Local PPO · observed 2026 → 2026 · 75 months of CPSC history · 248 active CY 2025 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| Aetna Medicare Elite (PPO) H5521/120 | MA-PD | $0 | $9,350 | 4.5 | 7 | 46,804 |
| Aetna Medicare FL Explorer Premier (PPO) H5521/438 | MA-PD | $0 | $4,700 | 4.5 | 7 | 35,224 |
| Aetna Medicare Signature (PPO) H5521/598 | MA-PD | $0 | $6,900 | 4.5 | 12 | 32,435 |
| Aetna Medicare Premier Plus (PPO) H5521/170 | MA-PD | $0 | $4,150 | 4.5 | 24 | 31,445 |
| Aetna Medicare Value (PPO) H5521/086 | MA-PD | $0 | $4,900 | 4.5 | 8 | 27,629 |
| Aetna Medicare Premier (PPO) H5521/081 | MA-PD | $0 | $5,900 | 4.5 | 29 | 25,683 |
| Aetna Medicare Premier Plus (PPO) H5521/319 | MA-PD | $0 | $6,350 | 4.5 | 8 | 24,560 |
| Aetna Medicare Essential (PPO) H5521/091 | MA-PD | $0 | $7,900 | 4.5 | 20 | 20,921 |
| Aetna Medicare Value (PPO) H5521/089 | MA-PD | $0 | $5,500 | 4.5 | 26 | 19,289 |
| Aetna Medicare SmartFit (PPO) H5521/431 | MA-PD | $0 | $6,900 | 4.5 | 7 | 19,097 |
| Aetna Medicare FL Explorer Premier (PPO) H5521/437 | MA-PD | $0 | $4,900 | 4.5 | 5 | 18,481 |
| Aetna Medicare Value (PPO) H5521/088 | MA-PD | $0 | $5,900 | 4.5 | 41 | 16,623 |
| Aetna Medicare Premier (PPO) H5521/272 | MA-PD | $0 | $5,500 | 4.5 | 7 | 15,872 |
| Aetna Medicare Premier (PPO) H5521/077 | MA-PD | $0 | $7,900 | 4.5 | 16 | 15,703 |
| Aetna Medicare Premier (PPO) H5521/140 | MA-PD | $0 | $6,750 | 4.5 | 8 | 15,681 |
| Aetna Medicare Value (PPO) H5521/214 | MA-PD | $0 | $4,900 | 4.5 | 15 | 15,428 |
| Aetna Medicare Explorer (PPO) H5521/159 | MA-PD | $0 | $5,900 | 4.5 | 6 | 15,302 |
| Aetna Medicare Preferred (PPO) H5521/380 | MA-PD | $0 | $6,900 | 4.5 | 7 | 14,453 |
| Aetna Medicare FL Explorer Premier (PPO) H5521/434 | MA-PD | $0 | $4,150 | 4.5 | 10 | 13,921 |
| Aetna Medicare Premier (PPO) H5521/270 | MA-PD | $0 | $5,500 | 4.5 | 5 | 13,283 |
| Aetna Medicare Discover (PPO) H5521/451 | MA-PD | $0 | $5,900 | 4.5 | 6 | 11,869 |
| Aetna Medicare Value (PPO) H5521/087 | MA-PD | $0 | $4,900 | 4.5 | 15 | 11,358 |
| Aetna Medicare Premier (PPO) H5521/245 | MA-PD | $0 | $6,750 | 4.5 | 21 | 10,380 |
| Aetna Medicare Discover Value (PPO) H5521/312 | MA-PD | $35 | $8,900 | 4.5 | 3 | 10,087 |
| Aetna Medicare Eagle (PPO) H5521/286 | MA | — | $4,900 | 4.5 | 222 | 9,664 |
| Aetna Medicare Value Plus (PPO) H5521/482 | MA-PD | $18 | $6,750 | 4.5 | 8 | 9,660 |
| Aetna Medicare Explorer (PPO) H5521/374 | MA-PD | $0 | $5,900 | 4.5 | 2 | 9,063 |
| Aetna Medicare Freedom (PPO) H5521/218 | MA-PD | $0 | $7,900 | 4.5 | 19 | 8,936 |
| Aetna Medicare Elite (PPO) H5521/119 | MA-PD | $0 | $8,900 | 4.5 | 16 | 8,751 |
| Aetna Medicare Primary (PPO) H5521/500 | MA-PD | $0 | $6,750 | 4.5 | 14 | 7,865 |
| Aetna Medicare Essential (PPO) H5521/348 | MA-PD | $0 | $7,500 | 4.5 | 93 | 7,692 |
| Aetna Medicare Premier (PPO) H5521/236 | MA-PD | $0 | $5,750 | 4.5 | 16 | 7,529 |
