Local PPO · observed 2026 → 2026 · 75 months of CPSC history · 14 active CY 2026 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| UHC Dual Complete NM-S1 (PPO D-SNP) H0294/050 · Dual-Eligible | SNP | $0 | $9,250 | 3.5 | 33 | 19,030 |
| AARP Medicare Advantage from UHC MI-0001 (PPO) H0294/017 | MA-PD | $0 | $6,700 | 3.5 | 49 | 9,753 |
| UHC Complete Care WI-1 (PPO C-SNP) H0294/002 · Chronic or Disabling Condition | SNP | $0 | $6,700 | 3.5 | 38 | 7,548 |
| AARP Medicare Advantage from UHC WI-6 (PPO) H0294/015 | MA-PD | $50 | $6,700 | 3.5 | 22 | 5,520 |
| UHC Complete Care Support MI-3 (PPO C-SNP) H0294/048 · Chronic or Disabling Condition | SNP | $9 | $6,700 | 3.5 | 49 | 4,114 |
| AARP Medicare Advantage from UHC MI-0002 (PPO) H0294/018 | MA-PD | $64 | $5,400 | 3.5 | 49 | 3,899 |
| UHC Dual Complete WI-D001 (PPO D-SNP) H0294/027 · Dual-Eligible | SNP | $9 | $9,250 | 3.5 | 72 | 3,638 |
| AARP Medicare Advantage from UHC WI-0002 (PPO) H0294/004 | MA-PD | $95 | $6,700 | 3.5 | 38 | 3,424 |
| AARP Medicare Advantage from UHC WI-0007 (PPO) H0294/016 | MA-PD | $89 | $6,700 | 3.5 | 10 | 2,579 |
| AARP Medicare Advantage Patriot No Rx WI-MA01 (PPO) H0294/014 | MA | — | $6,700 | 3.5 | 41 | 1,774 |
| UHC Dual Complete NM-Y1 (PPO D-SNP) H0294/049 · Dual-Eligible | SNP | $0 | $9,250 | 3.5 | 33 | 1,460 |
| AARP Medicare Advantage Patriot No Rx MI-MA01 (PPO) H0294/022 | MA | — | $6,700 | 3.5 | 49 | 1,097 |
| UHC Dual Complete NM-V1 (PPO D-SNP) H0294/051 · Dual-Eligible | SNP | $0 | $4,900 | 3.5 | 33 | 636 |
| AARP Medicare Advantage from UHC CA-0024 (PPO) H0294/032 | MA-PD | $120 | $6,700 | 3.5 | 1 | 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 | 2.0 |
| C05 | Improving or Maintaining Mental Health | 4.0 |
| C06 | Monitoring Physical Activity | 3.0 |
| 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 | 2.0 |
| 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 | 1.0 |
| C16 | Improving Bladder Control | 3.0 |
| C17 | Medication Reconciliation Post-Discharge | 3.0 |
| C18 | Plan All-Cause Readmissions | 3.0 |
| C19 | Statin Therapy for Patients with Cardiovascular Disease | 3.0 |
| C20 | Transitions of Care | 2.0 |
| 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 | — |
| C25 | Rating of Health Care Quality | 2.0 |
| C26 | Rating of Health Plan | 2.0 |
| C27 | Care Coordination | 3.0 |
| C28 | Complaints about the Health Plan | 4.0 |
| C29 | Members Choosing to Leave the Plan | 4.0 |
| C30 | Health Plan Quality Improvement | 3.0 |
| C31 | Plan Makes Timely Decisions about Appeals | 5.0 |
| 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 | 4.0 |
| D04 | Drug Plan Quality Improvement | 1.0 |
| D05 | Rating of Drug Plan | 2.0 |
| D06 | Getting Needed Prescription Drugs | 3.0 |
| D07 | MPF Price Accuracy | 5.0 |
| D08 | Medication Adherence for Diabetes Medications | 3.0 |
| D09 | Medication Adherence for Hypertension (RAS antagonists) | 4.0 |
| D10 | Medication Adherence for Cholesterol (Statins) | 4.0 |
| D11 | MTM Program Completion Rate for CMR | 3.0 |
| D12 | Statin Use in Persons with Diabetes (SUPD) | 3.0 |
No incoming transitions for this contract.