Medicare Plans Summary Rank Plan Name States Type Score NCQA URL 1 Kaiser Foundation Health Plan of Southern California CA HMO 90.0 Yes www.kp.org 2 Kaiser Foundation Health Plan of Colorado CO HMO 89.9 Yes www.kp.org 3 Kaiser Foundation Health Plan of Northern California CA HMO 89.6 Yes www.kp.org 4 Capital Health Plan FL HMO 89.0 Yes www.capitalhealth.com 5 Kaiser Foundation Health Plan of the Northwest OR, WA HMO 88.4 Yes www.kp.org 6 Geisinger Health Plan PA HMO 88.4 Yes www.geisingergold.com 7 Kaiser Foundation Health Plan - Hawaii HI HMO 87.7 Yes www.kp.org 8 Fallon Community Health Plan MA HMO 87.6 Yes www.fchp.org 9 Group Health Cooperative WA HMO 87.6 Yes www.ghc.org 10 Group Health Plan MN, WI HMO 87.4 Yes www.healthpartners.com 11 Gundersen Lutheran Health Plan WI HMO 87.4 Yes www.glhealthplan.org 12 Kaiser Foundation Health Plan of the Mid-Atlantic States DC, MD, VA HMO 87.3 Yes www.kp.org 13 MVP HealthCare (Rochester/Buffalo) NY, VT HMO/POS 87.2 Yes www.mvphealthcare.com 14 Priority Health MI HMO/POS 87.2 Yes www.priorityhealth.com 15 Capital District Physicians' Health Plan NY HMO 86.6 Yes www.cdphp.com 16 Kaiser Foundation Health Plan of Ohio OH HMO 86.4 Yes www.kp.org 17 HealthPlus of Michigan MI HMO 86.3 Yes www.healthplus.org 18 Security Health Plan of Wisconsin WI HMO/POS 86.2 Yes www.securityhealth.org 19 MVP HealthCare (East/Central NY) NY, VT HMO/POS 86.1 Yes www.mvphealthcare.com 20 Excellus BlueCross BlueShield NY HMO 86.1 Yes www.excellusbcbs.com 20 Univera Healthcare NY HMO 86.1 Yes www.univerahealthcare.com 22 HealthAmerica Advantra PA HMO 86.0 Yes www.healthamerica.cvty.com 23 Independent Health Association NY HMO 85.9 Yes www.independenthealth.com 24 Aetna Health ME HMO 85.9 Yes www.aetna.com 25 Blue Cross and Blue Shield of Massachusetts MA PPO 85.8 Yes www.bcbsma.com 26 Health New England MA HMO/POS 85.7 Yes www.hne.com 27 Kaiser Foundation Health Plan of Georgia GA HMO 85.6 Yes www.kp.org 28 Medical Associates Health Plan IA, IL HMO 85.4 Yes www.mahealthcare.com 28 Medical Associates Health Plans WI HMO 85.4 Yes www.mahealthcare.com 30 Health First Health Plans FL HMO 85.3 Yes www.health-first.org 31 Blue Cross and Blue Shield of Massachusetts HMO Blue MA HMO 85.3 Yes www.bcbsma.com 32 Health Alliance Medical Plans IL PPO 85.2 Yes www.healthalliance.org 33 UPMC Health Network OH, PA, WV PPO 85.2 Yes www.upmchealthplan.com 34 HealthNow New York NY PPO 85.0 Yes www.healthnow.org 35 Excellus BlueCross BlueShield NY PPO 85.0 Yes www.excellusbcbs.com 36 Blue Care Network of Michigan MI HMO 84.9 Yes www.mibcn.com 37 Health Alliance Medical Plans IL HMO 84.9 Yes www.healthalliance.org 38 Empire BlueCross BlueShield NY PPO 84.9 Yes www.anthem.com 39 Keystone Health Plan Central PA HMO 84.8 Yes www.capbluecross.com 40 HealthNow New York NY HMO 84.8 Yes www.healthnow.org 41 Empire BlueCross BlueShield NY HMO 84.5 Yes www.empireblue.com 42 Health Alliance Plan of Michigan MI HMO 84.4 Yes www.hap.org 43 UnitedHealthcare Insurance ME PPO 84.3 Yes www.uhc.com Specific plan demographic data supplied by AIS's Directory of Health Plans (www.aishealth.com) Page: 1 of 12
Medicare Plans Summary 44 Scott and White Health Plan TX HMO 84.3 Yes www.swhp.org 45 PrimeTime Health Plan OH HMO 84.2 Yes www.primetimehealthplan.com 46 Aetna Health NY HMO 84.2 Yes www.aetna.com 47 Aetna Health (Pennsylvania) KS, MO HMO 84.1 Yes www.aetna.com 48 Aetna Health PA HMO 84.1 Yes www.aetna.com 49 Aetna Health (Pennsylvania) MA HMO 84.1 Yes www.aetna.com 50 UPMC Health Plan PA HMO 84.1 Yes www.upmchealthplan.com 51 Aetna Health (Pennsylvania) KY HMO 84.1 Yes www.aetna.com 52 Aetna Health (Pennsylvania) NC HMO 84.0 Yes www.aetna.com 53 QCC Insurance (Personal Choice) PA PPO 84.0 Yes www.ibx.com 54 Kaiser Foundation Health Plan of Northern California CA HMO 84.0 Yes www.kp.org (H6052) 55 Health Plan of the Upper Ohio Valley, The (Hometown OH, WV HMO 83.9 Yes www.healthplan.org Region) 56 Keystone Health Plan West PA HMO 83.9 Yes www.highmarkbcbs.com 57 Aetna Health CT HMO 83.7 Yes www.aetna.com 58 Aetna Life Insurance ME PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance IN PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance KS PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance RI PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance MI PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance AZ PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance OK PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance TN PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance KY PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance CA PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance MA PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance MS PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance MO PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance NM PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance WA PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance WV PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance WI PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance DC, MD PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance NV PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance NJ PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance NY PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance NC PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance OH PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance PA PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance VA PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance CO PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance CT PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance FL PPO 83.7 Yes www.aetna.com 58 Aetna Life Insurance IL PPO 83.7 Yes www.aetna.com Specific plan demographic data supplied by AIS's Directory of Health Plans (www.aishealth.com) Page: 2 of 12
