HMO/HMOPOS · observed 2026 → 2026 · 75 months of CPSC history · 86 active CY 2026 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| Humana Gold Plus H1036-335 (HMO-POS) H1036/335 | MA-PD | $0 | $3,911 | 4.5 | 81 | 111,857 |
| Humana Gold Plus Giveback H1036-265 (HMO) H1036/265 | MA-PD | $0 | $2,600 | 4.5 | 9 | 56,304 |
| Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP) H1036/314 · Dual-Eligible | SNP | $0 | $3,400 | 4.5 | 36 | 54,256 |
| Humana Gold Plus H1036-065C (HMO) H1036/065 | MA-PD | $0 | $1,000 | 4.5 | 1 | 48,979 |
| Humana Gold Plus SNP-DE H1036-304 (HMO D-SNP) H1036/304 · Dual-Eligible | SNP | $0 | $3,400 | 4.5 | 3 | 38,119 |
| Humana Gold Plus H1036-054C (HMO) H1036/054 | MA-PD | $0 | $500 | 4.5 | 1 | 33,324 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) H1036/299 · Chronic or Disabling Condition | SNP | $0 | $2,000 | 4.5 | 10 | 27,322 |
| Humana Gold Plus SNP-DE H1036-331 (HMO D-SNP) H1036/331 · Dual-Eligible | SNP | $20 | $9,250 | 4.5 | 96 | 24,496 |
| Humana Gold Plus H1036-062C (HMO) H1036/062 | MA-PD | $0 | $1,625 | 4.5 | 1 | 23,867 |
| Humana Gold Plus Giveback H1036-269 (HMO) H1036/269 | MA-PD | $0 | $3,200 | 4.5 | 6 | 21,043 |
| Humana Gold Plus H1036-333 (HMO) H1036/333 | MA-PD | $0 | $4,900 | 4.5 | 27 | 19,765 |
| Humana Gold Plus H1036-151 (HMO) H1036/151 | MA-PD | $0 | $4,900 | 4.5 | 10 | 19,426 |
| Humana Gold Plus Giveback H1036-305 (HMO) H1036/305 | MA-PD | $0 | $3,850 | 4.5 | 3 | 18,875 |
| Humana Gold Plus Giveback H1036-318 (HMO-POS) H1036/318 | MA-PD | $0 | $9,250 | 4.5 | 40 | 16,894 |
| Humana Gold Plus H1036-025 (HMO) H1036/025 | MA-PD | $0 | $2,000 | 4.5 | 4 | 15,752 |
| Humana Dual Integrated (HMO D-SNP) H1036/339 · Dual-Eligible | SNP | $0 | $9,250 | 4.5 | 8 | 15,333 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) H1036/121 · Chronic or Disabling Condition | SNP | $0 | $2,450 | 4.5 | 3 | 14,265 |
| Humana Gold Plus Giveback H1036-157 (HMO) H1036/157 | MA-PD | $0 | $3,700 | 4.5 | 2 | 13,347 |
| Humana Gold Plus H1036-146 (HMO) H1036/146 | MA-PD | $0 | $2,400 | 4.5 | 6 | 11,641 |
| Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP) H1036/167 · Dual-Eligible | SNP | $14 | $9,250 | 4.5 | 96 | 11,253 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) H1036/308 · Chronic or Disabling Condition | SNP | $0 | $9,250 | 4.5 | 96 | 10,076 |
| Humana Gold Plus H1036-321 (HMO) H1036/321 | MA-PD | $0 | $5,900 | 4.5 | 4 | 10,076 |
| Humana Dual Integrated (HMO D-SNP) H1036/340 · Dual-Eligible | SNP | $0 | $9,250 | 4.5 | 31 | 10,011 |
| Humana Gold Plus H1036-137 (HMO-POS) H1036/137 | MA-PD | $0 | $9,250 | 4.5 | 15 | 9,994 |
| Humana Gold Plus H1036-044 (HMO) H1036/044 | MA-PD | $0 | $2,700 | 4.5 | 2 | 9,541 |
| Humana Gold Plus H1036-068 (HMO) H1036/068 | MA-PD | $0 | $3,300 | 4.5 | 9 | 9,339 |
| Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP) H1036/077 · Dual-Eligible | SNP | $0 | $3,400 | 4.5 | 3 | 9,334 |
| Humana Gold Plus Lung (HMO C-SNP) H1036/312 · Chronic or Disabling Condition | SNP | $0 | $2,000 | 4.5 | 10 | 8,474 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) H1036/306 · Chronic or Disabling Condition | SNP | $0 | $5,500 | 4.5 | 14 | 8,177 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) H1036/300 · Chronic or Disabling Condition | SNP | $0 | $3,100 | 4.5 | 6 | 8,054 |
| Humana Gold Plus Giveback H1036-270 (HMO) H1036/270 | MA-PD | $0 | $3,900 | 4.5 | 9 | 7,205 |
| Humana Gold Plus SNP-DE H1036-328 (HMO D-SNP) H1036/328 · Dual-Eligible | SNP | $24 | $9,250 | 4.5 | 29 | 7,098 |
