Medicare Current Beneficiary Survey (MCBS):(CMS Number CMS-P-0015A)

Showcards &
Reference Cards
Medicare Current Beneficiary Survey

Version Information
Component: Community
Language: English

MCBS Showcards Guide
ACQ
CPQ

DBQ

DIQ

DVH

ENS
HAQ

HFQ

Quex Sections

Showcards
AC1
CP1
CP2
CP3
DB1
DB2
DB3
DB4
DI1
DI2
DI3
DI4
DI5
DI6
DVH1
DVH2
DVH3
DVH4
ENS1
HA1
HA2
HA3
HA4
HF1
HF2
HF3
HF4
HF5
HF6
HF7
HF8
Updated September 2025

Current Version
January 8, 2020
May 8, 2019
May 8, 2019
May 8, 2019
September 2025
September 2025
September 2025
September 2025
July 28, 2014
July 28, 2014
July 28, 2014
July 28, 2014
July 28, 2014
July 21, 2025
January 9, 2019
January 9, 2019
May 8, 2019
January 8, 2020
July 24, 2017
July 28, 2014
July 28, 2014
July 28, 2014
July 19, 2021
August 1, 2015
August 1, 2015
July 15, 2024
July 15, 2024
July 15, 2024
July 15, 2024
July 15, 2024
July 15, 2024

MCBS Showcards Guide

Quex Sections

HHQ

HIQ

IAQ

Showcards

HF9
HF10
HF11
HF12
HF13
HF14
HH1
HH2
HH3
HH4
HH5
HI1
HIT1
HIT2
HI2
HI3
HI4
IA1
IA2
IA3
IA4
IA5
IA6
IA7
IA8
IA9
IA10
IA11
IA12
IA13
IA14
IA15
Updated September 2025

Current Version
July 15, 2024
July 15, 2024
July 15, 2024
July 15, 2024
July 15, 2024
July 15, 2024
May 6, 2020
July 28, 2014
July 28, 2014
July 28, 2014
May 6, 2020
February 17, 2015 & July 24, 2017

July 28, 2014
July 28, 2014
October 22, 2024
October 22, 2024
September 2025
May 1, 2025
May 1, 2025
May 1, 2025
May 1, 2025
May 1, 2025
May 1, 2025
May 1, 2025
May 1, 2025
May 1, 2025
May 1, 2025
May 1, 2025
May 1, 2025
May 1, 2025
May 1, 2025
May 1, 2025

MCBS Showcards Guide

Quex Sections

IUQ
KNQ

MPQ

NAQ
OMQ

PMQ
PVQ

RXQ

Showcards

IA16
IA17
IA18
IA19
IA20
IA21
IU1
KN1
KN2
KN3
KN4
KN5
KN6
KN7
MP1
MP2
MP3
MP4
MP5
MP6
MPQ Job Aid 1
NA1
OM1
OM2
OM3
OM4
OM5
PM1
PV1
PV2
PV3
RX1
Updated September 2025

Current Version
May 1, 2025
May 1, 2025
May 1, 2025
May 1, 2025
May 1, 2025
May 1, 2025
January 10, 2018
July 28, 2014
July 28, 2014
June 2025
June 2025
June 2025
June 2025
September 2025
January 9, 2019
July 28, 2014
July 28, 2014
July 28, 2014
July 28, 2014
July 24, 2017
September 2025
August 3, 2016
July 28, 2014
July 28, 2014
July 28, 2014
July 28, 2014
July 28, 2014
July 24, 2017
July 20, 2020
July 20, 2020
July 20, 2020
July 28, 2014

MCBS Showcards Guide

Quex Sections

SCQ

USQ

Showcards

RX2
RX3
RX4
RX5
SC1
SC2
SC3
SC4
US1
US2
US3

Updated September 2025

Current Version
July 28, 2014
July 28, 2014
July 28, 2014
May 2, 2018
July 28, 2014
July 22, 2019
July 22, 2019
July 22, 2019
June 2025
June 2025
September 2025

Introduction
This guide contains a comprehensive, up-to-date list of MCBS Showcards and
Reference Cards. Over time, we may make changes to your Showcards and
Reference Cards by updating the content, adding new cards, or eliminating existing
cards.
You can use this guide to ensure that you are using the most up-to-date set of cards.
To check if you are using the most recent versions, look at the date of the “Current
Version” in the table on the following pages and compare it with the date on the
bottom of your Showcards and Reference cards. If you’re missing updated versions
of Showcards or Reference cards, notify your Field Manager, who will arrange to
have them sent to you.
The Showcards are arranged in alphabetical order according to questionnaire
section name. However, some Field Interviewers prefer to arrange the Showcard
sections by the order in which the sections will appear during the interview.

AC1
• Allergy/immunology
• Anesthesiology
• Audiologist
• Cardiology (heart)
• Chiropractor
• Dentist
• Dermatology (skin)
• Endocrinology/metabolism (diabetes, thyroid)
• Family practice
• Gastroenterology
• General practice
• General surgery
• Geriatrics (elderly)
• Gynecology – obstetrics
• Hematology (blood)
• Hospital residence

(continued)
Updated January 8, 2020

AC1
• Internal medicine (internist)
• Nephrology (kidneys)
• Neurology
• Nuclear medicine
• Nurse practitioner
• Oncology (tumors, cancer)
• Ophthalmology (eyes)
• Optometrist
• Orthopedics
• Osteopathy (DO)
• Otorhinolaryngology (ear, nose, throat)
• Pain Management Specialist
• Pathology
• Phys med/rehab
• Physical Therapist
• Physician’s Assistant

(continued)
Updated January 8, 2020

AC1
• Plastic surgery
• Podiatrist
• Proctology
• Psychiatry/psychiatrist
• Psychologist
• Pulmonary (lungs)
• Radiology
• Rheumatology (arthritis)
• Thoracic surgery (chest)
• Urology
• Vascular Surgeon/Specialist

Updated January 8, 2020

CP1
● Never
● Some days
● Most days
● Every day

Updated May 8, 2019

CP2
● A little
● A lot
● Somewhere in between a little

and a lot

Updated May 8, 2019

CP3
● Not at all
● A little
● A lot
● Somewhere in between a little

and a lot

Updated May 8, 2019

DB1
A. Less than $500
B. $500 – less than $2,500
C. $2,500 – less than $5,000
D. $5,000 – less than $25,000
E. $25,000 or more

Updated September 2025

DB2
• Doctor visits or lab fees or diagnostic
tests such as x-rays or MRIs
• Emergency care or ambulance services
• Hospitalization or outpatient surgery
• Prescription drugs
• Long term care services or support,
either in home or in a nursing home or
residential facility
• Medical equipment
• Dental care
• Some other event

Updated September 2025

DB3
• Within the last year
• Between one and two years ago
• Between three and four years ago
• Five years ago or more

Updated September 2025

DB4
A. Less than $1,000
B. $1,000 – less than $5,000
C. $5,000 – less than $10,000
D. $10,000 – less than $25,000
E. $25,000 or more

Updated September 2025

DI1
• Mexican, Mexican American, Chicano(a)
• Puerto Rican
• Cuban

Updated July 28, 2014

DI2
• American Indian or Alaska Native
• Asian
• Black or African American
• Native Hawaiian or other Pacific Islander
• White

Updated July 28, 2014

DI3
• Asian Indian
• Chinese
• Filipino
• Japanese
• Korean
• Vietnamese

Updated July 28, 2014

DI4
• Native Hawaiian
• Guamanian or Chamorro
• Samoan

Updated July 28, 2014

DI5
• No schooling completed
• Nursery school to 8th grade
• 9th-12th grade, no diploma
• High school graduate (high school
diploma or the equivalent)
• Vocational/technical/business/trade
school certificate or diploma (beyond the
high school level)
• Some college, but no degree
• Associate degree
• Bachelor's degree
• Master's, professional, or doctorate
degree

Updated July 28, 2014

DI6
Annual Income

Monthly Breakdown

A. Less than $10,000

A. Less than $834

B. $10,000 – less than $15,000

B. $834 – less than $1,250

C. $15,000 – less than $20,000

C. $1,250 – less than $1,667

D. $20,000 – less than $25,000

D. $1,667 – less than $2,084

E. $25,000 – less than $35,000

E. $2,084 – less than $2,917

F. $35,000 – less than $45,000

F. $2,917 – less than $3,750

G. $45,000 – less than $55,000

G. $3,750 – less than $4,583

H. $55,000 – less than $70,000

H. $4,583 – less than $5,833

I.

$70,000 – less than $100,000

I.

$5,833 – less than $8,333

J.

$100,000 – less than $150,000

J.

$8,333 – less than $12,500

K. $150,000 or more

K. $12,500 or more
Updated July 21, 2025

DVH1
● General exam, checkup or consultation
● Cleaning, prophylaxis, or polishing
● X-rays, radiographs, or bitewings
● Fluoride treatment
● Sealant (plastic coatings on back teeth)
● Fillings
● Inlays
● Crowns or caps
● Root canal
● Periodontal scaling, root planing, or gum
surgery
● Periodontal recall visit (periodic or
regular)
(Continued)
Updated January 9, 2019

DVH1
● Extraction, tooth pulled
● Implants
● Abscess or infection treatment
● Other oral surgery
● Fixed bridges
● Dentures or removable partial dentures
● Relining or repair of bridges or dentures
● Orthodontia, braces, or retainers
● Bond, whiten, or bleach
● Treatment for TMD or TMJ

Updated January 9, 2019

DVH2
● Eye Or Vision Exam
● Contact Lens Fitting
● Contact Lens Purchase
● Eye Glass Frame Fitting Or Adjustment
● Eye Glass Purchase
● Refractive Surgery (Corrective Vision
Surgery)
● Cataract Surgery
● Glaucoma Surgery
● Corneal Surgery
● Vitreo-Retinal Surgery
● Oculoplastic Surgery
● Eye Muscle Surgery
● Eye Removal
Updated January 9, 2019

DVH3
● Hearing Aid Fitting/Evaluation
● Hearing Aid Purchase/Repair
● Hearing Exam
● Ear Wax Removal
● Ear Ventilation Tubes
● Tympanoplasty (Reconstruction of ear
drum)
● Cochlear Implant Surgery
● Hearing Rehabilitative Services

Updated May 8, 2019

DVH4
In the Canal (ITC)

In the Ear (ITE)

Behind the Ear
(BTE)

Updated January 8, 2020

ENS1
• Iraq or Afghanistan Conflict (2001 –
Present)
• Persian Gulf War (Aug 1990 – March
1991)
• Vietnam Era (Aug 1964 – May 1975)
• Korean Conflict (June 1950 – Jan 1955)
• World War II (Sept 1940 – July 1947)
• Peace time (all other times)

Updated July 24, 2017

HA1
• One-family, detached
• Two-family or duplex
• Apartment or condominium building
• Mobile home, trailer
• Rowhouse, townhouse
• “mother-in-law” apartment

Updated July 28, 2014

HA2
• Retirement community
• Senior citizens housing
• Assisted living facility
• Continuing care community
• Staged living community
• Retirement apartments
• Church-provided housing
• Personal or residential care home

Updated July 28, 2014

HA3
• Prepared meals
• Housekeeping, maid, or cleaning services
• Laundry services
• Help with medications
• Transportation
• Recreational services

Updated July 28, 2014

HA4
• Have a steady place to live
• Have a place to live today, but worried
about losing it in the future
• Do not have a steady place to live

Updated July 19, 2021

HF1
• Much better now than one year ago
• Somewhat better now than one year ago
• About the same
• Somewhat worse now than one year ago
• Much worse now than one year ago

Updated August 1, 2015

HF2
• It will get much better
• It will get somewhat better
• It will not change
• It will get somewhat worse
• It will get much worse

Updated August 1, 2015

HF3
• Never
• Rarely
• Sometimes
• Often
• Always

Updated July 2024

HF4
• Never
• Hardly ever
• Occasionally
• Fairly often
• Very often

Updated July 2024

HF5
• No difficulty at all
• A little difficulty
• Some difficulty
• A lot of difficulty
• Not able to do it

Updated July 2024

HF6
• Bladder
• Blood
• Bone
• Brain
• Breast
• Cervix
• Colon (bowel)
• Esophagus
• Gall Bladder
• Kidney
• Larynx (windpipe)
• Leukocytes (Leukemia)
• Liver
(continued)
Updated July 2024

HF6
• Lung
• Lymph Nodes (Lymphoma)
• Mouth/Tongue/Lip
• Ovary
• Pancreas
• Prostate
• Rectum
• Soft Tissue/Fat
• Stomach
• Testis
• Throat
• Thyroid
• Uterus

Updated July 2024

HF6
• Type 1
• Type 2
• Borderline
• Pre-Diabetes
• Gestational (Pregnancy-related)

Updated July 2024

HF7
• Type 1
• Type 2
• Borderline
• Pre-Diabetes
• Gestational (Pregnancy-Related)
• Some Other Type

Updated July 2024

HF8
• All of the time
• Most of the time
• Some of the time
• A little of the time
• None of the time

Updated July 2024

HF9
• Just about everything you need to know
• Most of what you need to know
• Some of what you need to know
• A little of what you need to know
• Almost none of what you need to know
about managing Diabetes

Updated July 2024

HF10
• Yes
• No

Updated July 2024

HF11
• Calcium (with or without vitamin D)
• Choline
• Coenzyme Q (such as CoQ10)
• Eye health supplement (such as Ocuvite
PreserVision or I-Caps)
• Fiber supplement (such as Metamucil or
Benefiber)
• Folate or folic acid
• Garlic supplement
• Iron

(continued)

Updated July 2024

HF11
• Joint supplement (such as glucosamine,
with or without chondroitin or other
ingredients)
• Magnesium
• Melatonin
• Niacin
• Omega-3 (ALA/DHA/EPA) or fish oil
• Potassium
• Probiotics (in pill, powder, or liquid form)
• Saw palmetto
• Vitamin A
• Vitamin B-12
(continued)

Updated July 2024

HF11
• Vitamin B-complex
• Vitamin C
• Vitamin D (NOT as part of a calcium
supplement)
• Vitamin E
• Zinc
• Other Supplement(s)

Updated July 2024

H
HF1
F92
F8
• Not at all
• Several days
• More than half the days
• Nearly every day

Updated July 2024

HF130
• Not at all difficult
• Somewhat difficult
• Very difficult
• Extremely difficult

Updated July 2024

HF14
• Never
• Rarely
• Sometimes
• Often
• Always

Updated July 2024

HF15
• More than once a week
• About once a week
• 2-3 times a month
• About once a month
• Every 2-3 months
• Once or twice a year
• Not at all

Updated July 2024

HH1
Home Help by Health or Medical
Professionals
• Nurse (visiting nurse, private duty nurse,
etc.)
• Doctor
• Social worker
• Therapist
• Hospice worker
• Home health aides
• Those who provide homemaker services

Updated May 6, 2020

HH2
Medical or Nursing Treatment
• Applying sterile bandages or dressings
• Giving medications
• Taking blood pressure
• Giving shots or injections

Updated July 28, 2014

HH3
Help With Daily Needs
• Using the telephone
• Doing housework
• Preparing meals

Updated July 28, 2014

HH4
• Bathing
• Showering
• Dressing
• Eating
• Walking
• Using the toilet

Updated July 28, 2014

HH5
Personal Care or Help with Daily Needs
from Persons Who Do Not Live with You
• Friends
• Neighbors
• Relatives

Updated May 6, 2020

HI1
Health Insurance Coverage Options
 “Original” Medicare
 “Medicare Advantage” (MA) plan
o with Prescription Drug Plan (MA-PD) or
without
 Medicaid
 TRICARE/TRICARE for Life
 Public Programs (other than Medicaid)
 Medicare Part D Prescription Drug Plan (PDP)
 Private/Supplemental Insurance Plan
o Purchased directly from an insurance
company, or
o Obtained through an employer, union, or
other group, such as AARP

(continued)
Updated February 17, 2015

HI1
ORIGINAL MEDICARE

MEDICARE ADVANTAGE

 You have your choice of doctors and hospitals.
 Generally, you or your supplemental coverage pay
deductibles and coinsurance.
 If you want drug coverage, you must join a standalone Medicare prescription drug plan –a
separate policy just for drugs.
 You can buy a Medigap plan, which can help pay
expenses not covered by Medicare.