Medicare Plans Summary 87 Keystone Health Plan East PA HMO 83.7 Yes www.ibx.com 88 UnitedHealthcare of Wisconsin WI HMO/POS 83.5 Yes www.uhc.com 89 SummaCare OH HMO/POS 83.5 Yes www.summacare.com 90 UnitedHealthcare of New England RI HMO 83.5 Yes www.uhc.com 91 Priority Health MI PPO 83.4 Yes www.priorityhealth.com 92 UnitedHealthcare of Oregon OR HMO 83.4 Yes www.pacificare.com 93 Aetna Health FL HMO 83.3 Yes www.aetna.com 94 AmeriHealth HMO NJ HMO 83.2 Yes www.amerihealth.com 95 Anthem Blue Cross and Blue Shield in Ohio OH PPO 83.2 Yes www.anthem.com 96 Humana Insurance (Wisconsin) WI PPO 83.2 Yes www.humana.com 97 Cariten Health Plan TN HMO 83.2 Yes www.humana-medicare.com 98 Horizon Healthcare of New Jersey NJ HMO/POS 83.1 Yes www.horizon-bcbsnj.com 99 Humana Medical Plan - Florida FL HMO/POS 83.0 Yes www.humana.com 100 Paramount Health Care MI, OH HMO 82.8 Yes www.paramounthealthcare.com 101 Humana Health Plan - Kansas City KS HMO 82.8 Yes www.humana.com 102 Health Net of California CA HMO 82.8 Yes www.healthnet.com 103 Humana Health Benefit Plan of Louisiana LA HMO 82.7 Yes www.humana.com 104 UnitedHealthcare Benefits of Texas TX HMO 82.5 Yes www.pacificare.com 105 Aetna Health NJ HMO 82.5 Yes www.aetna.com 106 Humana Benefit Plan of Illinois IL HMO 82.5 Yes www.humana.com 107 UnitedHealthcare of the Midlands IA, NE HMO/POS 82.3 Yes www.uhc.com 108 PacifiCare of Colorado CO HMO 82.3 Yes www.pacificare.com 109 AvMed Health Plans FL HMO 82.2 Yes www.avmed.org 110 UnitedHealthcare of Washington WA HMO 82.1 Yes www.pacificare.com 111 Aetna Health (Pennsylvania) DC, MD, VA HMO 82.1 Yes www.aetna.com 112 Presbyterian Health Plan NM HMO 82.1 Yes www.phs.org 113 HIP Health Plan of New York NY HMO 82.0 Yes www.hipusa.com 114 PacifiCare of Arizona AZ HMO 82.0 Yes www.pacificare.com 115 Anthem Blue Cross and Blue Shield in Indiana IN PPO 81.9 Yes www.anthem.com 116 Lovelace Health Plan NM HMO 81.9 Yes www.lovelacehealthplan.com 117 Presbyterian Insurance NM PPO 81.8 Yes www.phs.org 118 Aetna Health (Pennsylvania) OH HMO 81.8 Yes www.aetna.com 119 Aetna Health (Pennsylvania) DE HMO 81.8 Yes www.aetna.com 120 Humana Insurance (KS, MO) IL, KS, MO PPO 81.7 Yes www.humana.com 121 Humana Insurance (Illinois) IA, IL PPO 81.7 Yes www.humana.com 122 Anthem Blue Cross and Blue Shield in Ohio OH HMO 81.7 Yes www.anthem.com 123 UnitedHealthcare of California CA HMO 81.6 Yes www.pacificare.com 124 Anthem Blue Cross and Blue Shield in Kentucky KY PPO 81.6 Yes www.anthem.com 125 UnitedHealthcare Insurance (Regional) CT, MA, RI, VT PPO 81.6 Yes www.uhc.com 126 Aetna Life Insurance TX PPO 81.5 Yes www.aetna.com 127 UnitedHealthcare of North Carolina NC PPO 81.5 Yes www.uhc.com 128 UnitedHealthcare of the Midwest IL, MO HMO/POS 81.4 Yes www.uhc.com 129 Health Plan of the Upper Ohio Valley, The OH, WV HMO 81.4 Yes www.healthplan.org 130 UnitedHealthcare Insurance - Midwest IL, MO PPO 81.3 Yes www.uhc.com Specific plan demographic data supplied by AIS's Directory of Health Plans (www.aishealth.com) Page: 3 of 12
Medicare Plans Summary 131 Freedom Health FL HMO 81.3 Yes www.freedomhealth.com 132 UnitedHealthcare Insurance (Midlands) IA, NE HMO/POS 81.3 Yes www.uhc.com 133 Aetna Health (Pennsylvania) AZ, NV HMO 81.3 Yes www.aetna.com 134 Optimum Healthcare FL HMO 81.3 Yes www.youroptimumhealthcare.com 135 UnitedHealthcare Insurance MA HMO/POS 81.3 Yes www.uhc.com 136 United Healthcare of Arizona AZ HMO/POS 81.2 Yes www.uhc.com 137 Humana Insurance (Utah) UT PPO 81.1 Yes www.humana.com 138 Anthem Blue Cross and Blue Shield in Kentucky KY HMO 81.0 Yes www.anthem.com 139 UnitedHealthcare of Florida (H1080) FL HMO/POS 81.0 Yes www.uhc.com 140 Humana Insurance (Arizona) AZ PPO 80.9 Yes www.humana.com 141 Aetna Health GA HMO 80.9 Yes www.aetna.com 142 Oxford Health Plans NY HMO 80.8 Yes www.oxhp.com 143 Health Plan of Nevada NV HMO 80.7 Yes www.healthplanofnevada.com 144 Anthem Blue Cross and Blue Shield in Kentucky (Regional) IN, KY, OH PPO 80.6 Yes www.anthem.com 145 UnitedHealthcare Insurance OR PPO 80.6 Yes www.securehorizons.com 146 Aetna Health TX HMO 80.5 Yes www.aetna.com 147 UnitedHealthcare Insurance of New York NY PPO 80.5 Yes www.securehorizons.com 148 Humana Health Plan of Arizona AZ HMO 80.4 Yes www.humana.com 149 UnitedHealthcare Insurance (Indiana) AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT,WA,WI,WV,WY WI, WV, WY PPO 80.4 Yes www.uhc.com 150 Humana Insurance (Texas) AR, TX PPO 80.3 Yes www.humana.com 151 UnitedHealthcare Insurance OR, WA HMO/POS 80.3 Yes www.uhc.com 152 Humana Health Plan - Chicago Market IL HMO 80.3 Yes www.humana.com 153 UnitedHealthcare of Ohio KY, OH HMO/POS 80.3 Yes www.uhc.com 154 Humana Health Plan of Texas TX HMO 80.3 Yes www.humana.com 155 Humana Insurance (Ohio) IN, KY, OH, WV PPO 80.2 Yes www.humana.com 156 Humana Insurance (Kentucky) IN, KY PPO 80.2 Yes www.humana.com 157 Humana Healthplan of Ohio KY, OH HMO 80.2 Yes www.humana.com 158 UnitedHealthcare Insurance KS, MO HMO/POS 80.2 Yes www.securehorizons.com 159 UnitedHealthcare Insurance HI PPO 80.2 Yes www.mdxhawaii.com 160 Humana Insurance (Tennessee) AR, GA, MS, TN, VA PPO 80.1 Yes www.humana.com 161 Bravo Health Pennsylvania PA HMO 80.1 Yes www.bravohealth.com 162 UnitedHealthcare Insurance (Regional) FL PPO 80.1 Yes www.uhc.com 163 Blue Shield of California CA HMO 80.1 Yes www.blueshieldca.com 164 Aetna Health of California CA HMO 80.1 Yes www.aetna.com Specific plan demographic data supplied by AIS's Directory of Health Plans (www.aishealth.com) Page: 4 of 12
Medicare Plans Summary 165 UnitedHealthcare of Utah UT HMO/POS 80.0 Yes www.uhc.com 166 UnitedHealthcare Plan of the River Valley (H4456) IA, IL, TN, VA HMO/POS 80.0 Yes www.uhcrivervalley.com 167 Aetna Life Insurance GA PPO 79.8 Yes www.aetna.com 168 UnitedHealthcare of North Carolina NC HMO/POS 79.8 Yes www.uhc.com 169 UnitedHealthcare Insurance ID PPO 79.6 Yes www.securehorizons.com 170 UnitedHealthcare of Oklahoma OK HMO 79.5 Yes www.pacificare.com 171 Senior Partners by Bravo PA HMO 79.4 Yes www.bravohealth.com 172 Care1st Health Plan CA HMO 79.2 Yes www.care1st.com 173 UnitedHealthcare Insurance (Regional) HI PPO 79.2 Yes www.mdxhawaii.com 174 UnitedHealthcare Insurance GA HMO/POS 79.2 Yes www.uhc.com 175 Health Options (Florida Blue) FL HMO 79.2 Yes www.bcbsfl.com 176 PMC Medicare Choice PR HMO 79.1 Yes www.pmcpr.org 177 Health Plan of CareOregon OR POS 79.1 Yes www.careoregon.org 178 UnitedHealthcare Insurance SC HMO/POS 79.1 Yes www.uhc.com 179 MMM Healthcare PR HMO 79.1 Yes www.mmm-pr.com 180 UnitedHealthcare Insurance VA HMO/POS 78.9 Yes www.securehorizons.com 181 Bravo Health Mid-Atlantic DC, MD HMO 78.8 Yes www.bravohealth.com 182 UnitedHealthcare of Florida (H9011) FL HMO/POS 78.6 Yes www.uhc.com 183 UnitedHealthcare of New York NY HMO 78.6 Yes www.uhc.com 184 Bravo Health Texas TX HMO 78.6 Yes www.bravohealth.com 185 Community Health Plan of Washington WA HMO 78.6 Yes www.chpw.org 186 Anthem Blue Cross CA HMO 78.6 Yes www.anthem.com 187 UnitedHealthcare Insurance GA HMO/POS 78.3 Yes www.evercarehealthplans.com 188 UnitedHealthcare of Alabama AL HMO 78.2 Yes www.uhc.com 189 UnitedHealthcare Insurance KS PPO 78.2 Yes www.uhc.com 190 UnitedHealthcare of Arkansas AR HMO/POS 78.2 Yes www.evercarehealthplans.com 191 Oxford Health Plans NJ HMO/POS 78.1 Yes www.oxfordhealth.com 192 UnitedHealthcare Community Plan TX HMO 77.6 Yes www.evercarehealthplans.com 193 UnitedHealthcare Insurance NM, TX PPO 77.6 Yes www.uhc.com 194 UnitedHealthcare Insurance IL HMO/POS 77.4 Yes www.securehorizons.com 195 UnitedHealthcare Plan of the River Valley (H4406) IA, IL, TN, VA HMO/POS 76.9 Yes www.uhcrivervalley.com 196 Universal Health Care FL HMO/POS 75.5 Yes www.univhc.com 197 KelseyCare Advantage TX HMO 72.8 No www.kelseycareadvantage.com 198 Leon Medical Centers Health Plans FL HMO 72.3 No www.lmchealthplans.com 199 MVP HealthCare (Rochester/Buffalo) NY, VT PPO 72.2 No www.mvphealthcare.com 200 Providence Health Plans OR, WA HMO/POS 71.9 No www.providence.org/healthplans 201 Independent Health Association NY PPO 71.4 No www.independenthealth.com 202 UnitedHealthcare Insurance (Evercare) CO, IL, KS, MA, MD, MI, NJ, PA, TX, VA HMO 71.2 No www.evercarehealthplans.com 203 ConnectiCare CT HMO 70.5 No www.connecticare.com 204 Dean Health Plan WI HMO 70.4 No www.deancare.com 205 Keystone Health Plan Central PA PPO 70.4 No www.capbluecross.com 206 UCare MN HMO/POS 70.4 No www.ucare.org 207 Coventry Health Care/Mercy Health Plans MO HMO 70.4 No www.chcmissouri.com Specific plan demographic data supplied by AIS's Directory of Health Plans (www.aishealth.com) Page: 5 of 12
