Local PPO · observed 2026 → 2026 · 75 months of CPSC history · 198 active CY 2026 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| Aetna Medicare Elite (PPO) H5521/120 | MA-PD | $0 | $9,250 | 4.5 | 7 | 69,722 |
| Aetna Medicare Signature (PPO) H5521/272 | MA-PD | $0 | $5,500 | 4.5 | 7 | 36,550 |
| Aetna Medicare Signature (PPO) H5521/081 | MA-PD | $0 | $5,900 | 4.5 | 29 | 29,166 |
| Aetna Medicare Signature Extra (PPO) H5521/086 | MA-PD | $0 | $5,200 | 4.5 | 6 | 26,723 |
| Aetna Medicare Signature Extra (PPO) H5521/170 | MA-PD | $0 | $5,900 | 4.5 | 17 | 25,325 |
| Aetna Medicare Signature Extra (PPO) H5521/431 | MA-PD | $0 | $6,900 | 4.5 | 7 | 22,925 |
| Aetna Medicare Signature (PPO) H5521/088 | MA-PD | $0 | $5,900 | 4.5 | 36 | 19,436 |
| Aetna Medicare Elite Care (PPO) H5521/598 | MA-PD | $0 | $9,250 | 4.5 | 12 | 19,159 |
| Aetna Medicare Elite (PPO) H5521/091 | MA-PD | $0 | $9,250 | 4.5 | 15 | 18,742 |
| Aetna Medicare Signature (PPO) H5521/087 | MA-PD | $0 | $4,900 | 4.5 | 14 | 18,660 |
| Aetna Medicare Signature (PPO) H5521/319 | MA-PD | $0 | $8,200 | 4.5 | 8 | 18,457 |
| Aetna Medicare Signature (PPO) H5521/077 | MA-PD | $0 | $9,250 | 4.5 | 14 | 18,285 |
| Aetna Medicare Signature (PPO) H5521/089 | MA-PD | $0 | $5,500 | 4.5 | 19 | 17,713 |
| Aetna Medicare Premier (PPO) H5521/381 | MA-PD | $27 | $6,900 | 4.5 | 4 | 16,848 |
| Aetna Medicare Signature Extra (PPO) H5521/159 | MA-PD | $0 | $5,900 | 4.5 | 5 | 16,067 |
| Aetna Medicare Signature Extra (PPO) H5521/404 | MA-PD | $0 | $4,700 | 4.5 | 13 | 15,314 |
| Aetna Medicare Elite (PPO) H5521/119 | MA-PD | $0 | $9,250 | 4.5 | 14 | 13,839 |
| Aetna Medicare Signature Giveback (PPO) H5521/140 | MA-PD | $0 | $8,200 | 4.5 | 8 | 13,754 |
| Aetna Medicare Signature (PPO) H5521/214 | MA-PD | $0 | $5,200 | 4.5 | 13 | 12,542 |
| Aetna Medicare Signature Giveback (PPO) H5521/348 | MA-PD | $0 | $7,500 | 4.5 | 86 | 12,164 |
| Aetna Medicare Signature (PPO) H5521/434 | MA-PD | $0 | $5,900 | 4.5 | 9 | 11,852 |
| Aetna Medicare Signature (PPO) H5521/270 | MA-PD | $0 | $6,750 | 4.5 | 5 | 11,309 |
| Aetna Medicare Eagle (PPO) H5521/286 | MA | — | $4,900 | 4.5 | 161 | 11,265 |
| Aetna Medicare Signature (PPO) H5521/451 | MA-PD | $0 | $6,750 | 4.5 | 5 | 10,336 |
| Aetna Medicare Signature Plus (PPO) H5521/218 | MA-PD | $0 | $9,250 | 4.5 | 54 | 9,774 |
| Aetna Medicare Signature (PPO) H5521/261 | MA-PD | $0 | $5,500 | 4.5 | 25 | 9,681 |
| Aetna Medicare Signature Extra (PPO) H5521/450 | MA-PD | $0 | $5,900 | 4.5 | 2 | 8,400 |
| Aetna Medicare Signature (PPO) H5521/195 | MA-PD | $0 | $5,200 | 4.5 | 15 | 8,157 |