 May either require you to see medical providers in
their network or let you choose and pay more of
the costs.
 You usually pay a copay or coinsurance for
covered services.
 If you want drug coverage, you must join a plan that
includes drug coverage. This will give you all of
your coverage in one plan.
 A Medigap plan is not available.

MEDICAID

TRICARE/TRICARE FOR LIFE

 Public health care plan that helps make Medicare
affordable for beneficiaries with low incomes and
modest assets.
 Medicare beneficiaries who are also enrolled in
Medicaid are referred to as “dual eligibles.”
 Will be automatically enrolled in a Medicare
prescription drug plan and be eligible for a lowincome subsidy or “extra help.”

 Covers active-duty service members, retirees, and
their families.
 TRICARE generally pays the fees left outstanding
after Medicare has made their payment.

Updated July 24, 2017

(continued)

HI1
PRIVATE HEALTH INSURANCE

MEDICARE PART D PRESCRIPTION DRUG PLAN

 Includes supplemental or Medigap plans, plans that
are provided by a former or current employer, and
 Separate policies that cover only prescribed
other plans purchased directly through a private
medicines.
company, union, association, or other group.
 Beneficiaries pay a monthly premium and copay or
 Cover the cost of hospital or doctor visits, prescribed
coinsurance for their required prescriptions.
medicines, or dental care.
 Standalone plans are only available to beneficiaries
 Common type: Medicare Supplement Insurance
who are covered by Original Medicare; otherwise
(Medigap), which is available to recipients of
drug coverage is available as part of Medicare
Original Medicare and helps pay some of the health
Advantage plans.
care costs that Original Medicare doesn't cover, like
copayments, coinsurance and deductibles.
PUBLIC PROGRAMS (OTHER THAN MEDICAID)
 Include state, county, or city-based programs such as a pharmacy program, where the local government
provides at least partial coverage for the cost of prescribed medicines.
 Insurance comes from a public source other than Medicare or Medicaid.

Updated July 24, 2017

HIT1
TRICARE Plan Names
A. TRICARE for Life
B. TRICARE Plus
C. TRICARE Prime
D. TRICARE Extra
E. TRICARE Standard
F. TRICARE Pharmacy / TRICARE Senior
Pharmacy
G. TRICARE Dental Program
H. TRICARE Retiree Dental Program
I. TRICARE Reserve Select (TRS)
J. TRICARE US Family Health Plan
(continued)
Updated July 28, 2014

HIT1
Beneficiary Information Card
for TRICARE For Life
FRONT OF CARD
TRICARE For Life
To Provider: File claims in the usual manner to Medicare.
To Patient : Services that are a benefit of both Medicare and
TRICARE :No deductible or cost share is required.
Medicare only benefit :Medicare deductible and
cost share required.
TRICARE only benefit:TRICARE deductible and
cost share required.
For benefit questions call 1-888-DoD-LIFE

(1-888-363-5433)

www.tricare.osd.mil

For more information call 1-800-977-6753

www.hnfs.net

BACK OF CARD
TRICARE Senior Pharmacy
Military Treatment Facility: No Co-pay
National Mail Order Pharmacy: $3 generic;$9 brand name
(90 day supply)

TRICARE Network Pharmacy: $3 generic;$9 brand name
(30 day supply)

TRICARE Non-network Pharmacy: $9 or 20%of cost (30 day supply)
$150/person or $300/family
annual deductible applies.
For pharmacy questions call 1-877-DoD-MEDS

(1-877-363-6337)

(Co-pays subject to change)
5007334 (9/01 T85)

Updated July 28, 2014

HIT2
Places to Obtain Medicines in Tricare
Plan
 TRICARE Mail Order Pharmacy (TMOP)
 TRICARE Retail Pharmacy Network
Pharmacy (TRRx)
 Military Treatment Facility Pharmacy
(MTF)
 Non-network retail pharmacy

Updated July 28, 2014

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Alabama (AL)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Aetna Medicare Signature (Aetna Medicare)

3

Blue Advantage (Blue Cross and Blue Shield of
Alabama)

4

Cigna (Cigna Healthcare)

5

Cigna True Choice (Cigna Healthcare)

6

Devoted (Devoted Health)

7

Humana (Humana)

8

Humana Gold Plus (Humana)

9

HumanaChoice (Humana)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Alabama (AL)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10 AARP Medicare Advantage (UnitedHealthcare)
11 AARP Medicare Advantage from UHC AL
(UnitedHealthcare)
12 VIVA Medicare (VIVA Medicare)

Created on 10/22/2024

1

HI3
STATE MEDICAID HMOs
Alabama (AL)
1 Alabama Coordinated Health Network
2 Alabama Select Network
3 Mercy Life of Alabama

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Arkansas (AR)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

BlueMedicare (Arkansas Blue Medicare)

3

BlueMedicare Classic Plus (Arkansas Blue
Medicare)

4

Cigna (Cigna Healthcare)

5

Cigna True Choice Medicare (Cigna Healthcare)

6

Devoted CHOICE (Devoted Health)

7

Essence Advantage (Essence Healthcare)

8

Essence Advantage Choice (Essence Healthcare)

9

Humana Gold Choice (Humana)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Arkansas (AR)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10 Humana Gold Plus (Humana)
11 Humana USAA Honor Giveback (Humana)
12 HumanaChoice (Humana)
13 Primewell (Primewell Health Services)
14 AARP Medicare Advantage (UnitedHealthcare)
15 AARP Medicare Advantage from UHC AR
(UnitedHealthcare)
16 UHC Medicare Advantage AM (UnitedHealthcare)
17 Wellcare (Wellcare)
18 Wellcare Simple Open (Wellcare)

Created on 10/22/2024

1

HI3
STATE MEDICAID HMOs
Arkansas (AR)
1

Area Agency on Aging of Southeast Arkansas

2

Arkansas Total Care

3

CareSource

4

Central Arkansas Development

5

Delta Dental Smiles

6

Empower Healthcare Solutions

7

MCNA Dental

8

PACE

9

Primary Care Case Management

10 Southeast Trans, Inc.
11 Summit Community Care

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Arizona (AZ)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Alignment Health (Alignment Health Plan)

3

Banner Medicare Advantage Prime (Banner
Medicare Advantage)

4

Blue Best Life (Blue Cross Blue Shield of Arizona
(AZ Blue))

5

Cigna (Cigna Healthcare)

6

Cigna True Choice (Cigna Healthcare)

7

Devoted (Devoted Health)

8

Gold (Gold Kidney Health Plan)

9

Humana Gold Plus (Humana)

10

Humana USAA Honor Giveback (Humana)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Arizona (AZ)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
11 HumanaChoice (Humana)
12 SCAN (SCAN Health Plan)
13 AARP Medicare Advantage (UnitedHealthcare)
14 Wellcare (Wellcare)
15 Wellpoint (Wellpoint)
16 Wellpoint Medicare Advantage (Wellpoint)
17 eternalHealth (eternalHealth)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Arizona (AZ)
1

Arizona Complete Health - Complete Care Plan

2

Arizona Complete Health - Complete Care Plan
RBHA (SMI)

3

Banner University Family Care

4

Banner University Family Care (MLTSS)

5

Care 1st

6

DCS/CHP

7

DES/Division of Developmental Disabilities
(MLTSS)

8

Health Choice Arizona

9

Health Choice Arizona RBHA (SMI)

10

Mercy Care

11

Mercy Care (MLTSS)
(continued)

Created on 10/22/2024

2

HI3

STATE MEDICAID HMOs
Arizona (AZ)
12

Mercy Care RBHA (SMI)

13

Molina Complete Care of Arizona

14

United Healthcare

15

United Healthcare (MLTSS)

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
California (CA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Advantage Care (Align Senior Care)

3

Alignment Health (Alignment Health Plan)

4

Anthem Medicare Advantage (Anthem Blue
Cross Life and Health Insurance Company)

5

Anthem (Anthem Blue Cross Partnership Plan)

6

Aspire Health (Aspire Health)

7

Astiva Health (Astiva Health)

8

Blue Shield (Blue Shield of California)

9

Blue Shield AdvantageOptimum Plan (Blue
Shield of California)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
California (CA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10

Blue Shield Select (Blue Shield of California)

11

CCHP Senior (CCHP (Chinese Community
Health Plan))

12

Central Health (Central Health Medicare Plan)

13

Clever Care (Clever Care Health Plan)

14

Humana (Humana)

15

Humana USAA Honor Giveback (Humana)

16

HumanaChoice (Humana)

17

UC San Diego Health Humana (Humana)

18

Imperial (Imperial Health Plan of California, Inc.)
(continued)

Created on 10/22/2024

3

HI2
MEDICARE ADVANTAGE PLANS
California (CA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
19

Kaiser Permanente (Kaiser Permanente)

20

Molina Medicare Choice Care (Molina Healthcare
of California)

21

Providence Medicare Sycamore + (Providence
Medicare Advantage Plans)

22

SCAN (SCAN Health Plan)

23

Sharp Direct Advantage (Sharp Health Plan)

24

UCLA Health Medicare Advantage (UCLA Health
Medicare Advantage Plan)

25

AARP Medicare Advantage (UnitedHealthcare)

26

AARP Medicare Advantage from UHC CA
(UnitedHealthcare)
(continued)

Created on 10/22/2024

4

HI2
MEDICARE ADVANTAGE PLANS
California (CA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
27 UHC Sharp Medicare Advantage (UnitedHealthcare)
28 Wellcare (Wellcare)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
California (CA)
1

Access Dental Plan/Los Angeles

2

Access Dental Plan/Sacramento

3

Aetna Better Health - Sacramento

4

Aetna Better Health -San Diego

5

Alameda Alliance for Health

6

AltaMed Senior Buena Care/Orange

7

AltaMed Senior Buenacare/LA

8

Anthem Blue Cross Partnership / Contra Costa

9

Anthem Blue Cross Partnership Plan

10

Anthem Blue Cross Partnership Plan-Region 1

11

Anthem Blue Cross Partnership Plan-Region 2
(continued)

Created on 10/22/2024

2

HI3
STATE MEDICAID HMOs
California (CA)
12

Anthem Blue Cross Partnership Plan/Alameda

13

Anthem Blue Cross Partnership Plan/Fresno

14

Anthem Blue Cross Partnership Plan/Kings

15

Anthem Blue Cross Partnership Plan/Madera

16

Anthem Blue Cross Partnership Plan/Santa Clara

17

Anthem Blue Cross Partnership Plan/Tulare

18

Anthem Blue Cross Partnership-Sacramento

19

Anthem Blue Cross/San Benito

20

Blue Shield of California Promise-San Diego
(continued)

Created on 10/22/2024

3

HI3

STATE MEDICAID HMOs
California (CA)
21

Brandman Centers for Senior Care/Los Angeles

22

CalOPTIMA PACE/Orange

23

CalOPTIMA/Orange

24

CalViva Health Kings

25

CalViva Health/Fresno

26

CalViva Health/Madera

27

California Health & Wellness - Region 1

28

California Health & Wellness - Region 2

29

California Health and Wellness (CH&W)
Plan/Imperial

30

CenCal - San Luis Obispo

31

CenCal - Santa Barbara

32

Center for Elders Independence/Alameda
(continued)

Created on 10/22/2024

4

HI3
STATE MEDICAID HMOs
California (CA)
33

Center for Elders Independence/Contra Costa

34

Central California Alliance for Health Merced

35

Central California Alliance for Health/Santa Cruz
and Monterey

36

Central Valley PACE/San Joaquin

37

Central Valley PACE/Stanislaus

38

Community Health Group- San Diego

39

ConcertoHealth PACE of Los Angeles

40

Contra Costa Health Plan

41

Costline PACE/LA

42

Family Health Centers/San Diego

43

Gary and Mary West PACE of Northern San
Diego
(continued)

Created on 10/22/2024

5

HI3

STATE MEDICAID HMOs
California (CA)
44

Gold Coast Health Plan Ventura

45

Health Net Dental Plan/Los Angeles

46

Health Net Dental Plan/Sacramento

47

Health Net-San Diego

48

Health Net/Kern

49

Health Net/Los Angeles

50

Health Net/Sacramento

51

Health Net/San Joaquin

52

Health Net/Stanislaus

53

Health Net/Tulare

54

Health Plan of San Joaquin/San Joaquin

55

Health Plan of San Joaquin/Stanislaus

56

Health Plan of San Mateo
(continued)

Created on 10/22/2024

6

HI3
STATE MEDICAID HMOs
California (CA)
57

Humboldt Senior Resource Center, Inc./Humboldt

58

Inland Empire Health Plan/Riverside

59

Inland Empire Health Plan/San Bernardino

60

InnovAge California PACE/ Sacramento

61

InnovAge California PACE/El Dorado

62

InnovAge California PACE/Placer

63

InnovAge California PACE/San Joaquin

64

InnovAge California PACE/Sutter

65

InnovAge California PACE/Yuba

66

InnovAge PACE/Riverside

67

InnovAge PACE/San Bernardino County

68

Innovative Integrated Health PACE/Orange
(continued)

Created on 10/22/2024

7

HI3

STATE MEDICAID HMOs
California (CA)
69

Innovative Integrated Health, Inc./Fresno

70

Innovative Integrated Health, Inc./Kern

71

Innovative Integrated Health, Inc./Tulare

72

Kaiser Foundation/Sacramento

73

Kaiser-San Diego

74

Kaiser/Amador

75

Kaiser/El Dorado

76

Kaiser/Placer

77

Kern Family Health Care

78

LA Care Health Plan/Los Angeles

79

Liberty Dental Plan/Los Angeles

80

Liberty Dental Plan/Sacramento
(continued)