Medicare Plans Summary 208 CDPHP Universal Benefits NY PPO 70.4 No www.cdphp.com 209 Medica (Cost) MN HMO 70.2 No www.medica.com 210 HealthAmerica Advantra (H5522) OH, PA PPO 70.1 No www.healthamerica.cvty.com 211 Geisinger Indemnity Insurance PA PPO 70.1 No (Scheduled) www.thehealthplan.com 212 Essence Healthcare IL, MO HMO 70.0 No www.essencehealthcare.com 213 MVP HealthCare (East/Central NY) NY, VT PPO 70.0 No www.mvphealthcare.com 214 Florida Health Care Plans FL HMO/POS 69.8 No www.fhcp.com 215 Partnership Health Plan WI HMO 69.7 No www.communityhealthpartnership.com 216 UCare WI HMO/POS 69.4 No www.ucare.org 217 Anthem Blue Cross and Blue Shield - Connecticut CT HMO 69.4 No www.anthem.com 218 Banner MediSun AZ HMO 69.1 No www.bannermedisun.com 219 Coventry Health Care of Kansas KS, MO HMO 69.1 No www.chckansas.com 220 ODS Health Plan OR PPO 69.1 No www.odscompanies.com 221 Care N' Care Insurance TX PPO 68.9 No www.cnchealthplan.com 222 Indiana University Health Plans IN HMO/POS 68.9 No www.mplan.com 223 Coventry Health Care of Missouri IL, MO HMO/POS 68.8 No www.chcmissouri.com 224 Welborn Health Plans IN HMO 68.8 No www.welbornhealthplans.com 225 Health Net Life Insurance CA, OR, WA PPO 68.7 No www.healthnet.com 226 Blue Cross Blue Shield of North Carolina NC HMO 68.7 No www.bcbsnc.com 227 PacificSource OR HMO/POS 68.6 No www.clearonehp.com 228 Essence Healthcare WA HMO 68.6 No www.essencehealthcare.com 229 Blue Cross Blue Shield of North Carolina NC PPO 68.6 No www.bcbsnc.com 230 Coventry Health Care of Iowa IA HMO 68.5 No www.chciowa.com 231 FreedomBlue PA PPO 68.5 No www.highmarkblueshield.com 232 Marion Polk Community Health Plan Advantage OR PPO 68.5 No www.mpchpa.org 233 Commonwealth Care Alliance MA HMO 68.3 No www.commonwealthcare.org 234 Blue Cross of Idaho Health Services ID HMO 68.3 No www.bcidaho.com 235 Regence BlueShield WA PPO 68.2 No www.regence.wa.com 236 Cigna HealthCare of Arizona (Cigna Medicare Select Plus RX) AZ HMO 68.2 No www.cigna.com 237 Coventry Health Care of Iowa IA, SD PPO 68.1 No www.chcia.com 238 Rocky Mountain Health Plans CO, WY HMO 68.0 No www.rmhp.org 239 Health Alliance Plan of Michigan MI PPO 68.0 No www.hap.org 240 Northeast Community Care ME HMO 68.0 No www.arcadianhp.com 241 CareMore HealthPlan CA HMO 68.0 No www.caremore.org 242 Humana Insurance (IA, MO, NE) IA PPO 67.8 No www.humana.com 243 CarePlus Health Plans FL HMO 67.8 No www.careplus-hp.com 244 Blue Plus MN HMO 67.7 No www.bluecrossmn.com 245 Coventry Health Care of Illinois IL PPO 67.7 No www.personalcare.org 246 GEMCare Health Plan CA HMO 67.7 No www.gemcarehealthplan.com 247 Coventry Health and Life Insurance KS, MO PPO 67.6 No www.chckansas.com 248 Health Net of Arizona AZ HMO 67.6 No www.healthnet.com 249 Anthem Insurance Companies WI PPO 67.6 No www.anthem.com 250 HealthSpring of Tennessee TN HMO 67.5 No www.healthspring.com Specific plan demographic data supplied by AIS's Directory of Health Plans (www.aishealth.com) Page: 6 of 12
Medicare Plans Summary 251 Humana Benefit Plan of Illinois IL PPO 67.4 No www.humana.com 252 Soundpath Health WA HMO 67.4 No www.ourphsp.com 253 Samaritan Advantage Health Plans OR HMO 67.4 No www.samaritanadvantage.com 254 HealthAmerica Advantra (H8980) OH, PA PPO 67.4 No www.healthamerica.cvty.com 255 CareMore HealthPlan AZ HMO 67.4 No www.caremore.com 256 HealthPartners (MSHO) MN HMO 67.3 No www.healthpartners.com 257 SCAN Health Plan (Classic/Connections/Options/Signature) AZ, CA HMO 67.1 No www.scanhealthplan.com 258 Regence BlueCross BlueShield of Oregon OR, WA PPO 67.1 No www.regence.or.com 259 PrimeWest Health MN HMO 67.0 No www.primewest.org 260 Oxford Health Plans CT HMO 67.0 No (Scheduled) www.oxhp.com 261 ADVANTAGE Health Solutions IN PPO 67.0 No www.advantageplan.com 262 New West Health Services MT PPO 67.0 No www.newwesthealth.com 263 Oxford Health Plans - Connecticut CT HMO 67.0 No www.uhc.com 264 Coventry Health Care of Nebraska NE HMO 67.0 No www.chcne.com 265 Coventry Health Care/Mercy Health Plans AR, MO PPO 67.0 No www.chcmissouri.com 266 Regence BlueCross BlueShield of Utah UT PPO 66.9 No www.ut.regence.com 267 Humana Insurance (Indiana) IN, KY PPO 66.9 No www.humana.com 268 Group Health Incorporated NY PPO 66.8 No www.ghi.com 269 MetroPlus Health Plan NY HMO 66.8 No www.metroplus.org 270 Preferred Care Partners Health Plan FL HMO 66.7 No www.mypreferredcare.com 271 Asuris Northwest Health WA PPO 66.7 No www.asurisnorthwesthealth.com 272 SCAN Health Plan (Legacy/Connections) AZ, CA HMO 66.6 No www.scanhealthplan.com 273 HealthSpring TX HMO 66.6 No www.texashealthspring.com 274 Mt. Carmel Health Plan OH HMO 66.6 No www.mountcarmelhealth.com 275 Humana Insurance (Pennsylvania) PA PPO 66.5 No www.humana.com 276 Regence BlueShield of Idaho ID, WA PPO 66.5 No www.regence.com/id 277 UnitedHealthcare Insurance PA PPO 66.4 No www.evercarehealthplans.com 278 Humana Health Plan of Nevada NV HMO 66.4 No www.humana.com 279 Blue Cross Blue Shield of Georgia GA HMO 66.3 No www.bcbsga.com 280 Humana Insurance - Central North CA, CO, IA, ID, KS, MI, MN, MT, ND, NE, NV, OR, SD, WA, WY PPO 66.3 No www.humana.com 281 Group Health Options WA PPO 66.2 No www.ghc.org 282 Anthem Blue Cross Blue Shield in Virginia VA PPO 66.2 No www.anthem.com 283 UnitedHealthcare of Massachusetts (Evercare) MA HMO 66.1 No www.evercarehealthplans.com 284 HealthSpring AL HMO 66.1 No www.healthspring.com 285 American Progressive Life & Health Insurance of New York ME, NY, PA, VA PPO 66.0 No www.universal-american-medicare.com 286 Humana Insurance AL, AR, AZ, FL, GA, IL, IN, KS, KY, LA, MI, MO, MS, NC, OH, OK, PA, SC, TN, TX, VA, WI, WV PPO 66.0 No www.humana.com 287 HHIC FreedomBlue WV PPO 66.0 No www.highmarkbcbswv.com Specific plan demographic data supplied by AIS's Directory of Health Plans (www.aishealth.com) Page: 7 of 12