| Aetna Medicare Value (PPO) H5521/243 | MA-PD | $0 | $6,750 | 4.5 | 36 | 7,338 |
| Aetna Medicare Explorer (PPO) H5521/160 | MA-PD | $0 | $5,900 | 4.5 | 3 | 7,301 |
| Aetna Medicare Value (PPO) H5521/099 | MA-PD | $0 | $4,250 | 4.5 | 9 | 7,162 |
| Aetna Medicare Discover (PPO) H5521/450 | MA-PD | $0 | $5,900 | 4.5 | 3 | 7,002 |
| Aetna Medicare Premier (PPO) H5521/273 | MA-PD | $0 | $4,700 | 4.5 | 3 | 6,908 |
| Aetna Medicare FL Explorer Premier (PPO) H5521/432 | MA-PD | $0 | $3,900 | 4.5 | 3 | 6,790 |
| Aetna Medicare Value (PPO) H5521/261 | MA-PD | $0 | $5,500 | 4.5 | 25 | 6,726 |
| Aetna Medicare Premier (PPO) H5521/269 | MA-PD | $0 | $4,900 | 4.5 | 10 | 6,560 |
| Aetna Medicare SmartFit (PPO) H5521/565 | MA-PD | $0 | $4,500 | 4.5 | 88 | 6,497 |
| Aetna Medicare Value (PPO) H5521/219 | MA-PD | $0 | $4,900 | 4.5 | 21 | 6,362 |
| Aetna Medicare FL Explorer Premier (PPO) H5521/574 | MA-PD | $0 | $6,750 | 4.5 | 2 | 6,307 |
| Aetna Medicare SmartFit (PPO) H5521/404 | MA-PD | $0 | $4,700 | 4.5 | 15 | 6,297 |
| Aetna Medicare Prime Value (PPO) H5521/392 | MA-PD | $0 | $9,350 | 4.5 | 10 | 6,248 |
| Aetna Medicare Value (PPO) H5521/195 | MA-PD | $0 | $4,500 | 4.5 | 7 | 6,085 |
| Aetna Medicare Value Plus Signature (PPO) H5521/364 | MA-PD | $38 | $7,900 | 4.5 | 12 | 6,069 |
| Aetna Medicare Value Plus (PPO) H5521/326 | MA-PD | $20 | $6,350 | 4.5 | 41 | 6,022 |
| Aetna Medicare Premier (PPO) H5521/215 | MA-PD | $0 | $7,900 | 4.5 | 6 | 5,649 |
| Aetna Medicare Premier Plus (PPO) H5521/016 | MA-PD | $31 | $4,500 | 4.5 | 8 | 5,637 |
| Aetna Medicare Premier (PPO) H5521/033 | MA-PD | $0 | $6,750 | 4.5 | 29 | 5,129 |
| Aetna Medicare Choice (PPO) H5521/101 | MA-PD | $0 | $4,900 | 4.5 | 6 | 5,124 |
| Aetna Medicare Premier (PPO) H5521/110 | MA-PD | $31 | $9,350 | 4.5 | 16 | 5,021 |
| Aetna Medicare Freedom (PPO) H5521/178 | MA-PD | $0 | $7,500 | 4.5 | 27 | 4,826 |
| Aetna Medicare Premier (PPO) H5521/040 | MA-PD | $81 | $6,750 | 4.5 | 5 | 4,657 |
| Aetna Medicare Value (PPO) H5521/169 | MA-PD | $15 | $4,900 | 4.5 | 15 | 4,490 |
| Aetna Medicare Elite (PPO) H5521/536 | MA-PD | $0 | $9,350 | 4.5 | 1 | 4,458 |
| Aetna Medicare Value (PPO) H5521/231 | MA-PD | $0 | $5,500 | 4.5 | 36 | 4,311 |
| Aetna Medicare Explorer (PPO) H5521/375 | MA-PD | $0 | $5,900 | 4.5 | 5 | 4,297 |
| Aetna Medicare Premier (PPO) H5521/117 | MA-PD | $71 | $8,900 | 4.5 | 1 | 4,103 |
| Aetna Medicare Choice (PPO) H5521/328 | MA-PD | $0 | $9,350 | 4.5 | 8 | 4,047 |
| Aetna Medicare Premier (PPO) H5521/609 | MA-PD | $0 | $6,750 | 4.5 | 2 | 3,925 |
| Aetna Medicare Choice (PPO) H5521/055 | MA-PD | $0 | $6,750 | 4.5 | 2 | 3,730 |
| Aetna Medicare Explorer Premier (PPO) H5521/037 | MA-PD | $79 | $9,350 | 4.5 | 10 | 3,675 |
| Aetna Medicare Duly Prime (PPO) H5521/314 | MA-PD | $0 | $4,900 | 4.5 | 3 | 3,452 |
| Aetna Medicare Freedom (PPO) H5521/230 | MA-PD | $0 | $6,750 | 4.5 | 9 | 3,411 |
| Aetna Medicare Platinum (PPO) H5521/456 | MA-PD | $157 | $3,600 | 4.5 | 21 | 3,392 |
