HMO/HMOPOS · observed 2026 → 2026 · 75 months of CPSC history · 10 active CY 2025 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| Humana Gold Plus H4461-041 (HMO) H4461/041 | MA-PD | $10 | $3,200 | 4.5 | 35 | 37,074 |
| Humana Gold Plus H4461-035 (HMO) H4461/035 | MA-PD | $0 | $3,850 | 4.5 | 35 | 33,162 |
| Humana Gold Plus H4461-040 (HMO) H4461/040 | MA-PD | $85 | $1,900 | 4.5 | 36 | 30,759 |
| Humana Gold Plus H4461-025 (HMO) H4461/025 | MA-PD | $0 | $4,900 | 4.5 | 33 | 20,199 |
| Humana Gold Plus H4461-043 (HMO) H4461/043 | MA-PD | $0 | $9,350 | 4.5 | 19 | 9,876 |
| Humana USAA Honor Giveback (HMO) H4461/004 | MA | — | $3,200 | 4.5 | 88 | 9,670 |
| Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP) H4461/038 · Dual-Eligible | SNP | $35 | $9,350 | 4.5 | 88 | 4,436 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) H4461/042 · Chronic or Disabling Condition | SNP | $0 | $9,350 | 4.5 | 7 | 3,658 |
| Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP) H4461/022 · Dual-Eligible | SNP | $40 | $9,350 | 4.5 | 89 | 2,684 |
| Humana Gold Plus Giveback H4461-039 (HMO) H4461/039 | MA-PD | $0 | $9,350 | 4.5 | 19 | 2,013 |
| ID | Measure | ★ |
|---|---|---|
| C01 | Breast Cancer Screening | 4.0 |
| C02 | Colorectal Cancer Screening | 4.0 |
| C03 | Annual Flu Vaccine | 4.0 |
| C04 | Monitoring Physical Activity | 3.0 |
| C05 | Special Needs Plan (SNP) Care Management | 4.0 |
| C06 | Care for Older Adults � Medication Review | 4.0 |
| C07 | Care for Older Adults � Pain Assessment | 5.0 |
| C08 | Osteoporosis Management in Women who had a Fracture | 4.0 |
| C09 | Diabetes Care � Eye Exam | 4.0 |
| C10 | Diabetes Care � Blood Sugar Controlled | 4.0 |
| C11 | Controlling High Blood Pressure | 3.0 |
| C12 | Reducing the Risk of Falling | 3.0 |
| C13 | Improving Bladder Control | 4.0 |
| C14 | Medication Reconciliation Post-Discharge | 4.0 |
| C15 | Plan All-Cause Readmissions | 4.0 |
| C16 | Statin Therapy for Patients with Cardiovascular Disease | 3.0 |
| C17 | Transitions of Care | 4.0 |
| C18 | Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions | 4.0 |
| C19 | Getting Needed Care | 5.0 |
| C20 | Getting Appointments and Care Quickly | 5.0 |
| C21 | Customer Service | 4.0 |
| C22 | Rating of Health Care Quality | 5.0 |
| C23 | Rating of Health Plan | 5.0 |
| C24 | Care Coordination | 5.0 |
| C25 | Complaints about the Health Plan | 4.0 |
| C26 | Members Choosing to Leave the Plan | 4.0 |
| C27 | Health Plan Quality Improvement | 3.0 |
| C28 | Plan Makes Timely Decisions about Appeals | 4.0 |
| C29 | Reviewing Appeals Decisions | 4.0 |
| C30 | Call Center � Foreign Language Interpreter and TTY Availability | 4.0 |
| 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 | 4.0 |
| D04 | Drug Plan Quality Improvement | 3.0 |
| D05 | Rating of Drug Plan | 5.0 |
| D06 | Getting Needed Prescription Drugs | 5.0 |
| D07 | MPF Price Accuracy | 1.0 |
| D08 | Medication Adherence for Diabetes Medications | 3.0 |
| 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) | 3.0 |