Created on 10/22/2024

8

HI3

STATE MEDICAID HMOs
California (CA)
81

Molina Healthcare of CA Partner
Plan-Sacramento

82

Molina Healthcare of CA Partner Plan-San Diego

83

Molina Healthcare of CA Partner Plan/Riverside

84

Molina Healthcare of CA Partner Plan/San
Bernardino

85

Molina Healthcare of California/Imperial

86

Neighborhood Healthcare PACE/Riverside

87

Neighborhood Healthcare PACE/San Bernardino

88

North East Medical Services PACE

89

On Lok Lifeways/Alameda

90

On Lok Lifeways/San Francisco
(continued)

Created on 10/22/2024

9

HI3

STATE MEDICAID HMOs
California (CA)
91

On Lok Lifeways/Santa Clara

92

Pacific PACE/Los Angeles

93

Partnership HP of CA/ Southeast

94

Partnership HealthPlan of CA - Southwest

95

Partnership HealthPlan of CA/Northeast

96

Partnership HealthPlan of CA/Northwest

97

Positive Healthcare/Los Angeles

98

SCAN Health Plan - Los Angeles

99

SCAN Health Plan - San Bernardino

100

San Diego PACE/San Diego

101

San Francisco Health Plan

102

Santa Clara Family Health Plan

103

Sequioa PACE/Fresno
(continued)

Created on 10/22/2024

10

HI3

STATE MEDICAID HMOs
California (CA)
104

Sequioa PACE/Kings

105

Sequioa PACE/Madera

106

Sequioa PACE/Tulare

107

St. Paul's PACE

108

Stockton PACE/San Joaquin

109

Stockton PACE/Stanislaus

110

Sutter SeniorCare PACE/Sacramento

111

United Health Care- San Diego

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Colorado (CO)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Anthem Medicare Advantage (Anthem Blue
Cross and Blue Shield)

3

Cigna (Cigna Healthcare)

4

Cigna True Choice (Cigna Healthcare)

5

Clear Spring Health Essential (Clear Spring
Health)

6

Devoted (Devoted Health)

7

Elevate Medicare Select (Elevate Medicare
Advantage)

8

Humana (Humana)

9

Humana Gold Choice (Humana)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Colorado (CO)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10

Humana Gold Plus (Humana)

11

HumanaChoice (Humana)

12

Kaiser Permanente Senior Advantage (Kaiser
Permanente)

13

Kaiser Permanente Senior Advantage Choice
(Kaiser Permanente)

14

Perennial Advantage Freedom (Perennial
Advantage)

15

Select Health Medicare (Select Health)

16

Select Health Medicare Choice (Select Health)

17

AARP Medicare Advantage (UnitedHealthcare)
(continued)

Created on 10/22/2024

3

HI2
MEDICARE ADVANTAGE PLANS
Colorado (CO)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
18 AARP Medicare Advantage from UHC CO
(UnitedHealthcare)
19 Erickson Advantage (UnitedHealthcare)
20 UHC Rocky Mountain Medicare Advantage CO
(UnitedHealthcare)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Colorado (CO)
1

Denver Health Medicaid Choice (DMHC)

2

InnovAge - Aurora (PACE)

3

InnovAge - Lakewood (PACE)

4

InnovAge - Loveland (PACE)

5

InnovAge - Pueblo (PACE)

6

InnovAge - Thornton (PACE)

7

RAE 2: Northeast Health Partners

8

RAE 3: Colorado Access

9

RAE 4: Health Colorado, Inc.

10

RAE 5: Colorado Access

11

RAE 6: Colorado Community Health Alliance

12

RAE 7: Colorado Community Health Alliance
(continued)

Created on 10/22/2024

2

HI3

STATE MEDICAID HMOs
Colorado (CO)
13 Regional Accountable Entity (RAE) 1: Rocky
Mountain Health Plans
14 Rocky Mountain Health Care Services (PACE)
15 Rocky Mountain Health Plans Prime
16 TRU Community Care (PACE)
17 Total Longterm Care
18 VOANS (PACE)

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Connecticut (CT)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Anthem (Anthem Blue Cross and Blue Shield)

3

Anthem Medicare Advantage (Anthem Blue
Cross and Blue Shield)

4

CarePartners Access (CarePartners of
Connecticut)

5

CarePartners of CT CareAdvantage Preferred
(CarePartners of Connecticut)

6

Cigna True Choice Medicare (Cigna Healthcare)

7

ConnectiCare (ConnectiCare)

8

Humana USAA Honor Giveback (Humana)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Connecticut (CT)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
9

HumanaChoice (Humana)

10 AARP Medicare Advantage from UHC CT
(UnitedHealthcare)
11 UHC Medicare Advantage (UnitedHealthcare)
12 Wellcare (Wellcare)

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
District of Columbia (DC)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Aetna Medicare Value Plus (Aetna Medicare)

3

CareFirst BlueCross BlueShield Advantage
(CareFirst BlueCross BlueShield MA)

4

Cigna Preferred (Cigna Healthcare)

5

Cigna True Choice Medicare (Cigna Healthcare)

6

Humana USAA Honor Giveback (Humana)

7

HumanaChoice (Humana)

8

Kaiser Permanente Medicare Advantage (Kaiser
Permanente)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
District of Columbia (DC)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
9 AARP Medicare Advantage (UnitedHealthcare)

Created on 10/22/2024

1

HI3
STATE MEDICAID HMOs
District of Columbia (DC)
1 AmeriHealth Caritas District of Columbia
2 CareFirst Community Health Plan District of
Columbia
3 Health Services for Children with Special Needs
4 MedStar Family Choice-DC
5 Medical Transportation Management, Inc.
6 UnitedHealthcare Community Plan of District of
Columbia

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Delaware (DE)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare Advantra (Aetna Medicare)

2

Aetna Medicare Premier (Aetna Medicare)

3

Aetna Medicare Premier Plus (Aetna Medicare)

4

Cigna Preferred Medicare (Cigna Healthcare)

5

Cigna True Choice (Cigna Healthcare)

6

Freedom Blue PPO (Highmark Blue Cross Blue
Shield)

7

Humana USAA Honor Giveback (Humana)

8

HumanaChoice (Humana)

9

AARP Medicare Advantage (UnitedHealthcare)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Delaware (DE)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10 AARP Medicare Advantage from UHC DE
(UnitedHealthcare)
11 Wellcare Simple (Wellcare)

Created on 10/22/2024

1

HI3
STATE MEDICAID HMOs
Delaware (DE)
1 AmeriHealth Caritas of Delaware
2 Highmark Health Options of Delaware
3 ModivCare Non- Emergency Medical Transportation
4 PACE Your Life
5 Saint Francis Life

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Florida (FL)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

AvMed Medicare (AvMed Medicare)

3

BayCarePlus (BayCare Health Plans)

4

Capital Health Plan (Capital Health Plan)

5

CareAccess (CarePlus Health Plans, Inc.)

6

CareFree (CarePlus Health Plans, Inc.)

7

CareOne Plus (CarePlus Health Plans, Inc.)

8

CareSalute (CarePlus Health Plans, Inc.)

9

Cigna (Cigna Healthcare)

10

Devoted (Devoted Health)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Florida (FL)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
11

DrElite-B (Doctors HealthCare Plans, Inc.)

12

DrMax (Doctors HealthCare Plans, Inc.)

13

DrMax-B (Doctors HealthCare Plans, Inc.)

14

DrSelect (Doctors HealthCare Plans, Inc.)

15

DrValue (Doctors HealthCare Plans, Inc.)

16

BlueMedicare (Florida Blue)

17

FHCP Medicare (Florida Blue HMO)

18

Freedom (Freedom Health, Inc.)

19

Health First (Health First Health Plans, Inc.)
(continued)

Created on 10/22/2024

3

HI2
MEDICARE ADVANTAGE PLANS
Florida (FL)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
20

HealthSun (HealthSun Health Plans, Inc.)

21

Humana (Humana)

22

HumanaChoice Florida (Humana)

23

Leon (Leon Health, Inc.)

24

Optimum (Optimum HealthCare, Inc.)

25

Simply (Simply Healthcare Plans, Inc.)

26

Premier by Ultimate (Ultimate Health Plans)

27

AARP Medicare Advantage (UnitedHealthcare)

28

UHC (UnitedHealthcare)
(continued)

Created on 10/22/2024

4

HI2
MEDICARE ADVANTAGE PLANS
Florida (FL)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
29 UHC MedicareMax Medicare Advantage FL
(UnitedHealthcare)
30 Wellcare (Wellcare)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Florida (FL)
1

Aetna Better Health

2

Aetna Health, Inc.

3

AmeriHealth

4

Care Improvement Plus South Central Insurance
Comp

5

CarePlus Health Plans, Inc.

6

Centene Venture Company Florida

7

Children's Medical Services Network

8

Community Care Plan

9

DentaQuest of Florida, Inc.

10

Devoted Health Plan of Florida, Inc.

11

Doctors Healthcare Plans, Inc.

12

Florida Blue Medicare, Inc.
(continued)

Created on 10/22/2024

2

HI3
STATE MEDICAID HMOs
Florida (FL)
13

Florida Community Care

14

Florida PACE

15

Freedom Health, Inc.

16

HealthSpring of Florida, Inc.

17

HealthSun Health Plans, Inc.

18

Hope Select Care

19

Humana Health Insurance Company of Florida,
Inc.

20

Humana Medical Plan

21

Liberty Dental Plan of Florida, Inc.

22

MMM of Florida, Inc.

23

Managed Care of North America, Inc.

24

Medical Transportation Management, Inc.
(continued)

Created on 10/22/2024

3

HI3

STATE MEDICAID HMOs
Florida (FL)
25

Modivcare Solutions, LLC

26

Molina Healthcare of Florida

27

Molina Healthcare of Florida - Specialty Plan

28

Morselife

29

Optimum Health Care, Inc.

30

Preferred Care Network, Inc.

31

Preferred Care Partners, Inc.

32

Simply DBA Clear Health Alliance - Specialty
Plan

33

Simply Healthcare Plan, Inc.

34

Simply Healthcare Plans, Inc.

35

Solis Health Plans, Inc.

36

Suncoast
(continued)

Created on 10/22/2024

4

HI3
STATE MEDICAID HMOs
Florida (FL)
37 Sunshine State Health Plan - SMI (Specialty Plan)
38 Sunshine State Health Plan, Inc.
39 The Pace Place
40 Ultimate Health Plans, Inc.
41 United Healthcare Dual Complete LP
42 United Healthcare of Florida
43 Vivida Health
44 WellCare Health Insurance of Arizona, Inc.

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Georgia (GA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Aetna Medicare Advantra Preferred (Aetna
Medicare)

3

Aetna Medicare Select (Aetna Medicare)

4

Anthem (Anthem Blue Cross and Blue Shield)

5

BlueAdvantage (BlueCross BlueShield of
Tennessee)

6

Cigna (Cigna Healthcare)

7

Cigna Preferred (Cigna Healthcare)

8

Cigna True Choice (Cigna Healthcare)

9

Clear Spring Health Choice Plan (Clear Spring
Health)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Georgia (GA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10

Clear Spring Health Select Plus (Clear Spring
Health)

11

Clover Health (Clover Health)

12

Devoted (Devoted Health)

13

Humana Full Access (Humana)

14

Humana Gold Choice (Humana)

15

Humana Gold Plus (Humana)

16

Humana USAA Honor Giveback (Humana)

17

HumanaChoice (Humana)

18

Kaiser Permanente Senior Advantage (Kaiser
Permanente)

19

Sonder (Sonder Health Plans, Inc.)
(continued)

Created on 10/22/2024

3

HI2
MEDICARE ADVANTAGE PLANS
Georgia (GA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
20 Sonder Access Plus (Sonder Health Plans, Inc.)
21 AARP Medicare Advantage (UnitedHealthcare)
22 AARP Medicare Advantage from UHC GA
(UnitedHealthcare)
23 UHC Medicare Advantage (UnitedHealthcare)
24 UHC Medicare Advantage Essentials GA
(UnitedHealthcare)
25 Wellcare (Wellcare)

Created on 10/22/2024

1

HI3
STATE MEDICAID HMOs
Georgia (GA)
1

Amerigroup Community Care

2

CareSource Georgia

3

NEMT

4

Peach State Health Plan

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Hawaii (HI)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1 Devoted (Devoted Health)
2 HMSA Akamai Advantage (HMSA Akamai
Advantage)
3 Humana Gold Plus (Humana)
4 Humana USAA Honor Giveback (Humana)
5 HumanaChoice (Humana)
6 Kaiser Permanente Senior Advantage (Kaiser
Permanente)
7 AARP Medicare Advantage (UnitedHealthcare)
8 Wellcare 'Ohana Simple (Wellcare)

Created on 10/22/2024

1

HI3
STATE MEDICAID HMOs
Hawaii (HI)
1 AlohaCare QUEST Integration
2 Hawaii Medical Service Association (HMSA) QUEST
Integration
3 Kaiser Foundation Health Plan QUEST Integration
4 Ohana Health Plan QUEST Integration
5 UnitedHealthcare Community Plan QUEST
Integration

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Iowa (IA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Align (Align powered by Sanford Health Plan)

3

Health Alliance Medicare (Health Alliance
Medicare)

4

Health Alliance Medicare Guide HMO (Health
Alliance Medicare)

5

Humana (Humana)

6

Humana Gold Choice (Humana)

7

Humana Gold Plus (Humana)

8

HumanaChoice (Humana)

9

MercyOne Health Plan (MediGold)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Iowa (IA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10 MercyOne Health Plan Choice (MediGold)
11 Medica Advantage (Medica)
12 AARP Medicare Advantage (UnitedHealthcare)
13 AARP Medicare Advantage from UHC IA
(UnitedHealthcare)
14 Wellcare Simple (Wellcare)
15 Blue Medicare Advantage (Wellmark Advantage
Health Plan)
16 Blue Medicare Advantage HMO (Wellmark
Advantage Health Plan)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Iowa (IA)
1

Amerigroup of Iowa, Inc.

2

Delta Dental of Iowa

3

Iowa Total Care

4

MCNA Dental Plans, Inc.