| Aetna Medicare Freedom (PPO) H5521/233 | MA-PD | $0 | $7,900 | 4.5 | 5 | 3,350 |
| Aetna Medicare Premier Plus (PPO) H5521/217 | MA-PD | $17 | $4,900 | 4.5 | 15 | 3,310 |
| Aetna Medicare Dual Choice (PPO D-SNP) H5521/464 · Dual-Eligible | SNP | $44 | $9,350 | 4.5 | 72 | 3,240 |
| Aetna Medicare Value Plus (PPO) H5521/251 | MA-PD | $19 | $6,750 | 4.5 | 46 | 3,236 |
| Aetna Medicare Premier (PPO) H5521/150 | MA-PD | $16 | $4,500 | 4.5 | 7 | 3,175 |
| Aetna Medicare Value Plus (PPO) H5521/470 | MA-PD | $41 | $9,350 | 4.5 | 72 | 3,119 |
| Aetna Medicare Prime Credit (PPO) H5521/277 | MA-PD | $0 | $9,350 | 4.5 | 10 | 3,055 |
| Aetna Medicare Eagle (PPO) H5521/353 | MA | — | $6,750 | 4.5 | 8 | 3,009 |
| Aetna Medicare Premier (PPO) H5521/254 | MA-PD | $0 | $6,750 | 4.5 | 24 | 3,007 |
| Aetna Medicare Freedom (PPO) H5521/220 | MA-PD | $0 | $7,900 | 4.5 | 18 | 3,006 |
| Aetna Medicare Value Plus (PPO) H5521/399 | MA-PD | $28 | $5,500 | 4.5 | 15 | 2,931 |
| Aetna Medicare SmartFit (PPO) H5521/403 | MA-PD | $0 | $4,700 | 4.5 | 7 | 2,921 |
| Aetna Medicare Value (PPO) H5521/263 | MA-PD | $0 | $6,350 | 4.5 | 34 | 2,837 |
| Aetna Medicare Premier (PPO) H5521/194 | MA-PD | $11 | $3,900 | 4.5 | 21 | 2,832 |
| Aetna Medicare Value Plus (PPO) H5521/490 | MA-PD | $50 | $5,500 | 4.5 | 71 | 2,792 |
| Aetna Medicare Value Plus (PPO) H5521/501 | MA-PD | $11 | $6,750 | 4.5 | 68 | 2,775 |
| Aetna Medicare Elite (PPO) H5521/537 | MA-PD | $0 | $9,350 | 4.5 | 1 | 2,774 |
| Aetna Medicare Value (PPO) H5521/085 | MA-PD | $0 | $4,500 | 4.5 | 22 | 2,761 |
| Aetna Medicare Premier (PPO) H5521/121 | MA-PD | $46 | $9,350 | 4.5 | 3 | 2,754 |
| Aetna Medicare Premier (PPO) H5521/249 | MA-PD | $0 | $6,750 | 4.5 | 8 | 2,722 |
| Aetna Medicare Elite (PPO) H5521/123 | MA-PD | $30 | $9,350 | 4.5 | 8 | 2,693 |
| Aetna Medicare Freedom (PPO) H5521/553 | MA-PD | $0 | $7,900 | 4.5 | 10 | 2,679 |
| Aetna Medicare SmartFit (PPO) H5521/442 | MA-PD | $0 | $4,500 | 4.5 | 71 | 2,650 |
| Aetna Medicare Preferred (PPO) H5521/492 | MA-PD | $0 | $6,900 | 4.5 | 7 | 2,625 |
| Aetna Medicare Premier (PPO) H5521/271 | MA-PD | $0 | $5,900 | 4.5 | 4 | 2,546 |
| Aetna Medicare Freedom (PPO) H5521/645 | MA-PD | $0 | $7,900 | 4.5 | 19 | 2,472 |
| Aetna Medicare FL Explorer Premier (PPO) H5521/569 | MA-PD | $0 | $6,750 | 4.5 | 3 | 2,446 |
| Aetna Medicare Dual Choice (PPO D-SNP) H5521/538 · Dual-Eligible | SNP | $42 | $9,350 | 4.5 | 95 | 2,401 |
| Aetna Medicare Value (PPO) H5521/289 | MA-PD | $0 | $4,900 | 4.5 | 17 | 2,361 |
| Aetna Medicare Value Plus (PPO) H5521/084 | MA-PD | $20 | $5,500 | 4.5 | 104 | 2,344 |
| Aetna Medicare FL Explorer Premier (PPO) H5521/439 | MA-PD | $0 | $4,900 | 4.5 | 4 | 2,299 |
| Aetna Medicare Dual Select Choice (PPO D-SNP) H5521/465 · Dual-Eligible | SNP | $46 | $9,350 | 4.5 | 62 | 2,278 |
| Aetna Medicare Value Plus Signature (PPO) H5521/474 | MA-PD | $20 | $6,900 | 4.5 | 19 | 2,260 |
