humana’s insulin savings program plan list – plan year

Humana’s Insulin Savings Program Plan List – Plan Year 2022

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Find a participating plan available in your area

Humana is participating in the Part D Senior Savings Program Model, which we call the Insulin Savings Program. It is available in many states and counties on Medicare Advantage Prescription Drug (MAPD) plans, as well as on the Humana Premier Rx Plan (PDP). More information about the Insulin Savings Program and member cost shares can be found in the plan’s evidence of coverage (EOC). See the plan’s Prescription Drug Guide for a list of Select Insulins. Members who receive Extra Help are not eligible.

You can use this document two ways: • Click on your state from the list below, or • Scroll down and search this document for participating plans in your state and county

Humana’s new Insulin Savings Program offers

affordable, predictable insulin costs.

Insulin Savings Program

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

Washington D.C.

West Virginia

Wisconsin

Wyoming

Puerto Rico


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Alabama

State County Plan Name Plan Type Plan ID

Alabama (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-158-000

Alabama Autauga HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Baldwin Humana Gold Plus H5619-089 (HMO) MAPD-HMO H5619-089-000

Alabama Baldwin HumanaChoiceH5216-272 (PPO) MAPD-LPPO H5216-272-000

Alabama Baldwin HumanaChoice H5525-020 (PPO) MAPD-LPPO H5525-020-000

Alabama Bibb Humana Gold Plus H5619-088 (HMO) MAPD-HMO H5619-088-000

Alabama Bibb HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Blount Humana Gold Plus H5619-088 (HMO) MAPD-HMO H5619-088-000

Alabama Blount HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Bullock HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Butler HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Calhoun HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Chambers Humana Gold Plus H5619-112 (HMO) MAPD-HMO H5619-112-000

Alabama Cherokee HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Chilton HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Choctaw HumanaChoiceH5216-272 (PPO) MAPD-LPPO H5216-272-000

Alabama Clarke Humana Gold Plus H5619-089 (HMO) MAPD-HMO H5619-089-000

Alabama Clarke HumanaChoice H5525-020 (PPO) MAPD-LPPO H5525-020-000

Alabama Clarke HumanaChoiceH5216-272 (PPO) MAPD-LPPO H5216-272-000

Alabama Cleburne HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Colbert Humana Gold Plus H5619-094 (HMO) MAPD-HMO H5619-094-000

Alabama Conecuh HumanaChoiceH5216-272 (PPO) MAPD-LPPO H5216-272-000

Alabama Cullman Humana Gold Plus H5619-088 (HMO) MAPD-HMO H5619-088-000

Alabama Cullman HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Dallas HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama DeKalb Humana Gold Plus H5619-094 (HMO) MAPD-HMO H5619-094-000

Alabama Elmore HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Escambia Humana Gold Plus H5619-089 (HMO) MAPD-HMO H5619-089-000

Alabama Escambia HumanaChoice H5525-020 (PPO) MAPD-LPPO H5525-020-000

Alabama Escambia HumanaChoiceH5216-272 (PPO) MAPD-LPPO H5216-272-000

Alabama Etowah Humana Gold Plus H5619-088 (HMO) MAPD-HMO H5619-088-000

Alabama Etowah HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Fayette Humana Gold Plus H5619-088 (HMO) MAPD-HMO H5619-088-000

Alabama Fayette HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Franklin Humana Gold Plus H5619-094 (HMO) MAPD-HMO H5619-094-000

Alabama Greene HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Hale HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Jackson Humana Gold Plus H5619-094 (HMO) MAPD-HMO H5619-094-000

Alabama Jefferson Humana Gold Plus H5619-088 (HMO) MAPD-HMO H5619-088-000

Alabama Jefferson HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Lamar HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Lauderdale Humana Gold Plus H5619-094 (HMO) MAPD-HMO H5619-094-000

Alabama Lawrence Humana Gold Plus H5619-094 (HMO) MAPD-HMO H5619-094-000


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Alabama Lee Humana Gold Plus H5619-112 (HMO) MAPD-HMO H5619-112-000

Alabama Limestone Humana Gold Plus H5619-094 (HMO) MAPD-HMO H5619-094-000

Alabama Lowndes HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Macon HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Madison Humana Gold Plus H5619-094 (HMO) MAPD-HMO H5619-094-000

Alabama Marengo Humana Gold Plus H5619-089 (HMO) MAPD-HMO H5619-089-000

Alabama Marengo HumanaChoiceH5216-272 (PPO) MAPD-LPPO H5216-272-000

Alabama Marshall Humana Gold Plus H5619-094 (HMO) MAPD-HMO H5619-094-000

Alabama Mobile Humana Gold Plus H5619-089 (HMO) MAPD-HMO H5619-089-000

Alabama Mobile HumanaChoice H5525-020 (PPO) MAPD-LPPO H5525-020-000

Alabama Mobile HumanaChoiceH5216-272 (PPO) MAPD-LPPO H5216-272-000

Alabama Monroe HumanaChoiceH5216-272 (PPO) MAPD-LPPO H5216-272-000

Alabama Montgomery HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Morgan Humana Gold Plus H5619-094 (HMO) MAPD-HMO H5619-094-000

Alabama Perry HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Pickens HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Pike HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Randolph Humana Gold Plus H5619-112 (HMO) MAPD-HMO H5619-112-000

Alabama Russell Humana Gold Plus H5619-112 (HMO) MAPD-HMO H5619-112-000

Alabama Shelby Humana Gold Plus H5619-088 (HMO) MAPD-HMO H5619-088-000

Alabama Shelby HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama St. Clair HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Sumter HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Talladega HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Tuscaloosa Humana Gold Plus H5619-088 (HMO) MAPD-HMO H5619-088-000

Alabama Tuscaloosa HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Walker Humana Gold Plus H5619-088 (HMO) MAPD-HMO H5619-088-000

Alabama Walker HumanaChoice H5216-269 (PPO) MAPD-LPPO H5216-269-000

Alabama Washington HumanaChoiceH5216-272 (PPO) MAPD-LPPO H5216-272-000

Alabama Wilcox HumanaChoiceH5216-272 (PPO) MAPD-LPPO H5216-272-000

Alabama Winston Humana Gold Plus H5619-088 (HMO) MAPD-HMO H5619-088-000


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Alaska


Alaska (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-180-000


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Arizona


Arizona (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-174-000 Arizona Apache HumanaChoice H5216-198 (PPO) MAPD-LPPO H5216-198-000

Arizona Apache HumanaChoice H5216-263 (PPO) MAPD-LPPO H5216-263-000

Arizona Apache HumanaChoice H5216-260 (PPO) MAPD-LPPO H5216-260-000

Arizona Cochise HumanaChoice H5216-224 (PPO) MAPD-LPPO H5216-224-000



Arizona Coconino HumanaChoice H5216-198 (PPO) MAPD-LPPO H5216-198-000



Arizona Graham HumanaChoice H5216-198 (PPO) MAPD-LPPO H5216-198-000



Arizona Greenlee HumanaChoice H5216-198 (PPO) MAPD-LPPO H5216-198-000



Arizona La Paz Humana Gold Plus H0028-023 (HMO) MAPD-HMO H0028-023-000

Arizona La Paz Humana Gold Plus H0028-024 (HMO) MAPD-HMO H0028-024-000

Arizona La Paz HumanaChoice H5216-034 (PPO) MAPD-LPPO H5216-034-000




Arizona Maricopa Humana Gold Plus H0028-023 (HMO) MAPD-HMO H0028-023-000




Arizona Maricopa HumanaChoice H5216-034 (PPO) MAPD-LPPO H5216-034-000




Arizona Mohave Humana Gold Plus H0028-023 (HMO) MAPD-HMO H0028-023-000

Arizona Mohave Humana Gold Plus H0028-024 (HMO) MAPD-HMO H0028-024-000

Arizona Mohave HumanaChoice H5216-034 (PPO) MAPD-LPPO H5216-034-000




Arizona Navajo HumanaChoice H5216-263 (PPO) MAPD-LPPO H5216-263-000

Arizona Navajo HumanaChoice H5216-260 (PPO) MAPD-LPPO H5216-260-000

Arizona Pima Humana Gold Plus H0028-021 (HMO) MAPD-HMO H0028-021-000

Arizona Pima HumanaChoice H5216-034 (PPO) MAPD-LPPO H5216-034-000





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Arizona Pinal Humana Gold Plus H0028-021 (HMO) MAPD-HMO H0028-021-000

Arizona Pinal Humana Gold Plus H2463-001 (HMO) MAPD-HMO H2463-001-000

Arizona Pinal HumanaChoice H5216-034 (PPO) MAPD-LPPO H5216-034-000




Arizona Santa Cruz HumanaChoice H5216-034 (PPO) MAPD-LPPO H5216-034-000



Arizona Yavapai Humana Gold Plus H0028-023 (HMO) MAPD-HMO H0028-023-000

Arizona Yavapai Humana Gold Plus H0028-028 (HMO) MAPD-HMO H0028-028-000

Arizona Yavapai HumanaChoice H5216-034 (PPO) MAPD-LPPO H5216-034-000




Arizona Yuma Humana Gold Plus H2463-001 (HMO) MAPD-HMO H2463-001-000

Arizona Yuma HumanaChoice H5216-198 (PPO) MAPD-LPPO H5216-198-000




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Arkansas


Arkansas (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-165-000 Arkansas Arkansas Humana Gold Plus H5619-122 (HMO) MAPD-HMO H5619-122-000

Arkansas Arkansas HumanaChoice H9070-005 (PPO) MAPD-HMO H9070-005-000

Arkansas Arkansas HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Arkansas HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Ashley Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Baxter Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Baxter HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Baxter HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Benton Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Benton Humana Gold Plus- Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-141-000

Arkansas Benton HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Benton HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Boone Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Boone HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Boone HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Bradley HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Bradley HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Calhoun HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Calhoun HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Carroll Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Carroll HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Carroll HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Chicot HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Chicot HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Clark Humana Gold Plus H5619-069 (HMO) MAPD-HMO H5619-069-000

Arkansas Clark HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Clark HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Cleburne Humana Gold Plus H5619-122 (HMO) MAPD-HMO H5619-122-000

Arkansas Cleburne HumanaChoice H9070-005 (PPO) MAPD-HMO H9070-005-000

Arkansas Cleburne HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Cleburne HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Cleveland HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Cleveland HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Columbia Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Conway Humana Gold Plus H5619-122 (HMO) MAPD-HMO H5619-122-000

Arkansas Conway HumanaChoice H9070-005 (PPO) MAPD-HMO H9070-005-000

Arkansas Conway HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Conway HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Craighead Humana Gold Plus H5619-122 (HMO) MAPD-HMO H5619-122-000

Arkansas Craighead HumanaChoice H9070-005 (PPO) MAPD-HMO H9070-005-000

Arkansas Craighead HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000


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Arkansas Craighead HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Crawford Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Crawford HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Crawford HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Dallas HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Dallas HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Dallas Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Desha HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Desha HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Faulkner Humana Gold Plus H5619-122 (HMO) MAPD-HMO H5619-122-000

Arkansas Faulkner HumanaChoice H9070-005 (PPO) MAPD-HMO H9070-005-000

Arkansas Faulkner HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Faulkner HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Franklin Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Franklin HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Franklin HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Fulton Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Fulton HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Fulton HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Garland Humana Gold Plus H5619-122 (HMO) MAPD-HMO H5619-122-000

Arkansas Garland HumanaChoice H9070-005 (PPO) MAPD-HMO H9070-005-000

Arkansas Garland HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Garland HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Garland Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Grant Humana Gold Plus H5619-122 (HMO) MAPD-HMO H5619-122-000

Arkansas Grant HumanaChoice H9070-005 (PPO) MAPD-HMO H9070-005-000

Arkansas Grant HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Grant HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Greene Humana Gold Plus H5619-122 (HMO) MAPD-HMO H5619-122-000

Arkansas Greene HumanaChoice H9070-005 (PPO) MAPD-HMO H9070-005-000

Arkansas Greene HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Greene HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Greene Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Hempstead Humana Gold Plus H5619-069 (HMO) MAPD-HMO H5619-069-000

Arkansas Hempstead Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Hot Spring Humana Gold Plus H5619-122 (HMO) MAPD-HMO H5619-122-000

Arkansas Hot Springs HumanaChoice H9070-005 (PPO) MAPD-HMO H9070-005-000

Arkansas Hot Springs HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Hot Springs HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Izard Humana Gold Plus H5619-122 (HMO) MAPD-HMO H5619-122-000

Arkansas Izard HumanaChoice H9070-005 (PPO) MAPD-HMO H9070-005-000

Arkansas Izard HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Izard HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Jefferson Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Jefferson HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000


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Arkansas Jefferson HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Johnson Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Johnson HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Johnson HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Lawrence Humana Gold Plus H5619-122 (HMO) MAPD-HMO H5619-122-000

Arkansas Lawrence HumanaChoice H9070-005 (PPO) MAPD-HMO H9070-005-000

Arkansas Lawrence Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Lee HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Lee HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Lincoln HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Lincoln HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Little River Humana Gold Plus H5619-069 (HMO) MAPD-HMO H5619-069-000

Arkansas Logan HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Logan HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Logan Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Lonoke Humana Gold Plus H5619-122 (HMO) MAPD-HMO H5619-122-000

Arkansas Lonoke HumanaChoice H9070-005 (PPO) MAPD-HMO H9070-005-000

Arkansas Lonoke HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Lonoke HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Madison Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Madison HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Madison HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Marion Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Marion HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Marion HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Miller Humana Gold Plus H5619-069 (HMO) MAPD-HMO H5619-069-000

Arkansas Mississippi Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Montgomery Humana Gold Plus H5619-122 (HMO) MAPD-HMO H5619-122-000

Arkansas Montgomery HumanaChoice H9070-005 (PPO) MAPD-HMO H9070-005-000

Arkansas Montgomery HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Montgomery HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Montgomery Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Nevada Humana Gold Plus H5619-069 (HMO) MAPD-HMO H5619-069-000

Arkansas Nevada HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Nevada HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Nevada Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Newton Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Newton HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Newton HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Ouachita Humana Gold Plus H5619-122 (HMO) MAPD-HMO H5619-122-000

Arkansas Ouachita HumanaChoice H9070-005 (PPO) MAPD-HMO H9070-005-000

Arkansas Ouachita Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Perry Humana Gold Plus H5619-122 (HMO) MAPD-HMO H5619-122-000

Arkansas Perry HumanaChoice H9070-005 (PPO) MAPD-HMO H9070-005-000

Arkansas Perry HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000


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Arkansas Perry HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Phillips HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Phillips HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Pike Humana Gold Plus H5619-069 (HMO) MAPD-HMO H5619-069-000

Arkansas Pike HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Pike HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Pike Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Poinsett Humana Gold Plus H5619-122 (HMO) MAPD-HMO H5619-122-000

Arkansas Poinsett HumanaChoice H9070-005 (PPO) MAPD-HMO H9070-005-000

Arkansas Poinsett HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Poinsett HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Poinsett Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Pope Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Pope HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Pope HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Prairie Humana Gold Plus H5619-122 (HMO) MAPD-HMO H5619-122-000

Arkansas Prairie HumanaChoice H9070-005 (PPO) MAPD-HMO H9070-005-000

Arkansas Prairie HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Prairie HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Pulaski Humana Gold Plus H5619-122 (HMO) MAPD-HMO H5619-122-000

Arkansas Pulaski HumanaChoice H9070-005 (PPO) MAPD-HMO H9070-005-000

Arkansas Pulaski HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Pulaski HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Pulaski Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Randolph Humana Gold Plus H5619-122 (HMO) MAPD-HMO H5619-122-000

Arkansas Randolph HumanaChoice H9070-005 (PPO) MAPD-HMO H9070-005-000

Arkansas Randolph HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Randolph HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Saline Humana Gold Plus H5619-122 (HMO) MAPD-HMO H5619-122-000

Arkansas Saline HumanaChoice H9070-005 (PPO) MAPD-HMO H9070-005-000

Arkansas Saline HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Saline HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Saline Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Scott HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Scott HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Scott Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Searcy Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Searcy HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Searcy HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Sebastian Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Sebastian HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Sebastian HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Sevier Humana Gold Plus H5619-069 (HMO) MAPD-HMO H5619-069-000

Arkansas Sevier Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas St. Francis HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000


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Arkansas St. Francis HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas St. Francis Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Stone HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Stone HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Union Humana Gold Plus H5619-069 (HMO) MAPD-HMO H5619-069-000

Arkansas Union HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Union HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Union Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Van Buren Humana Gold Plus H5619-122 (HMO) MAPD-HMO H5619-122-000

Arkansas Van Buren HumanaChoice H9070-005 (PPO) MAPD-HMO H9070-005-000

Arkansas Van Buren HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Van Buren HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Washington Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Arkansas Washington Humana Gold Plus- Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-141-000

Arkansas Washington HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Washington HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Arkansas Yell HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Arkansas Yell HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

California


California (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-178-000

California Contra Costa Humana Community (HMO) MAPD-HMO H5619-138-000

California Fresno Humana Gold Plus H5619-012 (HMO) MAPD-HMO H5619-012-000

California Kern Humana Gold Plus H5619-116 (HMO) MAPD-HMO H5619-116-000

California Kings Humana Gold Plus H5619-015 (HMO) MAPD-HMO H5619-015-000

California Los Angeles Humana Gold Plus H5619-021 (HMO) MAPD-HMO H5619-021-000

California Madera Humana Gold Plus H5619-013 (HMO) MAPD-HMO H5619-013-000

California Orange Humana Gold Plus H5619-021 (HMO) MAPD-HMO H5619-021-000

California Riverside Humana Gold Plus H5619-039 (HMO) MAPD-HMO H5619-039-001

California Riverside Humana Community (HMO) MAPD-HMO H7621-002-000

California San Bernardino Humana Community (HMO) MAPD-HMO H7621-002-000

California San Bernardino Humana Gold Plus H5619-039 (HMO) MAPD-HMO H5619-039-002

California San Diego Humana Gold Plus H5619-016 (HMO) MAPD-HMO H5619-016-000

California San Diego UC San Diego Health Humana (HMO) MAPD-HMO H5619-131-000

California San Joaquin Humana Community (HMO) MAPD-HMO H7621-003-000

California San Luis Obispo Humana Gold Plus H5619-119 (HMO) MAPD-HMO H5619-119-000

California Santa Barbara Humana Gold Plus H5619-130 (HMO) MAPD-HMO H5619-130-001

California Stanislaus Humana Gold Plus H5619-032 (HMO) MAPD-HMO H5619-032-000

California Tulare Humana Gold Plus H5619-015 (HMO) MAPD-HMO H5619-015-000

California Ventura Humana Gold Plus H5619-130 (HMO) MAPD-HMO H5619-130-002


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Colorado


Colorado (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-173-000

Colorado Adams Humana Gold Plus H0028-025 (HMO) MAPD-HMO H0028-025-001

Colorado Adams Humana Gold Plus H0028-047 (HMO) MAPD-HMO H0028-047-000

Colorado Adams HumanaChoice H5216-261 (PPO) MAPD-LPPO H5216-261-000

Colorado Adams HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Adams HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Adams HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Alamosa HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Alamosa HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Alamosa HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Arapahoe Humana Gold Plus H0028-025 (HMO) MAPD-HMO H0028-025-001

Colorado Arapahoe Humana Gold Plus H0028-047 (HMO) MAPD-HMO H0028-047-000

Colorado Arapahoe HumanaChoice H5216-261 (PPO) MAPD-LPPO H5216-261-000

Colorado Arapahoe HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Arapahoe HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Araphaoe HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Archuleta HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Archuleta HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Bent HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Bent HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Bernalillo HumanaChoice H5216-078 (PPO) MAPD-LPPO H5216-078-002

Colorado Boulder Humana Gold Plus H0028-025 (HMO) MAPD-HMO H0028-025-002

Colorado Boulder Humana Gold Plus H0028-047 (HMO) MAPD-HMO H0028-047-000

Colorado Boulder HumanaChoice H5216-261 (PPO) MAPD-LPPO H5216-261-000

Colorado Boulder HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Boulder HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Boulder HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Broomfield Humana Gold Plus H0028-025 (HMO) MAPD-HMO H0028-025-001

Colorado Broomfield Humana Gold Plus H0028-047 (HMO) MAPD-HMO H0028-047-000

Colorado Broomfield HumanaChoice H5216-261 (PPO) MAPD-LPPO H5216-261-000

Colorado Broomfield HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Broomfield HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Broomfield HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Chaffee HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Chaffee HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Chaffee HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Clear Creek Humana Gold Plus H0028-025 (HMO) MAPD-HMO H0028-025-002

Colorado Clear Creek Humana Gold Plus H0028-047 (HMO) MAPD-HMO H0028-047-000

Colorado Clear Creek HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Clear Creek HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Clear Creek HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Conejos HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Conejos HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001


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Colorado Conejos HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Costilla HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Costilla HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Costilla HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Crowley HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Crowley HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Crowley HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Custer HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Custer HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Custer HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Delta HumanaChoice H5216-078 (PPO) MAPD-LPPO H5216-078-002

Colorado Delta HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Delta HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Denver Humana Gold Plus H0028-025 (HMO) MAPD-HMO H0028-025-001

Colorado Denver Humana Gold Plus H0028-047 (HMO) MAPD-HMO H0028-047-000

Colorado Denver HumanaChoice H5216-261 (PPO) MAPD-LPPO H5216-261-000

Colorado Denver HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Denver HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Denver HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Dolores HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Dolores HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Douglas Humana Gold Plus H0028-025 (HMO) MAPD-HMO H0028-025-001

Colorado Douglas Humana Gold Plus H0028-047 (HMO) MAPD-HMO H0028-047-000

Colorado Douglas HumanaChoice H5216-261 (PPO) MAPD-LPPO H5216-261-000

Colorado Douglas HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Douglas HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Douglas HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado El Paso Humana Gold Plus H0028-025 (HMO) MAPD-HMO H0028-025-002

Colorado El Paso Humana Gold Plus H0028-047 (HMO) MAPD-HMO H0028-047-000

Colorado El Paso HumanaChoice H5216-078 (PPO) MAPD-LPPO H5216-078-002

Colorado El Paso HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado El Paso HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Elbert Humana Gold Plus H0028-025 (HMO) MAPD-HMO H0028-025-002

Colorado Elbert Humana Gold Plus H0028-047 (HMO) MAPD-HMO H0028-047-000

Colorado Elbert HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Elbert HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Elbert HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Fremont Humana Gold Plus H0028-025 (HMO) MAPD-HMO H0028-025-002

Colorado Fremont Humana Gold Plus H0028-047 (HMO) MAPD-HMO H0028-047-000

Colorado Fremont HumanaChoice H5216-078 (PPO) MAPD-LPPO H5216-078-002

Colorado Fremont HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Fremont HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Gilpin HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Gilpin HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Gilpin HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000


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Colorado Grand HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Grand HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Grand HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Gunnison HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Gunnison HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Hinsdale HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Hinsdale HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Huerfano HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Huerfano HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Huerfano HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Jackson HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Jackson HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Jefferson Humana Gold Plus H0028-025 (HMO) MAPD-HMO H0028-025-001

Colorado Jefferson Humana Gold Plus H0028-047 (HMO) MAPD-HMO H0028-047-000

Colorado Jefferson HumanaChoice H5216-261 (PPO) MAPD-LPPO H5216-261-000

Colorado Jefferson HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Jefferson HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Jefferson HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado La Plata HumanaChoice H5216-078 (PPO) MAPD-LPPO H5216-078-002

Colorado La Plata HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado La Plata HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Lake HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Lake HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Larimer Humana Gold Plus H0028-025 (HMO) MAPD-HMO H0028-025-002

Colorado Larimer Humana Gold Plus H0028-047 (HMO) MAPD-HMO H0028-047-000

Colorado Larimer HumanaChoice H5216-261 (PPO) MAPD-LPPO H5216-261-000

Colorado Larimer HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Larimer HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Larimer HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Las Animas HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Las Animas HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Las Animas HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Lincoln HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Lincoln HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Logan HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Logan HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Logan HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Los Alamos HumanaChoice H5216-078 (PPO) MAPD-LPPO H5216-078-002

Colorado Mesa HumanaChoice H5216-078 (PPO) MAPD-LPPO H5216-078-002

Colorado Mesa HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Mesa HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Mineral HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Mineral HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Montezuma HumanaChoice H5216-078 (PPO) MAPD-LPPO H5216-078-002

Colorado Montezuma HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000


Y0040_GHHKYF4EN_C

Colorado Montezuma HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Montrose HumanaChoice H5216-078 (PPO) MAPD-LPPO H5216-078-002

Colorado Montrose HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Montrose HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Morgan HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Morgan HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Morgan HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Otero HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Otero HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Otero HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Ouray HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Ouray HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Park HumanaChoice H5216-078 (PPO) MAPD-LPPO H5216-078-002

Colorado Park HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Park HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Pueblo Humana Gold Plus H0028-025 (HMO) MAPD-HMO H0028-025-002

Colorado Pueblo Humana Gold Plus H0028-047 (HMO) MAPD-HMO H0028-047-000

Colorado Pueblo HumanaChoice H5216-078 (PPO) MAPD-LPPO H5216-078-002

Colorado Pueblo HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Pueblo HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Rio Arriba HumanaChoice H5216-078 (PPO) MAPD-LPPO H5216-078-002

Colorado Rio Blanco HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Rio Blanco HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Rio Grande HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Rio Grande HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Saguache HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Saguache HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado San Juan HumanaChoice H5216-078 (PPO) MAPD-LPPO H5216-078-002



Colorado San Juan HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado San Miguel HumanaChoice H5216-078 (PPO) MAPD-LPPO H5216-078-002

Colorado San Miguel HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado San Miguel HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Sandoval HumanaChoice H5216-078 (PPO) MAPD-LPPO H5216-078-002

Colorado Santa Fe HumanaChoice H5216-078 (PPO) MAPD-LPPO H5216-078-002

Colorado Summit HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Summit HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Taos HumanaChoice H5216-078 (PPO) MAPD-LPPO H5216-078-002

Colorado Teller Humana Gold Plus H0028-025 (HMO) MAPD-HMO H0028-025-002

Colorado Teller Humana Gold Plus H0028-047 (HMO) MAPD-HMO H0028-047-000

Colorado Teller HumanaChoice H5216-078 (PPO) MAPD-LPPO H5216-078-002

Colorado Teller HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Teller HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Torrance HumanaChoice H5216-078 (PPO) MAPD-LPPO H5216-078-002


Y0040_GHHKYF4EN_C

Colorado Valencia HumanaChoice H5216-078 (PPO) MAPD-LPPO H5216-078-002

Colorado Washington HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Washington HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000

Colorado Weld Humana Gold Plus H0028-025 (HMO) MAPD-HMO H0028-025-002

Colorado Weld Humana Gold Plus H0028-047 (HMO) MAPD-HMO H0028-047-000

Colorado Weld HumanaChoice H5216-261 (PPO) MAPD-LPPO H5216-261-000

Colorado Weld HumanaChoice H5216-223 (PPO) MAPD-LPPO H5216-223-000

Colorado Weld HumanaChoice H5216-078 (PPO) MAPD-HMO H5216-078-001

Colorado Weld HumanaChoice 5216-137 (PPO) MAPD-HMO H5216-137-000


Y0040_GHHKYF4EN_C

Connecticut


Connecticut (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-149-000

Delaware


Delaware (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-151-000

Delaware Kent Humana Gold Plus H6622-010 (HMO) MAPD-HMO H6622-010-000

Delaware Kent HumanaChoice H5216-029 (PPO) MAPD-LPPO H5216-029-000

Delaware New Castle Humana Gold Plus H6622-010 (HMO) MAPD-HMO H6622-010-000

Delaware New Castle HumanaChoice H5216-029 (PPO) MAPD-LPPO H5216-029-000

Delaware Sussex Humana Gold Plus H6622-010 (HMO) MAPD-HMO H6622-010-000

Delaware Sussex HumanaChoice H5216-029 (PPO) MAPD-LPPO H5216-029-000


Y0040_GHHKYF4EN_C

Florida


Florida (All Counties)

Humana Premier Rx Plan (PDP) PDP S5884-157-000

Florida (All Counties)


Florida Alachua Humana Gold Plus H1036-068 (HMO) MAPD-HMO H1036-068-000

Florida Alachua Humana Gold Plus - Diabetes (HMO C-SNP) MAPD-HMO H1036-175-000

Florida Alachua Humana Gold Plus H1036-270 (HMO) MAPD-HMO H1036-270-000

Florida Alachua HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Alachua HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Alachua HumanaChoice Florida H7284-006 (PPO) MAPD-LPPO H7284-006-000

Florida Baker Humana Gold Plus H1036-081D (HMO) MAPD-HMO H1036-081-000

Florida Baker Humana Gold Plus - Diabetes (HMO C-SNP) MAPD-HMO H1036-175-000

Florida Baker Humana Gold Plus H1036-270 (HMO) MAPD-HMO H1036-270-000

Florida Baker HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Baker Humana Gold Plus H1036-068 (HMO) MAPD-HMO H1036-068-000

Florida Baker HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Baker HumanaChoice Florida H7284-006 (PPO) MAPD-LPPO H7284-006-000

Florida Bay Humana Gold Plus H1036-143 (HMO) MAPD-HMO H1036-143-000

Florida Bay Humana Gold Plus H1036-271 (HMO) MAPD-HMO H1036-271-000

Florida Bay HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Bay HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Bradford HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Bradford Humana Gold Plus H1036-068 (HMO) MAPD-HMO H1036-068-000

Florida Bradford HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Bradford Humana Gold Plus H1036-270 (HMO) MAPD-HMO H1036-270-000

Florida Brevard CareOne (HMO) MAPD-HMO H1019-043-000

Florida Brevard CareComplete (HMO C-SNP) MAPD-HMO H1019-108-000

Florida Brevard CareOne PLATINUM (HMO-POS) MAPD- HMOPOS H1019-110-000

Florida Brevard CareOne PLATINUM (HMO-POS) MAPD- HMOPOS H1019-110-000

Florida Brevard CareBreeze (HMO C-SNP) MAPD-HMO H1019-117-000

Florida Brevard HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Brevard HumanaChoice Florida H5216-062 (PPO) MAPD-LPPO H5216-062-000

Florida Broward CareOne (HMO) MAPD-HMO H1019-001-000

Florida Broward CareFree (HMO) MAPD-HMO H1019-065-000

Florida Broward CareComplete (HMO C-SNP) MAPD-HMO H1019-106-000

Florida Broward Humana Gold Plus H1036-065C (HMO) MAPD-HMO H1036-065-000

Florida Broward Humana Gold Plus - Diabetes (HMO C-SNP) MAPD-HMO H1036-121-000

Florida Broward Humana Gold Plus H1036-237 (HMO) MAPD-HMO H1036-237-001

Florida Broward CareBreeze (HMO C-SNP) MAPD-HMO H1019-115-000

Florida Broward HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Calhoun HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Calhoun HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000


Y0040_GHHKYF4EN_C

Florida Charlotte Humana Gold Plus H1036-217 (HMO) MAPD-HMO H1036-217-000

Florida Charlotte Humana Gold Plus H1036-278 (HMO) MAPD-HMO H1036-278-000

Florida Charlotte HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Charlotte HumanaChoice Florida H5216-072 (PPO) MAPD-LPPO H5216-072-000

Florida Citrus Humana Gold Plus H1036-140 (HMO) MAPD-HMO H1036-140-000

Florida Citrus Humana Gold Plus - Diabetes (HMO C-SNP) MAPD-HMO H1036-160-000

Florida Citrus Humana Gold Plus H1036-266 (HMO) MAPD-HMO H1036-266-000

Florida Citrus HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Citrus HumanaChoice Florida H5216-072 (PPO) MAPD-LPPO H5216-072-000