Medicare Plans Summary Rank Plan Name States Type Score NCQA URL 288 Humana Health Plan (Colorado) CO HMO 66.0 No (Scheduled) www.humana.com 289 Fidelis Care NY POS 66.0 No www.fideliscare.org 290 Humana Insurance (North Carolina) NC PPO 65.9 No www.humana.com 291 Triple-S Salud (H5732) PR HMO 65.8 No www.auxilioplatino.com 292 Humana Insurance (Georgia) GA PPO 65.8 No www.humana.com 293 CommunityCare Managed Healthcare Plans of Oklahoma OK HMO 65.7 No www.ccok.com 294 SCAN Health Plan (Gold/Gold Select/Silver) AZ, CA HMO 65.7 No www.scanhealthplan.com 295 Humana Medical Plan of Florida (AdvantageCare) FL HMO 65.7 No www.humana.com 296 Humana Insurance (Michigan) MI PPO 65.7 No www.humana.com 297 Anthem Insurance Companies MO PPO 65.7 No www.anthem.com 298 Partnership HealthPlan of California CA HMO 65.7 No www.partnershiphp.org 299 PacifiCare of Nevada NV HMO 65.6 No www.pacificare.com 300 Inter Valley Health Plan CA HMO 65.6 No www.ivhp.com 301 SelectCare of Texas TX HMO 65.5 No www.universalamerican.com 302 Elderplan NY HMO 65.3 No www.elderplan.org 303 Medica Healthcare Plans FL HMO 65.3 No www.medicaplans.com 304 HealthSpring Life and Health TX PPO 65.3 No www.healthspring.com 305 UnitedHealthcare Insurance MI HMO 65.3 No www.uhc.com 306 Blue Cross Blue and Shield of Florida (Florida Blue) FL PPO 65.3 No (Scheduled) www.bcbsfl.com 307 Physicians Health Choice of Texas TX HMO 65.3 No www.uhc.com 308 Trillium Community Health Plan OR HMO 65.2 No www.trilliumchp.com 309 Humana Insurance (Hawaii) HI PPO 65.2 No www.humana.com 310 CareMore HealthPlan NV HMO 65.1 No www.caremore.com 311 WellCare of Florida FL HMO 65.1 No (Scheduled) www.wellcare.com 312 Humana Insurance (Colorado) CO PPO 65.1 No www.humana.com 313 Managed Health NY HMO 65.0 No www.healthfirstny.com 314 Marion Polk Community Health Plan Advantage OR HMO 64.9 No www.mpchpa.org 315 HealthSpring of Tennessee MS HMO 64.9 No www.myhealthspring.com 316 Vantage Health Plan LA HMO/POS 64.8 No www.vhpla.com 317 HealthSpring of Illinois IL HMO 64.7 No www.healthspring.com 318 UnitedHealthcare of Washington (Evercare) WA HMO 64.7 No www.uhc.com 319 Denver Health Medical Plan CO HMO 64.7 No www.denverhealth.org 320 Chinese Community Health Plan CA HMO 64.6 No www.cchphmo.com 321 Humana Medical Plan of Utah UT HMO 64.6 No www.humana.com 322 Humana Insurance (South Carolina) SC PPO 64.5 No www.humana.com 323 Humana Insurance (Arkansas) AR PPO 64.5 No www.humana.com 324 Physicians United Plan FL HMO 64.5 No www.pupcorp.com 325 SCAN Health Plan (Arizona Classic/Connections) AZ, CA HMO 64.4 No www.scanhealthplan.com 326 Blue Cross Blue and Shield of Florida (Florida Blue) FL PPO 64.4 No (Scheduled) www.bcbsfl.com 327 Northeast Community Care NY HMO 64.4 No www.arcadianhp.com 328 Mercy Care Plan AZ HMO 64.2 No www.mercycareplan.com 329 First Health Life and Health Insurance TX PPO 64.2 No www.coventryhealth.com 330 Humana Insurance (West Virginia) KY, VA, WV PPO 64.1 No www.humana.com Specific plan demographic data supplied by AIS's Directory of Health Plans (www.aishealth.com) Page: 8 of 12
Medicare Plans Summary Rank Plan Name States Type Score NCQA URL 331 Health Choice Generations AZ HMO 64.1 No www.hcgenerations.com 332 UnitedHealthcare of Colorado CO HMO 64.1 No www.uhc.com 333 WellCare of New York NY HMO 64.0 No www.wellcare.com 334 ATRIO Health Plans OR HMO 64.0 No www.atriohp.com 335 WellCare of Connecticut CT HMO 63.9 No www.wellcare.com 336 Blue Cross and Blue Shield of Alabama AL PPO 63.9 No www.bcbsal.com 337 Medical Card System (H5577) PR HMO 63.8 No www.medicalcardsystem.com 338 Humana Health Plan - East/South AL, AR, ID, IN, KY, HMO 63.7 No www.humana.com NE, SC, VA 339 Humana Health Benefit Plan of Louisiana LA PPO 63.7 No www.humana.com 340 WellCare of Louisiana LA HMO 63.6 No www.wellcare.com 341 Sierra Health & Life (Regional) NV PPO 63.6 No www.uhc.com 342 UnitedHealthcare Insurance CT PPO 63.5 No www.evercarehealthplans.com 343 Humana Insurance (Virginia) VA PPO 63.5 No www.humana.com 344 Colorado Access Health Plan CO HMO 63.5 No www.coaccess.com 345 Sierra Health & Life NV PPO 63.5 No www.uhc.com 346 Triple-S Salud PR PPO 63.5 No www.ssspr.com 347 Medical Card System (H4006) PR HMO 63.4 No www.medicalcardsystem.com 348 UnitedHealthcare Insurance NM PPO 63.3 No www.uhc.com 349 Humana Insurance (Las Vegas) NV PPO 63.3 No www.humana.com 350 Independent Care Health Plan WI HMO 63.2 No www.icare-wi.org 351 SelectCare Health Plans IN, TX HMO 63.2 No www.sctexas.com 352 Citizens Choice Healthplan CA HMO 63.2 No www.citizenschoicehealth.com 353 Brand New Day CA HMO 63.2 No www.hmocalif.com 354 Southeast Community Care SC HMO 63.1 No www.arcadianhp.com 355 HealthSun Health Plans FL HMO 63.1 No www.health-sun.com 356 WellCare of Ohio OH HMO 63.0 No www.wellcare.com 357 Health Plan of San Mateo CA HMO 63.0 No www.hpsm.org 358 Humana Insurance (Oklahoma) OK PPO 62.9 No www.humana.com 359 WellCare of Texas TX HMO 62.9 No www.wellcare.com 360 Humana Health Plan of New Mexico NM HMO 62.8 No www.humana.com 361 WellCare of New Jersey NJ HMO 62.8 No www.wellcare.com 362 Molina Healthcare of Michigan MI HMO 62.8 No www.molinahealthcare.com 363 Humana Insurance Puerto Rico PR PPO 62.7 No www.humana.com 364 Touchstone Health NY HMO 62.6 No www.touchstone-health.com 365 JMH Health Plan FL HMO 62.4 No www.jmhhp.com 366 Harmony Health Plan of Illinois IL HMO 62.4 No www.harmonyhpi.com 367 UnitedHealthcare Insurance GA PPO 62.4 No www.securehorizons.com 368 Harmony Health Plan of Missouri MO HMO 62.3 No www.harmonyhpm.com 369 Desert Canyon Community Care AZ HMO 62.2 No www.arcadianhp.com 370 Texas Community Care TX HMO 62.2 No www.arcadianhp.com 371 Universal Health Care FL, MA PPO 62.2 No www.univhc.com 372 Southeast Community Care NC HMO 62.2 No www.arcadianhp.com 373 Today's Options of Oklahoma OK HMO 62.1 No www.universal-american-medicare.com Specific plan demographic data supplied by AIS's Directory of Health Plans (www.aishealth.com) Page: 9 of 12
