Local PPO · observed 2026 → 2026 · 75 months of CPSC history · 34 active CY 2026 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| HumanaChoice Giveback H5525-035 (PPO) H5525/035 | MA-PD | $0 | $9,250 | 3.5 | 92 | 24,985 |
| Humana USAA Honor Giveback (PPO) H5525/065 | MA | — | $9,250 | 3.5 | 97 | 19,873 |
| HumanaChoice H5525-086 (PPO) H5525/086 | MA-PD | $28 | $5,951 | 3.5 | 58 | 15,418 |
| HumanaChoice Giveback H5525-085 (PPO) H5525/085 | MA-PD | $0 | $8,000 | 3.5 | 62 | 14,067 |
| HumanaChoice H5525-051 (PPO) H5525/051 | MA-PD | $0 | $7,521 | 3.5 | 58 | 8,673 |
| Humana Dual Select H5525-046 (PPO D-SNP) H5525/046 · Dual-Eligible | SNP | $31 | $9,250 | 3.5 | 82 | 5,940 |
| HumanaChoice SNP-DE H5525-036 (PPO D-SNP) H5525/036 · Dual-Eligible | SNP | $30 | $9,250 | 3.5 | 95 | 5,219 |
| HumanaChoice H5525-070 (PPO) H5525/070 | MA-PD | $24 | $9,250 | 3.5 | 97 | 4,194 |
| Humana USAA Honor Giveback with Rx (PPO) H5525/059 | MA-PD | $0 | $7,350 | 3.5 | 62 | 4,101 |
| HumanaChoice H5525-050 (PPO) H5525/050 | MA-PD | $0 | $9,250 | 3.5 | 93 | 3,551 |
| Humana Dual Select H5525-072 (PPO D-SNP) H5525/072 · Dual-Eligible | SNP | $34 | $9,250 | 3.5 | 97 | 2,733 |
| HumanaChoice H5525-054 (PPO) H5525/054 | MA-PD | $64 | $7,000 | 3.5 | 48 | 2,036 |
| HumanaChoice H5525-030 (PPO) H5525/030 | MA-PD | $85 | $3,950 | 3.5 | 87 | 1,874 |
| HumanaChoice SNP-DE H5525-045 (PPO D-SNP) H5525/045 · Dual-Eligible | SNP | $38 | $9,250 | 3.5 | 103 | 1,823 |
| HumanaChoice H5525-004 (PPO) H5525/004 | MA-PD | $60 | $6,300 | 3.5 | 22 | 1,665 |
| HumanaChoice H5525-005 (PPO) H5525/005 | MA-PD | $26 | $8,300 | 3.5 | 40 | 1,641 |
| HumanaChoice H5525-006 (PPO) H5525/006 | MA-PD | $27 | $6,700 | 3.5 | 15 | 1,499 |
| Humana Full Access H5525-034 (PPO) H5525/034 | MA-PD | $129 | $9,250 | 3.5 | 5 | 1,306 |
| HumanaChoice H5525-083 (PPO) H5525/083 | MA-PD | $0 | $9,250 | 3.5 | 94 | 1,062 |
| HumanaChoice H5525-008 (PPO) H5525/008 | MA-PD | $0 | $6,550 | 3.5 | 59 | 1,009 |
| Humana Full Access H5525-042 (PPO) H5525/042 | MA-PD | $27 | $9,150 | 3.5 | 84 | 850 |
| HumanaChoice H5525-049 (PPO) H5525/049 | MA-PD | $29 | $9,250 | 3.5 | 84 | 688 |
| Humana USAA Honor Giveback (PPO) H5525/031 | MA | — | $6,750 | 3.5 | 26 | 687 |
| Humana Value Plus H5525-041 (PPO) H5525/041 | MA-PD | $31 | $9,250 | 3.5 | 84 | 119 |
| HumanaChoice H5525-056 (PPO) H5525/056 | MA-PD | $64 | $5,750 | 3.5 | 7 | 0 |
| ID | Measure | ★ |
|---|---|---|
| C01 | Breast Cancer Screening | 3.0 |
| C02 | Colorectal Cancer Screening | 4.0 |
| C03 | Annual Flu Vaccine | 3.0 |
| C04 | Improving or Maintaining Physical Health | — |
| C05 | Improving or Maintaining Mental Health | — |
| C06 | Monitoring Physical Activity | 2.0 |
| C07 | Special Needs Plan (SNP) Care Management | 4.0 |
| C08 | Care for Older Adults – Medication Review | 5.0 |
| C09 | Care for Older Adults – Pain Assessment | 5.0 |
| C10 | Osteoporosis Management in Women who had a Fracture | 2.0 |
| C11 | Diabetes Care – Eye Exam | 3.0 |
| C12 | Diabetes Care – Blood Sugar Controlled | 3.0 |
| C13 | Kidney Health Evaluation for Patients with Diabetes | 3.0 |
| C14 | Controlling High Blood Pressure | 3.0 |
| C15 | Reducing the Risk of Falling | 3.0 |
| C16 | Improving Bladder Control | 2.0 |
| C17 | Medication Reconciliation Post-Discharge | 4.0 |
| C18 | Plan All-Cause Readmissions | 2.0 |
| C19 | Statin Therapy for Patients with Cardiovascular Disease | 3.0 |
| C20 | Transitions of Care | 4.0 |
| C21 | Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions | 2.0 |
| C22 | Getting Needed Care | 4.0 |
| C23 | Getting Appointments and Care Quickly | 4.0 |
| C24 | Customer Service | 4.0 |
| C25 | Rating of Health Care Quality | 4.0 |
| C26 | Rating of Health Plan | 3.0 |
| C27 | Care Coordination | 4.0 |
| C28 | Complaints about the Health Plan | 4.0 |
| C29 | Members Choosing to Leave the Plan | 3.0 |
| C30 | Health Plan Quality Improvement | 3.0 |
| C31 | Plan Makes Timely Decisions about Appeals | 4.0 |
| C32 | Reviewing Appeals Decisions | 3.0 |
| C33 | Call Center – Foreign Language Interpreter and TTY Availability | 5.0 |
| D01 | Call Center – Foreign Language Interpreter and TTY Availability | 5.0 |
| D02 | Complaints about the Drug Plan | 4.0 |
| D03 | Members Choosing to Leave the Plan | 3.0 |
| D04 | Drug Plan Quality Improvement | 3.0 |
| 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) | 3.0 |