| Aetna Medicare Signature (PPO) H5521/215 | MA-PD | $0 | $7,900 | 4.5 | 4 | 7,277 |
| Aetna Medicare Elite (PPO) H5521/536 | MA-PD | $0 | $9,250 | 4.5 | 1 | 7,044 |
| Aetna Medicare Signature (PPO) H5521/375 | MA-PD | $0 | $5,900 | 4.5 | 5 | 7,004 |
| Aetna Medicare Value Care (PPO) H5521/364 | MA-PD | $25 | $9,250 | 4.5 | 12 | 6,652 |
| Aetna Medicare Signature (PPO) H5521/099 | MA-PD | $0 | $5,000 | 4.5 | 6 | 6,394 |
| Aetna Medicare Value Plus (PPO) H5521/449 | MA-PD | $26 | $5,900 | 4.5 | 5 | 6,169 |
| Aetna Medicare Signature (PPO) H5521/236 | MA-PD | $0 | $6,750 | 4.5 | 16 | 6,022 |
| Aetna Medicare Signature (PPO) H5521/289 | MA-PD | $0 | $5,900 | 4.5 | 17 | 5,872 |
| Aetna Medicare Signature (PPO) H5521/273 | MA-PD | $0 | $6,350 | 4.5 | 3 | 5,838 |
| Aetna Medicare Signature Plus (PPO) H5521/233 | MA-PD | $0 | $7,900 | 4.5 | 31 | 5,742 |
| Aetna Medicare Signature (PPO) H5521/033 | MA-PD | $0 | $6,750 | 4.5 | 29 | 5,637 |
| Aetna Medicare Signature (PPO) H5521/245 | MA-PD | $0 | $8,750 | 4.5 | 14 | 5,468 |
| Aetna Medicare Signature (PPO) H5521/702 | MA-PD | $0 | $6,750 | 4.5 | 5 | 5,441 |
| Aetna Medicare Elite (PPO) H5521/537 | MA-PD | $54 | $9,250 | 4.5 | 1 | 5,417 |
| Aetna Medicare Signature (PPO) H5521/160 | MA-PD | $0 | $6,750 | 4.5 | 2 | 5,277 |
| Aetna Medicare Signature (PPO) H5521/219 | MA-PD | $0 | $5,200 | 4.5 | 16 | 5,150 |
| Aetna Medicare Signature (PPO) H5521/269 | MA-PD | $0 | $6,750 | 4.5 | 9 | 5,127 |
| Aetna Medicare Signature (PPO) H5521/432 | MA-PD | $0 | $5,900 | 4.5 | 3 | 5,114 |
| Aetna Medicare Prime (PPO) H5521/392 | MA-PD | $0 | $9,250 | 4.5 | 10 | 5,014 |
| Aetna Medicare Signature (PPO) H5521/285 | MA-PD | $0 | $5,200 | 4.5 | 30 | 4,857 |
| Aetna Medicare Signature (PPO) H5521/231 | MA-PD | $0 | $5,900 | 4.5 | 17 | 4,744 |
| Aetna Medicare Signature (PPO) H5521/492 | MA-PD | $0 | $6,900 | 4.5 | 5 | 4,696 |
| Aetna Medicare Prime Giveback (PPO) H5521/277 | MA-PD | $0 | $9,250 | 4.5 | 10 | 4,671 |
| Aetna Medicare Signature (PPO) H5521/037 | MA-PD | $94 | $9,250 | 4.5 | 10 | 4,611 |
| Aetna Medicare Premier (PPO) H5521/340 | MA-PD | $50 | $8,900 | 4.5 | 14 | 4,581 |
| Aetna Medicare Enhanced (PPO) H5521/520 | MA-PD | $56 | $9,250 | 4.5 | 7 | 4,517 |
| Aetna Medicare Value Plus (PPO) H5521/490 | MA-PD | $38 | $5,500 | 4.5 | 81 | 4,325 |
| Aetna Medicare Premier (PPO) H5521/016 | MA-PD | $44 | $5,000 | 4.5 | 6 | 4,221 |
| Aetna Medicare Signature (PPO) H5521/609 | MA-PD | $0 | $6,750 | 4.5 | 2 | 4,048 |
| Aetna Medicare Enhanced (PPO) H5521/661 | MA-PD | $60 | $9,250 | 4.5 | 2 | 3,965 |
| Aetna Medicare Enhanced Plus (PPO) H5521/084 | MA-PD | $26 | $6,500 | 4.5 | 102 | 3,930 |
