H6622 060 02 - Hmopos (2024)

1. Humana Gold Plus H6622-060 (HMO-POS)

• View the coverage and benefits provided in the Humana Gold Plus H6622-060 (HMO-POS) plan from Humana. Alight Retiree Health Solutions represents Medicare ...

• View the coverage and benefits provided in the Humana Gold Plus H6622-060 (HMO-POS) plan from Humana. Alight Retiree Health Solutions represents Medicare plans from 59 insurers nationwide.

2. Humana Gold Plus H6622-060 (HMO-POS)

• Humana Gold Plus H6622-060 (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H6622-060-000. * Every year, the ...

• Learn More about Humana Inc. Humana Gold Plus H6622-060 (HMO-POS) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan.

3. 2024 Humana Gold Plus H6622-060 (HMO) in NC Plan Benefits Details

• Email a copy of the Humana Gold Plus H6622-060 (HMO-POS) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 (see Plan Premium Details below).

• 2024 Humana Gold Plus H6622-060 (HMO) in NC Plan Benefits Details

4. [PDF] Your 2023 Summary of Benefits- Humana Gold Plus H6622-060 ...

• Humana Gold Plus H6622-060 (HMO-POS) is a Medicare Advantage HMO-POS plan with a Medicare contract. Enrollment in this Humana plan depends on contract renewal.

5. Humana Gold Plus H6622-060 (HMO-POS) - HelpAdvisor.com

• Missing: 02 - | Show results with:02 -

• Learn More about Humana Inc. Humana Gold Plus H6622-060 (HMO-POS) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan.

6. [PDF] Your 2022 Evidence of Coverage - Humana Gold Plus H6622-026 ...

• Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Humana Gold. Plus H6622-026 (HMO-POS).

  See Also

  How To Use DMSO For Cancer: A Comprehensive GuideWho Are Responsible If A Motorcycle Was Used In The Commission Of A Crime?Government Grants for Free Tree Removal for SeniorsTowing A Two-Horse Bumper Pull Trailer: All You Need To Know

7. Humana Gold Plus H6622-022 (HMO-POS)

• Missing: 060 | Show results with:060

• Learn More about Humana Inc. Humana Gold Plus H6622-022 (HMO-POS) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan.

8. Humana Gold Plus H6622-060 (HMO-POS) - Medicare Wire

• Missing: 02 - | Show results with:02 -

• Humana Gold Plus H6622-060 is a 2024 HMO-POS Medicare Advantage plan with Part D drug plan benefits.

9. Humana Medicare Advantage Plans - Alight Retiree Health Solutions

• Call today! We can help you find the right plan. Our licensed advisors are here to help you find a plan that fits your lifestyle. 1-888 ...

• Compare the 703 Medicare Advantage plans available from Humana through Alight Retiree Health Solutions.

10. Medicare Advantage Plans, Granville County, NC, 2024

• Oct 14, 2023 · Granville County, North Carolina Medicare Advantage Plans ; Humana Gold Plus H6622-060, HMO-POS, $0, $5,400, $0 ; Humana USAA Honor, PPO, $0 ...

• Compare 34 top Medicare Advantage plans in Granville County, North Carolina. HMO, PPO, and more. 2024 plan enrollment online.

11. 2024 Harnett County, NC Medicare Advantage Plans | HelpAdvisor.com

• Humana Gold Plus H6622-060 (HMO-POS), H6622: 060, $0, $0, $5,400, Yes. 4.5 out of ... AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS), H5253: 040, $0, N/A ...

  See Also

  The 5 Most Common Dodge 5.7 HEMI Engine Problems

• Learn about the costs and availability of private Medicare plans in Harnett County and find out what types of plans are available.

12. [PDF] 2024 Health Plan Benefits at a Glance - Humana

• Missing: 02 - | Show results with:02 -

13. [XLS] cy2022_pdss_landscape_file - CMS

• ... 060, 0. 1677, California, San Diego, UnitedHealthcare, AARP Medicare Advantage ... CarePlus Health Plans, Inc. CareOne PLATINUM (HMO-POS), HMOPOS, H1019, 110, 0.

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14. Humana Gold Plus H6622-060 (HMO-POS) - Health Plan Radar

• Missing: 02 - | Show results with:02 -

• Details of Humana Gold Plus H6622-060 (HMO-POS), a North Carolina Medicare Advantage Plan (2024 Plan) offered by Humana.

15. Medicare Advantage Health Plans in Chatham County, North Carolina

• AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS). Additional Coverage ... Humana Gold Plus H6622-060 (HMO-POS). Additional Coverage. Overall Star Rating ...

• Search and compare Medicare Advantage health plans in Chatham County, North Carolina. Review plan details and find a plan with the right coverage for your needs.

16. [XLS] CY 2015 Medicare Contract Plan BIN PCN File - CMS

• WELLCARE OF FLORIDA, INC. WellCare, WellCare Rx (HMO-POS), 603286, MEDD. 406, H1035, 002 ... H6622, 002, HUMANA WI HEALTH ORGANIZATION INSURANCE CORP, Humana WI ...

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17. https://plan-finder.data.medicare.gov/2022/PLN_BNF...

• ... H6622-035 (HMO) 2021 2022 1 H6622 036 0 Humana Gold Plus H6622-036 (HMO) ... HMOPOS (HMO-POS) 2021 2022 1 H9525 003 0 Anthem MediBlue Dual Advantage (HMO D ...