Medicare Plans Summary 374 Humana Insurance (Mississippi) MS PPO 62.1 No www.humana.com 375 Arcadian Health Plan CA, MO, NH, VA, WA HMO 62.0 No www.arcadianhp.com 376 Humana Insurance (New Mexico) NM PPO 62.0 No www.humana.com 377 Inland Empire Health Plan CA HMO 62.0 No www.iehp.org 378 Triple-S Salud (H4012) PR HMO 61.8 No www.ssspr.com 379 American Health PR HMO/POS 61.8 No www.ahmpr.com 380 WellCare of Georgia GA HMO 61.7 No www.wellcare.com 381 Pyramid Life Insurance AR, GA, IA, IN, MO, MS, MT, NC, NE, OK, SC, TX, WI PPO 61.7 No www.universal-american-medicare.com 382 MAPFRE Life Insurance PR HMO 61.7 No www.mapfrelife.com 383 Humana Insurance (Alabama) AL PPO 61.5 No www.humana.com 384 Humana Health Plans of Puerto Rico PR HMO 61.2 No www.humana.com 385 Healthfirst Health Plan of New Jersey NJ HMO 61.2 No www.healthfirstnj.com 386 Southeast Community Care GA HMO 61.1 No www.arcadianhp.com 387 Arcadian Health Plan OK HMO 61.1 No www.arcadianhp.com 388 Citrus Health Care FL HMO/POS 61.0 No www.uhc.com 389 Windsor Health Plan AL, AR, MS, SC, TN HMO 61.0 No (Scheduled) www.windsorextra.com 390 Liberty Health Advantage NY HMO 60.8 No www.libertyhealthadvantage.com 391 Arkansas Community Care AR, TX HMO 60.6 No www.arkansascommunitycare.com 392 Arcadian Community Care LA HMO 60.5 No www.arcadianhp.com 393 Easy Choice Health Plan CA HMO 58.6 No www.easychoicehealthplan.com 394 Central Health Plan of California CA HMO 58.3 No www.centralhealthplan.com 395 L.A. Care Health Plan CA HMO 58.1 No www.lacare.org Partial Data Reported ADVANTAGE Health Solutions IN HMO No www.advantageplan.com Partial Data Reported Aetna Health (Pennsylvania) IL HMO Yes www.aetna.com Partial Data Reported Aetna Health (Pennsylvania) TN HMO Yes www.aetna.com Partial Data Reported Aetna Health (Pennsylvania) OK HMO Yes www.aetna.com Partial Data Reported Aetna Health (Pennsylvania) CO HMO Yes www.aetna.com Partial Data Reported Aetna Life Insurance HI PPO Yes www.aetna.com Partial Data Reported Aetna Life Insurance SC PPO Yes www.aetna.com Partial Data Reported Aetna Life Insurance DE PPO Yes www.aetna.com Partial Data Reported Anthem Blue Cross and Blue Shield NV PPO No www.wellpoint.com Partial Data Reported Anthem Blue Cross Life and Health Insurance CA PPO Yes www.bluecrossca.com Partial Data Reported ATRIO Health Plans OR PPO No www.atriohp.com Partial Data Reported Blue Cross of Idaho Health Services ID PPO No www.bcidaho.com Partial Data Reported Coventry Health Care of Nebraska NE PPO No www.chcne.com Partial Data Reported Hawaii Medical Service Association HI PPO Yes www.hmsa.com Partial Data Reported Hawaii Medical Service Association HI PPO Yes www.hmsa.com Partial Data Reported HealthSpring Life and Health GA HMO No www.healthspring.com Partial Data Reported HMO Colorado CO HMO No www.anthem.com Partial Data Reported Humana Employers Health Plan of Georgia GA HMO No (In Process) www.humana.com Partial Data Reported Humana Health Insurance of Florida FL PPO No www.humana.com Specific plan demographic data supplied by AIS's Directory of Health Plans (www.aishealth.com) Page: 10 of 12
Medicare Plans Summary Rank Plan Name States Type Score NCQA URL Partial Data Reported Humana Health Plan - Kentucky IN, KY HMO Yes www.humana.com Partial Data Reported Humana Health Plan Of California CA HMO No www.humana.com Partial Data Reported Humana New York NY PPO No www.humana.com Partial Data Reported Humana Wisconsin Health Organization Insurance WI HMO/POS Yes www.humana.com Partial Data Reported PrimeTime Health Plan OH PPO No www.aultcare.com Partial Data Reported UnitedHealthcare Insurance MA, RI PPO No www.evercarehealthplans.com Partial Data Reported UnitedHealthcare Insurance FL PPO No (Scheduled) www.uhc.com Partial Data Reported UnitedHealthcare Insurance PA PPO No www.evercarehealthplans.com Partial Data Reported UnitedHealthcare Insurance OH PPO No www.securehorizons.com Partial Data Reported UnitedHealthcare Insurance (Evercare) FL PPO No (Scheduled) www.evercarehealthplans.com Partial Data Reported UnitedHealthcare Insurance for EverCare DC, DE, MD, VA PPO No www.evercarehealthplans.com Partial Data Reported UnitedHealthcare Insurance for EverCare CO PPO No www.evercarehealthplans.com Partial Data Reported UnitedHealthcare of Arizona AZ PPO No www.uhc.com Partial Data Reported Universal Health Care FL HMO/POS Yes www.univhc.com Partial Data Reported WellCare Health Insurance of Arizona HI HMO No www.ohanahealthplan.com No Data Reported Altius Health Plans UT, WY POS www.altiushealthplans.com No Data Reported AMERIGROUP Texas TX HMO www.amerigroupcorp.com No Data Reported Arizona Physicians IPA AZ HMO www.apipa.com No Data Reported Blue Cross & Blue Shield of Rhode Island RI POS www.bcbsri.com No Data Reported Blue Cross Blue Shield of Michigan MI PPO www.bcbsm.com No Data Reported Blue Cross Blue Shield of Minnesota MN HMO www.bluecrossmn.com No Data Reported BlueChoice HealthPlan of South Carolina SC PPO www.bluechoicesc.com No Data Reported BlueCross BlueShield Northern Plains Alliance IA, MN, MT, ND, NE, PPO www.bluecrossmn.com SD, WY No Data Reported BlueCross BlueShield of Tennessee TN PPO www.bcbst.com No Data Reported CalOptima CA HMO www.caloptima.org No Data Reported Care Improvement Plus of Texas TX PPO www.careimprovementplus.com No Data Reported Care Improvement Plus of Texas TX PPO www.careimprovementplus.com No Data Reported Care Improvement Plus South Central Insurance AR, MO PPO www.careimprovementplus.com No Data Reported Care Improvement Plus South Central Insurance GA, SC PPO www.careimprovementplus.com No Data Reported Coventry Summit Health Plan FL HMO www.summithealthplan.com No Data Reported Deseret Healthcare Employee Benefits Trust UT HMO www.dmba.com No Data Reported First Medical Health Plan PR PPO www.fpweb.net No Data Reported Gateway Health Plan PA HMO www.gatewayhealthplan.com No Data Reported Hometown Health - Nevada NV HMO www.hometownhealth.com No Data Reported Magnolia Health Plan MS HMO www.medicaid.ms.gov No Data Reported Martin's Point Health Care ME HMO www.martinspoint.org No Data Reported MD Care Health Plan CA HMO www.mdcareadvantage.com No Data Reported Medica MN HMO www.medica.com No Data Reported Molina Healthcare of Utah UT HMO www.molinahealthcare.com No Data Reported Network Health Insurance (NHIC) WI PPO www.nppdrugplans.com No Data Reported Peoples Health Network LA HMO/POS www.peopleshealth.com No Data Reported Quality Health Plans FL HMO www.qualityhealthplans.com No Data Reported Senior Whole Health MA, NY HMO www.seniorwholehealth.com Specific plan demographic data supplied by AIS's Directory of Health Plans (www.aishealth.com) Page: 11 of 12
Medicare Plans Summary Rank Plan Name States Type Score NCQA URL No Data Reported Sterling Life Insurance WA PPO www.windsorhealthgroup.com No Data Reported Tufts Associated Health Maintenance Organization MA HMO www.tufts-healthplan.com No Data Reported UCare (H2456) MN HMO www.ucare.org No Data Reported UnitedHealthcare of Pennsylvania PA HMO www.unisonhealthplan.com No Data Reported UnitedHealthcare Plan of the River Valley (H0251) TN HMO www.uhcrivervalley.com No Data Reported Vista Healthplan of South Florida FL HMO www.vistahealthplan.com No Data Reported VIVA Health AL HMO www.vivahealth.com No Data Reported Windsor Health Plan MS HMO www.windsorextra.com Specific plan demographic data supplied by AIS's Directory of Health Plans (www.aishealth.com) Page: 12 of 12
