Local PPO · observed 2026 → 2026 · 75 months of CPSC history · 275 active CY 2025 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| Humana Full Access Giveback H5216-393 (PPO) H5216/393 | MA-PD | $0 | $6,700 | 3.5 | 56 | 171,080 |
| Humana Full Access Giveback H5216-311 (PPO) H5216/311 | MA-PD | $0 | $6,200 | 3.5 | 9 | 71,885 |
| HumanaChoice Giveback H5216-345 (PPO) H5216/345 | MA-PD | $0 | $9,350 | 3.5 | 181 | 61,426 |
| Humana USAA Honor Giveback with Rx (PPO) H5216/307 | MA-PD | $0 | $8,850 | 3.5 | 180 | 48,418 |
| HumanaChoice H5216-318 (PPO) H5216/318 | MA-PD | $0 | $3,780 | 3.5 | 137 | 48,410 |
| HumanaChoice H5216-043 (PPO) H5216/043 | MA-PD | $10 | $7,648 | 3.5 | 97 | 47,961 |
| Humana Full Access Giveback H5216-306 (PPO) H5216/306 | MA-PD | $0 | $9,350 | 3.5 | 72 | 47,709 |
| HumanaChoice H5216-251 (PPO) H5216/251 | MA-PD | $0 | $3,800 | 3.5 | 14 | 46,966 |
| HumanaChoice Giveback H5216-358 (PPO) H5216/358 | MA-PD | $0 | $8,300 | 3.5 | 71 | 43,901 |
| Humana USAA Honor Giveback (PPO) H5216/286 | MA | — | $9,350 | 3.5 | 199 | 33,339 |
| HumanaChoice H5216-266 (PPO) H5216/266 | MA-PD | $0 | $9,350 | 3.5 | 101 | 33,232 |
| Humana USAA Honor Giveback (PPO) H5216/348 | MA | — | $7,900 | 3.5 | 199 | 30,335 |
| HumanaChoice H5216-131 (PPO) H5216/131 | MA-PD | $0 | $5,500 | 3.5 | 12 | 29,204 |
| HumanaChoice Giveback H5216-309 (PPO) H5216/309 | MA-PD | $0 | $9,350 | 3.5 | 161 | 28,817 |
| HumanaChoice H5216-347 (PPO) H5216/347 | MA-PD | $0 | $9,350 | 3.5 | 54 | 27,716 |
| HumanaChoice Giveback H5216-308 (PPO) H5216/308 | MA-PD | $0 | $9,350 | 3.5 | 123 | 25,135 |
| HumanaChoice - Diabetes and Heart (PPO C-SNP) H5216/246 · Chronic or Disabling Condition | SNP | $0 | $9,350 | 3.5 | 159 | 23,251 |
| HumanaChoice Giveback H5216-319 (PPO) H5216/319 | MA-PD | $0 | $7,250 | 3.5 | 19 | 22,862 |
| Humana USAA Honor Giveback with Rx (PPO) H5216/396 | MA-PD | $0 | $9,350 | 3.5 | 120 | 22,636 |
| HumanaChoice H5216-352 (PPO) H5216/352 | MA-PD | $0 | $6,400 | 3.5 | 16 | 22,176 |
| HumanaChoice Florida H5216-304 (PPO) H5216/304 | MA-PD | $0 | $4,700 | 3.5 | 17 | 21,501 |
| HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP) H5216/394 · Dual-Eligible | SNP | $20 | $4,900 | 3.5 | 56 | 21,000 |
| HumanaChoice SNP-DE H5216-277 (PPO D-SNP) H5216/277 · Dual-Eligible | SNP | $47 | $9,350 | 3.5 | 46 | 20,766 |
| Humana Full Access H5216-384 (PPO) H5216/384 | MA-PD | $0 | $5,900 | 3.5 | 63 | 20,075 |
| Humana USAA Honor Giveback with Rx (PPO) H5216/391 | MA-PD | $0 | $8,850 | 3.5 | 55 | 18,939 |
| ID | Measure | ★ |
|---|---|---|
| C01 | Breast Cancer Screening | 4.0 |
| C02 | Colorectal Cancer Screening | 4.0 |
| C03 | Annual Flu Vaccine | 3.0 |
| 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 | 3.0 |
| 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 | 2.0 |
| 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 | 3.0 |
| 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 | 4.0 |
| C20 | Getting Appointments and Care Quickly | 5.0 |
| C21 | Customer Service | 3.0 |
| C22 | Rating of Health Care Quality | 3.0 |
| C23 | Rating of Health Plan | 3.0 |
| 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 | 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 | 2.0 |
| D05 | Rating of Drug Plan | 4.0 |
| D06 | Getting Needed Prescription Drugs | 4.0 |
| D07 | MPF Price Accuracy | 1.0 |
| 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 | 3.0 |
| D12 | Statin Use in Persons with Diabetes (SUPD) | 2.0 |
No incoming transitions for this contract.