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 |
| 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 |