5

PACE

6

TMS

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Idaho (ID)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Secure Blue Courage (Blue Cross of Idaho)

2

True Blue (Blue Cross of Idaho)

3

Humana (Humana)

4

Humana Gold Plus (Humana)

5

HumanaChoice (Humana)

6

PacificSource Medicare Explorer (PacificSource
Medicare)

7

PacificSource Medicare MyCare Choice
(PacificSource Medicare)

8

Regence (Regence BlueShield of Idaho)

9

Regence Blue MedAdvantage HMO (Regence
BlueShield of Idaho)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Idaho (ID)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10 Saint Alphonsus Health Plan (Saint Alphonsus
Health Plan)
11 Saint Alphonsus Health Plan Choice (Saint
Alphonsus Health Plan)
12 Select Health Medicare (Select Health)
13 Select Health Medicare Choice (Select Health)
14 AARP Medicare Advantage (UnitedHealthcare)

Created on 10/22/2024

1

HI3
STATE MEDICAID HMOs
Idaho (ID)
1 Blue Cross of Idaho
2 MCNA (Managed Care of North America, Inc.)
3 MTM (Medical Transportation Management)
4 Molina of Idaho
5 Multiple Primary Care Providers
6 United Healthcare/Optum Idaho

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Illinois (IL)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Aetna Medicare Premier (Aetna Medicare)

3

Blue Cross Medicare Advantage (Blue Cross and
Blue Shield of IL, NM)

4

Blue Cross Medicare Advantage Secure (Blue
Cross and Blue Shield of Illinois)

5

Cigna (Cigna Healthcare)

6

Cigna True Choice (Cigna Healthcare)

7

Clear Spring Health Community Advantage Plan
(Clear Spring Health)

8

Clear Spring Health Essential (Clear Spring
Health)

9

Devoted (Devoted Health)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Illinois (IL)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10

Devoted CHOICE (Devoted Health)

11

Devoted CHOICE Illinois (Devoted Health)

12

Essence Advantage (Essence Healthcare)

13

Health Alliance Medicare (Health Alliance
Medicare)

14

Humana (Humana)

15

Humana Gold Choice (Humana)

16

Humana Gold Plus (Humana)

17

Humana USAA Honor Giveback (Humana)

18

HumanaChoice (Humana)

19

Medica Advantage (Medica)
(continued)

Created on 10/22/2024

3

HI2
MEDICARE ADVANTAGE PLANS
Illinois (IL)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
20 Molina Medicare Choice Care (Molina Healthcare of
Illinois)
21 AARP Medicare Advantage (UnitedHealthcare)
22 AARP Medicare Advantage from UHC IA
(UnitedHealthcare)
23 AARP Medicare Advantage from UHC ST
(UnitedHealthcare)
24 Wellcare (Wellcare)
25 Wellcare Simple (Wellcare)
26 Zing (Zing Health)
27 Zing Select Care IL (Zing Health)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Illinois (IL)
1 Aetna Better Health
2 Blue Cross Community Health Plans
3 CountyCare Health Plan
4 Meridian Health
5 Molina HealthCare
6 YouthCare

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Indiana (IN)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Aetna Medicare Premier (Aetna Medicare)

3

Anthem (Anthem Blue Cross and Blue Shield)

4

Anthem Medicare Advantage (Anthem Blue
Cross and Blue Shield)

5

CommuniCare Advantage (Communicare
Advantage)

6

Devoted CHOICE (Devoted Health)

7

Essence Advantage (Essence Healthcare)

8

Essence Advantage Choice (Essence Healthcare)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Indiana (IN)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
9

Health Alliance Medicare (Health Alliance
Medicare)

10

Humana (Humana)

11

Humana Gold Choice (Humana)

12

Humana Gold Plus (Humana)

13

HumanaChoice (Humana)

14

IU Health Plans Medicare (Indiana University
Health Plans)

15

MyTruAdvantage Choice Plus (MyTruAdvantage)

16

MyTruAdvantage Select (MyTruAdvantage)

17

Red, White and Tru (MyTruAdvantage)
(continued)

Created on 10/22/2024

3

HI2
MEDICARE ADVANTAGE PLANS
Indiana (IN)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
18 Paramount Elite (Paramount Elite Medicare Plans)
19 AARP Medicare Advantage (UnitedHealthcare)
20 Wellcare (Wellcare by Allwell)
21 Wellcare Complete Simple (Wellcare by Allwell)
22 Wellcare Complete Simple Open (Wellcare by
Allwell)
23 Zing (Zing Health)
24 Zing Open Choice IN (Zing Health)

Created on 10/22/2024

1

HI3
STATE MEDICAID HMOs
Indiana (IN)
1

Anthem

2

Caresource Indiana, Inc.

3

Franciscan Senior Health and Wellness- Indy

4

Franciscan Senior Health and WellnessMichigan City

5

Franciscan Senior Health and Wellness-Dyer

6

MDwise

7

Managed Health Services

8

Mdwise

9

Pace of Northeast Indiana

10

Reid Health Pace Center

11

Saint Joseph Pace
(continued)

Created on 10/22/2024

2

HI3
STATE MEDICAID HMOs
Indiana (IN)
12

United Healthcare Community Plan

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Kansas (KS)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Blue Medicare Advantage (Blue Cross and Blue
Shield of Kansas)

3

Cigna Preferred Medicare (Cigna Healthcare)

4

Cigna True Choice (Cigna Healthcare)

5

Humana Gold Choice (Humana)

6

Humana Gold Plus (Humana)

7

Humana USAA Honor Giveback (Humana)

8

HumanaChoice (Humana)

9

AARP Medicare Advantage (UnitedHealthcare)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Kansas (KS)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10 AARP Medicare Advantage from UHC
(UnitedHealthcare)
11 AARP Medicare Advantage from UHC KC
(UnitedHealthcare)
12 Erickson Advantage (UnitedHealthcare)
13 UHC MedicareDirect (UnitedHealthcare)
14 Wellcare (Wellcare by Allwell)
15 Wellcare Complete (Wellcare by Allwell)
16 Wellcare Complete Simple Open (Wellcare by
Allwell)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Kansas (KS)
1 Aetna Better Health of Kansas
2 Bluestem Pace, Inc.
3 Midland Care
4 Sunflower State Health Plan
5 United HealthCare Community Plan of Kansas
6 Via Christi

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Kentucky (KY)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Aetna Medicare Premier (Aetna Medicare)

3

Anthem Medicare Advantage (Anthem Blue
Cross and Blue Shield)

4

Anthem Veteran (Anthem Blue Cross and Blue
Shield)

5

Cigna Preferred (Cigna Healthcare)

6

Cigna True Choice (Cigna Healthcare)

7

Devoted CHOICE (Devoted Health)

8

Essence Advantage (Essence Healthcare)

9

Essence Advantage Choice (Essence Healthcare)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Kentucky (KY)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10

Humana (Humana)

11

Humana Community (Humana)

12

Humana Gold Choice (Humana)

13

Humana Gold Plus (Humana)

14

Humana USAA Honor Giveback (Humana)

15

HumanaChoice (Humana)

16

Paramount Elite (Paramount Elite Medicare
Plans)

17

Paramount Elite Essential (Paramount Elite
Medicare Plans)

18

AARP Medicare Advantage (UnitedHealthcare)
(continued)

Created on 10/22/2024

3

HI2
MEDICARE ADVANTAGE PLANS
Kentucky (KY)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
19

Wellcare (Wellcare)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Kentucky (KY)
1

Aetna

2

Anthem

3

Humana

4

Molina

5

NEMT - Transportation Cabinet

6

UHC

7

WellCare

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Louisiana (LA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Aetna Medicare Advantra (Aetna Medicare)

3

Aetna Medicare Signature (Aetna Medicare)

4

Blue adVantage (Blue Cross and Blue Shield of
Louisiana)

5

Humana (Humana)

6

Humana Full Access (Humana)

7

HumanaChoice (Humana)

8

Ochsner Health Plan (Ochsner Health Plan)

9

Peoples Health (Peoples Health)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Louisiana (LA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10

Wellcare (Wellcare)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Louisiana (LA)
1

Aetna Better Health of Louisiana

2

AmeriHealth Caritas Louisiana

3

DentaQuest

4

Healthy Blue

5

Louisiana Healthcare Connections

6

MCNA of Louisiana

7

Magellan

8

PACE - Baton Rouge

9

PACE - Greater New Orleans

10

PACE - Lafayette

11

UnitedHealthcare Community Plan

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Massachusetts (MA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Aetna Medicare Value (Aetna Medicare)

3

Medicare HMO Blue (Blue Cross Blue Shield of
Massachusetts)

4

Medicare PPO Blue (Blue Cross Blue Shield of
Massachusetts)

5

Fallon Medicare Plus (Fallon Health)

6

Health New England Medicare (Health New
England Medicare Advantage Plans)

7

Health New England Medicare Compass (Health
New England MA Plans)

8

Humana USAA Honor Giveback (Humana)

9

HumanaChoice (Humana)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Massachusetts (MA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10

Mass Advantage (Mass Advantage)

11

Mass General Brigham Advantage (Mass
General Brigham Health Plan)

12

Mass General Brigham Advantage Secure (Mass
General Brigham Health Plan)

13

Tufts Medicare Preferred Access (Tufts Health
Plan)

14

Tufts Medicare Preferred HMO (Tufts Health
Plan)

15

AARP Medicare Advantage (UnitedHealthcare)

16

Erickson Advantage (UnitedHealthcare)

17

eternalHealth (eternalHealth)
(continued)

Created on 10/22/2024

3

HI2
MEDICARE ADVANTAGE PLANS
Massachusetts (MA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
18

eternalHealth Forever (eternalHealth)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Massachusetts (MA)
1

Atrius Health in partnership with THPP

2

BMC HealthNet Plan

3

Baystate Health Care Alliance with Health New
England (Be Healthy Partnership)

4

Beth Israel Deaconess Care Organization
(BIDCO) in partnership with THPP

5

Boston Accountable Care Organization in
partnership with BMC HealthNet Plan

6

Boston Children’s Health ACO in partnership
with THPP

7

Cambridge Health Alliance (CHA) in partnership
with Tufts Health Public Plans

8

Commonwealth Care Alliance

9

Community Care Cooperative, Inc.

10

Elder Service Plan of Cambridge Health Alliance
(continued)

Created on 10/22/2024

2

HI3
STATE MEDICAID HMOs
Massachusetts (MA)
11

Elder Service Plan of Harbor Health

12

Element Care, Inc.

13

Fallon Health Summit Eldercare

14

Health Collaborative of the Berkshires in
partnership with Fallon Health

15

Mass General Brigham ACO

16

Massachusetts Behavioral Health Partnership

17

Mercy Life, Inc.

18

Mercy Medical Center in partnership with BMC
HealthNet Plan

19

Merrimack Valley ACO in partnership with
AllWays Health Partners(My Care Family)

20

Multiple Primary Care Clinicians

21

Navicare HMO
(continued)

Created on 10/22/2024

3

HI3

STATE MEDICAID HMOs
Massachusetts (MA)
22

Neighborhood PACE

23

Reliant Medical Group in partnership with Fallon
Health

24

Senior Whole Health

25

Serenity Care PACE Program

26

Signature Healthcare in partnership with BMC
HealthNet Plan

27

Southcoast Health in partnership with BMC
HealthNet Plan

28

Steward Health Choice

29

Tufts Health Plan

30

Tufts Health Together

31

United Healthcare

32

Upham's Elder Service Plan
(continued)

Created on 10/22/2024

4

HI3

STATE MEDICAID HMOs
Massachusetts (MA)
33 Wellforce in partnership with Fallon Health

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Maryland (MD)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Aetna Medicare Connect Plus (Aetna Medicare)

3

Alterwood Advantage (Alterwood Advantage)

4

CareFirst BlueCross BlueShield Advantage
(CareFirst BlueCross BlueShield MA)

5

Cigna (Cigna Healthcare)

6

CommuniCare Advantage (Communicare
Advantage)

7

Humana (Humana)

8

Humana USAA Honor Giveback (Humana)

9

HumanaChoice (Humana)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Maryland (MD)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10 Johns Hopkins Advantage MD (Johns Hopkins
Advantage MD)
11 Kaiser Permanente Medicare Advantage (Kaiser
Permanente)
12 AARP Medicare Advantage (UnitedHealthcare)
13 Erickson Advantage (UnitedHealthcare)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Maryland (MD)
1

Aetna Better Health of Maryland

2

CareFirst BlueCross BlueShield Community Health
Plan Maryland

3

Hopkins ElderPlus

4

Jai Medical Systems

5

Kaiser Permanente

6

Maryland Physicians Care

7

MedStar Family Choice

8

Priority Partners

9

UnitedHealthcare Community Plan

10 Wellpoint Maryland

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Maine (ME)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Anthem I MaineHealth Advantage (AMH Health)

2

Aetna Medicare (Aetna Medicare)

3

Humana Gold Plus (Humana)

4

Humana USAA Honor Giveback (Humana)

5

HumanaChoice (Humana)

6

Martin's Point Generations Advantage (Martin's
Point Generations Advantage)

7

Martin's Point Generations Advantage
Select(Martins Point Generations Advantage)

8

AARP Medicare Advantage (UnitedHealthcare)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Maine (ME)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
9

AARP Medicare Advantage from UHC MH
(UnitedHealthcare)

10 UHC Northern Light Health ME (UnitedHealthcare)
11 Wellcare (Wellcare)
12 Wellcare Advantage Simple (Wellcare)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Maine (ME)
1

MidCoast Connector

2

ModivCare

3

Multiple Primary Care Providers

4

Penquis CAP

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Michigan (MI)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

BCN Advantage (Blue Care Network)

3

Medicare Plus Blue (Blue Cross Blue Shield of
Michigan)

4

Henry Ford Select (HAP Senior Plus)

5

HAP (HAP Senior Plus (PPO))

6

Humana (Humana)

7

Humana Full Access (Humana)

8

Humana Gold Choice (Humana)

9

Humana Gold Plus (Humana)

10

HumanaChoice (Humana)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Michigan (MI)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
11

McLaren Medicare Inspire (McLaren Medicare)

12

Paramount Elite (Paramount Elite Medicare
Plans)

13

PriorityMedicare (Priority Health Medicare)

14

Trinity Health Plan of Michigan (Trinity Health
Plan of Michigan)

15

AARP Medicare Advantage (UnitedHealthcare)

16

Erickson Advantage (UnitedHealthcare)

17

Covenant Advantage (University of Michigan
Health Plan)
(continued)

Created on 10/22/2024

3

HI2
MEDICARE ADVANTAGE PLANS
Michigan (MI)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
18 University of Michigan Health Advantage (University
of Michigan Health Plan)
19 University of Michigan Health Advantage
Flex(University of Michigan Health Plan)
20 Wellcare (Wellcare)
21 Zing (Zing Health)
22 Zing Open Choice MI (Zing Health)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Michigan (MI)
1

A & D Home Health Care, Inc.