| Aetna Medicare Eagle (PPO) H5521/241 | MA | — | $6,750 | 4.5 | 95 | 2,244 |
| Aetna Medicare SmartFit (PPO) H5521/407 | MA-PD | $0 | $4,700 | 4.5 | 21 | 2,180 |
| Aetna Medicare Value (PPO) H5521/223 | MA-PD | $0 | $5,900 | 4.5 | 12 | 2,152 |
| Aetna Medicare Value (PPO) H5521/283 | MA-PD | $0 | $4,250 | 4.5 | 8 | 2,105 |
| Aetna Medicare Premier Plus NJ North (PPO) H5521/515 | MA-PD | $41 | $9,350 | 4.5 | 13 | 2,085 |
| Aetna Medicare Freedom (PPO) H5521/232 | MA-PD | $0 | $6,900 | 4.5 | 4 | 2,052 |
| Aetna Medicare Choice (PPO) H5521/027 | MA-PD | $85 | $6,750 | 4.5 | 43 | 2,024 |
| Aetna Medicare Platinum (PPO) H5521/459 | MA-PD | $139 | $4,500 | 4.5 | 53 | 1,987 |
| Aetna Medicare Value (PPO) H5521/311 | MA-PD | $0 | $5,900 | 4.5 | 11 | 1,968 |
| Aetna Medicare Premier Plus NJ South (PPO) H5521/512 | MA-PD | $49 | $9,350 | 4.5 | 8 | 1,963 |
| Aetna Medicare Premier Plus (PPO) H5521/095 | MA-PD | $70 | $7,500 | 4.5 | 3 | 1,927 |
| Aetna Medicare Giveback Choice (PPO) H5521/477 | MA-PD | $0 | $9,350 | 4.5 | 9 | 1,904 |
| Aetna Medicare Eagle (PPO) H5521/330 | MA | — | $5,500 | 4.5 | 9 | 1,783 |
| Aetna Medicare Signature (PPO) H5521/365 | MA-PD | $0 | $6,900 | 4.5 | 6 | 1,759 |
| Aetna Medicare Assure Premier (PPO D-SNP) H5521/505 · Dual-Eligible | SNP | $27 | $9,350 | 4.5 | 62 | 1,745 |
| Aetna Medicare Freedom (PPO) H5521/471 | MA-PD | $0 | $7,900 | 4.5 | 25 | 1,717 |
| Aetna Medicare Eagle (PPO) H5521/323 | MA | — | $8,900 | 4.5 | 53 | 1,692 |
| Aetna Medicare Enhanced Select (PPO) H5521/386 | MA-PD | $166 | $1,500 | 4.5 | 174 | 1,689 |
| Aetna Medicare Dual Choice (PPO D-SNP) H5521/469 · Dual-Eligible | SNP | $25 | $9,350 | 4.5 | 45 | 1,651 |
| Aetna Medicare Eagle (PPO) H5521/279 | MA | — | $6,750 | 4.5 | 46 | 1,622 |
| Aetna Medicare Value (PPO) H5521/285 | MA-PD | $0 | $4,900 | 4.5 | 15 | 1,620 |
| Aetna Medicare FL Explorer Premier (PPO) H5521/435 | MA-PD | $0 | $4,900 | 4.5 | 4 | 1,559 |
| Aetna Medicare Value (PPO) H5521/259 | MA-PD | $0 | $5,500 | 4.5 | 9 | 1,497 |
| Aetna Medicare Elite (PPO) H5521/303 | MA-PD | $0 | $5,900 | 4.5 | 6 | 1,482 |
| Aetna Medicare Value (PPO) H5521/156 | MA-PD | $0 | $6,350 | 4.5 | 16 | 1,480 |
| Aetna Medicare Explorer (PPO) H5521/543 | MA-PD | $47 | $6,750 | 4.5 | 6 | 1,437 |
| Aetna Medicare Giveback Choice (PPO) H5521/476 | MA-PD | $0 | $9,350 | 4.5 | 17 | 1,426 |
| Aetna Medicare Value (PPO) H5521/211 | MA-PD | $0 | $4,900 | 4.5 | 10 | 1,416 |
| Aetna Medicare FL Explorer Premier (PPO) H5521/433 | MA-PD | $0 | $4,500 | 4.5 | 1 | 1,388 |
| Aetna Medicare Premier NJ South (PPO) H5521/510 | MA-PD | $66 | $9,350 | 4.5 | 8 | 1,385 |
| Aetna Medicare Discover Value (PPO) H5521/381 | MA-PD | $25 | $6,900 | 4.5 | 6 | 1,364 |
| Aetna Medicare Discover Value (PPO) H5521/340 | MA-PD | $33 | $7,900 | 4.5 | 16 | 1,358 |
| Aetna Medicare Eagle (PPO) H5521/351 | MA | — | $6,350 | 4.5 | 17 | 1,355 |
