HMO/HMOPOS · observed 2026 → 2026 · 75 months of CPSC history · 18 active CY 2026 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| Aetna Medicare Prime Care (HMO) H4523/024 | MA-PD | $0 | $4,200 | 4.0 | 1 | 9,627 |
| Aetna Medicare Signature Extra (HMO) H4523/015 | MA-PD | $0 | $6,750 | 4.0 | 10 | 6,000 |
| Aetna Medicare Signature Extra (HMO) H4523/001 | MA-PD | $0 | $3,800 | 4.0 | 11 | 4,857 |
| Aetna Medicare Prime Care (HMO) H4523/021 | MA-PD | $0 | $4,200 | 4.0 | 3 | 3,198 |
| Aetna Medicare Full Dual Care (HMO D-SNP) H4523/034 · Dual-Eligible | SNP | $0 | $9,250 | 4.0 | 83 | 2,051 |
| Aetna Medicare Prime Chronic Care (HMO C-SNP) H4523/037 · Chronic or Disabling Condition | SNP | $0 | $6,750 | 4.0 | 2 | 1,849 |
| Aetna Medicare Prime Care (HMO) H4523/020 | MA-PD | $0 | $3,800 | 4.0 | 2 | 1,757 |
| Aetna Medicare Partial Dual Care (HMO D-SNP) H4523/043 · Dual-Eligible | SNP | $5 | $9,250 | 4.0 | 19 | 1,461 |
| Aetna Medicare Full Dual Care (HMO D-SNP) H4523/029 · Dual-Eligible | SNP | $0 | $9,250 | 4.0 | 19 | 1,173 |
| Aetna Medicare Prime Chronic Total (HMO C-SNP) H4523/039 · Chronic or Disabling Condition | SNP | $4 | $9,250 | 4.0 | 3 | 1,038 |
| Aetna Medicare Partial Dual Care (HMO D-SNP) H4523/044 · Dual-Eligible | SNP | $0 | $9,250 | 4.0 | 21 | 985 |
| Aetna Medicare Full Dual Care (HMO D-SNP) H4523/030 · Dual-Eligible | SNP | $0 | $9,250 | 4.0 | 21 | 776 |
| Aetna Medicare Prime Chronic Care (HMO C-SNP) H4523/038 · Chronic or Disabling Condition | SNP | $0 | $6,750 | 4.0 | 2 | 349 |
| Aetna Medicare Signature Care (HMO) H4523/027 | MA-PD | $0 | $4,150 | 4.0 | 5 | 297 |
| Aetna Medicare Signature (HMO) H4523/031 | MA-PD | $0 | $9,250 | 4.0 | 1 | 249 |
| Aetna Medicare Partial Dual Care (HMO D-SNP) H4523/041 · Dual-Eligible | SNP | $5 | $9,250 | 4.0 | 80 | 238 |
| Aetna Medicare Full Dual (HMO D-SNP) H4523/028 · Dual-Eligible | SNP | $0 | $9,250 | 4.0 | 3 | 145 |
| Aetna Medicare Signature (HMO) H4523/042 | MA-PD | $0 | $9,250 | 4.0 | 1 | 31 |
| ID | Measure | ★ |
|---|---|---|
| C01 | Breast Cancer Screening | 3.0 |
| C02 | Colorectal Cancer Screening | 4.0 |
| C03 | Annual Flu Vaccine | 4.0 |
| C04 | Improving or Maintaining Physical Health | 3.0 |
| C05 | Improving or Maintaining Mental Health | 4.0 |
| C06 | Monitoring Physical Activity | 3.0 |
| C07 | Special Needs Plan (SNP) Care Management | — |
| C08 | Care for Older Adults – Medication Review | — |
| C09 | Care for Older Adults – Pain Assessment | — |
| C10 | Osteoporosis Management in Women who had a Fracture | 3.0 |
| C11 | Diabetes Care – Eye Exam | 4.0 |
| C12 | Diabetes Care – Blood Sugar Controlled | 5.0 |
| C13 | Kidney Health Evaluation for Patients with Diabetes | 4.0 |
| C14 | Controlling High Blood Pressure | 3.0 |
| C15 | Reducing the Risk of Falling | 3.0 |
| 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 | 3.0 |
| 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 | 5.0 |
| 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 | 3.0 |
| C31 | Plan Makes Timely Decisions about Appeals | 4.0 |
| 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 | 2.0 |
| 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) | 3.0 |
| D10 | Medication Adherence for Cholesterol (Statins) | 3.0 |
| D11 | MTM Program Completion Rate for CMR | 5.0 |
| D12 | Statin Use in Persons with Diabetes (SUPD) | 4.0 |