2

Aetna Better Health of Michigan

3

Area Agency on Aging 1-B

4

Area Agency on Aging of Northwest Michigan

5

Area Agency on Aging of Western Michigan

6

Ascension Living PACE

7

Blue Cross Blue Shield of Michigan

8

Blue Cross Complete of Michigan

9

CMH Partnership of Southeast Michigan

10

Care Resources

11

Community PACE

12

Delta Dental of Michigan
(continued)

Created on 10/22/2024

2

HI3

STATE MEDICAID HMOs
Michigan (MI)
13

Detroit Area Agency on Aging

14

Detroit Wayne Mental Health Authority

15

Great Lakes PACE

16

HAP Empowered

17

Huron Valley PACE

18

Lakeshore Regional Entity

19

Life Circles

20

Macomb County CMH Services

21

Macomb-Oakland Regional Center Home Care,
Inc.

22

McLaren Health Plan

23

Meridian Health Plan of Michigan

24

Mid-State Health Network
(continued)

Created on 10/22/2024

3

HI3
STATE MEDICAID HMOs
Michigan (MI)
25

Milestone Senior Services, Inc.

26

Molina Healthcare of Michigan

27

Northcare Network

28

Northern Healthcare Management

29

Northern Michigan Regional Entity

30

Oakland County CMH Authority

31

PACE Central Michigan

32

PACE North

33

PACE Southeast MI

34

PACE Southwest MI

35

Priority Health Choice

36

Region 10 PIHP

37

Region 2 Area Agency on Aging
(continued)

Created on 10/22/2024

4

HI3
STATE MEDICAID HMOs
Michigan (MI)
38

Region 3B Area Agency on Aging

39

Region 4 Area Agency on Aging

40

Region 7 Area Agency on Aging

41

Region 9 Area Agency on Aging

42

Reliance Community Care Partners

43

Senior Care Partners

44

Senior Community Care

45

Senior Resources of West Michigan

46

Southwest Michigan Behavioral Health

47

The Information Center

48

Thome PACE

49

Tri County Office on Aging

50

UPCAP Area Agency on Aging
(continued)

Created on 10/22/2024

5

HI3
STATE MEDICAID HMOs
Michigan (MI)
51

UnitedHealthcare Community Plan

52

Upper Peninsula Health Plan

53

Valley Area Agency on Aging

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Minnesota (MN)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Align (Align powered by Sanford Health Plan)

2

Allina Health Aetna Medicare (Allina Health Aetna
Medicare)

3

Blue Cross Medicare Advantage (Blue Cross and
Blue Shield of Minnesota)

4

HealthPartners Journey (HealthPartners)

5

Humana (Humana)

6

Humana Gold Choice (Humana)

7

Humana Gold Plus (Humana)

8

HumanaChoice (Humana)

9

Medica Advantage Solution (Medica)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Minnesota (MN)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10 Gundersen MN Quartz Med Advantage (Quartz
Medicare Advantage)
11 EssentiaCare (UCare)
12 UCare (UCare)
13 UCare Your Choice (UCare)
14 AARP Medicare Advantage (UnitedHealthcare)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Minnesota (MN)
1

Blue Plus

2

Health Partners

3

Hennepin Health

4

Itasca Medical

5

Itasca Medical Care

6

Medica

7

Prime West

8

South Country Health Alliance

9

UCare

10

United HealthCare

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Missouri (MO)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Anthem Veteran (Anthem Blue Cross and Blue
Shield)

3

Anthem Medicare Advantage (Anthem
HealthKeepers)

4

Cigna Preferred Medicare (Cigna Healthcare)

5

Cigna True Choice (Cigna Healthcare)

6

CoxHealth Medicare Advantage (Cox
HealthPlans)

7

Devoted (Devoted Health)

8

Essence Advantage (Essence Healthcare)

9

Humana (Humana)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Missouri (MO)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10 Humana Gold Choice (Humana)
11 Humana Gold Plus (Humana)
12 Humana USAA Honor Giveback (Humana)
13 HumanaChoice (Humana)
14 Medica Advantage (Medica)
15 AARP Medicare Advantage (UnitedHealthcare)
16 AARP Medicare Advantage from UHC
(UnitedHealthcare)
17 UHC Medicare Advantage AM (UnitedHealthcare)
18 Wellcare (Wellcare by Allwell)

Created on 10/22/2024

1

HI3
STATE MEDICAID HMOs
Missouri (MO)
1

Healthy Blue

2

Home State Health

3

MTM Transit

4

New Horizons PACE St. Louis

5

Show Me Healthy Kids

6

UnitedHealthcare

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Mississippi (MS)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Cigna (Cigna Healthcare)

3

Cigna True Choice (Cigna Healthcare)

4

Devoted CHOICE (Devoted Health)

5

Healthy Mississippi (Healthy Mississippi, Inc.)

6

Humana (Humana)

7

Humana Full Access (Humana)

8

Humana Gold Plus (Humana)

9

HumanaChoice (Humana)

10

Blue Advantage (Patrius Health)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Mississippi (MS)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
11 Primewell (Primewell Health Services)
12 AARP Medicare Advantage (UnitedHealthcare)
13 AARP Medicare Advantage from UHC MS
(UnitedHealthcare)
14 Wellcare (Wellcare)
15 Wellcare Simple Open (Wellcare)
16 Zing (Zing Health)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Mississippi (MS)
1

Magnolia Health

2

Molina Health

3

UnitedHealth Community College

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Montana (MT)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1 Blue Cross Medicare Advantage (Blue Cross and Blue
Shield of Montana)
2 Humana Gold Choice (Humana)
3 Humana Gold Plus (Humana)
4 Humana USAA Honor Giveback (Humana)
5 HumanaChoice (Humana)
6 PacificSource Medicare Explorer (PacificSource
Medicare)
7 PacificSource Medicare MyCare Choice
(PacificSource Medicare)
8 AARP Medicare Advantage (UnitedHealthcare)
9 UHC MedicareDirect (UnitedHealthcare)

Created on 10/22/2024

1

HI3
STATE MEDICAID HMOs
Montana (MT)
1

Multiple Primary Care Providers

2

Passport to Health

3

Team Care

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
North Carolina (NC)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Alignment Health (Alignment Health Plan)

3

Alignment Health AVA (Alignment Health Plan)

4

Blue Medicare (Blue Cross and Blue Shield of
North Carolina)

5

HealthTeam Advantage (CARE N' CARE
INSURANCE COMPANY OF NORTH
CAROLINA)

6

HealthTeam Advantage Cardinal Plan (CARE N'
CARE INSURANCE COMPANY OF NC)

7

Cigna (Cigna Healthcare)

8

Cigna True Choice Medicare (Cigna Healthcare)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
North Carolina (NC)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
9

Devoted (Devoted Health)

10

Experience Health Medicare Advantage
(Experience Health)

11

FirstMedicare Direct (FirstMedicare Direct)

12

FirstMedicare Direct PPO Plus (FirstMedicare
Direct)

13

New Hanover Health Advantage (FirstMedicare
Direct)

14

Humana (Humana)

15

Humana Gold Choice (Humana)

16

Humana Gold Plus (Humana)

17

Humana USAA Honor Giveback (Humana)
(continued)

Created on 10/22/2024

3

HI2
MEDICARE ADVANTAGE PLANS
North Carolina (NC)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
18 HumanaChoice (Humana)
19 Sentara Medicare Value (Sentara Medicare)
20 Troy Medicare (Troy Medicare)
21 AARP Medicare Advantage (UnitedHealthcare)
22 AARP Medicare Advantage from UHC NC
(UnitedHealthcare)
23 Erickson Advantage (UnitedHealthcare)
24 Wellcare (Wellcare)
25 Wellcare Simple (Wellcare)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
North Carolina (NC)
1

Alliance Behavioral Healthcare

2

AmeriHealth Caritas

3

CarePartners PACE

4

Carolina Complete Health

5

Carolina SeniorCare

6

EBCI Tribal Option

7

Eastpointe Human Services

8

Elderhaus, Inc.

9

Healthy Blue of North Carolina

10

Life St. Joseph of the Pines, Inc.

11

North Carolina Community Care

12

PACE at Home, Inc.

13

PACE of the Southern Piedmont
(continued)

Created on 10/22/2024

2

HI3
STATE MEDICAID HMOs
North Carolina (NC)
14 PACE of the Triad
15 Partners Behavioral Health Management
16 Piedmont Health Services, Inc.
17 Sandhills Center for MH DD SA
18 Senior Total Life Care, Inc.
19 Staywell
20 Trillium Health Resources
21 UnitedHealthcare
22 Vaya Health
23 Voans Senior Community Care of North Carolina
24 Wellcare

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
North Dakota (ND)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1 Aetna Medicare (Aetna Medicare)
2 Aetna Medicare Platinum (Aetna Medicare)
3 Align (Align powered by Sanford Health Plan)
4 Humana (Humana)
5 Humana Gold Choice (Humana)
6 HumanaChoice (Humana)
7 Medica Advantage (Medica)
8 NextBlue (NextBlue of North Dakota)
9 AARP Medicare Advantage (UnitedHealthcare)

Created on 10/22/2024

1

HI3
STATE MEDICAID HMOs
North Dakota (ND)
1 North Dakota Medicaid Expansion
2 Primary Care Case Management (PCCM)
3 Program of All-Inclusive Care for the Elderly

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Nebraska (NE)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Blue Cross Blue Shield (Blue Cross and Blue
Shield of Nebraska)

3

Blue Cross Blue Shield Nebraska MA Core (Blue
Cross and Blue Shield of Nebraska)

4

Humana (Humana)

5

Humana Gold Plus (Humana)

6

HumanaChoice (Humana)

7

Medica Advantage (Medica)

8

AARP Medicare Advantage (UnitedHealthcare)

9

Wellcare (Wellcare)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Nebraska (NE)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10

Wellcare Giveback (Wellcare)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Nebraska (NE)
1 Healthy Blue
2 Immanuel Pathways
3 MCNA Nebraska
4 Nebraska Total Care
5 UnitedHealthcare Community Plan of Nebraska

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
New Hampshire (NH)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Aetna Medicare Elite (Aetna Medicare)

3

Anthem (Anthem Blue Cross and Blue Shield)

4

Humana Gold Plus (Humana)

5

Humana USAA Honor Giveback (Humana)

6

HumanaChoice Giveback (Humana)

7

Martin's Point Generations Advantage (Martin's
Point Generations Advantage)

8

AARP Medicare Advantage (UnitedHealthcare)

9

AARP Medicare Advantage from UHC MH
(UnitedHealthcare)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
New Hampshire (NH)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10 AARP Medicare Advantage from UHC NH
(UnitedHealthcare)
11 UHC Medicare Advantage NH (UnitedHealthcare)
12 WellSense (WellSense Health Plan)
13 WellSense Signature Access (WellSense Health
Plan)

Created on 10/22/2024

1

HI3
STATE MEDICAID HMOs
New Hampshire (NH)
1 AmeriHealth Caritas of New Hampshire
2 New Hampshire Healthy Families
3 Well Sense Health Plan

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
New Jersey (NJ)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Aetna Medicare Premier (Aetna Medicare)

3

AmeriHealth Medicare (AmeriHealth)

4

Braven Medicare (Braven Health)

5

Cigna (Cigna Healthcare)

6

Cigna True Choice (Cigna Healthcare)

7

Clover Health (Clover Health)

8

Humana Gold Plus (Humana)

9

Humana USAA Honor Giveback (Humana)

10

HumanaChoice Giveback (Humana)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
New Jersey (NJ)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
11 Jefferson Health Plans (Jefferson Health Plans)
12 Jefferson Health Plans Choice (Jefferson Health
Plans)
13 AARP Medicare Advantage (UnitedHealthcare)
14 Erickson Advantage (UnitedHealthcare)
15 Wellcare (Wellcare)
16 Wellpoint (Wellpoint)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
New Jersey (NJ)
1

Aetna Assure Premier Plus

2

Aetna Better Health NJ

3

Amerigroup New Jersey, Inc.

4

Amerivantage

5

AtlantiCare Life

6

Beacon of Life

7

Horizon NJ Health

8

Horizon NJ Totalcare

9

Inspira Life

10

Life St. Francis

11

Lutheran Senior Life

12

ModivCare

13

Trinity Health Life New Jersey
(continued)

Created on 10/22/2024

2

HI3

STATE MEDICAID HMOs
New Jersey (NJ)
14

UHC Dual Complete

15

United Healthcare Community Plan

16

WellCare Liberty

17

WellCare of New Jersey

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
New Mexico (NM)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Blue Cross Medicare Advantage Basic (Blue
Cross and Blue Shield of IL, NM)

2

Blue Cross Medicare Advantage Classic (Blue
Cross and Blue Shield of IL, NM)

3

Blue Cross Medicare Advantage (Blue Cross and
Blue Shield of NM, TX)

4

Blue Cross Medicare Advantage Select (Blue
Cross and Blue Shield of New Mexico)

5

CHRISTUS Health Medicare (CHRISTUS Health
Advantage)

6

Cigna Preferred Medicare (Cigna Healthcare)

7

Humana Gold Choice (Humana)

8

Humana Gold Plus (Humana)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
New Mexico (NM)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
9

Humana USAA Honor Giveback (Humana)

10 HumanaChoice (Humana)
11 Presbyterian (Presbyterian Health Plan)
12 SCAN (SCAN Health Plan New Mexico)
13 AARP Medicare Advantage (UnitedHealthcare)
14 AARP Medicare Advantage from UHC NM
(UnitedHealthcare)

Created on 10/22/2024

1

HI3
STATE MEDICAID HMOs
New Mexico (NM)
1 Blue Cross Blue Shield of NM
2 Presbyterian Health Plan
3 Total Community Care, dba as Innovage Greater NM
PACE
4 Western Sky Community Care, Inc.