| Aetna Medicare Premier (PPO) H5521/141 | MA-PD | $0 | $8,500 | 4.5 | 5 | 1,332 |
| Aetna Medicare Premier NJ North (PPO) H5521/513 | MA-PD | $66 | $9,350 | 4.5 | 13 | 1,310 |
| Aetna Medicare Value (PPO) H5521/288 | MA-PD | $0 | $4,900 | 4.5 | 6 | 1,280 |
| Aetna Medicare Value (PPO) H5521/260 | MA-PD | $0 | $5,500 | 4.5 | 24 | 1,279 |
| Aetna Medicare Premier (PPO) H5521/520 | MA-PD | $36 | $9,350 | 4.5 | 8 | 1,257 |
| Aetna Medicare Premier 2 (PPO) H5521/020 | MA-PD | $79 | $4,900 | 4.5 | 33 | 1,254 |
| Aetna Medicare Value Plus (PPO) H5521/302 | MA-PD | $28 | $4,700 | 4.5 | 36 | 1,245 |
| Aetna Medicare Eagle (PPO) H5521/296 | MA | — | $5,900 | 4.5 | 46 | 1,238 |
| Aetna Medicare Gold (PPO) H5521/122 | MA-PD | $142 | $7,500 | 4.5 | 67 | 1,228 |
| Aetna Medicare Select (PPO) H5521/022 | MA-PD | $22 | $4,900 | 4.5 | 2 | 1,149 |
| Aetna Medicare Value Plus (PPO) H5521/376 | MA-PD | $34 | $5,900 | 4.5 | 2 | 1,145 |
| Aetna Medicare Longevity (PPO I-SNP) H5521/461 · Institutional | SNP | $72 | $9,350 | 4.5 | 62 | 1,144 |
| Aetna Medicare Elite (PPO) H5521/246 | MA-PD | $0 | $5,500 | 4.5 | 4 | 1,136 |
| Aetna Medicare Eagle (PPO) H5521/320 | MA | — | $8,900 | 4.5 | 9 | 1,118 |
| Aetna Medicare Premier (PPO) H5521/484 | MA-PD | $0 | $8,900 | 4.5 | 77 | 1,058 |
| Aetna Medicare SmartFit (PPO) H5521/405 | MA-PD | $0 | $5,900 | 4.5 | 36 | 1,039 |
| Aetna Medicare Choice (PPO) H5521/558 | MA-PD | $0 | $5,900 | 4.5 | 6 | 1,024 |
| Aetna Medicare Eagle Giveback (PPO) H5521/235 | MA | — | $6,750 | 4.5 | 64 | 1,021 |
| Aetna Medicare Elite 2 NJ North (PPO) H5521/514 | MA-PD | $21 | $9,350 | 4.5 | 13 | 1,018 |
| Aetna Medicare Prime Premier (PPO) H5521/275 | MA-PD | $39 | $7,900 | 4.5 | 10 | 995 |
| Aetna Medicare Premier (PPO) H5521/395 | MA-PD | $0 | $7,900 | 4.5 | 27 | 986 |
| Aetna Medicare Dual Signature Choice (PPO D-SNP) H5521/472 · Dual-Eligible | SNP | $25 | $9,350 | 4.5 | 19 | 959 |
| Aetna Medicare SmartFit (PPO) H5521/406 | MA-PD | $0 | $5,900 | 4.5 | 21 | 958 |
| Aetna Medicare FL Explorer Premier (PPO) H5521/592 | MA-PD | $36 | $6,750 | 4.5 | 2 | 945 |
| Aetna Medicare Elite (PPO) H5521/299 | MA-PD | $0 | $6,350 | 4.5 | 2 | 938 |
| Aetna Medicare Signature (PPO) H5521/551 | MA-PD | $0 | $7,900 | 4.5 | 12 | 887 |
| Aetna Medicare Value Plus (PPO) H5521/414 | MA-PD | $38 | $4,900 | 4.5 | 6 | 881 |
| Aetna Medicare Premier (PPO) H5521/388 | MA-PD | $14 | $4,200 | 4.5 | 17 | 855 |
| Aetna Medicare Primary (PPO) H5521/502 | MA-PD | $0 | $6,750 | 4.5 | 1 | 845 |
| Aetna Medicare Explorer Premier 2 (PPO) H5521/124 | MA-PD | $75 | $9,350 | 4.5 | 7 | 839 |
| Aetna Medicare Value (PPO) H5521/139 | MA-PD | $21 | $6,750 | 4.5 | 10 | 792 |
| Aetna Medicare Discover Value (PPO) H5521/457 | MA-PD | $26 | $9,350 | 4.5 | 1 | 782 |
| Aetna Medicare Eagle (PPO) H5521/347 | MA | — | $5,500 | 4.5 | 20 | 765 |
| Aetna Medicare Eagle (PPO) H5521/306 | MA | — | $5,500 | 4.5 | 7 | 732 |