| Aetna Medicare Signature (PPO) H5521/055 | MA-PD | $0 | $6,750 | 4.5 | 2 | 3,852 |
| Aetna Medicare Value Care (PPO) H5521/326 | MA-PD | $6 | $6,750 | 4.5 | 30 | 3,849 |
| Aetna Medicare Eagle Giveback (PPO) H5521/323 | MA | — | $9,250 | 4.5 | 53 | 3,846 |
| Aetna Medicare Enhanced (PPO) H5521/169 | MA-PD | $20 | $5,900 | 4.5 | 14 | 3,740 |
| Aetna Medicare Eagle Giveback (PPO) H5521/241 | MA | — | $6,750 | 4.5 | 96 | 3,655 |
| Aetna Medicare Signature (PPO) H5521/271 | MA-PD | $0 | $5,900 | 4.5 | 4 | 3,645 |
| Aetna Medicare Signature Extra (PPO) H5521/263 | MA-PD | $0 | $6,750 | 4.5 | 29 | 3,604 |
| Aetna Medicare Signature Extra (PPO) H5521/403 | MA-PD | $0 | $5,500 | 4.5 | 7 | 3,347 |
| Aetna Medicare Signature (PPO) H5521/243 | MA-PD | $0 | $6,750 | 4.5 | 28 | 3,312 |
| Aetna Medicare Signature Extra (PPO) H5521/654 | MA-PD | $0 | $5,900 | 4.5 | 4 | 3,293 |
| Aetna Medicare Elite (PPO) H5521/482 | MA-PD | $46 | $6,750 | 4.5 | 3 | 3,284 |
| Aetna Medicare Eagle (PPO) H5521/353 | MA | — | $6,750 | 4.5 | 3 | 3,224 |
| Aetna Medicare Signature Plus (PPO) H5521/553 | MA-PD | $0 | $9,250 | 4.5 | 9 | 3,186 |
| Aetna Medicare Value Plus (PPO) H5521/470 | MA-PD | $24 | $9,250 | 4.5 | 58 | 3,115 |
| Aetna Medicare Enhanced (PPO) H5521/512 | MA-PD | $60 | $9,250 | 4.5 | 7 | 3,098 |
| Aetna Medicare Duly Prime (PPO) H5521/314 | MA-PD | $0 | $5,500 | 4.5 | 3 | 3,008 |
| Aetna Medicare Elite (PPO) H5521/521 | MA-PD | $84 | $9,250 | 4.5 | 5 | 2,955 |
| Aetna Medicare Elite Extra (PPO) H5521/698 | MA-PD | $44 | $9,250 | 4.5 | 3 | 2,935 |
| Aetna Medicare Signature (PPO) H5521/569 | MA-PD | $0 | $6,750 | 4.5 | 3 | 2,909 |
| Aetna Medicare Elite (PPO) H5521/123 | MA-PD | $54 | $9,250 | 4.5 | 7 | 2,907 |
| Aetna Medicare Eagle Giveback (PPO) H5521/306 | MA | — | $6,750 | 4.5 | 38 | 2,663 |
| Aetna Medicare Enhanced (PPO) H5521/251 | MA-PD | $29 | $8,750 | 4.5 | 36 | 2,558 |
| Aetna Medicare Signature (PPO) H5521/254 | MA-PD | $0 | $6,750 | 4.5 | 24 | 2,555 |
| Aetna Medicare Enhanced (PPO) H5521/150 | MA-PD | $30 | $5,000 | 4.5 | 7 | 2,528 |
| Aetna Medicare Enhanced (PPO) H5521/501 | MA-PD | $28 | $6,750 | 4.5 | 64 | 2,518 |
| Aetna Medicare Premier (PPO) H5521/388 | MA-PD | $27 | $5,200 | 4.5 | 17 | 2,500 |
| Aetna Medicare Enhanced Extra (PPO) H5521/513 | MA-PD | $91 | $9,250 | 4.5 | 13 | 2,419 |
| Aetna Medicare Eagle Giveback (PPO) H5521/296 | MA | — | $5,900 | 4.5 | 30 | 2,358 |
| Aetna Medicare Signature (PPO) H5521/085 | MA-PD | $0 | $6,750 | 4.5 | 34 | 2,267 |
| Aetna Medicare Premier (PPO) H5521/095 | MA-PD | $87 | $7,500 | 4.5 | 3 | 2,248 |
| Aetna Medicare Signature Extra (PPO) H5521/407 | MA-PD | $0 | $5,200 | 4.5 | 16 | 2,120 |