Florida Clay CareOne (HMO) MAPD-HMO H1019-069-000

Florida Clay CareFree (HMO) MAPD-HMO H1019-094-000

Florida Clay CareComplete (HMO C-SNP) MAPD-HMO H1019-109-000

Florida Clay CareOne PLATINUM (HMO) MAPD-HMO H1019-113-000

Florida Clay Humana Gold Plus H1036-068 (HMO) MAPD-HMO H1036-068-000

Florida Clay Humana Gold Plus - Diabetes (HMO C-SNP) MAPD-HMO H1036-175-000

Florida Clay Humana Gold Plus H1036-270 (HMO) MAPD-HMO H1036-270-000

Florida Clay CareBreeze (HMO C-SNP) MAPD-HMO H1019-118-000

Florida Clay HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Clay HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Clay HumanaChoice Florida H7284-006 (PPO) MAPD-LPPO H7284-006-000

Florida Collier Humana Gold Plus H1036-217 (HMO) MAPD-HMO H1036-217-000

Florida Collier Humana Gold Plus H1036-278 (HMO) MAPD-HMO H1036-278-000

Florida Collier HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Collier HumanaChoice Florida H5216-072 (PPO) MAPD-LPPO H5216-072-000

Florida Columbia Humana Gold Plus H1036-068 (HMO) MAPD-HMO H1036-068-000

Florida Columbia Humana Gold Plus - Diabetes (HMO C-SNP) MAPD-HMO H1036-175-000

Florida Columbia Humana Gold Plus H1036-270 (HMO) MAPD-HMO H1036-270-000

Florida Columbia HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Columbia HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Columbia HumanaChoice Florida H7284-006 (PPO) MAPD-LPPO H7284-006-000

Florida DeSoto HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida DeSoto HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida DeSoto HumanaChoice Florida H5216-072 (PPO) MAPD-LPPO H5216-072-000

Florida DeSoto Humana Gold Plus H1036-217 (HMO) MAPD-HMO H1036-217-000

Florida Dixie HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Dixie HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Duval Humana Gold Plus H1036-270 (HMO) MAPD-HMO H1036-270-000

Florida Duval CareOne (HMO) MAPD-HMO H1019-069-000

Florida Duval CareFree (HMO) MAPD-HMO H1019-094-000

Florida Duval CareComplete (HMO C-SNP) MAPD-HMO H1019-109-000

Florida Duval CareOne PLATINUM (HMO) MAPD-HMO H1019-113-000

Florida Duval Humana Gold Plus H1036-081D (HMO) MAPD-HMO H1036-081-000

Florida Duval Humana Gold Plus - Diabetes (HMO C-SNP) MAPD-HMO H1036-175-000

Florida Duval CareBreeze (HMO C-SNP) MAPD-HMO H1019-118-000

Florida Duval HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000


Y0040_GHHKYF4EN_C

Florida Duval Humana Gold Plus H1036-068 (HMO) MAPD-HMO H1036-068-000

Florida Duval HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Duval HumanaChoice Florida H7284-006 (PPO) MAPD-LPPO H7284-006-000

Florida Escambia Humana Gold Plus H1036-143 (HMO) MAPD-HMO H1036-143-000

Florida Escambia Humana Gold Plus H1036-271 (HMO) MAPD-HMO H1036-271-000

Florida Escambia HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Escambia HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Flagler Humana Gold Plus H1036-044 (HMO) MAPD-HMO H1036-044-000

Florida Flagler Humana Gold Plus - Diabetes (HMO C-SNP) MAPD-HMO H1036-156-000

Florida Flagler Humana Gold Plus H1036-157 (HMO) MAPD-HMO H1036-157-000

Florida Flagler HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Flagler HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Flagler HumanaChoice Florida H7284-006 (PPO) MAPD-LPPO H7284-006-000

Florida Franklin HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Franklin HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Gadsden HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Gadsden HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Gilchrist HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Gilchrist HumanaChoice Florida H5216-070 MAPD-LPPO H5216-070-000

Florida Glades Humana Gold Plus H1036-229 (HMO) MAPD-HMO H1036-229-000

Florida Glades HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Glades HumanaChoice Florida H5216-062 (PPO) MAPD-LPPO H5216-062-000

Florida Gulf HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Gulf HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Hamilton HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Hamilton HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Hardee Humana Gold Plus H1036-230 (HMO) MAPD-HMO H1036-230-000

Florida Hardee Humana Gold Plus H1036-268 (HMO) MAPD-HMO H1036-268-000

Florida Hardee HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Hardee Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H1036-296-000

Florida Hardee HumanaChoice Florida H5216-072 (PPO) MAPD-LPPO H5216-072-000

Florida Hendry HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Hendry HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Hendry HumanaChoice Florida H5216-072 (PPO) MAPD-LPPO H5216-072-000

Florida Hernando Humana Gold Plus H1036-025 (HMO) MAPD-HMO H1036-025-000

Florida Hernando Humana Gold Plus - Diabetes (HMO C-SNP) MAPD-HMO H1036-160-000

Florida Hernando Humana Gold Plus H1036-265 (HMO) MAPD-HMO H1036-265-001

Florida Hernando HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Hernando HumanaChoice Florida H5216-072 (PPO) MAPD-LPPO H5216-072-000

Florida Highlands Humana Gold Plus H1036-230 (HMO) MAPD-HMO H1036-230-000

Florida Highlands Humana Gold Plus H1036-268 (HMO) MAPD-HMO H1036-268-000

Florida Highlands HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Highlands Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H1036-296-000

Florida Highlands HumanaChoice Florida H5216-072 (PPO) MAPD-LPPO H5216-072-000


Y0040_GHHKYF4EN_C

Florida Hillsborough CareOne PLUS (HMO) MAPD-HMO H1019-103-002

Florida Hillsborough CareFree (HMO) MAPD-HMO H1019-104-002

Florida Hillsborough CareComplete (HMO C-SNP) MAPD-HMO H1019-107-000

Florida Hillsborough CareOne PLATINUM (HMO) MAPD-HMO H1019-111-000

Florida Hillsborough Humana Gold Plus H1036-025 (HMO) MAPD-HMO H1036-025-000

Florida Hillsborough Humana Gold Plus - Diabetes (HMO C-SNP) MAPD-HMO H1036-160-000

Florida Hillsborough Humana Gold Plus H1036-265 (HMO) MAPD-HMO H1036-265-001

Florida Hillsborough CareBreeze (HMO C-SNP) MAPD-HMO H1019-116-000

Florida Hillsborough HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Hillsborough HumanaChoice Florida H5216-072 (PPO) MAPD-LPPO H5216-072-000

Florida Holmes HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Holmes HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Indian River CareOne (HMO) MAPD-HMO H1019-043-000

Florida Indian River CareComplete (HMO C-SNP) MAPD-HMO H1019-108-000

Florida Indian River CareBreeze (HMO C-SNP) MAPD-HMO H1019-117-000

Florida Indian River HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Indian River Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H1036-292-000

Florida Indian River HumanaChoice Florida H5216-062 (PPO) MAPD-LPPO H5216-062-000

Florida Indian River Humana Gold Plus H1036-229 (HMO) MAPD-HMO H1036-229-000

Florida Indian River Humana Gold Plus H1036-286-000 (HMO) MAPD-HMO H1036-286-000

Florida Jackson HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Jackson HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Jefferson HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Jefferson HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Lafayette HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Lafayette HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Lake CareOne PLUS (HMO-POS) MAPD- HMOPOS H1019-057-000

Florida Lake CareFree (HMO) MAPD-HMO H1019-092-000

Florida Lake CareComplete (HMO C-SNP) MAPD-HMO H1019-107-000

Florida Lake CareOne PLATINUM (HMO) MAPD-HMO H1019-112-000

Florida Lake Humana Gold Plus H1036-269 (HMO) MAPD-HMO H1036-269-000

Florida Lake Humana Gold Plus H1036-277 (HMO) MAPD-HMO H1036-277-000

Florida Lake CareBreeze (HMO C-SNP) MAPD-HMO H1019-116-000

Florida Lake CareFree (HMO) MAPD-HMO H1019-120-001

Florida Lake HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Lake Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H1036-294-000

Florida Lake HumanaChoice Florida H5216-074 (PPO) MAPD-LPPO H5216-074-000

Florida Lake HumanaChoice Florida H7284-001 (PPO) MAPD-LPPO H7284-001-000

Florida Lee Humana Gold Plus H1036-217 (HMO) MAPD-HMO H1036-217-000

Florida Lee Humana Gold Plus H1036-278 (HMO) MAPD-HMO H1036-278-000

Florida Lee HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Lee HumanaChoice Florida H5216-072 (PPO) MAPD-LPPO H5216-072-000

Florida Leon HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000


Y0040_GHHKYF4EN_C

Florida Levy HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Levy HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Liberty HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Liberty HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Madison HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Madison HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Manatee Humana Gold Plus H1036-074 (HMO) MAPD-HMO H1036-074-000

Florida Manatee Humana Gold Plus - Diabetes (HMO C-SNP) MAPD-HMO H1036-160-000

Florida Manatee Humana Gold Plus H1036-265 (HMO) MAPD-HMO H1036-265-002

Florida Manatee HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Manatee HumanaChoice Florida H5216-072 (PPO) MAPD-LPPO H5216-072-000

Florida Marion CareOne PLUS (HMO-POS) MAPD- HMOPOS H1019-057-000

Florida Marion CareFree (HMO) MAPD-HMO H1019-092-000

Florida Marion CareComplete (HMO C-SNP) MAPD-HMO H1019-107-000

Florida Marion CareOne PLATINUM (HMO) MAPD-HMO H1019-112-000

Florida Marion Humana Gold Plus H1036-269 (HMO) MAPD-HMO H1036-269-000

Florida Marion Humana Gold Plus H1036-277 (HMO) MAPD-HMO H1036-277-000

Florida Marion CareBreeze (HMO C-SNP) MAPD-HMO H1019-116-000

Florida Marion CareFree (HMO) MAPD-HMO H1019-120-001

Florida Marion HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Marion Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H1036-294-000

Florida Marion HumanaChoice Florida H5216-074 (PPO) MAPD-LPPO H5216-074-000

Florida Marion HumanaChoice Florida H7284-001 (PPO) MAPD-LPPO H7284-001-000

Florida Martin Humana Gold Plus H1036-229 (HMO) MAPD-HMO H1036-229-000

Florida Martin HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Martin Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H1036-292-000

Florida Martin HumanaChoice Florida H5216-062 (PPO) MAPD-LPPO H5216-062-000

Florida Martin Humana Gold Plus H1036-286-000 (HMO) MAPD-HMO H1036-286-000

Florida Miami-Dade CareOne PLUS (HMO) MAPD-HMO H1019-006-000

Florida Miami-Dade CareExtra (HMO) MAPD-HMO H1019-089-000

Florida Miami-Dade CareComplete (HMO C-SNP) MAPD-HMO H1019-105-000

Florida Miami-Dade Humana Gold Plus H1036-054C (HMO) MAPD-HMO H1036-054-000

Florida Miami-Dade Humana Gold Plus - Diabetes (HMO C-SNP) MAPD-HMO H1036-121-000

Florida Miami-Dade Humana Gold Plus H1036-237 (HMO) MAPD-HMO H1036-237-002

Florida Miami-Dade CareBreeze (HMO C-SNP) MAPD-HMO H1019-114-000

Florida Miami-Dade HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Miami-Dade CareFree PLUS (HMO) MAPD-HMO H1019-076-000

Florida Monroe HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Nassau Humana Gold Plus H1036-081D (HMO) MAPD-HMO H1036-081-000

Florida Nassau Humana Gold Plus - Diabetes (HMO C-SNP) MAPD-HMO H1036-175-000

Florida Nassau Humana Gold Plus H1036-270 (HMO) MAPD-HMO H1036-270-000

Florida Nassau HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Nassau Humana Gold Plus H1036-068 (HMO) MAPD-HMO H1036-068-000


Y0040_GHHKYF4EN_C

Florida Nassau HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Nassau HumanaChoice Florida H7284-006 (PPO) MAPD-LPPO H7284-006-000

Florida Okaloosa Humana Gold Plus H1036-143 (HMO) MAPD-HMO H1036-143-000

Florida Okaloosa Humana Gold Plus H1036-271 (HMO) MAPD-HMO H1036-271-000

Florida Okaloosa HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Okaloosa HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Okeechobee Humana Gold Plus H1036-229 (HMO) MAPD-HMO H1036-229-000

Florida Okeechobee HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Okeechobee HumanaChoice Florida H5216-062 (PPO) MAPD-LPPO H5216-062-000

Florida Orange CareOne PLUS (HMO-POS) MAPD- HMOPOS H1019-057-000

Florida Orange CareFree (HMO) MAPD-HMO H1019-092-000

Florida Orange CareComplete (HMO C-SNP) MAPD-HMO H1019-107-000

Florida Orange CareOne PLATINUM (HMO) MAPD-HMO H1019-112-000

Florida Orange Humana Gold Plus H1036-146 (HMO) MAPD-HMO H1036-146-000


Florida Orange CareBreeze (HMO C-SNP) MAPD-HMO H1019-116-000

Florida Orange CareFree (HMO) MAPD-HMO H1019-120-002

Florida Orange HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000


Florida Orange Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H1036-294-000

Florida Orange HumanaChoice Florida H5216-072 (PPO) MAPD-LPPO H5216-072-000

Florida Osceola CareOne PLUS (HMO-POS) MAPD- HMOPOS H1019-057-000

Florida Osceola CareFree (HMO) MAPD-HMO H1019-092-000

Florida Osceola CareComplete (HMO C-SNP) MAPD-HMO H1019-107-000

Florida Osceola CareOne PLATINUM (HMO) MAPD-HMO H1019-112-000

Florida Osceola Humana Gold Plus H1036-146 (HMO) MAPD-HMO H1036-146-000


Florida Osceola CareBreeze (HMO C-SNP) MAPD-HMO H1019-116-000

Florida Osceola CareFree (HMO) MAPD-HMO H1019-120-002

Florida Osceola HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000


Florida Osceola Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H1036-294-000

Florida Osceola HumanaChoice Florida H5216-072 (PPO) MAPD-LPPO H5216-072-000

Florida Palm Beach CareFree (HMO) MAPD-HMO H1019-065-000

Florida Palm Beach CareOne (HMO) MAPD-HMO H1019-102-000

Florida Palm Beach CareComplete (HMO C-SNP) MAPD-HMO H1019-106-000

Florida Palm Beach Humana Gold Plus H1036-062C (HMO) MAPD-HMO H1036-062-000

Florida Palm Beach Humana Gold Plus - Diabetes (HMO C-SNP) MAPD-HMO H1036-121-000

Florida Palm Beach Humana Gold Plus H1036-199 (HMO) MAPD-HMO H1036-199-000

Florida Palm Beach CareBreeze (HMO C-SNP) MAPD-HMO H1019-115-000

Florida Palm Beach HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Pasco CareOne PLUS (HMO) MAPD-HMO H1019-103-002

Florida Pasco CareFree (HMO) MAPD-HMO H1019-104-002


Y0040_GHHKYF4EN_C

Florida Pasco CareComplete (HMO C-SNP) MAPD-HMO H1019-107-000

Florida Pasco CareOne PLATINUM (HMO) MAPD-HMO H1019-111-000

Florida Pasco Humana Gold Plus H1036-025 (HMO) MAPD-HMO H1036-025-000

Florida Pasco Humana Gold Plus - Diabetes (HMO C-SNP) MAPD-HMO H1036-160-000

Florida Pasco Humana Gold Plus H1036-265 (HMO) MAPD-HMO H1036-265-001

Florida Pasco CareBreeze (HMO C-SNP) MAPD-HMO H1019-116-000

Florida Pasco HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Pasco HumanaChoice Florida H5216-072 (PPO) MAPD-LPPO H5216-072-000

Florida Pinellas CareOne PLUS (HMO) MAPD-HMO H1019-103-002

Florida Pinellas CareFree (HMO) MAPD-HMO H1019-104-002

Florida Pinellas CareComplete (HMO C-SNP) MAPD-HMO H1019-107-000

Florida Pinellas CareOne PLATINUM (HMO) MAPD-HMO H1019-111-000

Florida Pinellas Humana Gold Plus H1036-025 (HMO) MAPD-HMO H1036-025-000

Florida Pinellas Humana Gold Plus - Diabetes (HMO C-SNP) MAPD-HMO H1036-160-000

Florida Pinellas Humana Gold Plus H1036-265 (HMO) MAPD-HMO H1036-265-001

Florida Pinellas CareBreeze (HMO C-SNP) MAPD-HMO H1019-116-000

Florida Pinellas HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Pinellas HumanaChoice Florida H5216-072 (PPO) MAPD-LPPO H5216-072-000

Florida Polk CareOne PLUS (HMO) MAPD-HMO H1019-103-001

Florida Polk CareFree (HMO) MAPD-HMO H1019-104-001

Florida Polk CareComplete (HMO C-SNP) MAPD-HMO H1019-107-000

Florida Polk Humana Gold Plus H1036-230 (HMO) MAPD-HMO H1036-230-000

Florida Polk Humana Gold Plus H1036-268 (HMO) MAPD-HMO H1036-268-000

Florida Polk CareBreeze (HMO C-SNP) MAPD-HMO H1019-116-000

Florida Polk HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Polk Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H1036-296-000

Florida Polk HumanaChoice Florida H5216-072 (PPO) MAPD-LPPO H5216-072-000

Florida Putnam Humana Gold Plus H1036-068 (HMO) MAPD-HMO H1036-068-000

Florida Putnam Humana Gold Plus - Diabetes (HMO C- SNP) MAPD-HMO H1036-175-000

Florida Putnam Humana Gold Plus H1036-270 (HMO) MAPD-HMO H1036-270-000

Florida Putnam HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Putnam HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Putnam HumanaChoice Florida H7284-006 (PPO) MAPD-LPPO H7284-006-000

Florida Santa Rosa Humana Gold Plus H1036-143 (HMO) MAPD-HMO H1036-143-000

Florida Santa Rosa Humana Gold Plus H1036-271 (HMO) MAPD-HMO H1036-271-000

Florida Santa Rosa HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Santa Rosa HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Sarasota Humana Gold Plus H1036-074 (HMO) MAPD-HMO H1036-074-000

Florida Sarasota Humana Gold Plus - Diabetes (HMO C- SNP) MAPD-HMO H1036-160-000

Florida Sarasota Humana Gold Plus H1036-265 (HMO) MAPD-HMO H1036-265-002

Florida Sarasota HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Sarasota HumanaChoice Florida H5216-072 (PPO) MAPD-LPPO H5216-072-000

Florida Seminole CareOne PLUS (HMO-POS) MAPD- HMOPOS H1019-057-000

Florida Seminole CareFree (HMO) MAPD-HMO H1019-092-000


Y0040_GHHKYF4EN_C

Florida Seminole CareComplete (HMO C-SNP) MAPD-HMO H1019-107-000

Florida Seminole CareOne PLATINUM (HMO) MAPD-HMO H1019-112-000

Florida Seminole Humana Gold Plus H1036-146 (HMO) MAPD-HMO H1036-146-000

Florida Seminole Humana Gold Plus H1036-269 (HMO) MAPD-HMO H1036-269-000

Florida Seminole CareBreeze (HMO C-SNP) MAPD-HMO H1019-116-000

Florida Seminole CareFree (HMO) MAPD-HMO H1019-120-002

Florida Seminole HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Seminole Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H1036-294-000

Florida Seminole HumanaChoice Florida H5216-072 (PPO) MAPD-LPPO H5216-072-000

Florida Seminole HumanaChoice Florida H7284-001 (PPO) MAPD-LPPO H7284-001-000

Florida St. Johns Humana Gold Plus H1036-068 (HMO) MAPD-HMO H1036-068-000

Florida St. Johns Humana Gold Plus - Diabetes (HMO C- SNP) MAPD-HMO H1036-175-000

Florida St. Johns Humana Gold Plus H1036-270 (HMO) MAPD-HMO H1036-270-000

Florida St. Johns HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida St. Johns HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida St. Johns HumanaChoice Florida H7284-006 (PPO) MAPD-LPPO H7284-006-000

Florida St. Lucie Humana Gold Plus H1036-229 (HMO) MAPD-HMO H1036-229-000

Florida St. Lucie Humana Gold Plus H1036-286-000 (HMO) MAPD-HMO H1036-286-000

Florida St. Lucie HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida St. Lucie Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H1036-292-000

Florida St. Lucie HumanaChoice Florida H5216-062 (PPO) MAPD-LPPO H5216-062-000

Florida Sumter CareOne PLUS (HMO-POS) MAPD- HMOPOS H1019-057-000

Florida Sumter CareFree (HMO) MAPD-HMO H1019-092-000

Florida Sumter CareComplete (HMO C-SNP) MAPD-HMO H1019-107-000

Florida Sumter CareOne PLATINUM (HMO) MAPD-HMO H1019-112-000

Florida Sumter Humana Gold Plus H1036-269 (HMO) MAPD-HMO H1036-269-000


Florida Sumter CareBreeze (HMO C-SNP) MAPD-HMO H1019-116-000

Florida Sumter CareFree (HMO) MAPD-HMO H1019-120-001

Florida Sumter HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000


Florida Sumter Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H1036-294-000

Florida Sumter Humana Community (HMO) MAPD-HMO H1036-295-000

Florida Sumter HumanaChoice Florida H5216-074 (PPO) MAPD-LPPO H5216-074-000

Florida Sumter HumanaChoice Florida H7284-001 (PPO) MAPD-LPPO H7284-001-000

Florida Suwannee HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Suwannee HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Taylor HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Taylor HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Union HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Union HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Volusia CareOne PLUS (HMO) MAPD-HMO H1019-098-000

Florida Volusia CareFree (HMO) MAPD-HMO H1019-099-000


Y0040_GHHKYF4EN_C

Florida Volusia CareComplete (HMO C-SNP) MAPD-HMO H1019-108-000

Florida Volusia Humana Gold Plus H1036-044 (HMO) MAPD-HMO H1036-044-000

Florida Volusia Humana Gold Plus - Diabetes (HMO C- SNP) MAPD-HMO H1036-156-000

Florida Volusia Humana Gold Plus H1036-157 (HMO) MAPD-HMO H1036-157-000

Florida Volusia CareBreeze (HMO C-SNP) MAPD-HMO H1019-117-000

Florida Volusia HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Volusia HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Volusia HumanaChoice Florida H7284-006 (PPO) MAPD-LPPO H7284-006-000

Florida Wakulla HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Wakulla HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Walton Humana Gold Plus H1036-143 (HMO) MAPD-HMO H1036-143-000

Florida Walton Humana Gold Plus H1036-271 (HMO) MAPD-HMO H1036-271-000

Florida Walton HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Walton HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000

Florida Washington HumanaChoice R5826-005 (Regional PPO) MAPD-RPPO R5826-005-000

Florida Washington HumanaChoice Florida H5216-070 (PPO) MAPD-LPPO H5216-070-000


Y0040_GHHKYF4EN_C

Georgia


Georgia (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-156-000

Georgia Appling HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Appling HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Atkinson HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Atkinson HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Bacon HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Bacon HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Baker Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Baker HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-002

Georgia Baker HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Baldwin Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Baldwin HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Baldwin HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Banks HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Banks HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Barrow Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Barrow HumanaChoice H5216-143 (PPO) MAPD-LPPO H5216-143-000


Georgia Barrow HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000


Georgia Bartow Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Bartow HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Bartow HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Bartow HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Ben Hill HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Ben Hill HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Berrien HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Berrien HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Bibb Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Bibb HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-002

Georgia Bibb HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Bleckley HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Bleckley HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Brantley HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Brantley HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Brooks HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Brooks HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Bryan Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Bryan HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Bryan HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Bryan HumanaChoice H5216-282 (PPO MAPD-LPPO H5216-282-001

Georgia Bulloch Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Bulloch HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Bulloch HumanaChoice H5216-282 (PPO MAPD-LPPO H5216-282-001

Georgia Burke Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Burke HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Burke HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Burke HumanaChoice H5216-282 (PPO MAPD-LPPO H5216-282-001

Georgia Butts Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005


Y0040_GHHKYF4EN_C

Georgia Butts HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Butts HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Butts HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Calhoun HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Calhoun HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Camden HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Camden HumanaChoice H5216-282 (PPO MAPD-LPPO H5216-282-001

Georgia Candler HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Candler HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Carroll HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Carroll HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Carroll HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Catoosa HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001



Georgia Charlton HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Charlton HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Chatham Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Chatham HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Chatham HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Chatham HumanaChoice H5216-282 (PPO MAPD-LPPO H5216-282-001

Georgia Chattahoochee Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Chattahoochee HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Chattahoochee HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Chattahoochee HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Chattooga HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Chattooga HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Cherokee Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Cherokee HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Cherokee HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Cherokee HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Clarke Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Clarke HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Clarke HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Clarke HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Clay HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Clay HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Clayton Humana Gold Plus H4141-015 (HMO) MAPD-HMO H4141-015-000

Georgia Clayton Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-004

Georgia Clayton HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Clayton HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Clayton HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Clinch HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Clinch HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Cobb Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Cobb HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Cobb HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Cobb HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000


Y0040_GHHKYF4EN_C

Georgia Coffee HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Coffee HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Colquitt HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Colquitt HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Columbia Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Columbia HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Columbia HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Columbia HumanaChoice H5216-282 (PPO MAPD-LPPO H5216-282-001

Georgia Cook HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Cook HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Coweta Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Coweta HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Coweta HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Coweta HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Crawford Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Crawford HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-002

Georgia Crawford HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Crisp HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Crisp HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Dade HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001



Georgia Dawson HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Dawson HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Dawson HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Decatur HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Decatur HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia DeKalb Humana Gold Plus H4141-015 (HMO) MAPD-HMO H4141-015-000

Georgia DeKalb Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-004

Georgia DeKalb HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia DeKalb HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia DeKalb HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Dodge HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Dodge HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Dooly HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Dooly HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Dougherty Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Dougherty HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-002

Georgia Dougherty HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Douglas Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Douglas HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Douglas HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Douglas HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Early HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Early HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Echols HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Echols HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Effingham Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Effingham HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Effingham HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000


Y0040_GHHKYF4EN_C

Georgia Effingham HumanaChoice H5216-282 (PPO MAPD-LPPO H5216-282-001

Georgia Elbert Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Elbert HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Elbert HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Emanuel HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Emanuel HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Evans HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Evans HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Fannin HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Fannin HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Fayette Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Fayette HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Fayette HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Fayette HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Floyd Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Floyd HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Floyd HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Floyd HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Forsyth Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Forsyth HumanaChoice H5216-143 (PPO) MAPD-LPPO H5216-143-000


Georgia Forsyth HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000


Georgia Franklin HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Franklin HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Fulton Humana Gold Plus H4141-015 (HMO) MAPD-HMO H4141-015-000

Georgia Fulton Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-004

Georgia Fulton HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Fulton HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Fulton HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Gilmer HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Gilmer HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Glascock Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Glascock HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Glascock HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Glynn HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Glynn HumanaChoice H5216-282 (PPO MAPD-LPPO H5216-282-001

Georgia Gordon HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Gordon HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Gordon HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Grady HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Grady HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Greene Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Greene HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Greene HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Gwinnett Humana Gold Plus H4141-015 (HMO) MAPD-HMO H4141-015-000

Georgia Gwinnett Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-004

Georgia Gwinnett HumanaChoice H5216-143 (PPO) MAPD-LPPO H5216-143-000


Georgia Gwinnett HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000


Y0040_GHHKYF4EN_C


Georgia Habersham HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Habersham HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Hall Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Hall HumanaChoice H5216-143 (PPO) MAPD-LPPO H5216-143-000


Georgia Hall HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000


Georgia Hancock Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Hancock HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Hancock HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Haralson HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Haralson HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Haralson HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Harris Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Harris HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Harris HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Harris HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Hart HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Hart HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Heard HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Heard HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Heard HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Henry Humana Gold Plus H4141-015 (HMO) MAPD-HMO H4141-015-000

Georgia Henry Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-004

Georgia Henry HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Henry HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Henry HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Houston Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Houston HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-002

Georgia Houston HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Irwin HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Irwin HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Jackson Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Jackson HumanaChoice H5216-143 (PPO) MAPD-LPPO H5216-143-000


Georgia Jackson HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000


Georgia Jasper Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Jasper HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Jasper HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Jasper HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Jeff Davis HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Jeff Davis HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Jefferson Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Jefferson HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Jefferson HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Jenkins HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Jenkins HumanaChoice H5216-282 (PPO MAPD-LPPO H5216-282-001


Y0040_GHHKYF4EN_C

Georgia Johnson HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Johnson HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Jones Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Jones HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-002

Georgia Jones HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Lamar Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Lamar HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Lamar HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Lamar HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Lanier HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Lanier HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Laurens Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Laurens HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Laurens HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Lee Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Lee HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-002

Georgia Lee HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Liberty Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Liberty HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Liberty HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Liberty HumanaChoice H5216-282 (PPO MAPD-LPPO H5216-282-001

Georgia Lincoln Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Lincoln HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Lincoln HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Lincoln HumanaChoice H5216-282 (PPO MAPD-LPPO H5216-282-001

Georgia Long HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Long HumanaChoice H5216-282 (PPO MAPD-LPPO H5216-282-001

Georgia Lumpkin HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Lumpkin HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Macon Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Macon HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Macon HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Madison Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Madison HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Madison HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Madison HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Marion Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Marion HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Marion HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Marion HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia McDuffie Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia McDuffie HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia McDuffie HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia McDuffie HumanaChoice H5216-282 (PPO MAPD-LPPO H5216-282-001

Georgia McIntosh HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia McIntosh HumanaChoice H5216-282 (PPO MAPD-LPPO H5216-282-001

Georgia Meriwether Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Meriwether HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Meriwether HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000


Y0040_GHHKYF4EN_C

Georgia Meriwether HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Miller HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Miller HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Mitchell HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Mitchell HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Monroe Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Monroe HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-002

Georgia Monroe HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Montgomery HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Montgomery HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Morgan Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Morgan HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Morgan HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Murray HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001



Georgia Muscogee Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Muscogee HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Muscogee HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Muscogee HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Newton Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Newton HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Newton HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Newton HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Oconee Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Oconee HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Oconee HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Oconee HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Oglethorpe Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Oglethorpe HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Oglethorpe HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Oglethorpe HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Paulding Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Paulding HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Paulding HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Paulding HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Peach Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Peach HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-002

Georgia Peach HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Pickens Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Pickens HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Pickens HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Pickens HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Pierce HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Pierce HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Pike Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Pike HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Pike HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Pike HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000


Y0040_GHHKYF4EN_C

Georgia Polk HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Polk HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Polk HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Pulaski HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Pulaski HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Putnam Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Putnam HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Putnam HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Quitman HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Quitman HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Rabun HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Rabun HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Randolph HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Randolph HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Richmond Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Richmond HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Richmond HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Richmond HumanaChoice H5216-282 (PPO MAPD-LPPO H5216-282-001

Georgia Rockdale Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Rockdale HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Rockdale HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Rockdale HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Schley Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Schley HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Schley HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Screven HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Screven HumanaChoice H5216-282 (PPO MAPD-LPPO H5216-282-001

Georgia Seminole HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Seminole HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Spalding Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Spalding HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Spalding HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Spalding HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Stephens HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Stephens HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Stewart Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Stewart HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Stewart HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Sumter Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Sumter HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-002

Georgia Sumter HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Talbot Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Talbot HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Talbot HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Taliaferro Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Taliaferro HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Taliaferro HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Tattnall HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Tattnall HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Taylor Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Taylor HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Taylor HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000