Medicare HMO POS Plans Summary 1 Kaiser Foundation Health Plan of Southern California CA HMO 90.0 Yes www.kp.org 2 Kaiser Foundation Health Plan of Colorado CO HMO 89.9 Yes www.kp.org 3 Kaiser Foundation Health Plan of Northern California CA HMO 89.6 Yes www.kp.org 4 Capital Health Plan FL HMO 89.0 Yes www.capitalhealth.com 5 Kaiser Foundation Health Plan of the Northwest OR, WA HMO 88.4 Yes www.kp.org 6 Geisinger Health Plan PA HMO 88.4 Yes www.geisingergold.com 7 Kaiser Foundation Health Plan - Hawaii HI HMO 87.7 Yes www.kp.org 8 Fallon Community Health Plan MA HMO 87.6 Yes www.fchp.org 9 Group Health Cooperative WA HMO 87.6 Yes www.ghc.org 10 Group Health Plan MN, WI HMO 87.4 Yes www.healthpartners.com 11 Gundersen Lutheran Health Plan WI HMO 87.4 Yes www.glhealthplan.org 12 Kaiser Foundation Health Plan of the Mid-Atlantic States DC, MD, VA HMO 87.3 Yes www.kp.org 13 MVP HealthCare (Rochester/Buffalo) NY, VT HMO/POS 87.2 Yes www.mvphealthcare.com 14 Priority Health MI HMO/POS 87.2 Yes www.priorityhealth.com 15 Capital District Physicians' Health Plan NY HMO 86.6 Yes www.cdphp.com 16 Kaiser Foundation Health Plan of Ohio OH HMO 86.4 Yes www.kp.org 17 HealthPlus of Michigan MI HMO 86.3 Yes www.healthplus.org 18 Security Health Plan of Wisconsin WI HMO/POS 86.2 Yes www.securityhealth.org 19 MVP HealthCare (East/Central NY) NY, VT HMO/POS 86.1 Yes www.mvphealthcare.com 20 Excellus BlueCross BlueShield NY HMO 86.1 Yes www.excellusbcbs.com 20 Univera Healthcare NY HMO 86.1 Yes www.univerahealthcare.com 22 HealthAmerica Advantra PA HMO 86.0 Yes www.healthamerica.cvty.com 23 Independent Health Association NY HMO 85.9 Yes www.independenthealth.com 24 Aetna Health ME HMO 85.9 Yes www.aetna.com 26 Health New England MA HMO/POS 85.7 Yes www.hne.com 27 Kaiser Foundation Health Plan of Georgia GA HMO 85.6 Yes www.kp.org 28 Medical Associates Health Plan IA, IL HMO 85.4 Yes www.mahealthcare.com 28 Medical Associates Health Plans WI HMO 85.4 Yes www.mahealthcare.com 30 Health First Health Plans FL HMO 85.3 Yes www.health-first.org 31 Blue Cross and Blue Shield of Massachusetts HMO Blue MA HMO 85.3 Yes www.bcbsma.com 36 Blue Care Network of Michigan MI HMO 84.9 Yes www.mibcn.com 37 Health Alliance Medical Plans IL HMO 84.9 Yes www.healthalliance.org 39 Keystone Health Plan Central PA HMO 84.8 Yes www.capbluecross.com 40 HealthNow New York NY HMO 84.8 Yes www.healthnow.org 41 Empire BlueCross BlueShield NY HMO 84.5 Yes www.empireblue.com 42 Health Alliance Plan of Michigan MI HMO 84.4 Yes www.hap.org 44 Scott and White Health Plan TX HMO 84.3 Yes www.swhp.org Specific plan demographic data supplied by AIS's Directory of Health Plans (www.aishealth.com) Page: 1 of 9
Medicare HMO POS Plans Summary 45 PrimeTime Health Plan OH HMO 84.2 Yes www.primetimehealthplan.com 46 Aetna Health NY HMO 84.2 Yes www.aetna.com 47 Aetna Health (Pennsylvania) KS, MO HMO 84.1 Yes www.aetna.com 48 Aetna Health PA HMO 84.1 Yes www.aetna.com 49 Aetna Health (Pennsylvania) MA HMO 84.1 Yes www.aetna.com 50 UPMC Health Plan PA HMO 84.1 Yes www.upmchealthplan.com 51 Aetna Health (Pennsylvania) KY HMO 84.1 Yes www.aetna.com 52 Aetna Health (Pennsylvania) NC HMO 84.0 Yes www.aetna.com 54 Kaiser Foundation Health Plan of Northern California (H6052) CA HMO 84.0 Yes www.kp.org 55 Health Plan of the Upper Ohio Valley, The (Hometown OH, WV HMO 83.9 Yes www.healthplan.org Region) 56 Keystone Health Plan West PA HMO 83.9 Yes www.highmarkbcbs.com 57 Aetna Health CT HMO 83.7 Yes www.aetna.com 87 Keystone Health Plan East PA HMO 83.7 Yes www.ibx.com 88 UnitedHealthcare of Wisconsin WI HMO/POS 83.5 Yes www.uhc.com 89 SummaCare OH HMO/POS 83.5 Yes www.summacare.com 90 UnitedHealthcare of New England RI HMO 83.5 Yes www.uhc.com 92 UnitedHealthcare of Oregon OR HMO 83.4 Yes www.pacificare.com 93 Aetna Health FL HMO 83.3 Yes www.aetna.com 94 AmeriHealth HMO NJ HMO 83.2 Yes www.amerihealth.com 97 Cariten Health Plan TN HMO 83.2 Yes www.humana-medicare.com 98 Horizon Healthcare of New Jersey NJ HMO/POS 83.1 Yes www.horizon-bcbsnj.com 99 Humana Medical Plan - Florida FL HMO/POS 83.0 Yes www.humana.com 100 Paramount Health Care MI, OH HMO 82.8 Yes www.paramounthealthcare.com 101 Humana Health Plan - Kansas City KS HMO 82.8 Yes www.humana.com 102 Health Net of California CA HMO 82.8 Yes www.healthnet.com 103 Humana Health Benefit Plan of Louisiana LA HMO 82.7 Yes www.humana.com 104 UnitedHealthcare Benefits of Texas TX HMO 82.5 Yes www.pacificare.com 105 Aetna Health NJ HMO 82.5 Yes www.aetna.com 106 Humana Benefit Plan of Illinois IL HMO 82.5 Yes www.humana.com 107 UnitedHealthcare of the Midlands IA, NE HMO/POS 82.3 Yes www.uhc.com 108 PacifiCare of Colorado CO HMO 82.3 Yes www.pacificare.com 109 AvMed Health Plans FL HMO 82.2 Yes www.avmed.org 110 UnitedHealthcare of Washington WA HMO 82.1 Yes www.pacificare.com 111 Aetna Health (Pennsylvania) DC, MD, VA HMO 82.1 Yes www.aetna.com 112 Presbyterian Health Plan NM HMO 82.1 Yes www.phs.org 113 HIP Health Plan of New York NY HMO 82.0 Yes www.hipusa.com 114 PacifiCare of Arizona AZ HMO 82.0 Yes www.pacificare.com Specific plan demographic data supplied by AIS's Directory of Health Plans (www.aishealth.com) Page: 2 of 9
Medicare HMO POS Plans Summary 116 Lovelace Health Plan NM HMO 81.9 Yes www.lovelacehealthplan.com 118 Aetna Health (Pennsylvania) OH HMO 81.8 Yes www.aetna.com 119 Aetna Health (Pennsylvania) DE HMO 81.8 Yes www.aetna.com 122 Anthem Blue Cross and Blue Shield in Ohio OH HMO 81.7 Yes www.anthem.com 123 UnitedHealthcare of California CA HMO 81.6 Yes www.pacificare.com 128 UnitedHealthcare of the Midwest IL, MO HMO/POS 81.4 Yes www.uhc.com 129 Health Plan of the Upper Ohio Valley, The OH, WV HMO 81.4 Yes www.healthplan.org 131 Freedom Health FL HMO 81.3 Yes www.freedomhealth.com 132 UnitedHealthcare Insurance (Midlands) IA, NE HMO/POS 81.3 Yes www.uhc.com 133 Aetna Health (Pennsylvania) AZ, NV HMO 81.3 Yes www.aetna.com 134 Optimum Healthcare FL HMO 81.3 Yes www.youroptimumhealthcare.com 135 UnitedHealthcare Insurance MA HMO/POS 81.3 Yes www.uhc.com 136 United Healthcare of Arizona AZ HMO/POS 81.2 Yes www.uhc.com 138 Anthem Blue Cross and Blue Shield in Kentucky KY HMO 81.0 Yes www.anthem.com 139 UnitedHealthcare of Florida (H1080) FL HMO/POS 81.0 Yes www.uhc.com 141 Aetna Health GA HMO 80.9 Yes www.aetna.com 142 Oxford Health Plans NY HMO 80.8 Yes www.oxhp.com 143 Health Plan of Nevada NV HMO 80.7 Yes www.healthplanofnevada.com 146 Aetna Health TX HMO 80.5 Yes www.aetna.com 148 Humana Health Plan of Arizona AZ HMO 80.4 Yes www.humana.com 151 UnitedHealthcare Insurance OR, WA HMO/POS 80.3 Yes www.uhc.com 152 Humana Health Plan - Chicago Market IL HMO 80.3 Yes www.humana.com 153 UnitedHealthcare of Ohio KY, OH HMO/POS 80.3 Yes www.uhc.com 154 Humana Health Plan of Texas TX HMO 80.3 Yes www.humana.com 157 Humana Healthplan of Ohio KY, OH HMO 80.2 Yes www.humana.com 158 UnitedHealthcare Insurance KS, MO HMO/POS 80.2 Yes www.securehorizons.com 161 Bravo Health Pennsylvania PA HMO 80.1 Yes www.bravohealth.com 163 Blue Shield of California CA HMO 80.1 Yes www.blueshieldca.com 164 Aetna Health of California CA HMO 80.1 Yes www.aetna.com 165 UnitedHealthcare of Utah UT HMO/POS 80.0 Yes www.uhc.com 166 UnitedHealthcare Plan of the River Valley (H4456) IA, IL, TN, VA HMO/POS 80.0 Yes www.uhcrivervalley.com 168 UnitedHealthcare of North Carolina NC HMO/POS 79.8 Yes www.uhc.com 170 UnitedHealthcare of Oklahoma OK HMO 79.5 Yes www.pacificare.com 171 Senior Partners by Bravo PA HMO 79.4 Yes www.bravohealth.com 172 Care1st Health Plan CA HMO 79.2 Yes www.care1st.com 174 UnitedHealthcare Insurance GA HMO/POS 79.2 Yes www.uhc.com 175 Health Options (Florida Blue) FL HMO 79.2 Yes www.bcbsfl.com 176 PMC Medicare Choice PR HMO 79.1 Yes www.pmcpr.org Specific plan demographic data supplied by AIS's Directory of Health Plans (www.aishealth.com) Page: 3 of 9