• ÿþH 0 0 2 2 0 0 1 0 B u c k e y e H e a l t h P l a n - M y C a r e O h i o ( M e d i c a r e - M e d i c a i d P l a n ) 2 0 2 2 H 0 0 2 2 0 0 1 0 B u c k e y e H e a l t h P l a n - M y C a r e O h i o ( M e d i c a r e - M e d i c a i d P l a n ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 0 7 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 0 7 ( H M O D - S N P ) 2 0 2 2 H 0 0 2 8 0 0 7 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 0 7 ( H M O D - S N P ) 2 0 2 1 2 0 2 2 3 H 0 0 2 8 0 1 3 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 1 3 ( H M O ) 2 0 2 2 H 0 0 2 8 0 1 3 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 1 3 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 1 4 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 1 4 ( H M O ) 2 0 2 2 H 0 0 2 8 0 1 4 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 1 4 ( H M O ) 2 0 2 1 2 0 2 2 3 H 0 0 2 8 0 1 5 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 1 5 ( H M O D - S N P ) 2 0 2 2 H 0 0 2 8 0 1 5 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 1 5 ( H M O D - S N P ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 1 6 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 1 6 ( H M O ) 2 0 2 2 H 0 0 2 8 0 1 6 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 1 6 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 1 7 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 1 7 ( H M O ) 2 0 2 2 H 0 0 2 8 0 1 7 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 1 7 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 1 8 0 H u m a n a V a l u e P l u s H 0 0 2 8 - 0 1 8 ( H M O ) 2 0 2 2 H 0 0 2 8 0 1 8 0 H u m a n a V a l u e P l u s H 0 0 2 8 - 0 1 8 ( H M O ) 2 0 2 1 2 0 2 2 3 H 0 0 2 8 0 1 9 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 1 9 ( H M O ) 2 0 2 2 H 0 0 2 8 0 1 9 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 1 9 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 2 1 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 1 ( H M O ) 2 0 2 2 H 0 0 2 8 0 2 1 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 1 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 2 3 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 3 ( H M O ) 2 0 2 2 H 0 0 2 8 0 2 3 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 3 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 2 4 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 4 ( H M O ) 2 0 2 2 H 0 0 2 8 0 2 4 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 4 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 2 5 1 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 5 ( H M O ) 2 0 2 2 H 0 0 2 8 0 2 5 1 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 5 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 2 5 2 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 5 ( H M O ) 2 0 2 2 H 0 0 2 8 0 2 5 2 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 5 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 2 7 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 7 ( H M O ) 2 0 2 2 H 0 0 2 8 0 2 7 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 7 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 2 8 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 8 ( H M O ) 2 0 2 2 H 0 0 2 8 0 2 8 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 8 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 2 9 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 9 ( H M O ) 2 0 2 2 H 0 0 2 8 0 2 9 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 9 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 3 0 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 3 0 ( H M O ) 2 0 2 2 H 0 0 2 8 0 3 0 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 3 0 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 3 1 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 3 1 ( H M O D - S N P ) 2 0 2 2 H 0 0 2 8 0 3 1 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 3 1 ( H M O D - S N P ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 3 2 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 3 2 ( H M O D - S N P ) 2 0 2 2 H 0 0 2 8 0 3 2 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 3 2 ( H M O D - S N P ) 2 0 2 1 2 0 2 2 3 H 0 0 2 8 0 3 3 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 3 3 ( H M O D - S N P ) 2 0 2 2 H 0 0 2 8 0 3 3 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 3 3 ( H M O D - S N P ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 3 4 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 3 4 ( H M O D - S N P ) 2 0 2 2 H 0 0 2 8 0 3 4 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 3 4 ( H M O D - S N P ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 3 5 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 3 5 ( H M O ) 2 0 2 2 H 0 0 2 8 0 3 5 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 3 5 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 3 6 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 3 6 ( H M O D - S N P ) 2 0 2 2 H 0 0 2 8 0 3 6 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 3 6 ( H M O D - S N P ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 3 7 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 3 7 ( H M O ) 2 0 2 2 H 0 0 2 8 0 3 7 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 3 7 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 3 9 0 H u m a n a G o l d P l u s - D i a b e t e s a n d H e a r t ( H M O C - S N P ) 2 0 2 2 H 0 0 2 8 0 3 9 0 H u m a n a G o l d P l u s - D i a b e t e s a n d H e a r t ( H M O C - S N P ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 4 1 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 1 ( H M O ) 2 0 2 2 H 0 0 2 8 0 4 1 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 1 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 4 2 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 2 ( H M O ) 2 0 2 2 H 0 0 2 8 0 4 2 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 2 ( H M O ) 2 0 2 1 2 0 2 2 3 H 0 0 2 8 0 4 3 2 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 3 ( H M O ) 2 0 2 2 H 0 0 2 8 0 4 3 2 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 3 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 4 3 1 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 3 ( H M O ) 2 0 2 2 H 0 0 2 8 0 4 3 1 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 3 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 4 4 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 4 4 ( H M O D - S N P ) 2 0 2 2 H 0 0 2 8 0 4 4 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 4 4 ( H M O D - S N P ) 2 0 2 1 2 0 2 2 3 H 0 0 2 8 0 4 5 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 4 5 ( H M O D - S N P ) 2 0 2 2 H 0 0 2 8 0 4 5 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 4 5 ( H M O D - S N P ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 4 6 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 6 ( H M O ) 2 0 2 2 H 0 0 2 8 0 4 6 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 6 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 4 7 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 7 ( H M O ) 2 0 2 2 H 0 0 2 8 0 4 7 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 7 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 4 8 1 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 8 ( H M O ) 2 0 2 2 H 0 0 2 8 0 4 8 1 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 8 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 4 8 2 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 8 ( H M O ) 2 0 2 2 H 0 0 2 8 0 4 8 2 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 8 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 5 3 1 H u m a n a G o l d P l u s H 0 0 2 8 - 0 5 3 ( H M O ) 2 0 2 2 H 0 0 2 8 0 1 1 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 1 1 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 5 3 4 H u m a n a G o l d P l u s H 0 0 2 8 - 0 5 3 ( H M O ) 2 0 2 2 H 0 0 2 8 0 1 1 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 1 1 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 5 3 3 H u m a n a G o l d P l u s H 0 0 2 8 - 0 5 3 ( H M O ) 2 0 2 2 H 0 0 2 8 0 1 1 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 1 1 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 