wright |
| IA | Aetna Medicare Enhanced Classic Extra (PPO) | $0.00 | $10,750.00 | H1608 | 117 | Aetna | $75.00 | Yes | IA: 85 countiesIA: Adair, Adams, Allamakee, Appanoose, Benton, Black Hawk, Boone, Bremer, Buchanan, Buena Vista, Butler, Calhoun, Carroll, Cass, Cedar, Cerro Gordo, Cherokee, Clarke, Clay, Clinton, Crawford, Dallas, Decatur, Delaware, Dickinson, Fayette, Floyd, Franklin, Fremont, Greene, Grundy, Guthrie, Hamilton, Hancock, Hardin, Harrison, Henry, Humboldt, Ida, Iowa, Jackson, Jasper, Jefferson, Johnson, Jones, Keokuk, Kossuth, Linn, Louisa, Lucas, Lyon, Madison, Mahaska, Marion, Marshall, Mills, Monona, Monroe, Montgomery, Muscatine, O'Brien, Osceola, Page, Plymouth, Pocahontas, Polk, Pottawattamie, Poweshiek, Ringgold, Sac, Scott, Shelby, Sioux, Tama, Union, Wapello, Warren, Washington, Wayne, Webster, Winnebago, Winneshiek, Woodbury, Worth, Wright |
| IA | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 751 | Aetna | $0.00 | Yes | IA: 53 countiesIA: Allamakee, Benton, Black Hawk, Boone, Bremer, Buchanan, Calhoun, Carroll, Cedar, Clarke, Clay, Clinton, Dallas, Delaware, Dickinson, Fayette, Floyd, Franklin, Fremont, Grundy, Guthrie, Hamilton, Hancock, Hardin, Henry, Humboldt, Ida, Iowa, Jackson, Jasper, Johnson, Jones, Kossuth, Linn, Madison, Marshall, Mills, Muscatine, Osceola, Plymouth, Polk, Pottawattamie, Poweshiek, Scott, Shelby, Tama, Warren, Washington, Webster, Winnebago, Woodbury, Worth, Wright |
| IA | Aetna Medicare Enhanced Extra (PPO) | $0.00 | $10,750.00 | H5521 | 752 | Aetna | $75.00 | Yes | IA: 85 countiesIA: Adair, Adams, Allamakee, Appanoose, Benton, Black Hawk, Boone, Bremer, Buchanan, Buena Vista, Butler, Calhoun, Carroll, Cass, Cedar, Cerro Gordo, Cherokee, Clarke, Clay, Clinton, Crawford, Dallas, Decatur, Delaware, Dickinson, Fayette, Floyd, Franklin, Fremont, Greene, Grundy, Guthrie, Hamilton, Hancock, Hardin, Harrison, Henry, Humboldt, Ida, Iowa, Jackson, Jasper, Jefferson, Johnson, Jones, Keokuk, Kossuth, Linn, Louisa, Lucas, Lyon, Madison, Mahaska, Marion, Marshall, Mills, Monona, Monroe, Montgomery, Muscatine, O'Brien, Osceola, Page, Plymouth, Pocahontas, Polk, Pottawattamie, Poweshiek, Ringgold, Sac, Scott, Shelby, Sioux, Tama, Union, Wapello, Warren, Washington, Wayne, Webster, Winnebago, Winneshiek, Woodbury, Worth, Wright |
| ID | Humana Full Access (PPO) | $0.00 | $5,900.00 | H7617 | 028 | Humana | $30.00 | Yes | ID: Ada, Boise, Canyon, Gem, Owyhee, Payette, Washington |
| ID, OR | HumanaChoice H5525-054 (PPO) | $0.00 | $10,750.00 | H5525 | 054 | Humana | $70.00 | Yes | ID: 13 counties · OR: 6 countiesID: Adams, Bannock, Bear Lake, Bingham, Bonneville, Caribou, Clark, Franklin, Fremont, Jefferson, Madison, Oneida, Power; OR: Baker, Gilliam, Morrow, Sherman, Wallowa, Wasco |
| ID, OR | Humana Value Choice (PPO) | $0.00 | $7,150.00 | H7617 | 031 | Humana | $0.00 | Yes | ID: Ada, Boise, Canyon, Gem, Owyhee, Payette, Washington; OR: Malheur |
| IL | DEVOTED CHOICE GIVEBACK 004 IL (PPO) | $2,216.40 | $14,500.00 | H8320 | 004 | Devoted | $0.00 | Yes | IL: Boone, Bureau, Carroll, Henry, Lee, Ogle, Rock Island, Stephenson, Winnebago |
| IL | DEVOTED CHOICE GIVEBACK 006 IL (PPO) | $2,216.40 | $14,500.00 | H8320 | 006 | Devoted | $0.00 | Yes | IL: Alexander, Bond, Calhoun, Clinton, Greene, Jersey, Madison, Monroe, Perry, St. Clair, Union, Washington |
| IL | HealthSpring True Choice Savings (PPO) | $408.00 | $8,000.00 | H7849 | 080 | HealthSpring | $0.00 | Yes | IL: Cook, DuPage, Kane, Kankakee, Will |
| IL | Aetna Medicare Advantra Signature Extra (PPO) | $300.00 | $10,750.00 | H7301 | 006 | Aetna | $0.00 | Yes | IL: Boone, Bureau, DeKalb, Henderson, Henry, Jo Daviess, Lee, Ogle, Rock Island, Stephenson, Whiteside, Winnebago |
| IL | Aetna Medicare Premier (PPO) | $0.00 | $10,750.00 | H5521 | 016 | Aetna | $42.00 | Yes | IL: Cook, DuPage, Grundy, Kankakee, Lake, Will |
| IL | Aetna Medicare Signature Extra (PPO) | $0.00 | $10,750.00 | H5521 | 086 | Aetna | $0.00 | Yes | IL: Cook, DuPage, Grundy, Kankakee, Lake, Will |
| IL | HumanaChoice H5525-004 (PPO) | $0.00 | $10,100.00 | H5525 | 004 | Humana | $73.00 | Yes | IL: 22 countiesIL: Boone, Brown, Cass, Fulton, Hancock, Henderson, Knox, La Salle, Lee, Livingston, Marshall, McDonough, McLean, Ogle, Peoria, Putnam, Schuyler, Stark, Stephenson, Tazewell, Winnebago, Woodford |
| IL | DEVOTED CHOICE 001 IL (PPO) | $0.00 | $7,200.00 | H6545 | 001 | Devoted | $0.00 | Yes | IL: Cook, DuPage, Kane, Kankakee, Kendall, Lake, McHenry, Will |
| IL | DEVOTED CHOICE 010 IL (PPO) | $0.00 | $5,400.00 | H6545 | 010 | Devoted | $0.00 | Yes | IL: Cook, DuPage, Kane, Kankakee, Kendall, Lake, McHenry, Will |
| IL | Aetna Medicare Advantra Enhanced (PPO) | $0.00 | $6,500.00 | H7301 | 002 | Aetna | $51.00 | Yes | IL: Boone, Bureau, DeKalb, Henderson, Henry, Jo Daviess, Lee, Ogle, Rock Island, Stephenson, Whiteside, Winnebago |
| IL | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H7301 | 007 | Aetna | $0.00 | Yes | IL: 37 countiesIL: Bond, Calhoun, Champaign, Christian, Clark, Clay, Clinton, Coles, Crawford, Cumberland, Douglas, Effingham, Fayette, Fulton, Greene, Jasper, Jersey, Knox, La Salle, Macon, Macoupin, Madison, Marshall, Mason, McDonough, McLean, Monroe, Montgomery, Moultrie, Peoria, Putnam, Sangamon, Scott, St. Clair, Stark, Tazewell, Vermilion |
| IL | Aetna Medicare Enhanced (PPO) | $0.00 | $10,750.00 | H7301 | 009 | Aetna | $58.00 | Yes | IL: 37 countiesIL: Bond, Calhoun, Champaign, Christian, Clark, Clay, Clinton, Coles, Crawford, Cumberland, Douglas, Effingham, Fayette, Fulton, Greene, Jasper, Jersey, Knox, La Salle, Macon, Macoupin, Madison, Marshall, Mason, McDonough, McLean, Monroe, Montgomery, Moultrie, Peoria, Putnam, Sangamon, Scott, St. Clair, Stark, Tazewell, Vermilion |
| IL | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H7301 | 013 | Aetna | $0.00 | Yes | IL: Cook, DuPage, Grundy, Kankakee, Lake, Will |
| IL | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H7301 | 033 | Aetna | $0.00 | Yes | IL: Kane, Kendall, McHenry |
| IL | Humana Value Choice (PPO) | $0.00 | $6,300.00 | H7617 | 018 | Humana | $0.00 | Yes | IL: Boone, Cook, DeKalb, DuPage, Grundy, Kane, Kankakee, Kendall, Lake, Ogle, Stephenson, Will, Winnebago |
| IL | HealthSpring True Choice (PPO) | $0.00 | $6,700.00 | H7849 | 002 | HealthSpring | $0.00 | Yes | IL: Cook, DuPage, Kane, Kankakee, Will |
| IL | DEVOTED CHOICE 001 IL (PPO) | $0.00 | $9,550.00 | H8320 | 001 | Devoted | $0.00 | Yes | IL: 25 countiesIL: Cass, Christian, De Witt, Douglas, Fayette, Grundy, Iroquois, Johnson, La Salle, Logan, Macoupin, Marshall, Massac, Menard, Mercer, Montgomery, Morgan, Moultrie, Piatt, Pope, Pulaski, Putnam, Sangamon, Scott, Shelby |
| IL | DEVOTED CHOICE 003 IL (PPO) | $0.00 | $6,200.00 | H8320 | 003 | Devoted | $0.00 | Yes | IL: Boone, Bureau, Carroll, Henry, Lee, Ogle, Rock Island, Stephenson, Winnebago |
| IL | DEVOTED CHOICE 005 IL (PPO) | $0.00 | $6,700.00 | H8320 | 005 | Devoted | $0.00 | Yes | IL: Alexander, Bond, Calhoun, Clinton, Greene, Jersey, Madison, Monroe, Perry, St. Clair, Union, Washington |
| IL, MO | Humana Full Access (PPO) | $0.00 | $10,000.00 | H7617 | 008 | Humana | $0.00 | Yes | IL: 6 counties · MO: 17 countiesIL: Bond, Calhoun, Clinton, Jersey, Madison, St. Clair; MO: Audrain, Boone, Callaway, Crawford, Franklin, Iron, Jefferson, Lincoln, Madison, Perry, Pike, St. Charles, St. Francois, St. Louis, St. Louis City, Warren, Washington |
| IL, MO | Humana Value Choice (PPO) | $0.00 | $6,200.00 | H7617 | 023 | Humana | $0.00 | Yes | IL: 7 counties · MO: 61 countiesIL: Bond, Calhoun, Clinton, Jersey, Madison, Monroe, St. Clair; MO: Audrain, Barry, Barton, Bates, Benton, Bollinger, Boone, Callaway, Camden, Cape Girardeau, Carroll, Carter, Christian, Cole, Cooper, Crawford, Dade, Dallas, Dent, Douglas, Franklin, Gasconade, Greene, Howard, Howell, Iron, Jasper, Jefferson, Laclede, Lawrence, Lincoln, Madison, McDonald, Miller, Moniteau, Morgan, Newton, Osage, Perry, Pettis, Phelps, Polk, Pulaski, Reynolds, Saline, Scott, St. Charles, St. Francois, St. Louis, St. Louis City, Ste. Genevieve, Stoddard, Stone, Taney, Texas, Vernon, Warren, Washington, Wayne, Webster, Wright |
| KS | DEVOTED CHOICE GIVEBACK 002 KS (PPO) | $1,918.80 | $14,500.00 | H4348 | 002 | Devoted | $0.00 | Yes | KS: Douglas, Johnson, Leavenworth, Wyandotte |
| KS | DEVOTED CHOICE GIVEBACK 006 KS (PPO) | $1,916.40 | $14,500.00 | H4348 | 006 | Devoted | $0.00 | Yes | KS: 22 countiesKS: Anderson, Atchison, Bourbon, Brown, Chase, Chautauqua, Cherokee, Crawford, Doniphan, Elk, Franklin, Greenwood, Jackson, Jefferson, Labette, Linn, Miami, Morris, Neosho, Osage, Wabaunsee, Woodson |
| KS | Humana Essentials Plus Giveback (PPO) | $804.00 | $10,100.00 | H7617 | 015 | Humana | $0.00 | Yes | KS: 29 countiesKS: Barton, Butler, Chase, Clay, Cowley, Dickinson, Ellsworth, Geary, Greenwood, Harper, Harvey, Kingman, Marion, Marshall, McPherson, Morris, Ottawa, Pawnee, Pottawatomie, Pratt, Reno, Rice, Riley, Russell, Saline, Sedgwick, Sumner, Wabaunsee, Washington |
| KS | Aetna Medicare Signature Classic Extra (PPO) | $0.00 | $6,300.00 | H1608 | 017 | Aetna | $0.00 | Yes | KS: 14 countiesKS: Barber, Butler, Chase, Chautauqua, Cowley, Elk, Greenwood, Harper, Harvey, Kingman, Marion, Sedgwick, Sumner, Woodson |
| KS | Aetna Medicare Signature Classic Extra (PPO) | $0.00 | $10,100.00 | H1608 | 024 | Aetna | $0.00 | Yes | KS: 15 countiesKS: Clay, Coffey, Geary, Jackson, Jefferson, Lyon, Marshall, Morris, Nemaha, Osage, Pottawatomie, Riley, Shawnee, Wabaunsee, Washington |
| KS | Aetna Medicare Signature Classic (PPO) | $0.00 | $10,100.00 | H1608 | 072 | Aetna | $0.00 | Yes | KS: Cloud, Dickinson, Jewell, Lincoln, McPherson, Mitchell, Osborne, Ottawa, Republic, Saline |
| KS | DEVOTED CHOICE 001 KS (PPO) | $0.00 | $5,950.00 | H4348 | 001 | Devoted | $0.00 | Yes | KS: Douglas, Johnson, Leavenworth, Wyandotte |
| KS | DEVOTED CHOICE 005 KS (PPO) | $0.00 | $5,950.00 | H4348 | 005 | Devoted | $0.00 | Yes | KS: 22 countiesKS: Anderson, Atchison, Bourbon, Brown, Chase, Chautauqua, Cherokee, Crawford, Doniphan, Elk, Franklin, Greenwood, Jackson, Jefferson, Labette, Linn, Miami, Morris, Neosho, Osage, Wabaunsee, Woodson |
| KS | Aetna Medicare Signature Extra (PPO) | $0.00 | $6,300.00 | H5521 | 743 | Aetna | $0.00 | Yes | KS: 14 countiesKS: Barber, Butler, Chase, Chautauqua, Cowley, Elk, Greenwood, Harper, Harvey, Kingman, Marion, Sedgwick, Sumner, Woodson |
| KS | Aetna Medicare Signature (PPO) | $0.00 | $10,100.00 | H5521 | 745 | Aetna | $0.00 | Yes | KS: 14 countiesKS: Clay, Coffey, Geary, Jackson, Lyon, Marshall, Morris, Nemaha, Osage, Pottawatomie, Riley, Shawnee, Wabaunsee, Washington |
| KS | Aetna Medicare Signature (PPO) | $0.00 | $10,100.00 | H5521 | 747 | Aetna | $0.00 | Yes | KS: Cloud, Dickinson, Jewell, Lincoln, McPherson, Mitchell, Osborne, Ottawa, Republic, Saline |
| KS, MO | Aetna Medicare Signature Classic (PPO) | $0.00 | $10,100.00 | H1608 | 016 | Aetna | $0.00 | Yes | KS: 9 counties · MO: 8 countiesKS: Bourbon, Douglas, Franklin, Jefferson, Johnson, Leavenworth, Linn, Miami, Wyandotte; MO: Caldwell, Clay, Clinton, Jackson, Lafayette, Livingston, Platte, Saline |
| KS, MO | Aetna Medicare Signature Classic (PPO) | $0.00 | $10,100.00 | H1608 | 018 | Aetna | $0.00 | Yes | KS: 6 counties · MO: 21 countiesKS: Cherokee, Crawford, Labette, Montgomery, Neosho, Wilson; MO: Barry, Barton, Cedar, Christian, Dade, Dallas, Douglas, Greene, Hickory, Jasper, Laclede, Lawrence, McDonald, Newton, Ozark, Polk, St. Clair, Stone, Taney, Webster, Wright |
| KS, MO | Aetna Medicare Signature (PPO) | $0.00 | $10,100.00 | H5521 | 742 | Aetna | $0.00 | Yes | KS: 9 counties · MO: 8 countiesKS: Bourbon, Douglas, Franklin, Jefferson, Johnson, Leavenworth, Linn, Miami, Wyandotte; MO: Caldwell, Clay, Clinton, Jackson, Lafayette, Livingston, Platte, Saline |