Medicare HMO POS Plans Summary 177 Health Plan of CareOregon OR POS 79.1 Yes www.careoregon.org 178 UnitedHealthcare Insurance SC HMO/POS 79.1 Yes www.uhc.com 179 MMM Healthcare PR HMO 79.1 Yes www.mmm-pr.com 180 UnitedHealthcare Insurance VA HMO/POS 78.9 Yes www.securehorizons.com 181 Bravo Health Mid-Atlantic DC, MD HMO 78.8 Yes www.bravohealth.com 182 UnitedHealthcare of Florida (H9011) FL HMO/POS 78.6 Yes www.uhc.com 183 UnitedHealthcare of New York NY HMO 78.6 Yes www.uhc.com 184 Bravo Health Texas TX HMO 78.6 Yes www.bravohealth.com 185 Community Health Plan of Washington WA HMO 78.6 Yes www.chpw.org 186 Anthem Blue Cross CA HMO 78.6 Yes www.anthem.com 187 UnitedHealthcare Insurance GA HMO/POS 78.3 Yes www.evercarehealthplans.com 188 UnitedHealthcare of Alabama AL HMO 78.2 Yes www.uhc.com 190 UnitedHealthcare of Arkansas AR HMO/POS 78.2 Yes www.evercarehealthplans.com 191 Oxford Health Plans NJ HMO/POS 78.1 Yes www.oxfordhealth.com 192 UnitedHealthcare Community Plan TX HMO 77.6 Yes www.evercarehealthplans.com 194 UnitedHealthcare Insurance IL HMO/POS 77.4 Yes www.securehorizons.com 195 UnitedHealthcare Plan of the River Valley (H4406) IA, IL, TN, VA HMO/POS 76.9 Yes www.uhcrivervalley.com 196 Universal Health Care FL HMO/POS 75.5 Yes www.univhc.com 197 KelseyCare Advantage TX HMO 72.8 No www.kelseycareadvantage.com 198 Leon Medical Centers Health Plans FL HMO 72.3 No www.lmchealthplans.com 200 Providence Health Plans OR, WA HMO/POS 71.9 No www.providence.org/healthplans/ 202 UnitedHealthcare Insurance (Evercare) CO, IL, KS, MA, HMO 71.2 No www.evercarehealthplans.com MD, MI, NJ, PA, TX, VA 203 ConnectiCare CT HMO 70.5 No www.connecticare.com 204 Dean Health Plan WI HMO 70.4 No www.deancare.com 206 UCare MN HMO/POS 70.4 No www.ucare.org 207 Coventry Health Care/Mercy Health Plans MO HMO 70.4 No www.chcmissouri.com 209 Medica (Cost) MN HMO 70.2 No www.medica.com 212 Essence Healthcare IL, MO HMO 70.0 No www.essencehealthcare.com 214 Florida Health Care Plans FL HMO/POS 69.8 No www.fhcp.com 215 Partnership Health Plan WI HMO 69.7 No www.communityhealthpartnership.com 216 UCare WI HMO/POS 69.4 No www.ucare.org 217 Anthem Blue Cross and Blue Shield - Connecticut CT HMO 69.4 No www.anthem.com 218 Banner MediSun AZ HMO 69.1 No www.bannermedisun.com 219 Coventry Health Care of Kansas KS, MO HMO 69.1 No www.chckansas.com 222 Indiana University Health Plans IN HMO/POS 68.9 No www.mplan.com 223 Coventry Health Care of Missouri IL, MO HMO/POS 68.8 No www.chcmissouri.com 224 Welborn Health Plans IN HMO 68.8 No www.welbornhealthplans.com Specific plan demographic data supplied by AIS's Directory of Health Plans (www.aishealth.com) Page: 4 of 9
Medicare HMO POS Plans Summary 226 Blue Cross Blue Shield of North Carolina NC HMO 68.7 No www.bcbsnc.com 227 PacificSource OR HMO/POS 68.6 No www.clearonehp.com 228 Essence Healthcare WA HMO 68.6 No www.essencehealthcare.com 230 Coventry Health Care of Iowa IA HMO 68.5 No www.chciowa.com 233 Commonwealth Care Alliance MA HMO 68.3 No www.commonwealthcare.org 234 Blue Cross of Idaho Health Services ID HMO 68.3 No www.bcidaho.com 236 Cigna HealthCare of Arizona (Cigna Medicare Select Plus RX) AZ HMO 68.2 No www.cigna.com 238 Rocky Mountain Health Plans CO, WY HMO 68.0 No www.rmhp.org 240 Northeast Community Care ME HMO 68.0 No www.arcadianhp.com 241 CareMore HealthPlan CA HMO 68.0 No www.caremore.org 243 CarePlus Health Plans FL HMO 67.8 No www.careplus-hp.com 244 Blue Plus MN HMO 67.7 No www.bluecrossmn.com 246 GEMCare Health Plan CA HMO 67.7 No www.gemcarehealthplan.com 248 Health Net of Arizona AZ HMO 67.6 No www.healthnet.com 250 HealthSpring of Tennessee TN HMO 67.5 No www.healthspring.com 252 Soundpath Health WA HMO 67.4 No www.ourphsp.com 253 Samaritan Advantage Health Plans OR HMO 67.4 No www.samaritanadvantage.com 255 CareMore HealthPlan AZ HMO 67.4 No www.caremore.com 256 HealthPartners (MSHO) MN HMO 67.3 No www.healthpartners.com 257 SCAN Health Plan (Classic/Connections/Options/Signature) AZ, CA HMO 67.1 No www.scanhealthplan.com 259 PrimeWest Health MN HMO 67.0 No www.primewest.org 260 Oxford Health Plans CT HMO 67.0 No (Scheduled) www.oxhp.com 263 Oxford Health Plans - Connecticut CT HMO 67.0 No www.uhc.com 264 Coventry Health Care of Nebraska NE HMO 67.0 No www.chcne.com 269 MetroPlus Health Plan NY HMO 66.8 No www.metroplus.org 270 Preferred Care Partners Health Plan FL HMO 66.7 No www.mypreferredcare.com 272 SCAN Health Plan (Legacy/Connections) AZ, CA HMO 66.6 No www.scanhealthplan.com 273 HealthSpring TX HMO 66.6 No www.texashealthspring.com 274 Mt. Carmel Health Plan OH HMO 66.6 No www.mountcarmelhealth.com 278 Humana Health Plan of Nevada NV HMO 66.4 No www.humana.com 279 Blue Cross Blue Shield of Georgia GA HMO 66.3 No www.bcbsga.com 283 UnitedHealthcare of Massachusetts (Evercare) MA HMO 66.1 No www.evercarehealthplans.com 284 HealthSpring AL HMO 66.1 No www.healthspring.com 288 Humana Health Plan (Colorado) CO HMO 66.0 No (Scheduled) www.humana.com 289 Fidelis Care NY POS 66.0 No www.fideliscare.org 291 Triple-S Salud (H5732) PR HMO 65.8 No www.auxilioplatino.com 293 CommunityCare Managed Healthcare Plans of Oklahoma OK HMO 65.7 No www.ccok.com Specific plan demographic data supplied by AIS's Directory of Health Plans (www.aishealth.com) Page: 5 of 9