| Aetna Medicare Enhanced (PPO) H5521/687 | MA-PD | $48 | $6,900 | 4.5 | 6 | 2,085 |
| Aetna Medicare Enhanced (PPO) H5521/121 | MA-PD | $91 | $9,250 | 4.5 | 3 | 2,067 |
| Aetna Medicare Signature (PPO) H5521/156 | MA-PD | $0 | $6,350 | 4.5 | 16 | 2,033 |
| Aetna Medicare Elite Extra (PPO) H5521/674 | MA-PD | $54 | $9,250 | 4.5 | 2 | 2,030 |
| Aetna Medicare Signature (PPO) H5521/249 | MA-PD | $0 | $8,200 | 4.5 | 7 | 2,018 |
| Aetna Medicare Signature Extra (PPO) H5521/406 | MA-PD | $0 | $6,350 | 4.5 | 17 | 1,987 |
| Aetna Medicare Signature (PPO) H5521/433 | MA-PD | $0 | $5,900 | 4.5 | 1 | 1,985 |
| Aetna Medicare Signature (PPO) H5521/223 | MA-PD | $0 | $6,350 | 4.5 | 13 | 1,948 |
| Aetna Medicare Elite (PPO) H5521/650 | MA-PD | $90 | $6,750 | 4.5 | 18 | 1,927 |
| Aetna Medicare Enhanced (PPO) H5521/665 | MA-PD | $134 | $6,750 | 4.5 | 2 | 1,908 |
| Aetna Medicare Signature (PPO) H5521/710 | MA-PD | $0 | $6,750 | 4.5 | 7 | 1,874 |
| Aetna Medicare Value Care (PPO) H5521/399 | MA-PD | $46 | $5,900 | 4.5 | 13 | 1,869 |
| Aetna Medicare Enhanced (PPO) H5521/685 | MA-PD | $40 | $6,900 | 4.5 | 2 | 1,813 |
| Aetna Medicare Eagle Giveback (PPO) H5521/279 | MA | — | $8,200 | 4.5 | 113 | 1,812 |
| Aetna Medicare Eagle (PPO) H5521/330 | MA | — | $5,500 | 4.5 | 7 | 1,794 |
| Aetna Medicare Premier (PPO) H5521/020 | MA-PD | $95 | $4,900 | 4.5 | 32 | 1,681 |
| Aetna Medicare Dual Care (PPO D-SNP) H5521/465 · Dual-Eligible | SNP | $24 | $9,250 | 4.5 | 52 | 1,671 |
| Aetna Medicare Enhanced (PPO) H5521/194 | MA-PD | $15 | $4,900 | 4.5 | 16 | 1,628 |
| Aetna Medicare Eagle Giveback (PPO) H5521/320 | MA | — | $9,250 | 4.5 | 9 | 1,621 |
| Aetna Medicare Signature Plus (PPO) H5521/645 | MA-PD | $0 | $7,900 | 4.5 | 17 | 1,618 |
| Aetna Medicare Eagle Giveback (PPO) H5521/487 | MA | — | $6,900 | 4.5 | 69 | 1,564 |
| Aetna Medicare Signature Giveback (PPO) H5521/476 | MA-PD | $0 | $9,250 | 4.5 | 17 | 1,524 |
| Aetna Medicare Signature (PPO) H5521/484 | MA-PD | $0 | $8,900 | 4.5 | 76 | 1,521 |
| Aetna Medicare Enhanced (PPO) H5521/662 | MA-PD | $124 | $9,250 | 4.5 | 1 | 1,404 |
| Aetna Medicare Signature (PPO) H5521/439 | MA-PD | $0 | $5,900 | 4.5 | 4 | 1,358 |
| Aetna Medicare Enhanced Advantage (PPO) H5521/510 | MA-PD | $91 | $9,250 | 4.5 | 7 | 1,353 |
| Aetna Medicare Dual Extra Care (PPO D-SNP) H5521/464 · Dual-Eligible | SNP | $24 | $9,250 | 4.5 | 59 | 1,325 |
| Aetna Medicare Signature Care (PPO) H5521/365 | MA-PD | $0 | $7,900 | 4.5 | 6 | 1,298 |
| Aetna Medicare Signature (PPO) H5521/260 | MA-PD | $0 | $5,500 | 4.5 | 22 | 1,282 |
| Aetna Medicare Elite Extra (PPO) H5521/699 | MA-PD | $44 | $9,250 | 4.5 | 2 | 1,268 |