Y0040_GHHKYF4EN_C

Georgia Telfair HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Telfair HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Terrell Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Terrell HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-002

Georgia Terrell HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Thomas HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Thomas HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Tift HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Tift HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Toombs HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Toombs HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Towns HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Towns HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Treutlen HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Treutlen HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Troup Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Troup HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Troup HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Troup HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Turner HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Turner HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Twiggs Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Twiggs HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-002

Georgia Twiggs HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Union HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Union HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Upson Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Upson HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Upson HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Upson HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Walton Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Walton HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Walton HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-246-000

Georgia Walton HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Ware HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Ware HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Warren Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Warren HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Warren HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Washington Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Washington HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Washington HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Wayne HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Wayne HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Webster Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-003

Georgia Webster HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001

Georgia Webster HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Wheeler HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Wheeler HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia White HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia White HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Whitfield HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-001



Y0040_GHHKYF4EN_C


Georgia Wilcox HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Wilcox HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Wilkes Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Wilkes HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Wilkes HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Wilkinson Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Wilkinson HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Georgia Wilkinson HumanaChoice H5216-207 (PPO) MAPD-LPPO H5216-207-000

Georgia Worth Humana Gold Plus H4141-017 (HMO) MAPD-HMO H4141-017-005

Georgia Worth HumanaChoice H5216-203 (PPO) MAPD-LPPO H5216-203-002

Georgia Worth HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

Hawaii


Hawaii (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-179-000

Hawaii Honolulu Humana Gold Plus H0028-048 (HMO) MAPD-HMO H0028-048-001

Hawaii Honolulu HumanaChoice H5216-232 (PPO) MAPD-LPPO H5216-232-001

Hawaii Honolulu HumanaChoice H5216-233 (PPO) MAPD-LPPO H5216-233-001

Hawaii Kauai Humana Gold Plus H0028-048 (HMO) MAPD-HMO H0028-048-002

Hawaii Kauai HumanaChoice H5216-232 (PPO) MAPD-LPPO H5216-232-002

Hawaii Kauai HumanaChoice H5216-233 (PPO) MAPD-LPPO H5216-233-002

Hawaii Maui Humana Gold Plus H0028-048 (HMO) MAPD-HMO H0028-048-002

Hawaii Maui HumanaChoice H5216-232 (PPO) MAPD-LPPO H5216-232-002

Hawaii Maui HumanaChoice H5216-233 (PPO) MAPD-LPPO H5216-233-002


Y0040_GHHKYF4EN_C

Idaho


Idaho (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-177-000

Idaho Ada Humana Community (HMO) MAPD-HMO H2486-005-000

Idaho Ada HumanaChoice H5216-044 (PPO) MAPD-LPPO H5216-044-000

Idaho Ada HumanaChoice H5216-132 (PPO) MAPD-LPPO H5216-132-000

Idaho Ada Humana Gold Plus H5619-077 (HMO) MAPD-HMO H5619-077-000

Idaho Bannock HumanaChoice H5216-222 (PPO) MAPD-LPPO H5216-222-000

Idaho Bingham HumanaChoice H5216-222 (PPO) MAPD-LPPO H5216-222-000

Idaho Blaine Humana Gold Plus H2486-008 (HMO) MAPD-HMO H2486-008-000

Idaho Boise HumanaChoice H5216-044 (PPO) MAPD-LPPO H5216-044-000

Idaho Boise HumanaChoice H5216-132 (PPO) MAPD-LPPO H5216-132-000

Idaho Boise Humana Community (HMO) MAPD-HMO H2486-005-000

Idaho Bonner HumanaChoice H5216-044 (PPO) MAPD-LPPO H5216-044-000

Idaho Bonner Humana Gold Plus H5619-078 (HMO) MAPD-HMO H5619-078-000

Idaho Booner HumanaChoice H5216-247 (PPO) MAPD-LPPO H5216-247-000

Idaho Booneville HumanaChoice H5216-222 (PPO) MAPD-LPPO H5216-222-000

Idaho Camas Humana Gold Plus H2486-008 (HMO) MAPD-HMO H2486-008-000

Idaho Canyon Humana Community (HMO) MAPD-HMO H2486-005-000

Idaho Canyon HumanaChoice H5216-044 (PPO) MAPD-LPPO H5216-044-000

Idaho Canyon HumanaChoice H5216-132 (PPO) MAPD-LPPO H5216-132-000

Idaho Canyon Humana Gold Plus H5619-077 (HMO) MAPD-HMO H5619-077-000

Idaho Canyon Humana Community (HMO) MAPD-HMO H2486-005-000

Idaho Elmore HumanaChoice H5216-132 (PPO) MAPD-LPPO H5216-132-000

Idaho Elmore Humana Community (HMO) MAPD-HMO H2486-005-000

Idaho Gem HumanaChoice H5216-044 (PPO) MAPD-LPPO H5216-044-000

Idaho Gem HumanaChoice H5216-132 (PPO) MAPD-LPPO H5216-132-000

Idaho Gem Humana Community (HMO) MAPD-HMO H2486-005-000

Idaho Gooding Humana Gold Plus H2486-008 (HMO) MAPD-HMO H2486-008-000

Idaho Jerome Humana Gold Plus H2486-008 (HMO) MAPD-HMO H2486-008-000

Idaho Kootenai HumanaChoice H5216-044 (PPO) MAPD-LPPO H5216-044-000

Idaho Kootenai Humana Gold Plus H5619-078 (HMO) MAPD-HMO H5619-078-000

Idaho Kootenai HumanaChoice H5216-247 (PPO) MAPD-LPPO H5216-247-000

Idaho Lincoln Humana Gold Plus H2486-008 (HMO) MAPD-HMO H2486-008-000

Idaho Owyhee HumanaChoice H5216-132 (PPO) MAPD-LPPO H5216-132-000

Idaho Owyhee Humana Community (HMO) MAPD-HMO H2486-005-000

Idaho Payette Humana Community (HMO) MAPD-HMO H2486-005-000

Idaho Payette HumanaChoice H5216-044 (PPO) MAPD-LPPO H5216-044-000

Idaho Payette HumanaChoice H5216-132 (PPO) MAPD-LPPO H5216-132-000

Idaho Payette Humana Gold Plus H5619-077 (HMO) MAPD-HMO H5619-077-000

Idaho Twin Falls Humana Community (HMO) MAPD-HMO H2486-005-000

Idaho Twin Falls Humana Gold Plus H2486-008 (HMO) MAPD-HMO H2486-008-000

Idaho Valley Humana Community (HMO) MAPD-HMO H2486-005-000

Idaho Washington Humana Community (HMO) MAPD-HMO H2486-005-000

Idaho Washington HumanaChoice H5216-132 (PPO) MAPD-LPPO H5216-132-000


Y0040_GHHKYF4EN_C


Y0040_GHHKYF4EN_C

Illinois


Illinois (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-163-000

Illinois Adams HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000

Illinois Bond Humana Gold Plus H0028-014 (HMO) MAPD-HMO H0028-014-000

Illinois Bond HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Illinois Boone Humana Gold Plus H1468-007 (HMO) MAPD-HMO H1468-007-000

Illinois Boone HumanaChoice H5216-251 (PPO) MAPD-LPPO H5216-251-000



Illinois Brown HumanaChoice H5525-004 (PPO) MAPD-LPPO H5525-004-000

Illinois Calhoun Humana Gold Plus H0028-014 (HMO) MAPD-HMO H0028-014-000

Illinois Calhoun HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Illinois Cass HumanaChoice H5525-004 (PPO) MAPD-LPPO H5525-004-000

Illinois Christian HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000

Illinois Christian HumanaChoice H5216-215 (PPO) MAPD-LPPO H5216-215-000

Illinois Clark HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000

Illinois Clinton Humana Gold Plus H0028-014 (HMO) MAPD-HMO H0028-014-000

Illinois Clinton HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Illinois Cook Humana Gold Plus H1468-013 (HMO) MAPD-HMO H1468-013-000

Illinois Cook Humana Community HMO Diabetes and Heart (HMO C-SNP)

MAPD-HMO H1468-017-000

Illinois Cook HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000



Illinois DeKalb Humana Gold Plus H1468-014 (HMO) MAPD-HMO H1468-014-000

Illinois DeKalb HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000



Illinois DuPage Humana Gold Plus H1468-013 (HMO) MAPD-HMO H1468-013-000

Illinois DuPage Humana Community HMO Diabetes and Heart (HMO C-SNP)

MAPD-HMO H1468-017-000

Illinois DuPage HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000



Y0040_GHHKYF4EN_C


Illinois Edgar HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000

Illinois Fulton HumanaChoice H5525-004 (PPO) MAPD-LPPO H5525-004-000

Illinois Grundy HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000



Illinois Hancock HumanaChoice H5525-004 (PPO) MAPD-LPPO H5525-004-000

Illinois Henderson HumanaChoice H5525-004 (PPO) MAPD-LPPO H5525-004-000

Illinois Henry Humana Gold Plus H1468-007 (HMO) MAPD-HMO H1468-007-000

Illinois Henry HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000

Illinois Henry HumanaChoice H5216-215 (PPO) MAPD-LPPO H5216-215-000

Illinois Jasper HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000

Illinois Jersey Humana Gold Plus H0028-014 (HMO) MAPD-HMO H0028-014-000

Illinois Jersey HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Illinois Kane Humana Gold Plus H1468-014 (HMO) MAPD-HMO H1468-014-000

Illinois Kane Humana Community Select HMO H1468-018 (HMO)

MAPD-HMO H1468-018-000

Illinois Kane HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000



Illinois Kankakee Humana Gold Plus H1468-013 (HMO) MAPD-HMO H1468-013-000

Illinois Kankakee HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000



Illinois Kendall Humana Gold Plus H1468-014 (HMO) MAPD-HMO H1468-014-000

Illinois Kendall Humana Community Select HMO H1468-018 (HMO)

MAPD-HMO H1468-018-000

Illinois Kendall HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000



Illinois Knox Humana Gold Plus H1468-007 (HMO) MAPD-HMO H1468-007-000

Illinois Knox HumanaChoice H5216-215 (PPO) MAPD-LPPO H5216-215-000

Illinois Knox HumanaChoice H5525-004 (PPO) MAPD-LPPO H5525-004-000


Y0040_GHHKYF4EN_C

Illinois La Salle Humana Gold Plus H1468-007 (HMO) MAPD-HMO H1468-007-000

Illinois La Salle HumanaChoice H5525-004 (PPO) MAPD-LPPO H5525-004-000

Illinois Lake Humana Gold Plus H1468-013 (HMO) MAPD-HMO H1468-013-000

Illinois Lake HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000



Illinois Lee HumanaChoice H5525-004 (PPO) MAPD-LPPO H5525-004-000

Illinois Livingston Humana Gold Plus H1468-007 (HMO) MAPD-HMO H1468-007-000

Illinois Livingston HumanaChoice H5216-215 (PPO) MAPD-LPPO H5216-215-000

Illinois Livingston HumanaChoice H5525-004 (PPO) MAPD-LPPO H5525-004-000

Illinois Macon HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000

Illinois Macon HumanaChoice H5216-215 (PPO) MAPD-LPPO H5216-215-000

Illinois Macoupin Humana Gold Plus H0028-014 (HMO) MAPD-HMO H0028-014-000

Illinois Macoupin HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Illinois Madison Humana Gold Plus H0028-014 (HMO) MAPD-HMO H0028-014-000

Illinois Madison HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Illinois Madison HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Illinois Marshall Humana Gold Plus H1468-007 (HMO) MAPD-HMO H1468-007-000

Illinois Marshall HumanaChoice H5216-215 (PPO) MAPD-LPPO H5216-215-000

Illinois Marshall HumanaChoice H5525-004 (PPO) MAPD-LPPO H5525-004-000

Illinois McDonough HumanaChoice H5525-004 (PPO) MAPD-LPPO H5525-004-000

Illinois McHenry Humana Gold Plus H1468-014 (HMO) MAPD-HMO H1468-014-000

Illinois McHenry Humana Community Select HMO H1468-018 (HMO)

MAPD-HMO H1468-018-000

Illinois McHenry HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000



Illinois McLean Humana Gold Plus H1468-007 (HMO) MAPD-HMO H1468-007-000

Illinois McLean HumanaChoice H5216-215 (PPO) MAPD-LPPO H5216-215-000

Illinois McLean HumanaChoice H5525-004 (PPO) MAPD-LPPO H5525-004-000

Illinois Menard HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000

Illinois Mercer HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000


Y0040_GHHKYF4EN_C

Illinois Monroe HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Illinois Monroe HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Illinois Morgan HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000

Illinois Morgan HumanaChoice H5216-215 (PPO) MAPD-LPPO H5216-215-000

Illinois Moultrie HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000

Illinois Ogle Humana Gold Plus H1468-007 (HMO) MAPD-HMO H1468-007-000

Illinois Ogle HumanaChoice H5216-251 (PPO) MAPD-LPPO H5216-251-000



Illinois Peoria Humana Gold Plus H1468-007 (HMO) MAPD-HMO H1468-007-000

Illinois Peoria HumanaChoice H5216-215 (PPO) MAPD-LPPO H5216-215-000

Illinois Peoria HumanaChoice H5525-004 (PPO) MAPD-LPPO H5525-004-000

Illinois Pike HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000

Illinois Putnam HumanaChoice H5525-004 (PPO) MAPD-LPPO H5525-004-000

Illinois Richland HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000

Illinois Rock Island Humana Gold Plus H1468-007 (HMO) MAPD-HMO H1468-007-000

Illinois Rock Island HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000

Illinois Rock Island HumanaChoice H5216-215 (PPO) MAPD-LPPO H5216-215-000

Illinois Sangamon HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000

Illinois Sangamon HumanaChoice H5216-215 (PPO) MAPD-LPPO H5216-215-000

Illinois Schuyler HumanaChoice H5525-004 (PPO) MAPD-LPPO H5525-004-000

Illinois Scott HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000

Illinois St. Clair Humana Gold Plus H0028-014 (HMO) MAPD-HMO H0028-014-000

Illinois St. Clair HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Illinois St. Clair HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Illinois Stark Humana Gold Plus H1468-007 (HMO) MAPD-HMO H1468-007-000

Illinois Stark HumanaChoice H5216-215 (PPO) MAPD-LPPO H5216-215-000

Illinois Stark HumanaChoice H5525-004 (PPO) MAPD-LPPO H5525-004-000

Illinois Stephenson Humana Gold Plus H1468-007 (HMO) MAPD-HMO H1468-007-000

Illinois Stephenson HumanaChoice H5216-251 (PPO) MAPD-LPPO H5216-251-000



Y0040_GHHKYF4EN_C


Illinois Tazewell Humana Gold Plus H1468-007 (HMO) MAPD-HMO H1468-007-000

Illinois Tazewell HumanaChoice H5216-215 (PPO) MAPD-LPPO H5216-215-000

Illinois Tazewell HumanaChoice H5525-004 (PPO) MAPD-LPPO H5525-004-000

Illinois Vermilion HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000

Illinois Warren HumanaChoice H5525-004 (PPO) MAPD-LPPO H5525-004-000

Illinois Will Humana Gold Plus H1468-013 (HMO) MAPD-HMO H1468-013-000

Illinois Will Humana Community HMO Diabetes and Heart (HMO C-SNP)

MAPD-HMO H1468-017-000

Illinois Will HumanaChoice H5216-013 (PPO) MAPD-LPPO H5216-013-000



Illinois Winnebago Humana Gold Plus H1468-007 (HMO) MAPD-HMO H1468-007-000

Illinois Winnebago HumanaChoice H5216-251 (PPO) MAPD-LPPO H5216-251-000



Illinois Woodford Humana Gold Plus H1468-007 (HMO) MAPD-HMO H1468-007-000

Illinois Woodford HumanaChoice H5216-215 (PPO) MAPD-LPPO H5216-215-000

Illinois Woodford HumanaChoice H5525-004 (PPO) MAPD-LPPO H5525-004-000


Y0040_GHHKYF4EN_C

Indiana


Indiana (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-161-000 Indiana (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-161-000

Indiana Adams Humana Gold Plus H5619-051 (HMO) MAPD-HMO H5619-051-000

Indiana Adams Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Adams HumanaChoice H5216-055 (PPO) MAPD-LPPO H5216-055-000



Indiana Allen Humana Gold Plus H5619-051 (HMO) MAPD-HMO H5619-051-000

Indiana Allen Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Allen HumanaChoice H5216-055 (PPO) MAPD-LPPO H5216-055-000



Indiana Bartholomew Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000

Indiana Bartholomew Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Bartholomew Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Bartholomew HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Benton HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000




Indiana Blackford HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Boone Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000

Indiana Boone Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Boone Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Boone HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000



Y0040_GHHKYF4EN_C


Indiana Brown Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000

Indiana Brown Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Brown Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Brown HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Carroll HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Cass Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000

Indiana Cass Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Cass Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Cass HumanaChoice H5216-055 (PPO) MAPD-LPPO H5216-055-000




Indiana Clark Humana Gold Plus H5619-073 (HMO) MAPD-HMO H5619-073-000

Indiana Clark HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Indiana Clark HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Indiana Clay HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000




Indiana Clinton Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000

Indiana Clinton Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Clinton Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Clinton HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Crawford HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000


Y0040_GHHKYF4EN_C



Indiana Daviess HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana De Kalb Humana Gold Plus H5619-051 (HMO) MAPD-HMO H5619-051-000

Indiana De Kalb Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana De Kalb HumanaChoice H5216-055 (PPO) MAPD-LPPO H5216-055-000



Indiana Dearborn HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Decatur HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Delaware Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000

Indiana Delaware Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Delaware Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Delaware HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000



Indiana Dubois HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Elkhart Humana Gold Plus H5619-052 (HMO) MAPD-HMO H5619-052-000

Indiana Elkhart Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Elkhart HumanaChoice H5216-055 (PPO) MAPD-LPPO H5216-055-000




Y0040_GHHKYF4EN_C


Indiana Fayette HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000




Indiana Floyd Humana Gold Plus H5619-073 (HMO) MAPD-HMO H5619-073-000

Indiana Floyd HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Indiana Floyd HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Indiana Fountain HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Franklin HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Fulton HumanaChoice H5216-055 (PPO) MAPD-LPPO H5216-055-000




Indiana Gibson Humana Gold Plus H5619-050 (HMO) MAPD-HMO H5619-050-000

Indiana Gibson Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Gibson HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Grant Humana Gold Plus H5619-051 (HMO) MAPD-HMO H5619-051-000

Indiana Grant Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Grant HumanaChoice H5216-055 (PPO) MAPD-LPPO H5216-055-000




Indiana Greene HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000


Y0040_GHHKYF4EN_C



Indiana Hamilton Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000

Indiana Hamilton Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Hamilton Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Hamilton HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000



Indiana Hancock Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000

Indiana Hancock Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Hancock Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Hancock HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000



Indiana Harrison Humana Gold Plus H5619-073 (HMO) MAPD-HMO H5619-073-000

Indiana Harrison HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Indiana Harrison HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Indiana Hendricks Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000

Indiana Hendricks Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Hendricks Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Hendricks HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000



Indiana Henry Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000

Indiana Henry Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Henry Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Henry HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000




Indiana Howard Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000

Indiana Howard Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000


Y0040_GHHKYF4EN_C

Indiana Howard Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Howard HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Huntington Humana Gold Plus H5619-051 (HMO) MAPD-HMO H5619-051-000

Indiana Huntington Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Huntington HumanaChoice H5216-055 (PPO) MAPD-LPPO H5216-055-000



Indiana Jackson Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000

Indiana Jackson Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Jackson Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Jackson HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Jasper Humana Gold Plus H5619-053 (HMO) MAPD-HMO H5619-053-000

Indiana Jasper Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Jasper HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Jay HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000




Indiana Jefferson HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Jennings HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Johnson Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000


Y0040_GHHKYF4EN_C

Indiana Johnson Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Johnson Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Johnson HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000



Indiana Knox HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Kosciusko Humana Gold Plus H5619-051 (HMO) MAPD-HMO H5619-051-000

Indiana Kosciusko Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Kosciusko HumanaChoice H5216-055 (PPO) MAPD-LPPO H5216-055-000



Indiana La Porte Humana Gold Plus H5619-052 (HMO) MAPD-HMO H5619-052-000

Indiana La Porte Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana La Porte HumanaChoice H5216-055 (PPO) MAPD-LPPO H5216-055-000




Indiana Lagrange Humana Gold Plus H5619-051 (HMO) MAPD-HMO H5619-051-000

Indiana Lagrange Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Lagrange HumanaChoice H5216-055 (PPO) MAPD-LPPO H5216-055-000




Indiana Lake Humana Gold Plus H5619-053 (HMO) MAPD-HMO H5619-053-000

Indiana Lake Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Lake HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Lawrence Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000


Y0040_GHHKYF4EN_C

Indiana Lawrence Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Lawrence Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Lawrence HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Madison Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000

Indiana Madison Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Madison Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Madison HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000



Indiana Marion Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000

Indiana Marion Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Marion Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Marion HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000



Indiana Marshall Humana Gold Plus H5619-052 (HMO) MAPD-HMO H5619-052-000

Indiana Marshall Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Marshall HumanaChoice H5216-055 (PPO) MAPD-LPPO H5216-055-000




Indiana Martin HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Miami Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000

Indiana Miami Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Miami Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Miami HumanaChoice H5216-055 (PPO) MAPD-LPPO H5216-055-000



Y0040_GHHKYF4EN_C



Indiana Monroe Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000

Indiana Monroe Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Monroe Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Monroe HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Montgomery Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000

Indiana Montgomery Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Montgomery Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Montgomery HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000




Indiana Morgan Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000

Indiana Morgan Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Morgan Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Morgan HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000



Indiana Newton HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Noble Humana Gold Plus H5619-051 (HMO) MAPD-HMO H5619-051-000

Indiana Noble Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Noble HumanaChoice H5216-055 (PPO) MAPD-LPPO H5216-055-000



Indiana Ohio HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Y0040_GHHKYF4EN_C


Indiana Orange HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Owen HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000




Indiana Parke HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000




Indiana Perry HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Pike HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Porter Humana Gold Plus H5619-053 (HMO) MAPD-HMO H5619-053-000

Indiana Porter Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Porter HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Posey Humana Gold Plus H5619-050 (HMO) MAPD-HMO H5619-050-000

Indiana Posey Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Posey HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Pulaski HumanaChoice H5216-055 (PPO) MAPD-LPPO H5216-055-000


Y0040_GHHKYF4EN_C




Indiana Putnam Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000

Indiana Putnam Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Putnam Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Putnam HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000




Indiana Randolph HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Ripley HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Rush HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000




Indiana Scott HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Shelby Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000

Indiana Shelby Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Shelby Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Shelby HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000





Y0040_GHHKYF4EN_C

Indiana Spencer HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana St. Joseph Humana Gold Plus H5619-052 (HMO) MAPD-HMO H5619-052-000

Indiana St. Joseph Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana St. Joseph HumanaChoice H5216-055 (PPO) MAPD-LPPO H5216-055-000




Indiana Starke HumanaChoice H5216-055 (PPO) MAPD-LPPO H5216-055-000




Indiana Steuben HumanaChoice H5216-055 (PPO) MAPD-LPPO H5216-055-000




Indiana Sullivan HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000




Indiana Switzerland HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Tippecanoe Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000

Indiana Tippecanoe Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Tippecanoe Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Tippecanoe HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000




Y0040_GHHKYF4EN_C


Indiana Tipton Humana Gold Plus H5619-049 (HMO) MAPD-HMO H5619-049-000

Indiana Tipton Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Tipton Humana Gold Plus H5619-124 (HMO) MAPD-HMO H5619-124-000

Indiana Tipton HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Union HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000




Indiana Vanderburgh Humana Gold Plus H5619-050 (HMO) MAPD-HMO H5619-050-000

Indiana Vanderburgh Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Vanderburgh HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Vermillion HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Vigo HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000




Indiana Wabash Humana Gold Plus H5619-051 (HMO) MAPD-HMO H5619-051-000

Indiana Wabash Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Wabash HumanaChoice H5216-055 (PPO) MAPD-LPPO H5216-055-000




Indiana Warren HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000


Y0040_GHHKYF4EN_C



Indiana Warrick Humana Gold Plus H5619-050 (HMO) MAPD-HMO H5619-050-000

Indiana Warrick Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Warrick HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Washington HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Wayne HumanaChoice H5216-053 (PPO) MAPD-LPPO H5216-053-000




Indiana Wells Humana Gold Plus H5619-051 (HMO) MAPD-HMO H5619-051-000

Indiana Wells Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Wells HumanaChoice H5216-055 (PPO) MAPD-LPPO H5216-055-000



Indiana White HumanaChoice H5216-192 (PPO) MAPD-LPPO H5216-192-000



Indiana Whitley Humana Gold Plus H5619-051 (HMO) MAPD-HMO H5619-051-000

Indiana Whitley Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-055-000

Indiana Whitley HumanaChoice H5216-055 (PPO) MAPD-LPPO H5216-055-000




Y0040_GHHKYF4EN_C

Iowa


Iowa (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-171-000

Iowa Allamakee HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Audubon HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Benton HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Benton Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Black Hawk HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Black Hawk Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Boone HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Boone Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Bremer HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Bremer Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Buchanan HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Buchanan Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Buena Vista HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Buena Vista Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Butler HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Butler Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Calhoun HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Carroll HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Cass HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Cedar HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Cedar Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Cerro Gordo HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Cerro Gordo Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Cherokee HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Cherokee Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Clinton HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Clinton Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Crawford HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Dallas HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Dallas Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Davis HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Decatur HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Delaware HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Delaware Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Des Moines HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Des Moines Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Dickinson HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Emmet HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Floyd HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Floyd Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Franklin HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Fremont HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000


Y0040_GHHKYF4EN_C

Iowa Grundy HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Grundy Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Hamilton HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Hamilton Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Hancock HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Hardin HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Hardin Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Harrison HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Henry HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Henry Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Humboldt HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Ida HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Iowa HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Jackson HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Jackson Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Jasper HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Jasper Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Jefferson HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Jefferson Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Johnson HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Johnson Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Jones HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Jones Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Keokuk HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Keokuk Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Kossuth HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Lee HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Linn HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Linn Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Louisa Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Lucas HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Lyon HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Lyon Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Madison HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Madison Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Mahaska HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Mahaska Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Marion HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Marion Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Marshall HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Marshall Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Mills HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Mills Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Mitchell HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Mitchell Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002


Y0040_GHHKYF4EN_C

Iowa Monona HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Monroe HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Muscatine HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Muscatine Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa O'Brien HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Osceola HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Page HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Palo Alto HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Plymouth HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Plymouth Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Pocahontas HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Polk HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Polk Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Pottawattamie HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Pottawattamie Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Poweshiek HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Poweshiek Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Ringgold HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Sac HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Scott HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Scott Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Sioux HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Sioux Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Story HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Story Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Tama HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Tama Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Van Buren HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Wapello HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Wapello Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Warren HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Warren Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Washington HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Washington Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-002

Iowa Wayne HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Webster HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Webster Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Winnebago HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Winnebago Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Winneshiek HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Woodbury HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Woodbury Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Worth HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Iowa Worth Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-001

Iowa Wright HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000


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Kansas State County Plan Name Plan Type Plan ID

Kansas (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-170-000 Kansas Allen HumanaChoice H9070-004 (PPO) MAPD-LPPO H9070-004-000

Kansas Atchison HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Kansas Atchison HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Kansas Barton HumanaChoice H9070-004 (PPO) MAPD-LPPO H9070-004-000

Kansas Bourbon HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000



Kansas Butler Humana Gold Plus H0028-013 (HMO) MAPD-HMO H0028-013-000

Kansas Butler HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000



Kansas Cherokee HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000



Kansas Coffey HumanaChoice H9070-004 (PPO) MAPD-LPPO H9070-004-000

Kansas Cowley HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000



Kansas Crawford HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000



Kansas Dickinson Humana Gold Plus H0028-013 (HMO) MAPD-HMO H0028-013-000

Kansas Dickinson HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000



Kansas Douglas Humana Gold Plus H0028-017 (HMO) MAPD-HMO H0028-017-000

Kansas Douglas HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Kansas Douglas HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Kansas Douglas Humana Gold Plus H0028-049 (HMO) MAPD-HMO H0028-049-000

Kansas Franklin HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Kansas Franklin HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Kansas Geary HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000



Kansas Greenwood HumanaChoice H9070-004 (PPO) MAPD-LPPO H9070-004-000

Kansas Harvey Humana Gold Plus H0028-013 (HMO) MAPD-HMO H0028-013-000

Kansas Harvey HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000



Kansas Jefferson Humana Gold Plus H0028-017 (HMO) MAPD-HMO H0028-017-000

Kansas Jefferson HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Kansas Jefferson HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Kansas Jefferson Humana Gold Plus H0028-049 (HMO) MAPD-HMO H0028-049-000

Kansas Johnson Humana Gold Plus H0028-017 (HMO) MAPD-HMO H0028-017-000

Kansas Johnson Humana Community (HMO) MAPD-HMO H7621-001-000

Kansas Johnson HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000


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Kansas Johnson HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Kansas Johnson Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H0028-050-000

Kansas Johnson Humana Gold Plus H0028-049 (HMO) MAPD-HMO H0028-049-000

Kansas Labette HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000



Kansas Leavenworth Humana Gold Plus H0028-017 (HMO) MAPD-HMO H0028-017-000

Kansas Leavenworth HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Kansas Leavenworth HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Kansas Leavenworth Humana Gold Plus H0028-049 (HMO) MAPD-HMO H0028-049-000

Kansas Linn HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Kansas Linn HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Kansas Lyon HumanaChoice H9070-004 (PPO) MAPD-LPPO H9070-004-000

Kansas McPherson Humana Gold Plus H0028-013 (HMO) MAPD-HMO H0028-013-000

Kansas McPherson HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000



Kansas Miami Humana Gold Plus H0028-017 (HMO) MAPD-HMO H0028-017-000

Kansas Miami Humana Community (HMO) MAPD-HMO H7621-001-000

Kansas Miami HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Kansas Miami HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Kansas Miami Humana Gold Plus H0028-049 (HMO) MAPD-HMO H0028-049-000

Kansas Montgomery HumanaChoice H9070-004 (PPO) MAPD-LPPO H9070-004-000

Kansas Neosho HumanaChoice H9070-004 (PPO) MAPD-LPPO H9070-004-000

Kansas Pottawatomie HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000



Kansas Reno Humana Gold Plus H0028-013 (HMO) MAPD-HMO H0028-013-000

Kansas Reno HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000



Kansas Rice HumanaChoice H9070-004 (PPO) MAPD-LPPO H9070-004-000

Kansas Riley HumanaChoice H9070-004 (PPO) MAPD-LPPO H9070-004-000

Kansas Saline HumanaChoice H9070-004 (PPO) MAPD-LPPO H9070-004-000

Kansas Sedgwick Humana Gold Plus H0028-013 (HMO) MAPD-HMO H0028-013-000

Kansas Sedgwick HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000



Kansas Shawnee Humana Gold Plus H0028-017 (HMO) MAPD-HMO H0028-017-000

Kansas Shawnee Humana Community (HMO) MAPD-HMO H7621-001-000

Kansas Shawnee HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Kansas Shawnee HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Kansas Shawnee Humana Gold Plus H0028-049 (HMO) MAPD-HMO H0028-049-000

Kansas Sumner Humana Gold Plus H0028-013 (HMO) MAPD-HMO H0028-013-000

Kansas Sumner HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000



Kansas Wabaunsee HumanaChoice H9070-004 (PPO) MAPD-LPPO H9070-004-000

Kansas Wyandotte Humana Gold Plus H0028-017 (HMO) MAPD-HMO H0028-017-000


Y0040_GHHKYF4EN_C

Kansas Wyandotte Humana Community (HMO) MAPD-HMO H7621-001-000

Kansas Wyandotte HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Kansas Wyandotte HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Kansas Wyandotte Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H0028-050-000

