HMO/HMOPOS · observed 2026 → 2026 · 75 months of CPSC history · 19 active CY 2025 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| Solis Guardian Plan (HMO D-SNP) H0982/002 · Dual-Eligible | SNP | $20 | $3,400 | 4.0 | 1 | 7,542 |
| Solis Balanced Plan (HMO C-SNP) H0982/027 · Chronic or Disabling Condition | SNP | $0 | $2,500 | 4.0 | 1 | 1,913 |
| Solis Wellness Plan (HMO C-SNP) H0982/016 · Chronic or Disabling Condition | SNP | $0 | $2,500 | 4.0 | 1 | 1,361 |
| Solis Healthy Living Plan (HMO) H0982/022 | MA-PD | $0 | $2,500 | 4.0 | 1 | 1,273 |
| Solis Guardian Plan (HMO D-SNP) H0982/012 · Dual-Eligible | SNP | $20 | $3,400 | 4.0 | 1 | 978 |
| Solis Healthy Living Plan (HMO) H0982/007 | MA-PD | $0 | $2,900 | 4.0 | 1 | 366 |
| Solis Wellness Plan (HMO C-SNP) H0982/017 · Chronic or Disabling Condition | SNP | $0 | $2,900 | 4.0 | 1 | 332 |
| Solis Guardian Plan (HMO D-SNP) H0982/025 · Dual-Eligible | SNP | $20 | $3,400 | 4.0 | 3 | 156 |
| Solis Guardian Plan (HMO D-SNP) H0982/010 · Dual-Eligible | SNP | $20 | $3,400 | 4.0 | 3 | 123 |
| Solis Guardian Plan (HMO D-SNP) H0982/013 · Dual-Eligible | SNP | $20 | $3,400 | 4.0 | 1 | 94 |
| Solis Healthy Living Plan (HMO) H0982/024 | MA-PD | $0 | $2,900 | 4.0 | 3 | 75 |
| Solis Healthy Living Plan (HMO) H0982/008 | MA-PD | $0 | $2,900 | 4.0 | 1 | 52 |
| Solis Wellness Plan (HMO C-SNP) H0982/026 · Chronic or Disabling Condition | SNP | $0 | $2,900 | 4.0 | 3 | 49 |
| Solis Wellness Plan (HMO C-SNP) H0982/018 · Chronic or Disabling Condition | SNP | $0 | $2,900 | 4.0 | 1 | 45 |
| Solis Healthy Living Plan (HMO) H0982/009 | MA-PD | $0 | $2,500 | 4.0 | 3 | 35 |
| Solis Wellness Plan (HMO C-SNP) H0982/019 · Chronic or Disabling Condition | SNP | $0 | $2,500 | 4.0 | 3 | 30 |
| Solis Guardian Plan (HMO D-SNP) H0982/023 · Dual-Eligible | SNP | $20 | $3,400 | 4.0 | 1 | 29 |
| Solis Wellness Plan (HMO C-SNP) H0982/021 · Chronic or Disabling Condition | SNP | $0 | $2,500 | 4.0 | 1 | 27 |
| Solis Healthy Living Plan (HMO) H0982/020 | MA-PD | $0 | $2,500 | 4.0 | 1 | 18 |
| ID | Measure | ★ |
|---|---|---|
| C01 | Breast Cancer Screening | 4.0 |
| C02 | Colorectal Cancer Screening | 3.0 |
| C03 | Annual Flu Vaccine | 1.0 |
| C04 | Monitoring Physical Activity | 5.0 |
| C05 | Special Needs Plan (SNP) Care Management | 1.0 |
| C06 | Care for Older Adults � Medication Review | 4.0 |
| C07 | Care for Older Adults � Pain Assessment | 5.0 |
| C08 | Osteoporosis Management in Women who had a Fracture | — |
| C09 | Diabetes Care � Eye Exam | 4.0 |
| C10 | Diabetes Care � Blood Sugar Controlled | 3.0 |
| C11 | Controlling High Blood Pressure | 5.0 |
| C12 | Reducing the Risk of Falling | 4.0 |
| C13 | Improving Bladder Control | — |
| C14 | Medication Reconciliation Post-Discharge | 3.0 |
| C15 | Plan All-Cause Readmissions | — |
| C16 | Statin Therapy for Patients with Cardiovascular Disease | 5.0 |
| C17 | Transitions of Care | 1.0 |
| C18 | Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions | 2.0 |
| C19 | Getting Needed Care | 5.0 |
| C20 | Getting Appointments and Care Quickly | 5.0 |
| C21 | Customer Service | 5.0 |
| C22 | Rating of Health Care Quality | 5.0 |
| C23 | Rating of Health Plan | 5.0 |
| C24 | Care Coordination | 5.0 |
| C25 | Complaints about the Health Plan | 2.0 |
| C26 | Members Choosing to Leave the Plan | 2.0 |
| C27 | Health Plan Quality Improvement | 5.0 |
| C28 | Plan Makes Timely Decisions about Appeals | — |
| C29 | Reviewing Appeals Decisions | — |
| C30 | Call Center � Foreign Language Interpreter and TTY Availability | 3.0 |
| D01 | Call Center � Foreign Language Interpreter and TTY Availability | 2.0 |
| D02 | Complaints about the Drug Plan | 2.0 |
| D03 | Members Choosing to Leave the Plan | 2.0 |
| D04 | Drug Plan Quality Improvement | 3.0 |
| D05 | Rating of Drug Plan | 5.0 |
| D06 | Getting Needed Prescription Drugs | — |
| D07 | MPF Price Accuracy | 5.0 |
| D08 | Medication Adherence for Diabetes Medications | 5.0 |
| 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) | 5.0 |