| Aetna Medicare Value Plus (PPO) H5521/449 | MA-PD | $28 | $5,900 | 4.5 | 5 | 712 |
| Aetna Medicare Dual Preferred (PPO D-SNP) H5521/398 · Dual-Eligible | SNP | $40 | $9,350 | 4.5 | 16 | 706 |
| Aetna Medicare Value Plus (PPO) H5521/496 | MA-PD | $28 | $6,350 | 4.5 | 30 | 684 |
| Aetna Medicare Value Plus (PPO) H5521/646 | MA-PD | $25 | $9,350 | 4.5 | 23 | 609 |
| Aetna Medicare Premier (PPO) H5521/305 | MA-PD | $0 | $5,500 | 4.5 | 2 | 538 |
| Aetna Medicare Premier (PPO) H5521/284 | MA-PD | $16 | $4,700 | 4.5 | 15 | 531 |
| Aetna Medicare Value Plus (PPO) H5521/400 | MA-PD | $29 | $5,500 | 4.5 | 7 | 518 |
| Aetna Medicare Premier (PPO) H5521/015 | MA-PD | $55 | $7,500 | 4.5 | 1 | 512 |
| Aetna Medicare Elite (PPO) H5521/521 | MA-PD | $61 | $9,350 | 4.5 | 7 | 485 |
| Aetna Medicare Eagle (PPO) H5521/324 | MA | — | $9,350 | 4.5 | 72 | 478 |
| Aetna Medicare FL Explorer Premier (PPO) H5521/377 | MA-PD | $0 | $4,700 | 4.5 | 1 | 473 |
| Aetna Medicare Eagle (PPO) H5521/322 | MA | — | $6,750 | 4.5 | 123 | 453 |
| Aetna Medicare Value (PPO) H5521/408 | MA-PD | $0 | $5,900 | 4.5 | 11 | 429 |
| Aetna Medicare Eagle Premier (PPO) H5521/504 | MA | — | $9,350 | 4.5 | 21 | 423 |
| Aetna Medicare Eagle (PPO) H5521/308 | MA | — | $5,500 | 4.5 | 6 | 418 |
| Aetna Medicare Platinum (PPO) H5521/557 | MA-PD | $86 | $2,800 | 4.5 | 2 | 413 |
| Aetna Medicare Value (PPO) H5521/197 | MA-PD | $51 | $6,900 | 4.5 | 11 | 401 |
| Aetna Medicare FL Explorer Premier (PPO) H5521/586 | MA-PD | $36 | $6,750 | 4.5 | 3 | 384 |
| Aetna Medicare Elite 2 NJ South (PPO) H5521/511 | MA-PD | $25 | $8,900 | 4.5 | 8 | 357 |
| Aetna Medicare Eagle (PPO) H5521/487 | MA | — | $6,900 | 4.5 | 82 | 304 |
| Aetna Medicare Dual Choice (PPO D-SNP) H5521/539 · Dual-Eligible | SNP | $22 | $9,350 | 4.5 | 46 | 260 |
| Aetna Medicare Eagle (PPO) H5521/440 | MA | — | $5,500 | 4.5 | 7 | 252 |
| Aetna Medicare Eagle (PPO) H5521/480 | MA | — | $6,750 | 4.5 | 9 | 240 |
| Aetna Medicare Enhanced Select (PPO) H5521/495 | MA-PD | $112 | $6,700 | 4.5 | 3 | 237 |
| Aetna Medicare Premier (PPO) H5521/522 | MA-PD | $96 | $9,350 | 4.5 | 7 | 236 |
| Aetna Medicare Eagle (PPO) H5521/488 | MA | — | $6,900 | 4.5 | 71 | 202 |
| Aetna Medicare Signature (PPO) H5521/550 | MA-PD | $0 | $7,900 | 4.5 | 1 | 201 |
| Aetna Medicare Gold (PPO) H5521/614 | MA-PD | $57 | $5,500 | 4.5 | 8 | 151 |
| Aetna Medicare Premier (PPO) H5521/409 | MA-PD | $19 | $5,500 | 4.5 | 11 | 119 |
| Aetna Medicare Greater Portland Eagle (PPO) H5521/493 | MA | — | $5,900 | 4.5 | 7 | 81 |
| Aetna Medicare Gold (PPO) H5521/584 | MA-PD | $57 | $4,900 | 4.5 | 15 | 79 |
| Aetna Medicare Eagle (PPO) H5521/355 | MA | — | $6,750 | 4.5 | 68 | 71 |
| Aetna Medicare Gold (PPO) H5521/593 | MA-PD | $57 | $5,500 | 4.5 | 26 | 69 |
| Aetna Medicare Smart Plus (PPO) H5521/498 | MA-PD | $57 | $5,000 | 4.5 | 37 | 48 |
| Aetna Medicare Enhanced Select (PPO) H5521/509 | MA-PD | $157 | $7,500 | 4.5 | 9 | 26 |
