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 |
| 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 |