HMO/HMOPOS · observed 2026 → 2026 · 75 months of CPSC history · 24 active CY 2025 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| Wellcare Dual Liberty (HMO D-SNP) H1032/175 · Dual-Eligible | SNP | $19 | $9,350 | 3.5 | 66 | 9,730 |
| Wellcare Dual Access (HMO D-SNP) H1032/124 · Dual-Eligible | SNP | $18 | $9,350 | 3.5 | 66 | 8,404 |
| Wellcare Simple (HMO) H1032/213 | MA-PD | $0 | $2,000 | 3.5 | 3 | 7,039 |
| Wellcare Simple (HMO) H1032/201 | MA-PD | $0 | $1,200 | 3.5 | 6 | 4,348 |
| Wellcare Giveback (HMO) H1032/200 | MA-PD | $0 | $5,000 | 3.5 | 6 | 3,568 |
| Wellcare Dual Reserve (HMO D-SNP) H1032/202 · Dual-Eligible | SNP | $20 | $1,500 | 3.5 | 66 | 3,237 |
| Wellcare Simple (HMO) H1032/205 | MA-PD | $0 | $2,500 | 3.5 | 5 | 2,921 |
| Wellcare Giveback (HMO) H1032/212 | MA-PD | $0 | $5,000 | 3.5 | 3 | 2,395 |
| Wellcare Simple (HMO) H1032/194 | MA-PD | $0 | $2,600 | 3.5 | 6 | 2,101 |
| Wellcare Giveback (HMO) H1032/193 | MA-PD | $0 | $5,000 | 3.5 | 6 | 1,774 |
| Wellcare Simple (HMO) H1032/192 | MA-PD | $0 | $3,400 | 3.5 | 13 | 1,632 |
| Wellcare Simple (HMO) H1032/199 | MA-PD | $0 | $2,900 | 3.5 | 11 | 1,516 |
| Wellcare Giveback (HMO) H1032/195 | MA-PD | $0 | $5,000 | 3.5 | 2 | 1,287 |
| Wellcare Simple (HMO) H1032/196 | MA-PD | $0 | $1,400 | 3.5 | 2 | 1,186 |
| Wellcare Giveback (HMO) H1032/191 | MA-PD | $0 | $6,700 | 3.5 | 29 | 1,080 |
| Wellcare Simple (HMO) H1032/211 | MA-PD | $0 | $2,500 | 3.5 | 2 | 985 |
| Wellcare Simple (HMO) H1032/218 | MA-PD | $0 | $3,500 | 3.5 | 12 | 964 |
| Wellcare Giveback (HMO) H1032/198 | MA-PD | $0 | $5,000 | 3.5 | 9 | 867 |
| Wellcare Giveback (HMO) H1032/204 | MA-PD | $0 | $5,000 | 3.5 | 5 | 857 |
| Wellcare Giveback (HMO) H1032/210 | MA-PD | $0 | $5,000 | 3.5 | 2 | 677 |
| Wellcare Patriot Giveback (HMO) H1032/239 | MA | — | $4,500 | 3.5 | 31 | 547 |
| Wellcare Patriot Giveback (HMO) H1032/238 | MA | — | $6,000 | 3.5 | 35 | 515 |
| Wellcare Simple (HMO) H1032/190 | MA-PD | $0 | $3,800 | 3.5 | 5 | 477 |
| Wellcare Simple (HMO) H1032/237 | MA-PD | $0 | $700 | 3.5 | 1 | 412 |
| ID | Measure | ★ |
|---|---|---|
| C01 | Breast Cancer Screening | 4.0 |
| C02 | Colorectal Cancer Screening | 3.0 |
| C03 | Annual Flu Vaccine | 2.0 |
| C04 | Monitoring Physical Activity | 3.0 |
| C05 | Special Needs Plan (SNP) Care Management | 3.0 |
| C06 | Care for Older Adults � Medication Review | 4.0 |
| C07 | Care for Older Adults � Pain Assessment | 4.0 |
| C08 | Osteoporosis Management in Women who had a Fracture | 2.0 |
| C09 | Diabetes Care � Eye Exam | 5.0 |
| C10 | Diabetes Care � Blood Sugar Controlled | 3.0 |
| C11 | Controlling High Blood Pressure | 3.0 |
| C12 | Reducing the Risk of Falling | 3.0 |
| C13 | Improving Bladder Control | — |
| C14 | Medication Reconciliation Post-Discharge | 4.0 |
| C15 | Plan All-Cause Readmissions | 3.0 |
| C16 | Statin Therapy for Patients with Cardiovascular Disease | 3.0 |
| C17 | Transitions of Care | 3.0 |
| C18 | Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions | 4.0 |
| C19 | Getting Needed Care | 4.0 |
| C20 | Getting Appointments and Care Quickly | 4.0 |
| C21 | Customer Service | 4.0 |
| C22 | Rating of Health Care Quality | — |
| C23 | Rating of Health Plan | 2.0 |
| C24 | Care Coordination | — |
| C25 | Complaints about the Health Plan | 4.0 |
| C26 | Members Choosing to Leave the Plan | 2.0 |
| C27 | Health Plan Quality Improvement | 5.0 |
| C28 | Plan Makes Timely Decisions about Appeals | 3.0 |
| C29 | Reviewing Appeals Decisions | 3.0 |
| C30 | Call Center � Foreign Language Interpreter and TTY Availability | 4.0 |
| 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 | 4.0 |
| D05 | Rating of Drug Plan | 4.0 |
| D06 | Getting Needed Prescription Drugs | — |
| D07 | MPF Price Accuracy | 3.0 |
| 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 |