HMO/HMOPOS · observed 2026 → 2026 · 75 months of CPSC history · 42 active CY 2026 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| Humana Gold Plus H0028-043 (HMO) H0028/043 | MA-PD | $0 | $3,542 | 3.5 | 21 | 33,232 |
| Humana Gold Plus H0028-030 (HMO) H0028/030 | MA-PD | $0 | $3,400 | 3.5 | 8 | 15,648 |
| Humana Gold Plus H0028-019 (HMO) H0028/019 | MA-PD | $0 | $3,800 | 3.5 | 6 | 15,129 |
| Humana Gold Plus H0028-042 (HMO) H0028/042 | MA-PD | $0 | $3,450 | 3.5 | 9 | 14,517 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) H0028/039 · Chronic or Disabling Condition | SNP | $0 | $3,450 | 3.5 | 19 | 12,186 |
| Humana Gold Plus H0028-053 (HMO) H0028/053 | MA-PD | $0 | $4,251 | 3.5 | 74 | 12,101 |
| Humana Gold Plus H0028-037 (HMO) H0028/037 | MA-PD | $0 | $4,850 | 3.5 | 7 | 11,194 |
| Humana Gold Plus H0028-014 (HMO) H0028/014 | MA-PD | $0 | $2,700 | 3.5 | 23 | 9,927 |
| Humana Gold Plus H0028-072 (HMO) H0028/072 | MA-PD | $0 | $3,400 | 3.5 | 3 | 9,773 |
| Humana Gold Plus H0028-054 (HMO-POS) H0028/054 | MA-PD | $0 | $3,373 | 3.5 | 22 | 8,343 |
| Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP) H0028/032 · Dual-Eligible | SNP | $0 | $9,250 | 3.5 | 48 | 7,590 |
| Humana Gold Plus H0028-041 (HMO) H0028/041 | MA-PD | $0 | $4,250 | 3.5 | 12 | 7,236 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) H0028/060 · Chronic or Disabling Condition | SNP | $0 | $3,400 | 3.5 | 9 | 7,167 |
| Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP) H0028/015 · Dual-Eligible | SNP | $5 | $9,250 | 3.5 | 37 | 6,399 |
| Humana Gold Plus H0028-029 (HMO) H0028/029 | MA-PD | $0 | $3,400 | 3.5 | 6 | 5,754 |
| Humana Gold Plus H0028-082 (HMO) H0028/082 | MA-PD | $0 | $5,900 | 3.5 | 3 | 5,210 |
| Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP) H0028/036 · Dual-Eligible | SNP | $2 | $9,250 | 3.5 | 19 | 4,586 |
| Humana Gold Plus H0028-059 (HMO) H0028/059 | MA-PD | $14 | $3,200 | 3.5 | 13 | 4,320 |
| Humana Gold Plus H0028-035 (HMO) H0028/035 | MA-PD | $0 | $3,350 | 3.5 | 2 | 4,216 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) H0028/051 · Chronic or Disabling Condition | SNP | $0 | $3,300 | 3.5 | 5 | 4,089 |
| Humana Gold Plus Giveback H0028-066 (HMO-POS) H0028/066 | MA-PD | $0 | $4,200 | 3.5 | 13 | 3,756 |
| Humana Gold Plus H0028-017 (HMO) H0028/017 | MA-PD | $18 | $6,800 | 3.5 | 12 | 3,351 |
| Humana Gold Plus Giveback H0028-065 (HMO) H0028/065 | MA-PD | $0 | $4,200 | 3.5 | 23 | 2,005 |
| Humana Gold Plus SNP-DE H0028-080 (HMO D-SNP) H0028/080 · Dual-Eligible | SNP | $42 | $9,250 | 3.5 | 26 | 1,549 |
| Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP) H0028/055 · Chronic or Disabling Condition | SNP | $0 | $3,200 | 3.5 | 5 | 1,362 |
| Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP) H0028/067 · Chronic or Disabling Condition | SNP | $28 | $9,250 | 3.5 | 9 | 1,325 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) H0028/076 · Chronic or Disabling Condition | SNP | $0 | $9,250 | 3.5 | 6 | 1,255 |
| Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP) H0028/007 · Dual-Eligible | SNP | $36 | $9,250 | 3.5 | 26 | 909 |
| Humana Gold Plus H0028-046 (HMO) H0028/046 | MA-PD | $0 | $3,400 | 3.5 | 3 | 828 |
| Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP) H0028/056 · Chronic or Disabling Condition | SNP | $0 | $4,200 | 3.5 | 2 | 808 |
| Humana Gold Plus H0028-070 (HMO) H0028/070 | MA-PD | $14 | $3,400 | 3.5 | 14 | 668 |
