HMO/HMOPOS · observed 2026 → 2026 · 75 months of CPSC history · 17 active CY 2026 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| MCS Classicare Platino Ideal (HMO D-SNP) H5577/002 · Dual-Eligible | SNP | $0 | $3,400 | 5.0 | 78 | 54,999 |
| MCS Classicare Platino Maximo (HMO D-SNP) H5577/054 · Dual-Eligible | SNP | $0 | $3,400 | 5.0 | 78 | 39,694 |
| MCS Classicare Platino Total (HMO D-SNP) H5577/046 · Dual-Eligible | SNP | $0 | $3,400 | 5.0 | 78 | 31,185 |
| MCS Classicare Efectivo (HMO) H5577/005 | MA-PD | $0 | $3,400 | 5.0 | 78 | 28,954 |
| MCS Classicare Firme (HMO) H5577/042 | MA-PD | $0 | $3,400 | 5.0 | 39 | 28,264 |
| MCS Classicare Platino Progreso (HMO D-SNP) H5577/017 · Dual-Eligible | SNP | $0 | $3,400 | 5.0 | 78 | 23,992 |
| MCS Classicare Essential (HMO-POS) H5577/008 | MA-PD | $0 | $3,400 | 5.0 | 78 | 20,846 |
| MCS Classicare Platino Superior (HMO D-SNP) H5577/061 · Dual-Eligible | SNP | $0 | $3,400 | 5.0 | 37 | 20,234 |
| MCS Classicare Excede (HMO) H5577/056 | MA-PD | $0 | $3,400 | 5.0 | 45 | 19,204 |
| MCS Classicare Estrella (HMO) H5577/060 | MA-PD | $0 | $3,400 | 5.0 | 37 | 18,934 |
| MCS Classicare Primero (HMO C-SNP) H5577/038 · Chronic or Disabling Condition | SNP | $0 | $3,400 | 5.0 | 78 | 17,524 |
| MCS Classicare InteliCare (HMO) H5577/052 | MA-PD | $0 | $3,400 | 5.0 | 78 | 6,912 |
| MCS Classicare Hero (HMO) H5577/044 | MA-PD | $0 | $3,400 | 5.0 | 78 | 4,133 |
| MCS Classicare Patriot (HMO) H5577/016 | MA | — | $3,400 | 5.0 | 78 | 4,107 |
| MCS Classicare En Tu Hogar (HMO) H5577/043 | MA-PD | $0 | $3,400 | 5.0 | 78 | 1,744 |
| MCS Classicare Platino 185 (HMO D-SNP) H5577/062 · Dual-Eligible | SNP | $0 | $3,400 | 5.0 | 78 | 573 |
| MCS Classicare RxMax (HMO) H5577/059 | MA-PD | $0 | $3,400 | 5.0 | 78 | 461 |
| ID | Measure | ★ |
|---|---|---|
| C01 | Breast Cancer Screening | 5.0 |
| C02 | Colorectal Cancer Screening | 5.0 |
| C03 | Annual Flu Vaccine | 1.0 |
| C04 | Improving or Maintaining Physical Health | 5.0 |
| C05 | Improving or Maintaining Mental Health | 4.0 |
| C06 | Monitoring Physical Activity | 5.0 |
| C07 | Special Needs Plan (SNP) Care Management | 5.0 |
| 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 | 5.0 |
| C11 | Diabetes Care – Eye Exam | 5.0 |
| C12 | Diabetes Care – Blood Sugar Controlled | 5.0 |
| C13 | Kidney Health Evaluation for Patients with Diabetes | 5.0 |
| C14 | Controlling High Blood Pressure | 5.0 |
| C15 | Reducing the Risk of Falling | 4.0 |
| C16 | Improving Bladder Control | 5.0 |
| C17 | Medication Reconciliation Post-Discharge | 5.0 |
| C18 | Plan All-Cause Readmissions | 4.0 |
| C19 | Statin Therapy for Patients with Cardiovascular Disease | 5.0 |
| C20 | Transitions of Care | 5.0 |
| C21 | Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions | 4.0 |
| C22 | Getting Needed Care | 3.0 |
| C23 | Getting Appointments and Care Quickly | 4.0 |
| C24 | Customer Service | 5.0 |
| C25 | Rating of Health Care Quality | 5.0 |
| C26 | Rating of Health Plan | 5.0 |
| C27 | Care Coordination | 3.0 |
| C28 | Complaints about the Health Plan | 4.0 |
| C29 | Members Choosing to Leave the Plan | 5.0 |
| C30 | Health Plan Quality Improvement | 5.0 |
| C31 | Plan Makes Timely Decisions about Appeals | 5.0 |
| C32 | Reviewing Appeals Decisions | 4.0 |
| 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 | 5.0 |
| D04 | Drug Plan Quality Improvement | 5.0 |
| D05 | Rating of Drug Plan | 5.0 |
| D06 | Getting Needed Prescription Drugs | 4.0 |
| D07 | MPF Price Accuracy | 5.0 |
| D08 | Medication Adherence for Diabetes Medications | 3.0 |
| D09 | Medication Adherence for Hypertension (RAS antagonists) | 4.0 |
| D10 | Medication Adherence for Cholesterol (Statins) | 2.0 |
| D11 | MTM Program Completion Rate for CMR | 5.0 |
| D12 | Statin Use in Persons with Diabetes (SUPD) | 5.0 |