Kansas Wyandotte Humana Gold Plus H0028-049 (HMO) MAPD-HMO H0028-049-000

Kentucky


Kentucky (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-161-000

Kentucky (All Counties) HumanaChoice R0865-003 (Regional PPO)

MAPD-RPPO R0865-003-000

Kentucky (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-161-000

Kentucky Adair HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Adair HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Allen Humana Gold Plus H5619-128 (HMO) MAPD-HMO H5619-128-000

Kentucky Allen HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Allen HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Anderson Humana Gold Plus H5619-071 (HMO) MAPD-HMO H5619-071-000

Kentucky Anderson HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Anderson HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Ballard HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Barren Humana Gold Plus H5619-128 (HMO) MAPD-HMO H5619-128-000

Kentucky Barren HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Bath Humana Gold Plus H5619-071 (HMO) MAPD-HMO H5619-071-000

Kentucky Bath HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Bath HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Bell HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Boone Humana Community (HMO) MAPD-HMO H0292-001-000

Kentucky Boone Humana Gold Plus H0292-002 (HMO) MAPD-HMO H0292-002-000

Kentucky Boone Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H6622-017-000



Kentucky Bourbon Humana Gold Plus H5619-071 (HMO) MAPD-HMO H5619-071-000

Kentucky Bourbon HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Bourbon HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Boyd Humana Gold Plus H5619-113 (HMO) MAPD-HMO H5619-113-000

Kentucky Boyd HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Boyd HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Boyle Humana Gold Plus H5619-071 (HMO) MAPD-HMO H5619-071-000

Kentucky Boyle HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Boyle HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Bracken HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Breathitt HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Breckinridge HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000


Y0040_GHHKYF4EN_C

Kentucky Bullitt Humana Gold Plus H5619-073 (HMO) MAPD-HMO H5619-073-000

Kentucky Bullitt HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Bullitt HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Butler Humana Gold Plus H5619-128 (HMO) MAPD-HMO H5619-128-000

Kentucky Butler HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Butler HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Caldwell HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Calloway HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Calloway HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Campbell Humana Community (HMO) MAPD-HMO H0292-001-000

Kentucky Campbell Humana Gold Plus H0292-002 (HMO) MAPD-HMO H0292-002-000

Kentucky Campbell Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H6622-017-000



Kentucky Carlisle HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Carroll HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Carroll HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Carter Humana Gold Plus H5619-113 (HMO) MAPD-HMO H5619-113-000

Kentucky Carter HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Carter HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Casey Humana Gold Plus H5619-071 (HMO) MAPD-HMO H5619-071-000

Kentucky Casey HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Casey HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Christian HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Christian HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Clark Humana Gold Plus H5619-071 (HMO) MAPD-HMO H5619-071-000

Kentucky Clark HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Clark HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Clay HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Clay HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Clinton HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Clinton HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Crittenden HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Crittenden HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Cumberland HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Cumberland HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Daviess HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Daviess HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Edmonson Humana Gold Plus H5619-128 (HMO) MAPD-HMO H5619-128-000

Kentucky Edmonson HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Edmonson HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Elliott HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Estill HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Fayette Humana Gold Plus H5619-071 (HMO) MAPD-HMO H5619-071-000


Y0040_GHHKYF4EN_C

Kentucky Fayette HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Fayette HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Fleming HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Floyd HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Floyd HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Franklin Humana Gold Plus H5619-071 (HMO) MAPD-HMO H5619-071-000

Kentucky Franklin HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Franklin HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Fulton HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Fulton HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Gallatin HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Gallatin HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Garrard Humana Gold Plus H5619-071 (HMO) MAPD-HMO H5619-071-000

Kentucky Garrard HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Grant Humana Community (HMO) MAPD-HMO H0292-001-000

Kentucky Grant Humana Gold Plus H0292-002 (HMO) MAPD-HMO H0292-002-000

Kentucky Grant Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H6622-017-000



Kentucky Grant HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Graves HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Graves HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Grayson HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Green HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Green HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Greenup Humana Gold Plus H5619-113 (HMO) MAPD-HMO H5619-113-000

Kentucky Greenup HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Greenup HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Hancock HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Hardin Humana Gold Plus H5619-073 (HMO) MAPD-HMO H5619-073-000

Kentucky Hardin HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Hardin HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Harlan HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Harlan HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Harrison Humana Gold Plus H5619-071 (HMO) MAPD-HMO H5619-071-000

Kentucky Harrison HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Hart Humana Gold Plus H5619-128 (HMO) MAPD-HMO H5619-128-000

Kentucky Hart HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Hart HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Henderson Humana Gold Plus H5619-050 (HMO) MAPD-HMO H5619-050-000

Kentucky Henderson Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H5619-055-000

Kentucky Henderson HumanaChoice H5216-111 (PPO) MAPD-LPPO H5216-111-000




Y0040_GHHKYF4EN_C

Kentucky Henry Humana Gold Plus H5619-073 (HMO) MAPD-HMO H5619-073-000

Kentucky Henry HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Henry HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Hickman HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Hickman HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Hopkins HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Hopkins HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Jackson HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Jackson HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Jefferson Humana Community HMO Diabetes and Heart (HMO C-SNP)

MAPD-HMO H1036-234-000

Kentucky Jefferson Humana Community (HMO) MAPD-HMO H1036-236-000

Kentucky Jefferson Humana Gold Plus H5619-073 (HMO) MAPD-HMO H5619-073-000

Kentucky Jefferson HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Jefferson HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Jessamine Humana Gold Plus H5619-071 (HMO) MAPD-HMO H5619-071-000

Kentucky Jessamine HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Jessamine HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Johnson HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Johnson HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Kenton Humana Community (HMO) MAPD-HMO H0292-001-000

Kentucky Kenton Humana Gold Plus H0292-002 (HMO) MAPD-HMO H0292-002-000

Kentucky Kenton Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H6622-017-000



Kentucky Knott HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Knott HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Knox HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Larue Humana Gold Plus H5619-073 (HMO) MAPD-HMO H5619-073-000

Kentucky Larue HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Laurel HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Lawrence HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Lee HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Leslie HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Leslie HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Letcher HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Letcher HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Lewis HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Lincoln Humana Gold Plus H5619-071 (HMO) MAPD-HMO H5619-071-000

Kentucky Lincoln HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Lincoln HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Livingston HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Livingston HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Logan Humana Gold Plus H5619-128 (HMO) MAPD-HMO H5619-128-000

Kentucky Logan HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000


Y0040_GHHKYF4EN_C

Kentucky Logan HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Lyon HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Madison Humana Gold Plus H5619-071 (HMO) MAPD-HMO H5619-071-000

Kentucky Madison HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Madison HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Magoffin HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Magoffin HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Marion HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Marion HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Marshall HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Marshall HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Martin HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Martin HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Mason HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky McCracken HumanaChoice H5216-111 (PPO) MAPD-LPPO H5216-111-000

Kentucky McCracken HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky McCreary HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky McLean HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Meade Humana Gold Plus H5619-073 (HMO) MAPD-HMO H5619-073-000

Kentucky Meade HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Meade HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Menifee Humana Gold Plus H5619-071 (HMO) MAPD-HMO H5619-071-000

Kentucky Menifee HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Menifee HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Mercer HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Mercer HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Metcalfe Humana Gold Plus H5619-128 (HMO) MAPD-HMO H5619-128-000

Kentucky Metcalfe HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Monroe Humana Gold Plus H5619-128 (HMO) MAPD-HMO H5619-128-000

Kentucky Monroe HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Monroe HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Montgomery Humana Gold Plus H5619-071 (HMO) MAPD-HMO H5619-071-000

Kentucky Montgomery HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Montgomery HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Morgan HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Morgan HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Muhlenberg HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Nelson Humana Gold Plus H5619-073 (HMO) MAPD-HMO H5619-073-000

Kentucky Nelson HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Nelson HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Nicholas Humana Gold Plus H5619-071 (HMO) MAPD-HMO H5619-071-000

Kentucky Nicholas HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Ohio HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Oldham Humana Gold Plus H5619-073 (HMO) MAPD-HMO H5619-073-000

Kentucky Oldham HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000


Y0040_GHHKYF4EN_C

Kentucky Oldham HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Owen HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Owen HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Owsley HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Owsley HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Pendleton Humana Community (HMO) MAPD-HMO H0292-001-000

Kentucky Pendleton Humana Gold Plus H0292-002 (HMO) MAPD-HMO H0292-002-000

Kentucky Pendleton Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H6622-017-000



Kentucky Pendleton HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Perry HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Perry HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Pike Humana Gold Plus H5619-113 (HMO) MAPD-HMO H5619-113-000

Kentucky Pike HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Pike HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Powell Humana Gold Plus H5619-071 (HMO) MAPD-HMO H5619-071-000

Kentucky Powell HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Powell HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Pulaski HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Robertson HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Rockcastle HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Rowan HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Russell HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Scott Humana Gold Plus H5619-071 (HMO) MAPD-HMO H5619-071-000

Kentucky Scott HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Scott HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Shelby Humana Gold Plus H5619-073 (HMO) MAPD-HMO H5619-073-000

Kentucky Shelby HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Shelby HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Simpson Humana Gold Plus H5619-128 (HMO) MAPD-HMO H5619-128-000

Kentucky Simpson HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Simpson HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Spencer Humana Gold Plus H5619-073 (HMO) MAPD-HMO H5619-073-000

Kentucky Spencer HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Spencer HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Taylor HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Todd HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Trigg HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Trimble HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Trimble HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Union HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Union HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Warren Humana Gold Plus H5619-128 (HMO) MAPD-HMO H5619-128-000


Y0040_GHHKYF4EN_C

Kentucky Warren HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Washington HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Wayne HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Webster HumanaChoice H5216-111 (PPO) MAPD-LPPO H5216-111-000

Kentucky Webster HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Whitley HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Kentucky Whitley HumanaChoice H5525-022 (PPO) MAPD-LPPO H5525-022-000

Kentucky Wolfe HumanaChoice H5525-044 (PPO) MAPD-LPPO H5525-044-000

Kentucky Woodford Humana Gold Plus H5619-071 (HMO) MAPD-HMO H5619-071-000

Kentucky Woodford HumanaChoice H5216-019 (PPO) MAPD-LPPO H5216-019-000

Kentucky Woodford HumanaChoice H5216-188 (PPO) MAPD-LPPO H5216-188-000

Louisiana


Louisiana (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-167-000

Louisiana Acadia Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-002

Louisiana Acadia HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Acadia HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Allen Humana Gold Plus H1951-052 (HMO) MAPD-HMO H1951-052-000

Louisiana Allen HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Allen HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Ascension Humana Gold Plus H1951-048 (HMO) MAPD-HMO H1951-048-001

Louisiana Ascension HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Ascension HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Ascension Humana FMOL Baton Rouge H1951-053 (HMO)

MAPD-HMO H1951-053-000

Louisiana Ascension Humana BR Clinic-BR Gen H1951-055 (HMO)

MAPD-HMO H1951-055-000

Louisiana Assumption Humana Gold Plus H1951-047 (HMO) MAPD-HMO H1951-047-002

Louisiana Assumption HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Assumption HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Avoyelles Humana Gold Plus H1951-052 (HMO) MAPD-HMO H1951-052-000

Louisiana Avoyelles HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Avoyelles HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Beauregard Humana Gold Plus H1951-052 (HMO) MAPD-HMO H1951-052-000

Louisiana Beauregard HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Beauregard HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Bienville Humana Gold Plus H1951-052 (HMO) MAPD-HMO H1951-052-000

Louisiana Bienville HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Bienville HumanaChoice H5525-015 (PPO) MAPD-LPPO H5525-015-000

Louisiana Bossier Humana Gold Plus H1951-013 (HMO) MAPD-HMO H1951-013-000

Louisiana Bossier HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Bossier HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Caddo Humana Gold Plus H1951-013 (HMO) MAPD-HMO H1951-013-000

Louisiana Caddo HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Caddo HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000


Y0040_GHHKYF4EN_C

Louisiana Calcasieu Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-001

Louisiana Calcasieu HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Calcasieu HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Caldwell Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-003

Louisiana Caldwell HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Caldwell HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Cameron Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-001

Louisiana Cameron HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Cameron HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Catahoula Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-003

Louisiana Catahoula HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Catahoula HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Claiborne Humana Gold Plus H1951-052 (HMO) MAPD-HMO H1951-052-000

Louisiana Claiborne HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Claiborne HumanaChoice H5525-015 (PPO) MAPD-LPPO H5525-015-000

Louisiana Concordia Humana Gold Plus H1951-052 (HMO) MAPD-HMO H1951-052-000

Louisiana Concordia HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Concordia HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana De Soto Humana Gold Plus H1951-052 (HMO) MAPD-HMO H1951-052-000

Louisiana De Soto HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana De Soto HumanaChoice H5525-015 (PPO) MAPD-LPPO H5525-015-000

Louisiana East Baton Rouge

Humana-Ochsner Network H1951-039 (HMO)

MAPD-HMO H1951-039-000


Humana Gold Plus H1951-048 (HMO) MAPD-HMO H1951-048-001


HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000




Humana FMOL Baton Rouge H1951-053 (HMO)

MAPD-HMO H1951-053-000


Humana BR Clinic-BR Gen H1951-055 (HMO)

MAPD-HMO H1951-055-000

Louisiana East Carroll Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-003

Louisiana East Carroll HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana East Carroll HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana East Feliciana Humana-Ochsner Network H1951-039 (HMO)

MAPD-HMO H1951-039-000

Louisiana East Feliciana Humana Gold Plus H1951-048 (HMO) MAPD-HMO H1951-048-002

Louisiana East Feliciana HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana East Feliciana HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Evangeline Humana Gold Plus H1951-052 (HMO) MAPD-HMO H1951-052-000

Louisiana Evangeline HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Evangeline HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Franklin Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-003

Louisiana Franklin HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Franklin HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Grant Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-001


Y0040_GHHKYF4EN_C

Louisiana Grant HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Grant HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Iberia Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-002

Louisiana Iberia HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Iberia HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Iberville Humana-Ochsner Network H1951-039 (HMO)

MAPD-HMO H1951-039-000

Louisiana Iberville Humana Gold Plus H1951-048 (HMO) MAPD-HMO H1951-048-002

Louisiana Iberville HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Iberville HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Jackson Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-003

Louisiana Jackson HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Jackson HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Jefferson Humana-Ochsner Network H1951-038 (HMO)

MAPD-HMO H1951-038-000

Louisiana Jefferson Humana Gold Plus - Diabetes and Heart H1951-044 (HMO C- SNP)

MAPD-HMO H1951-044-000

Louisiana Jefferson Humana Gold Plus H1951-047 (HMO) MAPD-HMO H1951-047-001

Louisiana Jefferson Humana LCMC Advantage H1951-051 (HMO)

MAPD-HMO H1951-051-000

Louisiana Jefferson HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Jefferson HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Jefferson Davis






Louisiana Lafayette Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-002

Louisiana Lafayette HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Lafayette HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Lafayette Humana FMOL Lafayette H1951-054 (HMO)

MAPD-HMO H1951-054-000

Louisiana Lafourche Humana Gold Plus H1951-047 (HMO) MAPD-HMO H1951-047-002

Louisiana Lafourche HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Lafourche HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana LaSalle Humana Gold Plus H1951-052 (HMO) MAPD-HMO H1951-052-000

Louisiana LaSalle HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana LaSalle HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Lincoln Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-003

Louisiana Lincoln HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Lincoln HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Livingston Humana-Ochsner Network H1951-039 (HMO)

MAPD-HMO H1951-039-000

Louisiana Livingston Humana Gold Plus H1951-048 (HMO) MAPD-HMO H1951-048-001

Louisiana Livingston HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Livingston HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Livingston Humana FMOL Baton Rouge H1951-053 (HMO)

MAPD-HMO H1951-053-000


Y0040_GHHKYF4EN_C

Louisiana Livingston Humana BR Clinic-BR Gen H1951-055 (HMO)

MAPD-HMO H1951-055-000

Louisiana Madison Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-003

Louisiana Madison HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Madison HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Morehouse Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-003

Louisiana Morehouse HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Morehouse HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Natchitoches Humana Gold Plus H1951-052 (HMO) MAPD-HMO H1951-052-000

Louisiana Natchitoches HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Natchitoches HumanaChoice H5525-015 (PPO) MAPD-LPPO H5525-015-000

Louisiana Orleans Humana-Ochsner Network H1951-038 (HMO)

MAPD-HMO H1951-038-000

Louisiana Orleans Humana Gold Plus - Diabetes and Heart H1951-044 (HMO C- SNP)

MAPD-HMO H1951-044-000

Louisiana Orleans Humana Gold Plus H1951-047 (HMO) MAPD-HMO H1951-047-001

Louisiana Orleans Humana LCMC Advantage H1951-051 (HMO)

MAPD-HMO H1951-051-000

Louisiana Orleans HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Orleans HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Ouachita Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-003

Louisiana Ouachita HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Ouachita HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Plaquemines Humana Gold Plus H1951-047 (HMO) MAPD-HMO H1951-047-002

Louisiana Plaquemines HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Plaquemines HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Pointe Coupee






Louisiana Rapides Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-001

Louisiana Rapides HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Rapides HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Red River Humana Gold Plus H1951-052 (HMO) MAPD-HMO H1951-052-000

Louisiana Red River HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Red River HumanaChoice H5525-015 (PPO) MAPD-LPPO H5525-015-000

Louisiana Richland Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-003

Louisiana Richland HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Richland HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Sabine Humana Gold Plus H1951-052 (HMO) MAPD-HMO H1951-052-000

Louisiana Sabine HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Sabine HumanaChoice H5525-015 (PPO) MAPD-LPPO H5525-015-000

Louisiana St. Bernard Humana Gold Plus H1951-047 (HMO) MAPD-HMO H1951-047-002

Louisiana St. Bernard HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana St. Bernard HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000


Y0040_GHHKYF4EN_C

Louisiana St. Charles Humana-Ochsner Network H1951-038 (HMO)

MAPD-HMO H1951-038-000

Louisiana St. Charles Humana Gold Plus H1951-047 (HMO) MAPD-HMO H1951-047-001

Louisiana St. Charles Humana LCMC Advantage H1951-051 (HMO)

MAPD-HMO H1951-051-000

Louisiana St. Charles HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana St. Charles HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana St. Helena Humana-Ochsner Network H1951-039 (HMO)

MAPD-HMO H1951-039-000

Louisiana St. Helena Humana Gold Plus H1951-048 (HMO) MAPD-HMO H1951-048-002

Louisiana St. Helena HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana St. Helena HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana St. James Humana Gold Plus H1951-047 (HMO) MAPD-HMO H1951-047-002

Louisiana St. James HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana St. James HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana St. John the Baptist






Louisiana St. Landry Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-002

Louisiana St. Landry HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana St. Landry HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana St. Martin Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-002

Louisiana St. Martin HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana St. Martin HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana St. Mary Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-002

Louisiana St. Mary HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana St. Mary HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana St. Tammany Humana Gold Plus H1951-028 (HMO) MAPD-HMO H1951-028-000

Louisiana St. Tammany HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana St. Tammany HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Tangipahoa Humana Gold Plus H1951-024 (HMO) MAPD-HMO H1951-024-000

Louisiana Tangipahoa HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Tangipahoa HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Tensas Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-003

Louisiana Tensas HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Tensas HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Terrebonne Humana Gold Plus H1951-047 (HMO) MAPD-HMO H1951-047-002

Louisiana Terrebonne HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Terrebonne HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Union Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-003

Louisiana Union HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Union HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Vermilion Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-002

Louisiana Vermilion HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000


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Louisiana Vermilion HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Vernon Humana Gold Plus H1951-052 (HMO) MAPD-HMO H1951-052-000

Louisiana Vernon HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Vernon HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Washington Humana Gold Plus H1951-028 (HMO) MAPD-HMO H1951-028-000

Louisiana Washington HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Washington HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Webster Humana Gold Plus H1951-013 (HMO) MAPD-HMO H1951-013-000

Louisiana Webster HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana Webster HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana West Baton Rouge

Humana-Ochsner Network H1951-039 (HMO)

MAPD-HMO H1951-039-000








Humana FMOL Baton Rouge H1951-053 (HMO)

MAPD-HMO H1951-053-000


Humana BR Clinic-BR Gen H1951-055 (HMO)

MAPD-HMO H1951-055-000

Louisiana West Carroll Humana Gold Plus H1951-049 (HMO) MAPD-HMO H1951-049-003

Louisiana West Carroll HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana West Carroll HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana West Feliciana Humana Gold Plus H1951-048 (HMO) MAPD-HMO H1951-048-002

Louisiana West Feliciana HumanaChoice H5216-064 (PPO) MAPD-LPPO H5216-064-000

Louisiana West Feliciana HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Winn Humana Gold Plus H1951-052 (HMO) MAPD-HMO H1951-052-000

Louisiana Winn HumanaChoice H5216-202 (PPO) MAPD-LPPO H5216-202-000

Louisiana Winn HumanaChoice H5525-015 (PPO) MAPD-LPPO H5525-015-000

Maine


Maine (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-148-000

Maine Androscoggin Humana Gold Plus H5619-001 (HMO) MAPD-HMO H5619-001-000

Maine Androscoggin HumanaChoice H5216-177 (PPO) MAPD-LPPO H5216-177-000

Maine Aroostook HumanaChoice H5216-177 (PPO) MAPD-LPPO H5216-177-000

Maine Cumberland Humana Gold Plus H5619-001 (HMO) MAPD-HMO H5619-001-000

Maine Cumberland HumanaChoice H5216-177 (PPO) MAPD-LPPO H5216-177-000

Maine Franklin HumanaChoice H5216-177 (PPO) MAPD-LPPO H5216-177-000

Maine Hancock HumanaChoice H5216-177 (PPO) MAPD-LPPO H5216-177-000

Maine Kennebec Humana Gold Plus H5619-137 (HMO) MAPD-HMO H5619-137-000

Maine Kennebec HumanaChoice H5216-177 (PPO) MAPD-LPPO H5216-177-000

Maine Knox Humana Gold Plus H5619-137 (HMO) MAPD-HMO H5619-137-000

Maine Knox HumanaChoice H5216-177 (PPO) MAPD-LPPO H5216-177-000

Maine Lincoln Humana Gold Plus H5619-137 (HMO) MAPD-HMO H5619-137-000


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Maine Lincoln HumanaChoice H5216-177 (PPO) MAPD-LPPO H5216-177-000

Maine Oxford Humana Gold Plus H5619-137 (HMO) MAPD-HMO H5619-137-000

Maine Oxford HumanaChoice H5216-177 (PPO) MAPD-LPPO H5216-177-000

Maine Penobscot Humana Gold Plus H5619-137 (HMO) MAPD-HMO H5619-137-000

Maine Penobscot HumanaChoice H5216-177 (PPO) MAPD-LPPO H5216-177-000

Maine Piscataquis HumanaChoice H5216-177 (PPO) MAPD-LPPO H5216-177-000

Maine Sagadahoc Humana Gold Plus H5619-001 (HMO) MAPD-HMO H5619-001-000

Maine Sagadahoc HumanaChoice H5216-177 (PPO) MAPD-LPPO H5216-177-000

Maine Somerset HumanaChoice H5216-177 (PPO) MAPD-LPPO H5216-177-000

Maine Waldo Humana Gold Plus H5619-137 (HMO) MAPD-HMO H5619-137-000

Maine Waldo HumanaChoice H5216-177 (PPO) MAPD-LPPO H5216-177-000

Maine Washington HumanaChoice H5216-177 (PPO) MAPD-LPPO H5216-177-000

Maine York Humana Gold Plus H5619-001 (HMO) MAPD-HMO H5619-001-000

Maine York HumanaChoice H5216-177 (PPO) MAPD-LPPO H5216-177-000

Maryland


Maryland (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-151-000

Maryland Allegany HumanaChoice H5216-029 (PPO) MAPD-LPPO H5216-029-000

Maryland Caroline HumanaChoice H5216-029 (PPO) MAPD-LPPO H5216-029-000

Maryland Carroll HumanaChoice H5216-029 (PPO) MAPD-LPPO H5216-029-000

Maryland Cecil HumanaChoice H5216-029 (PPO) MAPD-LPPO H5216-029-000

Maryland Dorchester HumanaChoice H5216-029 (PPO) MAPD-LPPO H5216-029-000

Maryland Frederick HumanaChoice H5216-029 (PPO) MAPD-LPPO H5216-029-000

Maryland Garrett HumanaChoice H5216-029 (PPO) MAPD-LPPO H5216-029-000

Maryland Kent HumanaChoice H5216-029 (PPO) MAPD-LPPO H5216-029-000

Maryland Queen Anne's HumanaChoice H5216-029 (PPO) MAPD-LPPO H5216-029-000

Maryland Somerset HumanaChoice H5216-029 (PPO) MAPD-LPPO H5216-029-000

Maryland Talbot HumanaChoice H5216-029 (PPO) MAPD-LPPO H5216-029-000

Maryland Washington HumanaChoice H5216-029 (PPO) MAPD-LPPO H5216-029-000

Maryland Wicomico HumanaChoice H5216-029 (PPO) MAPD-LPPO H5216-029-000

Massachusetts


Massachusetts (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-149-000


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Michigan


Michigan (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-159-000

Michigan Allegan HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Barry HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Berrien HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Branch HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Calhoun HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Cass HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Clare HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Clinton HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Eaton HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Genesee Humana Gold Plus H8908-001 (HMO) MAPD-HMO H8908-001-000

Michigan Genesee Humana Gold Plus H8908-004 (HMO) MAPD-HMO H8908-004-000

Michigan Gladwin HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Gratiot HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Hillsdale HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Ingham Humana Gold Plus H8908-001 (HMO) MAPD-HMO H8908-001-000

Michigan Ingham Humana Gold Plus H8908-004 (HMO) MAPD-HMO H8908-004-000

Michigan Ingham HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Isabella HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Kalamazoo HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Kent Humana Gold Plus H8908-002 (HMO) MAPD-HMO H8908-002-000

Michigan Kent HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Lapeer Humana Gold Plus H8908-001 (HMO) MAPD-HMO H8908-001-000

Michigan Lapeer Humana Gold Plus H8908-004 (HMO) MAPD-HMO H8908-004-000

Michigan Lenawee HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Livingston Humana Gold Plus H8908-001 (HMO) MAPD-HMO H8908-001-000

Michigan Livingston Humana Gold Plus H8908-004 (HMO) MAPD-HMO H8908-004-000

Michigan Macomb Humana Gold Plus H8908-001 (HMO) MAPD-HMO H8908-001-000

Michigan Macomb Humana Gold Plus H8908-004 (HMO) MAPD-HMO H8908-004-000

Michigan Midland HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Monroe HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Montcalm HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Muskegon Humana Gold Plus H8908-002 (HMO) MAPD-HMO H8908-002-000

Michigan Muskegon HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Oakland Humana Gold Plus H8908-001 (HMO) MAPD-HMO H8908-001-000

Michigan Oakland Humana Gold Plus H8908-004 (HMO) MAPD-HMO H8908-004-000

Michigan Oceana HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Ottawa HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Saginaw HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan St. Joseph HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Van Buren HumanaChoice H5216-009 (PPO) MAPD-LPPO H5216-009-000

Michigan Washtenaw Humana Gold Plus H8908-001 (HMO) MAPD-HMO H8908-001-000

Michigan Washtenaw Humana Gold Plus H8908-004 (HMO) MAPD-HMO H8908-004-000


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Michigan Wayne Humana Gold Plus H8908-001 (HMO) MAPD-HMO H8908-001-000

Michigan Wayne Humana Gold Plus H8908-004 (HMO) MAPD-HMO H8908-004-000

Minnesota


Minnesota (All Counties)


Minnesota Aitkin HumanaChoice H5216-303 (PPO) MAPD-LPPO H5216-303-000





Minnesota Anoka Humana Gold Plus H6622-062 (HMO- POS)

MAPD-HMOPOS H6622-062-000

Minnesota Anoka Humana Gold Plus H6622-073 (HMO-POS)


Minnesota Anoka HumanaChoice H5216-080 (PPO) MAPD-LPPO H5216-080-001





Minnesota Becker HumanaChoice H5216-303 (PPO) MAPD-LPPO H5216-303-000





Minnesota Beltrami HumanaChoice H5216-303 (PPO) MAPD-LPPO H5216-303-000





Minnesota Benton HumanaChoice H5216-080 (PPO) MAPD-LPPO H5216-080-001





Minnesota Big Stone HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000



Minnesota Blue Earth HumanaChoice H5216-080 (PPO) MAPD-LPPO H5216-080-002




Minnesota Brown HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000

Minnesota Carlton HumanaChoice H5216-303 (PPO) MAPD-LPPO H5216-303-000



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Minnesota Carver Humana Gold Plus H6622-062 (HMO- POS)


Minnesota Carver Humana Gold Plus H6622-073 (HMO-POS)


Minnesota Carver HumanaChoice H5216-080 (PPO) MAPD-LPPO H5216-080-001





Minnesota Cass HumanaChoice H5216-303 (PPO) MAPD-LPPO H5216-303-000





Minnesota Clay HumanaChoice H5216-303 (PPO) MAPD-LPPO H5216-303-000





Minnesota Clearwater HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000




Minnesota Crow Wing HumanaChoice H5216-303 (PPO) MAPD-LPPO H5216-303-000





Minnesota Dakota Humana Gold Plus H6622-062 (HMO- POS)


Minnesota Dakota Humana Gold Plus H6622-073 (HMO- POS)


Minnesota Dakota HumanaChoice H5216-080 (PPO) MAPD-LPPO H5216-080-001





Minnesota Dodge HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000

Minnesota Faribault HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000

Minnesota Fillmore HumanaChoice H5216-080 (PPO) MAPD-LPPO H5216-080-002




Minnesota Freeborn HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000


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Minnesota Goodhue HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000

Minnesota Grant HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000



Minnesota Hennepin Humana Gold Plus H6622-062 (HMO-POS)


Minnesota Hennepin Humana Gold Plus H6622-073 (HMO- POS)


Minnesota Hennepin HumanaChoice H5216-080 (PPO) MAPD-LPPO H5216-080-001





Minnesota Houston HumanaChoice H5216-080 (PPO) MAPD-LPPO H5216-080-002




Minnesota Hubbard HumanaChoice H5216-303 (PPO) MAPD-LPPO H5216-303-000





Minnesota Isanti HumanaChoice H5216-080 (PPO) MAPD-LPPO H5216-080-001





Minnesota Itasca HumanaChoice H5216-303 (PPO) MAPD-LPPO H5216-303-000





Minnesota Kanabec HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000




Minnesota Kittson HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000



Minnesota Lac qui Parle HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000



Minnesota Lake HumanaChoice H5216-303 (PPO) MAPD-LPPO H5216-303-000





Y0040_GHHKYF4EN_C


Minnesota Lake of the Woods










Minnesota Le Sueur HumanaChoice H5216-080 (PPO) MAPD-LPPO H5216-080-002




Minnesota Lincoln HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000



Minnesota Lyon HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000



Minnesota Mahnomen HumanaChoice H5216-303 (PPO) MAPD-LPPO H5216-303-000





Minnesota Marshall HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000




Minnesota Martin HumanaChoice H5216-080 (PPO) MAPD-LPPO H5216-080-002




Minnesota McLeod HumanaChoice H5216-275 (PPO) MAPD-LPPO H5216-275-000





Minnesota Meeker HumanaChoice H5216-275 (PPO) MAPD-LPPO H5216-275-000





Minnesota Mille Lacs HumanaChoice H5216-303 (PPO) MAPD-LPPO H5216-303-000




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Minnesota Morrison HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000