| KS, MO | Aetna Medicare Signature (PPO) | $0.00 | $10,100.00 | H5521 | 744 | Aetna | $0.00 | Yes | KS: 6 counties · MO: 21 countiesKS: Cherokee, Crawford, Labette, Montgomery, Neosho, Wilson; MO: Barry, Barton, Cedar, Christian, Dade, Dallas, Douglas, Greene, Hickory, Jasper, Laclede, Lawrence, McDonald, Newton, Ozark, Polk, St. Clair, Stone, Taney, Webster, Wright |
| KS, MO | Aetna Medicare Elite (PPO) | $0.00 | $10,750.00 | H5521 | 746 | Aetna | $59.00 | Yes | KS: 2 counties · MO: 12 countiesKS: Brown, Doniphan; MO: Andrew, Atchison, Buchanan, Daviess, DeKalb, Gentry, Grundy, Harrison, Holt, Mercer, Nodaway, Worth |
| KY | Humana Essentials Plus Giveback (PPO) | $1,512.00 | $14,800.00 | H7617 | 049 | Humana | $0.00 | Yes | KY: All counties |
| KY | Aetna Medicare Eagle Giveback (PPO) | $1,500.00 | $9,950.00 | H5521 | 488 | Aetna | $0.00 | No | KY: 75 countiesKY: Allen, Bath, Bell, Boone, Boyd, Bracken, Bullitt, Butler, Calloway, Campbell, Carroll, Carter, Clark, Clay, Edmonson, Elliott, Fayette, Fleming, Floyd, Franklin, Gallatin, Garrard, Grant, Graves, Grayson, Greenup, Hancock, Hardin, Harlan, Harrison, Hart, Henderson, Henry, Hopkins, Jefferson, Jessamine, Johnson, Kenton, Knott, Larue, Lawrence, Leslie, Letcher, Logan, Madison, Magoffin, Marshall, Martin, Mason, McCracken, McCreary, McLean, Meade, Montgomery, Morgan, Muhlenberg, Nelson, Nicholas, Oldham, Owen, Pendleton, Perry, Pike, Pulaski, Robertson, Rockcastle, Rowan, Scott, Shelby, Simpson, Spencer, Taylor, Trimble, Warren, Whitley |
| KY | DEVOTED CHOICE GIVEBACK EXTRAS 011 KY (PPO) | $1,020.00 | $12,250.00 | H5718 | 011 | Devoted | $0.00 | Yes | KY: 87 countiesKY: Adair, Allen, Anderson, Ballard, Barren, Bath, Bell, Bourbon, Boyd, Boyle, Breathitt, Breckinridge, Bullitt, Butler, Carlisle, Carroll, Casey, Christian, Clark, Clay, Clinton, Cumberland, Edmonson, Elliott, Estill, Fayette, Floyd, Franklin, Fulton, Garrard, Graves, Green, Greenup, Harlan, Harrison, Hart, Henry, Hickman, Jackson, Jefferson, Jessamine, Johnson, Knott, Knox, Larue, Lawrence, Lee, Leslie, Letcher, Lincoln, Livingston, Logan, Lyon, Magoffin, Marion, Martin, McCracken, McCreary, Meade, Menifee, Metcalfe, Monroe, Montgomery, Morgan, Nelson, Ohio, Owsley, Perry, Powell, Pulaski, Rockcastle, Rowan, Russell, Scott, Shelby, Simpson, Spencer, Taylor, Todd, Trigg, Trimble, Warren, Washington, Wayne, Whitley, Wolfe, Woodford |
| KY | Wellcare Simple Open (PPO) | $0.00 | $8,950.00 | H3975 | 001 | Wellcare | $0.00 | Yes | KY: All counties |
| KY | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 085 | Aetna | $0.00 | Yes | KY: 32 countiesKY: Bath, Bell, Boone, Boyd, Bracken, Campbell, Carroll, Carter, Clay, Elliott, Fleming, Floyd, Gallatin, Grant, Greenup, Harlan, Harrison, Johnson, Kenton, Knott, Lawrence, Leslie, Letcher, Magoffin, Martin, Mason, Morgan, Pendleton, Perry, Pike, Robertson, Rowan |
| KY | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 156 | Aetna | $0.00 | Yes | KY: 14 countiesKY: Clark, Fayette, Franklin, Garrard, Jessamine, Madison, McCreary, Montgomery, Nicholas, Pulaski, Rockcastle, Scott, Taylor, Whitley |
| KY | Aetna Medicare Value Plus (PPO) | $0.00 | $10,750.00 | H5521 | 490 | Aetna | $9.50 | Yes | KY: 75 countiesKY: Allen, Bath, Bell, Boone, Boyd, Bracken, Bullitt, Butler, Calloway, Campbell, Carroll, Carter, Clark, Clay, Edmonson, Elliott, Fayette, Fleming, Floyd, Franklin, Gallatin, Garrard, Grant, Graves, Grayson, Greenup, Hancock, Hardin, Harlan, Harrison, Hart, Henderson, Henry, Hopkins, Jefferson, Jessamine, Johnson, Kenton, Knott, Larue, Lawrence, Leslie, Letcher, Logan, Madison, Magoffin, Marshall, Martin, Mason, McCracken, McCreary, McLean, Meade, Montgomery, Morgan, Muhlenberg, Nelson, Nicholas, Oldham, Owen, Pendleton, Perry, Pike, Pulaski, Robertson, Rockcastle, Rowan, Scott, Shelby, Simpson, Spencer, Taylor, Trimble, Warren, Whitley |
| KY | HumanaChoice H5525-008 (PPO) | $0.00 | $10,750.00 | H5525 | 008 | Humana | $0.00 | Yes | KY: 43 countiesKY: Adair, Allen, Boyd, Butler, Calloway, Carroll, Carter, Casey, Christian, Clay, Clinton, Crittenden, Cumberland, Daviess, Floyd, Fulton, Gallatin, Grant, Graves, Green, Greenup, Harlan, Hart, Hickman, Hopkins, Johnson, Knott, Leslie, Letcher, Livingston, Logan, Magoffin, Marshall, Martin, Mercer, Morgan, Owen, Owsley, Pendleton, Perry, Pike, Simpson, Whitley |
| KY | DEVOTED CHOICE 001 KY (PPO) | $0.00 | $10,200.00 | H5718 | 001 | Devoted | $0.00 | Yes | KY: 87 countiesKY: Adair, Allen, Anderson, Ballard, Barren, Bath, Bell, Bourbon, Boyd, Boyle, Breathitt, Breckinridge, Bullitt, Butler, Carlisle, Carroll, Casey, Christian, Clark, Clay, Clinton, Cumberland, Edmonson, Elliott, Estill, Fayette, Floyd, Franklin, Fulton, Garrard, Graves, Green, Greenup, Harlan, Harrison, Hart, Henry, Hickman, Jackson, Jefferson, Jessamine, Johnson, Knott, Knox, Larue, Lawrence, Lee, Leslie, Letcher, Lincoln, Livingston, Logan, Lyon, Magoffin, Marion, Martin, McCracken, McCreary, Meade, Menifee, Metcalfe, Monroe, Montgomery, Morgan, Nelson, Ohio, Owsley, Perry, Powell, Pulaski, Rockcastle, Rowan, Russell, Scott, Shelby, Simpson, Spencer, Taylor, Todd, Trigg, Trimble, Warren, Washington, Wayne, Whitley, Wolfe, Woodford |
| KY | DEVOTED CHOICE 003 KY (PPO) | $0.00 | $9,600.00 | H5718 | 003 | Devoted | $0.00 | Yes | KY: 14 countiesKY: Boone, Bracken, Campbell, Carter, Fleming, Gallatin, Grant, Kenton, Lewis, Mason, Nicholas, Owen, Pendleton, Robertson |
| KY | Humana Value Choice (PPO) | $0.00 | $10,750.00 | H7617 | 050 | Humana | $0.00 | Yes | KY: 95 countiesKY: Adair, Allen, Anderson, Ballard, Barren, Bath, Bell, Bourbon, Boyd, Boyle, Bracken, Breathitt, Breckinridge, Bullitt, Butler, Calloway, Carlisle, Casey, Christian, Clark, Clay, Clinton, Crittenden, Edmonson, Elliott, Fayette, Fleming, Franklin, Fulton, Gallatin, Garrard, Graves, Grayson, Harlan, Harrison, Hart, Henry, Hickman, Hopkins, Jackson, Jefferson, Jessamine, Johnson, Knott, Knox, Larue, Laurel, Lawrence, Lee, Leslie, Lewis, Lincoln, Livingston, Logan, Lyon, Madison, Magoffin, Marion, Martin, Mason, McCracken, McCreary, Meade, Menifee, Mercer, Metcalfe, Monroe, Montgomery, Morgan, Muhlenberg, Nelson, Nicholas, Oldham, Owsley, Perry, Pike, Powell, Pulaski, Robertson, Rockcastle, Rowan, Russell, Scott, Simpson, Spencer, Taylor, Todd, Trigg, Trimble, Union, Warren, Washington, Wayne, Whitley, Woodford |
| KY, OH | Aetna Medicare Premier (PPO) | $0.00 | $10,750.00 | H5521 | 020 | Aetna | $105.00 | Yes | KY: 3 counties · OH: 29 countiesKY: Boone, Campbell, Kenton; OH: Ashland, Belmont, Brown, Butler, Clark, Clermont, Columbiana, Cuyahoga, Delaware, Fairfield, Franklin, Hamilton, Hancock, Harrison, Jefferson, Lake, Licking, Lucas, Mahoning, Marion, Medina, Miami, Muskingum, Portage, Seneca, Stark, Summit, Trumbull, Wood |
| KY, OH | HumanaChoice H5525-030 (PPO) | $0.00 | $4,450.00 | H5525 | 030 | Humana | $86.00 | Yes | KY: 3 counties · OH: 84 countiesKY: Boone, Campbell, Kenton; OH: Adams, Allen, Ashland, Ashtabula, Athens, Auglaize, Belmont, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Crawford, Cuyahoga, Darke, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Geauga, Greene, Guernsey, Hamilton, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Jefferson, Knox, Lake, Lawrence, Licking, Logan, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Meigs, Mercer, Miami, Monroe, Montgomery, Morgan, Morrow, Muskingum, Noble, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Preble, Putnam, Ross, Sandusky, Scioto, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Vinton, Warren, Washington, Wayne, Williams, Wood, Wyandot |
| KY, OH | HumanaChoice H7617-004 (PPO) | $0.00 | $10,750.00 | H7617 | 004 | Humana | $0.00 | Yes | KY: 4 counties · OH: 71 countiesKY: Boone, Campbell, Kenton, Pendleton; OH: Adams, Allen, Ashland, Auglaize, Belmont, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Cuyahoga, Darke, Delaware, Erie, Fairfield, Franklin, Fulton, Gallia, Geauga, Greene, Guernsey, Hamilton, Hancock, Hardin, Harrison, Henry, Holmes, Huron, Jackson, Jefferson, Knox, Lake, Lawrence, Licking, Logan, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Meigs, Miami, Monroe, Montgomery, Morrow, Noble, Ottawa, Paulding, Perry, Pickaway, Portage, Preble, Putnam, Sandusky, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Warren, Wayne, Williams, Wood, Wyandot |
| KY, OH | HealthSpring True Choice (PPO) | $0.00 | $13,900.00 | H7849 | 088 | HealthSpring | $9.00 | Yes | KY: 5 counties · OH: 13 countiesKY: Boone, Campbell, Grant, Kenton, Pendleton; OH: Brown, Butler, Champaign, Clark, Clermont, Darke, Greene, Hamilton, Miami, Montgomery, Preble, Shelby, Warren |
| LA | DEVOTED CHOICE GIVEBACK 006 LA (PPO) | $2,216.40 | $14,500.00 | H7766 | 006 | Devoted | $0.00 | Yes | LA: Jefferson, Orleans, St. Bernard, St. Charles |
| LA | DEVOTED CHOICE GIVEBACK EXTRAS 027 LA (PPO) | $840.00 | $10,500.00 | H7766 | 027 | Devoted | $0.00 | Yes | LA: 13 countiesLA: Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Lafourche, Plaquemines, Pointe Coupee, St. Helena, St. James, St. John the Baptist, West Baton Rouge, West Feliciana |
| LA | Aetna Medicare Value Care (PPO) | $0.00 | $10,100.00 | H5521 | 326 | Aetna | $6.00 | Yes | LA: 13 countiesLA: Acadia, Ascension, Assumption, East Baton Rouge, Jefferson, Lafayette, Lafourche, Livingston, Orleans, St. Charles, Tangipahoa, Terrebonne, Vermilion |
| LA | Aetna Medicare Signature Care (PPO) | $0.00 | $10,750.00 | H5521 | 365 | Aetna | $0.00 | Yes | LA: Jefferson, Lafourche, Orleans, St. Charles, Terrebonne |
| LA | Aetna Medicare Signature Plus (PPO) | $0.00 | $10,750.00 | H5521 | 645 | Aetna | $0.00 | Yes | LA: 10 countiesLA: Acadia, Ascension, Assumption, Calcasieu, East Baton Rouge, Lafayette, Livingston, St. Tammany, Tangipahoa, Vermilion |
| LA | Aetna Medicare Value Plus (PPO) | $0.00 | $14,800.00 | H5521 | 646 | Aetna | $25.00 | Yes | LA: Assumption, Calcasieu, Cameron, Jefferson Davis, Orleans, Ouachita, St. Charles, St. Tammany |
| LA | HumanaChoice H7617-080 (PPO) | $0.00 | $9,000.00 | H7617 | 080 | Humana | $0.00 | Yes | LA: 45 countiesLA: Acadia, Allen, Avoyelles, Beauregard, Bienville, Bossier, Caddo, Calcasieu, Caldwell, Cameron, Catahoula, Claiborne, Concordia, De Soto, East Carroll, Evangeline, Franklin, Grant, Iberia, Jackson, Jefferson Davis, LaSalle, Lafayette, Lincoln, Madison, Morehouse, Natchitoches, Ouachita, Rapides, Red River, Richland, Sabine, St. Landry, St. Martin, St. Mary, St. Tammany, Tangipahoa, Tensas, Union, Vermilion, Vernon, Washington, Webster, West Carroll, Winn |
| LA | Humana Value Plus H7617-081 (PPO) | $0.00 | $10,750.00 | H7617 | 081 | Humana | $17.00 | Yes | LA: 63 countiesLA: Acadia, Allen, Ascension, Assumption, Avoyelles, Beauregard, Bienville, Bossier, Caddo, Calcasieu, Caldwell, Cameron, Catahoula, Claiborne, Concordia, De Soto, East Baton Rouge, East Carroll, East Feliciana, Evangeline, Franklin, Grant, Iberia, Iberville, Jackson, Jefferson, Jefferson Davis, LaSalle, Lafayette, Lafourche, Lincoln, Livingston, Madison, Morehouse, Natchitoches, Orleans, Ouachita, Plaquemines, Pointe Coupee, Rapides, Red River, Richland, Sabine, St. Bernard, St. Charles, St. Helena, St. James, St. John the Baptist, St. Landry, St. Martin, St. Mary, St. Tammany, Tangipahoa, Tensas, Terrebonne, Union, Vermilion, Vernon, Washington, Webster, West Baton Rouge, West Carroll, Winn |
| LA | DEVOTED CHOICE 001 LA (PPO) | $0.00 | $7,050.00 | H7766 | 001 | Devoted | $0.00 | Yes | LA: 13 countiesLA: Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Lafourche, Plaquemines, Pointe Coupee, St. Helena, St. James, St. John the Baptist, West Baton Rouge, West Feliciana |
| LA | DEVOTED CHOICE 005 LA (PPO) | $0.00 | $6,300.00 | H7766 | 005 | Devoted | $0.00 | Yes | LA: Jefferson, Orleans, St. Bernard, St. Charles |
| LA | DEVOTED CHOICE 016 LA (PPO) | $0.00 | $10,200.00 | H7766 | 016 | Devoted | $0.00 | Yes | LA: 14 countiesLA: Acadia, Allen, Avoyelles, Beauregard, Cameron, Evangeline, Jefferson Davis, Madison, St. Landry, St. Martin, St. Tammany, Tensas, Vermilion, Washington |
| MA | Aetna Medicare Signature Extra (PPO) | $0.00 | $10,750.00 | H5521 | 159 | Aetna | $0.00 | Yes | MA: Bristol, Essex, Middlesex, Norfolk, Plymouth |