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Nevada (NV)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

ATRIO (ATRIO Health Plans)

2

Aetna Medicare (Aetna Medicare)

3

Alignment Health (Alignment Health Plan)

4

Anthem (Anthem Blue Cross and Blue Shield)

5

Cigna Preferred Savings Medicare (Cigna
Healthcare)

6

Humana Gold Plus (Humana)

7

Humana USAA Honor Giveback (Humana)

8

HumanaChoice (Humana)

9

Prominence (Prominence Health Plan)

10

SCAN (SCAN Health Plan)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Nevada (NV)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
11 Select Health Medicare (Select Health)
12 Select Health Medicare Choice (Select Health)
13 Renown Preferred Plan by Senior Care Plus (Senior
Care Plus)
14 Senior Care Plus (Senior Care Plus)
15 AARP Medicare Advantage (UnitedHealthcare)
16 UHC Medicare Advantage NV (UnitedHealthcare)
17 Wellcare Simple (Wellcare by Allwell)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Nevada (NV)
1 Anthem Blue Cross and Blue Shield Healthcare
Solutions
2 Liberty Dental Plan of Nevada
3 Medical Transportation Management (MTM)
4 Molina Healthcare of Nevada
5 SilverSummit Health Plan
6 United Healthcare Health Plan of Nevada

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
New York (NY)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Aetna Medicare Value (Aetna Medicare)

3

Anthem (Anthem Blue Cross and Blue Shield)

4

CDPHP (CDPHP Medicare Advantage)

5

Complete (CDPHP Medicare Advantage)

6

Cigna True Choice (Cigna Healthcare)

7

Elderplan (Elderplan)

8

EmblemHealth VIP (EmblemHealth)

9

Medicare (Excellus Health Plan, Inc)

10

Medicare Blue Choice (Excellus Health Plan, Inc)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
New York (NY)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
11

Univera (Excellus Health Plan, Inc)

12

Univera SeniorChoice (Excellus Health Plan, Inc)

13

Healthfirst (Healthfirst Medicare Plan)

14

Healthfirst Signature (Healthfirst Medicare Plan)

15

BlueSaver (Highmark Blue Cross Blue Shield or
Highmark Blue Shield)

16

Forever Blue (Highmark Blue Cross Blue Shield
or Highmark Blue Shield)

17

Freedom (Highmark Blue Cross Blue Shield or
Highmark Blue Shield)

18

Freedom Plus (Highmark Blue Cross Blue Shield
or Highmark Blue Shield)
(continued)

Created on 10/22/2024

3

HI2
MEDICARE ADVANTAGE PLANS
New York (NY)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
19

Senior Blue (Highmark Blue Cross Blue Shield or
Highmark Blue Shield)

20

Humana Gold Plus (Humana)

21

Humana USAA Honor Giveback (Humana)

22

HumanaChoice (Humana)

23

Independent Health's Encompass (Independent
Health)

24

MVP Medicare (MVP HEALTH CARE)

25

UVM Health Advantage Select (MVP HEALTH
CARE)

26

MetroPlus Platinum Plan (MetroPlus Health Plan)
(continued)

Created on 10/22/2024

4

HI2
MEDICARE ADVANTAGE PLANS
New York (NY)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
27 AARP Medicare Advantage from UHC NY
(UnitedHealthcare)
28 UHC Medicare Advantage (UnitedHealthcare)
29 VNS Health EasyCare (VNS Health Medicare)
30 Wellcare (Wellcare)
31 Wellcare Fidelis (Wellcare by Fidelis Care)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
New York (NY)
1

Aetna Better Health

2

Affinity Health Plan

3

AgeWell New York

4

AmidaCare Special Needs

5

ArchCare Community Life

6

ArchCare Senior Life

7

Capital District Physician's Health Plan

8

Catholic Health - Life

9

CenterLight (CCM)

10

Centers Plan

11

Centers Plan for Healthy Living

12

Complete Senior Care

13

Eddy Senior Care
(continued)

Created on 10/22/2024

2

HI3

STATE MEDICAID HMOs
New York (NY)
14

ElderPlan

15

ElderServe

16

ElderWood

17

Excellus

18

Excellus Health Plan

19

Extended MLTC

20

Fallon Health Weinberg

21

Fidelis Care

22

Fidelis Legacy Plan

23

HIP Combined

24

HIP GNY

25

Hamaspik Choice MLTC

26

Hamaspik, Inc.
(continued)

Created on 10/22/2024

3

HI3

STATE MEDICAID HMOs
New York (NY)
27

Health Advantage/Elant Choice

28

HealthFirst

29

HealthFirst Health Plan

30

HealthPlus

31

HealthPlus Advantage Plus

32

Highmark Western & Northeastern NY

33

Icircle Care MLTC

34

Independent Health Association

35

Independent Health/Hudson Valley & WNY

36

Independent Living for Seniors

37

Integra MLTC

38

Kalos Health Plan

39

MVP Health Plan
(continued)

Created on 10/22/2024

4

HI3

STATE MEDICAID HMOs
New York (NY)
40

MetroPlus

41

MetroPlus Health Plan Special Needs

42

Metroplus Helath Plan MAP

43

Molina HealthCare of New York

44

Molina HealthCare of New York, Inc.

45

Montefiore HMO MLTC

46

PACE CNY

47

Prime Health Choice

48

Senior Health Partners

49

Senior Network Health

50

Senior Whole Health

51

Total Senior Care

52

United HealthCare
(continued)

Created on 10/22/2024

5

HI3
STATE MEDICAID HMOs
New York (NY)
53

VNA HomeCare Options

54

VNS Choice

55

VNS Choice Plus

56

VNS Choice Special Needs

57

Village Care

58

WellCare

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Ohio (OH)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Aetna Medicare Advantra Silver (Aetna Medicare)

3

Aetna Medicare Premier Plus (Aetna Medicare)

4

Aetna Medicare Value (Aetna Medicare)

5

Anthem (Anthem Blue Cross and Blue Shield)

6

Cigna Preferred (Cigna Healthcare)

7

Cigna True Choice (Cigna Healthcare)

8

CommuniCare Advantage (Communicare
Advantage)

9

Devoted (Devoted Health)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Ohio (OH)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10

Essence Advantage (Essence Healthcare)

11

Essence Advantage Choice (Essence Healthcare)

12

Humana (Humana)

13

Humana Gold Choice (Humana)

14

Humana USAA Honor Giveback (Humana)

15

HumanaChoice (Humana)

16

Mount Carmel MediGold (MediGold)

17

MedMutual Advantage (Medical Mutual of Ohio)

18

Paramount Elite (Paramount Elite Medicare
Plans)
(continued)

Created on 10/22/2024

3

HI2
MEDICARE ADVANTAGE PLANS
Ohio (OH)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
19

Perennial Advantage Freedom (Perennial
Advantage)

20

PrimeTime Health Plan (PrimeTime Health Plan)

21

SummaCare Medicare (SummaCare Medicare
Advantage Plans)

22

The Health Plan SecureCare (The Health Plan)

23

The Health Plan SecureChoice (The Health Plan)

24

UPMC for Life HMO (UPMC for Life)

25

AARP Medicare Advantage (UnitedHealthcare)

26

Wellcare Simple Open (Wellcare)
(continued)

Created on 10/22/2024

4

HI2
MEDICARE ADVANTAGE PLANS
Ohio (OH)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
27

Wellcare (Wellcare by Allwell)

28

Zing (Zing Health)

Created on 10/22/2024

1

HI3
STATE MEDICAID HMOs
Ohio (OH)
1 Aetna
2 Buckeye Community Health Plan
3 CareSource
4 McGregor PACE
5 Molina Healthcare of Ohio, Inc.
6 Paramount Advantage
7 UnitedHealthcare Community Plan of Ohio, Inc.

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Oklahoma (OK)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Aetna Medicare Premier (Aetna Medicare)

3

Blue Cross Medicare Advantage (Blue Cross and
Blue Shield of OK, TX)

4

Blue Cross Medicare Advantage Basic (Blue
Cross and Blue Shield of Oklahoma)

5

Cigna Preferred Savings Medicare (Cigna
Healthcare)

6

Cigna True Choice (Cigna Healthcare)

7

Senior Health Plan (CommunityCare Senior
Health Plan (HMO))

8

Generations (GlobalHealth)

9

Humana Gold Choice (Humana)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Oklahoma (OK)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10 Humana Gold Plus (Humana)
11 Humana USAA Honor Giveback (Humana)
12 HumanaChoice (Humana)
13 AARP Medicare Advantage (UnitedHealthcare)
14 AARP Medicare Advantage from UHC OK
(UnitedHealthcare)
15 Wellcare (Wellcare)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Oklahoma (OK)
1

Cherokee Elder Care (CEC)

2

Life PACE

3

SoonerCare Choice

4

SoonerRide

5

Valir PACE

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Oregon (OR)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

ATRIO (ATRIO Health Plans)

2

ATRIO Prime (ATRIO Health Plans)

3

ATRIO Select (ATRIO Health Plans)

4

Aetna Medicare (Aetna Medicare)

5

Aetna Medicare Eagle (Aetna Medicare)

6

Cigna Preferred Medicare (Cigna Healthcare)

7

Cigna True Choice (Cigna Healthcare)

8

Devoted (Devoted Health)

9

Devoted CHOICE (Devoted Health)

10

Humana (Humana)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Oregon (OR)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
11

Humana Gold Plus (Humana)

12

HumanaChoice (Humana)

13

Kaiser Permanente Senior Advantage (Kaiser
Permanente)

14

PacificSource Medicare (PacificSource Medicare)

15

PacificSource Medicare Explorer (PacificSource
Medicare)

16

Providence Medicare (Providence Medicare
Advantage Plans)

17

Regence (Regence BlueCross BlueShield of
Oregon)

18

Regence BlueAdvantage HMO (Regence
BlueCross BlueShield of Oregon)
(continued)

Created on 10/22/2024

3

HI2
MEDICARE ADVANTAGE PLANS
Oregon (OR)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
19 Samaritan Advantage (Samaritan Advantage Health
Plans)
20 AARP Medicare Advantage (UnitedHealthcare)
21 Wellcare (Wellcare by Health Net)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Oregon (OR)
1

Advanced Health

2

Advantage Dental Services

3

AllCare Health Plan

4

AllCare PACE

5

Capitol Dental Care, Inc.

6

Cascade Health Alliance

7

Columbia Pacific

8

Eastern Oregon CCO

9

Family Dental Care

10

HealthShare of Oregon

11

InterCommunity Health Network

12

Jackson Care Connect

13

Managed Dental Care of Oregon
(continued)

Created on 10/22/2024

2

HI3

STATE MEDICAID HMOs
Oregon (OR)
14 ODS Community Health Inc.
15 PacificSource Community Solutions Central Oregon
16 PacificSource Community Solutions Columbia
Gorge
17 PacificSource Community Solutions Lane (CCO)
18 PacificSource Community Solutions Marion Polk
(CCO)
19 Providence Elder Place
20 Trillium Community Health Plan
21 Trillium Community Health Plan Tri-County
22 Umpqua Health Alliance
23 Yamhill Community Care

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Pennsylvania (PA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

BlueJourney (Capital Blue Cross)

3

BlueJourney Prime (Capital Blue Cross)

4

Capital Blue Cross (Capital Blue Cross)

5

Cigna (Cigna Healthcare)

6

Cigna True Choice (Cigna Healthcare)

7

Clover Health (Clover Health)

8

Devoted (Devoted Health)

9

Devoted CHOICE (Devoted Health)

10

Geisinger Gold (Geisinger Gold)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Pennsylvania (PA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
11

Geisinger Gold Preferred (Geisinger Gold)

12

Community Blue Medicare (Highmark BCBS or
Highmark Blue Shield)

13

Community Blue Medicare HMO (Highmark
BCBS or Highmark Blue Shield)

14

Complete Blue (Highmark Blue Cross Blue
Shield or Highmark Blue Shield)

15

Freedom Blue PPO (Highmark Blue Cross Blue
Shield or Highmark Blue Shield)

16

Security Blue HMO-POS (Highmark Blue Cross
Blue Shield or Highmark Blue Shield)

17

Together Blue Medicare HMO Signature
(Highmark BCBS or Highmark Blue Shield)
(continued)

Created on 10/22/2024

3

HI2
MEDICARE ADVANTAGE PLANS
Pennsylvania (PA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
18

Humana (Humana)

19

Humana Gold Choice (Humana)

20

Humana Gold Plus (Humana)

21

Humana USAA Honor Giveback with (Humana)

22

HumanaChoice (Humana)

23

Keystone 65 (Independence Blue Cross)

24

Personal Choice 65 (Independence Blue Cross)

25

Jefferson Health Plans (Jefferson Health Plans)

26

Jefferson Health Plans Flex (Jefferson Health
Plans)
(continued)

Created on 10/22/2024

4

HI2
MEDICARE ADVANTAGE PLANS
Pennsylvania (PA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
27 UPMC for Life HMO (UPMC for Life)
28 UPMC for Life PPO (UPMC for Life)
29 AARP Medicare Advantage (UnitedHealthcare)
30 AARP Medicare Advantage from UHC PA
(UnitedHealthcare)
31 Erickson Advantage (UnitedHealthcare)
32 Wellcare (Wellcare by Allwell)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Pennsylvania (PA)
1

Adult Community Autism Program

2

Aetna Better Health

3

Albright LIFE H-9068

4

Allegheny County HealthChoices

5

AmeriHealth Caritas

6

AmeriHealth Caritas/AmeriHealth Caritas
Northeast

7

Beaver County HealthChoices

8

Behavioral Health Alliance of Rural Pennsylvania

9

Behavioral Health Services of Somerset and
Bedford Counties

10

Berks County HealthChoices

11

Blair County HealthChoices
(continued)

Created on 10/22/2024

2

HI3
STATE MEDICAID HMOs
Pennsylvania (PA)
12

Bucks County HealthChoices

13

Cambria County HealthChoices

14

Capital Area Behavioral Health Collaborative

15

Carbon-Monroe-Pike Joinder Board

16

Chester County HealthChoices

17

Community LIFE H- 3917

18

Delaware County HealthChoices

19

Erie County HealthChoices

20

Fayette County HealthChoices

21

Gateway Health

22

Geisinger Health Plan

23

Health Partners Plan
(continued)

Created on 10/22/2024

3

HI3

STATE MEDICAID HMOs
Pennsylvania (PA)
24

Innovage LIFE H-9830

25

Keystone First

26

LIFE Geisinger H-2064

27

LIFE NWPA H-4999

28

LIFE Pittsburgh H-3918

29

LIFE St. Mary H-6551

30

Lehigh County HealthChoices

31

Lycoming-Clinton Joinder Board

32

Mercy LIFE H-3919

33

Mercy LIFE West Philadelphia H-3908

34

Modivcare

35

Montgomery County HealthChoices

36

Northampton County HealthChoices
(continued)

Created on 10/22/2024

4

HI3

STATE MEDICAID HMOs
Pennsylvania (PA)
37

Northeast Behavioral Health Care Consortium

38

Northwest Behavioral Health Partnership

39

Pennsylvania Health & Wellness

40

Philadelphia County HealthChoices

41

Senior LIFE Altoona H-5902

42

Senior LIFE Greensburg H-2937

43

Senior LIFE Johnstown H-3925

44

Senior LIFE Lehigh H-5978

45

Senior LIFE Washington H-2992

46

Senior LIFE York H-0819

47

Southwest Behavioral Health Management

48

SpiriTrust LIFE H-2537
(continued)

Created on 10/22/2024

5

HI3

STATE MEDICAID HMOs
Pennsylvania (PA)
49 Tuscarora Managed Care Alliance
50 UPMC Community HealthChoices
51 UPMC for You
52 United Healthcare Community Plan, Inc.
53 VieCare Armstrong H-6118
54 VieCare Beaver H-7660
55 VieCare Butler H-3060
56 York/Adams HealthChoices Joinder Governing
Board

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Puerto Rico (PR)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Humana Gold Plus (Humana)

2

HumanaChoice Value (Humana)

3

MCS Classicare (MCS Classicare)

4

MMM (PMC Medicare Choice)

5

PMC Max (PMC Medicare Choice)

6

Brillante (Triple S Advantage)

7

Enlace Plus (Triple S Advantage)

8

Magno (Triple S Advantage)

9

Real (Triple S Advantage)

10

Óptimo Plus (Triple-S Advantage)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Puerto Rico (PR)
1 Government Health Plan First Medical
2 Government Health Plan MMM Multi Health
3 Government Health Plan Triple S Salud
4 Government Health Plan de Salud Menonita
5 Medicare Platino - Humana
6 Medicare Platino - MCS Advantage
7 Medicare Platino - MMM Healthcare
8 Medicare Platino - Triple S Advantage

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Rhode Island (RI)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1 Aetna Medicare (Aetna Medicare)
2 Aetna Medicare Prime (Aetna Medicare)
3 BlueCHiP for Medicare (Blue Cross & Blue Shield of
Rhode Island)
4 AARP Medicare Advantage (UnitedHealthcare)
5 AARP Medicare Advantage from UHC RI
(UnitedHealthcare)

Created on 10/22/2024

1

HI3
STATE MEDICAID HMOs
Rhode Island (RI)
1 Medical Transportation Management, Inc.
2 Neighborhood Health Plan of Rhode Island
3 PACE Organization of Rhode Island
4 Tufts Health Public Plans
5 United HealthCare of Rhode Island Community Plan
6 UnitedHealthcare Dental of Rhode Island

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
South Carolina (SC)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

BlueCross (Blue Cross Blue Shield of South
Carolina)

3

Cigna (Cigna Healthcare)

4

Cigna True Choice (Cigna Healthcare)

5

Clover Health (Clover Health)

6

Devoted (Devoted Health)

7

Humana Full Access (Humana)

8

Humana Gold Choice (Humana)

9

Humana Gold Plus (Humana)

10

Humana USAA Honor Giveback (Humana)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
South Carolina (SC)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
11 HumanaChoice (Humana)
12 AARP Medicare Advantage (UnitedHealthcare)
13 UHC Medicare Advantage (UnitedHealthcare)
14 Wellcare (Wellcare)

Created on 10/22/2024

1

HI3
STATE MEDICAID HMOs
South Carolina (SC)
1

Absolute Total Care, Inc.

