HMO/HMOPOS · observed 2026 → 2026 · 75 months of CPSC history · 24 active CY 2026 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| Solis Guardian Plan (HMO D-SNP) H0982/002 · Dual-Eligible | SNP | $0 | $3,400 | 3.5 | 1 | 8,797 |
| Solis Wellness Giveback Plan (HMO C-SNP) H0982/028 · Chronic or Disabling Condition | SNP | $0 | $2,500 | 3.5 | 1 | 2,456 |
| Solis Balanced Plan (HMO C-SNP) H0982/027 · Chronic or Disabling Condition | SNP | $3 | $2,500 | 3.5 | 1 | 1,575 |
| Solis Wellness Plan (HMO C-SNP) H0982/016 · Chronic or Disabling Condition | SNP | $0 | $2,500 | 3.5 | 1 | 1,395 |
| Solis Healthy Living Plan (HMO) H0982/022 | MA-PD | $0 | $2,500 | 3.5 | 1 | 1,320 |
| Solis Guardian Plan (HMO D-SNP) H0982/012 · Dual-Eligible | SNP | $5 | $3,400 | 3.5 | 1 | 1,254 |
| Solis Healthy Living Plan (HMO) H0982/007 | MA-PD | $0 | $2,900 | 3.5 | 1 | 659 |
| Solis Wellness Giveback Plan (HMO C-SNP) H0982/030 · Chronic or Disabling Condition | SNP | $0 | $3,400 | 3.5 | 2 | 610 |
| Solis Guardian Plan (HMO D-SNP) H0982/025 · Dual-Eligible | SNP | $5 | $3,400 | 3.5 | 3 | 453 |
| Solis Wellness Giveback Plan (HMO C-SNP) H0982/033 · Chronic or Disabling Condition | SNP | $0 | $3,400 | 3.5 | 3 | 431 |
| Solis Wellness Plan (HMO C-SNP) H0982/017 · Chronic or Disabling Condition | SNP | $0 | $2,900 | 3.5 | 1 | 393 |
| Solis Guardian Plan (HMO D-SNP) H0982/010 · Dual-Eligible | SNP | $5 | $3,400 | 3.5 | 3 | 218 |
| Solis Wellness Giveback Plan (HMO C-SNP) H0982/031 · Chronic or Disabling Condition | SNP | $0 | $2,700 | 3.5 | 3 | 170 |
| Solis Healthy Living Plan (HMO) H0982/024 | MA-PD | $0 | $2,900 | 3.5 | 3 | 128 |
| Solis Guardian Plan (HMO D-SNP) H0982/013 · Dual-Eligible | SNP | $5 | $3,400 | 3.5 | 1 | 124 |
| Solis Wellness Giveback Plan (HMO C-SNP) H0982/032 · Chronic or Disabling Condition | SNP | $0 | $3,400 | 3.5 | 1 | 92 |
| Solis Guardian Plan (HMO D-SNP) H0982/023 · Dual-Eligible | SNP | $5 | $3,400 | 3.5 | 1 | 83 |
| Solis Wellness Plan (HMO C-SNP) H0982/026 · Chronic or Disabling Condition | SNP | $0 | $2,900 | 3.5 | 3 | 82 |
| Solis Healthy Living Plan (HMO) H0982/008 | MA-PD | $0 | $2,900 | 3.5 | 1 | 68 |
| Solis Healthy Living Plan (HMO) H0982/009 | MA-PD | $0 | $2,900 | 3.5 | 3 | 58 |
| Solis Wellness Plan (HMO C-SNP) H0982/018 · Chronic or Disabling Condition | SNP | $0 | $2,900 | 3.5 | 1 | 42 |
| Solis Wellness Plan (HMO C-SNP) H0982/019 · Chronic or Disabling Condition | SNP | $0 | $2,500 | 3.5 | 3 | 29 |
| Solis Healthy Living Plan (HMO) H0982/020 | MA-PD | $0 | $2,500 | 3.5 | 1 | 28 |
| Solis Wellness Plan (HMO C-SNP) H0982/021 · Chronic or Disabling Condition | SNP | $0 | $2,500 | 3.5 | 1 | 28 |
| ID | Measure | ★ |
|---|---|---|
| C01 | Breast Cancer Screening | 5.0 |
| C02 | Colorectal Cancer Screening | 5.0 |
| C03 | Annual Flu Vaccine | 1.0 |
| C04 | Improving or Maintaining Physical Health | — |
| C05 | Improving or Maintaining Mental Health | — |
| C06 | Monitoring Physical Activity | 5.0 |
| C07 | Special Needs Plan (SNP) Care Management | 5.0 |
| C08 | Care for Older Adults – Medication Review | 4.0 |
| C09 | Care for Older Adults – Pain Assessment | 5.0 |
| C10 | Osteoporosis Management in Women who had a Fracture | — |
| C11 | Diabetes Care – Eye Exam | 4.0 |
| C12 | Diabetes Care – Blood Sugar Controlled | 3.0 |
| C13 | Kidney Health Evaluation for Patients with Diabetes | 5.0 |
| C14 | Controlling High Blood Pressure | 5.0 |
| C15 | Reducing the Risk of Falling | 5.0 |
| C16 | Improving Bladder Control | — |
| C17 | Medication Reconciliation Post-Discharge | 4.0 |
| C18 | Plan All-Cause Readmissions | 3.0 |
| C19 | Statin Therapy for Patients with Cardiovascular Disease | 5.0 |
| 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 | — |
| C24 | Customer Service | 4.0 |
| C25 | Rating of Health Care Quality | 5.0 |
| C26 | Rating of Health Plan | 4.0 |
| C27 | Care Coordination | 5.0 |
| C28 | Complaints about the Health Plan | 3.0 |
| C29 | Members Choosing to Leave the Plan | 2.0 |
| C30 | Health Plan Quality Improvement | 3.0 |
| C31 | Plan Makes Timely Decisions about Appeals | — |
| C32 | Reviewing Appeals Decisions | — |
| C33 | Call Center – Foreign Language Interpreter and TTY Availability | 3.0 |
| D01 | Call Center – Foreign Language Interpreter and TTY Availability | 3.0 |
| D02 | Complaints about the Drug Plan | 3.0 |
| D03 | Members Choosing to Leave the Plan | 2.0 |
| D04 | Drug Plan Quality Improvement | 2.0 |
| D05 | Rating of Drug Plan | 4.0 |
| D06 | Getting Needed Prescription Drugs | — |
| D07 | MPF Price Accuracy | 5.0 |
| D08 | Medication Adherence for Diabetes Medications | 3.0 |
| D09 | Medication Adherence for Hypertension (RAS antagonists) | 3.0 |
| D10 | Medication Adherence for Cholesterol (Statins) | 2.0 |
| D11 | MTM Program Completion Rate for CMR | 4.0 |
| D12 | Statin Use in Persons with Diabetes (SUPD) | 5.0 |