| MA | Aetna Medicare Elite (PPO) | $0.00 | $10,750.00 | H5521 | 160 | Aetna | $0.00 | Yes | MA: Hampden, Worcester |
| MA | Aetna Medicare Signature Extra (PPO) | $0.00 | $10,750.00 | H5521 | 450 | Aetna | $0.00 | Yes | MA: Hampden, Worcester |
| MA | Aetna Medicare Elite (PPO) | $0.00 | $10,750.00 | H5521 | 451 | Aetna | $0.00 | Yes | MA: Bristol, Essex, Middlesex, Norfolk, Plymouth |
| MA | Aetna Medicare Enhanced (PPO) | $0.00 | $9,550.00 | H5521 | 760 | Aetna | $60.00 | Yes | MA: Hampden, Worcester |
| MA | Aetna Medicare Enhanced (PPO) | $0.00 | $10,000.00 | H5521 | 761 | Aetna | $79.00 | Yes | MA: Bristol, Essex, Middlesex, Norfolk, Plymouth |
| MA, ME | HumanaChoice Giveback H7617-046 (PPO) | $480.00 | $10,750.00 | H7617 | 046 | Humana | $0.00 | Yes | MA: 4 counties · ME: 12 countiesMA: Bristol, Dukes, Suffolk, Worcester; ME: Androscoggin, Cumberland, Franklin, Kennebec, Knox, Lincoln, Oxford, Piscataquis, Sagadahoc, Somerset, Waldo, York |
| MD | HumanaChoice H7617-044 (PPO) | $0.00 | $13,400.00 | H7617 | 044 | Humana | $0.00 | Yes | MD: 13 countiesMD: Allegany, Calvert, Caroline, Cecil, Frederick, Kent, Montgomery, Prince George's, Queen Anne's, Somerset, St. Mary's, Talbot, Wicomico |
| ME | Wellcare Low Premium Open (PPO) | $0.00 | $14,800.00 | H2775 | 109 | Wellcare | $44.50 | Yes | ME: 15 countiesME: Androscoggin, Aroostook, Cumberland, Franklin, Hancock, Kennebec, Knox, Lincoln, Oxford, Penobscot, Piscataquis, Sagadahoc, Waldo, Washington, York |
| MI | HumanaChoice R0110-013 (Regional PPO) | $204.00 | $6,550.00 | R0110 | 013 | Humana | $0.00 | No | MI: All counties |
| MI | Aetna Medicare Enhanced (PPO) | $0.00 | $10,750.00 | H5521 | 194 | Aetna | $30.00 | Yes | MI: 16 countiesMI: Barry, Branch, Calhoun, Eaton, Ionia, Kalamazoo, Kent, Lake, Mason, Mecosta, Montcalm, Muskegon, Newaygo, Osceola, Ottawa, Van Buren |
| MI | Aetna Medicare Signature (PPO) | $0.00 | $10,100.00 | H5521 | 214 | Aetna | $0.00 | Yes | MI: 13 countiesMI: Clinton, Genesee, Hillsdale, Ingham, Jackson, Lenawee, Livingston, Macomb, Oakland, Shiawassee, St. Clair, Washtenaw, Wayne |
| MI | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 219 | Aetna | $0.00 | Yes | MI: 16 countiesMI: Barry, Branch, Calhoun, Eaton, Ionia, Kalamazoo, Kent, Lake, Mason, Mecosta, Montcalm, Muskegon, Newaygo, Osceola, Ottawa, Van Buren |
| MI | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 285 | Aetna | $0.00 | Yes | MI: 19 countiesMI: Arenac, Bay, Benzie, Crawford, Delta, Dickinson, Emmet, Grand Traverse, Gratiot, Kalkaska, Manistee, Marquette, Menominee, Missaukee, Roscommon, Saginaw, Sanilac, Tuscola, Wexford |
| MI | Aetna Medicare Value Care (PPO) | $0.00 | $10,750.00 | H5521 | 399 | Aetna | $0.00 | Yes | MI: 13 countiesMI: Clinton, Genesee, Hillsdale, Ingham, Jackson, Lenawee, Livingston, Macomb, Oakland, Shiawassee, St. Clair, Washtenaw, Wayne |
| MI | Aetna Medicare Signature Extra (PPO) | $0.00 | $10,750.00 | H5521 | 404 | Aetna | $0.00 | Yes | MI: 13 countiesMI: Clinton, Genesee, Hillsdale, Ingham, Jackson, Lenawee, Livingston, Macomb, Oakland, Shiawassee, St. Clair, Washtenaw, Wayne |
| MI | Aetna Medicare Signature Extra (PPO) | $0.00 | $10,750.00 | H5521 | 407 | Aetna | $0.00 | Yes | MI: 16 countiesMI: Barry, Branch, Calhoun, Eaton, Ionia, Kalamazoo, Kent, Lake, Mason, Mecosta, Montcalm, Muskegon, Newaygo, Osceola, Ottawa, Van Buren |
| MN | Allina Health Aetna Medicare Signature (PPO) | $0.00 | $8,000.00 | H3219 | 001 | Aetna | $0.00 | Yes | MN: 15 countiesMN: Anoka, Blue Earth, Carver, Chisago, Dakota, Hennepin, Isanti, Kanabec, Le Sueur, Ramsey, Scott, Steele, Waseca, Washington, Wright |
| MN | Allina Health Aetna Medicare Enhanced (PPO) | $0.00 | $6,750.00 | H3219 | 002 | Aetna | $61.00 | Yes | MN: 15 countiesMN: Anoka, Blue Earth, Carver, Chisago, Dakota, Hennepin, Isanti, Kanabec, Le Sueur, Ramsey, Scott, Steele, Waseca, Washington, Wright |
| MN | Allina Health Aetna Medicare Premier (PPO) | $0.00 | $6,200.00 | H3219 | 003 | Aetna | $97.00 | Yes | MN: 15 countiesMN: Anoka, Blue Earth, Carver, Chisago, Dakota, Hennepin, Isanti, Kanabec, Le Sueur, Ramsey, Scott, Steele, Waseca, Washington, Wright |
| MN | Allina Health Aetna Medicare Premier Extra (PPO) | $0.00 | $5,750.00 | H3219 | 004 | Aetna | $169.00 | Yes | MN: 15 countiesMN: Anoka, Blue Earth, Carver, Chisago, Dakota, Hennepin, Isanti, Kanabec, Le Sueur, Ramsey, Scott, Steele, Waseca, Washington, Wright |
| MO | HumanaChoice Giveback H7617-014 (PPO) | $696.00 | $10,100.00 | H7617 | 014 | Humana | $0.00 | Yes | MO: 27 countiesMO: Barry, Barton, Cape Girardeau, Cedar, Christian, Dade, Dallas, Douglas, Greene, Hickory, Howell, Jasper, Laclede, Lawrence, McDonald, Newton, Oregon, Ozark, Polk, Pulaski, Scott, St. Clair, Stone, Taney, Vernon, Webster, Wright |
| MO | Aetna Medicare Enhanced Classic (PPO) | $0.00 | $13,900.00 | H1608 | 013 | Aetna | $70.00 | Yes | MO: 52 countiesMO: Adair, Audrain, Boone, Callaway, Camden, Carter, Chariton, Cole, Cooper, Crawford, Dent, Franklin, Gasconade, Howard, Howell, Iron, Jefferson, Knox, Lewis, Lincoln, Linn, Macon, Maries, Marion, Miller, Moniteau, Monroe, Montgomery, Morgan, Oregon, Osage, Perry, Phelps, Pike, Pulaski, Putnam, Ralls, Randolph, Reynolds, Ripley, Schuyler, Shannon, Shelby, St. Charles, St. Francois, St. Louis, St. Louis City, Ste. Genevieve, Sullivan, Texas, Warren, Washington |
| MO | Aetna Medicare Elite Classic (PPO) | $0.00 | $10,100.00 | H1608 | 050 | Aetna | $0.00 | Yes | MO: 50 countiesMO: Adair, Audrain, Boone, Callaway, Camden, Carter, Chariton, Cole, Cooper, Crawford, Dent, Franklin, Gasconade, Howard, Howell, Iron, Jefferson, Knox, Lewis, Lincoln, Linn, Macon, Maries, Marion, Miller, Moniteau, Monroe, Montgomery, Morgan, Oregon, Osage, Perry, Phelps, Pulaski, Putnam, Ralls, Randolph, Reynolds, Ripley, Schuyler, Shannon, Shelby, St. Charles, St. Francois, St. Louis, St. Louis City, Sullivan, Texas, Warren, Washington |
| MO | Aetna Medicare Signature Classic (PPO) | $0.00 | $10,100.00 | H1608 | 051 | Aetna | $0.00 | Yes | MO: Bollinger, Butler, Cape Girardeau, Mississippi, Pemiscot, Scott, Stoddard, Wayne |
| MO | Aetna Medicare Elite Classic Extra (PPO) | $0.00 | $6,700.00 | H1608 | 067 | Aetna | $0.00 | Yes | MO: 50 countiesMO: Adair, Audrain, Boone, Callaway, Camden, Carter, Chariton, Cole, Cooper, Crawford, Dent, Franklin, Gasconade, Howard, Howell, Iron, Jefferson, Knox, Lewis, Lincoln, Linn, Macon, Maries, Marion, Miller, Moniteau, Monroe, Montgomery, Morgan, Oregon, Osage, Perry, Phelps, Pulaski, Putnam, Ralls, Randolph, Reynolds, Ripley, Schuyler, Shannon, Shelby, St. Charles, St. Francois, St. Louis, St. Louis City, Sullivan, Texas, Warren, Washington |
| MO | Aetna Medicare Enhanced (PPO) | $0.00 | $13,900.00 | H5521 | 748 | Aetna | $70.00 | Yes | MO: 52 countiesMO: Adair, Audrain, Boone, Callaway, Camden, Carter, Chariton, Cole, Cooper, Crawford, Dent, Franklin, Gasconade, Howard, Howell, Iron, Jefferson, Knox, Lewis, Lincoln, Linn, Macon, Maries, Marion, Miller, Moniteau, Monroe, Montgomery, Morgan, Oregon, Osage, Perry, Phelps, Pike, Pulaski, Putnam, Ralls, Randolph, Reynolds, Ripley, Schuyler, Shannon, Shelby, St. Charles, St. Francois, St. Louis, St. Louis City, Ste. Genevieve, Sullivan, Texas, Warren, Washington |
| MO | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 749 | Aetna | $0.00 | Yes | MO: Bollinger, Butler, Cape Girardeau, Mississippi, Pemiscot, Scott, Stoddard, Wayne |
| MO | Aetna Medicare Elite (PPO) | $0.00 | $6,700.00 | H5521 | 750 | Aetna | $0.00 | Yes | MO: 50 countiesMO: Adair, Audrain, Boone, Callaway, Camden, Carter, Chariton, Cole, Cooper, Crawford, Dent, Franklin, Gasconade, Howard, Howell, Iron, Jefferson, Knox, Lewis, Lincoln, Linn, Macon, Maries, Marion, Miller, Moniteau, Monroe, Montgomery, Morgan, Oregon, Osage, Perry, Phelps, Pulaski, Putnam, Ralls, Randolph, Reynolds, Ripley, Schuyler, Shannon, Shelby, St. Charles, St. Francois, St. Louis, St. Louis City, Sullivan, Texas, Warren, Washington |
| MO | Wellcare Simple Open (PPO) | $0.00 | $10,700.00 | H7518 | 001 | Wellcare | $0.00 | Yes | MO: 58 countiesMO: Audrain, Barry, Barton, Bates, Benton, Boone, Callaway, Camden, Cass, Christian, Clay, Clinton, Cole, Cooper, Crawford, Dade, Dallas, Dent, Douglas, Franklin, Gasconade, Greene, Henry, Howell, Jackson, Jasper, Jefferson, Johnson, Laclede, Lafayette, Lawrence, Lincoln, Maries, McDonald, Miller, Moniteau, Montgomery, Morgan, Newton, Osage, Phelps, Platte, Polk, Pulaski, Ray, Reynolds, St. Charles, St. Louis, St. Louis City, Ste. Genevieve, Stone, Taney, Texas, Vernon, Warren, Washington, Webster, Wright |
| MS | DEVOTED CHOICE GIVEBACK EXTRAS 012 MS (PPO) | $840.00 | $11,600.00 | H7355 | 012 | Devoted | $0.00 | Yes | MS: 35 countiesMS: Attala, Benton, Calhoun, Claiborne, Copiah, DeSoto, George, Greene, Hancock, Harrison, Hinds, Holmes, Humphreys, Issaquena, Jackson, Leake, Madison, Marshall, Newton, Panola, Pearl River, Perry, Quitman, Rankin, Scott, Sharkey, Smith, Stone, Tate, Tippah, Tishomingo, Tunica, Union, Warren, Yazoo |
| MS | Wellcare Simple Open (PPO) | $0.00 | $10,100.00 | H0074 | 001 | Wellcare | $0.00 | Yes | MS: 53 countiesMS: Attala, Bolivar, Carroll, Claiborne, Clarke, Coahoma, Copiah, Covington, DeSoto, Forrest, George, Greene, Hancock, Harrison, Hinds, Holmes, Humphreys, Jackson, Jasper, Jefferson Davis, Jones, Kemper, Lamar, Lauderdale, Lawrence, Leake, Leflore, Lincoln, Madison, Marion, Marshall, Montgomery, Neshoba, Newton, Panola, Pearl River, Perry, Pike, Quitman, Rankin, Scott, Simpson, Smith, Stone, Tallahatchie, Tate, Tunica, Walthall, Warren, Washington, Wayne, Yalobusha, Yazoo |
| MS | Aetna Medicare Signature Plus (PPO) | $0.00 | $14,800.00 | H5521 | 218 | Aetna | $0.00 | Yes | MS: 51 countiesMS: Amite, Attala, Bolivar, Calhoun, Carroll, Chickasaw, Choctaw, Claiborne, Copiah, Covington, DeSoto, Franklin, George, Greene, Harrison, Hinds, Holmes, Humphreys, Issaquena, Jackson, Jefferson Davis, Lafayette, Lawrence, Leake, Lee, Leflore, Lincoln, Madison, Marion, Marshall, Monroe, Montgomery, Noxubee, Perry, Pike, Quitman, Rankin, Scott, Sharkey, Simpson, Smith, Stone, Sunflower, Tate, Tishomingo, Union, Walthall, Wayne, Webster, Wilkinson, Yazoo |
| MS | Aetna Medicare Eagle Plus (PPO) | $0.00 | $13,900.00 | H5521 | 324 | Aetna | $0.00 | No | MS: 59 countiesMS: Amite, Attala, Benton, Bolivar, Calhoun, Carroll, Chickasaw, Choctaw, Claiborne, Clay, Copiah, Covington, DeSoto, Franklin, George, Greene, Harrison, Hinds, Holmes, Humphreys, Issaquena, Itawamba, Jackson, Jefferson Davis, Lafayette, Lawrence, Leake, Lee, Leflore, Lincoln, Lowndes, Madison, Marion, Marshall, Monroe, Montgomery, Noxubee, Perry, Pike, Pontotoc, Prentiss, Quitman, Rankin, Scott, Sharkey, Simpson, Smith, Stone, Sunflower, Tallahatchie, Tate, Tishomingo, Tunica, Union, Walthall, Wayne, Webster, Wilkinson, Yazoo |
| MS | Aetna Medicare Value Plus (PPO) | $0.00 | $14,800.00 | H5521 | 470 | Aetna | $23.80 | Yes | MS: 53 countiesMS: Amite, Attala, Benton, Bolivar, Calhoun, Carroll, Choctaw, Claiborne, Clay, Copiah, Covington, DeSoto, Franklin, George, Greene, Hinds, Holmes, Humphreys, Issaquena, Itawamba, Jackson, Jefferson Davis, Lafayette, Lawrence, Leake, Lee, Leflore, Lincoln, Lowndes, Marion, Marshall, Monroe, Montgomery, Perry, Pike, Pontotoc, Quitman, Rankin, Scott, Sharkey, Simpson, Smith, Stone, Sunflower, Tallahatchie, Tate, Tishomingo, Tunica, Union, Walthall, Wayne, Webster, Wilkinson |
| MS | Aetna Medicare Signature Plus (PPO) | $0.00 | $14,800.00 | H5521 | 553 | Aetna | $0.00 | Yes | MS: Benton, Clay, Itawamba, Lowndes, Pontotoc, Prentiss, Tallahatchie, Tunica |
| MS | DEVOTED CHOICE 001 MS (PPO) | $0.00 | $8,950.00 | H7355 | 001 | Devoted | $0.00 | Yes | MS: 35 countiesMS: Attala, Benton, Calhoun, Claiborne, Copiah, DeSoto, George, Greene, Hancock, Harrison, Hinds, Holmes, Humphreys, Issaquena, Jackson, Leake, Madison, Marshall, Newton, Panola, Pearl River, Perry, Quitman, Rankin, Scott, Sharkey, Smith, Stone, Tate, Tippah, Tishomingo, Tunica, Union, Warren, Yazoo |