| Aetna Medicare Enhanced (PPO) H5521/669 | MA-PD | $109 | $9,250 | 4.5 | 14 | 1,222 |
| Aetna Medicare Signature Giveback (PPO) H5521/141 | MA-PD | $0 | $8,500 | 4.5 | 5 | 1,181 |
| Aetna Medicare Eagle Giveback (PPO) H5521/322 | MA | — | $6,750 | 4.5 | 120 | 1,165 |
| Aetna Medicare Enhanced (PPO) H5521/022 | MA-PD | $40 | $5,500 | 4.5 | 2 | 1,151 |
| Aetna Medicare Longevity (PPO I-SNP) H5521/461 · Institutional | SNP | $59 | $9,250 | 4.5 | 62 | 1,124 |
| Aetna Medicare Elite (PPO) H5521/299 | MA-PD | $0 | $6,350 | 4.5 | 2 | 1,121 |
| Aetna Medicare Enhanced (PPO) H5521/122 | MA-PD | $183 | $7,500 | 4.5 | 67 | 1,120 |
| Aetna Medicare Prime Extra (PPO) H5521/275 | MA-PD | $74 | $9,250 | 4.5 | 10 | 1,113 |
| Aetna Medicare Signature (PPO) H5521/435 | MA-PD | $0 | $5,900 | 4.5 | 4 | 1,041 |
| Aetna Medicare Signature (PPO) H5521/705 | MA-PD | $0 | $6,750 | 4.5 | 9 | 1,012 |
| Aetna Medicare Signature (PPO) H5521/558 | MA-PD | $0 | $5,900 | 4.5 | 1 | 951 |
| Aetna Medicare Value Care (PPO) H5521/302 | MA-PD | $33 | $5,200 | 4.5 | 16 | 950 |
| Aetna Medicare Elite (PPO) H5521/246 | MA-PD | $0 | $5,500 | 4.5 | 3 | 912 |
| Aetna Medicare Enhanced Extra (PPO) H5521/457 | MA-PD | $51 | $9,250 | 4.5 | 1 | 894 |
| Aetna Medicare Elite (PPO) H5521/395 | MA-PD | $0 | $7,900 | 4.5 | 26 | 892 |
| Aetna Medicare Dual Care (PPO D-SNP) H5521/472 · Dual-Eligible | SNP | $26 | $9,250 | 4.5 | 35 | 862 |
| Aetna Medicare Eagle (PPO) H5521/351 | MA | — | $6,500 | 4.5 | 13 | 858 |
| Aetna Medicare Signature Extra (PPO) H5521/305 | MA-PD | $0 | $5,900 | 4.5 | 2 | 817 |
| Aetna Medicare Enhanced Extra (PPO) H5521/124 | MA-PD | $94 | $9,250 | 4.5 | 6 | 815 |
| Aetna Medicare Value Care (PPO) H5521/400 | MA-PD | $21 | $5,900 | 4.5 | 7 | 812 |
| Aetna Medicare Signature Care (PPO) H5521/502 | MA-PD | $0 | $6,750 | 4.5 | 1 | 767 |
| Aetna Medicare Signature (PPO) H5521/211 | MA-PD | $0 | $5,200 | 4.5 | 11 | 765 |
| Aetna Medicare Eagle Giveback (PPO) H5521/504 | MA | — | $9,250 | 4.5 | 21 | 746 |
| Aetna Medicare Enhanced (PPO) H5521/139 | MA-PD | $21 | $6,750 | 4.5 | 10 | 739 |
| Aetna Medicare Enhanced (PPO) H5521/522 | MA-PD | $131 | $9,250 | 4.5 | 5 | 724 |
| Aetna Medicare Signature Extra (PPO) H5521/704 | MA-PD | $0 | $6,750 | 4.5 | 3 | 684 |
| Aetna Medicare Elite (PPO) H5521/303 | MA-PD | $0 | $5,900 | 4.5 | 1 | 657 |
| Aetna Medicare Premier (PPO) H5521/015 | MA-PD | $70 | $7,500 | 4.5 | 1 | 625 |
| Aetna Medicare Enhanced Extra (PPO) H5521/664 | MA-PD | $104 | $6,750 | 4.5 | 2 | 601 |
| Aetna Medicare Eagle Plus Giveback (PPO) H5521/235 | MA | — | $6,750 | 4.5 | 37 | 595 |