Minnesota Mower HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000

Minnesota Nicollet HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000

Minnesota Nobles HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000



Minnesota Norman HumanaChoice H5216-303 (PPO) MAPD-LPPO H5216-303-000





Minnesota Omstead HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000

Minnesota Otter Tail HumanaChoice H5216-303 (PPO) MAPD-LPPO H5216-303-000





Minnesota Pennington HumanaChoice H5216-303 (PPO) MAPD-LPPO H5216-303-000





Minnesota Pine HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000




Minnesota Pipestone HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000



Minnesota Polk HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000




Minnesota Ramsey Humana Gold Plus H6622-062 (HMO-POS)


Minnesota Ramsey Humana Gold Plus H6622-073 (HMO- POS)


Minnesota Ramsey HumanaChoice H5216-080 (PPO) MAPD-LPPO H5216-080-001





Y0040_GHHKYF4EN_C


Minnesota Red Lake HumanaChoice H5216-303 (PPO) MAPD-LPPO H5216-303-000





Minnesota Renville HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000



Minnesota Rice HumanaChoice H5216-080 (PPO) MAPD-LPPO H5216-080-002




Minnesota Rock HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000



Minnesota Roseau HumanaChoice H5216-303 (PPO) MAPD-LPPO H5216-303-000





Minnesota Scott Humana Gold Plus H6622-062 (HMO- POS)


Minnesota Scott Humana Gold Plus H6622-073 (HMO-POS)


Minnesota Scott HumanaChoice H5216-080 (PPO) MAPD-LPPO H5216-080-001





Minnesota Sibley HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000

Minnesota St. Louis HumanaChoice H5216-303 (PPO) MAPD-LPPO H5216-303-000





Minnesota Steele HumanaChoice H5216-080 (PPO) MAPD-LPPO H5216-080-002




Minnesota Todd HumanaChoice H5216-303 (PPO) MAPD-LPPO H5216-303-000





Minnesota Wabasha HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000


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Minnesota Wadena HumanaChoice H5216-303 (PPO) MAPD-LPPO H5216-303-000





Minnesota Waseca HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000

Minnesota Washington Humana Gold Plus H6622-062 (HMO- POS)


Minnesota Washington Humana Gold Plus H6622-073 (HMO- POS)


Minnesota Washington HumanaChoice H5216-080 (PPO) MAPD-LPPO H5216-080-001





Minnesota Watonwan HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000

Minnesota Wilkin HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000




Minnesota Winona HumanaChoice H5216-080 (PPO) MAPD-LPPO H5216-080-002




Minnesota Wright HumanaChoice H5216-080 (PPO) MAPD-LPPO H5216-080-001





Mississippi


Mississippi (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-166-000 Mississippi Adams HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Adams HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Adams HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Alcorn HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Alcorn HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Alcorn HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Amite HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Amite HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Amite HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Attala Humana Gold Plus H1036-151 (HMO) MAPD-HMO H1036-151-000

Mississippi Attala HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Attala HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Benton HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000


Y0040_GHHKYF4EN_C

Mississippi Benton HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Benton HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Bolivar HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Bolivar HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Bolivar HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Calhoun HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Calhoun HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Calhoun HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Carroll HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Carroll HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Carroll HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Chickasaw HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Chickasaw HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Chickasaw HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Choctaw HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Choctaw HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Choctaw HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Claiborne HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Claiborne HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Claiborne HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Clarke Humana Gold Plus H6622-059 (HMO) MAPD-HMO H6622-059-000

Mississippi Clarke HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Clarke HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Clay HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Coahoma HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Coahoma HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Coahoma HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Copiah Humana Gold Plus H1036-151 (HMO) MAPD-HMO H1036-151-000

Mississippi Copiah HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Copiah HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Covington Humana Gold Plus H6622-047 (HMO) MAPD-HMO H6622-047-000

Mississippi Covington HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Covington HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi DeSoto Humana Gold Plus H1036-223 (HMO) MAPD-HMO H1036-223-000

Mississippi DeSoto HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi DeSoto HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Forrest Humana Gold Plus H6622-047 (HMO) MAPD-HMO H6622-047-000

Mississippi Forrest HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Forrest HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Franklin HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Franklin HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Franklin HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi George Humana Gold Plus H6622-047 (HMO) MAPD-HMO H6622-047-000

Mississippi George HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi George HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000


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Mississippi Greene Humana Gold Plus H6622-059 (HMO) MAPD-HMO H6622-059-000

Mississippi Greene HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Greene HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Grenada HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Grenada HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Grenada HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Hancock Humana Gold Plus H1036-171 (HMO) MAPD-HMO H1036-171-000

Mississippi Hancock HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Hancock HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Hancock HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Harrison Humana Gold Plus H1036-171 (HMO) MAPD-HMO H1036-171-000

Mississippi Harrison HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Harrison HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Harrison HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Hinds Humana Gold Plus H1036-151 (HMO) MAPD-HMO H1036-151-000

Mississippi Hinds HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Hinds HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Holmes HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Holmes HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Holmes HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Humphreys HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Humphreys HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Humphreys HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Issaquena HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Issaquena HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Issaquena HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Itawamba HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Jackson Humana Gold Plus H1036-171 (HMO) MAPD-HMO H1036-171-000

Mississippi Jackson HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Jackson HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Jackson HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Jasper Humana Gold Plus H6622-059 (HMO) MAPD-HMO H6622-059-000

Mississippi Jasper HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Jasper HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Jefferson HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Jefferson HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Jefferson HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Jefferson Davis HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Jefferson Davis HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Jefferson Davis HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Jones Humana Gold Plus H6622-047 (HMO) MAPD-HMO H6622-047-000

Mississippi Jones HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Jones HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Kemper HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Kemper HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000


Y0040_GHHKYF4EN_C

Mississippi Kemper HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Lafayette HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Lafayette HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Lafayette HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Lamar Humana Gold Plus H6622-047 (HMO) MAPD-HMO H6622-047-000

Mississippi Lamar HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Lamar HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Lauderdale HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Lauderdale HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Lauderdale HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Lawrence HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Lawrence HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Lawrence HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Leake Humana Gold Plus H6622-059 (HMO) MAPD-HMO H6622-059-000

Mississippi Leake HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Leake HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Lee HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Leflore HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Leflore HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Leflore HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Lincoln HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Lincoln HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Lincoln HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Lowndes HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Madison Humana Gold Plus H1036-151 (HMO) MAPD-HMO H1036-151-000

Mississippi Madison HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Madison HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Marion Humana Gold Plus H6622-047 (HMO) MAPD-HMO H6622-047-000

Mississippi Marion HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Marion HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Marshall Humana Gold Plus H6622-059 (HMO) MAPD-HMO H6622-059-000

Mississippi Marshall HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Marshall HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Monroe HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Monroe HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Monroe HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Montgomery HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Montgomery HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Montgomery HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Neshoba HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Neshoba HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Neshoba HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Newton Humana Gold Plus H6622-059 (HMO) MAPD-HMO H6622-059-000

Mississippi Newton HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Newton HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000


Y0040_GHHKYF4EN_C

Mississippi Noxubee HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Noxubee HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Noxubee HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Oktibbeha HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Panola Humana Gold Plus H6622-059 (HMO) MAPD-HMO H6622-059-000

Mississippi Panola HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Panola HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Pearl River Humana Gold Plus H1036-171 (HMO) MAPD-HMO H1036-171-000

Mississippi Pearl River HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Pearl River HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Pearl River HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Perry Humana Gold Plus H6622-047 (HMO) MAPD-HMO H6622-047-000

Mississippi Perry HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Perry HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Pike HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Pike HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Pike HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Pontotoc HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Prentiss HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Quitman HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Quitman HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Quitman HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Rankin Humana Gold Plus H1036-151 (HMO) MAPD-HMO H1036-151-000

Mississippi Rankin HumanaChoice R0110-003 (Regional MAPD-RPPO R0110-003-000

Mississippi Rankin HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Scott Humana Gold Plus H6622-059 (HMO) MAPD-HMO H6622-059-000

Mississippi Scott HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Scott HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Sharkey HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Sharkey HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Sharkey HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Simpson Humana Gold Plus H6622-059 (HMO) MAPD-HMO H6622-059-000

Mississippi Simpson HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Simpson HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Smith Humana Gold Plus H6622-059 (HMO) MAPD-HMO H6622-059-000

Mississippi Smith HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Smith HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Stone Humana Gold Plus H6622-047 (HMO) MAPD-HMO H6622-047-000

Mississippi Stone HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Stone HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Sunflower HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Sunflower HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Sunflower HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Tallahatchie HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Tallahatchie HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000


Y0040_GHHKYF4EN_C

Mississippi Tallahatchie HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Tate Humana Gold Plus H6622-059 (HMO) MAPD-HMO H6622-059-000

Mississippi Tate HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Tate HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Tippah HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Tippah HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Tippah HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Tishomingo HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Tishomingo HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Tishomingo HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Tunica Humana Gold Plus H6622-059 (HMO) MAPD-HMO H6622-059-000

Mississippi Tunica HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Tunica HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Union HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Union HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Union HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Walthall HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Walthall HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Walthall HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Warren HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Warren HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Warren HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Washington HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Washington HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Washington HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Wayne Humana Gold Plus H6622-059 (HMO) MAPD-HMO H6622-059-000

Mississippi Wayne HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Wayne HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Webster HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Webster HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Webster HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Wilkinson HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Wilkinson HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Wilkinson HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Winston HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Winston HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Winston HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Yalobusha HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Yalobusha HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Yalobusha HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000

Mississippi Yazoo HumanaChoice R0110-003 (Regional PPO) MAPD-RPPO R0110-003-000

Mississippi Yazoo HumanaChoice H5216-136 (PPO) MAPD-LPPO H5216-136-000

Mississippi Yazoo HumanaChoice H5216-300 (PPO) MAPD-LPPO H5216-300-000


Y0040_GHHKYF4EN_C

Missouri


Missouri (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-164-000

Missouri Audrain HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Audrain HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Missouri Barry Humana Gold Plus H0028-016 (HMO) MAPD-HMO H0028-016-000

Missouri Barry Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Barry HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Barry HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Barton Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Barton HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Bates HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Bates HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Benton HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Benton HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Bollinger HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Bollinger HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Boone HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Boone HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Missouri Butler HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Missouri Callaway HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Callaway HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Missouri Camden HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Camden HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Carroll HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Carroll HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Cass Humana Gold Plus H0028-017 (HMO) MAPD-HMO H0028-017-000

Missouri Cass HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Cass HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Cass Humana Gold Plus H0028-049 (HMO) MAPD-HMO H0028-049-000

Missouri Cedar Humana Gold Plus H0028-016 (HMO) MAPD-HMO H0028-016-000

Missouri Cedar Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Cedar HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Cedar HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Christian Humana Gold Plus H0028-016 (HMO) MAPD-HMO H0028-016-000

Missouri Christian Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Christian Humana Community HMO H4623-002 (HMO)

MAPD-HMO H4623-002-000

Missouri Christian HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Christian HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Missouri Clay Humana Gold Plus H0028-017 (HMO) MAPD-HMO H0028-017-000

Missouri Clay Humana Community (HMO) MAPD-HMO H7621-001-000

Missouri Clay HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Clay HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Clay Humana Gold Plus H0028-049 (HMO) MAPD-HMO H0028-049-000


Y0040_GHHKYF4EN_C

Missouri Cole HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Cole HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Missouri Cooper HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Cooper HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Crawford Humana Gold Plus H0028-014 (HMO) MAPD-HMO H0028-014-000

Missouri Crawford Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Crawford HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Crawford HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Dade Humana Gold Plus H0028-016 (HMO) MAPD-HMO H0028-016-000

Missouri Dade Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Dade HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Dade HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Dallas Humana Gold Plus H0028-016 (HMO) MAPD-HMO H0028-016-000

Missouri Dallas Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Dallas HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Dallas HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Douglas Humana Gold Plus H0028-016 (HMO) MAPD-HMO H0028-016-000

Missouri Douglas Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Douglas HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Douglas HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Dunklin HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Missouri Franklin Humana Gold Plus H0028-014 (HMO) MAPD-HMO H0028-014-000

Missouri Gasconade HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000



Missouri Greene Humana Gold Plus H0028-016 (HMO) MAPD-HMO H0028-016-000

Missouri Greene Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Greene Humana Community HMO H4623-002 (HMO)

MAPD-HMO H4623-002-000

Missouri Greene HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Greene HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Missouri Henry HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Henry HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Hickory Humana Gold Plus H0028-016 (HMO) MAPD-HMO H0028-016-000

Missouri Hickory Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Hickory HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Hickory HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Howard HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Howard HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Howell Humana Gold Plus H0028-016 (HMO) MAPD-HMO H0028-016-000

Missouri Howell Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Howell HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Howell HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Iron Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Iron Humana Gold Plus H0028-014 (HMO) MAPD-HMO H0028-014-000


Y0040_GHHKYF4EN_C

Missouri Jackson Humana Gold Plus H0028-017 (HMO) MAPD-HMO H0028-017-000

Missouri Jackson Humana Community (HMO) MAPD-HMO H7621-001-000

Missouri Jackson HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Jackson HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Jackson Humana Gold Plus H0028-049 (HMO) MAPD-HMO H0028-049-000

Missouri Jackson Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H0028-050-000

Missouri Jasper Humana Gold Plus H0028-016 (HMO) MAPD-HMO H0028-016-000

Missouri Jasper Humana Community HMO H4623-002 (HMO)

MAPD-HMO H4623-002-000

Missouri Jasper Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Jasper HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000



Missouri Jefferson Humana Gold Plus H0028-014 (HMO) MAPD-HMO H0028-014-000

Missouri Jefferson HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Jefferson HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Missouri Johnson Humana Gold Plus H0028-017 (HMO) MAPD-HMO H0028-017-000

Missouri Johnson HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Johnson HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001



Missouri Laclede Humana Gold Plus H0028-016 (HMO) MAPD-HMO H0028-016-000

Missouri Laclede Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Laclede HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Laclede HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Lafayette Humana Gold Plus H0028-017 (HMO) MAPD-HMO H0028-017-000

Missouri Lafayette HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Lafayette HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Lafayette Humana Gold Plus H0028-049 (HMO MAPD-HMO H0028-049-000

Missouri Lawrence Humana Gold Plus H0028-016 (HMO) MAPD-HMO H0028-016-000

Missouri Lawrence Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Lawrence HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Lawrence HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Lincoln Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Lincoln Humana Gold Plus H0028-014 (HMO) MAPD-HMO H0028-014-000

Missouri Lincoln HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Lincoln HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Madison Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Madison Humana Gold Plus H0028-014 (HMO) MAPD-HMO H0028-014-000

Missouri Maries HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000



Missouri Marion HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Missouri McDonald Humana Gold Plus H0028-016 (HMO) MAPD-HMO H0028-016-000

Missouri McDonald Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000


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Missouri McDonald HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000

Missouri McDonald HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000

Missouri Miller HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Miller HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Missouri Moniteau HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Moniteau HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Missouri Montgomery HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Montgomery HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Morgan HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Morgan HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Missouri Newton Humana Gold Plus H0028-016 (HMO) MAPD-HMO H0028-016-000

Missouri Newton Humana Community HMO H4623-002 (HMO)

MAPD-HMO H4623-002-000

Missouri Newton Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Newton HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000



Missouri Oregon Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Oregon HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Oregon HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Osage HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Osage HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Missouri Ozark Humana Gold Plus H0028-016 (HMO) MAPD-HMO H0028-016-000

Missouri Ozark Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Ozark HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Ozark HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Perry HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000



Missouri Pettis HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Pettis HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Phelps HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Phelps HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Pike HumanaChoice H5216-163 (PPO) MAPD-LPPO H5216-163-000



Missouri Platte Humana Community (HMO) MAPD-HMO H7621-001-000

Missouri Platte Humana Gold Plus H0028-017 (HMO) MAPD-HMO H0028-017-000

Missouri Platte HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Platte HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Platte Humana Gold Plus H0028-049 (HMO MAPD-HMO H0028-049-000

Missouri Polk Humana Gold Plus H0028-016 (HMO) MAPD-HMO H0028-016-000

Missouri Polk Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Polk HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Polk HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001


Y0040_GHHKYF4EN_C

Missouri Pulaski Humana Gold Plus H0028-016 (HMO) MAPD-HMO H0028-016-000

Missouri Pulaski Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Pulaski HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Pulaski HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Ray Humana Gold Plus H0028-017 (HMO) MAPD-HMO H0028-017-000

Missouri Ray HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Ray HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Ray Humana Gold Plus H0028-049 (HMO) MAPD-HMO H0028-049-000

Missouri Saline HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Saline HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri St. Charles Humana Gold Plus H0028-014 (HMO) MAPD-HMO H0028-014-000

Missouri St. Charles HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri St. Charles HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Missouri St. Charles Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H0028-051-000

Missouri St. Clair Humana Gold Plus H0028-016 (HMO) MAPD-HMO H0028-016-000

Missouri St. Clair Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri St. Clair HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri St. Clair HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri St. Francois Humana Gold Plus H0028-014 (HMO) MAPD-HMO H0028-014-000

Missouri St. Francois HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri St. Francois HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Missouri St. Louis Humana Gold Plus H0028-014 (HMO) MAPD-HMO H0028-014-000

Missouri St. Louis HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri St. Louis HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Missouri St. Louis Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H0028-051-000

Missouri St. Louis City Humana Gold Plus H0028-014 (HMO) MAPD-HMO H0028-014-000

Missouri St. Louis City HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri St. Louis City HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Missouri St. Louis City Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H0028-051-000

Missouri Ste. Genevieve






Missouri Stoddard HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Missouri Stone Humana Gold Plus H0028-016 (HMO) MAPD-HMO H0028-016-000

Missouri Stone Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Stone HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Stone HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Taney Humana Gold Plus H0028-016 (HMO) MAPD-HMO H0028-016-000

Missouri Taney Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Taney HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Taney HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001


Y0040_GHHKYF4EN_C

Missouri Vernon Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Vernon HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Vernon HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Missouri Warren Humana Gold Plus H0028-014 (HMO) MAPD-HMO H0028-014-000

Missouri Warren HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Warren HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Missouri Washington Humana Gold Plus H0028-014 (HMO) MAPD-HMO H0028-014-000

Missouri Washington HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Washington HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Missouri Webster Humana Gold Plus H0028-016 (HMO) MAPD-HMO H0028-016-000

Missouri Webster Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Webster Humana Community HMO H4623-002 (HMO)

MAPD-HMO H4623-002-000

Missouri Webster HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Webster HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-002

Missouri Wright Humana Gold Plus H0028-016 (HMO) MAPD-HMO H0028-016-000

Missouri Wright Humana Gold Plus H4623-001 (HMO) MAPD-HMO H4623-001-000

Missouri Wright HumanaChoice H5216-032 (PPO) MAPD-LPPO H5216-032-000

Missouri Wright HumanaChoice H5216-033 (PPO) MAPD-LPPO H5216-033-001

Montana


Montana (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-171-000

Montana Beaverhead HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Beaverhead HumanaChoice H5525-027 (PPO) MAPD-LPPO H5525-027-000

Montana Big Horn Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Broadwater Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Broadwater HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Broadwater HumanaChoice H5525-027 (PPO) MAPD-LPPO H5525-027-000

Montana Carbon Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Carbon HumanaChoice H5216-089 (PPO) MAPD-LPPO H5216-089-000

Montana Carbon HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Cascade Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Cascade HumanaChoice H5216-089 (PPO) MAPD-LPPO H5216-089-000

Montana Cascade HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Chouteau Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Chouteau HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Chouteau HumanaChoice H5525-027 (PPO) MAPD-LPPO H5525-027-000

Montana Custer Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Deer Lodge Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Deer Lodge HumanaChoice H5525-027 (PPO) MAPD-LPPO H5525-027-000

Montana Fergus Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Fergus HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Fergus HumanaChoice H5525-027 (PPO) MAPD-LPPO H5525-027-000

Montana Flathead Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000


Y0040_GHHKYF4EN_C

Montana Flathead HumanaChoice H5216-089 (PPO) MAPD-LPPO H5216-089-000

Montana Flathead HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Gallatin Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Gallatin HumanaChoice H5216-089 (PPO) MAPD-LPPO H5216-089-000

Montana Gallatin HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Golden Valley Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Granite HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Granite HumanaChoice H5525-027 (PPO) MAPD-LPPO H5525-027-000

Montana Jefferson Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Jefferson HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Jefferson HumanaChoice H5525-027 (PPO) MAPD-LPPO H5525-027-000

Montana Judith Basin HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Judith Basin HumanaChoice H5525-027 (PPO) MAPD-LPPO H5525-027-000

Montana Lake Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Lake HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Lake HumanaChoice H5525-027 (PPO) MAPD-LPPO H5525-027-000

Montana Lewis and Clark Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Lewis and Clark HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Lewis and Clark HumanaChoice H5525-027 (PPO) MAPD-LPPO H5525-027-000

Montana Liberty HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Liberty HumanaChoice H5525-027 (PPO) MAPD-LPPO H5525-027-000

Montana Lincoln Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Lincoln HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Lincoln HumanaChoice H5525-027 (PPO) MAPD-LPPO H5525-027-000

Montana Madison HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Madison HumanaChoice H5525-027 (PPO) MAPD-LPPO H5525-027-000

Montana Meagher HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Meagher HumanaChoice H5525-027 (PPO) MAPD-LPPO H5525-027-000

Montana Mineral Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Mineral HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Mineral HumanaChoice H5525-027 (PPO) MAPD-LPPO H5525-027-000

Montana Missoula Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Missoula HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Missoula HumanaChoice H5525-027 (PPO) MAPD-LPPO H5525-027-000

Montana Musselshell Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Park Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Park HumanaChoice H5216-089 (PPO) MAPD-LPPO H5216-089-000

Montana Park HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Pondera Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Pondera HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Pondera HumanaChoice H5525-027 (PPO) MAPD-LPPO H5525-027-000

Montana Powell Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Powell HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Powell HumanaChoice H5525-027 (PPO) MAPD-LPPO H5525-027-000

Montana Ravalli Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000


Y0040_GHHKYF4EN_C

Montana Ravalli HumanaChoice H5216-089 (PPO) MAPD-LPPO H5216-089-000

Montana Ravalli HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Rosebud Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Sanders Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Sanders HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Sanders HumanaChoice H5525-027 (PPO) MAPD-LPPO H5525-027-000

Montana Silver Bow Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Silver Bow HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Silver Bow HumanaChoice H5525-027 (PPO) MAPD-LPPO H5525-027-000

Montana Stillwater Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Stillwater HumanaChoice H5216-089 (PPO) MAPD-LPPO H5216-089-000

Montana Stillwater HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Sweet Grass Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Teton Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Teton HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Montana Teton HumanaChoice H5525-027 (PPO) MAPD-LPPO H5525-027-000

Montana Treasure Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Wheatland Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Yellowstone Humana Gold Plus H6622-007 (HMO) MAPD-HMO H6622-007-000

Montana Yellowstone HumanaChoice H5216-089 (PPO) MAPD-LPPO H5216-089-000

Montana Yellowstone HumanaChoice H5216-255 (PPO) MAPD-LPPO H5216-255-000

Nebraska


Nebraska (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-171-000

Nebraska Cass HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Nebraska Cass Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-003

Nebraska Dakota HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Nebraska Dakota Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-003

Nebraska Dodge HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Nebraska Dodge Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-003

Nebraska Douglas HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Nebraska Douglas Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-003

Nebraska Gage HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Nebraska Gage Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-003

Nebraska Jefferson HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Nebraska Jefferson Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-003

Nebraska Lancaster HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Nebraska Lancaster Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-003

Nebraska Otoe HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Nebraska Otoe Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-003

Nebraska Saline HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Nebraska Saline Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-003

Nebraska Sarpy HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Nebraska Sarpy Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-003


Y0040_GHHKYF4EN_C

Nebraska Saunders HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Nebraska Saunders Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-003

Nebraska Seward HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Nebraska Seward Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-003

Nebraska Washington HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Nebraska Washington HumanaChoice H5216-254 (PPO) MAPD-LPPO H5216-254-000

Nebraska Washington Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-003

Nevada State

County Plan Name Plan Type Plan ID

Nevada (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-175-000

Nevada Carson City Humana Gold Plus H6622-075 (HMO) MAPD-HMO H6622-075-000

Nevada Clark Humana Gold Plus - Diabetes and Heart (HMOC- SNP)

MAPD-HMO H6622-029-000

Nevada Clark Humana Gold Plus Lung (HMO C-SNP) MAPD-HMO H6622-030-000

Nevada Clark HumanaChoice H5216-281 (PPO) MAPD-LPPO H5216-281-000

Nevada Clark Humana Gold Plus H6622-028 (HMO) MAPD-HMO H6622-028-000

Nevada Clark Humana Gold Plus H6622-056 (HMO) MAPD-HMO H6622-056-000

Nevada Nye Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD- HMO H6622-029-000

Nevada Nye Humana Gold Plus Lung (HMO C-SNP) MAPD-HMO H6622-030-000

Nevada Nye HumanaChoice H5216-281 (PPO) MAPD-LPPO H5216-281-000

Nevada Nye Humana Gold Plus H6622-028 (HMO) MAPD-HMO H6622-028-000

Nevada Nye Humana Gold Plus H6622-056 (HMO) MAPD-HMO H6622-056-000

Nevada Washoe Humana Gold Plus H6622-075 (HMO) MAPD-HMO H6622-075-000

New Hampshire


New Hampshire (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-148-000

New Hampshire Belknap Humana Gold Plus H5619-137 (HMO) MAPD-HMO H5619-137-000

New Hampshire Belknap HumanaChoice H5216-057 (PPO) MAPD-LPPO H5216-057-000

New Hampshire Carroll Humana Gold Plus H5619-137 (HMO) MAPD-HMO H5619-137-000

New Hampshire Carroll HumanaChoice H5216-057 (PPO) MAPD-LPPO H5216-057-000

New Hampshire Cheshire Humana Gold Plus H5619-137 (HMO) MAPD-HMO H5619-137-000

New Hampshire Cheshire HumanaChoice H5216-057 (PPO) MAPD-LPPO H5216-057-000

New Hampshire Coos Humana Gold Plus H5619-137 (HMO) MAPD-HMO H5619-137-000

New Hampshire Coos HumanaChoice H5216-057 (PPO) MAPD-LPPO H5216-057-000

New Hampshire Grafton Humana Gold Plus H5619-137 (HMO) MAPD-HMO H5619-137-000

New Hampshire Grafton HumanaChoice H5216-057 (PPO) MAPD-LPPO H5216-057-000

New Hampshire Hillsborough Humana Gold Plus H5619-137 (HMO) MAPD-HMO H5619-137-000

New Hampshire Hillsborough HumanaChoice H5216-057 (PPO) MAPD-LPPO H5216-057-000

New Hampshire Merrimack Humana Gold Plus H5619-137 (HMO) MAPD-HMO H5619-137-000

New Hampshire Merrimack HumanaChoice H5216-057 (PPO) MAPD-LPPO H5216-057-000


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New Hampshire Rockingham Humana Gold Plus H5619-137 (HMO) MAPD-HMO H5619-137-000

New Hampshire Rockingham HumanaChoice H5216-057 (PPO) MAPD-LPPO H5216-057-000

New Hampshire Strafford Humana Gold Plus H5619-137 (HMO) MAPD-HMO H5619-137-000

New Hampshire Strafford HumanaChoice H5216-057 (PPO) MAPD-LPPO H5216-057-000

New Hampshire Sullivan Humana Gold Plus H5619-137 (HMO) MAPD-HMO H5619-137-000

New Hampshire Sullivan HumanaChoice H5216-057 (PPO) MAPD-LPPO H5216-057-000

New Jersey


New Jersey (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-150-000

New Jersey Atlantic Humana Gold Plus H6622-063 (HMO) MAPD-HMO H6622-066-000

New Jersey Atlantic HumanaChoice H5216-185 (PPO) MAPD-LPPO H5216-185-000

New Jersey Bergen Humana Gold Plus H6622-063 (HMO) MAPD-HMO H6622-063-000

New Jersey Bergen HumanaChoice H5216-170 (PPO) MAPD-LPPO H5216-170-000

New Jersey Burlington Humana Gold Plus H6622-066 (HMO) MAPD-HMO H6622-066-000

New Jersey Burlington HumanaChoice H5216-185 (PPO) MAPD-LPPO H5216-185-000

New Jersey Camden Humana Gold Plus H6622-066 (HMO) MAPD-HMO H6622-066-000

New Jersey Camden HumanaChoice H5216-185 (PPO) MAPD-LPPO H5216-185-000

New Jersey Cape May HumanaChoice H5216-185 (PPO) MAPD-LPPO H5216-185-000

New Jersey Cumberland Humana Gold Plus H6622-066 (HMO) MAPD-HMO H6622-066-000

New Jersey Cumberland HumanaChoice H5216-185 (PPO) MAPD-LPPO H5216-185-000

New Jersey Essex Humana Gold Plus H6622-063 (HMO) MAPD-HMO H6622-063-000

New Jersey Essex HumanaChoice H5216-170 (PPO) MAPD-LPPO H5216-170-000

New Jersey Gloucester Humana Gold Plus H6622-066 (HMO) MAPD-HMO H6622-066-000

New Jersey Gloucester HumanaChoice H5216-185 (PPO) MAPD-LPPO H5216-185-000

New Jersey Hudson Humana Gold Plus H6622-063 (HMO) MAPD-HMO H6622-063-000

New Jersey Hudson HumanaChoice H5216-170 (PPO) MAPD-LPPO H5216-170-000

New Jersey Hunterdon Humana Gold Plus H6622-063 (HMO) MAPD-HMO H6622-063-000

New Jersey Hunterdon HumanaChoice H5216-170 (PPO) MAPD-LPPO H5216-170-000

New Jersey Mercer HumanaChoice H5216-185 (PPO) MAPD-LPPO H5216-185-000

New Jersey Monmouth Humana Gold Plus H6622-063 (HMO) MAPD-HMO H6622-063-000

New Jersey Monmouth HumanaChoice H5216-170 (PPO) MAPD-LPPO H5216-170-000

New Jersey Morris Humana Gold Plus H6622-063 (HMO) MAPD-HMO H6622-063-000

New Jersey Morris HumanaChoice H5216-170 (PPO) MAPD-LPPO H5216-170-000

New Jersey Ocean Humana Gold Plus H6622-063 (HMO) MAPD-HMO H6622-063-000

New Jersey Ocean HumanaChoice H5216-170 (PPO) MAPD-LPPO H5216-170-000

New Jersey Passaic Humana Gold Plus H6622-063 (HMO) MAPD-HMO H6622-063-000

New Jersey Passaic HumanaChoice H5216-170 (PPO) MAPD-LPPO H5216-170-000

New Jersey Salem HumanaChoice H5216-185 (PPO) MAPD-LPPO H5216-185-000

New Jersey Somerset Humana Gold Plus H6622-063 (HMO) MAPD-HMO H6622-063-000

New Jersey Somerset HumanaChoice H5216-170 (PPO) MAPD-LPPO H5216-170-000

New Jersey Sussex Humana Gold Plus H6622-063 (HMO) MAPD-HMO H6622-063-000

New Jersey Sussex HumanaChoice H5216-170 (PPO) MAPD-LPPO H5216-170-000

New Jersey Union Humana Gold Plus H6622-063 (HMO) MAPD-HMO H6622-063-000

New Jersey Union HumanaChoice H5216-170 (PPO) MAPD-LPPO H5216-170-000


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New Jersey Warren Humana Gold Plus H6622-063 (HMO) MAPD-HMO H6622-063-000