| Humana Gold Plus H1036-153 (HMO) H1036/153 | MA-PD | $0 | $4,750 | 4.5 | 4 | 6,675 |
| Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP) H1036/102 · Dual-Eligible | SNP | $0 | $1,500 | 4.5 | 10 | 6,535 |
| Humana Community (HMO) H1036/236 | MA-PD | $0 | $4,250 | 4.5 | 1 | 6,452 |
| Humana Dual Select H1036-307 (HMO D-SNP) H1036/307 · Dual-Eligible | SNP | $13 | $9,250 | 4.5 | 96 | 6,041 |
| Humana Gold Plus SNP-DE H1036-320 (HMO D-SNP) H1036/320 · Dual-Eligible | SNP | $38 | $9,250 | 4.5 | 118 | 5,867 |
| Humana Gold Plus H1036-217 (HMO) H1036/217 | MA-PD | $0 | $3,800 | 4.5 | 4 | 5,547 |
| Humana Gold Plus SNP-DE H1036-325 (HMO D-SNP) H1036/325 · Dual-Eligible | SNP | $0 | $9,250 | 4.5 | 2 | 4,738 |
| Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP) H1036/222 · Dual-Eligible | SNP | $24 | $9,250 | 4.5 | 29 | 4,681 |
| Humana Gold Plus SNP-DE H1036-326 (HMO D-SNP) H1036/326 · Dual-Eligible | SNP | $0 | $9,250 | 4.5 | 32 | 4,082 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) H1036/302 · Chronic or Disabling Condition | SNP | $0 | $3,300 | 4.5 | 9 | 4,023 |
| Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP) H1036/213 · Dual-Eligible | SNP | $0 | $3,400 | 4.5 | 6 | 4,016 |
| Humana Gold Plus Giveback H1036-334 (HMO) H1036/334 | MA-PD | $0 | $9,250 | 4.5 | 20 | 3,790 |
| Humana Gold Plus H1036-327 (HMO) H1036/327 | MA-PD | $0 | $5,700 | 4.5 | 19 | 3,665 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) H1036/311 · Chronic or Disabling Condition | SNP | $0 | $3,300 | 4.5 | 4 | 3,641 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) H1036/338 · Chronic or Disabling Condition | SNP | $0 | $3,300 | 4.5 | 19 | 3,497 |
| Humana Gold Plus Giveback H1036-278 (HMO) H1036/278 | MA-PD | $0 | $4,400 | 4.5 | 4 | 3,445 |
| Humana Total Complete H1036-143 (HMO) H1036/143 | MA-PD | $0 | $4,300 | 4.5 | 5 | 3,249 |
| Humana Community HMO SNP-DE (HMO D-SNP) H1036/235 · Dual-Eligible | SNP | $0 | $9,250 | 4.5 | 1 | 3,136 |
| Humana Gold Plus H1036-074 (HMO) H1036/074 | MA-PD | $0 | $3,550 | 4.5 | 3 | 2,659 |
| Humana Gold Plus H1036-229 (HMO) H1036/229 | MA-PD | $0 | $3,800 | 4.5 | 5 | 2,652 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) H1036/336 · Chronic or Disabling Condition | SNP | $0 | $3,300 | 4.5 | 5 | 2,451 |
| Humana Gold Plus Lung (HMO C-SNP) H1036/297 · Chronic or Disabling Condition | SNP | $0 | $2,450 | 4.5 | 3 | 2,330 |
| Humana Essentials Plus Giveback H1036-271 (HMO) H1036/271 | MA-PD | $0 | $6,750 | 4.5 | 4 | 2,319 |
| Humana Community HMO Diabetes and Heart (HMO C-SNP) H1036/234 · Chronic or Disabling Condition | SNP | $0 | $4,250 | 4.5 | 1 | 2,313 |
| Humana Gold Plus H1036-322 (HMO) H1036/322 | MA-PD | $0 | $5,900 | 4.5 | 2 | 2,195 |
| Humana Gold Plus H1036-230 (HMO) H1036/230 | MA-PD | $0 | $2,400 | 4.5 | 3 | 2,105 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) H1036/292 · Chronic or Disabling Condition | SNP | $0 | $3,350 | 4.5 | 5 | 2,052 |
| Humana Gold Plus Giveback H1036-266 (HMO) H1036/266 | MA-PD | $0 | $3,400 | 4.5 | 4 | 2,036 |
| Humana Gold Plus SNP-DE H1036-226 (HMO D-SNP) H1036/226 · Dual-Eligible | SNP | $0 | $6,650 | 4.5 | 5 | 1,914 |
| Humana Gold Plus Giveback H1036-286 (HMO) H1036/286 | MA-PD | $0 | $5,500 | 4.5 | 3 | 1,907 |
| Humana Gold Plus SNP-DE H1036-209 (HMO D-SNP) H1036/209 · Dual-Eligible | SNP | $0 | $3,400 | 4.5 | 2 | 1,868 |