2

First Choice by Select Health

3 Healthy Blue by Blue Choice
4

Humana Healthy Horizons

5

Molina Healthcare of South Carolina

6 Orangeburg Senior Helping Center
7

Prisma Health Senior Care Midlands

8

Prisma Health Senior Care Upstate

9

SC Solutions

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
South Dakota (SD)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1 Aetna Medicare (Aetna Medicare)
2 Align (Align powered by Sanford Health Plan)
3 Humana (Humana)
4 Humana Gold Choice (Humana)
5 HumanaChoice (Humana)
6 Medica Advantage (Medica)
7 AARP Medicare Advantage (UnitedHealthcare)
8 Blue Medicare Advantage (Wellmark Advantage
Health Plan)

Created on 10/22/2024

1

HI3
STATE MEDICAID HMOs
South Dakota (SD)
1

Multiple Primary Care Providers

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Tennessee (TN)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Aetna Medicare Value Plus (Aetna Medicare)

3

BlueAdvantage (BlueCross BlueShield of
Tennessee)

4

Cigna (Cigna Healthcare)

5

Cigna True Choice Medicare (Cigna Healthcare)

6

Devoted (Devoted Health)

7

Devoted CHOICE (Devoted Health)

8

Humana (Humana)

9

HumanaChoice (Humana)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Tennessee (TN)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10 AARP Medicare Advantage (UnitedHealthcare)
11 UHC Medicare Advantage TC (UnitedHealthcare)
12 Wellcare (Wellcare)
13 Wellpoint (Wellpoint)
14 Zing (Zing Health)
15 Zing Open Choice TN (Zing Health)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Tennessee (TN)
1 Alexian Brothers Community Services
2 Amerigroup
3 DentaQuest USA Insurance Company
4 OptumRx
5 UnitedHealthcare Community Plan
6 Volunteer State Health Plan (BlueCare)
7 Volunteer State Health Plan (TennCare Select)

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Texas (TX)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Aetna Medicare Freedom (Aetna Medicare)

3

Aetna Medicare Value (Aetna Medicare)

4

Alignment Health (Alignment Health Plan)

5

BSW SeniorCare Advantage (Baylor
Scott & White Health Plan)

6

Covenant Health Advantage (Baylor
Scott & White Health Plan)

7

Blue Cross Medicare Advantage (Blue Cross and
Blue Shield of OK, TX)

8

Blue Cross Medicare Advantage Basic (Blue
Cross and Blue Shield of Texas)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Texas (TX)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
9

CHRISTUS Health Medicare (CHRISTUS Health
Advantage)

10

Cigna (Cigna Healthcare)

11

Cigna True Choice (Cigna Healthcare)

12

Cigna True Choice Medicare (Cigna Healthcare)

13

Clover Health (Clover Health)

14

Community First Medicare Advantage Alamo
Plan (Community First)

15

Devoted (Devoted Health)

16

Humana (Humana)

17

Humana Gold Choice (Humana)
(continued)

Created on 10/22/2024

3

HI2
MEDICARE ADVANTAGE PLANS
Texas (TX)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
18

Humana Gold Plus (Humana)

19

HumanaChoice (Humana)

20

KelseyCare Advantage (KelseyCare Advantage)

21

Memorial Hermann (Memorial Hermann Health
Plan)

22

Prominence (Prominence Health Plan)

23

SCAN (SCAN Health Plan)

24

AARP (UnitedHealthcare)

25

AARP Medicare Advantage (UnitedHealthcare)

26

AARP Medicare Advantage from UHC TX
(UnitedHealthcare)
(continued)

Created on 10/22/2024

4

HI2
MEDICARE ADVANTAGE PLANS
Texas (TX)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
27 Erickson Advantage (UnitedHealthcare)
28 UHC Medicare Advantage TX (UnitedHealthcare)
29 Verda Noble Care (Verda Health Plan of Texas)
30 Wellcare (Wellcare)
31 Wellpoint Medicare Advantage (Wellpoint)
32 Wellpoint Select (Wellpoint)

Created on 10/22/2024

1

HI3
STATE MEDICAID HMOs
Texas (TX)
1

Aetna Better Health of Texas, Inc.

2

Amerigroup Insurance Company

3

Amerigroup Texas, Inc.

4

Bienvivir Senior Health Services (El Paso)

5

Community First Health Plans, Inc.

6

Community Health Choice Texas, Inc.

7

Cook Children's Health Plan

8

DentaQuest USA Insurance Company, Inc.

9

Driscoll Children's Health Plan

10

El Paso Health Plans, Inc., dba El Paso Health

11

Health Care Service Corp
(continued)

Created on 10/22/2024

2

HI3

STATE MEDICAID HMOs
Texas (TX)
12

Health Care Service Corp DBA Blue Cross and
Blue Shield of Texas (BCBSTX)

13

MCNA Insurance Company

14

Molina Healthcare of Texas, Inc.

15

Parkland Community Health Plan, Inc.

16

SHA. LLC, dba FirstCare Health Plans

17

Scott & White Health Plan

18

Seton Health Plan, Inc. dba Dell Children's
Health Plan

19

Silver Star Health Network (Lubbock)

20

Superior Health Plan

21

Superior Health Plan, Inc.

22

Texas Children's Health Plan, Inc.

23

The Basic at Jan Werner (Amarillo)
(continued)

Created on 10/22/2024

3

HI3
STATE MEDICAID HMOs
Texas (TX)
24 UnitedHealthcare Insurance Company
25 UnitedHealthcare Insurance Company, dba United
Healthcare
26 UnitedHealthcare Insurance Company, dba United
Healthcare Community Plan

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Utah (UT)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Aetna Medicare Advantra (Aetna Medicare)

3

Cigna Preferred Medicare (Cigna Healthcare)

4

Cigna True Choice (Cigna Healthcare)

5

Humana Gold Plus (Humana)

6

Humana USAA Honor Giveback (Humana)

7

HumanaChoice (Humana)

8

Regence (Regence BlueCross BlueShield of
Utah)

9

Select Health Medicare (Select Health)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Utah (UT)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10 Select Health Medicare Choice (Select Health)
11 AARP Medicare Advantage (UnitedHealthcare)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Utah (UT)
1

Bear River Menal Health

2

Central Utah Counseling Center

3

Davis Behavioral Health

4

Four Corners Community Behavioral Health

5

HOME

6

Health Choice

7

Health Choice Integrated

8

Healthy U

9

Healthy U Behavioral Health

10

Healthy U Integrated

11

MCNA Dental

12

Modivcare

13

Molina
(continued)

Created on 10/22/2024

2

HI3

STATE MEDICAID HMOs
Utah (UT)
14 Molina Integrated
15 Northeastern Counseling Center
16 Premier Access
17 Salt Lake County Division of Behavioral Health
Services
18 SelectHealth
19 SelectHealth Integrated
20 Southwest Behavioral Health Center
21 United Behavioral Health
22 Wasatch Behavioral Health
23 Weber Human Services

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Virginia (VA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Anthem (Anthem Blue Cross and Blue Shield)

3

Cigna Preferred (Cigna Healthcare)

4

Cigna True Choice Medicare (Cigna Healthcare)

5

Humana (Humana)

6

Humana Gold Choice (Humana)

7

Humana Gold Plus (Humana)

8

Humana USAA Honor Giveback (Humana)

9

HumanaChoice (Humana)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Virginia (VA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10 Johns Hopkins Advantage MD Select (Johns
Hopkins Advantage MD)
11 Kaiser Permanente Medicare Advantage (Kaiser
Permanente)
12 Sentara Medicare (Sentara Medicare)
13 AARP Medicare Advantage (UnitedHealthcare)
14 AARP Medicare Advantage from UHC VA
(UnitedHealthcare)
15 Erickson Advantage (UnitedHealthcare)
16 UHC Medicare Advantage TC (UnitedHealthcare)
17 UHC Medicare Advantage VA (UnitedHealthcare)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Virginia (VA)
1

Aetna Better Health of Virginia

2

All Care for Seniors

3

Anthem Healthkeepers

4

Anthem Healthkeepers Plus

5

Centra PACE Farmville

6

Centra PACE Gretna

7

Centra PACE Lynchburg

8

Cherry Blossom PACE

9

InnovAge Blue Ridge

10

InnovAge PACE - Richmond

11

InnovAge Roanoke Valley

12

InnovAge Virginia PACE - Peninsula

13

Molina Healthcare of Virginia
(continued)

Created on 10/22/2024

2

HI3

STATE MEDICAID HMOs
Virginia (VA)
14

Molina Healthcare of Virginia, LLC

15

Mountain Empire PACE

16

Optima Family Care

17

Optima Health

18

Sentara PACE - Churchland

19

Sentara PACE - Norfolk

20

United Healthcare

21

United Healthcare of the Mid-Atlantic

22

Virginia Premier

23

Virginia Premier Health Plan

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Vermont (VT)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1 Humana USAA Honor Giveback (Humana)
2 HumanaChoice Giveback (Humana)
3 UHC Medicare Advantage VT (UnitedHealthcare)
4 Vermont Blue Advantage (Vermont Blue Advantage)
5 Vermont Blue Advantage Unity HMO (Vermont Blue
Advantage)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Vermont (VT)
1 Department of Vermont Health Access

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Washington (WA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Aetna Medicare Sound Advantage (Aetna
Medicare)

3

Asuris (Asuris Northwest Health)

4

Cigna Preferred Medicare (Cigna Healthcare)

5

Cigna True Choice (Cigna Healthcare)

6

Community Health Plan of WA MA (Community
Health Plan of WA Medicare Advantage)

7

Devoted CHOICE (Devoted Health)

8

Humana (Humana)

9

Humana Gold Plus (Humana)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Washington (WA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10

Humana USAA Honor Giveback (Humana)

11

HumanaChoice (Humana)

12

Kaiser Permanente Medicare Advantage (Kaiser
Permanente)

13

Kaiser Permanente Senior Advantage (Kaiser
Permanente)

14

PacificSource Medicare MyCare (PacificSource
Medicare)

15

Providence Medicare (Providence Medicare
Advantage Plans)

16

Regence (Regence BlueCross BlueShield of
Oregon)

17

Regence BlueAdvantage HMO (Regence
BlueShield)
(continued)

Created on 10/22/2024

3

HI2
MEDICARE ADVANTAGE PLANS
Washington (WA)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
18 Regence MedAdvantage + (Regence BlueShield)
19 AARP Medicare Advantage (UnitedHealthcare)
20 Wellcare (Wellcare)

Created on 10/22/2024

1

HI3
STATE MEDICAID HMOs
Washington (WA)
1

Amerigroup

2

Community Health Plan

3

Coordinated Care of Washington

4

Molina Health Care

5

Multiple Primary Care Providers

6

Multiple Sites

7

PACE

8

United Health Care

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Wisconsin (WI)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Aetna Medicare Premier (Aetna Medicare)

3

Anthem (Anthem Blue Cross and Blue Shield)

4

Anthem Medicare Advantage (Anthem Blue
Cross and Blue Shield)

5

Aspirus Health Plan (Aspirus Health Plan)

6

Dean Advantage (Dean Advantage)

7

HealthPartners (HealthPartners)

8

Humana (Humana)

9

Humana Gold Choice (Humana)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
Wisconsin (WI)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10

Humana Gold Plus (Humana)

11

Humana USAA Honor Giveback (Humana)

12

HumanaChoice (Humana)

13

Network Health (Network Health Medicare
Advantage Plans)

14

Network Health Prime (Network Health Medicare
Advantage Plans)

15

Compass (Security Health Plan of Wisconsin,
Inc.)

16

Essence (Security Health Plan of Wisconsin,
Inc.)

17

Esteem (Security Health Plan of Wisconsin, Inc.)
(continued)

Created on 10/22/2024

3

HI2
MEDICARE ADVANTAGE PLANS
Wisconsin (WI)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
18 Legacy (Security Health Plan of Wisconsin, Inc.)
19 Spirit (Security Health Plan of Wisconsin, Inc.)
20 EssentiaCare (UCare)
21 AARP Medicare Advantage (UnitedHealthcare)

Created on 10/22/2024

1

HI3

STATE MEDICAID HMOs
Wisconsin (WI)
1

Anthem Blue Cross Blue Shield

2

Children Come First

3

Children's Community Health Plan

4

Children's Hospital of Wisconsin

5

Community Care Health Plan

6

Community Care, Inc.

7

Dean Health Plan, Inc.

8

Group Health Cooperative of Eau Claire

9

Group Health Cooperative of South Central WI

10

Inclusa, Inc.

