HMO/HMOPOS · observed 2026 → 2026 · 75 months of CPSC history · 47 active CY 2026 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| HealthSpring Preferred (HMO) H4513/061 | MA-PD | $0 | $3,408 | 4.0 | 39 | 67,474 |
| HealthSpring Preferred (HMO) H4513/049 | MA-PD | $0 | $4,939 | 4.0 | 69 | 55,202 |
| HealthSpring Preferred Savings (HMO) H4513/083 | MA-PD | $0 | $6,922 | 4.0 | 48 | 54,314 |
| HealthSpring Preferred Full Savings (HMO) H4513/091 | MA-PD | $0 | $7,500 | 4.0 | 18 | 31,739 |
| HealthSpring TotalCare (HMO D-SNP) H4513/060 · Dual-Eligible | SNP | $0 | $3,421 | 4.0 | 39 | 28,803 |
| HealthSpring Alliance (HMO) H4513/064 | MA-PD | $0 | $2,900 | 4.0 | 11 | 15,037 |
| HealthSpring Preferred Full Savings (HMO) H4513/092 | MA-PD | $0 | $6,800 | 4.0 | 4 | 10,935 |
| HealthSpring Preferred Full Savings (HMO) H4513/090 | MA-PD | $0 | $6,750 | 4.0 | 9 | 10,073 |
| HealthSpring Preferred (HMO) H4513/085 | MA-PD | $0 | $2,000 | 4.0 | 7 | 7,791 |
| HealthSpring Preferred Savings (HMO) H4513/086 | MA-PD | $0 | $4,000 | 4.0 | 7 | 5,227 |
| HealthSpring Preferred Full Savings (HMO) H4513/093 | MA-PD | $0 | $6,900 | 4.0 | 1 | 4,743 |
| HealthSpring Courage (HMO) H4513/009 | MA | — | $4,300 | 4.0 | 48 | 3,890 |
| HealthSpring Preferred Savings (HMO) H4513/068 | MA-PD | $0 | $6,426 | 4.0 | 23 | 3,183 |
| HealthSpring Premier (HMO-POS) H4513/036 | MA-PD | $45 | $6,150 | 4.0 | 59 | 2,910 |
| HealthSpring Preferred (HMO) H4513/026 | MA-PD | $0 | $4,400 | 4.0 | 7 | 2,583 |
| HealthSpring Primary (HMO) H4513/053 | MA-PD | $18 | $5,000 | 4.0 | 25 | 2,568 |
| HealthSpring Preferred (HMO) H4513/030 | MA-PD | $0 | $5,700 | 4.0 | 3 | 2,179 |
| HealthSpring Courage (HMO) H4513/033 | MA | — | $3,900 | 4.0 | 86 | 2,023 |
| HealthSpring Preferred (HMO) H4513/037 | MA-PD | $0 | $4,650 | 4.0 | 18 | 1,677 |
| HealthSpring Premier (HMO-POS) H4513/084 | MA-PD | $0 | $2,900 | 4.0 | 6 | 1,584 |
| HealthSpring Achieve (HMO C-SNP) H4513/098 · Chronic or Disabling Condition | SNP | $0 | $3,500 | 4.0 | 4 | 1,523 |
| HealthSpring Preferred Savings (HMO) H4513/073 | MA-PD | $0 | $6,900 | 4.0 | 6 | 1,342 |
| HealthSpring Primary (HMO) H4513/035 | MA-PD | $24 | $4,900 | 4.0 | 16 | 1,208 |
| HealthSpring TotalCare Plus (HMO D-SNP) H4513/034 · Dual-Eligible | SNP | $0 | $9,250 | 4.0 | 62 | 946 |
| HealthSpring Preferred Savings (HMO) H4513/095 | MA-PD | $0 | $3,700 | 4.0 | 2 | 776 |
| ID | Measure | ★ |
|---|---|---|
| C01 | Breast Cancer Screening | 4.0 |
| C02 | Colorectal Cancer Screening | 5.0 |
| C03 | Annual Flu Vaccine | 4.0 |
| C04 | Improving or Maintaining Physical Health | 2.0 |
| C05 | Improving or Maintaining Mental Health | 5.0 |
| C06 | Monitoring Physical Activity | 3.0 |
| C07 | Special Needs Plan (SNP) Care Management | 3.0 |
| C08 | Care for Older Adults – Medication Review | 4.0 |
| C09 | Care for Older Adults – Pain Assessment | 4.0 |
| C10 | Osteoporosis Management in Women who had a Fracture | 4.0 |
| C11 | Diabetes Care – Eye Exam | 4.0 |
| 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 | 4.0 |
| C16 | Improving Bladder Control | 4.0 |
| 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 | 2.0 |
| C22 | Getting Needed Care | 5.0 |
| C23 | Getting Appointments and Care Quickly | 5.0 |
| C24 | Customer Service | 4.0 |
| C25 | Rating of Health Care Quality | 4.0 |
| C26 | Rating of Health Plan | 5.0 |
| C27 | Care Coordination | 4.0 |
| 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 | 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 | 4.0 |
| D04 | Drug Plan Quality Improvement | 3.0 |
| D05 | Rating of Drug Plan | 5.0 |
| D06 | Getting Needed Prescription Drugs | 3.0 |
| D07 | MPF Price Accuracy | 5.0 |
| D08 | Medication Adherence for Diabetes Medications | 3.0 |
| 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) | 4.0 |
No incoming transitions for this contract.