| MS | Humana Value Plus H7617-087 (PPO) | $0.00 | $13,800.00 | H7617 | 087 | Humana | $6.30 | Yes | MS: 64 countiesMS: Adams, Alcorn, Attala, Benton, Bolivar, Calhoun, Chickasaw, Claiborne, Clarke, Coahoma, Copiah, Covington, DeSoto, Forrest, Franklin, George, Greene, Hancock, Harrison, Hinds, Humphreys, Issaquena, Jackson, Jasper, Jefferson, Jefferson Davis, Jones, Kemper, Lafayette, Lamar, Lauderdale, Leake, Leflore, Madison, Marion, Marshall, Monroe, Montgomery, Neshoba, Panola, Pearl River, Perry, Pike, Prentiss, Quitman, Rankin, Scott, Sharkey, Stone, Sunflower, Tallahatchie, Tate, Tishomingo, Tunica, Union, Walthall, Warren, Washington, Wayne, Webster, Wilkinson, Winston, Yalobusha, Yazoo |
| MS | HealthSpring True Choice (PPO) | $0.00 | $8,500.00 | H7849 | 135 | HealthSpring | $0.00 | Yes | MS: Covington, Forrest, Greene, Jefferson Davis, Jones, Lamar, Lawrence, Marion, Pearl River, Perry, Walthall, Wayne |
| MS | HealthSpring True Choice (PPO) | $0.00 | $10,750.00 | H7849 | 144 | HealthSpring | $25.00 | Yes | MS: George, Hancock, Harrison, Hinds, Jackson, Madison, Rankin, Stone |
| NC | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | $2,216.40 | $11,250.00 | H9700 | 002 | Devoted | $0.00 | Yes | NC: 13 countiesNC: Alexander, Anson, Cabarrus, Caldwell, Catawba, Cleveland, Gaston, Iredell, Lincoln, Mecklenburg, Rowan, Stanly, Union |
| NC | DEVOTED CHOICE MA ONLY 007 NC (PPO) | $2,216.40 | $13,900.00 | H9700 | 007 | Devoted | $0.00 | No | NC: 49 countiesNC: Alamance, Alexander, Alleghany, Anson, Ashe, Avery, Bladen, Brunswick, Buncombe, Burke, Cabarrus, Caldwell, Caswell, Catawba, Cherokee, Clay, Cleveland, Columbus, Davidson, Davie, Forsyth, Gaston, Graham, Guilford, Haywood, Henderson, Iredell, Jackson, Lincoln, Madison, McDowell, Mecklenburg, Mitchell, New Hanover, Pender, Person, Polk, Randolph, Rockingham, Rowan, Rutherford, Stanly, Stokes, Swain, Transylvania, Union, Wilkes, Yadkin, Yancey |
| NC | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | $2,168.40 | $11,250.00 | H9700 | 004 | Devoted | $0.00 | Yes | NC: Alamance, Caswell, Davidson, Davie, Forsyth, Guilford, Person, Randolph, Rockingham, Stokes, Yadkin |
| NC | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | $2,073.60 | $11,850.00 | H9700 | 006 | Devoted | $0.00 | Yes | NC: 17 countiesNC: Avery, Buncombe, Burke, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, Yancey |
| NC | DEVOTED CHOICE GIVEBACK 009 NC (PPO) | $1,956.00 | $14,500.00 | H9700 | 009 | Devoted | $0.00 | Yes | NC: Alleghany, Ashe, Bladen, Brunswick, Columbus, New Hanover, Pender, Wilkes |
| NC | Aetna Medicare Signature Giveback (PPO) | $360.00 | $8,500.00 | H5521 | 348 | Aetna | $0.00 | Yes | NC: 86 countiesNC: Alamance, Alexander, Alleghany, Anson, Ashe, Avery, Bertie, Bladen, Brunswick, Buncombe, Burke, Cabarrus, Caldwell, Camden, Caswell, Catawba, Chatham, Cherokee, Chowan, Clay, Cleveland, Columbus, Cumberland, Currituck, Dare, Davidson, Davie, Duplin, Forsyth, Franklin, Gaston, Gates, Graham, Granville, Greene, Guilford, Halifax, Harnett, Haywood, Henderson, Hertford, Hoke, Hyde, Iredell, Jackson, Johnston, Jones, Lee, Lincoln, Macon, Madison, Martin, McDowell, Mecklenburg, Mitchell, Montgomery, Moore, New Hanover, Northampton, Orange, Pamlico, Pasquotank, Pender, Perquimans, Person, Polk, Randolph, Richmond, Robeson, Rockingham, Rowan, Sampson, Stanly, Stokes, Surry, Swain, Transylvania, Tyrrell, Union, Vance, Warren, Washington, Watauga, Wilkes, Yadkin, Yancey |
| NC | Wellcare Simple Open (PPO) | $0.00 | $10,750.00 | H1914 | 007 | Wellcare | $0.00 | Yes | NC: 70 countiesNC: Alamance, Alexander, Alleghany, Anson, Ashe, Avery, Bladen, Buncombe, Burke, Cabarrus, Caldwell, Caswell, Catawba, Chatham, Clay, Cleveland, Columbus, Cumberland, Davidson, Davie, Duplin, Durham, Forsyth, Franklin, Gaston, Graham, Granville, Greene, Guilford, Harnett, Haywood, Henderson, Hoke, Iredell, Jackson, Johnston, Jones, Lincoln, Macon, Madison, Martin, McDowell, Mecklenburg, Mitchell, Montgomery, Moore, Orange, Person, Polk, Randolph, Richmond, Robeson, Rockingham, Rowan, Rutherford, Sampson, Scotland, Stanly, Stokes, Swain, Transylvania, Tyrrell, Union, Vance, Wake, Warren, Watauga, Wilkes, Yadkin, Yancey |
| NC | Wellcare Assist Open (PPO) | $0.00 | $10,750.00 | H1914 | 009 | Wellcare | $0.00 | Yes | NC: 70 countiesNC: Alamance, Alexander, Alleghany, Anson, Ashe, Avery, Bladen, Buncombe, Burke, Cabarrus, Caldwell, Caswell, Catawba, Chatham, Clay, Cleveland, Columbus, Cumberland, Davidson, Davie, Duplin, Durham, Forsyth, Franklin, Gaston, Graham, Granville, Greene, Guilford, Harnett, Haywood, Henderson, Hoke, Iredell, Jackson, Johnston, Jones, Lincoln, Macon, Madison, Martin, McDowell, Mecklenburg, Mitchell, Montgomery, Moore, Orange, Person, Polk, Randolph, Richmond, Robeson, Rockingham, Rowan, Rutherford, Sampson, Scotland, Stanly, Stokes, Swain, Transylvania, Tyrrell, Union, Vance, Wake, Warren, Watauga, Wilkes, Yadkin, Yancey |
| NC | Aetna Medicare Signature (PPO) | $0.00 | $6,900.00 | H5521 | 081 | Aetna | $0.00 | Yes | NC: 29 countiesNC: Alamance, Alexander, Anson, Burke, Cabarrus, Caldwell, Caswell, Catawba, Cleveland, Cumberland, Davidson, Davie, Forsyth, Gaston, Guilford, Iredell, Johnston, Lincoln, McDowell, Mecklenburg, Orange, Person, Randolph, Rockingham, Rowan, Stanly, Stokes, Union, Yadkin |
| NC | Aetna Medicare Enhanced (PPO) | $0.00 | $7,750.00 | H5521 | 139 | Aetna | $25.00 | Yes | NC: Alleghany, Ashe, Avery, Franklin, Granville, Johnston, Surry, Vance, Warren, Wilkes |
| NC | Aetna Medicare Enhanced (PPO) | $0.00 | $6,900.00 | H5521 | 169 | Aetna | $24.00 | Yes | NC: 14 countiesNC: Bladen, Brunswick, Chatham, Columbus, Cumberland, Harnett, Hoke, Lee, Montgomery, Moore, Pender, Richmond, Robeson, Sampson |
| NC | Aetna Medicare Signature Extra (PPO) | $0.00 | $6,900.00 | H5521 | 170 | Aetna | $0.00 | Yes | NC: 17 countiesNC: Alamance, Caldwell, Caswell, Catawba, Chatham, Cumberland, Davidson, Forsyth, Guilford, Hoke, Iredell, Moore, Person, Randolph, Richmond, Rockingham, Stokes |
| NC | Aetna Medicare Signature (PPO) | $0.00 | $10,850.00 | H5521 | 236 | Aetna | $0.00 | Yes | NC: 15 countiesNC: Avery, Buncombe, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Macon, Madison, Mitchell, Polk, Swain, Transylvania, Yancey |
| NC | Aetna Medicare Signature (PPO) | $0.00 | $7,750.00 | H5521 | 243 | Aetna | $0.00 | Yes | NC: 28 countiesNC: Bertie, Bladen, Brunswick, Camden, Chowan, Columbus, Currituck, Duplin, Franklin, Gates, Granville, Greene, Halifax, Hertford, Hyde, Jones, Martin, New Hanover, Northampton, Pamlico, Pasquotank, Pender, Perquimans, Sampson, Tyrrell, Vance, Warren, Washington |
| NC | Aetna Medicare Signature (PPO) | $0.00 | $10,850.00 | H5521 | 609 | Aetna | $0.00 | Yes | NC: Durham, Wake |
| NC | Humana Full Access H5525-034 (PPO) | $0.00 | $14,800.00 | H5525 | 034 | Humana | $148.00 | Yes | NC: Bladen, Brunswick, Columbus, New Hanover, Pender |
| NC | HumanaChoice H5525-070 (PPO) | $0.00 | $14,800.00 | H5525 | 070 | Humana | $13.30 | Yes | NC: 97 countiesNC: Alamance, Alexander, Alleghany, Anson, Ashe, Avery, Beaufort, Bertie, Bladen, Brunswick, Buncombe, Burke, Cabarrus, Caldwell, Camden, Caswell, Catawba, Chatham, Cherokee, Chowan, Clay, Cleveland, Columbus, Cumberland, Currituck, Dare, Davidson, Davie, Duplin, Durham, Edgecombe, Forsyth, Franklin, Gaston, Gates, Graham, Granville, Greene, Guilford, Halifax, Harnett, Haywood, Henderson, Hertford, Hoke, Hyde, Iredell, Jackson, Johnston, Jones, Lee, Lenoir, Lincoln, Macon, Madison, Martin, McDowell, Mecklenburg, Mitchell, Montgomery, Moore, Nash, New Hanover, Northampton, Orange, Pamlico, Pasquotank, Pender, Perquimans, Person, Pitt, Polk, Randolph, Richmond, Robeson, Rockingham, Rowan, Rutherford, Sampson, Scotland, Stanly, Stokes, Surry, Swain, Transylvania, Tyrrell, Union, Vance, Wake, Warren, Washington, Watauga, Wayne, Wilkes, Wilson, Yadkin, Yancey |
| NC | HumanaChoice H7617-122 (PPO) | $0.00 | $14,800.00 | H7617 | 122 | Humana | $13.00 | Yes | NC: 79 countiesNC: Alamance, Alexander, Alleghany, Anson, Ashe, Avery, Bertie, Bladen, Brunswick, Buncombe, Cabarrus, Caldwell, Camden, Caswell, Catawba, Cherokee, Chowan, Clay, Cleveland, Columbus, Cumberland, Currituck, Davidson, Davie, Durham, Forsyth, Gaston, Gates, Graham, Granville, Greene, Guilford, Harnett, Haywood, Henderson, Hoke, Hyde, Iredell, Jackson, Johnston, Jones, Lee, Lincoln, Macon, Madison, Martin, McDowell, Mecklenburg, Mitchell, Montgomery, Moore, New Hanover, Northampton, Orange, Pamlico, Pasquotank, Pender, Perquimans, Person, Polk, Randolph, Richmond, Rockingham, Rowan, Rutherford, Sampson, Scotland, Stanly, Stokes, Swain, Transylvania, Tyrrell, Union, Vance, Warren, Washington, Wilkes, Yadkin, Yancey |
| NC | HealthSpring True Choice (PPO) | $0.00 | $10,100.00 | H7849 | 113 | HealthSpring | $0.00 | Yes | NC: Alexander, Anson, Cabarrus, Catawba, Cleveland, Gaston, Iredell, Lincoln, Mecklenburg, Rowan, Union |
| NC | HealthSpring True Choice (PPO) | $0.00 | $10,100.00 | H7849 | 113 | HealthSpring | $0.00 | Yes | NC: Alexander, Anson, Cabarrus, Catawba, Cleveland, Gaston, Iredell, Lincoln, Mecklenburg, Rowan, Union |
| NC | HealthSpring True Choice (PPO) | $0.00 | $10,750.00 | H7849 | 113 | HealthSpring | $0.00 | Yes | NC: Alamance, Durham, Orange |
| NC | DEVOTED CHOICE 001 NC (PPO) | $0.00 | $7,650.00 | H9700 | 001 | Devoted | $0.00 | Yes | NC: 13 countiesNC: Alexander, Anson, Cabarrus, Caldwell, Catawba, Cleveland, Gaston, Iredell, Lincoln, Mecklenburg, Rowan, Stanly, Union |
| NC | DEVOTED CHOICE 003 NC (PPO) | $0.00 | $6,250.00 | H9700 | 003 | Devoted | $0.00 | Yes | NC: Alamance, Caswell, Davidson, Davie, Forsyth, Guilford, Person, Randolph, Rockingham, Stokes, Yadkin |
| NC | DEVOTED CHOICE 005 NC (PPO) | $0.00 | $8,950.00 | H9700 | 005 | Devoted | $0.00 | Yes | NC: 17 countiesNC: Avery, Buncombe, Burke, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, Yancey |
| NC | DEVOTED CHOICE 008 NC (PPO) | $0.00 | $7,900.00 | H9700 | 008 | Devoted | $0.00 | Yes | NC: Alleghany, Ashe, Bladen, Brunswick, Columbus, New Hanover, Pender, Wilkes |
| NJ | DEVOTED CHOICE GIVEBACK 002 NJ (PPO) | $1,416.00 | $14,800.00 | H1390 | 002 | Devoted | $0.00 | Yes | NJ: 14 countiesNJ: Burlington, Camden, Essex, Gloucester, Hudson, Mercer, Monmouth, Morris, Ocean, Salem, Somerset, Sussex, Union, Warren |
| NJ | HumanaChoice Giveback H7617-045 (PPO) | $1,296.00 | $9,000.00 | H7617 | 045 | Humana | $0.00 | Yes | NJ: 19 countiesNJ: Atlantic, Bergen, Burlington, Camden, Cape May, Cumberland, Essex, Gloucester, Hudson, Hunterdon, Mercer, Middlesex, Monmouth, Morris, Passaic, Salem, Somerset, Union, Warren |
| NJ | DEVOTED CHOICE GIVEBACK EXTRAS 006 NJ (PPO) | $840.00 | $14,450.00 | H1390 | 006 | Devoted | $0.00 | Yes | NJ: 14 countiesNJ: Burlington, Camden, Essex, Gloucester, Hudson, Mercer, Monmouth, Morris, Ocean, Salem, Somerset, Sussex, Union, Warren |
| NJ | DEVOTED CHOICE 001 NJ (PPO) | $0.00 | $13,950.00 | H1390 | 001 | Devoted | $0.00 | Yes | NJ: 14 countiesNJ: Burlington, Camden, Essex, Gloucester, Hudson, Mercer, Monmouth, Morris, Ocean, Salem, Somerset, Sussex, Union, Warren |
| NJ | Aetna Medicare Enhanced Extra (PPO) | $0.00 | $14,800.00 | H5521 | 037 | Aetna | $99.00 | Yes | NJ: Bergen, Essex, Hudson, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Union |
| NJ | Aetna Medicare Elite (PPO) | $0.00 | $14,800.00 | H5521 | 123 | Aetna | $65.00 | Yes | NJ: Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, Ocean |
| NJ | Aetna Medicare Enhanced Extra (PPO) | $0.00 | $14,800.00 | H5521 | 124 | Aetna | $104.00 | Yes | NJ: Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester |
| NJ | Aetna Medicare Prime Extra (PPO) | $0.00 | $14,800.00 | H5521 | 275 | Aetna | $84.00 | Yes | NJ: Bergen, Hunterdon, Mercer, Monmouth, Morris, Passaic, Somerset, Sussex, Union, Warren |
| NJ | Aetna Medicare Prime (PPO) | $0.00 | $14,800.00 | H5521 | 392 | Aetna | $0.00 | Yes | NJ: Bergen, Hunterdon, Mercer, Monmouth, Morris, Passaic, Somerset, Sussex, Union, Warren |