New Jersey Warren HumanaChoice H5216-170 (PPO) MAPD-LPPO H5216-170-000

New Jersey Warren HumanaChoice H5216-170 (PPO) MAPD-LPPO H5216-170-000

New Mexico


New Mexico (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-172-000

New Mexico Bernalillo Humana Gold Plus H0028-019 (HMO) MAPD-HMO H0028-019-000

New Mexico Bernalillo HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000




New Mexico Catron HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000

New Mexico Catron HumanaChoice H5216-196 (PPO) MAPD-LPPO H5216-196-002

New Mexico Chaves HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000

New Mexico Chaves HumanaChoice H5216-196 (PPO) MAPD-LPPO H5216-196-002

New Mexico Cibola HumanaChoice H5216-260 (PPO) MAPD-LPPO H5216-260-000

New Mexico Cibola HumanaChoice H5216-196 (PPO) MAPD-LPPO H5216-196-002

New Mexico Colfax HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000

New Mexico Colfax HumanaChoice H5216-196 (PPO) MAPD-LPPO H5216-196-002

New Mexico Curry HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000

New Mexico Curry HumanaChoice H5216-196 (PPO) MAPD-LPPO H5216-196-002

New Mexico DeBaca HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000

New Mexico DeBaca HumanaChoice H5216-196 (PPO) MAPD-LPPO H5216-196-002

New Mexico Dona Ana HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000

New Mexico Dona Ana HumanaChoice H5216-196 (PPO) MAPD-LPPO H5216-196-001

New Mexico Eddy HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000

New Mexico Eddy HumanaChoice H5216-196 (PPO) MAPD-LPPO H5216-196-002

New Mexico Grant HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000

New Mexico Grant HumanaChoice H5216-196 (PPO) MAPD-LPPO H5216-196-002

New Mexico Guadalupe HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000

New Mexico Guadalupe HumanaChoice H5216-196 (PPO) MAPD-LPPO H5216-196-002

New Mexico Lea HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000

New Mexico Lea HumanaChoice H5216-196 (PPO) MAPD-LPPO H5216-196-002

New Mexico Lincoln HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000

New Mexico Lincoln HumanaChoice H5216-196 (PPO) MAPD-LPPO H5216-196-002

New Mexico Los Alamos HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000



New Mexico Luna HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000

New Mexico Luna HumanaChoice H5216-196 (PPO) MAPD-LPPO H5216-196-001

New Mexico McKinley HumanaChoice H5216-260 (PPO) MAPD-LPPO H5216-260-000

New Mexico McKinley HumanaChoice H5216-196 (PPO) MAPD-LPPO H5216-196-002

New Mexico Mora HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000

New Mexico Mora HumanaChoice H5216-196 (PPO) MAPD-LPPO H5216-196-002


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New Mexico Otero HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000

New Mexico Otero HumanaChoice H5216-196 (PPO) MAPD-LPPO H5216-196-001

New Mexico Quay HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000

New Mexico Quay HumanaChoice H5216-196 (PPO) MAPD-LPPO H5216-196-002

New Mexico Rio Arriba HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000



New Mexico Roosevelt HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000

New Mexico Roosevelt HumanaChoice H5216-196 (PPO) MAPD-LPPO H5216-196-002

New Mexico San Juan HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000





New Mexico San Miguel Humana Gold Plus H0028-019 (HMO) MAPD-HMO H0028-019-000

New Mexico San Miguel HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000



New Mexico Sandoval Humana Gold Plus H0028-019 (HMO) MAPD-HMO H0028-019-000

New Mexico Sandoval HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000



New Mexico Santa Fe Humana Gold Plus H0028-019 (HMO) MAPD-HMO H0028-019-000

New Mexico Santa Fe HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000



New Mexico Sierra HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000

New Mexico Sierra HumanaChoice H5216-196 (PPO) MAPD-LPPO H5216-196-002

New Mexico Socorro HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000

New Mexico Socorro HumanaChoice H5216-196 (PPO) MAPD-LPPO H5216-196-002

New Mexico Taos HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000



New Mexico Torrance Humana Gold Plus H0028-019 (HMO) MAPD-HMO H0028-019-000

New Mexico Torrance HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000



New Mexico Valencia Humana Gold Plus H0028-019 (HMO) MAPD-HMO H0028-019-000

New Mexico Valencia HumanaChoice H5216-137 (PPO) MAPD-LPPO H5216-137-000



New York


New York (All Counties) Humana Premier Rx Plan (PDP) PDP S5552-005-000


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New York Albany Humana Gold Plus H3533-006 (HMO) MAPD-HMO H3533-006-000

New York Albany Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Albany HumanaChoice H5970-015 (PPO) MAPD-LPPO H5970-015-000

New York Albany HumanaChoice H5970-018 (PPO) MAPD-LPPO H5970-018-000

New York Allegany Humana Gold Plus H3533-001 (HMO) MAPD-HMO H3533-001-000

New York Allegany Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Allegany HumanaChoice H5970-001 (PPO) MAPD-LPPO H5970-001-000



New York Bronx Humana Gold Plus H3533-032 (HMO) MAPD-HMO H3533-032-001

New York Bronx HumanaChoice H5970-024 (PPO) MAPD-LPPO H5970-024-001

New York Broome Humana Gold Plus H3533-001 (HMO) MAPD-HMO H3533-001-000

New York Broome Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Broome HumanaChoice H5970-001 (PPO) MAPD-LPPO H5970-001-000



New York Cattaraugus Humana Gold Plus H3533-006 (HMO) MAPD-HMO H3533-006-000

New York Cattaraugus Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Cattaraugus HumanaChoice H5970-001 (PPO) MAPD-LPPO H5970-001-000



New York Cayuga Humana Gold Plus H3533-001 (HMO) MAPD-HMO H3533-001-000

New York Cayuga Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Cayuga HumanaChoice H5970-001 (PPO) MAPD-LPPO H5970-001-000



New York Chautauqua Humana Gold Plus H3533-006 (HMO) MAPD-HMO H3533-006-000

New York Chautauqua Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Chautauqua HumanaChoice H5970-001 (PPO) MAPD-LPPO H5970-001-000



New York Chemung Humana Gold Plus H3533-001 (HMO) MAPD-HMO H3533-001-000

New York Chemung Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Chemung HumanaChoice H5970-001 (PPO) MAPD-LPPO H5970-001-000



New York Chenango Humana Gold Plus H3533-001 (HMO) MAPD-HMO H3533-001-000

New York Chenango Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Chenango HumanaChoice H5970-001 (PPO) MAPD-LPPO H5970-001-000



New York Columbia Humana Gold Plus H3533-006 (HMO) MAPD-HMO H3533-006-000

New York Columbia Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Columbia HumanaChoice H5970-015 (PPO) MAPD-LPPO H5970-001-000

New York Columbia HumanaChoice H5970-018 (PPO) MAPD-LPPO H5970-018-000


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New York Cortland Humana Gold Plus H3533-001 (HMO) MAPD-HMO H3533-001-000

New York Cortland Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Cortland HumanaChoice H5970-001 (PPO) MAPD-LPPO H5970-001-000



New York Delaware Humana Gold Plus H3533-001 (HMO) MAPD-HMO H3533-001-000

New York Delaware Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Delaware HumanaChoice H5970-001 (PPO) MAPD-LPPO H5970-001-000



New York Erie Humana Gold Plus H3533-006 (HMO) MAPD-HMO H3533-006-000

New York Erie HumanaChoice H5970-001 (PPO) MAPD-LPPO H5970-001-000



New York Fulton Humana Gold Plus H3533-006 (HMO) MAPD-HMO H3533-006-000

New York Fulton Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Fulton HumanaChoice H5970-015 (PPO) MAPD-LPPO H5970-001-000

New York Fulton HumanaChoice H5970-018 (PPO) MAPD-LPPO H5970-018-000

New York Greene Humana Gold Plus H3533-006 (HMO) MAPD-HMO H3533-006-000

New York Greene Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Greene HumanaChoice H5970-015 (PPO) MAPD-LPPO H5970-001-000

New York Greene HumanaChoice H5970-018 (PPO) MAPD-LPPO H5970-018-000

New York Hamilton Humana Gold Plus H3533-006 (HMO) MAPD-HMO H3533-006-000

New York Hamilton Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Hamilton HumanaChoice H5970-015 (PPO) MAPD-LPPO H5970-001-000

New York Hamilton HumanaChoice H5970-018 (PPO) MAPD-LPPO H5970-018-000

New York Herkimer Humana Gold Plus H3533-001 (HMO) MAPD-HMO H3533-001-000

New York Herkimer Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Herkimer HumanaChoice H5970-015 (PPO) MAPD-LPPO H5970-001-000

New York Herkimer HumanaChoice H5970-018 (PPO) MAPD-LPPO H5970-018-000

New York Jefferson Humana Gold Plus H3533-001 (HMO) MAPD-HMO H3533-001-000

New York Jefferson Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Jefferson HumanaChoice H5970-015 (PPO) MAPD-LPPO H5970-001-000

New York Jefferson HumanaChoice H5970-018 (PPO) MAPD-LPPO H5970-018-000

New York Kings Humana Gold Plus H3533-033 (HMO) MAPD-HMO H3533-033-000



New York Kings HumanaChoice H5970-024 (PPO) MAPD-LPPO H5970-024-001

New York Lewis Humana Gold Plus H3533-001 (HMO) MAPD-HMO H3533-001-000

New York Lewis Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Lewis HumanaChoice H5970-015 (PPO) MAPD-LPPO H5970-001-000

New York Lewis HumanaChoice H5970-018 (PPO) MAPD-LPPO H5970-018-000

New York Madison Humana Gold Plus H3533-006 (HMO) MAPD-HMO H3533-006-000

New York Madison Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Madison HumanaChoice H5970-015 (PPO) MAPD-LPPO H5970-001-000


Y0040_GHHKYF4EN_C

New York Madison HumanaChoice H5970-018 (PPO) MAPD-LPPO H5970-018-000

New York Montgomery Humana Gold Plus H3533-006 (HMO) MAPD-HMO H3533-006-000

New York Montgomery Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Montgomery HumanaChoice H5970-015 (PPO) MAPD-LPPO H5970-001-000

New York Montgomery HumanaChoice H5970-018 (PPO) MAPD-LPPO H5970-018-000

New York Nassau Humana Gold Plus H3533-010 (HMO) MAPD-HMO H3533-010-000

New York Nassau HumanaChoice H5970-024 (PPO) MAPD-LPPO H5970-024-002

New York New York Humana Gold Plus H3533-032 (HMO) MAPD-HMO H3533-032-001

New York New York HumanaChoice H5970-024 (PPO) MAPD-LPPO H5970-024-001

New York Niagara Humana Gold Plus H3533-006 (HMO) MAPD-HMO H3533-006-000

New York Niagara HumanaChoice H5970-001 (PPO) MAPD-LPPO H5970-001-000



New York Oneida Humana Gold Plus H3533-001 (HMO) MAPD-HMO H3533-001-000

New York Oneida Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Oneida HumanaChoice H5970-015 (PPO) MAPD-LPPO H5970-001-000

New York Oneida HumanaChoice H5970-018 (PPO) MAPD-LPPO H5970-018-000

New York Onondaga Humana Gold Plus H3533-001 (HMO) MAPD-HMO H3533-001-000

New York Onondaga Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Onondaga HumanaChoice H5970-015 (PPO) MAPD-LPPO H5970-001-000

New York Onondaga HumanaChoice H5970-018 (PPO) MAPD-LPPO H5970-018-000

New York Orange HumanaChoice H5970-001 (PPO) MAPD-LPPO H5970-001-000



New York Orleans Humana Gold Plus H3533-006 (HMO) MAPD-HMO H3533-006-000

New York Orleans HumanaChoice H5970-001 (PPO) MAPD-LPPO H5970-001-000



New York Oswego Humana Gold Plus H3533-001 (HMO) MAPD-HMO H3533-001-000

New York Oswego Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Oswego HumanaChoice H5970-015 (PPO) MAPD-LPPO H5970-001-000

New York Oswego HumanaChoice H5970-018 (PPO) MAPD-LPPO H5970-018-000

New York Putnam Humana Gold Plus H3533-006 (HMO) MAPD-HMO H3533-006-000

New York Putnam Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Putnam HumanaChoice H5970-015 (PPO) MAPD-LPPO H5970-001-000

New York Putnam HumanaChoice H5970-018 (PPO) MAPD-LPPO H5970-018-000

New York Queens Humana Gold Plus H3533-033 (HMO) MAPD-HMO H3533-033-000



New York Queens HumanaChoice H5970-024 (PPO) MAPD-LPPO H5970-024-001

New York Rensselaer Humana Gold Plus H3533-006 (HMO) MAPD-HMO H3533-006-000

New York Rensselaer Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Rensselaer HumanaChoice H5970-015 (PPO) MAPD-LPPO H5970-001-000

New York Rensselaer HumanaChoice H5970-018 (PPO) MAPD-LPPO H5970-018-000

New York Richmond Humana Gold Plus H3533-032 (HMO) MAPD-HMO H3533-032-002


Y0040_GHHKYF4EN_C

New York Richmond HumanaChoice H5970-024 (PPO) MAPD-LPPO H5970-024-002

New York Rockland HumanaChoice H5970-001 (PPO) MAPD-LPPO H5970-001-000



New York Saratoga Humana Gold Plus H3533-006 (HMO) MAPD-HMO H3533-006-000

New York Saratoga Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Saratoga HumanaChoice H5970-015 (PPO) MAPD-LPPO H5970-001-000

New York Saratoga HumanaChoice H5970-018 (PPO) MAPD-LPPO H5970-018-000

New York Schenectady Humana Gold Plus H3533-006 (HMO) MAPD-HMO H3533-006-000

New York Schenectady Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Schenectady HumanaChoice H5970-015 (PPO) MAPD-LPPO H5970-001-000

New York Schenectady HumanaChoice H5970-018 (PPO) MAPD-LPPO H5970-018-000

New York Schuyler Humana Gold Plus H3533-001 (HMO) MAPD-HMO H3533-001-000

New York Schuyler Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Schuyler HumanaChoice H5970-001 (PPO) MAPD-LPPO H5970-001-000



New York Seneca Humana Gold Plus H3533-006 (HMO) MAPD-HMO H3533-006-000

New York Seneca HumanaChoice H5970-001 (PPO) MAPD-LPPO H5970-001-000



New York Steuben Humana Gold Plus H3533-001 (HMO) MAPD-HMO H3533-001-000

New York Steuben Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Steuben HumanaChoice H5970-001 (PPO) MAPD-LPPO H5970-001-000



New York Suffolk Humana Gold Plus H3533-010 (HMO) MAPD-HMO H3533-010-000

New York Suffolk HumanaChoice H5970-024 (PPO) MAPD-LPPO H5970-024-002

New York Sullivan Humana Gold Plus H3533-001 (HMO) MAPD-HMO H3533-001-000

New York Sullivan Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Sullivan HumanaChoice H5970-001 (PPO) MAPD-LPPO H5970-001-000



New York Tioga Humana Gold Plus H3533-001 (HMO) MAPD-HMO H3533-001-000

New York Tioga HumanaChoice H5970-001 (PPO) MAPD-LPPO H5970-001-000



New York Warren Humana Gold Plus H3533-006 (HMO) MAPD-HMO H3533-006-000

New York Warren Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Warren HumanaChoice H5970-015 (PPO) MAPD-LPPO H5970-001-000

New York Warren HumanaChoice H5970-018 (PPO) MAPD-LPPO H5970-018-000

New York Washington Humana Gold Plus H3533-006 (HMO) MAPD-HMO H3533-006-000

New York Washington Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Washington HumanaChoice H5970-015 (PPO) MAPD-LPPO H5970-001-000

New York Washington HumanaChoice H5970-018 (PPO) MAPD-LPPO H5970-018-000


Y0040_GHHKYF4EN_C

New York Wyoming Humana Gold Plus H3533-006 (HMO) MAPD-HMO H3533-006-000

New York Wyoming HumanaChoice H5970-001 (PPO) MAPD-LPPO H5970-001-000



New York Yates Humana Gold Plus H3533-001 (HMO) MAPD-HMO H3533-001-000

New York Yates Humana Gold Plus H3533-013 (HMO) MAPD-HMO H3533-013-000

New York Yates HumanaChoice H5970-001 (PPO) MAPD-LPPO H5970-001-000



North Carolina


North Carolina (All Counties)


North Carolina (All Counties)


North Carolina Alamance Humana Gold Plus H1036-291 (HMO) MAPD-HMO H1036-291-000

North Carolina Alamance HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Alexander Humana Gold Plus H6622-057 (HMO) MAPD-HMO H6622-057-000

North Carolina Alexander HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Alleghany HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Anson Humana Gold Plus H1036-137 (HMO) MAPD-HMO H1036-137-000

North Carolina Anson HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Ashe HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Avery Humana Gold Plus H6622-025 (HMO-POS)


North Carolina Avery Humana Gold Plus H6622-026 (HMO) MAPD-HMO H6622-026-000

North Carolina Avery HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Beaufort HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Bertie HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Bladen Humana Gold Plus H6622-061 (HMO) MAPD-HMO H6622-061-000

North Carolina Bladen HumanaChoice H5525-026 (PPO) MAPD-LPPO H5525-026-000

North Carolina Bladen HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Brunswick Humana Gold Plus H6622-061 (HMO) MAPD-HMO H6622-061-000

North Carolina Brunswick HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Buncombe Humana Gold Plus H6622-025 (HMO- POS)


North Carolina Buncombe Humana Gold Plus H6622-026 (HMO) MAPD-HMO H6622-026-000

North Carolina Buncombe HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Burke Humana Gold Plus H1036-137 (HMO) MAPD-HMO H1036-137-000

North Carolina Burke HumanaChoice H5525-026 (PPO) MAPD-LPPO H5525-026-000

North Carolina Cabarrus Humana Gold Plus H1036-137 (HMO) MAPD-HMO H1036-137-000

North Carolina Cabarrus HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Caldwell Humana Gold Plus H1036-137 (HMO) MAPD-HMO H1036-137-000

North Carolina Caldwell HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Camden HumanaChoice H5525-026 (PPO) MAPD-LPPO H5525-026-000


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North Carolina Camden HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Caswell Humana Gold Plus H1036-291 (HMO) MAPD-HMO H1036-291-000

North Carolina Caswell HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Catawba Humana Gold Plus H1036-137 (HMO) MAPD-HMO H1036-137-000

North Carolina Catawba HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Chatham Humana Gold Plus H6622-060 (HMO) MAPD-HMO H6622-060-000

North Carolina Chatham HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Chatham HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Cherokee Humana Gold Plus H6622-025 (HMO- POS)


North Carolina Cherokee Humana Gold Plus H6622-026 (HMO) MAPD-HMO H6622-026-000

North Carolina Cherokee HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Chowan HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Clay Humana Gold Plus H6622-025 (HMO- POS)


North Carolina Clay Humana Gold Plus H6622-026 (HMO) MAPD-HMO H6622-026-000

North Carolina Clay HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Cleveland Humana Gold Plus H6622-057 (HMO) MAPD-HMO H6622-057-000

North Carolina Cleveland HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Columbus Humana Gold Plus H6622-061 (HMO) MAPD-HMO H6622-061-000

North Carolina Columbus HumanaChoice H5525-026 (PPO) MAPD-LPPO H5525-026-000

North Carolina Columbus HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Cumberland Humana Gold Plus H6622-060 (HMO) MAPD-HMO H6622-060-000

North Carolina Cumberland HumanaChoice H5525-026 (PPO) MAPD-LPPO H5525-026-000

North Carolina Cumberland HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Currituck HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Davidson Humana Gold Plus H1036-291 (HMO) MAPD-HMO H1036-291-000

North Carolina Davidson HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Davie Humana Gold Plus H1036-291 (HMO) MAPD-HMO H1036-291-000

North Carolina Davie HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Duplin HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Durham Humana Gold Plus H6622-060 (HMO) MAPD-HMO H6622-060-000

North Carolina Durham HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Durham HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Edgecombe HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Forsyth Humana Gold Plus H1036-291 (HMO) MAPD-HMO H1036-291-000

North Carolina Forsyth HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Franklin HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Franklin HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Gaston Humana Gold Plus H1036-137 (HMO) MAPD-HMO H1036-137-000

North Carolina Gaston HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Gates HumanaChoice H5525-026 (PPO) MAPD-LPPO H5525-026-000

North Carolina Gates HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Graham Humana Gold Plus H6622-025 (HMO-POS)


North Carolina Graham Humana Gold Plus H6622-026 (HMO) MAPD-HMO H6622-026-000


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North Carolina Graham HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Granville HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Greene HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Guilford Humana Gold Plus H1036-291 (HMO) MAPD-HMO H1036-291-000

North Carolina Guilford HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Halifax HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Harnett Humana Gold Plus H6622-060 (HMO) MAPD-HMO H6622-060-000

North Carolina Harnett HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Haywood Humana Gold Plus H6622-025 (HMO- POS)


North Carolina Haywood Humana Gold Plus H6622-026 (HMO) MAPD-HMO H6622-026-000

North Carolina Haywood HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Henderson Humana Gold Plus H6622-025 (HMO- POS)


North Carolina Henderson Humana Gold Plus H6622-026 (HMO) MAPD-HMO H6622-026-000

North Carolina Henderson HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Hertford HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Hoke HumanaChoice H5525-026 (PPO) MAPD-LPPO H5525-026-000

North Carolina Hyde HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Iredell Humana Gold Plus H1036-137 (HMO) MAPD-HMO H1036-137-000

North Carolina Iredell HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Jackson Humana Gold Plus H6622-025 (HMO- POS)


North Carolina Jackson Humana Gold Plus H6622-026 (HMO) MAPD-HMO H6622-026-000

North Carolina Jackson HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Johnston Humana Gold Plus H6622-060 (HMO) MAPD-HMO H6622-060-000

North Carolina Johnston HumanaChoice H5525-026 (PPO) MAPD-LPPO H5525-026-000

North Carolina Johnston HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Jones HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Lee Humana Gold Plus H6622-060 (HMO) MAPD-HMO H6622-060-000

North Carolina Lee HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Lee HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Lincoln Humana Gold Plus H6622-057 (HMO) MAPD-HMO H6622-057-000

North Carolina Lincoln HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Macon Humana Gold Plus H6622-025 (HMO- POS)


North Carolina Macon Humana Gold Plus H6622-026 (HMO) MAPD-HMO H6622-026-000

North Carolina Macon HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Madison Humana Gold Plus H6622-025 (HMO- POS)


North Carolina Madison Humana Gold Plus H6622-026 (HMO) MAPD-HMO H6622-026-000

North Carolina Madison HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Martin HumanaChoice H5525-026 (PPO) MAPD-LPPO H5525-026-000

North Carolina McDowell Humana Gold Plus H6622-025 (HMO- POS)


North Carolina McDowell Humana Gold Plus H6622-026 (HMO) MAPD-HMO H6622-026-000

North Carolina McDowell HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000


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North Carolina Mecklenburg Humana Gold Plus H1036-137 (HMO) MAPD-HMO H1036-137-000

North Carolina Mecklenburg HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Mitchell Humana Gold Plus H6622-025 (HMO- POS)


North Carolina Mitchell Humana Gold Plus H6622-026 (HMO) MAPD-HMO H6622-026-000

North Carolina Mitchell HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Montgomery HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Montgomery HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Moore Humana Gold Plus H6622-060 (HMO) MAPD-HMO H6622-060-000

North Carolina Moore HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Moore HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Nash HumanaChoice H5525-026 (PPO) MAPD-LPPO H5525-026-000

North Carolina New Hanover






North Carolina Northampton HumanaChoice H5525-026 (PPO) MAPD-LPPO H5525-026-000

North Carolina Northampton HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Orange Humana Gold Plus H6622-060 (HMO) MAPD-HMO H6622-060-000

North Carolina Orange HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Orange HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Pamlico HumanaChoice H5525-026 (PPO) MAPD-LPPO H5525-026-000

North Carolina Pasquotank HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Pender Humana Gold Plus H6622-061 (HMO) MAPD-HMO H6622-061-000

North Carolina Pender HumanaChoice H5525-026 (PPO) MAPD-LPPO H5525-026-000

North Carolina Pender HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Perquimans HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Person Humana Gold Plus H1036-291 (HMO) MAPD-HMO H1036-291-000

North Carolina Person HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Pitt HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Polk Humana Gold Plus H6622-025 (HMO- POS)


North Carolina Polk Humana Gold Plus H6622-026 (HMO) MAPD-HMO H6622-026-000

North Carolina Polk HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Randolph Humana Gold Plus H1036-291 (HMO) MAPD-HMO H1036-291-000

North Carolina Randolph HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Richmond HumanaChoice H5525-026 (PPO) MAPD-LPPO H5525-026-000

North Carolina Richmond HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Robeson HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Rockingham Humana Gold Plus H1036-291 (HMO) MAPD-HMO H1036-291-000

North Carolina Rockingham HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Rowan Humana Gold Plus H1036-137 (HMO) MAPD-HMO H1036-137-000

North Carolina Rowan HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Rutherford Humana Gold Plus H6622-025 (HMO- POS)



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North Carolina Rutherford Humana Gold Plus H6622-026 (HMO) MAPD-HMO H6622-026-000

North Carolina Rutherford HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Sampson HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Scotland HumanaChoice H5525-026 (PPO) MAPD-LPPO H5525-026-000

North Carolina Scotland HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Stanly Humana Gold Plus H1036-137 (HMO) MAPD-HMO H1036-137-000

North Carolina Stanly HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Stokes Humana Gold Plus H1036-291 (HMO) MAPD-HMO H1036-291-000

North Carolina Stokes HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Surry HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Swain Humana Gold Plus H6622-025 (HMO- POS)


North Carolina Swain Humana Gold Plus H6622-026 (HMO) MAPD-HMO H6622-026-000

North Carolina Swain HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Transylvania Humana Gold Plus H6622-025 (HMO- POS)


North Carolina Transylvania Humana Gold Plus H6622-026 (HMO) MAPD-HMO H6622-026-000

North Carolina Transylvania HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Tyrrell HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Union Humana Gold Plus H6622-057 (HMO) MAPD-HMO H6622-057-000

North Carolina Union HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Vance HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Vance HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Wake Humana Gold Plus H1036-233 (HMO) MAPD-HMO H1036-233-000

North Carolina Wake HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Warren HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Warren HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Washington HumanaChoice H5525-026 (PPO) MAPD-LPPO H5525-026-000

North Carolina Washington HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Watauga Humana Gold Plus H6622-025 (HMO- POS)


North Carolina Watauga Humana Gold Plus H6622-026 (HMO) MAPD-HMO H6622-026-000

North Carolina Watauga HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Wayne HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Wilkes HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Wilson HumanaChoice H5525-035 (PPO) MAPD-LPPO H5525-035-000

North Carolina Yadkin Humana Gold Plus H1036-291 (HMO) MAPD-HMO H1036-291-000

North Carolina Yadkin HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Carolina Yancey Humana Gold Plus H6622-025 (HMO- POS)


North Carolina Yancey Humana Gold Plus H6622-026 (HMO) MAPD-HMO H6622-026-000

North Carolina Yancey HumanaChoice H5216-211 (PPO) MAPD-LPPO H5216-211-000

North Dakota


North Dakota (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-171-000


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North Dakota Burleigh HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000




North Dakota Cass HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000




North Dakota Grand Forks HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000




North Dakota Morton HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000




North Dakota Richland HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000




North Dakota Stutsman HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000





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Ohio


Ohio (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-160-000

Ohio Allen Humana Gold Plus H6622-019 (HMO) MAPD-HMO H6622-019-000

Ohio Allen Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000

Ohio Allen Humana Gold Plus H6622-022 (HMO) MAPD-HMO H6622-022-000

Ohio Ashland HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000

Ohio Ashland HumanaChoice H5216-051 (PPO) MAPD-LPPO H5216-051-000

Ohio Ashtabula HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000

Ohio Ashtabula HumanaChoice H5216-051 (PPO) MAPD-LPPO H5216-051-000

Ohio Belmont HumanaChoice H5216-052 (PPO) MAPD-LPPO H5216-052-000

Ohio Brown Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000

Ohio Brown Humana Gold Plus H6622-055 (HMO) MAPD-HMO H6622-055-000



Ohio Butler Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000

Ohio Butler Humana Gold Plus H6622-019 (HMO) MAPD-HMO H6622-019-000



Ohio Carroll Humana Gold Plus H6622-014 (HMO) MAPD-HMO H6622-014-000

Ohio Carroll Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000



Ohio Carroll HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000

Ohio Carroll HumanaChoice H5216-051 (PPO) MAPD-LPPO H5216-051-000

Ohio Clark Humana Gold Plus H6622-013 (HMO) MAPD-HMO H6622-013-000

Ohio Clark Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000




Ohio Clermont Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000

Ohio Clermont Humana Gold Plus H6622-019 (HMO) MAPD-HMO H6622-019-000



Ohio Clinton Humana Gold Plus H6622-019 (HMO) MAPD-HMO H6622-019-000

Ohio Clinton Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000



Ohio Columbiana HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000

Ohio Columbiana HumanaChoice H5216-051 (PPO) MAPD-LPPO H5216-051-000

Ohio Coshocton HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000


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Ohio Cuyahoga Humana Gold Plus H6622-011 (HMO) MAPD-HMO H6622-011-000

Ohio Cuyahoga Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000



Ohio Cuyahoga Humana Cleveland Clinic Preferred (HMO) MAPD-HMO H6622-023-000

Ohio Cuyahoga HumanaChoice H5216-024 (PPO) MAPD-LPPO H5216-024-000

Ohio Cuyahoga HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000

Ohio Delaware Humana Gold Plus H6622-013 (HMO) MAPD-HMO H6622-013-000

Ohio Delaware Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000



Ohio Erie Humana Gold Plus H6622-011 (HMO) MAPD-HMO H6622-011-000

Ohio Erie Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000



Ohio Fairfield Humana Gold Plus H6622-013 (HMO) MAPD-HMO H6622-013-000

Ohio Fairfield Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000



Ohio Franklin Humana Gold Plus H6622-013 (HMO) MAPD-HMO H6622-013-000

Ohio Franklin Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000



Ohio Geauga Humana Gold Plus H6622-011 (HMO) MAPD-HMO H6622-011-000

Ohio Geauga Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000



Ohio Geauga HumanaChoice H5216-024 (PPO) MAPD-LPPO H5216-024-000

Ohio Geauga HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000

Ohio Greene Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000

Ohio Greene Humana Gold Plus H6622-019 (HMO) MAPD-HMO H6622-019-000



Ohio Hamilton Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000

Ohio Hamilton Humana Gold Plus H6622-019 (HMO) MAPD-HMO H6622-019-000



Ohio Harrison HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000

Ohio Harrison HumanaChoice H5216-051 (PPO) MAPD-LPPO H5216-051-000

Ohio Holmes HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000


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Ohio Holmes HumanaChoice H5216-051 (PPO) MAPD-LPPO H5216-051-000