| Aetna Medicare Gold (PPO) H5521/607 | MA-PD | $57 | $5,500 | 4.5 | 36 | 14 |
| Aetna Medicare Explorer Premier (PPO) H5521/013 | MA-PD | $66 | $6,750 | 4.5 | 8 | 0 |
| Aetna Medicare Freedom (PPO) H5521/116 | MA-PD | $0 | $7,900 | 4.5 | 7 | 0 |
| Aetna Medicare Elite (PPO) H5521/157 | MA-PD | $0 | $6,750 | 4.5 | 7 | 0 |
| Aetna Medicare Freedom (PPO) H5521/171 | MA-PD | $0 | $7,900 | 4.5 | 12 | 0 |
| Aetna Medicare Premier Plus 2 (PPO) H5521/207 | MA-PD | $0 | $5,500 | 4.5 | 18 | 0 |
| Aetna Medicare Freedom (PPO) H5521/216 | MA-PD | $0 | $7,900 | 4.5 | 6 | 0 |
| Aetna Medicare Freedom (PPO) H5521/222 | MA-PD | $0 | $7,900 | 4.5 | 11 | 0 |
| Aetna Medicare Freedom (PPO) H5521/224 | MA-PD | $0 | $7,900 | 4.5 | 11 | 0 |
| Aetna Medicare Freedom (PPO) H5521/227 | MA-PD | $0 | $7,900 | 4.5 | 11 | 0 |
| Aetna Medicare Eagle (PPO) H5521/229 | MA | — | $7,900 | 4.5 | 64 | 0 |
| Aetna Medicare Premier Plus 1 (PPO) H5521/250 | MA-PD | $0 | $5,200 | 4.5 | 13 | 0 |
| Aetna Medicare Elite (PPO) H5521/290 | MA-PD | $0 | $4,900 | 4.5 | 3 | 0 |
| Aetna Medicare Choice (PPO) H5521/292 | MA-PD | $84 | $5,500 | 4.5 | 1 | 0 |
| Aetna Medicare Eagle (PPO) H5521/329 | MA | — | $4,900 | 4.5 | 9 | 0 |
| Aetna Medicare Elite (PPO) H5521/331 | MA-PD | $0 | $6,350 | 4.5 | 3 | 0 |
| Aetna Medicare Choice (PPO) H5521/332 | MA-PD | $0 | $5,500 | 4.5 | 2 | 0 |
| Aetna Medicare Essential Elite (PPO) H5521/352 | MA-PD | $0 | $6,750 | 4.5 | 7 | 0 |
| Aetna Medicare Elite (PPO) H5521/363 | MA-PD | $0 | $4,500 | 4.5 | 3 | 0 |
| Aetna Medicare Eagle Plus (PPO) H5521/369 | MA | — | $6,750 | 4.5 | 27 | 0 |
| Aetna Medicare Choice (PPO) H5521/370 | MA-PD | $24 | $5,500 | 4.5 | 4 | 0 |
| Aetna Medicare Elite (PPO) H5521/371 | MA-PD | $24 | $5,500 | 4.5 | 1 | 0 |
| Aetna Medicare Eagle 1 (PPO) H5521/378 | MA | — | $5,500 | 4.5 | 33 | 0 |
| Aetna Medicare Core (PPO) H5521/419 | MA-PD | $0 | $4,500 | 4.5 | 2 | 0 |
| Aetna Medicare Core (PPO) H5521/421 | MA-PD | $0 | $4,500 | 4.5 | 3 | 0 |
| Aetna Medicare Core (PPO) H5521/422 | MA-PD | $0 | $4,500 | 4.5 | 1 | 0 |
| Aetna Medicare Value Plus (PPO) H5521/424 | MA-PD | $6 | $4,900 | 4.5 | 3 | 0 |
| Aetna Medicare Core (PPO) H5521/425 | MA-PD | $0 | $5,900 | 4.5 | 19 | 0 |
| Aetna Medicare Value Plus (PPO) H5521/443 | MA-PD | $20 | $5,500 | 4.5 | 33 | 0 |
| Aetna Medicare Discover (PPO) H5521/446 | MA-PD | $0 | $6,750 | 4.5 | 7 | 0 |
| Aetna Medicare Dual Choice (PPO D-SNP) H5521/462 · Dual-Eligible | SNP | $12 | $9,350 | 4.5 | 64 | 0 |
| Aetna Medicare Dual Select Choice (PPO D-SNP) H5521/463 · Dual-Eligible | SNP | $12 | $7,900 | 4.5 | 64 | 0 |
| Aetna Medicare Value Plus (PPO) H5521/467 | MA-PD | $10 | $9,350 | 4.5 | 64 | 0 |
| Aetna Medicare Giveback Choice (PPO) H5521/475 | MA-PD | $0 | $9,350 | 4.5 | 10 | 0 |
| Aetna Medicare Core (PPO) H5521/478 | MA-PD | $56 | $5,500 | 4.5 | 1 | 0 |