| Aetna Medicare Full Dual (PPO D-SNP) H5521/398 · Dual-Eligible | SNP | $23 | $9,250 | 4.5 | 13 | 594 |
| Aetna Medicare Elite Giveback (PPO) H5521/477 | MA-PD | $0 | $9,250 | 4.5 | 7 | 557 |
| Aetna Medicare Value Plus (PPO) H5521/414 | MA-PD | $38 | $5,500 | 4.5 | 4 | 540 |
| Aetna Medicare Eagle (PPO) H5521/493 | MA | — | $5,900 | 4.5 | 7 | 524 |
| Aetna Medicare Eagle Plus (PPO) H5521/324 | MA | — | $9,250 | 4.5 | 63 | 521 |
| Aetna Medicare Premier (PPO) H5521/495 | MA-PD | $84 | $6,350 | 4.5 | 3 | 454 |
| Aetna Medicare Premier (PPO) H5521/586 | MA-PD | $53 | $6,750 | 4.5 | 3 | 450 |
| Aetna Medicare Signature Care (PPO) H5521/500 | MA-PD | $0 | $9,250 | 4.5 | 10 | 446 |
| Aetna Medicare Value Care (PPO) H5521/496 | MA-PD | $36 | $6,750 | 4.5 | 21 | 435 |
| Aetna Medicare Eagle Giveback (PPO) H5521/488 | MA | — | $6,900 | 4.5 | 81 | 358 |
| Aetna Medicare Value Plus (PPO) H5521/646 | MA-PD | $33 | $9,250 | 4.5 | 14 | 265 |
| Aetna Medicare Premier (PPO) H5521/688 | MA-PD | $74 | $6,750 | 4.5 | 3 | 217 |
| Aetna Medicare Eagle Giveback (PPO) H5521/480 | MA | — | $6,750 | 4.5 | 4 | 215 |
| Aetna Medicare Premier (PPO) H5521/706 | MA-PD | $74 | $6,750 | 4.5 | 9 | 176 |
| Aetna Medicare Enhanced (PPO) H5521/686 | MA-PD | $48 | $6,900 | 4.5 | 1 | 119 |
| Aetna Medicare Enhanced (PPO) H5521/656 | MA-PD | $105 | $7,900 | 4.5 | 9 | 107 |
| Aetna Medicare Enhanced (PPO) H5521/607 | MA-PD | $72 | $5,900 | 4.5 | 29 | 47 |
| Aetna Medicare Premier (PPO) H5521/652 | MA-PD | $100 | $6,750 | 4.5 | 68 | 31 |
| Aetna Medicare Signature Plus (PPO) H5521/116 | MA-PD | $0 | $9,250 | 4.5 | 14 | 0 |
| Aetna Medicare Elite (PPO) H5521/157 | MA-PD | $0 | $6,750 | 4.5 | 7 | 0 |
| Aetna Medicare Signature Plus (PPO) H5521/171 | MA-PD | $0 | $8,900 | 4.5 | 11 | 0 |
| Aetna Medicare Signature (PPO) H5521/207 | MA-PD | $0 | $6,750 | 4.5 | 18 | 0 |
| Aetna Medicare Signature Plus (PPO) H5521/224 | MA-PD | $0 | $8,900 | 4.5 | 5 | 0 |
| Aetna Medicare Signature Plus (PPO) H5521/227 | MA-PD | $0 | $8,900 | 4.5 | 11 | 0 |
| Aetna Medicare Eagle Plus (PPO) H5521/229 | MA | — | $7,900 | 4.5 | 45 | 0 |
| Aetna Medicare Signature (PPO) H5521/250 | MA-PD | $0 | $6,350 | 4.5 | 12 | 0 |
| Aetna Medicare Enhanced (PPO) H5521/292 | MA-PD | $102 | $6,750 | 4.5 | 1 | 0 |
| Aetna Medicare Eagle (PPO) H5521/329 | MA | — | $5,500 | 4.5 | 3 | 0 |
| Aetna Medicare Elite Extra (PPO) H5521/352 | MA-PD | $0 | $6,750 | 4.5 | 7 | 0 |
| Aetna Medicare Elite (PPO) H5521/363 | MA-PD | $0 | $5,000 | 4.5 | 3 | 0 |
| Aetna Medicare Eagle (PPO) H5521/369 | MA | — | $6,750 | 4.5 | 12 | 0 |
| Aetna Medicare Eagle (PPO) H5521/378 | MA | — | $5,500 | 4.5 | 33 | 0 |
