Local PPO · observed 2026 → 2026 · 75 months of CPSC history · 38 active CY 2025 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| HumanaChoice Giveback H5525-035 (PPO) H5525/035 | MA-PD | $0 | $9,350 | 3.5 | 94 | 35,322 |
| Humana USAA Honor Giveback (PPO) H5525/065 | MA | — | $9,350 | 3.5 | 97 | 19,443 |
| HumanaChoice H5525-017 (PPO) H5525/017 | MA-PD | $26 | $6,300 | 3.5 | 58 | 17,099 |
| HumanaChoice Giveback H5525-058 (PPO) H5525/058 | MA-PD | $0 | $7,500 | 3.5 | 62 | 12,277 |
| HumanaChoice H5525-051 (PPO) H5525/051 | MA-PD | $0 | $7,520 | 3.5 | 59 | 9,230 |
| HumanaChoice SNP-DE H5525-036 (PPO D-SNP) H5525/036 · Dual-Eligible | SNP | $51 | $9,350 | 3.5 | 97 | 7,814 |
| HumanaChoice H5525-070 (PPO) H5525/070 | MA-PD | $51 | $9,350 | 3.5 | 97 | 6,346 |
| HumanaChoice SNP-DE H5525-046 (PPO D-SNP) H5525/046 · Dual-Eligible | SNP | $39 | $9,350 | 3.5 | 82 | 6,077 |
| HumanaChoice H5525-050 (PPO) H5525/050 | MA-PD | $0 | $9,350 | 3.5 | 94 | 4,555 |
| Humana Dual Select H5525-072 (PPO D-SNP) H5525/072 · Dual-Eligible | SNP | $46 | $9,350 | 3.5 | 97 | 4,218 |
| Humana USAA Honor Giveback with Rx (PPO) H5525/059 | MA-PD | $0 | $7,850 | 3.5 | 62 | 3,805 |
| HumanaChoice H5525-030 (PPO) H5525/030 | MA-PD | $96 | $4,150 | 3.5 | 87 | 2,147 |
| HumanaChoice SNP-DE H5525-045 (PPO D-SNP) H5525/045 · Dual-Eligible | SNP | $50 | $9,350 | 3.5 | 103 | 2,036 |
| HumanaChoice H5525-005 (PPO) H5525/005 | MA-PD | $41 | $8,300 | 3.5 | 40 | 1,764 |
| HumanaChoice H5525-004 (PPO) H5525/004 | MA-PD | $61 | $6,300 | 3.5 | 22 | 1,599 |
| Humana Full Access H5525-034 (PPO) H5525/034 | MA-PD | $145 | $9,350 | 3.5 | 5 | 1,520 |
| HumanaChoice H5525-006 (PPO) H5525/006 | MA-PD | $38 | $6,700 | 3.5 | 16 | 1,195 |
| HumanaChoice H5525-083 (PPO) H5525/083 | MA-PD | $0 | $9,350 | 3.5 | 94 | 1,097 |
| HumanaChoice H5525-008 (PPO) H5525/008 | MA-PD | $26 | $6,750 | 3.5 | 59 | 1,011 |
| Humana Full Access H5525-042 (PPO) H5525/042 | MA-PD | $38 | $9,350 | 3.5 | 84 | 915 |
| Humana USAA Honor Giveback (PPO) H5525/031 | MA | — | $6,700 | 3.5 | 26 | 803 |
| HumanaChoice H5525-049 (PPO) H5525/049 | MA-PD | $31 | $9,350 | 3.5 | 41 | 647 |
| HumanaChoice H5525-027 (PPO) H5525/027 | MA-PD | $66 | $6,000 | 3.5 | 20 | 630 |
| HumanaChoice H5525-054 (PPO) H5525/054 | MA-PD | $78 | $7,200 | 3.5 | 26 | 475 |
| HumanaChoice H5525-026 (PPO) H5525/026 | MA-PD | $90 | $9,350 | 3.5 | 17 | 283 |
| Humana Value Plus H5525-041 (PPO) H5525/041 | MA-PD | $11 | $9,350 | 3.5 | 84 | 179 |
| HumanaChoice H5525-024 (PPO) H5525/024 | MA-PD | $30 | $9,350 | 3.5 | 38 | 85 |
| HumanaChoice H5525-055 (PPO) H5525/055 | MA-PD | $11 | $6,750 | 3.5 | 2 | 0 |