0 5 3 2 H u m a n a G o l d P l u s H 0 0 2 8 - 0 5 3 ( H M O ) 2 0 2 2 H 0 0 2 8 0 1 1 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 1 1 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 2 8 8 0 1 0 H u m a n a M e d i c a r e E m p l o y e r ( H M O ) 2 0 2 2 H 0 0 2 8 8 0 1 0 H u m a n a M e d i c a r e E m p l o y e r ( H M O ) 2 0 2 1 2 0 2 2 3 H 0 0 2 8 8 0 2 0 H u m a n a M e d i c a r e E m p l o y e r ( H M O ) 2 0 2 2 H 0 0 2 8 8 0 2 0 H u m a n a M e d i c a r e E m p l o y e r ( H M O ) 2 0 2 1 2 0 2 2 3 H 0 0 2 8 8 0 4 0 H u m a n a M e d i c a r e E m p l o y e r ( H M O ) 2 0 2 2 H 0 0 2 8 8 0 4 0 H u m a n a M e d i c a r e E m p l o y e r ( H M O ) 2 0 2 1 2 0 2 2 3 H 0 0 2 8 8 0 5 0 H u m a n a M e d i c a r e E m p l o y e r ( H M O ) 2 0 2 2 H 0 0 2 8 8 0 5 0 H u m a n a M e d i c a r e E m p l o y e r ( H M O ) 2 0 2 1 2 0 2 2 3 H 0 0 3 4 0 0 1 0 H a m a s p i k M e d i c a r e S e l e c t ( H M O D - S N P ) 2 0 2 2 H 0 0 3 4 0 0 1 0 H a m a s p i k M e d i c a r e S e l e c t ( H M O D - S N P ) 2 0 2 1 2 0 2 2 1 H 0 0 3 4 0 0 2 0 H a m a s p i k M e d i c a r e C h o i c e ( H M O D - S N P ) 2 0 2 2 H 0 0 3 4 0 0 2 0 H a m a s p i k M e d i c a r e C h o i c e ( H M O D - S N P ) 2 0 2 1 2 0 2 2 1 H 0 0 6 2 0 0 2 0 W e l l c a r e N o P r e m i u m M e d i c a r e ( H M O ) 2 0 2 2 H 0 0 6 2 0 0 1 0 A l l w e l l M e d i c a r e ( H M O ) 2 0 2 1 2 0 2 2 5 H 0 0 6 2 0 0 2 0 W e l l c a r e N o P r e m i u m M e d i c a r e ( H M O ) 2 0 2 2 H 0 0 6 2 0 0 2 0 A l l w e l l M e d i c a r e ( H M O ) 2 0 2 1 2 0 2 2 5 H 0 0 6 2 0 0 3 0 W e l l c a r e N o P r e m i u m M e d i c a r e ( H M O ) 2 0 2 2 H 0 0 6 2 0 0 3 0 A l l w e l l M e d i c a r e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 6 2 8 0 1 0 A l l w e l l G r o u p ( H M O ) 2 0 2 2 H 0 0 6 2 8 0 1 0 A l l w e l l G r o u p ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 6 2 8 0 2 0 A l l w e l l G r o u p ( H M O ) 2 0 2 2 H 0 0 6 2 8 0 2 0 A l l w e l l G r o u p ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 6 2 8 0 3 0 A l l w e l l G r o u p ( H M O ) 2 0 2 2 H 0 0 6 2 8 0 3 0 A l l w e l l G r o u p ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 0 7 4 0 0 1 0 W e l l c a r e N o P r e m i u m O p e n ( P P O ) 2 0 2 2 H 0 0 7 4 0 0 1 0 W e l l C a r e P r e m i e r ( P P O ) 2 0 2 1 2 0 2 2 3 H 0 0 8 8 0 0 2 0 W e l l c a r e G i v e b a c k O p e n ( P P O ) 2 0 2 2 H 0 0 8 8 0 0 2 0 W e l l C a r e A b s o l u t e ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 1 0 4 0 1 2 0 B l u e A d v a n t a g e C o m p l e t e ( P P O ) 2 0 2 2 H 0 1 0 4 0 1 2 0 B l u e A d v a n t a g e C o m p l e t e ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 1 0 4 0 1 4 0 B l u e A d v a n t a g e C o m p l e t e ( P P O ) 2 0 2 2 H 0 1 0 4 0 1 4 0 B l u e A d v a n t a g e C o m p l e t e ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 1 0 4 0 1 5 0 B l u e A d v a n t a g e P r e m i e r ( P P O ) 2 0 2 2 H 0 1 0 4 0 1 5 0 B l u e A d v a n t a g e P r e m i e r ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 1 0 4 8 0 1 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 1 ( P P O ) 2 0 2 2 H 0 1 0 4 8 0 1 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 1 ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 1 0 4 8 0 2 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 2 ( P P O ) 2 0 2 2 H 0 1 0 4 8 0 2 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 2 ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 1 0 4 8 0 4 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 4 ( P P O ) 2 0 2 2 H 0 1 0 4 8 0 4 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 4 ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 1 0 4 8 0 5 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 5 ( P P O ) 2 0 2 2 H 0 1 0 4 8 0 5 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 5 ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 1 0 4 8 0 6 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 6 ( P P O ) 2 0 2 2 H 0 1 0 4 8 0 6 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 6 ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 1 0 4 8 0 7 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 7 ( P P O ) 2 0 2 2 H 0 1 0 4 8 0 7 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 7 ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 1 0 4 8 0 8 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 8 ( P P O ) 2 0 2 2 H 0 1 0 4 8 0 8 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 8 ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 1 0 4 8 0 9 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 9 ( P P O ) 2 0 2 2 H 0 1 0 4 8 0 9 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 9 ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 1 0 5 0 0 1 0 T h e M e t h o d i s t O a k s d . b . a . T h e O a k s P A C E ( P A C E ) 2 0 2 2 H 0 1 0 5 0 0 1 0 T h e M e t h o d i s t O a k s d . b . a . T h e O a k s P A C E ( P A C E ) 2 0 2 1 2 0 2 2 1 H 0 1 0 5 0 0 2 0 T h e M e t h o d i s t O a k s d . b . a . T h e O a k s P A C E ( P A C E ) 2 0 2 2 H 0 1 0 5 0 0 2 0 T h e M e t h o d i s t O a k s d . b . a . T h e O a k s P A C E ( P A C E ) 2 0 2 1 2 0 2 2 1 H 0 1 0 7 0 0 3 0 B l u e C r o s s M e d i c a r e A d v a n t a g e C l a s s i c ( P P O ) 2 0 2 2 H 0 1 0 7 0 0 3 0 B l u e C r o s s M e d i c a r e A d v a n t a g e C l a s s i c ( P P O ) 2 0 2 1 2 0 2 2 3 H 0 1 0 7 0 0 4 0 B l u e C r o s s M e d i c a r e A d v a n t a g e O p t i m u m ( P P O ) 2 0 2 2 H 0 1 0 7 0 0 4 0 B l u e C r o s s M e d i c a r e A d v a n t a g e O p t i m u m ( P P O ) 2 0 2 1 2 0 2 2 3 H 0 1 0 7 8 0 1 0 B l u e C r o s s G r o u p M e d i c a r e A d v a n t a g e P l a n ( P P O ) 2 0 2 2 H 0 1 0 7 8 0 1 0 B l u e C r o s s G r o u p M e d i c a r e A d v a n t a g e P l a n ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 1 0 7 8 0 2 0 B l u e C r o s s G r o u p M e d i c a r e A d v a n t a g e P l a n ( P P O ) 2 0 2 2 H 0 1 0 7 8 0 2 0 B l u e C r o s s G r o u p M e d i c a r e A d v a n t a g e P l a n ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 1 0 7 8 0 3 0 B l u e C r o s s G r o u p M e d i c a r e A d v a n t a g e P l a n ( P P O ) 2 0 2 2 H 0 1 0 7 8 0 3 0 B l u e C r o s s G r o u p M e d i c a r e A d v a n t a g e P l a n ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 1 0 7 8 0 4 0 B l u e C r o s s G r o u p M e d i c a r e A d v a n t a g e P l a n ( P P O ) 2 0 2 2 H 0 1 0 7 8 0 4 0 B l u e C r o s s G r o u p M e d i c a r e A d v a n t a g e P l a n ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 1 1 1 0 0 1 0 W e l l c a r e N o P r e m i u m O p e n ( P P O ) 2 0 2 2 H 0 1 1 1 0 0 1 0 W e l l C a r e P r e m i e r ( P P O ) 2 0 2 1 2 0 2 2 3 H 0 1 1 1 0 0 2 0 W e l l c a r e L o w P r e m i u m O p e n ( P P O ) 2 0 2 2 H 0 1 1 1 0 0 2 0 W e l l C a r e P r i m e ( P P O ) 2 0 2 1 2 0 2 2 3 H 0 1 1 1 0 0 3 0 W e l l c a r e P r e m i u m E n h a n c e d O p e n ( P P O ) 2 0 2 2 H 0 1 1 1 0 0 3 0 W e l l C a r e F l e x C o m p l e t e ( P P O ) 2 0 2 1 2 0 2 2 3 H 0 1 1 1 0 0 4 0 W e l l c a r e D u a l A c c e s s O p e n ( P P O D - S N P ) 2 0 2 2 H 0 1 1 1 0 0 4 0 W e l l C a r e I m p e r i a l ( P P O D - S N P ) 2 0 2 1 2 0 2 2 3 H 0 1 1 1 0 0 5 0 W e l l c a r e E n d u r a n c e O p e n ( P P O ) 2 0 2 2 H 0 1 1 1 0 0 5 0 W e l l C a r e E n d u r a n c e ( P P O ) 2 0 2 1 2 0 2 2 3 H 0 1 1 2 0 0 1 0 P a l m B e a c h P A C E ( P A C E ) 2 0 2 2 H 0 1 1 2 0 0 1 0 P a l m B e a c h P A C E ( P A C E ) 2 0 2 1 2 0 2 2 1 H 0 1 1 2 0 0 2 0 P a l m B e a c h P A C E ( P A C E ) 2 0 2 2 H 0 1 1 2 0 0 2 0 P a l m B e a c h P A C E ( P A C E ) 2 0 2 1 2 0 2 2 1 H 0 1 3 7 0 0 1 0 C C A O n e C a r e ( M e d i c a r e - M e d i c a i d P l a n ) 2 0 2 2 H 0 1 3 7 0 0 1 0 C o m m o n w e a l t h C a r e A l l i a n c e ( M e d i c a r e - M e d i c a i d P l a n ) 2 0 2 1 2 0 2 2 1 H 0 1 4 8 0 0 1 0 B l u e S h i e l d P r o m i s e C a l M e d i C o n n e c t P l a n ( M e d i c a r e - M e d i c a i d P l a n ) 2 0 2 2 H 0 1 4 8 0 0 1 0 B l u e S h i e l d P r o m i s e C a l M e d i C o n n e c t P l a n ( M e d i c a r e - M e d i c a i d P l a n ) 2 0 2 1 2 0 2 2 1 H 0 1 4 8 0 0 2 0 B l u e S h i