11

Independent Care (Icare) Health Plan

12

Independent Care Health Plan iCare
(continued)

Created on 10/22/2024

2

HI3

STATE MEDICAID HMOs
Wisconsin (WI)
13 Lakeland Care, Inc.
14 MHS Health Wisconsin
15 Managed Health Services Insurance Corp.
16 Mercycare Health Plans
17 Molina Healthcare of Wisconsin
18 My Choice Wisconsin
19 Network Health Plan
20 Quartz
21 Security Health Plan of Wisc
22 United Healthcare Community Plan
23 WrapAround Milwaukee

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
West Virginia (WV)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1

Aetna Medicare (Aetna Medicare)

2

Freedom Blue PPO (Highmark Blue Cross Blue
Shield)

3

Humana (Humana)

4

Humana Gold Choice (Humana)

5

Humana Gold Plus (Humana)

6

HumanaChoice (Humana)

7

Peak Advantage (Peak Health)

8

The Health Plan SecureCare (The Health Plan)

9

The Health Plan SecureChoice (The Health Plan)
(continued)

Created on 10/22/2024

2

HI2
MEDICARE ADVANTAGE PLANS
West Virginia (WV)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
10 AARP Medicare Advantage (UnitedHealthcare)

Created on 10/22/2024

1

HI3
STATE MEDICAID HMOs
West Virginia (WV)
1

Aetna Better Health of WV

2

Modivcare

3

The Health Plan of WV

4

Unicare of WV

Created on 10/22/2024

1

HI2
MEDICARE ADVANTAGE PLANS
Wyoming (WY)
(Medicare Managed Care, such as Medicare HMO,
Medicare PPO, or Medicare PFFS Plan)
1 Aetna Medicare (Aetna Medicare)
2 Aetna Medicare Advantra Select (Aetna Medicare)
3 Humana USAA Honor Giveback (Humana)
4 HumanaChoice (Humana)
5 AARP Medicare Advantage from UHC WY(UnitedHealthcare)
6 UHC Medicare Advantage Patriot No
(UnitedHealthcare)
7 UHC MedicareDirect (UnitedHealthcare)

HI4
• Prescribed medicines
• Visits to a doctor or other health professional
• Lab work
• Inpatient hospital care
• Nursing home or long term care
• Dental care
• Optical or vision care
• Hearing care
• Behavioral health care (e.g., counseling,
psychotherapy, mental health and substance use
disorder services)
• Other services

Updated September 2025

IA1

A. Less than $500
B. $500 – less than $1,000
C. $1,000 – less than $2,000
D. $2,000 – less than $3,000
E. $3,000 – less than $5,000
F. $5,000 or more

Updated May 1, 2025

IA2

A. Less than $250
B. $250 – less than $500
C. $500 – less than $1,000
D. $1,000 – less than $3,000
E. $3,000 – less than $5,000
F. $5,000 or more

Updated May 1, 2025

IA3

A. Less than $50,000
B. $50,000 – less than $75,000
C. $75,000 – less than $100,000
D. $100,000 – less than $200,000
E. $200,000 – less than $300,000
F. $300,000 – less than $500,000
G. $500,000 – less than $750,000
H. $750,000 or more

Updated May 1, 2025

IA4

• 401(k)
• 403(b)
• IRA
• Keogh

Updated May 1, 2025

IA5

A. Less than $1,000
B. $1,000 – less than $1,500
C. $1,500 – less than $2,000
D. $2,000 – less than $3,000
E. $3,000 or more

Updated May 1, 2025

IA6

A. Less than $400
B. $400 – less than $800
C. $800 – less than $1,200
D. $1,200 or more

Updated May 1, 2025

IA7

A. Less than $300
B. $300 – less than $600
C. $600 – less than $900
D. $900 or more

Updated May 1, 2025

IA8

A. Less than $1,000
B. $1,000 – less than $2,000
C. $2,000 – less than $3,000
D. $3,000 – less than $4,000
E. $4,000 or more

Updated May 1, 2025

IA9

A. Less than $500
B. $500 – less than $1,500
C. $1,500 – less than $2,500
D. $2,500 – less than $3,500
E. $3,500 or more

Updated May 1, 2025

IA10

A. Less than $500
B. $500 – less than $1,500
C. $1,500 – less than $2,500
D. $2,500 – less than $4,000
E. $4,000 or more

Updated May 1, 2025

IA11

A. Less than $50,000
B. $50,000 – less than $200,000
C. $200,000 – less than $500,000
D. $500,000 – less than $1,000,000
E. $1,000,000 or more

Updated May 1, 2025

IA12

A. Less than $5,000
B. $5,000 – less than $10,000
C. $10,000 – less than $20,000
D. $20,000 – less than $50,000
E. $50,000 or more

Updated May 1, 2025

IA13

A. Less than $500
B. $500 – less than $2,500
C. $2,500 – less than $10,000
D. $10,000 – less than $50,000
E. $50,000 or more

Updated May 1, 2025

IA14

A. Less than $1,000
B. $1,000 – less than $2,500
C. $2,500 – less than $5,000
D. $5,000 – less than $7,500
E. $7,500 or more

Updated May 1, 2025

IA15

A. Less than $2,000
B. $2,000 – less than $4,000
C. $4,000 – less than $7,500
D. $7,500 – less than $15,000
E. $15,000 or more

Updated May 1, 2025

IA16

A. Less than $5,000
B. $5,000 – less than $15,000
C. $15,000 – less than $30,000
D. $30,000 – less than $50,000
E. $50,000 or more

Updated May 1, 2025

IA17

A. Less than $10,000
B. $10,000 – less than $50,000
C. $50,000 – less than $150,000
D. $150,000 – less than $500,000
E. $500,000 or more

Updated May 1, 2025

IA18

A. Less than $25
B. $25 – less than $200
C. $200 – less than $2,000
D. $2,000 – less than $10,000
E. $10,000 or more

Updated May 1, 2025

IA19

A. Less than $50,000
B. $50,000 – less than $150,000
C. $150,000 – less than $300,000
D. $300,000 – less than $750,000
E. $750,000 or more

Updated May 1, 2025

IA20

A. Less than $7,500
B. $7,500 – less than $15,000
C. $15,000 – less than $25,000
D. $25,000 – less than $75,000
E. $75,000 or more

Updated May 1, 2025

IA21

A. Less than $10,000
B. $10,000 – less than $15,000
C. $15,000 – less than $20,000
D. $20,000 – less than $25,000
E. $25,000 – less than $35,000
F. $35,000 – less than $45,000
G. $45,000 – less than $55,000
H. $55,000 – less than $70,000
I.

$70,000 – less than $100,000

J. $100,000 – less than $150,000
K. $150,000 or more

Updated May 1, 2025

IU1
Long Term Care Places
●

Skilled nursing homes

●

Intermediate care facilities

●

Board and care homes

●

Nursing home units in hospitals

●

Facilities for the intellectually disabled

●

Psychiatric facilities

●

Group homes

Updated January 10, 2018

KN1
● Very easy
● Somewhat easy
● Somewhat difficult
● Very difficult

Updated July 28, 2014

KN2
● Just about everything you need to know
● Most of what you need to know
● Some of what you need to know
● A little of what you need to know
● Almost none of what you need to know

Updated July 28, 2014

KN3
• Very easy
• Somewhat easy
• Somewhat difficult
• Very difficult

Updated June 2025

KN4
• At least once every year
• Once every few years
• Rarely
• Never
• Only once when first signed up for drug
plan
• Only once when first signed up for
Medicare
• Just signed up for Medicare

Updated June 2025

KN5
• Completely agree
• Somewhat agree
• Somewhat disagree
• Completely disagree

Updated June 2025

KN6
• Very satisfied
• Satisfied
• Dissatisfied
• Very Dissatisfied

Updated June 2025

KN7

Updated September 2025

MP1
Health Practitioners Who Are Not
Medical Doctors
● Acupuncturist
● Chiropractor
● Podiatrist (foot doctor)
● Homeopath
● Naturopath
● Any other kind of health provider who is
not a medical doctor

Updated January 9, 2019

MP2
Mental Health Professionals
• Psychiatrist
• Psychologist
• Clinical social worker
• Licensed professional counselor

Updated July 28, 2014

MP3
Therapists
• Physical therapist
• Speech therapist
• (Intravenous) I.V. therapist
• Massage therapist
• Occupational therapist
• Respiratory therapist

Updated July 28, 2014

MP4
Other Medical Persons
• Nurse
• Nurse practitioner
• Paramedic (not including ambulance
services)
• Physician's assistant

Updated July 28, 2014

MP5
Other Types of Medical Places
• Health clinic
• Neighborhood health center
• Rural health clinic
• Infirmary
• Mental health clinic
• Urgent care center
• Any other place

Updated July 28, 2014

MP6
• Didn't think the problem was serious
• Thought it would cost too much
• Trouble finding or getting to the doctor
• Time, schedule, or personal conflicts
• Thought doctor couldn’t do much about
the problem
• Was afraid of finding out what was wrong
• Doctor would not accept my insurance

Updated July 24, 2017

MPQ Job Aid 1
● Allergy/immunology (allergies, asthma)
● Anesthesiology
● Audiology
● Cardiology (heart)
● Chiropractic
● Dental
● Dermatology (skin)
● Endocrinology/metabolism (diabetes,
thyroid)
● Gastroenterology
● General surgery
● Geriatrics (elderly)
● Gynecology – obstetrics
(Continued)
Updated September 2025

MPQ Job Aid 1
● Hematology (blood)
● Nephrology (kidneys)
● Neurology
● Nuclear medicine
● Oncology (tumors, cancer)
● Ophthalmology (eyes)
● Optometry
● Orthopedics
● Otorhinolaryngology (ear, nose, throat)
● Pain Management Specialist
● Pathology
● Physical med/rehab
● Physical Therapy
(Continued)
Updated September 2025

MPQ Job Aid 1
● Plastic surgery
● Podiatrist
● Proctology
● Psychiatry/psychiatrist
● Psychology
● Pulmonary (lungs)
● Radiology
● Rheumatology (arthritis)
● Thoracic surgery (chest)
● Urology
● Vascular Surgeon/Specialist

Updated September 2025

NA1
• 12 oz. beer
• 5 oz. glass of wine
• One and a half ounces of liquor

Updated August 3, 2016

OM1
Orthopedic Items
• Crutches
• Canes
• Wheelchairs
• Walkers
• Corrective shoes or inserts
• Support stockings
• Braces or supports

Updated July 28, 2014

OM2
Diabetic Equipment or Supplies
• Syringes
• Test paper
• Test strips
• Blood monitoring kits

Updated July 28, 2014

OM3
Prostheses
• Artificial leg or arm
• Mastectomy prosthesis
• Artificial or glass eye

Updated July 28, 2014

OM4
Other Medical Equipment and Supplies
• Portable commode or raised toilet seat
• Portable tub seat
• Special chair or cushion
• Hospital bed
• Ostomy supplies
• Incontinence supplies (such as depends,
serenity or other brands of disposable
undergarments, pads, or briefs)
• Bandages, dressings, tape supplies
• Pulmonary equipment (nebulizer, CPAP, etc.)

• Blood pressure equipment (such as cuffs or
monitors)

Updated July 28, 2014

OM5
Alterations Inside or Outside Home or
Car
• Ramps
• Handrails (other than tub handrails)
• Elevator or incline chair
• Tub seats
• Tub handrails
• Any car alteration

Updated July 28, 2014

PM1
• Thought it would cost too much
• Didn’t think medicine would help
condition
• Was afraid of medicine
reactions/contraindications
• Don’t like to take medicine
• Didn’t think medicine was necessary
• Not covered by insurance/not on plan
formulary
• Trouble obtaining medicine
• Obtained/used samples
• Used another medicine as a substitution

Updated July 24, 2017

PV1
• Less than 6 months ago
• 6 months to less than 1 year ago
• 1 year to less than 2 years ago
• 2 years ago to less than 5 years ago
• 5 or more years ago
• Never had blood pressure taken

Updated July 20, 2020

PV2
• Less than 6 months ago
• 6 months to less than 1 year ago
• 1 year to less than 2 years ago
• 2 years ago to less than 5 years ago
• 5 or more years ago
• Never had cholesterol checked

Updated July 20, 2020

PV3
●

It’s unlikely you’ve been exposed to HIV

●

You were afraid to find out if you were
HIV positive (that you had HIV)

●

Dr. did not prescribe or recommend it

●

You didn’t want to think about HIV or
about being HIV positive

●

You were worried your name would be
reported to the government if you tested
positive

●

You didn’t know where to get tested

●

You don’t like needles

●

You were afraid of losing job, insurance,
housing, friends, family, if people knew
you were positive for aids infection

●

Some other reason

●

No particular reason
Updated July 20, 2020

RX1
• Very easy
• Somewhat easy
• Somewhat difficult
• Very difficult

Updated July 28, 2014

RX2
• Just about everything you need to know
• Most of what you need to know
• Some of what you need to know
• A little of what you need to know
• Almost none of what you need to know

Updated July 28, 2014

RX3
• Very satisfied
• Satisfied
• Dissatisfied
• Very dissatisfied

Updated July 28, 2014

RX4
• Extremely confident
• Very confident
• Moderately confident
• Slightly confident
• Not confident

Updated July 28, 2014

RX5

● Often
● Sometimes
● Never

Updated May 2, 2018

SC1
• Very satisfied
• Satisfied
• Dissatisfied
• Very dissatisfied

Updated July 28, 2014

SC2

• Very Confident
• Confident
• Somewhat Confident
• Not At All Confident

Updated July 22, 2019

SC3

• Very Likely
• Likely
• Unlikely
• Very Unlikely

Updated July 22, 2019

SC4

• Always
• Usually
• Sometimes
• Never

Updated July 22, 2019

US1
• Never
• Sometimes
• Usually
• Always

Updated June 2025

US2
• Yes, Definitely
• Yes, Somewhat
• No

Updated June 2025

US3
• Allergy/immunology (allergies, asthma)
• Anesthesiology
• Audiology
• Cardiology (heart)
• Chiropractic
• Dental
• Dermatology (skin)
• Endocrinology/metabolism (diabetes,
thyroid)
• Gastroenterology
• General surgery
• Geriatrics (elderly)
• Gynecology - obstetrics
• Hematology (blood)
• Nephrology (kidneys)
• Neurology
(Continued)
Updated September 2025

US3
• Nuclear medicine
• Oncology (tumors, cancer)
• Ophthalmology (eyes)
• Optometry
• Orthopedics
• Otorhinolaryngology (ear, nose,
throat)
• Pain Management Specialist
• Pathology
• Physical med/rehab
• Physical Therapy
• Plastic surgery
• Podiatrist
• Proctology
• Psychiatry/psychiatrist
• Psychology
(Continued)
Updated September 2025

US3
• Pulmonary (lungs)
• Radiology
• Rheumatology (arthritis)
• Thoracic surgery (chest)
• Urology
• Vascular Surgeon/Specialist

Updated September 2025