| NJ | Aetna Medicare Enhanced Advantage (PPO) | $0.00 | $14,800.00 | H5521 | 510 | Aetna | $109.00 | Yes | NJ: Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, Ocean |
| NJ | Aetna Medicare Enhanced (PPO) | $0.00 | $14,800.00 | H5521 | 512 | Aetna | $80.00 | Yes | NJ: Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, Ocean |
| NJ | HealthSpring True Choice (PPO) | $0.00 | $14,000.00 | H7849 | 149 | HealthSpring | $15.00 | Yes | NJ: Burlington, Camden, Gloucester |
| NV | Aetna Medicare Eagle (PPO) | $1,800.00 | $10,000.00 | H5521 | 353 | Aetna | $0.00 | No | NV: Clark, Nye, Washoe |
| NV | Aetna Medicare Enhanced (PPO) | $0.00 | $8,950.00 | H5521 | 022 | Aetna | $35.00 | Yes | NV: Clark, Nye |
| NV | Aetna Medicare Signature (PPO) | $0.00 | $10,000.00 | H5521 | 055 | Aetna | $0.00 | Yes | NV: Clark, Nye |
| NV | Aetna Medicare Elite (PPO) | $0.00 | $9,550.00 | H5521 | 299 | Aetna | $0.00 | Yes | NV: Clark, Nye |
| NV | Aetna Medicare Elite (PPO) | $0.00 | $8,950.00 | H5521 | 303 | Aetna | $0.00 | Yes | NV: Washoe |
| NV | Aetna Medicare Signature (PPO) | $0.00 | $10,000.00 | H5521 | 558 | Aetna | $0.00 | Yes | NV: Washoe |
| NV | HumanaChoice H7617-070 (PPO) | $0.00 | $8,950.00 | H7617 | 070 | Humana | $0.00 | Yes | NV: Clark, Nye |
| NY | DEVOTED CHOICE GIVEBACK 002 NY (PPO) | $1,416.00 | $14,800.00 | H5334 | 002 | Devoted | $0.00 | Yes | NY: Hamilton, Tioga |
| NY | DEVOTED CHOICE GIVEBACK 004 NY (PPO) | $1,416.00 | $14,800.00 | H5334 | 004 | Devoted | $0.00 | Yes | NY: Albany, Columbia, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Warren, Washington |
| NY | DEVOTED CHOICE GIVEBACK 008 NY (PPO) | $1,416.00 | $14,800.00 | H5334 | 008 | Devoted | $0.00 | Yes | NY: Kings, Queens |
| NY | DEVOTED CHOICE GIVEBACK 010 NY (PPO) | $1,416.00 | $14,800.00 | H5334 | 010 | Devoted | $0.00 | Yes | NY: Nassau, Richmond |
| NY | Humana USAA Honor Giveback (PPO) | $1,320.00 | $8,950.00 | H5970 | 016 | Humana | $0.00 | No | NY: 47 countiesNY: Albany, Allegany, Bronx, Cattaraugus, Cayuga, Chautauqua, Chemung, Chenango, Columbia, Cortland, Dutchess, Erie, Fulton, Genesee, Greene, Hamilton, Herkimer, Jefferson, Kings, Lewis, Livingston, Madison, Montgomery, New York, Niagara, Oneida, Onondaga, Orange, Orleans, Oswego, Rensselaer, Rockland, Saratoga, Schenectady, Schoharie, Schuyler, Seneca, St. Lawrence, Steuben, Sullivan, Tioga, Ulster, Warren, Washington, Westchester, Wyoming, Yates |
| NY | Aetna Medicare Eagle Giveback (PPO) | $960.00 | $14,800.00 | H5521 | 320 | Aetna | $0.00 | No | NY: Bronx, Kings, Nassau, New York, Queens, Richmond, Rockland, Suffolk, Westchester |
| NY | DEVOTED CHOICE GIVEBACK EXTRAS 028 NY (PPO) | $840.00 | $14,450.00 | H5334 | 028 | Devoted | $0.00 | Yes | NY: Hamilton, Tioga |
| NY | DEVOTED CHOICE GIVEBACK EXTRAS 029 NY (PPO) | $840.00 | $14,450.00 | H5334 | 029 | Devoted | $0.00 | Yes | NY: Albany, Columbia, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Warren, Washington |
| NY | DEVOTED CHOICE GIVEBACK EXTRAS 031 NY (PPO) | $840.00 | $14,450.00 | H5334 | 031 | Devoted | $0.00 | Yes | NY: Kings, Queens |
| NY | DEVOTED CHOICE GIVEBACK EXTRAS 032 NY (PPO) | $840.00 | $14,450.00 | H5334 | 032 | Devoted | $0.00 | Yes | NY: Nassau, Richmond |
| NY | Wellcare Simple Open (PPO) | $0.00 | $14,800.00 | H2775 | 106 | Wellcare | $0.00 | Yes | NY: 48 countiesNY: Albany, Allegany, Bronx, Cattaraugus, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Cortland, Dutchess, Erie, Essex, Franklin, Fulton, Genesee, Greene, Hamilton, Herkimer, Jefferson, Kings, Madison, Montgomery, Nassau, New York, Niagara, Oneida, Onondaga, Ontario, Orange, Oswego, Putnam, Queens, Rensselaer, Rockland, Saratoga, Schenectady, Schoharie, Seneca, Steuben, Sullivan, Tioga, Tompkins, Ulster, Warren, Washington, Wyoming |
| NY | Wellcare Assist Open (PPO) | $0.00 | $14,800.00 | H2775 | 113 | Wellcare | $0.00 | Yes | NY: 48 countiesNY: Albany, Allegany, Bronx, Cattaraugus, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Cortland, Dutchess, Erie, Essex, Franklin, Fulton, Genesee, Greene, Hamilton, Herkimer, Jefferson, Kings, Madison, Montgomery, Nassau, New York, Niagara, Oneida, Onondaga, Ontario, Orange, Oswego, Putnam, Queens, Rensselaer, Rockland, Saratoga, Schenectady, Schoharie, Seneca, Steuben, Sullivan, Tioga, Tompkins, Ulster, Warren, Washington, Wyoming |
| NY | DEVOTED CHOICE 001 NY (PPO) | $0.00 | $13,950.00 | H5334 | 001 | Devoted | $0.00 | Yes | NY: Hamilton, Tioga |
| NY | DEVOTED CHOICE 003 NY (PPO) | $0.00 | $13,950.00 | H5334 | 003 | Devoted | $0.00 | Yes | NY: Albany, Columbia, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Warren, Washington |
| NY | DEVOTED CHOICE 007 NY (PPO) | $0.00 | $13,950.00 | H5334 | 007 | Devoted | $0.00 | Yes | NY: Kings, Queens |
| NY | DEVOTED CHOICE 009 NY (PPO) | $0.00 | $13,950.00 | H5334 | 009 | Devoted | $0.00 | Yes | NY: Nassau, Richmond |
| NY | Aetna Medicare Signature (PPO) | $0.00 | $14,800.00 | H5521 | 077 | Aetna | $0.00 | Yes | NY: 14 countiesNY: Allegany, Broome, Cayuga, Franklin, Fulton, Hamilton, Jefferson, Lewis, Madison, Oneida, Onondaga, St. Lawrence, Steuben, Tompkins |
| NY | Aetna Medicare Elite (PPO) | $0.00 | $14,800.00 | H5521 | 119 | Aetna | $0.00 | Yes | NY: Albany, Dutchess, Greene, Orange, Putnam, Rensselaer, Saratoga, Schenectady, Sullivan, Warren, Washington |
| NY | Aetna Medicare Elite (PPO) | $0.00 | $14,800.00 | H5521 | 120 | Aetna | $0.00 | Yes | NY: Bronx, Kings, Nassau, Queens, Rockland, Suffolk, Westchester |
| NY | Aetna Medicare Enhanced (PPO) | $0.00 | $14,800.00 | H5521 | 121 | Aetna | $101.00 | Yes | NY: Bronx, Rockland, Westchester |
| NY | Aetna Medicare Signature (PPO) | $0.00 | $14,800.00 | H5521 | 215 | Aetna | $0.00 | Yes | NY: Chautauqua, Erie, Niagara, Wyoming |
| NY | Aetna Medicare Premier (PPO) | $0.00 | $14,800.00 | H5521 | 340 | Aetna | $60.00 | Yes | NY: 14 countiesNY: Allegany, Broome, Cayuga, Franklin, Fulton, Hamilton, Jefferson, Lewis, Madison, Oneida, Onondaga, St. Lawrence, Steuben, Tompkins |
| NY | Aetna Medicare Enhanced (PPO) | $0.00 | $14,800.00 | H5521 | 381 | Aetna | $41.00 | Yes | NY: Chautauqua, Erie, Niagara, Wyoming |
| NY | Aetna Medicare Enhanced Extra (PPO) | $0.00 | $14,800.00 | H5521 | 457 | Aetna | $32.00 | Yes | NY: Bronx |
| NY | Aetna Medicare Enhanced (PPO) | $0.00 | $14,800.00 | H5521 | 520 | Aetna | $86.00 | Yes | NY: Chemung, Chenango, Cortland, Oswego, Tioga |
| NY | Aetna Medicare Elite (PPO) | $0.00 | $14,800.00 | H5521 | 521 | Aetna | $109.00 | Yes | NY: Genesee, Livingston, Monroe, Ontario, Orleans |
| NY | Aetna Medicare Elite (PPO) | $0.00 | $14,800.00 | H5521 | 536 | Aetna | $0.00 | Yes | NY: Richmond |
| NY | Aetna Medicare Enhanced (PPO) | $0.00 | $14,800.00 | H5521 | 661 | Aetna | $79.00 | Yes | NY: Kings, Queens |
| NY | Aetna Medicare Enhanced (PPO) | $0.00 | $14,800.00 | H5521 | 669 | Aetna | $149.00 | Yes | NY: Albany, Dutchess, Greene, Orange, Putnam, Rensselaer, Saratoga, Schenectady, Sullivan, Warren, Washington |
| NY | Aetna Medicare Elite Extra (PPO) | $0.00 | $14,800.00 | H5521 | 674 | Aetna | $79.00 | Yes | NY: Nassau, Suffolk |
| NY | Aetna Medicare Elite Extra (PPO) | $0.00 | $14,800.00 | H5521 | 698 | Aetna | $47.00 | Yes | NY: Bronx, Kings, Queens |
| NY | Aetna Medicare Elite Extra (PPO) | $0.00 | $14,800.00 | H5521 | 699 | Aetna | $59.00 | Yes | NY: Rockland, Westchester |
| NY | Aetna Medicare Elite (PPO) | $0.00 | $14,800.00 | H5521 | 736 | Aetna | $109.00 | Yes | NY: New York |
| NY | Aetna Medicare Elite (PPO) | $0.00 | $14,800.00 | H5521 | 738 | Aetna | $35.00 | Yes | NY: Cattaraugus, Chautauqua, Erie, Niagara, Wyoming |
| NY | Aetna Medicare Elite (PPO) | $0.00 | $14,800.00 | H5521 | 739 | Aetna | $79.00 | Yes | NY: Chemung, Chenango, Cortland, Oswego, Otsego, Tioga |
| NY | Aetna Medicare Elite (PPO) | $0.00 | $14,800.00 | H5521 | 740 | Aetna | $54.00 | Yes | NY: 16 countiesNY: Allegany, Broome, Cayuga, Franklin, Fulton, Hamilton, Herkimer, Jefferson, Lewis, Madison, Oneida, Onondaga, Schuyler, St. Lawrence, Steuben, Tompkins |
| NY | HumanaChoice H5970-028 (PPO) | $0.00 | $14,800.00 | H5970 | 028 | Humana | $0.00 | Yes | NY: Bronx, Kings, New York |
| NY | HumanaChoice H5970-029 (PPO) | $0.00 | $14,800.00 | H5970 | 029 | Humana | $65.00 | Yes | NY: 45 countiesNY: Albany, Allegany, Cattaraugus, Cayuga, Chautauqua, Chemung, Chenango, Columbia, Cortland, Dutchess, Erie, Fulton, Genesee, Greene, Hamilton, Herkimer, Jefferson, Lewis, Livingston, Madison, Montgomery, Niagara, Oneida, Onondaga, Orange, Orleans, Oswego, Otsego, Rensselaer, Rockland, Saratoga, Schenectady, Schoharie, Schuyler, Seneca, St. Lawrence, Steuben, Sullivan, Tioga, Ulster, Warren, Washington, Westchester, Wyoming, Yates |
| OH | DEVOTED CHOICE MA ONLY 002 OH (PPO) | $2,216.40 | $13,900.00 | H2526 | 002 | Devoted | $0.00 | No | OH: 75 countiesOH: Adams, Allen, Ashland, Auglaize, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Coshocton, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Geauga, Greene, Guernsey, Hamilton, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Lake, Licking, Logan, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Mercer, Miami, Montgomery, Morgan, Morrow, Noble, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Preble, Putnam, Richland, Ross, Sandusky, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Vinton, Warren, Wayne, Wood, Wyandot |
| OH | Aetna Medicare Advantra Signature Classic (PPO) | $0.00 | $10,750.00 | H1608 | 029 | Aetna | $0.00 | Yes | OH: Belmont, Columbiana, Cuyahoga, Geauga, Harrison, Jefferson, Lake, Lorain, Mahoning, Medina, Trumbull |
| OH | DEVOTED CHOICE 001 OH (PPO) | $0.00 | $10,100.00 | H2526 | 001 | Devoted | $0.00 | Yes | OH: 78 countiesOH: Adams, Allen, Ashland, Ashtabula, Auglaize, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Coshocton, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Geauga, Greene, Guernsey, Hamilton, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Lake, Licking, Logan, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Meigs, Mercer, Miami, Montgomery, Morgan, Morrow, Noble, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Preble, Putnam, Richland, Ross, Sandusky, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Vinton, Warren, Wayne, Williams, Wood, Wyandot |
| OH | DEVOTED CHOICE 003 OH (PPO) | $0.00 | $10,100.00 | H2526 | 003 | Devoted | $0.00 | Yes | OH: 78 countiesOH: Adams, Allen, Ashland, Ashtabula, Auglaize, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Coshocton, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Geauga, Greene, Guernsey, Hamilton, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Lake, Licking, Logan, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Meigs, Mercer, Miami, Montgomery, Morgan, Morrow, Noble, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Preble, Putnam, Richland, Ross, Sandusky, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Vinton, Warren, Wayne, Williams, Wood, Wyandot |
| OH | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 087 | Aetna | $0.00 | Yes | OH: Brown, Butler, Champaign, Clark, Clermont, Darke, Greene, Hamilton, Logan, Miami, Montgomery, Preble, Shelby, Warren |
| OH | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 088 | Aetna | $0.00 | Yes | OH: 37 countiesOH: Allen, Ashland, Auglaize, Belmont, Carroll, Columbiana, Crawford, Cuyahoga, Defiance, Erie, Fulton, Geauga, Hancock, Hardin, Harrison, Holmes, Huron, Jefferson, Lake, Lorain, Lucas, Mahoning, Medina, Mercer, Paulding, Portage, Putnam, Sandusky, Seneca, Stark, Summit, Trumbull, Tuscarawas, Van Wert, Williams, Wood, Wyandot |
| OH | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 089 | Aetna | $0.00 | Yes | OH: 16 countiesOH: Delaware, Fairfield, Franklin, Gallia, Guernsey, Hocking, Knox, Lawrence, Licking, Madison, Marion, Muskingum, Noble, Pickaway, Union, Vinton |