| Aetna Medicare Signature (PPO) H5521/419 | MA-PD | $0 | $6,350 | 4.5 | 2 | 0 |
| Aetna Medicare Signature (PPO) H5521/422 | MA-PD | $0 | $6,350 | 4.5 | 1 | 0 |
| Aetna Medicare Signature (PPO) H5521/425 | MA-PD | $0 | $6,750 | 4.5 | 5 | 0 |
| Aetna Medicare Value Care (PPO) H5521/443 | MA-PD | $34 | $5,500 | 4.5 | 33 | 0 |
| Aetna Medicare Signature (PPO) H5521/446 | MA-PD | $0 | $6,750 | 4.5 | 7 | 0 |
| Aetna Medicare Value Plus (PPO) H5521/467 | MA-PD | $23 | $9,250 | 4.5 | 47 | 0 |
| Aetna Medicare Signature Giveback (PPO) H5521/475 | MA-PD | $0 | $9,250 | 4.5 | 5 | 0 |
| Aetna Medicare Enhanced (PPO) H5521/478 | MA-PD | $74 | $5,500 | 4.5 | 1 | 0 |
| Aetna Medicare Longevity (PPO I-SNP) H5521/506 · Institutional | SNP | $36 | $9,250 | 4.5 | 8 | 0 |
| Aetna Medicare Signature (PPO) H5521/554 | MA-PD | $0 | $6,350 | 4.5 | 3 | 0 |
| Aetna Medicare Enhanced (PPO) H5521/578 | MA-PD | $59 | $5,500 | 4.5 | 2 | 0 |
| Aetna Medicare Enhanced (PPO) H5521/580 | MA-PD | $59 | $5,500 | 4.5 | 1 | 0 |
| Aetna Medicare Enhanced (PPO) H5521/581 | MA-PD | $63 | $5,900 | 4.5 | 4 | 0 |
| Aetna Medicare Signature Plus (PPO) H5521/644 | MA-PD | $0 | $9,250 | 4.5 | 7 | 0 |
| Aetna Medicare Value Care (PPO) H5521/649 | MA-PD | $16 | $5,900 | 4.5 | 3 | 0 |
| Aetna Medicare Enhanced (PPO) H5521/676 | MA-PD | $204 | $4,900 | 4.5 | 2 | 0 |
| ID | Measure | ★ |
|---|---|---|
| C01 | Breast Cancer Screening | 4.0 |
| C02 | Colorectal Cancer Screening | 4.0 |
| C03 | Annual Flu Vaccine | 3.0 |
| C04 | Improving or Maintaining Physical Health | 5.0 |
| 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 | 5.0 |
| C09 | Care for Older Adults – Pain Assessment | 4.0 |
| 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 | 3.0 |
| C14 | Controlling High Blood Pressure | 4.0 |
| C15 | Reducing the Risk of Falling | 1.0 |
| C16 | Improving Bladder Control | 3.0 |
| C17 | Medication Reconciliation Post-Discharge | 5.0 |
| C18 | Plan All-Cause Readmissions | 4.0 |
| C19 | Statin Therapy for Patients with Cardiovascular Disease | 3.0 |
| C20 | Transitions of Care | 3.0 |
| C21 | Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions | 4.0 |
| 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 | 5.0 |
| C28 | Complaints about the Health Plan | 5.0 |
| C29 | Members Choosing to Leave the Plan | 5.0 |
| C30 | Health Plan Quality Improvement | 4.0 |
| C31 | Plan Makes Timely Decisions about Appeals | 3.0 |
| 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 | 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 | 5.0 |
| 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) | 3.0 |