HMO/HMOPOS · observed 2026 → 2026 · 75 months of CPSC history · 33 active CY 2026 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| CareFree Platinum Giveback (HMO) H1019/104 | MA-PD | $0 | $2,850 | 4.5 | 4 | 22,324 |
| CareNeeds Platinum (HMO D-SNP) H1019/146 · Dual-Eligible | SNP | $0 | $3,400 | 4.5 | 17 | 21,079 |
| CareComplete (HMO C-SNP) H1019/150 · Chronic or Disabling Condition | SNP | $0 | $2,000 | 4.5 | 20 | 15,723 |
| CareNeeds Platinum (HMO D-SNP) H1019/023 · Dual-Eligible | SNP | $0 | $3,400 | 4.5 | 3 | 15,692 |
| CareFree Platinum Giveback (HMO) H1019/138 | MA-PD | $0 | $3,300 | 4.5 | 6 | 8,813 |
| CareComplete Platinum (HMO C-SNP) H1019/147 · Chronic or Disabling Condition | SNP | $0 | $2,440 | 4.5 | 10 | 8,693 |
| CareOne Plus (HMO-POS) H1019/001 | MA-PD | $0 | $2,000 | 4.5 | 2 | 8,477 |
| CareNeeds Extra (HMO D-SNP) H1019/152 · Dual-Eligible | SNP | $0 | $9,250 | 4.5 | 3 | 8,025 |
| CareOne Plus (HMO-POS) H1019/057 | MA-PD | $0 | $2,500 | 4.5 | 6 | 6,511 |
| CareNeeds Plus (HMO D-SNP) H1019/073 · Dual-Eligible | SNP | $0 | $3,400 | 4.5 | 17 | 6,380 |
| CareOne Plus (HMO) H1019/006 | MA-PD | $0 | $500 | 4.5 | 1 | 5,972 |
| CareFree Platinum Giveback (HMO-POS) H1019/135 | MA-PD | $0 | $3,400 | 4.5 | 2 | 5,769 |
| CareFree Platinum Giveback (HMO) H1019/136 | MA-PD | $0 | $3,000 | 4.5 | 1 | 5,346 |
| CareFree Giveback (HMO) H1019/149 | MA-PD | $0 | $3,850 | 4.5 | 6 | 4,445 |
| CareOne Plus (HMO) H1019/103 | MA-PD | $0 | $1,900 | 4.5 | 4 | 4,391 |
| CareNeeds Extra (HMO D-SNP) H1019/153 · Dual-Eligible | SNP | $0 | $9,250 | 4.5 | 17 | 3,481 |
| CareFree Platinum Giveback (HMO) H1019/094 | MA-PD | $0 | $3,900 | 4.5 | 5 | 3,335 |
| CareOne Plus (HMO) H1019/113 | MA-PD | $0 | $3,500 | 4.5 | 5 | 2,367 |
| CareOne Plus (HMO-POS) H1019/043 | MA-PD | $0 | $3,500 | 4.5 | 2 | 2,005 |
| CareBreeze Platinum (HMO C-SNP) H1019/151 · Chronic or Disabling Condition | SNP | $0 | $2,200 | 4.5 | 10 | 1,989 |
| CareFree Platinum Giveback (HMO) H1019/139 | MA-PD | $0 | $4,000 | 4.5 | 2 | 1,903 |
| CareFree Giveback (HMO) H1019/065 | MA-PD | $0 | $5,000 | 4.5 | 2 | 1,311 |
| CareBreeze (HMO C-SNP) H1019/154 · Chronic or Disabling Condition | SNP | $0 | $2,000 | 4.5 | 20 | 1,220 |
| CareComplete Platinum (HMO C-SNP) H1019/121 · Chronic or Disabling Condition | SNP | $0 | $2,000 | 4.5 | 1 | 1,104 |
| CareFree Giveback (HMO) H1019/134 | MA-PD | $0 | $3,850 | 4.5 | 2 | 773 |
| ID | Measure | ★ |
|---|---|---|
| C01 | Breast Cancer Screening | 5.0 |
| C02 | Colorectal Cancer Screening | 4.0 |
| C03 | Annual Flu Vaccine | 1.0 |
| 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 | 4.0 |
| C09 | Care for Older Adults – Pain Assessment | 5.0 |
| C10 | Osteoporosis Management in Women who had a Fracture | 4.0 |
| C11 | Diabetes Care – Eye Exam | 5.0 |
| C12 | Diabetes Care – Blood Sugar Controlled | 4.0 |
| C13 | Kidney Health Evaluation for Patients with Diabetes | 5.0 |
| C14 | Controlling High Blood Pressure | 5.0 |
| C15 | Reducing the Risk of Falling | 4.0 |
| C16 | Improving Bladder Control | 3.0 |
| C17 | Medication Reconciliation Post-Discharge | 5.0 |
| C18 | Plan All-Cause Readmissions | 3.0 |
| C19 | Statin Therapy for Patients with Cardiovascular Disease | 4.0 |
| C20 | Transitions of Care | 3.0 |
| C21 | Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions | 4.0 |
| C22 | Getting Needed Care | 4.0 |
| C23 | Getting Appointments and Care Quickly | 4.0 |
| C24 | Customer Service | 4.0 |
| C25 | Rating of Health Care Quality | 5.0 |
| C26 | Rating of Health Plan | 5.0 |
| C27 | Care Coordination | 3.0 |
| C28 | Complaints about the Health Plan | 4.0 |
| C29 | Members Choosing to Leave the Plan | 3.0 |
| C30 | Health Plan Quality Improvement | 5.0 |
| C31 | Plan Makes Timely Decisions about Appeals | 5.0 |
| C32 | Reviewing Appeals Decisions | 5.0 |
| 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 | 2.0 |
| D05 | Rating of Drug Plan | 5.0 |
| D06 | Getting Needed Prescription Drugs | 2.0 |
| D07 | MPF Price Accuracy | 1.0 |
| D08 | Medication Adherence for Diabetes Medications | 4.0 |
| D09 | Medication Adherence for Hypertension (RAS antagonists) | 4.0 |
| D10 | Medication Adherence for Cholesterol (Statins) | 4.0 |
| D11 | MTM Program Completion Rate for CMR | 5.0 |
| D12 | Statin Use in Persons with Diabetes (SUPD) | 5.0 |