| OH | Humana Full Access (PPO) | $0.00 | $9,850.00 | H5525 | 042 | Humana | $53.00 | Yes | OH: 87 countiesOH: Adams, Allen, Ashland, Ashtabula, Athens, Auglaize, Belmont, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Gallia, Geauga, Greene, Guernsey, Hamilton, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Jefferson, Knox, Lake, Lawrence, Licking, Logan, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Meigs, Mercer, Miami, Monroe, Montgomery, Morgan, Morrow, Muskingum, Noble, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Preble, Putnam, Richland, Ross, Sandusky, Scioto, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Vinton, Warren, Washington, Wayne, Williams, Wood, Wyandot |
| OH | HealthSpring True Choice (PPO) | $0.00 | $13,300.00 | H7849 | 015 | HealthSpring | $15.00 | Yes | OH: Cuyahoga, Geauga, Lake, Lorain, Mahoning, Medina, Portage, Stark, Summit, Trumbull |
| OK | DEVOTED CHOICE GIVEBACK 006 OK (PPO) | $1,920.00 | $14,500.00 | H2845 | 006 | Devoted | $0.00 | Yes | OK: Adair, Craig, Creek, McIntosh, Nowata, Okfuskee, Okmulgee, Osage, Ottawa, Pawnee, Tulsa |
| OK | DEVOTED CHOICE 001 OK (PPO) | $0.00 | $7,700.00 | H2845 | 001 | Devoted | $0.00 | Yes | OK: 14 countiesOK: Alfalfa, Blaine, Canadian, Cleveland, Garvin, Grant, Kingfisher, Lincoln, Logan, Major, McClain, Oklahoma, Pottawatomie, Seminole |
| OK | DEVOTED CHOICE 005 OK (PPO) | $0.00 | $7,850.00 | H2845 | 005 | Devoted | $0.00 | Yes | OK: Adair, Craig, Creek, McIntosh, Nowata, Okfuskee, Okmulgee, Osage, Ottawa, Pawnee, Tulsa |
| OK | Aetna Medicare Value Plus (PPO) | $0.00 | $10,750.00 | H3288 | 017 | Aetna | $35.00 | Yes | OK: Lincoln, Logan, Oklahoma |
| OK | Aetna Medicare Value Plus (PPO) | $0.00 | $8,950.00 | H3288 | 019 | Aetna | $25.00 | Yes | OK: Creek, Okmulgee, Tulsa, Wagoner |
| OK | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H3288 | 020 | Aetna | $0.00 | Yes | OK: 51 countiesOK: Adair, Atoka, Blaine, Bryan, Caddo, Canadian, Carter, Cherokee, Cleveland, Coal, Cotton, Craig, Creek, Custer, Delaware, Garfield, Garvin, Grady, Grant, Haskell, Hughes, Jefferson, Johnston, Kay, Kingfisher, Le Flore, Lincoln, Love, Major, Marshall, Mayes, McClain, McIntosh, Murray, Muskogee, Noble, Nowata, Okfuskee, Okmulgee, Osage, Ottawa, Pawnee, Pittsburg, Pontotoc, Pottawatomie, Pushmataha, Seminole, Sequoyah, Stephens, Tulsa, Wagoner |
| OK | HealthSpring True Choice (PPO) | $0.00 | $10,750.00 | H7849 | 155 | HealthSpring | $13.00 | Yes | OK: Canadian, Cleveland, Lincoln, Logan, McClain, Oklahoma |
| OR | Wellcare Premium Ultra Open (PPO) | $0.00 | $8,700.00 | H5439 | 011 | Wellcare | $206.00 | Yes | OR: Clackamas, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill |
| OR | DEVOTED CHOICE PREMIUM 002 OR (PPO) | $0.00 | $10,750.00 | H7199 | 002 | Devoted | $28.50 | Yes | OR: Clackamas, Clatsop, Columbia, Hood River, Multnomah, Polk, Tillamook, Washington, Yamhill |
| OR, WA | Wellcare Premium Enhanced Open (PPO) | $0.00 | $10,700.00 | H5439 | 019 | Wellcare | $76.60 | Yes | OR: Clackamas, Douglas, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill; WA: Clark |
| PA | DEVOTED CHOICE GIVEBACK 003 PA (PPO) | $2,216.40 | $14,500.00 | H6018 | 003 | Devoted | $0.00 | Yes | PA: Berks, Bucks, Chester, Delaware, Lehigh, Montgomery, Northampton, Philadelphia |
| PA | DEVOTED CHOICE GIVEBACK 008 PA (PPO) | $1,796.40 | $14,500.00 | H6018 | 008 | Devoted | $0.00 | Yes | PA: 22 countiesPA: Adams, Bradford, Carbon, Franklin, Juniata, Lackawanna, Lancaster, Lebanon, Luzerne, Mifflin, Monroe, Montour, Perry, Schuylkill, Snyder, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York |
| PA | DEVOTED CHOICE GIVEBACK 011 PA (PPO) | $1,777.20 | $14,500.00 | H6018 | 011 | Devoted | $0.00 | Yes | PA: 27 countiesPA: Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Cameron, Clarion, Clearfield, Clinton, Crawford, Elk, Erie, Forest, Fulton, Greene, Huntingdon, Indiana, Jefferson, Lawrence, Mercer, Somerset, Venango, Warren, Washington, Westmoreland |
| PA | Aetna Medicare Signature (PPO) | $0.00 | $10,100.00 | H5521 | 261 | Aetna | $0.00 | Yes | PA: 29 countiesPA: Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Cameron, Centre, Clarion, Clearfield, Crawford, Elk, Erie, Fayette, Forest, Fulton, Greene, Huntingdon, Indiana, Jefferson, Lawrence, McKean, Mercer, Somerset, Venango, Warren, Washington, Westmoreland |
| PA | Aetna Medicare Signature Extra (PPO) | $0.00 | $10,750.00 | H5521 | 263 | Aetna | $0.00 | Yes | PA: 38 countiesPA: Adams, Berks, Bradford, Bucks, Carbon, Chester, Clinton, Columbia, Cumberland, Dauphin, Delaware, Franklin, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York |
| PA | Aetna Medicare Premier Plus (PPO) | $0.00 | $9,550.00 | H5522 | 001 | Aetna | $49.00 | Yes | PA: Allegheny |
| PA | Aetna Medicare Advantra Premier (PPO) | $0.00 | $9,550.00 | H5522 | 002 | Aetna | $99.00 | Yes | PA: 37 countiesPA: Adams, Berks, Blair, Bradford, Carbon, Centre, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Pike, Potter, Schuylkill, Snyder, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York |
| PA | Aetna Medicare Advantra Signature (PPO) | $0.00 | $11,300.00 | H5522 | 004 | Aetna | $0.00 | Yes | PA: 37 countiesPA: Adams, Berks, Blair, Bradford, Carbon, Centre, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Pike, Potter, Schuylkill, Snyder, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York |
| PA | Aetna Medicare Premier Plus (PPO) | $0.00 | $10,750.00 | H5522 | 005 | Aetna | $39.00 | Yes | PA: 24 countiesPA: Armstrong, Beaver, Bedford, Butler, Cambria, Cameron, Clarion, Clearfield, Crawford, Elk, Erie, Fayette, Forest, Greene, Indiana, Jefferson, Lawrence, McKean, Mercer, Somerset, Venango, Warren, Washington, Westmoreland |
| PA | Aetna Medicare Value Plus (PPO) | $0.00 | $11,300.00 | H5522 | 013 | Aetna | $35.00 | Yes | PA: 32 countiesPA: Adams, Berks, Blair, Bradford, Centre, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Juniata, Lackawanna, Lancaster, Lebanon, Luzerne, Lycoming, Mifflin, Montour, Northumberland, Perry, Pike, Potter, Snyder, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York |
| PA | Aetna Medicare Advantra Premier (PPO) | $0.00 | $10,750.00 | H5522 | 014 | Aetna | $128.00 | Yes | PA: Bucks, Chester, Delaware, Montgomery, Philadelphia |
| PA | Aetna Medicare Elite (PPO) | $0.00 | $14,800.00 | H5522 | 028 | Aetna | $0.00 | Yes | PA: Bucks, Chester, Delaware, Montgomery, Philadelphia |
| PA | Aetna Medicare Enhanced (PPO) | $0.00 | $14,800.00 | H5522 | 032 | Aetna | $76.00 | Yes | PA: Carbon, Lehigh, Monroe, Northampton, Schuylkill |
| PA | HumanaChoice H5525-005 (PPO) | $0.00 | $11,300.00 | H5525 | 005 | Humana | $39.00 | Yes | PA: 31 countiesPA: Armstrong, Bradford, Carbon, Centre, Chester, Clinton, Columbia, Crawford, Delaware, Erie, Jefferson, Lackawanna, Lawrence, Luzerne, Lycoming, McKean, Mercer, Monroe, Montgomery, Montour, Northampton, Philadelphia, Potter, Schuylkill, Sullivan, Susquehanna, Tioga, Union, Warren, Wayne, Wyoming |
| PA | HumanaChoice H5525-006 (PPO) | $0.00 | $6,700.00 | H5525 | 006 | Humana | $50.00 | Yes | PA: 15 countiesPA: Adams, Berks, Blair, Cumberland, Dauphin, Fulton, Huntingdon, Juniata, Lancaster, Lebanon, Lehigh, Mifflin, Perry, Snyder, York |
| PA | Humana Value Choice (PPO) | $0.00 | $10,500.00 | H5525 | 051 | Humana | $0.00 | Yes | PA: 54 countiesPA: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Butler, Cambria, Cameron, Carbon, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Elk, Erie, Fayette, Forest, Greene, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lawrence, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mercer, Mifflin, Monroe, Montour, Northampton, Perry, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York |
| PA | Humana Value Choice (PPO) | $0.00 | $10,250.00 | H5525 | 051 | Humana | $0.00 | Yes | PA: Bucks, Chester, Delaware, Montgomery, Philadelphia |
| PA | HumanaChoice H5525-086 (PPO) | $0.00 | $5,800.00 | H5525 | 086 | Humana | $39.00 | Yes | PA: 23 countiesPA: Allegheny, Armstrong, Beaver, Butler, Cambria, Cameron, Clarion, Clearfield, Crawford, Elk, Erie, Fayette, Forest, Greene, Indiana, Jefferson, Lawrence, Mercer, Somerset, Venango, Warren, Washington, Westmoreland |
| PA | HumanaChoice H5525-086 (PPO) | $0.00 | $10,750.00 | H5525 | 086 | Humana | $38.00 | Yes | PA: 31 countiesPA: Bedford, Berks, Blair, Centre, Chester, Clinton, Cumberland, Dauphin, Delaware, Fulton, Huntingdon, Juniata, Lackawanna, Lancaster, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Philadelphia, Potter, Schuylkill, Snyder, Sullivan, Union, Wayne, Wyoming |
| PA | DEVOTED CHOICE 007 PA (PPO) | $0.00 | $10,750.00 | H6018 | 007 | Devoted | $0.00 | Yes | PA: 30 countiesPA: Adams, Berks, Bradford, Bucks, Carbon, Chester, Delaware, Franklin, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Mifflin, Monroe, Montgomery, Montour, Northampton, Perry, Philadelphia, Schuylkill, Snyder, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York |
| PA | DEVOTED CHOICE 010 PA (PPO) | $0.00 | $10,200.00 | H6018 | 010 | Devoted | $0.00 | Yes | PA: 27 countiesPA: Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Cameron, Clarion, Clearfield, Clinton, Crawford, Elk, Erie, Forest, Fulton, Greene, Huntingdon, Indiana, Jefferson, Lawrence, Mercer, Somerset, Venango, Warren, Washington, Westmoreland |
| PA | HealthSpring True Choice (PPO) | $0.00 | $11,000.00 | H7849 | 106 | HealthSpring | $7.00 | Yes | PA: 16 countiesPA: Adams, Allegheny, Armstrong, Beaver, Berks, Butler, Clarion, Cumberland, Dauphin, Franklin, Lancaster, Lawrence, Lebanon, Washington, Westmoreland, York |
| PA | HealthSpring True Choice (PPO) | $0.00 | $12,000.00 | H7849 | 151 | HealthSpring | $9.00 | Yes | PA: Bucks, Chester, Delaware, Lehigh, Montgomery, Northampton, Philadelphia |
| RI | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 375 | Aetna | $0.00 | Yes | RI: All counties |
| RI | Aetna Medicare Enhanced (PPO) | $0.00 | $10,750.00 | H5521 | 449 | Aetna | $54.00 | Yes | RI: All counties |
| SC | DEVOTED CHOICE GIVEBACK 002 SC (PPO) | $2,216.40 | $11,800.00 | H7028 | 002 | Devoted | $0.00 | Yes | SC: 29 countiesSC: Abbeville, Allendale, Anderson, Bamberg, Barnwell, Berkeley, Charleston, Cherokee, Chester, Colleton, Dorchester, Edgefield, Fairfield, Georgetown, Greenville, Greenwood, Hampton, Horry, Jasper, Laurens, Marion, McCormick, Newberry, Pickens, Saluda, Spartanburg, Union, Williamsburg, York |
| SC | DEVOTED CHOICE MA ONLY 003 SC (PPO) | $2,216.40 | $13,900.00 | H7028 | 003 | Devoted | $0.00 | No | SC: 28 countiesSC: Abbeville, Allendale, Anderson, Bamberg, Barnwell, Berkeley, Charleston, Cherokee, Chester, Colleton, Dorchester, Edgefield, Fairfield, Georgetown, Greenville, Greenwood, Hampton, Horry, Jasper, Laurens, McCormick, Newberry, Pickens, Saluda, Spartanburg, Union, Williamsburg, York |
| SC | Aetna Medicare Signature Giveback (PPO) | $360.00 | $10,850.00 | H5521 | 140 | Aetna | $0.00 | Yes | SC: Anderson, Greenville, Laurens, Oconee, Pickens, Spartanburg, York |
| SC | Aetna Medicare Signature (PPO) | $0.00 | $10,850.00 | H5521 | 245 | Aetna | $0.00 | Yes | SC: Abbeville, Aiken, Allendale, Bamberg, Calhoun, Clarendon, Edgefield, Greenwood, Richland, Saluda, Sumter, Union |
| SC | Aetna Medicare Signature (PPO) | $0.00 | $10,850.00 | H5521 | 249 | Aetna | $0.00 | Yes | SC: Chesterfield, Lee, Marion |
| SC | Aetna Medicare Enhanced (PPO) | $0.00 | $10,850.00 | H5521 | 251 | Aetna | $33.00 | Yes | SC: 35 countiesSC: Abbeville, Aiken, Allendale, Anderson, Bamberg, Barnwell, Beaufort, Calhoun, Chesterfield, Clarendon, Colleton, Darlington, Dillon, Edgefield, Fairfield, Greenville, Greenwood, Hampton, Jasper, Lancaster, Laurens, Lee, Lexington, Marion, Marlboro, McCormick, Oconee, Pickens, Richland, Saluda, Spartanburg, Sumter, Union, Williamsburg, York |
| SC | Aetna Medicare Signature (PPO) | $0.00 | $10,850.00 | H5521 | 319 | Aetna | $0.00 | Yes | SC: Anderson, Greenville, Laurens, Oconee, Pickens, Spartanburg, York |
| SC | DEVOTED CHOICE 001 SC (PPO) | $0.00 | $9,550.00 | H7028 | 001 | Devoted | $0.00 | Yes | SC: 29 countiesSC: Abbeville, Allendale, Anderson, Bamberg, Barnwell, Berkeley, Charleston, Cherokee, Chester, Colleton, Dorchester, Edgefield, Fairfield, Georgetown, Greenville, Greenwood, Hampton, Horry, Jasper, Laurens, Marion, McCormick, Newberry, Pickens, Saluda, Spartanburg, Union, Williamsburg, York |
