HMO/HMOPOS · observed 2026 → 2026 · 75 months of CPSC history · 44 active CY 2025 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| Cigna Preferred Medicare (HMO) H4513/061 | MA-PD | $0 | $3,303 | 4.5 | 40 | 65,207 |
| Cigna Preferred Savings Medicare (HMO) H4513/083 | MA-PD | $0 | $7,016 | 4.5 | 49 | 50,385 |
| Cigna Preferred Medicare (HMO) H4513/049 | MA-PD | $0 | $5,146 | 4.5 | 67 | 49,883 |
| Cigna TotalCare (HMO D-SNP) H4513/060 · Dual-Eligible | SNP | $0 | $3,420 | 4.5 | 40 | 45,844 |
| Cigna Preferred Full Savings Medicare (HMO) H4513/091 | MA-PD | $0 | $7,500 | 4.5 | 19 | 27,142 |
| Cigna Alliance Medicare (HMO) H4513/064 | MA-PD | $0 | $3,200 | 4.5 | 11 | 10,492 |
| Cigna Preferred Full Savings Medicare (HMO) H4513/092 | MA-PD | $0 | $7,500 | 4.5 | 4 | 9,106 |
| Cigna Preferred Medicare (HMO) H4513/085 | MA-PD | $0 | $2,350 | 4.5 | 8 | 8,828 |
| Cigna Preferred Full Savings Medicare (HMO) H4513/090 | MA-PD | $0 | $6,750 | 4.5 | 9 | 7,541 |
| Cigna Preferred Savings Medicare (HMO) H4513/086 | MA-PD | $0 | $4,500 | 4.5 | 8 | 3,957 |
| Cigna Preferred Full Savings Medicare (HMO) H4513/093 | MA-PD | $0 | $6,900 | 4.5 | 1 | 3,825 |
| Cigna Courage Medicare (HMO) H4513/009 | MA | — | $4,300 | 4.5 | 41 | 3,501 |
| Cigna Premier Medicare (HMO-POS) H4513/036 | MA-PD | $51 | $6,150 | 4.5 | 62 | 3,166 |
| Cigna Preferred Savings Medicare (HMO) H4513/068 | MA-PD | $0 | $6,265 | 4.5 | 23 | 3,134 |
| Cigna Preferred Medicare (HMO) H4513/026 | MA-PD | $0 | $4,200 | 4.5 | 7 | 2,517 |
| Cigna Primary Medicare (HMO) H4513/053 | MA-PD | $29 | $5,000 | 4.5 | 25 | 2,365 |
| Cigna Preferred Medicare (HMO) H4513/030 | MA-PD | $0 | $5,100 | 4.5 | 3 | 2,013 |
| Cigna Premier Medicare (HMO-POS) H4513/084 | MA-PD | $0 | $3,250 | 4.5 | 6 | 1,959 |
| Cigna Courage Medicare (HMO) H4513/033 | MA | — | $3,900 | 4.5 | 85 | 1,928 |
| Cigna Preferred Medicare (HMO) H4513/037 | MA-PD | $0 | $5,400 | 4.5 | 18 | 1,773 |
| Cigna Preferred Savings Medicare (HMO) H4513/073 | MA-PD | $0 | $6,900 | 4.5 | 6 | 1,220 |
| Cigna Primary Medicare (HMO) H4513/035 | MA-PD | $40 | $5,100 | 4.5 | 16 | 1,146 |
| Cigna TotalCare Plus (HMO D-SNP) H4513/034 · Dual-Eligible | SNP | $17 | $9,350 | 4.5 | 62 | 1,127 |
| Cigna TotalCare (HMO D-SNP) H4513/027 · Dual-Eligible | SNP | $0 | $3,400 | 4.5 | 7 | 1,090 |
| Cigna Preferred Medicare (HMO) H4513/074 | MA-PD | $0 | $2,300 | 4.5 | 2 | 277 |
| Cigna Preferred Medicare (HMO) H4513/059 | MA-PD | $0 | $5,200 | 4.5 | 7 | 202 |
| Cigna TotalCare (HMO D-SNP) H4513/080 · Dual-Eligible | SNP | $21 | $6,700 | 4.5 | 3 | 106 |
| Cigna TotalCare (HMO D-SNP) H4513/075 · Dual-Eligible | SNP | $0 | $3,400 | 4.5 | 2 | 91 |
| Cigna TotalCare Plus (HMO D-SNP) H4513/079 · Dual-Eligible | SNP | $25 | $9,350 | 4.5 | 3 | 71 |
| Cigna Courage Medicare (HMO) H4513/082 | MA | — | $3,900 | 4.5 | 3 | 45 |
| Cigna Preferred Medicare (HMO) H4513/038 | MA-PD | $0 | $4,750 | 4.5 | 15 | 0 |
| Cigna TotalCare Plus (HMO D-SNP) H4513/039 · Dual-Eligible | SNP | $21 | $9,350 | 4.5 | 44 | 0 |
| Cigna Courage Medicare (HMO) H4513/045 | MA | — | $5,750 | 4.5 | 30 | 0 |
| Cigna Preferred AL Medicare (HMO) H4513/046 | MA-PD | $0 | $7,875 | 4.5 | 28 | 0 |
| Cigna Preferred Medicare (HMO) H4513/050 | MA-PD | $0 | $5,050 | 4.5 | 16 | 0 |
| Cigna Preferred Medicare (HMO) H4513/052 | MA-PD | $0 | $5,400 | 4.5 | 13 | 0 |
| Cigna TotalCare (HMO D-SNP) H4513/055 · Dual-Eligible | SNP | $24 | $5,900 | 4.5 | 30 | 0 |
| Cigna TotalCare Plus (HMO D-SNP) H4513/063 · Dual-Eligible | SNP | $23 | $5,000 | 4.5 | 30 | 0 |
| Cigna Preferred Medicare (HMO) H4513/077 | MA-PD | $0 | $4,835 | 4.5 | 30 | 0 |
| Cigna Courage Medicare (HMO) H4513/078 | MA | — | $4,500 | 4.5 | 44 | 0 |
| Cigna TotalCare (HMO D-SNP) H4513/081 · Dual-Eligible | SNP | $21 | $7,700 | 4.5 | 44 | 0 |
| Cigna Preferred Plus Medicare (HMO) H4513/087 | MA-PD | $19 | $4,750 | 4.5 | 30 | 0 |
| Cigna Preferred Full Savings Medicare (HMO) H4513/088 | MA-PD | $0 | $5,750 | 4.5 | 13 | 0 |
| Cigna Preferred Full Savings Medicare (HMO) H4513/089 | MA-PD | $0 | $5,750 | 4.5 | 2 | 0 |
| 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 | 3.0 |
| 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 | 5.0 |
| C15 | Plan All-Cause Readmissions | 3.0 |
| C16 | Statin Therapy for Patients with Cardiovascular Disease | 4.0 |
| C17 | Transitions of Care | 4.0 |
| C18 | Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions | 3.0 |
| C19 | Getting Needed Care | 5.0 |
| C20 | Getting Appointments and Care Quickly | 5.0 |
| C21 | Customer Service | 5.0 |
| C22 | Rating of Health Care Quality | 5.0 |
| C23 | Rating of Health Plan | 4.0 |
| C24 | Care Coordination | 3.0 |
| 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 | 5.0 |
| 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 | 4.0 |
| D06 | Getting Needed Prescription Drugs | 4.0 |
| D07 | MPF Price Accuracy | 5.0 |
| 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 | 5.0 |
| D12 | Statin Use in Persons with Diabetes (SUPD) | 4.0 |