e l d P r o m i s e C a l M e d i C o n n e c t P l a n ( M e d i c a r e - M e d i c a i d P l a n ) 2 0 2 2 H 0 1 4 8 0 0 2 0 B l u e S h i e l d P r o m i s e C a l M e d i C o n n e c t P l a n ( M e d i c a r e - M e d i c a i d P l a n ) 2 0 2 1 2 0 2 2 1 H 0 1 5 4 0 0 8 0 V I V A M e d i c a r e S e l e c t ( H M O ) 2 0 2 2 H 0 1 5 4 0 0 8 0 V I V A M e d i c a r e S e l e c t ( H M O ) 2 0 2 1 2 0 2 2 3 H 0 1 5 4 0 1 1 0 V I V A M e d i c a r e P r e m i e r ( H M O ) 2 0 2 2 H 0 1 5 4 0 1 1 0 V I V A M e d i c a r e P r e m i e r ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 1 5 4 0 1 2 0 V I V A M e d i c a r e E x t r a V a l u e ( H M O D - S N P ) 2 0 2 2 H 0 1 5 4 0 1 2 0 V I V A M e d i c a r e E x t r a V a l u e ( H M O D - S N P ) 2 0 2 1 2 0 2 2 3 H 0 1 5 4 0 1 4 0 V I V A M e d i c a r e M e ( H M O ) 2 0 2 2 H 0 1 5 4 0 1 4 0 V I V A M e d i c a r e M e ( H M O ) 2 0 2 1 2 0 2 2 3 H 0 1 5 4 0 1 5 1 V I V A M e d i c a r e P l u s ( H M O ) 2 0 2 2 H 0 1 5 4 0 1 5 1 V I V A M e d i c a r e P l u s ( H M O ) 2 0 2 1 2 0 2 2 3 H 0 1 5 4 0 1 5 2 V I V A M e d i c a r e P l u s ( H M O ) 2 0 2 2 H 0 1 5 4 0 1 5 2 V I V A M e d i c a r e P l u s ( H M O ) 2 0 2 1 2 0 2 2 3 H 0 1 5 4 0 1 6 0 V I V A M e d i c a r e P r i m e ( H M O ) 2 0 2 2 H 0 1 5 4 0 1 6 0 V I V A M e d i c a r e P r i m e ( H M O ) 2 0 2 1 2 0 2 2 3 H 0 1 5 4 0 1 7 0 V I V A M e d i c a r e C l a s s i c ( H M O ) 2 0 2 2 H 0 1 5 4 0 1 7 0 V I V A M e d i c a r e C l a s s i c ( H M O ) 2 0 2 1 2 0 2 2 3 H 0 1 5 4 0 1 8 0 V I V A M e d i c a r e P r e f e r r e d ( H M O ) 2 0 2 2 H 0 1 5 4 0 1 8 0 V I V A M e d i c a r e P r e f e r r e d ( H M O ) 2 0 2 1 2 0 2 2 3 H 0 1 5 4 0 1 9 0 V I V A M e d i c a r e E x t r a C a r e ( H M O D - S N P ) 2 0 2 2 H 0 1 5 4 0 1 9 0 V I V A M e d i c a r e E x t r a C a r e ( H M O D - S N P ) 2 0 2 1 2 0 2 2 3 H 0 1 5 4 8 0 1 0 V I V A M e d i c a r e G r o u p P l a n w i t h R x ( C Y ) ( H M O ) 2 0 2 2 H 0 1 5 4 8 0 1 0 V I V A M e d i c a r e G r o u p P l a n w i t h R x ( C Y ) ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 1 5 4 8 0 2 0 V I V A M e d i c a r e G r o u p P l a n ( n o R x C Y ) ( H M O ) 2 0 2 2 H 0 1 5 4 8 0 2 0 V I V A M e d i c a r e G r o u p P l a n ( n o R x ) ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 1 5 4 8 0 3 0 V I V A M e d i c a r e P l u s G r o u p P l a n w i t h R x ( n o t C Y ) ( H M O ) 2 0 2 2 H 0 1 5 4 8 0 3 0 V I V A M e d i c a r e P l u s G r o u p P l a n w i t h R x ( n o t C Y ) ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 1 6 9 0 0 1 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e ( H M O D - S N P ) 2 0 2 2 H 0 1 6 9 0 0 1 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e ( H M O D - S N P ) 2 0 2 1 2 0 2 2 3 H 0 1 6 9 0 0 2 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e ( H M O D - S N P ) 2 0 2 2 H 0 1 6 9 0 0 2 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e ( H M O D - S N P ) 2 0 2 1 2 0 2 2 3 H 0 1 6 9 0 0 3 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e P l a n 1 ( H M O D - S N P ) 2 0 2 2 H 0 1 6 9 0 0 3 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e ( H M O D - S N P ) 2 0 2 1 2 0 2 2 3 H 0 1 6 9 0 0 4 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e L P 1 ( H M O - P O S D - S N P ) 2 0 2 2 H 0 1 6 9 0 0 4 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e L P 1 ( H M O - P O S D - S N P ) 2 0 2 1 2 0 2 2 3 H 0 1 7 4 0 0 2 0 W e l l c a r e T e x a n P l u s N o P r e m i u m ( H M O ) 2 0 2 2 H 0 1 7 4 0 0 2 0 W e l l C a r e T e x a n P l u s C l a s s i c ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 1 7 4 0 0 4 0 W e l l c a r e D u a l A c c e s s ( H M O D - S N P ) 2 0 2 2 H 0 1 7 4 0 0 4 0 W e l l C a r e A c c e s s ( H M O D - S N P ) 2 0 2 1 2 0 2 2 3 H 0 1 7 4 0 0 6 0 W e l l c a r e D u a l L i b e r t y ( H M O D - S N P ) 2 0 2 2 H 0 1 7 4 0 0 6 0 W e l l C a r e L i b e r t y ( H M O D - S N P ) 2 0 2 1 2 0 2 2 3 H 0 1 7 4 0 0 8 0 W e l l c a r e S p e c i a l t y N o P r e m i u m ( H M O C - S N P ) 2 0 2 2 H 0 1 7 4 0 0 8 0 W e l l C a r e G u a r d i a n ( H M O C - S N P ) 2 0 2 1 2 0 2 2 1 H 0 1 7 4 0 0 9 0 W e l l c a r e A s s i s t ( H M O ) 2 0 2 2 H 0 1 7 4 0 0 9 0 W e l l C a r e C o m p a s s ( H M O ) 2 0 2 1 2 0 2 2 3 H 0 1 7 4 0 1 0 0 W e l l c a r e N o P r e m i u m ( H M O ) 2 0 2 2 H 0 1 7 4 0 1 0 0 W e l l C a r e V a l u e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 1 7 4 0 1 1 4 W e l l c a r e T e x a n P l u s N o P r e m i u m ( H M O ) 2 0 2 2 H 0 1 7 4 0 0 3 0 W e l l C a r e T e x a n P l u s C l a s s i c ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 1 7 4 0 1 1 3 W e l l c a r e T e x a n P l u s N o P r e m i u m ( H M O ) 2 0 2 2 H 0 1 7 4 0 0 3 0 W e l l C a r e T e x a n P l u s C l a s s i c ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 1 7 4 0 1 1 1 W e l l c a r e T e x a n P l u s N o P r e m i u m ( H M O ) 2 0 2 2 H 0 1 7 4 0 0 3 0 W e l l C a r e T e x a n P l u s C l a s s i c ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 1 7 4 0 1 1 2 W e l l c a r e T e x a n P l u s N o P r e m i u m ( H M O ) 2 0 2 2 H 0 1 7 4 0 0 3 0 W e l l C a r e T e x a n P l u s C l a s s i c ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 1 7 4 0 1 2 1 W e l l c a r e N o P r e m i u m ( H M O - P O S ) 2 0 2 2 H 0 1 7 4 0 0 5 0 W e l l C a r e V a l u e ( H M O - P O S ) 2 0 2 1 2 0 2 2 1 H 0 1 7 4 0 1 2 4 W e l l c a r e N o P r e m i u m ( H M O - P O S ) 2 0 2 2 H 0 1 7 4 0 0 5 0 W e l l C a r e V a l u e ( H M O - P O S ) 2 0 2 1 2 0 2 2 1 H 0 1 7 4 0 1 2 2 W e l l c a r e N o P r e m i u m ( H M O - P O S ) 2 0 2 2 H 0 1 7 4 0 0 5 0 W e l l C a r e V a l u e ( H M O - P O S ) 2 0 2 1 2 0 2 2 1 H 0 1 7 4 0 1 2 5 W e l l c a r e N o P r e m i u m ( H M O - P O S ) 2 0 2 2 H 0 1 7 4 0 0 5 0 W e l l C a r e V a l u e ( H M O - P O S ) 2 0 2 1 2 0 2 2 1 H 0 1 7 4 0 1 2 3 W e l l c a r e N o P r e m i u m ( H M O - P O S ) 2 0 2 2 H 0 1 7 4 0 0 5 0 W e l l C a r e V a l u e ( H M O - P O S ) 2 0 2 1 2 0 2 2 1 H 0 1 7 4 0 1 3 2 W e l l c a r e G i v e b a c k ( H M O ) 2 0 2 2 H 0 1 7 4 0 0 7 0 W e l l C a r e D i v i d e n d P r i m e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 1 7 4 0 1 3 4 W e l l c a r e G i v e b a c k ( H M O ) 2 0 2 2 H 0 1 7 4 0 0 7 0 W e l l C a r e D i v i d e n d P r i m e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 1 7 4 0 1 3 1 W e l l c a r e G i v e b a c k ( H M O ) 2 0 2 2 H 0 1 7 4 0 0 7 0 W e l l C a r e D i v i d e n d P r i m e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 1 7 4 0 1 3 5 W e l l c a r e G i v e b a c k ( H M O ) 2 0 2 2 H 0 1 7 4 0 0 7 0 W e l l C a r e D i v i d e n d P r i m e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 1 7 4 0 1 3 3 W e l l c a r e G i v e b a c k ( H M O ) 2 0 2 2 H 0 1 7 4 0 0 7 0 W e l l C a r e D i v i d e n d P r i m e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 1 7 4 0 1 4 0 W e l l c a r e T e x a n P l u s N o P r e m i u m ( H M O ) 2 0 2 2 H 5 6 5 6 0 0 1 0 W e l l C a r e T e x a n P l u s C l a s s i c ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 1 9 2 0 0 1 0 A m e r i H e a l t h C a r i t a s V I P C a r e P l u s ( M e d i c a r e - M e d i c a i d P l a n ) 2 0 2 2 H 0 1 9 2 0 0 1 0 A m e r i H e a l t h C a r i t a s V I P C a r e P l u s ( M e d i c a r e - M e d i c a i d P l a n ) 2 0 2 1 2 0 2 2 1 H 0 2 1 6 0 0 1 0 P A C E I o w a ( P A C E ) 2 0 2 2 H 0 2 1 6 0 0 1 0 P A C E I o w a ( P A C E ) 2 0 2 1 2 0 2 2 1 H 0 2 1 6 0 0 2 0 P A C E I o w a ( P A C E ) 2 0 2 2 H 0 2 1 6 0 0 2 0 P A C E I o w a ( P A C E ) 2 0 2 1 2 0 2 2 1 H 0 2 3 5 0 0 1 0 P A C E o f N E I N - D u a l E l i g i b l e ( P A C E ) 2 0 2 2 H 0 2 3 5 0 0 1 0 P A C E o f N E I N - D u a l E l i g i b l e ( P A C E ) 2 0 2 1 2 0 2 2 1 H 0 2 3 5 0 0 2 0 P A C E o f N E I N - M e d i c a r e O n l y ( P A C E ) 2 0 2 2 H 0 2 3 5 0 0 2 0 P A C E o f N E I N - M e d i c a r e O n l y ( P A C E ) 2 0 2 1 2 0 2 2 1 H 0 2 4 7 0 0 1 0 A l l C a r e P A C E - D u a l E l i g i b l e ( P A C E ) 2 0 2 2 H 0 2 4 7 0 0 1 0 A l l C a r e P A C E - D u a l E l i g i b l e ( P A C E ) 2 0 2 1 2 0 2 2 1 H 0 2 4 7 0 0 2 0 A l l C a r e P A C E - M e d i c a r e O n l y ( P A C E ) 