| Humana Gold Plus H0028-016 (HMO-POS) H0028/016 | MA-PD | $18 | $7,550 | 3.5 | 22 | 661 |
| Humana Gold Plus H0028-021 (HMO) H0028/021 | MA-PD | $0 | $4,200 | 3.5 | 2 | 0 |
| Humana Gold Plus H0028-024 (HMO) H0028/024 | MA-PD | $0 | $4,900 | 3.5 | 1 | 0 |
| Humana Gold Plus H0028-028 (HMO) H0028/028 | MA-PD | $0 | $5,570 | 3.5 | 3 | 0 |
| Humana Gold Plus H0028-062 (HMO) H0028/062 | MA-PD | $0 | $4,900 | 3.5 | 1 | 0 |
| Humana Essentials Plus Giveback H0028-063 (HMO) H0028/063 | MA-PD | $0 | $6,500 | 3.5 | 7 | 0 |
| Humana Gold Plus H0028-074 (HMO) H0028/074 | MA-PD | $0 | $2,667 | 3.5 | 3 | 0 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) H0028/077 · Chronic or Disabling Condition | SNP | $0 | $9,250 | 3.5 | 1 | 0 |
| Humana Dual Select H0028-078 (HMO D-SNP) H0028/078 · Dual-Eligible | SNP | $0 | $6,500 | 3.5 | 7 | 0 |
| Humana Dual Select H0028-079 (HMO D-SNP) H0028/079 · Dual-Eligible | SNP | $0 | $6,750 | 3.5 | 7 | 0 |
| Humana Total Complete H0028-081 (HMO) H0028/081 | MA-PD | $0 | $4,743 | 3.5 | 15 | 0 |
| ID | Measure | ★ |
|---|---|---|
| C01 | Breast Cancer Screening | 4.0 |
| C02 | Colorectal Cancer Screening | 4.0 |
| C03 | Annual Flu Vaccine | 4.0 |
| C04 | Improving or Maintaining Physical Health | — |
| C05 | Improving or Maintaining Mental Health | — |
| C06 | Monitoring Physical Activity | 4.0 |
| C07 | Special Needs Plan (SNP) Care Management | 4.0 |
| C08 | Care for Older Adults – Medication Review | 5.0 |
| C09 | Care for Older Adults – Pain Assessment | 5.0 |
| C10 | Osteoporosis Management in Women who had a Fracture | 3.0 |
| C11 | Diabetes Care – Eye Exam | 4.0 |
| C12 | Diabetes Care – Blood Sugar Controlled | 4.0 |
| C13 | Kidney Health Evaluation for Patients with Diabetes | 4.0 |
| C14 | Controlling High Blood Pressure | 4.0 |
| C15 | Reducing the Risk of Falling | 2.0 |
| C16 | Improving Bladder Control | 2.0 |
| C17 | Medication Reconciliation Post-Discharge | 5.0 |
| C18 | Plan All-Cause Readmissions | 3.0 |
| C19 | Statin Therapy for Patients with Cardiovascular Disease | 3.0 |
| C20 | Transitions of Care | 4.0 |
| C21 | Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions | 3.0 |
| C22 | Getting Needed Care | 3.0 |
| C23 | Getting Appointments and Care Quickly | 3.0 |
| C24 | Customer Service | 3.0 |
| C25 | Rating of Health Care Quality | 4.0 |
| C26 | Rating of Health Plan | 3.0 |
| C27 | Care Coordination | 2.0 |
| C28 | Complaints about the Health Plan | 4.0 |
| C29 | Members Choosing to Leave the Plan | 3.0 |
| C30 | Health Plan Quality Improvement | 3.0 |
| C31 | Plan Makes Timely Decisions about Appeals | 4.0 |
| C32 | Reviewing Appeals Decisions | 4.0 |
| C33 | Call Center – Foreign Language Interpreter and TTY Availability | 5.0 |
| D01 | Call Center – Foreign Language Interpreter and TTY Availability | 5.0 |
| D02 | Complaints about the Drug Plan | 4.0 |
| D03 | Members Choosing to Leave the Plan | 3.0 |
| D04 | Drug Plan Quality Improvement | 3.0 |
| D05 | Rating of Drug Plan | 3.0 |
| D06 | Getting Needed Prescription Drugs | 3.0 |
| D07 | MPF Price Accuracy | 1.0 |
| D08 | Medication Adherence for Diabetes Medications | 3.0 |
| D09 | Medication Adherence for Hypertension (RAS antagonists) | 3.0 |
| D10 | Medication Adherence for Cholesterol (Statins) | 3.0 |
| D11 | MTM Program Completion Rate for CMR | 4.0 |
| D12 | Statin Use in Persons with Diabetes (SUPD) | 4.0 |
No incoming transitions for this contract.