| Humana USAA Honor Giveback (HMO) H1036/119 | MA | — | $3,900 | 4.5 | 10 | 1,834 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) H1036/301 · Chronic or Disabling Condition | SNP | $0 | $3,300 | 4.5 | 2 | 1,636 |
| Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP) H1036/210 · Dual-Eligible | SNP | $0 | $3,400 | 4.5 | 9 | 1,619 |
| Humana Gold Plus Lung (HMO C-SNP) H1036/313 · Chronic or Disabling Condition | SNP | $0 | $3,100 | 4.5 | 6 | 1,515 |
| Humana Gold Plus H1036-233 (HMO-POS) H1036/233 | MA-PD | $0 | $9,250 | 4.5 | 1 | 1,398 |
| Humana USAA Honor Giveback (HMO) H1036/290 | MA | — | $6,700 | 4.5 | 25 | 1,209 |
| Humana Dual Select H1036-329 (HMO D-SNP) H1036/329 · Dual-Eligible | SNP | $24 | $9,250 | 4.5 | 29 | 1,074 |
| Humana Community (HMO) H1036/332 | MA-PD | $0 | $2,400 | 4.5 | 3 | 985 |
| Humana Gold Plus Lung (HMO C-SNP) H1036/310 · Chronic or Disabling Condition | SNP | $0 | $3,300 | 4.5 | 4 | 982 |
| Humana Dual Integrated (HMO D-SNP) H1036/341 · Dual-Eligible | SNP | $0 | $9,250 | 4.5 | 5 | 764 |
| Humana Gold Plus Lung (HMO C-SNP) H1036/316 · Chronic or Disabling Condition | SNP | $0 | $3,300 | 4.5 | 9 | 679 |
| Humana Gold Plus SNP-DE H1036-285 (HMO D-SNP) H1036/285 · Dual-Eligible | SNP | $0 | $3,400 | 4.5 | 4 | 603 |
| Humana USAA Honor Giveback (HMO) H1036/279 | MA | — | $3,400 | 4.5 | 3 | 577 |
| Humana Gold Plus Giveback H1036-319 (HMO) H1036/319 | MA-PD | $0 | $8,800 | 4.5 | 3 | 568 |
| Humana Gold Plus SNP-DE H1036-214 (HMO D-SNP) H1036/214 · Dual-Eligible | SNP | $0 | $3,400 | 4.5 | 3 | 560 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) H1036/317 · Chronic or Disabling Condition | SNP | $0 | $9,250 | 4.5 | 4 | 551 |
| Humana Gold Plus Lung (HMO C-SNP) H1036/315 · Chronic or Disabling Condition | SNP | $0 | $3,300 | 4.5 | 2 | 459 |
| Humana Gold Plus Lung (HMO C-SNP) H1036/298 · Chronic or Disabling Condition | SNP | $0 | $3,350 | 4.5 | 5 | 445 |
| Humana Gold Plus Lung (HMO C-SNP) H1036/337 · Chronic or Disabling Condition | SNP | $0 | $3,300 | 4.5 | 5 | 425 |
| Humana Gold Plus Giveback H1036-323 (HMO) H1036/323 | MA-PD | $0 | $8,800 | 4.5 | 4 | 424 |
| Humana Gold Plus Chronic Kidney Disease (HMO C-SNP) H1036/330 · Chronic or Disabling Condition | SNP | $0 | $9,250 | 4.5 | 9 | 173 |
| Humana Fully Integrated H1036-280 (HMO D-SNP) H1036/280 · Dual-Eligible | SNP | $0 | $3,400 | 4.5 | 21 | 152 |
| Humana Gold Plus SNP-DE H1036-324 (HMO D-SNP) H1036/324 · Dual-Eligible | SNP | $0 | $9,250 | 4.5 | 34 | 128 |
| ID | Measure | ★ |
|---|---|---|
| C01 | Breast Cancer Screening | 4.0 |
| C02 | Colorectal Cancer Screening | 5.0 |
| C03 | Annual Flu Vaccine | 2.0 |
| C04 | Improving or Maintaining Physical Health | 3.0 |
| C05 | Improving or Maintaining Mental Health | 1.0 |
| C06 | Monitoring Physical Activity | 3.0 |
| 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 | 4.0 |
| C15 | Reducing the Risk of Falling | 3.0 |
| 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 | 4.0 |
| 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 | 4.0 |
| 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 | 4.0 |
| C30 | Health Plan Quality Improvement | 4.0 |
| C31 | Plan Makes Timely Decisions about Appeals | 4.0 |
| 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 | 4.0 |
| D04 | Drug Plan Quality Improvement | 3.0 |
| D05 | Rating of Drug Plan | 5.0 |
| D06 | Getting Needed Prescription Drugs | 4.0 |
| 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 | 3.0 |
| D12 | Statin Use in Persons with Diabetes (SUPD) | 4.0 |