| SC | Wellcare Simple Open (PPO) | $0.00 | $10,100.00 | H7326 | 001 | Wellcare | $0.00 | Yes | SC: All counties |
| SC | Wellcare Assist Open (PPO) | $0.00 | $10,100.00 | H7326 | 007 | Wellcare | $0.00 | Yes | SC: All counties |
| SC | HealthSpring True Choice (PPO) | $0.00 | $10,750.00 | H7849 | 136 | HealthSpring | $6.00 | Yes | SC: Chester, Fairfield, Kershaw, Lancaster, York |
| SC | HealthSpring True Choice (PPO) | $0.00 | $10,100.00 | H7849 | 136 | HealthSpring | $12.00 | Yes | SC: Anderson, Cherokee, Greenville, Pickens, Spartanburg, Union |
| SC | HealthSpring True Choice (PPO) | $0.00 | $10,100.00 | H7849 | 136 | HealthSpring | $12.00 | Yes | SC: Anderson, Cherokee, Greenville, Pickens, Spartanburg, Union |
| SD | Aetna Medicare Eagle Classic (PPO) | $1,200.00 | $10,750.00 | H1608 | 061 | Aetna | $0.00 | No | SD: Brookings, Clay, Lake, Lincoln, McCook, Minnehaha, Moody, Turner, Union, Yankton |
| SD | Aetna Medicare Enhanced Classic Extra (PPO) | $0.00 | $10,750.00 | H1608 | 119 | Aetna | $60.00 | Yes | SD: Brookings, Clay, Lake, Lincoln, McCook, Minnehaha, Moody, Turner, Union, Yankton |
| SD | Aetna Medicare Signature Classic (PPO) | $0.00 | $10,750.00 | H1608 | 120 | Aetna | $0.00 | Yes | SD: Brookings, Clay, Lake, Lincoln, McCook, Minnehaha, Moody, Turner, Union, Yankton |
| SD | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 756 | Aetna | $0.00 | Yes | SD: Brookings, Clay, Lake, Lincoln, McCook, Minnehaha, Moody, Turner, Union, Yankton |
| SD | Aetna Medicare Enhanced Extra (PPO) | $0.00 | $10,750.00 | H5521 | 757 | Aetna | $60.00 | Yes | SD: Brookings, Clay, Lake, Lincoln, McCook, Minnehaha, Moody, Turner, Union, Yankton |
| TN | DEVOTED CHOICE GIVEBACK 020 TN (PPO) | $2,280.00 | $14,800.00 | H7028 | 020 | Devoted | $0.00 | Yes | TN: 31 countiesTN: Cannon, Cheatham, Clay, Davidson, DeKalb, Fentress, Giles, Hickman, Houston, Humphreys, Jackson, Lawrence, Lewis, Lincoln, Macon, Marshall, Moore, Overton, Perry, Pickett, Robertson, Smith, Stewart, Sumner, Trousdale, Van Buren, Warren, Wayne, White, Williamson, Wilson |
| TN | DEVOTED CHOICE GIVEBACK 002 TN (PPO) | $1,856.40 | $10,000.00 | H9231 | 002 | Devoted | $0.00 | Yes | TN: 26 countiesTN: Anderson, Bledsoe, Blount, Bradley, Campbell, Claiborne, Cocke, Cumberland, Grainger, Grundy, Hamblen, Hamilton, Jefferson, Knox, Loudon, Marion, Meigs, Monroe, Morgan, Polk, Rhea, Roane, Scott, Sequatchie, Sevier, Union |
| TN | DEVOTED CHOICE GIVEBACK 006 TN (PPO) | $1,856.40 | $11,000.00 | H9231 | 006 | Devoted | $0.00 | Yes | TN: Hancock, Hawkins, Johnson, Sullivan, Unicoi, Washington |
| TN | DEVOTED CHOICE GIVEBACK 012 TN (PPO) | $1,856.40 | $10,000.00 | H9231 | 012 | Devoted | $0.00 | Yes | TN: Benton, Fayette, Hardeman, Haywood, Shelby |
| TN | Aetna Medicare Signature (PPO) | $0.00 | $10,850.00 | H5521 | 254 | Aetna | $0.00 | Yes | TN: 14 countiesTN: Bedford, Cumberland, Fentress, Giles, Grundy, Houston, Macon, Marshall, Pickett, Smith, Stewart, Van Buren, White, Wilson |
| TN | Aetna Medicare Signature Extra (PPO) | $0.00 | $10,850.00 | H5521 | 501 | Aetna | $29.00 | Yes | TN: 64 countiesTN: Bedford, Benton, Bledsoe, Bradley, Cannon, Carroll, Cheatham, Chester, Clay, Coffee, Crockett, Cumberland, Davidson, DeKalb, Decatur, Dickson, Dyer, Fayette, Fentress, Franklin, Gibson, Giles, Grundy, Hardeman, Hardin, Haywood, Henry, Hickman, Houston, Humphreys, Jackson, Lake, Lauderdale, Lawrence, Lewis, Lincoln, Macon, Marion, Marshall, Maury, McNairy, Meigs, Montgomery, Moore, Overton, Perry, Pickett, Polk, Putnam, Rhea, Rutherford, Sequatchie, Shelby, Smith, Stewart, Tipton, Trousdale, Van Buren, Warren, Wayne, Weakley, White, Williamson, Wilson |
| TN | Aetna Medicare Signature (PPO) | $0.00 | $10,850.00 | H5521 | 502 | Aetna | $0.00 | Yes | TN: Shelby |
| TN | DEVOTED CHOICE 022 TN (PPO) | $0.00 | $10,750.00 | H7028 | 022 | Devoted | $0.00 | Yes | TN: 26 countiesTN: Anderson, Bledsoe, Blount, Bradley, Campbell, Claiborne, Cocke, Cumberland, Grainger, Grundy, Hamblen, Hamilton, Jefferson, Knox, Loudon, Marion, Meigs, Monroe, Morgan, Polk, Rhea, Roane, Scott, Sequatchie, Sevier, Union |
| TN | DEVOTED CHOICE 023 TN (PPO) | $0.00 | $10,750.00 | H7028 | 023 | Devoted | $0.00 | Yes | TN: Carter, Hancock, Johnson, Sullivan, Unicoi, Washington |
| TN | DEVOTED CHOICE 024 TN (PPO) | $0.00 | $10,750.00 | H7028 | 024 | Devoted | $0.00 | Yes | TN: Benton, Carroll, Fayette, Hardeman, Haywood, Lake, Lauderdale, Obion, Shelby |
| TN | DEVOTED CHOICE 026 TN (PPO) | $0.00 | $10,750.00 | H7028 | 026 | Devoted | $0.00 | Yes | TN: 31 countiesTN: Cannon, Cheatham, Clay, Davidson, DeKalb, Fentress, Giles, Hickman, Houston, Humphreys, Jackson, Lawrence, Lewis, Lincoln, Macon, Marshall, Moore, Overton, Perry, Pickett, Robertson, Smith, Stewart, Sumner, Trousdale, Van Buren, Warren, Wayne, White, Williamson, Wilson |
| TN | Humana Value Plus H7617-088 (PPO) | $0.00 | $7,400.00 | H7617 | 088 | Humana | $13.70 | Yes | TN: 79 countiesTN: Anderson, Benton, Blount, Bradley, Campbell, Cannon, Carter, Chester, Claiborne, Clay, Cocke, Crockett, Cumberland, DeKalb, Decatur, Dyer, Fayette, Fentress, Franklin, Giles, Grainger, Greene, Grundy, Hamblen, Hamilton, Hancock, Hardeman, Hardin, Hawkins, Haywood, Henderson, Henry, Houston, Humphreys, Jackson, Jefferson, Johnson, Knox, Lake, Lauderdale, Lawrence, Lewis, Loudon, Macon, Marion, Maury, McMinn, McNairy, Meigs, Monroe, Moore, Morgan, Obion, Overton, Perry, Pickett, Polk, Putnam, Rhea, Roane, Rutherford, Scott, Sequatchie, Sevier, Shelby, Smith, Stewart, Sullivan, Tipton, Trousdale, Unicoi, Union, Van Buren, Warren, Washington, Weakley, White, Williamson, Wilson |
| TN | DEVOTED CHOICE 015 TN (PPO) | $0.00 | $8,950.00 | H9231 | 015 | Devoted | $0.00 | Yes | TN: 28 countiesTN: Cannon, Cheatham, Clay, Davidson, Fentress, Giles, Hickman, Houston, Humphreys, Jackson, Lawrence, Lewis, Lincoln, Macon, Marshall, Moore, Perry, Robertson, Rutherford, Smith, Stewart, Sumner, Trousdale, Van Buren, Warren, Wayne, Williamson, Wilson |
| TX | DEVOTED CHOICE MA ONLY 006 TX (PPO) | $1,896.00 | $13,900.00 | H6813 | 006 | Devoted | $0.00 | No | TX: Blanco, Burnet, Caldwell, Gillespie, Hays, Lampasas, Lee, Llano, Mason, Milam, Mills, San Saba, Travis, Williamson |
| TX | Humana Essentials Plus Giveback (PPO) | $1,452.00 | $10,000.00 | H7617 | 041 | Humana | $0.00 | Yes | TX: Cameron, El Paso, Hidalgo, Starr, Webb, Willacy, Zapata |
| TX | Humana USAA Honor Giveback with Rx (PPO) | $1,008.00 | $10,750.00 | H7617 | 042 | Humana | $0.00 | Yes | TX: Atascosa, Bandera, Bexar, Brazoria, Comal, Dallas, Galveston, Guadalupe, Kendall, Medina, Wilson |
| TX | HumanaChoice H0473-003 (PPO) | $0.00 | $12,500.00 | H0473 | 003 | Humana | $118.00 | Yes | TX: Hays, Travis, Williamson |
| TX | HumanaChoice H0473-004 (PPO) | $0.00 | $10,750.00 | H0473 | 004 | Humana | $13.00 | Yes | TX: 36 countiesTX: Andrews, Brooks, Coke, Concho, Crosby, Dawson, DeWitt, Dickens, Duval, Garza, Gillespie, Goliad, Gonzales, Gray, Hale, Hall, Hartley, Hockley, Howard, Hudspeth, Hutchinson, Irion, Jim Hogg, Lamb, Live Oak, Lubbock, Lynn, Midland, Potter, Randall, San Saba, Starr, Terry, Val Verde, Webb, Zapata |
| TX | HumanaChoice H0473-005 (PPO) | $0.00 | $11,900.00 | H0473 | 005 | Humana | $13.00 | Yes | TX: 19 countiesTX: Archer, Cherokee, Clay, Freestone, Grayson, Hopkins, Jackson, Lavaca, Nacogdoches, Navarro, Newton, Panola, Sabine, San Augustine, Somervell, Stephens, Throckmorton, Wichita, Wilbarger |
| TX | Aetna Medicare Signature Extra (PPO) | $0.00 | $10,750.00 | H2293 | 014 | Aetna | $0.00 | Yes | TX: 27 countiesTX: Anderson, Bell, Bosque, Cass, Ellis, Fannin, Gregg, Harrison, Hill, Hood, Hunt, Johnson, Marion, McLennan, Montague, Nacogdoches, Navarro, Parker, Rains, Rockwall, Rusk, Smith, Somervell, Upshur, Van Zandt, Wise, Wood |
| TX | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H2293 | 016 | Aetna | $0.00 | Yes | TX: Brazoria, Fort Bend, Hardin, Harris, Jasper, Montgomery, San Jacinto, Tyler, Walker, Washington |
| TX | Aetna Medicare Signature Extra (PPO) | $0.00 | $10,750.00 | H2293 | 017 | Aetna | $0.00 | Yes | TX: Cameron, Hidalgo, Nueces, Webb, Willacy |
| TX | Aetna Medicare Signature Extra (PPO) | $0.00 | $10,750.00 | H2293 | 019 | Aetna | $0.00 | Yes | TX: Atascosa, Bexar, Comal, Guadalupe, Kendall, Medina, Wilson |
| TX | Aetna Medicare Signature Extra (PPO) | $0.00 | $10,750.00 | H2293 | 026 | Aetna | $25.00 | Yes | TX: Hays, Travis |
| TX | Aetna Medicare Enhanced Extra (PPO) | $0.00 | $10,750.00 | H2293 | 039 | Aetna | $60.00 | Yes | TX: Collin, Dallas, Hunt, Parker, Tarrant, Wise |
| TX | Aetna Medicare Value Plus (PPO) | $0.00 | $10,750.00 | H3288 | 001 | Aetna | $6.00 | Yes | TX: Bexar, Comal |
| TX | Aetna Medicare Value Plus (PPO) | $0.00 | $9,550.00 | H3288 | 002 | Aetna | $5.00 | Yes | TX: Collin, Dallas, Tarrant |
| TX | Aetna Medicare Value Plus (PPO) | $0.00 | $10,750.00 | H3288 | 003 | Aetna | $6.30 | Yes | TX: Harris |
| TX | Aetna Medicare Value Plus (PPO) | $0.00 | $10,750.00 | H3288 | 004 | Aetna | $0.00 | Yes | TX: Hays, Travis |
| TX | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H3288 | 005 | Aetna | $0.00 | Yes | TX: 19 countiesTX: Aransas, Brooks, Dimmit, Duval, Edwards, Frio, Jim Hogg, Jim Wells, Kenedy, Kinney, Kleberg, La Salle, McMullen, Real, Uvalde, Val Verde, Willacy, Zapata, Zavala |
| TX | Aetna Medicare Signature Extra (PPO) | $0.00 | $10,750.00 | H3288 | 006 | Aetna | $0.00 | Yes | TX: 22 countiesTX: Austin, Brazoria, Brazos, Chambers, Fort Bend, Galveston, Grimes, Hardin, Jasper, Jefferson, Liberty, Madison, Matagorda, Montgomery, Newton, Polk, San Jacinto, Tyler, Walker, Waller, Washington, Wharton |
| TX | Aetna Medicare Enhanced (PPO) | $0.00 | $10,750.00 | H3288 | 007 | Aetna | $55.00 | Yes | TX: El Paso, Hudspeth |
| TX | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H3288 | 008 | Aetna | $0.00 | Yes | TX: 41 countiesTX: Anderson, Bell, Bosque, Bowie, Cass, Comanche, Ellis, Erath, Falls, Fannin, Grayson, Gregg, Harrison, Hill, Hood, Houston, Hunt, Johnson, Lamar, Leon, Limestone, Marion, McLennan, Montague, Morris, Nacogdoches, Navarro, Panola, Parker, Rains, Red River, Rockwall, Rusk, San Augustine, Smith, Somervell, Titus, Upshur, Van Zandt, Wise, Wood |
| TX | Aetna Medicare Enhanced (PPO) | $0.00 | $10,750.00 | H3288 | 009 | Aetna | $55.00 | Yes | TX: 15 countiesTX: Cameron, Edwards, Frio, Hidalgo, Kinney, Maverick, McMullen, Nueces, Real, Starr, Uvalde, Val Verde, Webb, Zapata, Zavala |
| TX | Aetna Medicare Signature (PPO) | $0.00 | $9,550.00 | H3288 | 011 | Aetna | $0.00 | Yes | TX: 18 countiesTX: Carson, Crosby, Deaf Smith, Ector, Floyd, Garza, Hale, Hockley, Hutchinson, Lamb, Lubbock, Lynn, Midland, Potter, Randall, Swisher, Terry, Tom Green |
| TX | Aetna Medicare Value Plus (PPO) | $0.00 | $10,750.00 | H3288 | 018 | Aetna | $6.30 | Yes | TX: 22 countiesTX: Austin, Brazoria, Brazos, Chambers, Fort Bend, Galveston, Grimes, Hardin, Jasper, Jefferson, Liberty, Madison, Matagorda, Montgomery, Newton, Polk, San Jacinto, Tyler, Walker, Waller, Washington, Wharton |
| TX | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H3288 | 046 | Aetna | $0.00 | Yes | TX: 22 countiesTX: Atascosa, Bandera, Bee, Caldwell, Calhoun, Fayette, Goliad, Gonzales, Guadalupe, Hays, Jackson, Karnes, Kendall, Kerr, Lavaca, Lee, Live Oak, Medina, Milam, Robertson, Victoria, Wilson |
| TX | Aetna Medicare Enhanced (PPO) | $0.00 | $14,800.00 | H3288 | 047 | Aetna | $65.00 | Yes | TX: Harris |
| TX | Aetna Medicare Value Plus (PPO) | $0.00 | $11,300.00 | H3288 | 048 | Aetna | $0.00 | Yes | TX: 22 countiesTX: Atascosa, Bandera, Bee, Caldwell, Calhoun, Fayette, Goliad, Gonzales, Guadalupe, Hays, Jackson, Karnes, Kendall, Kerr, Lavaca, Lee, Live Oak, Medina, Milam, Robertson, Victoria, Wilson |
