HMO/HMOPOS · observed 2026 → 2026 · 75 months of CPSC history · 49 active CY 2026 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| Aetna Medicare Signature (HMO-POS) H1609/001 | MA-PD | $0 | $4,300 | 4.5 | 68 | 35,346 |
| Aetna Medicare Dual Select (HMO D-SNP) H1609/043 · Dual-Eligible | SNP | $0 | $9,250 | 4.5 | 2 | 12,319 |
| Aetna Medicare Select (HMO) H1609/018 | MA-PD | $0 | $2,900 | 4.5 | 1 | 9,197 |
| Aetna Medicare Value Care (HMO-POS) H1609/068 | MA-PD | $41 | $3,900 | 4.5 | 93 | 8,085 |
| Aetna Medicare Dual Select (HMO D-SNP) H1609/044 · Dual-Eligible | SNP | $5 | $9,250 | 4.5 | 4 | 4,157 |
| Aetna Medicare Select (HMO) H1609/027 | MA-PD | $0 | $3,300 | 4.5 | 4 | 3,944 |
| Aetna Medicare Select Extra (HMO-POS) H1609/028 | MA-PD | $0 | $6,750 | 4.5 | 17 | 3,748 |
| Aetna Medicare Select (HMO) H1609/021 | MA-PD | $0 | $3,300 | 4.5 | 7 | 3,723 |
| Aetna Medicare Full Dual Select (HMO D-SNP) H1609/073 · Dual-Eligible | SNP | $1 | $9,250 | 4.5 | 2 | 3,654 |
| Aetna Medicare Signature Extra (HMO-POS) H1609/069 | MA-PD | $0 | $5,000 | 4.5 | 67 | 3,192 |
| Aetna Medicare Select (HMO) H1609/025 | MA-PD | $0 | $3,400 | 4.5 | 2 | 3,146 |
| Aetna Medicare Dual Select (HMO D-SNP) H1609/048 · Dual-Eligible | SNP | $5 | $9,250 | 4.5 | 1 | 2,705 |
| Aetna Medicare Select (HMO) H1609/093 | MA-PD | $0 | $2,900 | 4.5 | 1 | 2,249 |
| Aetna Medicare Dual Select (HMO D-SNP) H1609/045 · Dual-Eligible | SNP | $0 | $9,250 | 4.5 | 6 | 2,235 |
| Aetna Medicare Select (HMO) H1609/020 | MA-PD | $0 | $3,400 | 4.5 | 1 | 2,210 |
| Aetna Medicare Dual Select (HMO D-SNP) H1609/046 · Dual-Eligible | SNP | $5 | $9,250 | 4.5 | 5 | 1,918 |
| Aetna Medicare Eagle (HMO-POS) H1609/058 | MA | — | $6,750 | 4.5 | 93 | 1,666 |
| Aetna Medicare Dual Select (HMO D-SNP) H1609/056 · Dual-Eligible | SNP | $0 | $9,250 | 4.5 | 4 | 1,481 |
| Aetna Medicare Dual Select (HMO D-SNP) H1609/047 · Dual-Eligible | SNP | $0 | $9,250 | 4.5 | 2 | 1,264 |
| Aetna Medicare Dual Select (HMO D-SNP) H1609/017 · Dual-Eligible | SNP | $4 | $9,250 | 4.5 | 2 | 992 |
| Aetna Medicare Chronic Care (HMO C-SNP) H1609/080 · Chronic or Disabling Condition | SNP | $0 | $3,900 | 4.5 | 1 | 956 |
| Aetna Medicare Select (HMO) H1609/087 | MA-PD | $0 | $4,200 | 4.5 | 5 | 906 |
| Aetna Medicare Select (HMO) H1609/086 | MA-PD | $0 | $4,150 | 4.5 | 5 | 882 |
| Aetna Medicare Full Dual Select (HMO D-SNP) H1609/090 · Dual-Eligible | SNP | $5 | $9,250 | 4.5 | 1 | 871 |
| Aetna Medicare Dual Select (HMO D-SNP) H1609/049 · Dual-Eligible | SNP | $0 | $9,250 | 4.5 | 1 | 795 |
| 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 | 3.0 |
| C05 | Improving or Maintaining Mental Health | 3.0 |
| C06 | Monitoring Physical Activity | 3.0 |
| C07 | Special Needs Plan (SNP) Care Management | 3.0 |
| C08 | Care for Older Adults – Medication Review | 5.0 |
| 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 | 5.0 |
| 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 | 2.0 |
| C17 | Medication Reconciliation Post-Discharge | 5.0 |
| C18 | Plan All-Cause Readmissions | 4.0 |
| 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 | 3.0 |
| C25 | Rating of Health Care Quality | 4.0 |
| C26 | Rating of Health Plan | 4.0 |
| C27 | Care Coordination | 4.0 |
| C28 | Complaints about the Health Plan | 4.0 |
| C29 | Members Choosing to Leave the Plan | 3.0 |
| C30 | Health Plan Quality Improvement | 4.0 |
| C31 | Plan Makes Timely Decisions about Appeals | 3.0 |
| C32 | Reviewing Appeals Decisions | 5.0 |
| C33 | 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 | 3.0 |
| D04 | Drug Plan Quality Improvement | 3.0 |
| D05 | Rating of Drug Plan | 4.0 |
| D06 | Getting Needed Prescription Drugs | 3.0 |
| 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.