Medicare HMO POS Plans Summary 294 SCAN Health Plan (Gold/Gold Select/Silver) AZ, CA HMO 65.7 No www.scanhealthplan.com 295 Humana Medical Plan of Florida (AdvantageCare) FL HMO 65.7 No www.humana.com 298 Partnership HealthPlan of California CA HMO 65.7 No www.partnershiphp.org 299 PacifiCare of Nevada NV HMO 65.6 No www.pacificare.com 300 Inter Valley Health Plan CA HMO 65.6 No www.ivhp.com 301 SelectCare of Texas TX HMO 65.5 No www.universalamerican.com 302 Elderplan NY HMO 65.3 No www.elderplan.org 303 Medica Healthcare Plans FL HMO 65.3 No www.medicaplans.com 305 UnitedHealthcare Insurance MI HMO 65.3 No www.uhc.com 307 Physicians Health Choice of Texas TX HMO 65.3 No www.uhc.com 308 Trillium Community Health Plan OR HMO 65.2 No www.trilliumchp.com 310 CareMore HealthPlan NV HMO 65.1 No www.caremore.com 311 WellCare of Florida FL HMO 65.1 No (Scheduled) www.wellcare.com 313 Managed Health NY HMO 65.0 No www.healthfirstny.com 314 Marion Polk Community Health Plan Advantage OR HMO 64.9 No www.mpchpa.org 315 HealthSpring of Tennessee MS HMO 64.9 No www.myhealthspring.com 316 Vantage Health Plan LA HMO/POS 64.8 No www.vhpla.com 317 HealthSpring of Illinois IL HMO 64.7 No www.healthspring.com 318 UnitedHealthcare of Washington (Evercare) WA HMO 64.7 No www.uhc.com 319 Denver Health Medical Plan CO HMO 64.7 No www.denverhealth.org 320 Chinese Community Health Plan CA HMO 64.6 No www.cchphmo.com 321 Humana Medical Plan of Utah UT HMO 64.6 No www.humana.com 324 Physicians United Plan FL HMO 64.5 No www.pupcorp.com 325 SCAN Health Plan (Arizona Classic/Connections) AZ, CA HMO 64.4 No www.scanhealthplan.com 327 Northeast Community Care NY HMO 64.4 No www.arcadianhp.com 328 Mercy Care Plan AZ HMO 64.2 No www.mercycareplan.com 331 Health Choice Generations AZ HMO 64.1 No www.hcgenerations.com 332 UnitedHealthcare of Colorado CO HMO 64.1 No www.uhc.com 333 WellCare of New York NY HMO 64.0 No www.wellcare.com 334 ATRIO Health Plans OR HMO 64.0 No www.atriohp.com 335 WellCare of Connecticut CT HMO 63.9 No www.wellcare.com 337 Medical Card System (H5577) PR HMO 63.8 No www.medicalcardsystem.com 338 Humana Health Plan - East/South AL, AR, ID, IN, HMO 63.7 No www.humana.com KY, NE, SC, VA 340 WellCare of Louisiana LA HMO 63.6 No www.wellcare.com 344 Colorado Access Health Plan CO HMO 63.5 No www.coaccess.com 347 Medical Card System (H4006) PR HMO 63.4 No www.medicalcardsystem.com 350 Independent Care Health Plan WI HMO 63.2 No www.icare-wi.org Specific plan demographic data supplied by AIS's Directory of Health Plans (www.aishealth.com) Page: 6 of 9
Medicare HMO POS Plans Summary 351 SelectCare Health Plans IN, TX HMO 63.2 No www.sctexas.com 352 Citizens Choice Healthplan CA HMO 63.2 No www.citizenschoicehealth.com 353 Brand New Day CA HMO 63.2 No www.hmocalif.com 354 Southeast Community Care SC HMO 63.1 No www.arcadianhp.com 355 HealthSun Health Plans FL HMO 63.1 No www.health-sun.com 356 WellCare of Ohio OH HMO 63.0 No www.wellcare.com 357 Health Plan of San Mateo CA HMO 63.0 No www.hpsm.org 359 WellCare of Texas TX HMO 62.9 No www.wellcare.com 360 Humana Health Plan of New Mexico NM HMO 62.8 No www.humana.com 361 WellCare of New Jersey NJ HMO 62.8 No www.wellcare.com 362 Molina Healthcare of Michigan MI HMO 62.8 No www.molinahealthcare.com 364 Touchstone Health NY HMO 62.6 No www.touchstone-health.com 365 JMH Health Plan FL HMO 62.4 No www.jmhhp.com 366 Harmony Health Plan of Illinois IL HMO 62.4 No www.harmonyhpi.com 368 Harmony Health Plan of Missouri MO HMO 62.3 No www.harmonyhpm.com 369 Desert Canyon Community Care AZ HMO 62.2 No www.arcadianhp.com 370 Texas Community Care TX HMO 62.2 No www.arcadianhp.com 372 Southeast Community Care NC HMO 62.2 No www.arcadianhp.com 373 Today's Options of Oklahoma OK HMO 62.1 No www.universal-american-medicare.com 375 Arcadian Health Plan CA, MO, NH, VA, HMO 62.0 No www.arcadianhp.com WA 377 Inland Empire Health Plan CA HMO 62.0 No www.iehp.org 378 Triple-S Salud (H4012) PR HMO 61.8 No www.ssspr.com 379 American Health PR HMO/POS 61.8 No www.ahmpr.com 380 WellCare of Georgia GA HMO 61.7 No www.wellcare.com 382 MAPFRE Life Insurance PR HMO 61.7 No www.mapfrelife.com 384 Humana Health Plans of Puerto Rico PR HMO 61.2 No www.humana.com 385 Healthfirst Health Plan of New Jersey NJ HMO 61.2 No www.healthfirstnj.com 386 Southeast Community Care GA HMO 61.1 No www.arcadianhp.com 387 Arcadian Health Plan OK HMO 61.1 No www.arcadianhp.com 388 Citrus Health Care FL HMO/POS 61.0 No www.uhc.com 389 Windsor Health Plan AL, AR, MS, SC, HMO 61.0 No (Scheduled) www.windsorextra.com TN 390 Liberty Health Advantage NY HMO 60.8 No www.libertyhealthadvantage.com 391 Arkansas Community Care AR, TX HMO 60.6 No www.arkansascommunitycare.com 392 Arcadian Community Care LA HMO 60.5 No www.arcadianhp.com 393 Easy Choice Health Plan CA HMO 58.6 No www.easychoicehealthplan.com 394 Central Health Plan of California CA HMO 58.3 No www.centralhealthplan.com 395 L.A. Care Health Plan CA HMO 58.1 No www.lacare.org Specific plan demographic data supplied by AIS's Directory of Health Plans (www.aishealth.com) Page: 7 of 9
Medicare HMO POS Plans Summary Rank Plan Name States Type Score NCQA URL Partial Data Reported ADVANTAGE Health Solutions IN HMO No www.advantageplan.com Partial Data Reported Aetna Health (Pennsylvania) IL HMO Yes www.aetna.com Partial Data Reported Aetna Health (Pennsylvania) CO HMO Yes www.aetna.com Partial Data Reported Aetna Health (Pennsylvania) TN HMO Yes www.aetna.com Partial Data Reported Aetna Health (Pennsylvania) OK HMO Yes www.aetna.com Partial Data Reported HealthSpring Life and Health GA HMO No www.healthspring.com Partial Data Reported HMO Colorado CO HMO No www.anthem.com Partial Data Reported Humana Employers Health Plan of Georgia GA HMO No (In Process) www.humana.com Partial Data Reported Humana Health Plan - Kentucky IN, KY HMO Yes www.humana.com Partial Data Reported Humana Health Plan Of California CA HMO No www.humana.com Partial Data Reported Humana Wisconsin Health Organization Insurance WI HMO/POS Yes www.humana.com Partial Data Reported Universal Health Care FL HMO/POS Yes www.univhc.com Partial Data Reported WellCare Health Insurance of Arizona HI HMO No www.ohanahealthplan.com No Data Reported Altius Health Plans UT, WY POS www.altiushealthplans.com No Data Reported AMERIGROUP Texas TX HMO www.amerigroupcorp.com No Data Reported Arizona Physicians IPA AZ HMO www.apipa.com No Data Reported Blue Cross & Blue Shield of Rhode Island RI POS www.bcbsri.com No Data Reported Blue Cross Blue Shield of Minnesota MN HMO www.bluecrossmn.com No Data Reported CalOptima CA HMO www.caloptima.org No Data Reported Coventry Summit Health Plan FL HMO www.summithealthplan.com No Data Reported Deseret Healthcare Employee Benefits Trust UT HMO www.dmba.com No Data Reported Gateway Health Plan PA HMO www.gatewayhealthplan.com No Data Reported Hometown Health - Nevada NV HMO www.hometownhealth.com No Data Reported Magnolia Health Plan MS HMO www.medicaid.ms.gov No Data Reported Martin's Point Health Care ME HMO www.martinspoint.org No Data Reported MD Care Health Plan CA HMO www.mdcareadvantage.com No Data Reported Medica MN HMO www.medica.com No Data Reported Molina Healthcare of Utah UT HMO www.molinahealthcare.com No Data Reported Peoples Health Network LA HMO/POS www.peopleshealth.com No Data Reported Quality Health Plans FL HMO www.qualityhealthplans.com No Data Reported Senior Whole Health MA, NY HMO www.seniorwholehealth.com No Data Reported Tufts Associated Health Maintenance Organization MA HMO www.tufts-healthplan.com No Data Reported UCare (H2456) MN HMO www.ucare.org Specific plan demographic data supplied by AIS's Directory of Health Plans (www.aishealth.com) Page: 8 of 9