2 0 2 2 H 0 2 4 7 0 0 2 0 A l l C a r e P A C E - M e d i c a r e O n l y ( P A C E ) 2 0 2 1 2 0 2 2 1 H 0 2 5 1 0 0 2 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e ( H M O D - S N P ) 2 0 2 2 H 0 2 5 1 0 0 2 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e ( H M O D - S N P ) 2 0 2 1 2 0 2 2 1 H 0 2 5 1 0 0 4 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e O N E ( H M O D - S N P ) 2 0 2 2 H 0 2 5 1 0 0 4 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e O N E ( H M O D - S N P ) 2 0 2 1 2 0 2 2 1 H 0 2 5 1 0 0 5 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e O N E P l u s ( H M O D - S N P ) 2 0 2 2 H 0 2 5 1 0 0 5 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e O N E P l u s ( H M O D - S N P ) 2 0 2 1 2 0 2 2 1 H 0 2 7 0 0 0 1 0 W e l l c a r e N o P r e m i u m O p e n ( P P O ) 2 0 2 2 H 0 2 7 0 0 0 1 0 W e l l C a r e P r e m i e r ( P P O ) 2 0 2 1 2 0 2 2 3 H 0 2 7 0 0 0 2 0 W e l l c a r e D u a l A c c e s s O p e n ( P P O D - S N P ) 2 0 2 2 H 0 2 7 0 0 0 2 0 W e l l C a r e I m p e r i a l ( P P O D - S N P ) 2 0 2 1 2 0 2 2 3 H 0 2 7 1 0 0 2 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s u r e ( P P O ) 2 0 2 2 H 0 2 7 1 0 0 2 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s u r e ( P P O ) 2 0 2 1 2 0 2 2 3 H 0 2 7 1 0 0 4 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s u r e ( P P O ) 2 0 2 2 H 0 2 7 1 0 0 4 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s u r e ( P P O ) 2 0 2 1 2 0 2 2 3 H 0 2 7 1 0 0 5 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e ( P P O D - S N P ) 2 0 2 2 H 0 2 7 1 0 0 5 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e ( P P O D - S N P ) 2 0 2 1 2 0 2 2 1 H 0 2 7 1 0 0 6 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e ( P P O D - S N P ) 2 0 2 2 H 0 2 7 1 0 0 6 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e ( P P O D - S N P ) 2 0 2 1 2 0 2 2 1 H 0 2 7 1 0 0 7 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s u r e ( P P O ) 2 0 2 2 H 0 2 7 1 0 0 7 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s u r e ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 2 7 1 0 0 8 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s u r e ( P P O ) 2 0 2 2 H 0 2 7 1 0 0 8 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s u r e ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 2 7 1 0 1 0 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s u r e ( P P O ) 2 0 2 2 H 0 2 7 1 0 1 0 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s u r e ( P P O ) 2 0 2 1 2 0 2 2 2 H 0 2 7 1 0 1 1 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s u r e ( P P O ) 2 0 2 2 H 0 2 7 1 0 1 1 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s u r e ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 2 7 1 0 1 2 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s u r e ( P P O ) 2 0 2 2 H 0 2 7 1 0 1 2 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s u r e ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 2 7 1 0 1 3 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e ( P P O D - S N P ) 2 0 2 2 H 0 2 7 1 0 1 3 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e ( P P O D - S N P ) 2 0 2 1 2 0 2 2 3 H 0 2 7 1 0 1 4 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e ( P P O D - S N P ) 2 0 2 2 H 0 2 7 1 0 1 4 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e ( P P O D - S N P ) 2 0 2 1 2 0 2 2 1 H 0 2 7 1 0 1 6 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e ( P P O D - S N P ) 2 0 2 2 H 0 2 7 1 0 1 6 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e ( P P O D - S N P ) 2 0 2 1 2 0 2 2 5 H 0 2 7 1 0 1 7 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s u r e ( P P O ) 2 0 2 2 H 0 2 7 1 0 1 7 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s u r e ( P P O ) 2 0 2 1 2 0 2 2 3 H 0 2 7 1 0 1 8 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s u r e ( P P O ) 2 0 2 2 H 0 2 7 1 0 1 8 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s u r e ( P P O ) 2 0 2 1 2 0 2 2 3 H 0 2 7 1 0 1 9 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s u r e ( P P O ) 2 0 2 2 H 0 2 7 1 0 1 9 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s u r e ( P P O ) 2 0 2 1 2 0 2 2 3 H 0 2 7 1 0 2 0 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e ( P P O D - S N P ) 2 0 2 2 H 0 2 7 1 0 2 0 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e ( P P O D - S N P ) 2 0 2 1 2 0 2 2 1 H 0 2 7 1 0 2 2 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s u r e ( P P O ) 2 0 2 2 H 0 2 7 1 0 2 2 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s u r e ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 2 9 2 0 0 1 0 H u m a n a C o m m u n i t y ( H M O ) 2 0 2 2 H 0 2 9 2 0 0 1 0 H u m a n a C o m m u n i t y ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 2 9 2 0 0 2 0 H u m a n a G o l d P l u s H 0 2 9 2 - 0 0 2 ( H M O ) 2 0 2 2 H 0 2 9 2 0 0 2 0 H u m a n a G o l d P l u s H 0 2 9 2 - 0 0 2 ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 2 9 4 0 0 2 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s i s t ( P P O C - S N P ) 2 0 2 2 H 0 2 9 4 0 0 2 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s i s t ( P P O C - S N P ) 2 0 2 1 2 0 2 2 1 H 0 2 9 4 0 0 4 0 A A R P M e d i c a r e A d v a n t a g e O p e n P l a n 1 ( P P O ) 2 0 2 2 H 0 2 9 4 0 0 4 0 A A R P M e d i c a r e A d v a n t a g e O p e n P l a n 1 ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 2 9 4 0 1 0 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s i s t ( P P O C - S N P ) 2 0 2 2 H 0 2 9 4 0 1 0 0 U n i t e d H e a l t h c a r e M e d i c a r e A d v a n t a g e A s s i s t ( P P O C - S N P ) 2 0 2 1 2 0 2 2 3 H 0 2 9 4 0 1 1 0 A A R P M e d i c a r e A d v a n t a g e O p e n ( P P O ) 2 0 2 2 H 0 2 9 4 0 1 1 0 A A R P M e d i c a r e A d v a n t a g e O p e n ( P P O ) 2 0 2 1 2 0 2 2 3 H 0 2 9 4 0 1 2 0 A A R P M e d i c a r e A d v a n t a g e O p e n P r e m i e r ( P P O ) 2 0 2 2 H 0 2 9 4 0 1 2 0 A A R P M e d i c a r e A d v a n t a g e O p e n P r e m i e r ( P P O ) 2 0 2 1 2 0 2 2 3 H 0 2 9 4 0 1 4 0 A A R P M e d i c a r e A d v a n t a g e P a t r i o t P l a n 1 ( P P O ) 2 0 2 2 H 0 2 9 4 0 1 4 0 A A R P M e d i c a r e A d v a n t a g e P a t r i o t P l a n 1 ( P P O ) 2 0 2 1 2 0 2 2 3 H 0 2 9 4 0 1 5 0 A A R P M e d i c a r e A d v a n t a g e W a l g r e e n s ( P P O ) 2 0 2 2 H 0 2 9 4 0 1 5 0 A A R P M e d i c a r e A d v a n t a g e W a l g r e e n s ( P P O ) 2 0 2 1 2 0 2 2 3 H 0 2 9 4 0 1 6 0 A A R P M e d i c a r e A d v a n t a g e O p e n P l a n 2 ( P P O ) 2 0 2 2 H 0 2 9 4 0 1 6 0 A A R P M e d i c a r e A d v a n t a g e O p e n P l a n 2 ( P P O ) 2 0 2 1 2 0 2 2 3 H 0 2 9 4 0 1 7 0 A A R P M e d i c a r e A d v a n t a g e O p e n P l a n 1 ( P P O ) 2 0 2 2 H 0 2 9 4 0 1 7 0 A A R P M e d i c a r e A d v a n t a g e O p e n ( P P O ) 2 0 2 1 2 0 2 2 3 H 0 3 0 2 0 0 1 0 B l u e M e d i c a r e A d v a n t a g e P l u s ( H M O ) 2 0 2 2 H 0 3 0 2 0 0 1 0 B l u e M e d i c a r e A d v a n t a g e P l u s ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 0 2 0 0 6 0 B l u e M e d i c a r e A d v a n t a g e C l a s s i c ( H M O ) 2 0 2 2 H 0 3 0 2 0 0 6 0 B l u e M e d i c a r e A d v a n t a g e C l a s s i c ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 0 2 0 0 8 0 B l u e M e d i c a r e A d v a n t a g e C l a s s i c ( H M O ) 2 0 2 2 H 0 3 0 2 0 0 8 0 B l u e M e d i c a r e A d v a n t a g e C l a s s i c ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 0 2 0 0 9 0 B l u e M e d i c a r e A d v a n t a g e S t a n d a r d ( H M O ) 2 0 2 2 H 0 3 0 2 0 0 9 0 B l u e M e d i c a r e A d v a n t a g e S t a n d a r d ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 0 2 8 0 1 0 B l u e M e d i c a r e A d v a n t a g e E m p l o y e r P l a n ( H M O ) 2 0 2 2 H 0 3 0 2 8 0 1 0 B l u e M e d i c a r e A d v a n t a g e E m p l o y e r P l a n ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 2 1 0 0 2 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e L P ( H M O D - S N P ) 2 0 2 2 H 0 3 2 1 0 0 2 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e L P ( H M O D - S N P ) 2 0 2 1 2 0 2 2 1 H 0 3 2 1 0 0 4 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e O N E ( H M O D - S