Local PPO · observed 2026 → 2026 · 75 months of CPSC history · 25 active CY 2025 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| Aetna Medicare Choice (PPO) H3288/008 | MA-PD | $0 | $6,750 | 3.5 | 46 | 6,410 |
| Aetna Medicare Freedom (PPO) H3288/031 | MA-PD | $0 | $9,350 | 3.5 | 30 | 6,269 |
| Aetna Medicare Choice (PPO) H3288/011 | MA-PD | $0 | $6,750 | 3.5 | 7 | 6,026 |
| Aetna Medicare Freedom Core (PPO) H3288/020 | MA-PD | $0 | $6,750 | 3.5 | 48 | 5,958 |
| Aetna Medicare Choice (PPO) H3288/006 | MA-PD | $0 | $6,750 | 3.5 | 15 | 5,062 |
| Aetna Medicare Freedom (PPO) H3288/027 | MA-PD | $0 | $8,900 | 3.5 | 33 | 4,977 |
| Aetna Medicare Value Plus (PPO) H3288/018 | MA-PD | $18 | $6,750 | 3.5 | 22 | 4,762 |
| Aetna Medicare Eagle (PPO) H3288/051 | MA | — | $4,900 | 3.5 | 32 | 2,899 |
| Aetna Medicare Value Plus (PPO) H3288/002 | MA-PD | $18 | $6,350 | 3.5 | 3 | 2,693 |
| Aetna Medicare Value Plus (PPO) H3288/003 | MA-PD | $18 | $5,900 | 3.5 | 1 | 2,619 |
| Aetna Medicare Value (PPO) H3288/047 | MA-PD | $30 | $9,350 | 3.5 | 1 | 2,354 |
| Aetna Medicare Choice (PPO) H3288/046 | MA-PD | $0 | $6,750 | 3.5 | 26 | 2,189 |
| Aetna Medicare Choice (PPO) H3288/016 | MA-PD | $0 | $6,750 | 3.5 | 2 | 1,602 |
| Aetna Medicare Value Plus (PPO) H3288/004 | MA-PD | $3 | $6,750 | 3.5 | 2 | 1,580 |
| Aetna Medicare Choice (PPO) H3288/009 | MA-PD | $20 | $6,750 | 3.5 | 6 | 1,575 |
| Aetna Medicare Value Plus (PPO) H3288/048 | MA-PD | $18 | $7,500 | 3.5 | 26 | 1,471 |
| Aetna Medicare Preferred Premium (PPO) H3288/042 | MA-PD | $28 | $9,350 | 3.5 | 77 | 1,363 |
| Aetna Medicare Value Plus (PPO) H3288/001 | MA-PD | $18 | $6,750 | 3.5 | 2 | 1,122 |
| Aetna Medicare Choice (PPO) H3288/005 | MA-PD | $0 | $6,750 | 3.5 | 12 | 999 |
| Aetna Medicare Value Plus (PPO) H3288/019 | MA-PD | $15 | $5,500 | 3.5 | 5 | 975 |
| Aetna Medicare Choice (PPO) H3288/007 | MA-PD | $15 | $5,900 | 3.5 | 1 | 623 |
| Aetna Medicare Value Plus (PPO) H3288/017 | MA-PD | $25 | $6,750 | 3.5 | 3 | 556 |
| Aetna Medicare Freedom Core (PPO) H3288/021 | MA-PD | $0 | $6,750 | 3.5 | 5 | 550 |
| Aetna Medicare Eagle (PPO) H3288/034 | MA | — | $8,900 | 3.5 | 123 | 310 |
| Aetna Medicare Dual Complete (PPO D-SNP) H3288/053 · Dual-Eligible | SNP | $50 | $9,350 | 3.5 | 55 | 189 |
| ID | Measure | ★ |
|---|---|---|
| C01 | Breast Cancer Screening | 3.0 |
| 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 | — |
| C06 | Care for Older Adults � Medication Review | — |
| C07 | Care for Older Adults � Pain Assessment | — |
| C08 | Osteoporosis Management in Women who had a Fracture | 3.0 |
| C09 | Diabetes Care � Eye Exam | 3.0 |
| C10 | Diabetes Care � Blood Sugar Controlled | 5.0 |
| C11 | Controlling High Blood Pressure | 3.0 |
| C12 | Reducing the Risk of Falling | 2.0 |
| C13 | Improving Bladder Control | 3.0 |
| C14 | Medication Reconciliation Post-Discharge | 5.0 |
| C15 | Plan All-Cause Readmissions | 3.0 |
| C16 | Statin Therapy for Patients with Cardiovascular Disease | 2.0 |
| C17 | Transitions of Care | 2.0 |
| C18 | Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions | 3.0 |
| 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 | 4.0 |
| C23 | Rating of Health Plan | 3.0 |
| C24 | Care Coordination | 4.0 |
| C25 | Complaints about the Health Plan | 4.0 |
| C26 | Members Choosing to Leave the Plan | 3.0 |
| C27 | Health Plan Quality Improvement | 4.0 |
| C28 | Plan Makes Timely Decisions about Appeals | 3.0 |
| C29 | Reviewing Appeals Decisions | 3.0 |
| C30 | Call Center � Foreign Language Interpreter and TTY Availability | 5.0 |
| D01 | Call Center � Foreign Language Interpreter and TTY Availability | 4.0 |
| D02 | Complaints about the Drug Plan | 4.0 |
| D03 | Members Choosing to Leave the Plan | 3.0 |
| D04 | Drug Plan Quality Improvement | 4.0 |
| D05 | Rating of Drug Plan | 2.0 |
| D06 | Getting Needed Prescription Drugs | 3.0 |
| D07 | MPF Price Accuracy | 3.0 |
| D08 | Medication Adherence for Diabetes Medications | 2.0 |
| D09 | Medication Adherence for Hypertension (RAS antagonists) | 3.0 |
| D10 | Medication Adherence for Cholesterol (Statins) | 3.0 |
| D11 | MTM Program Completion Rate for CMR | 4.0 |
| D12 | Statin Use in Persons with Diabetes (SUPD) | 2.0 |
No incoming transitions for this contract.