Local PPO · observed 2026 → 2026 · 75 months of CPSC history · 9 active CY 2025 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| Blue Cross Medicare Advantage Choice (PPO) H5959/014 | MA-PD | $103 | $3,078 | 4.0 | 51 | 99,844 |
| Blue Cross Medicare Advantage Core (PPO) H5959/013 | MA-PD | $0 | $4,900 | 4.0 | 51 | 24,021 |
| Blue Cross Medicare Advantage Comfort (PPO) H5959/015 | MA-PD | $48 | $3,700 | 4.0 | 11 | 17,334 |
| Blue Cross Medicare Advantage Freedom Blue (PPO) H5959/018 | MA | — | $4,200 | 4.0 | 66 | 14,178 |
| Blue Cross Medicare Advantage Complete (PPO) H5959/010 | MA-PD | $219 | $2,900 | 4.0 | 51 | 13,862 |
| Blue Cross Medicare Advantage Choice (PPO) H5959/009 | MA-PD | $144 | $3,500 | 4.0 | 15 | 10,997 |
| Blue Cross Medicare Advantage Comfort (PPO) H5959/016 | MA-PD | $59 | $3,800 | 4.0 | 40 | 6,906 |
| Blue Cross Medicare Advantage Core (PPO) H5959/012 | MA-PD | $39 | $6,700 | 4.0 | 15 | 2,486 |
| Blue Cross Medicare Advantage Complete (PPO) H5959/011 | MA-PD | $228 | $2,900 | 4.0 | 15 | 2,185 |
| ID | Measure | ★ |
|---|---|---|
| C01 | Breast Cancer Screening | 5.0 |
| C02 | Colorectal Cancer Screening | 4.0 |
| C03 | Annual Flu Vaccine | 5.0 |
| C04 | Monitoring Physical Activity | 3.0 |
| 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 | 1.0 |
| C09 | Diabetes Care � Eye Exam | 5.0 |
| C10 | Diabetes Care � Blood Sugar Controlled | 5.0 |
| C11 | Controlling High Blood Pressure | 3.0 |
| C12 | Reducing the Risk of Falling | 1.0 |
| C13 | Improving Bladder Control | 2.0 |
| C14 | Medication Reconciliation Post-Discharge | 4.0 |
| C15 | Plan All-Cause Readmissions | 4.0 |
| C16 | Statin Therapy for Patients with Cardiovascular Disease | 4.0 |
| 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 | 3.0 |
| C20 | Getting Appointments and Care Quickly | 3.0 |
| C21 | Customer Service | 5.0 |
| C22 | Rating of Health Care Quality | 4.0 |
| C23 | Rating of Health Plan | 3.0 |
| 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 | 4.0 |
| C29 | Reviewing Appeals Decisions | 3.0 |
| 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 | 5.0 |
| D03 | Members Choosing to Leave the Plan | 5.0 |
| D04 | Drug Plan Quality Improvement | 3.0 |
| D05 | Rating of Drug Plan | 4.0 |
| D06 | Getting Needed Prescription Drugs | 5.0 |
| D07 | MPF Price Accuracy | 4.0 |
| D08 | Medication Adherence for Diabetes Medications | 4.0 |
| D09 | Medication Adherence for Hypertension (RAS antagonists) | 5.0 |
| D10 | Medication Adherence for Cholesterol (Statins) | 4.0 |
| D11 | MTM Program Completion Rate for CMR | 3.0 |
| D12 | Statin Use in Persons with Diabetes (SUPD) | 3.0 |