N P ) 2 0 2 2 H 0 3 2 1 0 0 4 0 U n i t e d H e a l t h c a r e D u a l C o m p l e t e O N E ( H M O D - S N P ) 2 0 2 1 2 0 2 2 1 H 0 3 3 2 0 0 1 0 K e l s e y C a r e A d v a n t a g e S i l v e r ( H M O ) 2 0 2 2 H 0 3 3 2 0 0 1 0 K e l s e y C a r e A d v a n t a g e E s s e n t i a l ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 3 2 0 0 2 0 K e l s e y C a r e A d v a n t a g e G o l d ( H M O ) 2 0 2 2 H 0 3 3 2 0 0 2 0 K e l s e y C a r e A d v a n t a g e R x ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 3 2 0 0 3 0 K e l s e y C a r e A d v a n t a g e S i l v e r F r e e d o m ( H M O - P O S ) 2 0 2 2 H 0 3 3 2 0 0 3 0 K e l s e y C a r e A d v a n t a g e E s s e n t i a l + C h o i c e ( H M O - P O S ) 2 0 2 1 2 0 2 2 1 H 0 3 3 2 0 0 4 0 K e l s e y C a r e A d v a n t a g e G o l d F r e e d o m ( H M O - P O S ) 2 0 2 2 H 0 3 3 2 0 0 4 0 K e l s e y C a r e A d v a n t a g e R x + C h o i c e ( H M O - P O S ) 2 0 2 1 2 0 2 2 1 H 0 3 3 2 0 0 7 0 K e l s e y C a r e A d v a n t a g e S i l v e r C o m m u n i t y ( H M O - P O S ) 2 0 2 2 H 0 3 3 2 0 0 7 0 K e l s e y C a r e A d v a n t a g e E s s e n t i a l S e l e c t ( H M O - P O S ) 2 0 2 1 2 0 2 2 1 H 0 3 3 2 0 0 8 0 K e l s e y C a r e A d v a n t a g e G o l d C o m m u n i t y ( H M O - P O S ) 2 0 2 2 H 0 3 3 2 0 0 8 0 K e l s e y C a r e A d v a n t a g e R x S e l e c t ( H M O - P O S ) 2 0 2 1 2 0 2 2 1 H 0 3 3 2 8 0 1 0 K e l s e y C a r e A d v a n t a g e E s s e n t i a l R e t i r e e ( H M O ) 2 0 2 2 H 0 3 3 2 8 0 1 0 K e l s e y C a r e A d v a n t a g e E s s e n t i a l R e t i r e e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 3 2 8 0 3 0 K e l s e y C a r e A d v a n t a g e R x R e t i r e e ( H M O ) 2 0 2 2 H 0 3 3 2 8 0 3 0 K e l s e y C a r e A d v a n t a g e R x R e t i r e e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 3 2 8 0 4 0 K e l s e y C a r e A d v a n t a g e E s s e n t i a l + C h o i c e R e t i r e e ( H M O ) 2 0 2 2 H 0 3 3 2 8 0 4 0 K e l s e y C a r e A d v a n t a g e E s s e n t i a l + C h o i c e R e t i r e e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 3 2 8 0 5 0 K e l s e y C a r e A d v a n t a g e R x + C h o i c e R e t i r e e ( H M O ) 2 0 2 2 H 0 3 3 2 8 0 5 0 K e l s e y C a r e A d v a n t a g e R x + C h o i c e R e t i r e e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 3 2 8 0 6 0 K e l s e y C a r e A d v a n t a g e E s s e n t i a l R e t i r e e ( H M O ) 2 0 2 2 H 0 3 3 2 8 0 6 0 K e l s e y C a r e A d v a n t a g e E s s e n t i a l R e t i r e e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 3 2 8 0 7 0 K e l s e y C a r e A d v a n t a g e R x R e t i r e e ( H M O ) 2 0 2 2 H 0 3 3 2 8 0 7 0 K e l s e y C a r e A d v a n t a g e R x R e t i r e e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 3 2 8 0 8 0 K e l s e y C a r e A d v a n t a g e E s s e n t i a l + C h o i c e R e t i r e e ( H M O ) 2 0 2 2 H 0 3 3 2 8 0 8 0 K e l s e y C a r e A d v a n t a g e E s s e n t i a l + C h o i c e R e t i r e e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 3 2 8 0 9 0 K e l s e y C a r e A d v a n t a g e R x + C h o i c e R e t i r e e ( H M O ) 2 0 2 2 H 0 3 3 2 8 0 9 0 K e l s e y C a r e A d v a n t a g e R x + C h o i c e R e t i r e e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 3 2 8 1 0 0 K e l s e y C a r e A d v a n t a g e R x R e t i r e e ( H M O ) 2 0 2 2 H 0 3 3 2 8 1 0 0 K e l s e y C a r e A d v a n t a g e R x R e t i r e e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 3 2 8 1 1 0 K e l s e y C a r e A d v a n t a g e R x R e t i r e e ( H M O ) 2 0 2 2 H 0 3 3 2 8 1 1 0 K e l s e y C a r e A d v a n t a g e R x R e t i r e e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 3 2 8 1 2 0 K e l s e y C a r e A d v a n t a g e R x R e t i r e e ( H M O ) 2 0 2 2 H 0 3 3 2 8 1 2 0 K e l s e y C a r e A d v a n t a g e R x R e t i r e e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 3 2 8 1 3 0 K e l s e y C a r e A d v a n t a g e R X R e t i r e e ( H M O ) 2 0 2 2 H 0 3 3 2 8 1 3 0 K e l s e y C a r e A d v a n t a g e R X R e t i r e e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 3 2 8 1 4 0 K e l s e y C a r e A d v a n t a g e E s s e n t i a l R e t i r e e ( H M O ) 2 0 2 2 H 0 3 3 2 8 1 4 0 K e l s e y C a r e A d v a n t a g e E s s e n t i a l R e t i r e e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 3 6 0 0 1 0 H u m a n a G o l d P l u s I n t e g r a t e d H 0 3 3 6 - 0 0 1 ( M e d i c a r e - M e d i c a i d P l a n ) 2 0 2 2 H 0 3 3 6 0 0 1 0 H u m a n a G o l d P l u s I n t e g r a t e d H 0 3 3 6 - 0 0 1 ( M e d i c a r e - M e d i c a i d P l a n ) 2 0 2 1 2 0 2 2 1 H 0 3 4 2 0 0 1 0 C a r e P a r t n e r s A c c e s s ( P P O ) 2 0 2 2 H 0 3 4 2 0 0 1 0 C a r e P a r t n e r s A c c e s s ( P P O ) 2 0 2 1 2 0 2 2 1 H 0 3 5 1 0 3 8 0 W e l l c a r e S p e c i a l t y N o P r e m i u m ( H M O C - S N P ) 2 0 2 2 H 0 3 5 1 0 3 8 0 A l l w e l l C H F / D i a b e t e s M e d i c a r e ( H M O C - S N P ) 2 0 2 1 2 0 2 2 3 H 0 3 5 1 0 5 2 0 W e l l c a r e N o P r e m i u m ( H M O ) 2 0 2 2 H 0 3 5 1 0 5 2 0 A l l w e l l M e d i c a r e P r e m i e r I I ( H M O ) 2 0 2 1 2 0 2 2 5 H 0 3 5 1 0 5 2 0 W e l l c a r e N o P r e m i u m ( H M O ) 2 0 2 2 H 6 4 3 9 0 0 2 0 W e l l C a r e V a l u e ( H M O ) 2 0 2 1 2 0 2 2 5 H 0 3 5 1 0 5 3 0 W e l l c a r e N o P r e m i u m ( H M O ) 2 0 2 2 H 0 3 5 1 0 5 3 0 A l l w e l l M e d i c a r e P r e m i e r I I ( H M O ) 2 0 2 1 2 0 2 2 2 H 0 3 5 1 0 5 4 0 W e l l c a r e G i v e b a c k ( H M O ) 2 0 2 2 H 0 3 5 1 0 5 4 0 A l l w e l l M e d i c a r e B o o s t ( H M O ) 2 0 2 1 2 0 2 2 3 H 0 3 5 1 0 5 5 0 W e l l c a r e A s s i s t ( H M O ) 2 0 2 2 H 6 4 3 9 0 0 3 0 W e l l C a r e C o m p a s s ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 5 1 0 5 6 0 W e l l c a r e G i v e b a c k ( H M O ) 2 0 2 2 H 6 4 3 9 0 0 4 0 W e l l C a r e D i v i d e n d ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 5 1 8 0 1 0 A l l w e l l C o C a r e ( H M O ) 2 0 2 2 H 0 3 5 1 8 0 1 0 A l l w e l l C o C a r e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 5 1 8 0 3 0 A l l w e l l C o C a r e ( H M O ) 2 0 2 2 H 0 3 5 1 8 0 3 0 A l l w e l l C o C a r e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 5 1 8 0 4 0 A l l w e l l C o C a r e ( H M O ) 2 0 2 2 H 0 3 5 1 8 0 4 0 A l l w e l l C o C a r e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 5 4 0 0 1 0 C i g n a P r e f e r r e d M e d i c a r e ( H M O ) 2 0 2 2 H 0 3 5 4 0 0 1 0 C i g n a P r e f e r r e d M e d i c a r e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 5 4 0 2 4 0 C i g n a P r e f e r r e d M e d i c a r e ( H M O ) 2 0 2 2 H 0 3 5 4 0 2 4 0 C i g n a P r e f e r r e d M e d i c a r e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 5 4 0 2 7 0 C i g n a A c h i e v e M e d i c a r e ( H M O C - S N P ) 2 0 2 2 H 0 3 5 4 0 2 7 0 C i g n a A c h i e v e M e d i c a r e ( H M O C - S N P ) 2 0 2 1 2 0 2 2 1 H 0 3 5 4 0 2 8 0 C i g n a A l l i a n c e M e d i c a r e ( H M O ) 2 0 2 2 H 0 3 5 4 0 2 8 0 C i g n a A l l i a n c e M e d i c a r e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 5 4 8 0 4 0 C i g n a P r e f e r r e d M e d i c a r e ( H M O ) 2 0 2 2 H 0 3 5 4 8 0 4 0 C i g n a P r e f e r r e d M e d i c a r e ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 5 4 8 0 5 0 C i g n a P r e f e r r e d M e d i c a r e F Y ( H M O ) 2 0 2 2 H 0 3 5 4 8 0 5 0 C i g n a P r e f e r r e d M e d i c a r e F Y ( H M O ) 2 0 2 1 2 0 2 2 1 H 0 3 6 3 0 0 1 0 L o n g e v i t y H e a l t h P l a n ( H M O I - S N P ) 2 0 2 2 H 0 3 6 3 0 0 1 0 L o n g e v i t y H e a l t h P l a n ( H M O I - S N P ) 2 0 2 1 2 0 2 2 1 H 0 3 9 0 0 0 1 0 P A C E o f S o u t h w e s t M i c h i g a n - D u a l ( P A C E ) 2 0 2 2 H 0 3 9 0 0 0 1 0 P A C E o f S o u t h w e s t M i c h i g a n - D u a l ( P A C E ) 2 0 2 1 2 0 2 2 1 H 0 3 9 0 0 0 2 0 P A C E o f S o u t h w e s t M i c h i g a n - M e d i c a r e O n l y ( P A C E ) 2 0 2 2 H 0 3 9 0 0 0 2 0 P A C E o f S o u t h w e s t M i c h i g a n - M e d i c a r e O n l y ( P A C E ) 2 0 2 1 2 0 2 2 1 H 0 4 2 2 0 0 1 0 C a r e C o r e : M H e a l t h F a i r v i e w &