| Aetna Medicare Smart Plus (PPO) H5521/497 | MA-PD | $57 | $5,000 | 4.5 | 10 | 0 |
| Aetna Medicare Smart Plus (PPO) H5521/499 | MA-PD | $57 | $5,000 | 4.5 | 16 | 0 |
| Aetna Medicare Longevity (PPO I-SNP) H5521/506 · Institutional | SNP | $53 | $9,350 | 4.5 | 8 | 0 |
| Aetna Medicare Freedom (PPO) H5521/554 | MA-PD | $0 | $4,900 | 4.5 | 3 | 0 |
| Aetna Medicare Core II (PPO) H5521/578 | MA-PD | $42 | $3,400 | 4.5 | 2 | 0 |
| Aetna Medicare Core II (PPO) H5521/579 | MA-PD | $42 | $3,400 | 4.5 | 3 | 0 |
| Aetna Medicare Core II (PPO) H5521/580 | MA-PD | $42 | $3,400 | 4.5 | 1 | 0 |
| Aetna Medicare Core II (PPO) H5521/581 | MA-PD | $46 | $4,900 | 4.5 | 18 | 0 |
| Aetna Medicare Essential (PPO) H5521/590 | MA-PD | $62 | $5,900 | 4.5 | 36 | 0 |
| Aetna Medicare Freedom (PPO) H5521/644 | MA-PD | $0 | $9,350 | 4.5 | 6 | 0 |
| Aetna Medicare Premium (PPO) H5521/648 | MA-PD | $37 | $5,000 | 4.5 | 33 | 0 |
| ID | Measure | ★ |
|---|---|---|
| C01 | Breast Cancer Screening | 4.0 |
| C02 | Colorectal Cancer Screening | 4.0 |
| C03 | Annual Flu Vaccine | 3.0 |
| C04 | Monitoring Physical Activity | 4.0 |
| C05 | Special Needs Plan (SNP) Care Management | — |
| C06 | Care for Older Adults � Medication Review | — |
| C07 | Care for Older Adults � Pain Assessment | — |
| C08 | Osteoporosis Management in Women who had a Fracture | 3.0 |
| C09 | Diabetes Care � Eye Exam | 4.0 |
| C10 | Diabetes Care � Blood Sugar Controlled | 5.0 |
| C11 | Controlling High Blood Pressure | 4.0 |
| C12 | Reducing the Risk of Falling | 2.0 |
| C13 | Improving Bladder Control | 3.0 |
| 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 | 3.0 |
| C18 | Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions | 4.0 |
| C19 | Getting Needed Care | 3.0 |
| C20 | Getting Appointments and Care Quickly | 4.0 |
| C21 | Customer Service | 3.0 |
| C22 | Rating of Health Care Quality | 5.0 |
| C23 | Rating of Health Plan | 4.0 |
| C24 | Care Coordination | 5.0 |
| C25 | Complaints about the Health Plan | 5.0 |
| C26 | Members Choosing to Leave the Plan | 5.0 |
| C27 | Health Plan Quality Improvement | 4.0 |
| C28 | Plan Makes Timely Decisions about Appeals | 3.0 |
| C29 | Reviewing Appeals Decisions | 3.0 |
| C30 | Call Center � Foreign Language Interpreter and TTY Availability | 5.0 |
| D01 | Call Center � Foreign Language Interpreter and TTY Availability | 4.0 |
| D02 | Complaints about the Drug Plan | 5.0 |
| D03 | Members Choosing to Leave the Plan | 5.0 |
| D04 | Drug Plan Quality Improvement | 5.0 |
| D05 | Rating of Drug Plan | 4.0 |
| D06 | Getting Needed Prescription Drugs | 4.0 |
| D07 | MPF Price Accuracy | 4.0 |
| D08 | Medication Adherence for Diabetes Medications | 4.0 |
| D09 | Medication Adherence for Hypertension (RAS antagonists) | 4.0 |
| D10 | Medication Adherence for Cholesterol (Statins) | 4.0 |
| D11 | MTM Program Completion Rate for CMR | 4.0 |
| D12 | Statin Use in Persons with Diabetes (SUPD) | 2.0 |