Ohio Huron HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000

Ohio Jefferson HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000

Ohio Jefferson HumanaChoice H5216-051 (PPO) MAPD-LPPO H5216-051-000

Ohio Knox HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000

Ohio Knox HumanaChoice H5216-051 (PPO) MAPD-LPPO H5216-051-000

Ohio Lake Humana Gold Plus H6622-011 (HMO) MAPD-HMO H6622-011-000

Ohio Lake Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000



Ohio Lake Humana Cleveland Clinic Preferred (HMO) MAPD-HMO H6622-023-000

Ohio Lake HumanaChoice H5216-024 (PPO) MAPD-LPPO H5216-024-000

Ohio Lake HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000

Ohio Licking Humana Gold Plus H6622-013 (HMO) MAPD-HMO H6622-013-000

Ohio Licking Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000



Ohio Lorain Humana Gold Plus H6622-011 (HMO) MAPD-HMO H6622-011-000

Ohio Lorain Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000



Ohio Lorain Humana Cleveland Clinic Preferred (HMO) MAPD-HMO H6622-023-000

Ohio Lorain HumanaChoice H5216-024 (PPO) MAPD-LPPO H5216-024-000

Ohio Lorain HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000

Ohio Lucas Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000

Ohio Lucas Humana Gold Plus H6622-022 (HMO) MAPD-HMO H6622-022-000

Ohio Lucas Humana Gold Plus H6622-019 (HMO) MAPD-HMO H6622-019-000

Ohio Mahoning Humana Gold Plus H6622-014 (HMO) MAPD-HMO H6622-014-000

Ohio Mahoning Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000



Ohio Mahoning HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000

Ohio Mahoning HumanaChoice H5216-051 (PPO) MAPD-LPPO H5216-051-000

Ohio Marion Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000

Ohio Marion Humana Gold Plus H6622-069 (HMO) MAPD-HMO H6622-069-000



Ohio Marion HumanaChoice H5216-052 (PPO) MAPD-LPPO H5216-052-000

Ohio Medina Humana Gold Plus H6622-011 (HMO) MAPD-HMO H6622-011-000

Ohio Medina Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000



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Ohio Medina Humana Cleveland Clinic Preferred (HMO) MAPD-HMO H6622-023-000

Ohio Medina HumanaChoice H5216-024 (PPO) MAPD-LPPO H5216-024-000

Ohio Medina HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000

Ohio Miami Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000

Ohio Miami Humana Gold Plus H6622-019 (HMO) MAPD-HMO H6622-019-000



Ohio Monroe HumanaChoice H5216-052 (PPO) MAPD-LPPO H5216-052-000

Ohio Montgomery Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000

Ohio Montgomery Humana Gold Plus H6622-019 (HMO) MAPD-HMO H6622-019-000



Ohio Ottawa Humana Gold Plus H6622-022 (HMO) MAPD-HMO H6622-022-000

Ohio Ottawa Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000

Ohio Ottawa Humana Gold Plus H6622-019 (HMO) MAPD-HMO H6622-019-000

Ohio Pickaway Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000

Ohio Pickaway Humana Gold Plus H6622-069 (HMO) MAPD-HMO H6622-069-000



Ohio Portage Humana Gold Plus H6622-014 (HMO) MAPD-HMO H6622-014-000

Ohio Portage Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000



Ohio Portage HumanaChoice H5216-024 (PPO) MAPD-LPPO H5216-024-000

Ohio Portage HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000

Ohio Preble Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000

Ohio Preble Humana Gold Plus H6622-019 (HMO) MAPD-HMO H6622-019-000



Ohio Richland HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000

Ohio Richland HumanaChoice H5216-051 (PPO) MAPD-LPPO H5216-051-000

Ohio Sandusky Humana Gold Plus H6622-022 (HMO) MAPD-HMO H6622-022-000

Ohio Sandusky Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000

Ohio Sandusky Humana Gold Plus H6622-019 (HMO) MAPD-HMO H6622-019-000

Ohio Seneca Humana Gold Plus H6622-022 (HMO) MAPD-HMO H6622-022-000

Ohio Seneca Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000

Ohio Seneca Humana Gold Plus H6622-019 (HMO) MAPD-HMO H6622-019-000

Ohio Stark Humana Gold Plus H6622-014 (HMO) MAPD-HMO H6622-014-000

Ohio Stark Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000


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Ohio Stark Humana Cleveland Clinic Preferred (HMO) MAPD-HMO H6622-023-000


Ohio Stark HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000

Ohio Stark HumanaChoice H5216-051 (PPO) MAPD-LPPO H5216-051-000

Ohio Summit Humana Gold Plus H6622-014 (HMO) MAPD-HMO H6622-014-000

Ohio Summit Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000


Ohio Summit Humana Cleveland Clinic Preferred (HMO) MAPD-HMO H6622-023-000


Ohio Summit HumanaChoice H5216-024 (PPO) MAPD-LPPO H5216-024-000

Ohio Summit HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000

Ohio Trumbull Humana Gold Plus-Diabetes and Heart (HMOC_SNP)

MAPD-HMO H6622-014-000

Ohio Trumbull Humana Gold Plus H6622-014 (HMO) MAPD-HMO H6622-014-000



Ohio Trumbull HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000

Ohio Trumbull HumanaChoice H5216-051 (PPO) MAPD-LPPO H5216-051-000

Ohio Tuscarawas HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000

Ohio Tuscarawas HumanaChoice H5216-051 (PPO) MAPD-LPPO H5216-051-000

Ohio Warren Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000

Ohio Warren Humana Gold Plus H6622-019 (HMO) MAPD-HMO H6622-019-000



Ohio Wayne Humana Gold Plus H6622-014 (HMO) MAPD-HMO H6622-014-000

Ohio Wayne Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000



Ohio Wayne HumanaChoice H5216-106 (PPO) MAPD-LPPO H5216-106-000

Ohio Wayne HumanaChoice H5216-051 (PPO) MAPD-LPPO H5216-051-000

Ohio Wood Humana Gold Plus - Diabetes and Heart (HMOC-SNP)

MAPD-HMO H6622-017-000

Ohio Wood Humana Gold Plus H6622-022 (HMO) MAPD-HMO H6622-022-000

Ohio Wood Humana Gold Plus H6622-019 (HMO) MAPD-HMO H6622-019-000

Oklahoma


Oklahoma (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-169-000

Oklahoma Adair HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Blaine HumanaChoice H9070-006 (PPO) MAPD-LPPO H9070-006-001

Oklahoma Bryan HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000


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Oklahoma Caddo HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Canadian Humana Gold Plus H6622-032 (HMO) MAPD-HMO H6622-032-000

Oklahoma Canadian Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H6622-071-000

Oklahoma Canadian HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Carter HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Cherokee HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Choctaw HumanaChoice H9070-006 (PPO) MAPD-LPPO H9070-006-001

Oklahoma Cleveland Humana Gold Plus- Diabetes and Heart (HMO-C- SNP)

MAPD-HMO H6622-071-000

Oklahoma Cleveland Humana Gold Plus H6622-032 (HMO) MAPD-HMO H6622-032-000

Oklahoma Cleveland HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Comanche HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Craig HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Creek Humana Gold Plus H6622-033 (HMO) MAPD-HMO H6622-033-000

Oklahoma Creek Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H6622-071-000

Oklahoma Creek HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Delaware HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Dewey HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Garfield HumanaChoice H9070-006 (PPO) MAPD-LPPO H9070-006-001

Oklahoma Garvin HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000




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Oklahoma Grady Humana Gold Plus H6622-032 (HMO) MAPD-HMO H6622-032-000

Oklahoma Grady Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H6622-071-000

Oklahoma Grady HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Haskell HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Hughes HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Jackson HumanaChoice H9070-006 (PPO) MAPD-LPPO H9070-006-001

Oklahoma Johnston HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Kay HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Kingfisher Humana Gold Plus H6622-032 (HMO) MAPD-HMO H6622-032-000

Oklahoma Kingfisher Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H6622-071-000

Oklahoma Kingfisher HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Kiowa HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Latimer HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Le Flore Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Oklahoma Le Flore HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Lincoln Humana Gold Plus H6622-032 (HMO) MAPD-HMO H6622-032-000

Oklahoma Lincoln Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H6622-071-000

Oklahoma Lincoln HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Logan Humana Gold Plus H6622-032 (HMO) MAPD-HMO H6622-032-000

Oklahoma Logan Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H6622-071-000

Oklahoma Logan HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000




Y0040_GHHKYF4EN_C

Oklahoma Mayes Humana Gold Plus H6622-033 (HMO) MAPD-HMO H6622-033-000

Oklahoma Mayes Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H6622-071-000

Oklahoma Mayes HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma McClain Humana Gold Plus H6622-032 (HMO) MAPD-HMO H6622-032-000

Oklahoma McClain Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H6622-071-000

Oklahoma McClain HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma McCurtain HumanaChoice H9070-006 (PPO) MAPD-LPPO H9070-006-001

Oklahoma McIntosh HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Murray HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Muskogee HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Noble HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Nowata HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Okfuskee HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Oklahoma Humana Gold Plus H6622-032 (HMO) MAPD-HMO H6622-032-000

Oklahoma Oklahoma Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H6622-071-000

Oklahoma Oklahoma HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Okmulgee Humana Gold Plus H6622-033 (HMO) MAPD-HMO H6622-033-000

Oklahoma Okmulgee Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H6622-071-000

Oklahoma Okmulgee HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Osage Humana Gold Plus H6622-033 (HMO) MAPD-HMO H6622-033-000

Oklahoma Osage Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H6622-071-000

Oklahoma Osage HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000


Y0040_GHHKYF4EN_C



Oklahoma Ottawa HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Pawnee HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Payne HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Pittsburg HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Pontotoc HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Pottawatomie Humana Gold Plus H6622-032 (HMO) MAPD-HMO H6622-032-000

Oklahoma Pottawatomie Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H6622-071-000

Oklahoma Pottawatomie HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Pushmataha HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Rogers Humana Gold Plus H6622-033 (HMO) MAPD-HMO H6622-033-000

Oklahoma Rogers Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H6622-071-000

Oklahoma Rogers HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Seminole Humana Gold Plus H6622-032 (HMO) MAPD-HMO H6622-032-000

Oklahoma Seminole Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H6622-071-000

Oklahoma Seminole HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Sequoyah Humana Gold Plus H5619-111 (HMO) MAPD-HMO H5619-111-000

Oklahoma Sequoyah HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Stephens HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Tulsa Humana Gold Plus H6622-033 (HMO) MAPD-HMO H6622-033-000


Y0040_GHHKYF4EN_C

Oklahoma Tulsa Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H6622-071-000

Oklahoma Tulsa HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Wagoner Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H6622-071-000

Oklahoma Wagoner Humana Gold Plus H6622-033 (HMO) MAPD-HMO H6622-033-000

Oklahoma Wagoner HumanaChoice H5216-083 (PPO) MAPD-LPPO H5216-083-000



Oklahoma Woodward HumanaChoice H9070-006 (PPO) MAPD-LPPO H9070-006-001


Y0040_GHHKYF4EN_C

Oregon


Oregon (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-176-000

Oregon Clackamas Humana Gold Plus H1036-153 (HMO) MAPD-HMO H1036-153-000

Oregon Clackamas HumanaChoice H5216-247 (PPO) MAPD-LPPO H5216-247-000

Oregon Columbia Humana Gold Plus H1036-153 (HMO) MAPD-HMO H1036-153-000

Oregon Columbia HumanaChoice H5216-247 (PPO) MAPD-LPPO H5216-247-000

Oregon Crook HumanaChoice H5216-044 (PPO) MAPD-LPPO H5216-044-000

Oregon Crook HumanaChoice H5216-047 (PPO) MAPD-LPPO H5216-047-000

Oregon Deschutes Humana Gold Plus H1036-219 (HMO) MAPD-HMO H1036-219-000

Oregon Deschutes HumanaChoice H5216-044 (PPO) MAPD-LPPO H5216-044-000

Oregon Deschutes HumanaChoice H5216-047 (PPO) MAPD-LPPO H5216-047-000

Oregon Jefferson Humana Gold Plus H1036-219 (HMO) MAPD-HMO H1036-219-000

Oregon Jefferson HumanaChoice H5216-044 (PPO) MAPD-LPPO H5216-044-000

Oregon Jefferson HumanaChoice H5216-047 (PPO) MAPD-LPPO H5216-047-000

Oregon Malheur HumanaChoice H5216-044 (PPO) MAPD-LPPO H5216-044-000

Oregon Malheur HumanaChoice H5216-132 (PPO) MAPD-LPPO H5216-132-000

Oregon Multnomah Humana Gold Plus H1036-153 (HMO) MAPD-HMO H1036-153-000

Oregon Multnomah HumanaChoice H5216-247 (PPO) MAPD-LPPO H5216-247-000

Oregon Washington Humana Gold Plus H1036-153 (HMO) MAPD-HMO H1036-153-000

Oregon Washington HumanaChoice H5216-247 (PPO) MAPD-LPPO H5216-247-000

Pennsylvania


Pennsylvania (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-152-000

Pennsylvania (All Counties) HumanaChoice R0923-002 (Regional PPO)

MAPD- RPPO R0923-002-000

Pennsylvania Adams HumanaChoice H5525-006 (PPO) MAPD-LPPO H5525-006-000

Pennsylvania Adams HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Allegheny HumanaChoice H5525-017 (PPO) MAPD-LPPO H5525-017-000

Pennsylvania Allegheny HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Armstrong HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania Armstrong HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Beaver Humana Gold Plus H6622-054 (HMO)

MAPD-HMO H6622-054-000

Pennsylvania Beaver HumanaChoice H5525-017 (PPO) MAPD-LPPO H5525-017-000

Pennsylvania Beaver HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Bedford HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Berks Humana Gold Plus H6622-035 (HMO)

MAPD-HMO H6622-035-000

Pennsylvania Berks HumanaChoice H5525-006 (PPO) MAPD-LPPO H5525-006-000

Pennsylvania Berks HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Blair HumanaChoice H5525-006 (PPO) MAPD-LPPO H5525-006-000

Pennsylvania Blair HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Bradford Humana Gold Plus H6622-052 (HMO)

MAPD-HMO H6622-052-000


Y0040_GHHKYF4EN_C

Pennsylvania Bradford HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania Bradford HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Bucks Humana Gold Plus H6622-037 (HMO)

MAPD-HMO H6622-037-000

Pennsylvania Bucks HumanaChoice H5525-005 (PPO) MAPD-LPPO H5525-005-000

Pennsylvania Bucks HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-002

Pennsylvania Butler Humana Gold Plus H6622-054 (HMO)

MAPD-HMO H6622-054-000

Pennsylvania Butler HumanaChoice H5525-017 (PPO) MAPD-LPPO H5525-017-000

Pennsylvania Butler HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Cambria HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Cameron HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Carbon Humana Gold Plus H6622-036 (HMO)

MAPD-HMO H6622-036-000

Pennsylvania Carbon HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania Carbon HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Centre HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania Centre HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Chester Humana Gold Plus H6622-037 (HMO)

MAPD-HMO H6622-037-000

Pennsylvania Chester HumanaChoice H5525-005 (PPO) MAPD-LPPO H5525-005-000

Pennsylvania Chester HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-002

Pennsylvania Clarion Humana Gold Plus H6622-054 (HMO)

MAPD-HMO H6622-054-000

Pennsylvania Clarion HumanaChoice H5525-017 (PPO) MAPD-LPPO H5525-017-000

Pennsylvania Clarion HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Clearfield HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Clinton HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania Clinton HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Columbia HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania Columbia HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Crawford Humana Gold Plus H6622-054 (HMO)

MAPD-HMO H6622-054-000

Pennsylvania Crawford HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000



Pennsylvania Cumberland Humana Gold Plus H6622-035 (HMO)

MAPD-HMO H6622-035-000

Pennsylvania Cumberland HumanaChoice H5525-006 (PPO) MAPD-LPPO H5525-006-000

Pennsylvania Cumberland HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Dauphin Humana Gold Plus H6622-035 (HMO)

MAPD-HMO H6622-035-000

Pennsylvania Dauphin HumanaChoice H5525-006 (PPO) MAPD-LPPO H5525-006-000

Pennsylvania Dauphin HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Delaware Humana Gold Plus H6622-037 (HMO)

MAPD-HMO H6622-037-000

Pennsylvania Delaware HumanaChoice H5525-005 (PPO) MAPD-LPPO H5525-005-000

Pennsylvania Delaware HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-002

Pennsylvania Elk HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001


Y0040_GHHKYF4EN_C

Pennsylvania Erie HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000



Pennsylvania Fayette Humana Gold Plus H6622-054 (HMO)

MAPD-HMO H6622-054-000

Pennsylvania Fayette HumanaChoice H5525-017 (PPO) MAPD-LPPO H5525-017-000

Pennsylvania Fayette HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Forest HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Franklin Humana Gold Plus H6622-035 (HMO)

MAPD-HMO H6622-035-000

Pennsylvania Franklin HumanaChoice H5525-006 (PPO) MAPD-LPPO H5525-006-000

Pennsylvania Franklin HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Fulton HumanaChoice H5525-006 (PPO) MAPD-LPPO H5525-006-000

Pennsylvania Fulton HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Greene Humana Gold Plus H6622-054 (HMO)

MAPD-HMO H6622-054-000

Pennsylvania Greene HumanaChoice H5525-017 (PPO) MAPD-LPPO H5525-017-000

Pennsylvania Greene HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Huntingdon HumanaChoice H5525-006 (PPO) MAPD-LPPO H5525-006-000

Pennsylvania Huntingdon HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Jefferson HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania Jefferson HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Juniata HumanaChoice H5525-006 (PPO) MAPD-LPPO H5525-006-000

Pennsylvania Juniata HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Lackawanna Humana Gold Plus H6622-036 (HMO)

MAPD-HMO H6622-036-000

Pennsylvania Lackawanna HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania Lackawanna HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Lancaster Humana Gold Plus H6622-035 (HMO)

MAPD-HMO H6622-035-000

Pennsylvania Lancaster HumanaChoice H5525-006 (PPO) MAPD-LPPO H5525-006-000

Pennsylvania Lancaster HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Lawrence Humana Gold Plus H6622-035 (HMO)

MAPD-HMO H6622-035-000

Pennsylvania Lawrence Humana Gold Plus H6622-054 (HMO)

MAPD-HMO H6622-054-000

Pennsylvania Lawrence HumanaChoice H5216-051 (PPO) MAPD-LPPO H5216-051-000




Pennsylvania Lebanon Humana Gold Plus H6622-035 (HMO)

MAPD-HMO H6622-035-000

Pennsylvania Lebanon HumanaChoice H5525-006 (PPO) MAPD-LPPO H5525-006-000

Pennsylvania Lebanon HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Lehigh Humana Gold Plus H6622-036 (HMO)

MAPD-HMO H6622-036-000

Pennsylvania Lehigh HumanaChoice H5525-006 (PPO) MAPD-LPPO H5525-006-000

Pennsylvania Lehigh HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001


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Pennsylvania Luzerne Humana Gold Plus H6622-036 (HMO)

MAPD-HMO H6622-036-000

Pennsylvania Luzerne HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania Luzerne HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Lycoming Humana Gold Plus H6622-052 (HMO)

MAPD-HMO H6622-052-000

Pennsylvania Lycoming HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania Lycoming HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania McKean HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania McKean HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Mercer Humana Gold Plus H6622-035 (HMO)

MAPD-HMO H6622-035-000

Pennsylvania Mercer Humana Gold Plus H6622-054 (HMO)

MAPD-HMO H6622-054-000

Pennsylvania Mercer HumanaChoice H5216-051 (PPO) MAPD-LPPO H5216-051-000




Pennsylvania Mifflin HumanaChoice H5525-006 (PPO) MAPD-LPPO H5525-006-000

Pennsylvania Mifflin HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Monroe Humana Gold Plus H6622-036 (HMO)

MAPD-HMO H6622-036-000

Pennsylvania Monroe HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania Monroe HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Montgomery Humana Gold Plus H6622-037 (HMO)

MAPD-HMO H6622-037-000

Pennsylvania Montgomery HumanaChoice H5525-005 (PPO) MAPD-LPPO H5525-005-000

Pennsylvania Montgomery HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-002

Pennsylvania Montour HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania Montour HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Northampton Humana Gold Plus H6622-036 (HMO)

MAPD-HMO H6622-036-000

Pennsylvania Northampton HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania Northampton HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Perry Humana Gold Plus H6622-035 (HMO)

MAPD-HMO H6622-035-000

Pennsylvania Perry HumanaChoice H5525-006 (PPO) MAPD-LPPO H5525-006-000

Pennsylvania Perry HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Philadelphia Humana Gold Plus H6622-037 (HMO)

MAPD-HMO H6622-037-000

Pennsylvania Philadelphia HumanaChoice H5525-005 (PPO) MAPD-LPPO H5525-005-000

Pennsylvania Philadelphia HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-002

Pennsylvania Potter HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania Potter HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Schuylkill Humana Gold Plus H6622-036 (HMO)

MAPD-HMO H6622-036-000

Pennsylvania Schuylkill HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania Schuylkill HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Snyder HumanaChoice H5525-006 (PPO) MAPD-LPPO H5525-006-000


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Pennsylvania Snyder HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Somerset HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Sullivan Humana Gold Plus H6622-052 (HMO)

MAPD-HMO H6622-052-000

Pennsylvania Sullivan HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania Sullivan HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Susquehanna Humana Gold Plus H6622-052 (HMO)

MAPD-HMO H6622-052-000

Pennsylvania Susquehanna HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania Susquehanna HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Tioga Humana Gold Plus H6622-052 (HMO)

MAPD-HMO H6622-052-000

Pennsylvania Tioga HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania Tioga HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Union HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania Union HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Venango HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Warren HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania Warren HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Washington Humana Gold Plus H6622-054 (HMO)

MAPD-HMO H6622-054-000

Pennsylvania Washington HumanaChoice H5525-017 (PPO) MAPD-LPPO H5525-017-000

Pennsylvania Washington HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Wayne HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania Wayne HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Westmoreland Humana Gold Plus H6622-054 (HMO)

MAPD-HMO H6622-054-000

Pennsylvania Westmoreland HumanaChoice H5525-017 (PPO) MAPD-LPPO H5525-017-000

Pennsylvania Westmoreland HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania Wyoming Humana Gold Plus H6622-036 (HMO)

MAPD-HMO H6622-036-000

Pennsylvania Wyoming HumanaChoice H5525-007 (PPO) MAPD-LPPO H5525-007-000

Pennsylvania Wyoming HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Pennsylvania York HumanaChoice H5525-006 (PPO) MAPD-LPPO H5525-006-000

Pennsylvania York HumanaChoice H5525-051 (PPO) MAPD-LPPO H5525-051-001

Rhode Island


Rhode Island (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-149-000


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South Carolina


South Carolina (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-155-000

South Carolina Abbeville HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Abbeville HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Abbeville HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Abbeville Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Aiken HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Aiken HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Aiken HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Aiken Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Allendale HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Allendale HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Allendale HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Allendale Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Anderson Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-087-000

South Carolina Anderson HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Anderson HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Anderson HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Anderson Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Bamberg HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Bamberg HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Bamberg HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Bamberg Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Barnwell HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Barnwell HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Barnwell HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Barnwell Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Beaufort HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Beaufort HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Beaufort HumanaChoice - Diabetes and Heart (PPO C-SNP)

MAPD-LPPO H5216-244-000

South Carolina Beaufort Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Berkeley Humana Gold Plus H5619-083 (HMO) MAPD-HMO H5619-083-000

South Carolina Berkeley HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Berkeley HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Berkeley Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-002

South Carolina Calhoun HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Calhoun HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Calhoun HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000


Y0040_GHHKYF4EN_C

South Carolina Calhoun Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Charleston Humana Gold Plus H5619-083 (HMO) MAPD-HMO H5619-083-000

South Carolina Charleston HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Charleston HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Charleston Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-002

South Carolina Cherokee HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Cherokee HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Cherokee HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Cherokee Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Chester HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Chester HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Chester HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Chester Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Chesterfield HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Chesterfield HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Chesterfield HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Chesterfield Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Clarendon HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Clarendon HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Clarendon HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Clarendon Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Colleton Humana Gold Plus H5619-083 (HMO) MAPD-HMO H5619-083-000

South Carolina Colleton HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Colleton HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Colleton Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-002

South Carolina Darlington HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Darlington HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Darlington HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Darlington Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Dillon HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Dillon HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Dillon HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Dillon Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Dorchester Humana Gold Plus H5619-083 (HMO) MAPD-HMO H5619-083-000

South Carolina Dorchester HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Dorchester HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Dorchester Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-002

South Carolina Edgefield HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Edgefield HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001


Y0040_GHHKYF4EN_C

South Carolina Edgefield HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Edgefield Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Fairfield HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Fairfield HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Fairfield HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Fairfield Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Florence HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Florence HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Florence HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Florence Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Georgetown HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Georgetown HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Georgetown HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Georgetown Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Greenville Humana Gold Plus - Diabetes and Heart (HMO C-SNP)

MAPD-HMO H5619-087-000

South Carolina Greenville HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Greenville HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Greenville HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Greenville Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Greenwood HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Greenwood HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Greenwood HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Greenwood Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Hampton HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Hampton HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Hampton HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Hampton Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Horry HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Horry HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Horry HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Horry Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Jasper HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Jasper HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Jasper HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Jasper Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Kershaw HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Kershaw HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Kershaw HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Kershaw Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001


Y0040_GHHKYF4EN_C

South Carolina Lancaster HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Lancaster HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Lancaster HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Lancaster Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Laurens HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Laurens HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Laurens HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Laurens Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Lee HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Lee HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Lee HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Lee Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Lexington HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Lexington HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Lexington HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Lexington Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Marion HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Marion HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Marion HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Marion Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Marlboro HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Marlboro HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Marlboro HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Marlboro Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina McCormick HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina McCormick HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina McCormick HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina McCormick Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Newberry HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Newberry HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Newberry HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Newberry Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Oconee HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Oconee HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Oconee HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Oconee Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Orangeburg HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Orangeburg HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Orangeburg HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000


Y0040_GHHKYF4EN_C

South Carolina Orangeburg Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Pickens HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Pickens HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Pickens HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Pickens Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Richland Humana Gold Plus H5619-080 (HMO) MAPD-HMO H5619-080-000

South Carolina Richland HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Richland HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Richland HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Richland Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Saluda HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Saluda HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Saluda HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Saluda Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Spartanburg HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Spartanburg HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Spartanburg HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Spartanburg Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Sumter HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Sumter HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Sumter HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Sumter Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Union HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Union HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Union HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Union Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina Williamsburg HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina Williamsburg HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina Williamsburg HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina Williamsburg Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Carolina York HumanaChoice H5216-154 (PPO) MAPD-LPPO H5216-154-000

South Carolina York HumanaChoice H5216-282 (PPO) MAPD-LPPO H5216-282-001

South Carolina York HumanaChoice - Diabetes and Heart (PPO C- SNP)

MAPD-LPPO H5216-244-000

South Carolina York Humana Gold Plus H5619-144 (HMO) MAPD-HMO H5619-144-001

South Dakota


South Dakota (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-171-000

South Dakota Bon Homme HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000


Y0040_GHHKYF4EN_C



South Dakota Brookings HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Butte HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Clark HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Clay HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Codington HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Custer HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Davison HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Day HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Deuel HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Fall River HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Grant HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Hamlin HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Hanson HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Hutchinson HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Kingsbury HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000


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South Dakota Lake HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Lawrence HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Lawrence Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-004

South Dakota Lincoln HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Marshall HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota McCook HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Meade HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Meade Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-004

South Dakota Miner HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Minnehaha HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000




South Dakota Minnehaha Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-004

South Dakota Moody HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Pennington HumanaChoice H5216-092 (PPO) MAPD-LPPO H5216-092-000




South Dakota Pennington Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-004

South Dakota Roberts HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Sanborn HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Spink HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000


Y0040_GHHKYF4EN_C



South Dakota Turner HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Union HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



South Dakota Union Humana Gold Plus H0028-053 (HMO) MAPD-HMO H0028-053-004

South Dakota Yankton HumanaChoice H5216-088 (PPO) MAPD-LPPO H5216-088-000



Tennessee


Tennessee (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-158-000

Tennessee Anderson Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Anderson HumanaChoice H5216-099 (PPO) MAPD-LPPO H5216-099-000

Tennessee Bedford Humana Gold Plus H4461-029 (HMO- POS)


Tennessee Bedford HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Benton Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Benton HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Bledsoe Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Blount Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Blount HumanaChoice H5216-099 (PPO) MAPD-LPPO H5216-099-000

Tennessee Bradley Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Campbell Humana Gold Plus H4461-030 (HMO- POS)





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Tennessee Campbell HumanaChoice H5216-099 (PPO) MAPD-LPPO H5216-099-000

Tennessee Cannon Humana Gold Plus H4461-029 (HMO- POS)


Tennessee Cannon HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Carroll Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Carter Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Cheatham HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Chester Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Claiborne Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Claiborne HumanaChoice H5216-099 (PPO) MAPD-LPPO H5216-099-000

Tennessee Clay Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Clay HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Cocke Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Cocke HumanaChoice H5216-099 (PPO) MAPD-LPPO H5216-099-000

Tennessee Coffee Humana Gold Plus H4461-029 (HMO- POS)


Tennessee Coffee HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Crockett Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Cumberland Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Cumberland HumanaChoice H5216-099 (PPO) MAPD-LPPO H5216-099-000

Tennessee Davidson Humana Gold Plus H4461-029 (HMO- POS)


Tennessee Davidson HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Decatur Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Decatur HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee DeKalb Humana Gold Plus H4461-029 (HMO- POS)



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Tennessee DeKalb HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Dickson Humana Gold Plus H4461-029 (HMO- POS)


Tennessee Dickson HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Dyer Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Fayette Humana Gold Plus H4461-025 (HMO- POS)


Tennessee Fentress Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Fentress HumanaChoice H5216-099 (PPO) MAPD-LPPO H5216-099-000

Tennessee Franklin Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Gibson Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Giles Humana Gold Plus H4461-029 (HMO- POS)


Tennessee Giles HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Grainger Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Grainger HumanaChoice H5216-099 (PPO) MAPD-LPPO H5216-099-000

Tennessee Greene Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Grundy Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Hamblen Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Hamblen HumanaChoice H5216-099 (PPO) MAPD-LPPO H5216-099-000

Tennessee Hamilton Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Hancock Humana Gold Plus H4461-030 (HMO- POS)



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Tennessee Hardeman Humana Gold Plus H4461-025 (HMO- POS)


Tennessee Hardin Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Hardin HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Hawkins Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Haywood Humana Gold Plus H4461-025 (HMO- POS)


Tennessee Henderson Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Henry Humana Gold Plus H4461-029 (HMO- POS)


Tennessee Henry HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Hickman Humana Gold Plus H4461-029 (HMO- POS)


Tennessee Hickman HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Houston Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Houston HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Humphreys Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Humphreys HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Jackson Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Jackson HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Jefferson Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Jefferson HumanaChoice H5216-099 (PPO) MAPD-LPPO H5216-099-000

Tennessee Johnson Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Knox Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Knox HumanaChoice H5216-099 (PPO) MAPD-LPPO H5216-099-000


Y0040_GHHKYF4EN_C

Tennessee Lake Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Lauderdale Humana Gold Plus H4461-025 (HMO- POS)


Tennessee Lawrence Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Lawrence HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Lewis Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Lewis HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Lincoln Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Lincoln HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Loudon Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Loudon HumanaChoice H5216-099 (PPO) MAPD-LPPO H5216-099-000

Tennessee Macon Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Macon HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Madison Humana Gold Plus H4461-025 (HMO- POS)


Tennessee Marion Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Marshall Humana Gold Plus H4461-029 (HMO- POS)


Tennessee Marshall HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Maury Humana Gold Plus H4461-029 (HMO- POS)


Tennessee Maury HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee McMinn Humana Gold Plus H4461-030 (HMO- POS)






Tennessee McNairy Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Meigs Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Monroe Humana Gold Plus H4461-030 (HMO- POS)





Y0040_GHHKYF4EN_C



Tennessee Monroe HumanaChoice H5216-099 (PPO) MAPD-LPPO H5216-099-000

Tennessee Montgomery Humana Gold Plus H4461-029 (HMO- POS)


Tennessee Montgomery HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Moore Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Morgan Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Morgan HumanaChoice H5216-099 (PPO) MAPD-LPPO H5216-099-000

Tennessee Obion Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Overton Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Overton HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Perry Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Perry HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Pickett Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Polk Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Putnam Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Putnam HumanaChoice H5216-099 (PPO) MAPD-LPPO H5216-099-000