18. 2021 Humana Gold Plus H6622-060 (HMO) - q1medicare.com

• Missing: 02 - hmopos

• 2021 Humana Gold Plus H6622-060 (HMO) - H6622-060-0 in NC Plan Benefits Details

19. https://plan-finder.data.medicare.gov/2022/PLN_SNT...

• ... H6622 048 0 Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP) $0 Yes Plan ... HMOPOS (HMO-POS) Coming Soon No Plan Doctors Only (some exceptions) $0.00 $0.00 www ...

• ÿþH 0 0 2 2 0 0 1 0 B u c k e y e H e a l t h P l a n - M y C a r e O h i o ( M e d i c a r e - M e d i c a i d P l a n ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 m m p . b u c k e y e h e a l t h p l a n . c o m / f o r m u l a r y H 0 0 2 8 0 0 7 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 0 7 ( H M O D - S N P ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 4 0 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 1 3 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 1 3 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 1 4 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 1 4 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 1 5 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 1 5 ( H M O D - S N P ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 3 0 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 1 6 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 1 6 ( H M O ) $ 2 7 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 2 7 . 0 0 $ 1 9 5 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 1 7 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 1 7 ( H M O ) $ 1 6 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 1 6 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 1 8 0 H u m a n a V a l u e P l u s H 0 0 2 8 - 0 1 8 ( H M O ) $ 2 5 . 1 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 2 5 . 1 0 $ 4 8 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 1 9 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 1 9 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 2 1 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 1 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 2 3 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 3 ( H M O ) $ 5 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 3 5 . 8 0 $ 2 2 5 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 2 4 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 4 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 1 7 5 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 2 5 1 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 5 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 2 5 2 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 5 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 2 7 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 7 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 2 8 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 8 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 2 2 5 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 2 9 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 2 9 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 3 0 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 3 0 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 3 1 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 3 1 ( H M O D - S N P ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 4 7 5 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 3 2 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 3 2 ( H M O D - S N P ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 4 6 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 3 3 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 3 3 ( H M O D - S N P ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 4 8 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 3 4 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 3 4 ( H M O D - S N P ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 4 7 5 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 3 5 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 3 5 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 3 6 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 3 6 ( H M O D - S N P ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 4 5 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 3 7 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 3 7 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 3 9 0 H u m a n a G o l d P l u s - D i a b e t e s a n d H e a r t ( H M O C - S N P ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 4 1 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 1 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 4 2 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 2 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 4 3 1 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 3 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 4 3 2 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 3 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 4 4 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 4 4 ( H M O D - S N P ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 4 6 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 4 5 0 H u m a n a G o l d P l u s S N P - D E H 0 0 2 8 - 0 4 5 ( H M O D - S N P ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 4 8 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 4 6 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 6 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 4 7 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 7 ( H M O ) $ 3 5 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 3 5 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 4 8 1 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 8 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 2 5 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 4 8 2 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 8 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 2 5 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 4 9 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 4 9 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 5 0 0 H u m a n a G o l d P l u s - D i a b e t e s a n d H e a r t ( H M O C - S N P ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 5 1 0 H u m a n a G o l d P l u s - D i a b e t e s a n d H e a r t ( H M O C - S N P ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 5 2 0 H u m a n a G o l d P l u s H 0 0 2 8 - 0 5 2 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 5 3 1 H u m a n a G o l d P l u s H 0 0 2 8 - 0 5 3 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 1 5 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 5 3 2 H u m a n a G o l d P l u s H 0 0 2 8 - 0 5 3 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 1 5 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 5 3 3 H u m a n a G o l d P l u s H 0 0 2 8 - 0 5 3 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 1 5 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 0 5 3 4 H u m a n a G o l d P l u s H 0 0 2 8 - 0 5 3 ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 1 5 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 8 0 1 0 H u m a n a M e d i c a r e E m p l o y e r ( H M O ) N o t A v a i l a b l e Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 3 3 . 4 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 8 0 2 0 H u m a n a M e d i c a r e E m p l o y e r ( H M O ) C o m i n g S o o n N o P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 8 0 4 0 H u m a n a M e d i c a r e E m p l o y e r ( H M O ) N o t A v a i l a b l e Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 3 3 . 4 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 8 8 0 5 0 H u m a n a M e d i c a r e E m p l o y e r ( H M O ) C o m i n g S o o n N o P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . h u m a n a . c o m / m e d i c a r e / m e d i c a r e _ p r e s c r i p t i o n _ d r u g s / m e d i c a r e _ d r u g _ t o o l s / m e d i c a r e _ d r u g _ l i s t / H 0 0 2 9 8 0 1 0 A l l w e l l G r o u p ( H M O ) N o t A v a i l a b l e Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 3 3 . 4 0 $ 0 . 0 0 a l l w e l l . c o o r d i n a t e d c a r e h e a l t h . c o m / f o r m u l a r y H 0 0 2 9 8 0 2 0 A l l w e l l G r o u p ( H M O ) C o m i n g S o o n N o P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 a l l w e l l . c o o r d i n a t e d c a r e h e a l t h . c o m / f o r m u l a r y H 0 0 2 9 8 0 3 0 A l l w e l l G r o u p ( H M O ) N o t A v a i l a b l e Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 3 3 . 4 0 $ 0 . 0 0 a l l w e l l . c o o r d i n a t e d c a r e h e a l t h . c o m / f o r m u l a r y H 0 0 3 4 0 0 1 0 H a m a s p i k M e d i c a r e S e l e c t ( H M O D - S N P ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 4 8 0 . 0 0 w w w . h a m a s p i k . c o m H 0 0 3 4 0 0 2 0 H a m a s p i k M e d i c a r e C h o i c e ( H M O D - S N P ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 4 8 0 . 0 0 w w w . h a m a s p i k . c o m H 0 0 6 2 0 0 2 0 W e l l c a r e N o P r e m i u m M e d i c a r e ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 w w w . w e l l c a r e . c o m / a l l w e l l T X H 0 0 6 2 0 0 3 0 W e l l c a r e N o P r e m i u m M e d i c a r e ( H M O ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 w w w . w e l l c a r e . c o m / a l l w e l l T X H 0 0 6 2 8 0 1 0 A l l w e l l G r o u p ( H M O ) N o t A v a i l a b l e Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 3 3 . 4 0 $ 0 . 