| TX | HumanaChoice H7617-027 (PPO) | $0.00 | $13,900.00 | H7617 | 027 | Humana | $48.00 | Yes | TX: 81 countiesTX: Andrews, Archer, Baylor, Blanco, Bosque, Brooks, Brown, Burleson, Camp, Cherokee, Clay, Coke, Colorado, Comanche, Concho, Crosby, Dawson, DeWitt, Dickens, Duval, Erath, Falls, Freestone, Garza, Gillespie, Goliad, Gonzales, Gray, Grimes, Hall, Hamilton, Hartley, Haskell, Hockley, Houston, Hudspeth, Hunt, Hutchinson, Irion, Jack, Jackson, Jim Hogg, Jones, Karnes, Kenedy, Kinney, Lamb, Lampasas, Lavaca, Lee, Leon, Limestone, Live Oak, Lynn, Madison, Marion, McCulloch, Moore, Morris, Newton, Nolan, Panola, Pecos, Rains, Reeves, Robertson, Runnels, Sabine, San Augustine, San Saba, Schleicher, Somervell, Stephens, Terry, Throckmorton, Uvalde, Val Verde, Ward, Wilbarger, Young, Zavala |
| TX | HumanaChoice H7617-029 (PPO) | $0.00 | $11,700.00 | H7617 | 029 | Humana | $13.00 | Yes | TX: Bastrop, Burnet, Hays, McLennan, Travis, Williamson |
| TX | Humana Value Choice (PPO) | $0.00 | $10,100.00 | H7617 | 043 | Humana | $0.00 | Yes | TX: 14 countiesTX: Collin, Franklin, Grayson, Gregg, Harrison, Henderson, Johnson, Navarro, Parker, Rockwall, Shelby, Smith, Upshur, Van Zandt |
| TX | Humana Value Choice (PPO) | $0.00 | $10,750.00 | H7617 | 057 | Humana | $0.00 | Yes | TX: 29 countiesTX: Austin, Bowie, Brazoria, Calhoun, Cass, Delta, Eastland, Fannin, Fayette, Fort Bend, Galveston, Hardin, Harris, Jefferson, Lamar, Liberty, Matagorda, Montgomery, Orange, Palo Pinto, Polk, Red River, San Jacinto, Titus, Trinity, Tyler, Victoria, Washington, Wharton |
| TX | HumanaChoice H7617-059 (PPO) | $0.00 | $13,900.00 | H7617 | 059 | Humana | $23.00 | Yes | TX: 57 countiesTX: Aransas, Armstrong, Atascosa, Bandera, Bee, Bexar, Caldwell, Callahan, Cameron, Carson, Coleman, Collin, Comal, Cooke, Dallas, Deaf Smith, Dimmit, Ector, Edwards, El Paso, Ellis, Frio, Galveston, Grayson, Guadalupe, Hidalgo, Hill, Hood, Howard, Jefferson, Jim Wells, Johnson, Kaufman, Kendall, Kerr, Kleberg, Lubbock, Martin, Maverick, McLennan, Medina, Midland, Montague, Navarro, Nueces, Parker, Potter, Randall, Real, Rockwall, San Patricio, Shackelford, Tarrant, Willacy, Wilson, Wise, Wood |
| TX | HumanaChoice H7617-063 (PPO) | $0.00 | $9,550.00 | H7617 | 063 | Humana | $0.00 | Yes | TX: El Paso |
| TX | Humana Value Choice (PPO) | $0.00 | $10,700.00 | H7617 | 120 | Humana | $0.00 | Yes | TX: Cooke, Dallas, Denton, Ellis, Kaufman, Montague, Tarrant, Wise |
| TX | Humana Value Choice (PPO) | $0.00 | $8,950.00 | H7617 | 123 | Humana | $0.00 | Yes | TX: 21 countiesTX: Aransas, Armstrong, Bandera, Bexar, Cameron, Carson, Comal, Edwards, Guadalupe, Hidalgo, Jim Wells, Kendall, Kerr, Kleberg, Martin, Medina, Nueces, Real, Refugio, Shackelford, Willacy |
| TX | HealthSpring True Choice (PPO) | $0.00 | $10,750.00 | H7849 | 154 | HealthSpring | $0.00 | Yes | TX: 40 countiesTX: Angelina, Atascosa, Bandera, Bexar, Brazoria, Cameron, Collin, Dallas, Denton, El Paso, Fort Bend, Galveston, Gregg, Hardin, Harris, Harrison, Hidalgo, Hood, Jasper, Jefferson, Johnson, Kendall, Liberty, Medina, Montgomery, Nacogdoches, Nueces, Orange, Parker, Polk, Rusk, San Jacinto, Smith, Tarrant, Upshur, Van Zandt, Waller, Willacy, Wilson, Wise |
| UT | Aetna Medicare Elite (PPO) | $24.00 | $9,500.00 | H5521 | 246 | Aetna | $0.00 | Yes | UT: Davis, Salt Lake, Utah |
| UT | DEVOTED CHOICE 001 UT (PPO) | $0.00 | $8,350.00 | H4473 | 001 | Devoted | $0.00 | Yes | UT: Davis, Duchesne, Juab, Morgan, Rich, Salt Lake, Summit, Tooele, Utah, Wasatch, Weber |
| UT | Aetna Medicare Value Plus (PPO) | $0.00 | $10,750.00 | H5521 | 414 | Aetna | $6.50 | Yes | UT: Davis, Salt Lake, Utah |
| UT | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 654 | Aetna | $0.00 | Yes | UT: Davis, Salt Lake, Utah |
| UT | Humana Full Access (PPO) | $0.00 | $5,750.00 | H7617 | 025 | Humana | $39.00 | Yes | UT: Davis, Salt Lake, Utah, Weber |
| UT | Humana Value Choice (PPO) | $0.00 | $7,000.00 | H7617 | 032 | Humana | $0.00 | Yes | UT: Davis, Salt Lake, Utah, Weber |
| UT, WA | HumanaChoice H7617-016 (PPO) | $0.00 | $10,100.00 | H7617 | 016 | Humana | $110.00 | Yes | UT: 23 counties · WA: 36 countiesUT: Beaver, Box Elder, Cache, Davis, Duchesne, Emery, Garfield, Grand, Iron, Juab, Kane, Millard, Morgan, Piute, Rich, Salt Lake, San Juan, Summit, Tooele, Utah, Wasatch, Washington, Weber; WA: Adams, Asotin, Benton, Chelan, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman |
| VA | Aetna Medicare Enhanced (PPO) | $0.00 | $8,900.00 | H5521 | 084 | Aetna | $41.00 | Yes | VA: 67 countiesVA: Accomack, Alleghany, Augusta, Bath, Bland, Botetourt, Brunswick, Buchanan, Buena Vista City, Carroll, Charlotte, Chesapeake City, Covington City, Craig, Danville City, Dickenson, Essex, Floyd, Franklin, Franklin City, Galax City, Giles, Gloucester, Grayson, Halifax, Hampton City, Henry, Highland, Isle of Wight, James City, King and Queen, Lancaster, Lee, Lexington City, Lunenburg, Martinsville City, Mathews, Mecklenburg, Middlesex, Montgomery, Norfolk City, Northampton, Norton City, Patrick, Pittsylvania, Portsmouth City, Pulaski, Radford City, Roanoke, Roanoke City, Rockbridge, Russell, Salem City, Scott, Smyth, Southampton, Suffolk City, Surry, Sussex, Tazewell, Virginia Beach City, Washington, Westmoreland, Williamsburg City, Wise, Wythe, York |
| VA | Aetna Medicare Elite (PPO) | $0.00 | $7,500.00 | H5521 | 395 | Aetna | $0.00 | Yes | VA: 24 countiesVA: Accomack, Chesapeake City, Essex, Franklin City, Gloucester, Hampton City, Isle of Wight, James City, King and Queen, Lancaster, Mathews, Middlesex, Norfolk City, Northampton, Portsmouth City, Richmond, Southampton, Suffolk City, Surry, Sussex, Virginia Beach City, Westmoreland, Williamsburg City, York |
| VA | Aetna Medicare Elite (PPO) | $0.00 | $10,150.00 | H5521 | 650 | Aetna | $92.00 | Yes | VA: 17 countiesVA: Alexandria City, Arlington, Clarke, Fairfax, Fairfax City, Falls Church City, Fauquier, Frederick, Fredericksburg City, Loudoun, Manassas City, Page, Prince William, Rappahannock, Spotsylvania, Stafford, Winchester City |
| VA | Aetna Medicare Premier (PPO) | $0.00 | $8,750.00 | H5521 | 652 | Aetna | $79.00 | Yes | VA: 70 countiesVA: Accomack, Albemarle, Alleghany, Augusta, Bath, Bland, Botetourt, Buchanan, Buena Vista City, Carroll, Charlottesville City, Chesapeake City, Colonial Heights City, Covington City, Craig, Dickenson, Essex, Floyd, Fluvanna, Franklin, Franklin City, Galax City, Giles, Gloucester, Grayson, Greene, Hampton City, Henrico, Highland, Isle of Wight, James City, King and Queen, Lancaster, Lee, Lexington City, Louisa, Madison, Mathews, Middlesex, Montgomery, Nelson, Norfolk City, Northampton, Norton City, Orange, Portsmouth City, Prince George, Pulaski, Radford City, Richmond, Richmond City, Roanoke, Roanoke City, Rockbridge, Russell, Salem City, Scott, Smyth, Southampton, Suffolk City, Surry, Sussex, Tazewell, Virginia Beach City, Washington, Westmoreland, Williamsburg City, Wise, Wythe, York |
| VA | Aetna Medicare Enhanced Plus (PPO) | $0.00 | $10,500.00 | H5521 | 721 | Aetna | $48.00 | Yes | VA: 29 countiesVA: Albemarle, Amelia, Buckingham, Caroline, Charles City, Charlottesville City, Chesterfield, Cumberland, Dinwiddie, Emporia City, Fluvanna, Goochland, Greene, Greensville, Hanover, Hopewell City, King George, King William, Louisa, Madison, Nelson, New Kent, Nottoway, Orange, Petersburg City, Powhatan, Prince George, Staunton City, Waynesboro City |
| VA | HumanaChoice H7617-125 (PPO) | $0.00 | $14,800.00 | H7617 | 125 | Humana | $58.00 | Yes | VA: 92 countiesVA: Albemarle, Alleghany, Amelia, Amherst, Arlington, Augusta, Bland, Botetourt, Brunswick, Buckingham, Caroline, Carroll, Charles City, Charlotte, Charlottesville City, Chesapeake City, Clarke, Covington City, Craig, Culpeper, Cumberland, Danville City, Dinwiddie, Emporia City, Essex, Fairfax City, Floyd, Fluvanna, Franklin, Franklin City, Frederick, Galax City, Gloucester, Goochland, Greene, Greensville, Halifax, Hampton City, Hanover, Henrico, Henry, Highland, Hopewell City, Isle of Wight, James City, King George, King William, King and Queen, Lexington City, Louisa, Lunenburg, Madison, Manassas City, Manassas Park City, Mathews, Mecklenburg, Middlesex, Montgomery, Nelson, Newport News City, Norfolk City, Patrick, Petersburg City, Pittsylvania, Poquoson City, Portsmouth City, Powhatan, Prince George, Pulaski, Radford City, Rappahannock, Richmond, Richmond City, Roanoke, Roanoke City, Rockbridge, Rockingham, Salem City, Southampton, Spotsylvania, Stafford, Staunton City, Suffolk City, Surry, Sussex, Virginia Beach City, Warren, Waynesboro City, Westmoreland, Williamsburg City, Winchester City, York |
| VA | HealthSpring True Choice (PPO) | $0.00 | $10,100.00 | H7849 | 070 | HealthSpring | $6.00 | Yes | VA: 11 countiesVA: Amelia, Charles City, Chesterfield, Colonial Heights City, Dinwiddie, Goochland, Hanover, Henrico, Petersburg City, Powhatan, Richmond City |
| WA | DEVOTED CHOICE GIVEBACK 002 WA (PPO) | $1,716.00 | $13,100.00 | H8917 | 002 | Devoted | $0.00 | Yes | WA: Clark, Cowlitz, Jefferson, Kitsap, Pierce, Skagit, Skamania, Wahkiakum |
| WA | Aetna Medicare Signature (PPO) | $0.00 | $14,800.00 | H5521 | 431 | Aetna | $0.00 | Yes | WA: King, Kitsap, Pierce, Snohomish, Spokane, Thurston |
| WA | Aetna Medicare Enhanced (PPO) | $0.00 | $14,800.00 | H5521 | 686 | Aetna | $68.00 | Yes | WA: Spokane |
| WA | Aetna Medicare Enhanced (PPO) | $0.00 | $13,900.00 | H5521 | 687 | Aetna | $63.00 | Yes | WA: King, Kitsap, Pierce, Snohomish, Thurston |
| WA | DEVOTED CHOICE 001 WA (PPO) | $0.00 | $10,450.00 | H8917 | 001 | Devoted | $0.00 | Yes | WA: Clark, Cowlitz, Jefferson, Kitsap, Pierce, Skagit, Skamania, Wahkiakum |
| WI | Humana Essentials Plus Giveback (PPO) | $468.00 | $10,100.00 | H7617 | 011 | Humana | $0.00 | Yes | WI: 24 countiesWI: Brown, Calumet, Dodge, Fond du Lac, Forest, Kenosha, Kewaunee, Manitowoc, Marinette, Marquette, Menominee, Milwaukee, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Washington, Waukesha, Waupaca, Waushara, Winnebago, Wood |
| WI | Humana Value Choice (PPO) | $0.00 | $6,300.00 | H3642 | 001 | Humana | $0.00 | Yes | WI: 23 countiesWI: Brown, Calumet, Dodge, Forest, Kewaunee, Manitowoc, Marinette, Marquette, Menominee, Milwaukee, Oconto, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Washington, Waukesha, Waupaca, Waushara, Winnebago, Wood |
| WI | Aetna Medicare Enhanced (PPO) | $0.00 | $10,750.00 | H5521 | 150 | Aetna | $40.00 | Yes | WI: Kenosha, Milwaukee, Ozaukee, Racine, Sheboygan, Washington, Waukesha |
| WI | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 195 | Aetna | $0.00 | Yes | WI: 15 countiesWI: Brown, Kenosha, Kewaunee, Manitowoc, Marinette, Milwaukee, Oconto, Outagamie, Ozaukee, Racine, Shawano, Sheboygan, Washington, Waukesha, Winnebago |
| WI | Aetna Medicare Signature (PPO) | $0.00 | $10,750.00 | H5521 | 289 | Aetna | $0.00 | Yes | WI: 17 countiesWI: Adams, Columbia, Dane, Florence, Forest, Green, Iowa, La Crosse, Lafayette, Langlade, Marquette, Monroe, Portage, Rock, Trempealeau, Vernon, Waushara |
| WI | Aetna Medicare Enhanced (PPO) | $0.00 | $10,750.00 | H5521 | 388 | Aetna | $37.00 | Yes | WI: 17 countiesWI: Adams, Columbia, Dane, Florence, Forest, Green, Iowa, La Crosse, Lafayette, Langlade, Marquette, Monroe, Portage, Rock, Trempealeau, Vernon, Waushara |
| WI | Aetna Medicare Value Care (PPO) | $0.00 | $10,750.00 | H5521 | 400 | Aetna | $0.00 | Yes | WI: Kenosha, Milwaukee, Ozaukee, Racine, Sheboygan, Washington, Waukesha |
| WI | Aetna Medicare Signature Extra (PPO) | $0.00 | $10,750.00 | H5521 | 403 | Aetna | $0.00 | Yes | WI: Kenosha, Milwaukee, Ozaukee, Racine, Sheboygan, Washington, Waukesha |
| WI | Humana Full Access (PPO) | $0.00 | $10,000.00 | H7617 | 020 | Humana | $0.00 | Yes | WI: 28 countiesWI: Brown, Calumet, Dodge, Door, Fond du Lac, Forest, Green Lake, Kenosha, Kewaunee, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Oconto, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Washington, Waukesha, Waupaca, Waushara, Winnebago, Wood |
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