| HumanaChoice H5525-056 (PPO) H5525/056 | MA-PD | $63 | $5,500 | 3.5 | 7 | 0 |
| Humana USAA Honor Giveback with Rx (PPO) H5525/057 | MA-PD | $0 | $6,100 | 3.5 | 5 | 0 |
| HumanaChoice H5525-074 (PPO) H5525/074 | MA-PD | $11 | $2,700 | 3.5 | 4 | 0 |
| HumanaChoice H5525-075 (PPO) H5525/075 | MA-PD | $0 | $3,850 | 3.5 | 4 | 0 |
| HumanaChoice H5525-076 (PPO) H5525/076 | MA-PD | $18 | $3,850 | 3.5 | 1 | 0 |
| HumanaChoice H5525-077 (PPO) H5525/077 | MA-PD | $0 | $5,700 | 3.5 | 1 | 0 |
| Humana USAA Honor Giveback (PPO) H5525/078 | MA | — | $6,350 | 3.5 | 5 | 0 |
| Humana USAA Honor Giveback (PPO) H5525/079 | MA | — | $6,500 | 3.5 | 9 | 0 |
| HumanaChoice H5525-080 (PPO) H5525/080 | MA-PD | $31 | $5,900 | 3.5 | 2 | 0 |
| HumanaChoice H5525-084 (PPO) H5525/084 | MA-PD | $34 | $6,750 | 3.5 | 1 | 0 |
| ID | Measure | ★ |
|---|---|---|
| C01 | Breast Cancer Screening | 3.0 |
| C02 | Colorectal Cancer Screening | 3.0 |
| C03 | Annual Flu Vaccine | 2.0 |
| C04 | Monitoring Physical Activity | 2.0 |
| C05 | Special Needs Plan (SNP) Care Management | 4.0 |
| C06 | Care for Older Adults � Medication Review | 4.0 |
| C07 | Care for Older Adults � Pain Assessment | 5.0 |
| C08 | Osteoporosis Management in Women who had a Fracture | 2.0 |
| C09 | Diabetes Care � Eye Exam | 3.0 |
| C10 | Diabetes Care � Blood Sugar Controlled | 4.0 |
| C11 | Controlling High Blood Pressure | 3.0 |
| C12 | Reducing the Risk of Falling | 4.0 |
| C13 | Improving Bladder Control | 2.0 |
| C14 | Medication Reconciliation Post-Discharge | 4.0 |
| C15 | Plan All-Cause Readmissions | 3.0 |
| C16 | Statin Therapy for Patients with Cardiovascular Disease | 3.0 |
| C17 | Transitions of Care | 4.0 |
| C18 | Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions | 3.0 |
| C19 | Getting Needed Care | 4.0 |
| C20 | Getting Appointments and Care Quickly | 4.0 |
| C21 | Customer Service | 3.0 |
| C22 | Rating of Health Care Quality | 4.0 |
| C23 | Rating of Health Plan | 2.0 |
| C24 | Care Coordination | 5.0 |
| C25 | Complaints about the Health Plan | 4.0 |
| C26 | Members Choosing to Leave the Plan | 3.0 |
| C27 | Health Plan Quality Improvement | 3.0 |
| C28 | Plan Makes Timely Decisions about Appeals | 4.0 |
| C29 | Reviewing Appeals Decisions | 4.0 |
| C30 | Call Center � Foreign Language Interpreter and TTY Availability | 4.0 |
| D01 | Call Center � Foreign Language Interpreter and TTY Availability | 4.0 |
| D02 | Complaints about the Drug Plan | 4.0 |
| D03 | Members Choosing to Leave the Plan | 3.0 |
| D04 | Drug Plan Quality Improvement | 2.0 |
| 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) | 2.0 |
No incoming transitions for this contract.