HMO/HMOPOS · observed 2026 → 2026 · 75 months of CPSC history · 23 active CY 2026 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| Wellcare Sunshine Health Dual Align (HMO D-SNP) H1032/245 · Dual-Eligible | SNP | $5 | $9,250 | 4.0 | 25 | 9,022 |
| Wellcare Dual Access Sync (HMO D-SNP) H1032/244 · Dual-Eligible | SNP | $5 | $9,250 | 4.0 | 25 | 6,500 |
| Wellcare Simple (HMO) H1032/213 | MA-PD | $0 | $2,000 | 4.0 | 3 | 6,351 |
| Wellcare Simple (HMO) H1032/201 | MA-PD | $0 | $2,500 | 4.0 | 6 | 4,065 |
| Wellcare Giveback (HMO) H1032/200 | MA-PD | $0 | $7,200 | 4.0 | 6 | 3,301 |
| Wellcare Dual Reserve (HMO D-SNP) H1032/202 · Dual-Eligible | SNP | $5 | $3,000 | 4.0 | 66 | 2,811 |
| Wellcare Simple (HMO) H1032/205 | MA-PD | $0 | $2,500 | 4.0 | 5 | 2,698 |
| Wellcare Giveback (HMO) H1032/212 | MA-PD | $0 | $7,200 | 4.0 | 3 | 2,136 |
| Wellcare Simple (HMO) H1032/194 | MA-PD | $0 | $3,500 | 4.0 | 6 | 1,817 |
| Wellcare Giveback (HMO) H1032/195 | MA-PD | $0 | $5,000 | 4.0 | 3 | 1,609 |
| Wellcare Giveback (HMO) H1032/193 | MA-PD | $0 | $7,200 | 4.0 | 6 | 1,434 |
| Wellcare Simple (HMO) H1032/199 | MA-PD | $0 | $3,000 | 4.0 | 11 | 1,404 |
| Wellcare Simple (HMO) H1032/196 | MA-PD | $0 | $2,500 | 4.0 | 2 | 1,245 |
| Wellcare Simple (HMO) H1032/211 | MA-PD | $0 | $2,900 | 4.0 | 2 | 933 |
| Wellcare Giveback (HMO) H1032/198 | MA-PD | $0 | $7,200 | 4.0 | 9 | 749 |
| Wellcare Sunshine Health Dual Align (HMO D-SNP) H1032/242 · Dual-Eligible | SNP | $5 | $9,250 | 4.0 | 30 | 732 |
| Wellcare Dual Access Sync (HMO D-SNP) H1032/240 · Dual-Eligible | SNP | $5 | $9,250 | 4.0 | 30 | 718 |
| Wellcare Giveback (HMO) H1032/204 | MA-PD | $0 | $7,200 | 4.0 | 5 | 677 |
| Wellcare Giveback (HMO) H1032/210 | MA-PD | $0 | $7,200 | 4.0 | 2 | 639 |
| Wellcare Patriot Giveback (HMO) H1032/239 | MA | — | $5,000 | 4.0 | 36 | 631 |
| Wellcare Simple (HMO) H1032/237 | MA-PD | $0 | $1,000 | 4.0 | 1 | 371 |
| Wellcare Sunshine Health Dual Align (HMO D-SNP) H1032/243 · Dual-Eligible | SNP | $5 | $9,250 | 4.0 | 11 | 286 |
| Wellcare Dual Access Sync (HMO D-SNP) H1032/241 · Dual-Eligible | SNP | $5 | $9,250 | 4.0 | 11 | 240 |
| ID | Measure | ★ |
|---|---|---|
| C01 | Breast Cancer Screening | 4.0 |
| C02 | Colorectal Cancer Screening | 4.0 |
| C03 | Annual Flu Vaccine | 3.0 |
| C04 | Improving or Maintaining Physical Health | — |
| C05 | Improving or Maintaining Mental Health | — |
| 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 | 4.0 |
| C10 | Osteoporosis Management in Women who had a Fracture | 2.0 |
| 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 | 4.0 |
| C15 | Reducing the Risk of Falling | 2.0 |
| C16 | Improving Bladder Control | — |
| 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 | 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 | 3.0 |
| C26 | Rating of Health Plan | 4.0 |
| C27 | Care Coordination | 3.0 |
| C28 | Complaints about the Health Plan | 4.0 |
| C29 | Members Choosing to Leave the Plan | 2.0 |
| C30 | Health Plan Quality Improvement | 5.0 |
| C31 | Plan Makes Timely Decisions about Appeals | 3.0 |
| 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 | 2.0 |
| D04 | Drug Plan Quality Improvement | 3.0 |
| D05 | Rating of Drug Plan | 4.0 |
| D06 | Getting Needed Prescription Drugs | — |
| D07 | MPF Price Accuracy | 5.0 |
| D08 | Medication Adherence for Diabetes Medications | 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) | 4.0 |
No incoming transitions for this contract.