0 0 a l l w e l l . s u p e r i o r h e a l t h p l a n . c o m / f o r m u l a r y H 0 0 6 2 8 0 2 0 A l l w e l l G r o u p ( H M O ) C o m i n g S o o n N o P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 a l l w e l l . s u p e r i o r h e a l t h p l a n . c o m / f o r m u l a r y H 0 0 6 2 8 0 3 0 A l l w e l l G r o u p ( H M O ) N o t A v a i l a b l e Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 3 3 . 4 0 $ 0 . 0 0 a l l w e l l . s u p e r i o r h e a l t h p l a n . c o m / f o r m u l a r y H 0 0 7 4 0 0 1 0 W e l l c a r e N o P r e m i u m O p e n ( P P O ) $ 0 Y e s A n y D o c t o r $ 0 . 0 0 $ 1 5 0 . 0 0 w w w . w e l l c a r e . c o m / m e d i c a r e H 0 0 7 4 0 0 2 0 W e l l c a r e P r e m i u m H y b r i d O p e n ( P P O ) $ 2 2 5 Y e s A n y D o c t o r $ 5 1 . 0 0 $ 0 . 0 0 w w w . w e l l c a r e . c o m / m e d i c a r e H 0 0 7 4 0 0 3 0 W e l l c a r e C o m m u n i t y A s s i s t ( P P O ) $ 2 9 . 2 0 Y e s A n y D o c t o r $ 2 9 . 2 0 $ 4 8 0 . 0 0 w w w . w e l l c a r e . c o m / m e d i c a r e H 0 0 8 8 0 0 2 0 W e l l c a r e G i v e b a c k O p e n ( P P O ) $ 0 Y e s A n y D o c t o r $ 0 . 0 0 $ 3 2 5 . 0 0 w w w . w e l l c a r e . c o m / m e d i c a r e H 0 0 8 8 0 0 3 0 W e l l c a r e N o P r e m i u m O p e n ( P P O ) $ 0 Y e s A n y D o c t o r $ 0 . 0 0 $ 0 . 0 0 w w w . w e l l c a r e . c o m / m e d i c a r e H 0 1 0 4 0 1 2 0 B l u e A d v a n t a g e C o m p l e t e ( P P O ) $ 0 Y e s A n y D o c t o r $ 0 . 0 0 $ 1 5 0 . 0 0 w w w . b c b s a l m e d i c a r e . c o m / s a l e s / p l a n s / b l u e a d v a n t a g e / t o o l s . h t m l H 0 1 0 4 0 1 4 0 B l u e A d v a n t a g e C o m p l e t e ( P P O ) $ 0 Y e s A n y D o c t o r $ 0 . 0 0 $ 1 5 0 . 0 0 w w w . b c b s a l m e d i c a r e . c o m / s a l e s / p l a n s / b l u e a d v a n t a g e / t o o l s . h t m l H 0 1 0 4 0 1 5 0 B l u e A d v a n t a g e P r e m i e r ( P P O ) $ 1 7 1 Y e s A n y D o c t o r $ 6 8 . 1 0 $ 0 . 0 0 w w w . b c b s a l m e d i c a r e . c o m / s a l e s / p l a n s / b l u e a d v a n t a g e / t o o l s . h t m l H 0 1 0 4 8 0 1 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 1 ( P P O ) C o m i n g S o o n N o A n y D o c t o r $ 0 . 0 0 $ 0 . 0 0 w w w . b c b s a l m e d i c a r e . c o m / s a l e s / p l a n s / b l u e a d v a n t a g e / t o o l s . h t m l H 0 1 0 4 8 0 2 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 2 ( P P O ) N o t A v a i l a b l e Y e s A n y D o c t o r $ 3 3 . 4 0 $ 0 . 0 0 w w w . b c b s a l m e d i c a r e . c o m / s a l e s / p l a n s / b l u e a d v a n t a g e / t o o l s . h t m l H 0 1 0 4 8 0 4 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 4 ( P P O ) N o t A v a i l a b l e Y e s A n y D o c t o r $ 3 3 . 4 0 $ 0 . 0 0 w w w . b c b s a l m e d i c a r e . c o m / s a l e s / p l a n s / b l u e a d v a n t a g e / t o o l s . h t m l H 0 1 0 4 8 0 5 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 5 ( P P O ) N o t A v a i l a b l e Y e s A n y D o c t o r $ 3 3 . 4 0 $ 0 . 0 0 w w w . b c b s a l m e d i c a r e . c o m / s a l e s / p l a n s / b l u e a d v a n t a g e / t o o l s . h t m l H 0 1 0 4 8 0 6 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 6 ( P P O ) N o t A v a i l a b l e Y e s A n y D o c t o r $ 3 3 . 4 0 $ 0 . 0 0 w w w . b c b s a l m e d i c a r e . c o m / s a l e s / p l a n s / b l u e a d v a n t a g e / t o o l s . h t m l H 0 1 0 4 8 0 7 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 7 ( P P O ) N o t A v a i l a b l e Y e s A n y D o c t o r $ 3 3 . 4 0 $ 0 . 0 0 w w w . b c b s a l m e d i c a r e . c o m / s a l e s / p l a n s / b l u e a d v a n t a g e / t o o l s . h t m l H 0 1 0 4 8 0 8 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 8 ( P P O ) N o t A v a i l a b l e Y e s A n y D o c t o r $ 3 3 . 4 0 $ 0 . 0 0 w w w . b c b s a l m e d i c a r e . c o m / s a l e s / p l a n s / b l u e a d v a n t a g e / t o o l s . h t m l H 0 1 0 4 8 0 9 0 B l u e A d v a n t a g e E m p l o y e r G r o u p P l a n 8 0 9 ( P P O ) N o t A v a i l a b l e Y e s A n y D o c t o r $ 3 3 . 4 0 $ 0 . 0 0 w w w . b c b s a l m e d i c a r e . c o m / s a l e s / p l a n s / b l u e a d v a n t a g e / t o o l s . h t m l H 0 1 0 5 0 0 1 0 T h e M e t h o d i s t O a k s d . b . a . T h e O a k s P A C E ( P A C E ) N o t A v a i l a b l e Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 2 0 9 . 0 0 $ 0 . 0 0 w w w . g r o v e p a r k p h a r m a c y . c o m H 0 1 0 5 0 0 2 0 T h e M e t h o d i s t O a k s d . b . a . T h e O a k s P A C E ( P A C E ) N o t A v a i l a b l e Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 5 1 9 . 6 0 $ 0 . 0 0 w w w . g r o v e p a r k p h a r m a c y . c o m H 0 1 0 7 0 0 3 0 B l u e C r o s s M e d i c a r e A d v a n t a g e C l a s s i c ( P P O ) $ 4 0 Y e s A n y D o c t o r $ 2 3 . 4 0 $ 4 0 0 . 0 0 g e t b l u e m t . c o m / m a p d / d r u g l i s t H 0 1 0 7 0 0 4 0 B l u e C r o s s M e d i c a r e A d v a n t a g e O p t i m u m ( P P O ) $ 1 3 1 Y e s A n y D o c t o r $ 4 2 . 2 0 $ 0 . 0 0 g e t b l u e m t . c o m / m a p d / d r u g l i s t H 0 1 0 7 0 0 5 0 B l u e C r o s s M e d i c a r e A d v a n t a g e C h o i c e P l u s ( P P O ) $ 0 Y e s A n y D o c t o r $ 0 . 0 0 $ 4 8 0 . 0 0 g e t b l u e m t . c o m / m a p d / d r u g l i s t H 0 1 0 7 0 0 6 0 B l u e C r o s s M e d i c a r e A d v a n t a g e F l e x ( P P O ) $ 2 2 2 . 4 0 Y e s A n y D o c t o r $ 3 1 . 9 0 $ 4 8 0 . 0 0 g e t b l u e m t . c o m / m a p d / d r u g l i s t H 0 1 0 7 8 0 1 0 B l u e C r o s s G r o u p M e d i c a r e A d v a n t a g e P l a n ( P P O ) N o t A v a i l a b l e Y e s A n y D o c t o r $ 3 3 . 4 0 $ 0 . 0 0 w w w . g e t b l u e m t . c o m / m a p d / d r u g l i s t H 0 1 0 7 8 0 2 0 B l u e C r o s s G r o u p M e d i c a r e A d v a n t a g e P l a n ( P P O ) N o t A v a i l a b l e Y e s A n y D o c t o r $ 3 3 . 4 0 $ 0 . 0 0 w w w . g e t b l u e m t . c o m / m a p d / d r u g l i s t H 0 1 0 7 8 0 3 0 B l u e C r o s s G r o u p M e d i c a r e A d v a n t a g e P l a n ( P P O ) C o m i n g S o o n N o A n y D o c t o r $ 0 . 0 0 $ 0 . 0 0 w w w . g e t b l u e m t . c o m / m a p d / d r u g l i s t H 0 1 0 7 8 0 4 0 B l u e C r o s s G r o u p M e d i c a r e A d v a n t a g e P l a n ( P P O ) C o m i n g S o o n N o A n y D o c t o r $ 0 . 0 0 $ 0 . 0 0 w w w . g e t b l u e m t . c o m / m a p d / d r u g l i s t H 0 1 0 7 8 0 5 0 B l u e C r o s s G r o u p M e d i c a r e A d v a n t a g e P l a n ( P P O ) N o t A v a i l a b l e Y e s A n y D o c t o r $ 3 3 . 4 0 $ 0 . 0 0 w w w . g e t b l u e m t . c o m / m a p d / d r u g l i s t H 0 1 0 7 8 0 6 0 B l u e C r o s s G r o u p M e d i c a r e A d v a n t a g e P l a n ( P P O ) N o t A v a i l a b l e Y e s A n y D o c t o r $ 3 3 . 4 0 $ 0 . 0 0 w w w . g e t b l u e m t . c o m / m a p d / d r u g l i s t H 0 1 0 7 8 0 7 0 B l u e C r o s s G r o u p M e d i c a r e A d v a n t a g e P l a n ( P P O ) N o t A v a i l a b l e Y e s A n y D o c t o r $ 3 3 . 4 0 $ 0 . 0 0 w w w . g e t b l u e m t . c o m / m a p d / d r u g l i s t H 0 1 1 1 0 0 1 0 W e l l c a r e N o P r e m i u m O p e n ( P P O ) $ 0 Y e s A n y D o c t o r $ 0 . 0 0 $ 7 5 . 0 0 w w w . w e l l c a r e . c o m / m e d i c a r e H 0 1 1 1 0 0 2 0 W e l l c a r e L o w P r e m i u m O p e n ( P P O ) $ 5 5 Y e s A n y D o c t o r $ 2 3 . 1 0 $ 1 5 0 . 0 0 w w w . w e l l c a r e . c o m / m e d i c a r e H 0 1 1 1 0 0 3 0 W e l l c a r e P r e m i u m E n h a n c e d O p e n ( P P O ) $ 8 5 Y e s A n y D o c t o r $ 2 1 . 3 0 $ 7 5 . 0 0 w w w . w e l l c a r e . c o m / m e d i c a r e H 0 1 1 1 0 0 4 0 W e l l c a r e D u a l A c c e s s O p e n ( P P O D - S N P ) $ 0 Y e s A n y D o c t o r $ 0 . 0 0 $ 4 8 0 . 0 0 w w w . w e l l c a r e . c o m / m e d i c a r e H 0 1 1 1 0 0 5 0 W e l l c a r e E n d u r a n c e O p e n ( P P O ) $ 0 Y e s A n y D o c t o r $ 0 . 0 0 $ 0 . 0 0 w w w . w e l l c a r e . c o m / m e d i c a r e H 0 1 1 2 0 0 1 0 P a l m B e a c h P A C E ( P A C E ) N o t A v a i l a b l e Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 2 8 5 . 6 0 $ 0 . 0 0 N / A H 0 1 1 2 0 0 2 0 P a l m B e a c h P A C E ( P A C E ) N o t A v a i l a b l e Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 8 1 9 . 2 0 $ 0 . 0 0 N / A H 0 1 3 7 0 0 1 0 C C A O n e C a r e ( M e d i c a r e - M e d i c a i d P l a n ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 w w w . c o m m o n w e a l t h c a r e a l l i a n c e . o r g / m e m b e r s / o n e - c a r e / 2 0 2 1 - o n e - c a r e - f o r m u l a r y / H 0 1 4 8 0 0 1 0 B l u e S h i e l d P r o m i s e C a l M e d i C o n n e c t P l a n ( M e d i c a r e - M e d i c a i d P l a n ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 b l u e s h i e l d c a . c o m / p r o m i s e / c m c p h a r m a c y H 0 1 4 8 0 0 2 0 B l u e S h i e l d P r o m i s e C a l M e d i C o n n e c t P l a n ( M e d i c a r e - M e d i c a i d P l a n ) $ 0 Y e s P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 b l u e s h i e l d c a . c o m / p r o m i s e / c m c p h a r m a c y H 0 1 5 4 0 0 8 0 V I V A M e d i c a r e S e l e c t ( H M O ) $ 0 N o P l a n D o c t o r s f o r M o s t S e r v i c e s $ 0 . 0 0 $ 0 . 0 0 h t t p : / / w w w . v i v a m e d i c a r e m e m b e r . c o m / D o w n l o a d . a s p x ? 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20. [XLS] 2014 Humana MGA Re-Order Form - HubSpot

• ... 060 Richmond (VA), H2012060. 705, Virginia, HMO, 2014 HMO MAPD Humana Gold Plus SNP-DE ... 2014 HMO MAPD Humana Gold Plus H6622-002 Milwaukee (WI), H6622002. 773 ...

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