Tennessee Rhea Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Roane Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Roane HumanaChoice H5216-099 (PPO) MAPD-LPPO H5216-099-000

Tennessee Robertson Humana Gold Plus H4461-029 (HMO- POS)


Tennessee Robertson HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000


Y0040_GHHKYF4EN_C

Tennessee Rutherford Humana Gold Plus H4461-029 (HMO- POS)


Tennessee Rutherford HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Scott Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Scott HumanaChoice H5216-099 (PPO) MAPD-LPPO H5216-099-000

Tennessee Sequatchie Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Sevier Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Sevier HumanaChoice H5216-099 (PPO) MAPD-LPPO H5216-099-000

Tennessee Shelby Humana Gold Plus H4461-025 (HMO- POS)


Tennessee Smith Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Smith HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Stewart Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Stewart HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Sullivan Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Sumner Humana Gold Plus H4461-029 (HMO- POS)


Tennessee Sumner HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Tipton Humana Gold Plus H4461-025 (HMO- POS)


Tennessee Trousdale Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Trousdale HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Unicoi Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Union Humana Gold Plus H4461-030 (HMO- POS)





Y0040_GHHKYF4EN_C



Tennessee Union HumanaChoice H5216-099 (PPO) MAPD-LPPO H5216-274-000

Tennessee Van Buren Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Van Buren HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Warren Humana Gold Plus H4461-029 (HMO- POS)


Tennessee Warren HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Washington Humana Gold Plus H4461-030 (HMO- POS)






Tennessee Wayne Humana Gold Plus H4461-037 (HMO- POS)


Tennessee Wayne HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Weakley Humana Gold Plus H4461-037 (HMO- POS)


Tennessee White Humana Gold Plus H4461-029 (HMO- POS)


Tennessee White HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Williamson Humana Gold Plus H4461-029 (HMO- POS)


Tennessee Williamson HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Tennessee Wilson Humana Gold Plus H4461-029 (HMO- POS)


Tennessee Wilson HumanaChoice H5216-274 (PPO) MAPD-LPPO H5216-274-000

Texas


Texas (All Counties)


Texas Anderson HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-002

Texas Aransas Humana Gold Plus H0028-029 (HMO) MAPD-HMO H0028-029-000

Texas Aransas HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Armstrong HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Atascosa Humana Gold Plus H0028-030 (HMO) MAPD-HMO H0028-030-000

Texas Atascosa Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H0028-039-000

Texas Atascosa HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Austin HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Bandera Humana Gold Plus H0028-030 (HMO) MAPD-HMO H0028-030-000

Texas Bandera Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H0028-039-000

Texas Bandera HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Bastrop Humana Gold Plus H0028-037 (HMO) MAPD-HMO H0028-037-000

Texas Bastrop HumanaChoice H0473-001 (PPO) MAPD-LPPO H0473-001-000

Texas Bee Humana Gold Plus H0028-029 (HMO) MAPD-HMO H0028-029-000

Texas Bee HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001


Y0040_GHHKYF4EN_C

Texas Bell HumanaChoice H0473-001 (PPO) MAPD-LPPO H0473-001-000

Texas Bexar Humana Gold Plus H0028-030 (HMO) MAPD-HMO H0028-030-000

Texas Bexar Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H0028-039-000

Texas Bexar HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Bosque HumanaChoice H0473-001 (PPO) MAPD-LPPO H0473-001-000

Texas Bowie Humana Gold Plus H0028-043 (HMO) MAPD-HMO H0028-043-002

Texas Bowie HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Brazoria Humana Gold Plus H0028-042 (HMO) MAPD-HMO H0028-042-000

Texas Brazoria HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Brazos HumanaChoice H0473-001 (PPO) MAPD-LPPO H0473-001-000

Texas Burleson HumanaChoice H0473-001 (PPO) MAPD-LPPO H0473-001-000

Texas Burnet HumanaChoice H0473-001 (PPO) MAPD-LPPO H0473-001-000

Texas Caldwell HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Calhoun HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Callahan HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Cameron Humana Gold Plus H0028-046 (HMO) MAPD-HMO H0028-046-000

Texas Cameron Humana Gold Plus H0783-002 (HMO) MAPD-HMO H0783-002-000

Texas Cameron HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Camp HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-002

Texas Carson HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Cass Humana Gold Plus H0028-043 (HMO) MAPD-HMO H0028-043-002

Texas Cass HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Chambers HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Cherokee HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-002

Texas Coleman HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Collin Humana Gold Plus H0028-043 (HMO) MAPD-HMO H0028-043-001

Texas Collin HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Colorado HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Comal Humana Gold Plus H0028-030 (HMO) MAPD-HMO H0028-030-000

Texas Comal Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H0028-039-000

Texas Comal HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Comanche HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Cooke HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Coryell HumanaChoice H0473-001 (PPO) MAPD-LPPO H0473-001-000

Texas Dallas Humana Gold Plus H0028-043 (HMO) MAPD-HMO H0028-043-001

Texas Dallas HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Deaf Smith HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Delta Humana Gold Plus H0028-043 (HMO) MAPD-HMO H0028-043-002

Texas Delta HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Denton Humana Gold Plus H0028-043 (HMO) MAPD-HMO H0028-043-001

Texas Denton HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Dimmit HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Eastland HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Ector HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001


Y0040_GHHKYF4EN_C

Texas Edwards HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas El Paso Humana Gold Plus H0028-035 (HMO) MAPD-HMO H0028-035-000

Texas El Paso HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Ellis Humana Gold Plus H0028-043 (HMO) MAPD-HMO H0028-043-001

Texas Ellis HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Erath HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Falls HumanaChoice H0473-001 (PPO) MAPD-LPPO H0473-001-000

Texas Fannin Humana Gold Plus H0028-043 (HMO) MAPD-HMO H0028-043-002

Texas Fannin HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Fayette HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Fort Bend Humana Gold Plus H0028-042 (HMO) MAPD-HMO H0028-042-000

Texas Fort Bend HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Franklin HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-002

Texas Frio HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Galveston Humana Gold Plus H0028-042 (HMO) MAPD-HMO H0028-042-000

Texas Galveston HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Grayson HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Gregg Humana Gold Plus H0028-041 (HMO) MAPD-HMO H0028-041-000

Texas Gregg HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-002

Texas Grimes HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Guadalupe Humana Gold Plus H0028-030 (HMO) MAPD-HMO H0028-030-000

Texas Guadalupe HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Hamilton HumanaChoice H0473-001 (PPO) MAPD-LPPO H0473-001-000

Texas Hardin HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Harris Humana Gold Plus H0028-042 (HMO) MAPD-HMO H0028-042-000

Texas Harris HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Harrison Humana Gold Plus H0028-041 (HMO) MAPD-HMO H0028-041-000

Texas Harrison HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-002

Texas Hays Humana Gold Plus H0028-037 (HMO) MAPD-HMO H0028-037-000

Texas Hays HumanaChoice H0473-003 (PPO) MAPD-LPPO H0473-003-000

Texas Henderson Humana Gold Plus H0028-041 (HMO) MAPD-HMO H0028-041-000

Texas Henderson HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-002

Texas Hidalgo Humana Gold Plus H0028-046 (HMO) MAPD-HMO H0028-046-000

Texas Hidalgo Humana Gold Plus H0783-002 (HMO) MAPD-HMO H0783-002-000

Texas Hidalgo HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Hill HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Hood HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Howard HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Jefferson Humana Gold Plus H0028-042 (HMO) MAPD-HMO H0028-042-000

Texas Jefferson HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Jim Wells Humana Gold Plus H0028-029 (HMO) MAPD-HMO H0028-029-000

Texas Jim Wells HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Johnson Humana Gold Plus H0028-043 (HMO) MAPD-HMO H0028-043-001

Texas Johnson HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Jones HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001


Y0040_GHHKYF4EN_C

Texas Kaufman Humana Gold Plus H0028-043 (HMO) MAPD-HMO H0028-043-001

Texas Kaufman HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Kendall Humana Gold Plus H0028-030 (HMO) MAPD-HMO H0028-030-000

Texas Kendall Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H0028-039-000

Texas Kendall HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Kerr HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Kleberg Humana Gold Plus H0028-029 (HMO) MAPD-HMO H0028-029-000

Texas Kleberg Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H0028-039-000

Texas Kleberg HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Lamar Humana Gold Plus H0028-043 (HMO) MAPD-HMO H0028-043-002

Texas Lamar HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Lampasas HumanaChoice H0473-001 (PPO) MAPD-LPPO H0473-001-000

Texas Leon HumanaChoice H0473-001 (PPO) MAPD-LPPO H0473-001-000

Texas Liberty Humana Gold Plus H0028-042 (HMO) MAPD-HMO H0028-042-000

Texas Liberty HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Llano HumanaChoice H0473-001 (PPO) MAPD-LPPO H0473-001-000

Texas Lubbock HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Marion HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-002

Texas Martin HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Matagorda HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Maverick HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas McLennan HumanaChoice H0473-001 (PPO) MAPD-LPPO H0473-001-000

Texas McLennan HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Medina Humana Gold Plus H0028-030 (HMO) MAPD-HMO H0028-030-000

Texas Medina HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Midland HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Milam HumanaChoice H0473-001 (PPO) MAPD-LPPO H0473-001-000

Texas Montague HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Montgomery Humana Gold Plus H0028-042 (HMO) MAPD-HMO H0028-042-000

Texas Montgomery HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Morris HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-002

Texas Navarro HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Nueces Humana Gold Plus H0028-029 (HMO) MAPD-HMO H0028-029-000

Texas Nueces Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H0028-039-000

Texas Nueces HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Orange Humana Gold Plus H0028-042 (HMO) MAPD-HMO H0028-042-000

Texas Orange HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Palo Pinto HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Panola HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-002

Texas Parker HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Polk HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Potter HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Randall HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001


Y0040_GHHKYF4EN_C

Texas Real HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Red River Humana Gold Plus H0028-043 (HMO) MAPD-HMO H0028-043-002

Texas Red River HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Robertson HumanaChoice H0473-001 (PPO) MAPD-LPPO H0473-001-000

Texas Rockwall Humana Gold Plus H0028-043 (HMO) MAPD-HMO H0028-043-001

Texas Rockwall HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Rusk Humana Gold Plus H0028-041 (HMO) MAPD-HMO H0028-041-000

Texas Rusk HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-002

Texas San Jacinto Humana Gold Plus H0028-042 (HMO) MAPD-HMO H0028-042-000

Texas San Jacinto HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas San Patricio Humana Gold Plus H0028-029 (HMO) MAPD-HMO H0028-029-000

Texas San Patricio Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H0028-039-000

Texas San Patricio HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Shackelford HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Shelby HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-002

Texas Smith Humana Gold Plus H0028-041 (HMO) MAPD-HMO H0028-041-000

Texas Smith HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-002

Texas Tarrant Humana Gold Plus H0028-043 (HMO) MAPD-HMO H0028-043-001

Texas Tarrant HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Taylor HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Titus Humana Gold Plus H0028-043 (HMO) MAPD-HMO H0028-043-002

Texas Titus HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Tom Green HumanaChoice H0473-001 (PPO) MAPD-LPPO H0473-001-000

Texas Travis Humana Gold Plus H0028-037 (HMO) MAPD-HMO H0028-037-000

Texas Travis HumanaChoice H0473-003 (PPO) MAPD-LPPO H0473-003-000

Texas Trinity HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Tyler HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Upshur Humana Gold Plus H0028-041 (HMO) MAPD-HMO H0028-041-000

Texas Upshur HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-002

Texas Van Zandt Humana Gold Plus H0028-041 (HMO) MAPD-HMO H0028-041-000

Texas Van Zandt HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-002

Texas Victoria HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Walker HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Waller HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Washington HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Wharton HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Willacy Humana Gold Plus H0028-046 (HMO) MAPD-HMO H0028-046-000

Texas Willacy Humana Gold Plus H0783-002 (HMO) MAPD-HMO H0783-002-000

Texas Willacy HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Williamson Humana Gold Plus H0028-037 (HMO) MAPD-HMO H0028-037-000

Texas Williamson HumanaChoice H0473-003 (PPO) MAPD-LPPO H0473-003-000

Texas Wilson Humana Gold Plus H0028-030 (HMO) MAPD-HMO H0028-030-000

Texas Wilson Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H0028-039-000

Texas Wilson HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001


Y0040_GHHKYF4EN_C

Texas Wise Humana Gold Plus H0028-043 (HMO) MAPD-HMO H0028-043-001

Texas Wise HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Wood HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Texas Zavala HumanaChoice H5216-043 (PPO) MAPD-LPPO H5216-043-001

Utah


Utah (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-177-000

Utah Box Elder HumanaChoice H5216-131 (PPO) MAPD- LPPO H5216-131-000

Utah Davis Humana Gold Plus H2486-003 (HMO) MAPD-HMO H2486-003-000

Utah Davis HumanaChoice H5216-131 (PPO) MAPD- LPPO H5216-131-000

Utah Iron HumanaChoice H5216-247 (PPO) MAPD-LPPO H5216-247-000

Utah Iron HumanaChoice H5216-189 (PPO) MAPD-LPPO H5216-189-000

Utah Morgan HumanaChoice H5216-131 (PPO) MAPD- LPPO H5216-131-000

Utah Salt Lake Humana Gold Plus H2486-003 (HMO) MAPD-HMO H2486-003-000

Utah Salt Lake HumanaChoice H5216-131 (PPO) MAPD-LPPO H5216-131-000

Utah Summit HumanaChoice H5216-131 (PPO) MAPD- LPPO H5216-131-000

Utah Utah Humana Gold Plus H2486-003 (HMO) MAPD-HMO H2486-003-000

Utah Utah HumanaChoice H5216-131 (PPO) MAPD-LPPO H5216-131-000

Utah Washington HumanaChoice H5216-247 (PPO) MAPD-LPPO H5216-247-000

Utah Washington HumanaChoice H5216-189 (PPO) MAPD-LPPO H5216-189-000

Utah Weber Humana Gold Plus H2486-003 (HMO) MAPD-HMO H2486-003-000

Utah Weber HumanaChoice H5216-131 (PPO) MAPD-LPPO H5216-131-000

Vermont


Vermont (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-149-000

Vermont Bennington HumanaChoice H5216-057 (PPO) MAPD-LPPO H5216-057-000

Vermont Orange HumanaChoice H5216-057 (PPO) MAPD-LPPO H5216-057-000

Vermont Windham HumanaChoice H5216-057 (PPO) MAPD-LPPO H5216-057-000

Vermont Windsor HumanaChoice H5216-057 (PPO) MAPD-LPPO H5216-057-000


Y0040_GHHKYF4EN_C

Virginia


Virginia (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-153-000

Virginia (All Counties) HumanaChoice R1390-002 (Regional PPO) MAPD-RPPO R1390-002-000

Virginia Accomack HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Accomack HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Accomack Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Albemarle HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Albemarle Humana Gold Plus H5619-041 (HMO) MAPD-HMO H5619-041-000

Virginia Albemarle Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Alexandria City Humana Gold Plus H5619-047 (HMO) MAPD-HMO H5619-047-000

Virginia Alexandria City HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Alexandria City HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-002

Virginia Alexandria City Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Alleghany HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Alleghany Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Amelia HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000

Virginia Amelia HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Amelia Humana Gold Plus H5619-139 (HMO) MAPD-HMO H5619-139-001

Virginia Amelia Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Botetourt Humana Gold Plus H5619-135 (HMO) MAPD-HMO H5619-135-000

Virginia Botetourt HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Botetourt HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001



Virginia Bristol City Humana Gold Plus H5619-090 (HMO-POS) MAPD- HMOPOS H5619-090-000



Virginia Bristol City HumanaChoice H5216-271 (PPO) MAPD-HMO H5216-271-000

Virginia Brunswick HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Brunswick Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Buchanan Humana Gold Plus H5619-090 (HMO-POS) MAPD- HMOPOS H5619-090-000



Virginia Buchanan HumanaChoice H5216-271 (PPO) MAPD-HMO H5216-271-000

Virginia Buckingham Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Buena Vista City


Virginia Buena Vista City


Virginia Campbell HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-002

Virginia Campbell Humana Gold Plus H5377-001 (HMO) MAPD-HMO H5377-001-000


Y0040_GHHKYF4EN_C

Virginia Caroline HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000

Virginia Caroline HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Caroline Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Carroll HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Carroll Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Charles City HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Charles City Humana Gold Plus H5619-139 (HMO) MAPD-HMO H5619-139-001

Virginia Charles City Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Charlotte HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-002

Virginia Charlotte Humana Gold Plus H5377-001 (HMO) MAPD-HMO H5377-001-000

Virginia Charlotte Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Charlottesville City






Virginia Chesapeake City

Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H5619-046-000









Virginia Chesterfield Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H5619-046-000

Virginia Chesterfield Humana Gold Plus H6622-004 (HMO) MAPD-HMO H6622-004-000

Virginia Chesterfield HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000



Virginia Clarke HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Clarke HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Clarke Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Colonial Heights City








Virginia Covington City HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Covington City Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Craig HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Craig HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Craig Humana Gold Plus H5377-001 (HMO) MAPD-HMO H5377-001-000

Virginia Craig Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001


Y0040_GHHKYF4EN_C

Virginia Culpeper Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Cumberland HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000

Virginia Cumberland HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Cumberland Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Danville City HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-002

Virginia Danville City Humana Gold Plus H5377-001 (HMO) MAPD-HMO H5377-001-000

Virginia Danville City Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Dickenson Humana Gold Plus H5619-090 (HMO-POS) MAPD- HMOPOS H5619-090-000



Virginia Dickenson HumanaChoice H5216-271 (PPO) MAPD-HMO H5216-271-000

Virginia Dinwiddie Humana Gold Plus H6622-004 (HMO) MAPD-HMO H6622-004-000

Virginia Dinwiddie HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000



Virginia Emporia City HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Emporia City Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Essex HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Essex HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Essex Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Fairfax HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Fairfax HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-002

Virginia Fairfax Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Fairfax City HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Fairfax City HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-002

Virginia Fairfax City Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Falls Church City






Virginia Fauquier HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Fauquier HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-002

Virginia Fauquier Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Floyd Humana Gold Plus H5619-135 (HMO) MAPD-HMO H5619-135-000

Virginia Floyd HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Floyd HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001



Virginia Fluvanna HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Fluvanna Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Franklin Humana Gold Plus H5619-135 (HMO) MAPD-HMO H5619-135-000

Virginia Franklin HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000


Y0040_GHHKYF4EN_C

Virginia Franklin HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001



Virginia Franklin City HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000

Virginia Franklin City HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Franklin City Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Frederick HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Fredericksburg City






Virginia Galax City HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Galax City Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Giles HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Giles Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Gloucester HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000

Virginia Gloucester HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Gloucester Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Goochland HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000

Virginia Goochland HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Goochland Humana Gold Plus H5619-139 (HMO) MAPD-HMO H5619-139-001

Virginia Goochland Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Grayson HumanaChoice H5216-271 (PPO) MAPD-HMO H5216-271-000

Virginia Greene HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Greene Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Greensville HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Greensville Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Halifax HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-002

Virginia Halifax Humana Gold Plus H5377-001 (HMO) MAPD-HMO H5377-001-000

Virginia Halifax Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Hampton City HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000

Virginia Hampton City Humana Gold Plus H5619-140 (HMO) MAPD-HMO H5619-140-002

Virginia Hampton City Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-002

Virginia Hanover HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000

Virginia Hanover Humana Gold Plus H5619-139 (HMO) MAPD-HMO H5619-139-002

Virginia Hanover Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-002

Virginia Harrisonburg City


Virginia Harrisonburg City


Virginia Henrico HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000

Virginia Henrico Humana Gold Plus H5619-139 (HMO) MAPD-HMO H5619-139-002

Virginia Henrico Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-002

Virginia Henry HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-002

Virginia Henry Humana Gold Plus H5377-001 (HMO) MAPD-HMO H5377-001-000


Y0040_GHHKYF4EN_C

Virginia Henry Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Highland HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Highland Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Hopewell City HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000

Virginia Hopewell City Humana Gold Plus H5619-139 (HMO) MAPD-HMO H5619-139-002

Virginia Hopewell City Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-002

Virginia Isle of Wight HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000

Virginia Isle of Wight HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Isle of Wight Humana Gold Plus H5619-140 (HMO) MAPD-HMO H5619-140-001

Virginia Isle of Wight Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia James City HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000

Virginia James City HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia James City Humana Gold Plus H5619-140 (HMO) MAPD-HMO H5619-140-001

Virginia James City Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia King and Queen






Virginia King George HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia King George HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia King George Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia King William HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia King William Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Lancaster HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Lancaster Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Lee Humana Gold Plus H5619-090 (HMO-POS) MAPD- HMOPOS H5619-090-000



Virginia Lee HumanaChoice H5216-271 (PPO) MAPD-HMO H5216-271-000

Virginia Lexington City HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Lexington City Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Loudoun HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Loudoun HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-002

Virginia Loudoun Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Louisa HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000

Virginia Louisa HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Louisa Humana Gold Plus H5619-139 (HMO) MAPD-HMO H5619-139-001

Virginia Louisa Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Lunenburg HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Lunenburg Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Lynchburg City HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-002

Virginia Lynchburg City Humana Gold Plus H5377-001 (HMO) MAPD-HMO H5377-001-000


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Virginia Madison HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Madison Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Manassas City HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Manassas City HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-002

Virginia Manassas City Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Manassas Park City






Virginia Martinsville City






Virginia Mathews HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Mathews Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Mecklenburg HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Mecklenburg Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Middlesex HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Middlesex Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Montgomery HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Montgomery HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Montgomery Humana Gold Plus H5377-001 (HMO) MAPD-HMO H5377-001-000

Virginia Montgomery Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Nelson HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Nelson Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia New Kent HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000

Virginia New Kent HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia New Kent Humana Gold Plus H5619-139 (HMO) MAPD-HMO H5619-139-001

Virginia New Kent Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Newport News City


MAPD-HMO H5619-046-000









Virginia Norfolk City Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H5619-046-000

Virginia Norfolk City Humana Gold Plus H6622-005 (HMO) MAPD-HMO H6622-005-000

Virginia Norfolk City HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000



Virginia Northampton HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000


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Virginia Northampton HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Northampton Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Northumberland






Virginia Norton City Humana Gold Plus H5619-090 (HMO-POS) MAPD-HMOPOS H5619-090-000

Virginia Norton City Humana Gold Plus H5619-091 (HMO-POS) MAPD- HMOPOS H5619-091-000

Virginia Norton City Humana Gold Plus H5619-095 (HMO-POS) MAPD- HMOPOS H5619-095-000

Virginia Norton City HumanaChoice H5216-271 (PPO) MAPD-HMO H5216-271-000

Virginia Nottoway HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Nottoway Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Orange HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Orange Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Page HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Page HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Patrick HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Patrick Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Petersburg City


MAPD-HMO H5619-046-000









Virginia Pittsylvania HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-002

Virginia Pittsylvania Humana Gold Plus H5377-001 (HMO) MAPD-HMO H5377-001-000

Virginia Pittsylvania Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Poquoson City HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000

Virginia Poquoson City HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Poquoson City Humana Gold Plus H5619-140 (HMO) MAPD-HMO H5619-140-001

Virginia Poquoson City Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-002

Virginia Portsmouth City


MAPD-HMO H5619-046-000









Virginia Powhatan HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000

Virginia Powhatan HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001


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Virginia Powhatan Humana Gold Plus H5619-139 (HMO) MAPD-HMO H5619-139-001

Virginia Powhatan Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Prince Edward HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-002

Virginia Prince Edward Humana Gold Plus H5377-001 (HMO) MAPD-HMO H5377-001-000

Virginia Prince George HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000

Virginia Prince George HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Prince George Humana Gold Plus H5619-139 (HMO) MAPD-HMO H5619-139-001

Virginia Prince George Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Prince William Humana Gold Plus H5619-047 (HMO) MAPD-HMO H5619-047-000

Virginia Prince William HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Prince William HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-002

Virginia Prince William Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Pulaski Humana Gold Plus H5619-135 (HMO) MAPD-HMO H5619-135-000


Virginia Pulaski HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Pulaski HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001



Virginia Radford City Humana Gold Plus H5619-135 (HMO) MAPD-HMO H5619-135-000

Virginia Radford City HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Radford City HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001



Virginia Rappahannock HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Rappahannock HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Rappahannock Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Richmond HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Richmond HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Richmond Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Richmond City Humana Gold Plus - Diabetes and Heart (HMO C- SNP)

MAPD-HMO H5619-046-000

Virginia Richmond City Humana Gold Plus H6622-004 (HMO) MAPD-HMO H6622-004-000

Virginia Richmond City HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000



Virginia Roanoke Humana Gold Plus H5619-135 (HMO) MAPD-HMO H5619-135-000

Virginia Roanoke HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Roanoke HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001



Virginia Roanoke City Humana Gold Plus H5619-135 (HMO) MAPD-HMO H5619-135-000

Virginia Roanoke City HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Roanoke City HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001




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Virginia Rockbridge HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Rockbridge Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Rockingham HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Rockingham Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Russell Humana Gold Plus H5619-090 (HMO-POS) MAPD- HMOPOS H5619-090-000

Virginia Russell Humana Gold Plus H5619-091 (HMO-POS) MAPD- HMOPOS H5619-091-000

Virginia Russell HumanaChoice H5216-271 (PPO) MAPD-HMO H5216-271-000

Virginia Salem City HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Salem City HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Salem City Humana Gold Plus H5377-001 (HMO) MAPD-HMO H5377-001-000

Virginia Salem City Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Scott HumanaChoice H5216-271 (PPO) MAPD-HMO H5216-271-000

Virginia Shenandoah HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Smyth HumanaChoice H5216-271 (PPO) MAPD-HMO H5216-271-000

Virginia Southampton HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000

Virginia Southampton HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Southampton Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Spotsylvania HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Spotsylvania HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Spotsylvania Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Stafford HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Stafford HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Stafford Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Staunton City HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Staunton City Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Suffolk City HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000

Virginia Suffolk City Humana Gold Plus H5619-140 (HMO) MAPD-HMO H5619-140-002

Virginia Suffolk City Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-002

Virginia Surry HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000

Virginia Surry HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Surry Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Sussex HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000

Virginia Sussex HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Sussex Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Virginia Beach City






Virginia Warren HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Warren HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Washington HumanaChoice H5216-271 (PPO) MAPD-HMO H5216-271-000

Virginia Waynesboro City



Y0040_GHHKYF4EN_C

Virginia Waynesboro City


Virginia Westmoreland HumanaChoice H5216-027 (PPO) MAPD-LPPO H5216-027-000

Virginia Westmoreland HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia Westmoreland Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia Williamsburg City








Virginia Winchester City


Virginia Wise HumanaChoice H5216-271 (PPO) MAPD-HMO H5216-271-000

Virginia Wise Humana Gold Plus H5619-091 (HMO-POS) MAPD- HMOPOS H5619-091-000

Virginia Wise Humana Gold Plus H5619-095 (HMO-POS) MAPD- HMOPOS H5619-095-000

Virginia Wythe HumanaChoice H5216-271 (PPO) MAPD-HMO H5216-271-000

Virginia Wythe Humana Gold Plus H5619-090 (HMO-POS) MAPD- HMOPOS H5619-090-000



Virginia Wythe Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Virginia York HumanaChoice H5216-144 (PPO) MAPD-LPPO H5216-144-000

Virginia York HumanaChoice H5216-248 (PPO) MAPD-LPPO H5216-248-001

Virginia York Humana Gold Plus H5619-140 (HMO) MAPD-HMO H5619-140-001

Virginia York Humana Gold Plus H6622-074 (HMO) MAPD-HMO H6622-074-001

Washington


Washington (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-176-000

Washington Benton Humana Gold Plus H5619-133 (HMO) MAPD-HMO H5619-133-000

Washington Benton HumanaChoice H5216-047 (PPO) MAPD-LPPO H5216-047-000

Washington Clark Humana Gold Plus H2486-007 (HMO) MAPD-HMO H2486-007-000



Washington Clark HumanaChoice H5216-047 (PPO) MAPD-LPPO H5216-047-000

Washington Clark HumanaChoice H5216-247 (PPO) MAPD-LPPO H5216-247-000

Washington Cowlitz Humana Gold Plus H5619-056 (HMO) MAPD-HMO H5619-056-000

Washington Cowlitz Humana Gold Plus H5619-101 (HMO) MAPD-HMO H5619-101-000

Washington Cowlitz HumanaChoice H5216-047 (PPO) MAPD-LPPO H5216-047-000

Washington Cowlitz HumanaChoice H5216-247 (PPO) MAPD-LPPO H5216-247-000

Washington Franklin Humana Gold Plus H5619-133 (HMO) MAPD-HMO H5619-133-000

Washington Franklin HumanaChoice H5216-047 (PPO) MAPD-LPPO H5216-047-000


Y0040_GHHKYF4EN_C

Washington Island HumanaChoice H5216-047 (PPO) MAPD-LPPO H5216-047-000

Washington King Humana Gold Plus H5619-057 (HMO) MAPD-HMO H5619-057-000

Washington King Humana Gold Plus H5619-097 (HMO) MAPD-HMO H5619-097-000

Washington King HumanaChoice H5216-047 (PPO) MAPD-LPPO H5216-047-000

Washington King HumanaChoice H5216-247 (PPO) MAPD-LPPO H5216-247-000

Washington Kitsap Humana Gold Plus H5619-099 (HMO) MAPD-HMO H5619-099-000

Washington Kitsap HumanaChoice H5216-047 (PPO) MAPD-LPPO H5216-047-000

Washington Kitsap HumanaChoice H5216-247 (PPO) MAPD-LPPO H5216-247-000

Washington Kittitas HumanaChoice H5216-047 (PPO) MAPD-LPPO H5216-047-000

Washington Pierce Humana Gold Plus H5619-061 (HMO) MAPD-HMO H5619-061-000

Washington Pierce Humana Gold Plus H5619-100 (HMO) MAPD-HMO H5619-100-000

Washington Pierce HumanaChoice H5216-247 (PPO) MAPD-LPPO H5216-247-000

Washington Skagit Humana Gold Plus H5619-114 (HMO) MAPD-HMO H5619-114-000

Washington Skagit Humana Gold Plus H5619-115 (HMO) MAPD-HMO H5619-115-000

Washington Skagit HumanaChoice H5216-047 (PPO) MAPD-LPPO H5216-047-000

Washington Skagit HumanaChoice H5216-247 (PPO) MAPD-LPPO H5216-247-000

Washington Snohomish Humana Gold Plus H2486-006 (HMO) MAPD-HMO H2486-006-000



Washington Snohomish HumanaChoice H5216-047 (PPO) MAPD-LPPO H5216-047-000

Washington Snohomish HumanaChoice H5216-247 (PPO) MAPD-LPPO H5216-247-000

Washington Spokane Humana Gold Plus H5619-060 (HMO) MAPD-HMO H5619-060-000

Washington Spokane Humana Gold Plus H5619-143 (HMO) MAPD-HMO H5619-143-000

Washington Spokane HumanaChoice H5216-047 (PPO) MAPD-LPPO H5216-047-000

Washington Spokane HumanaChoice H5216-247 (PPO) MAPD-LPPO H5216-247-000

Washington Thurston Humana Gold Plus H5619-062 (HMO) MAPD-HMO H5619-062-000

Washington Thurston Humana Gold Plus H5619-064 (HMO) MAPD-HMO H5619-064-000

Washington Thurston HumanaChoice H5216-247 (PPO) MAPD-LPPO H5216-247-000

Washington Walla Walla Humana Gold Plus H5619-133 (HMO) MAPD-HMO H5619-133-000

Washington Walla Walla HumanaChoice H5216-047 (PPO) MAPD-LPPO H5216-047-000

Washington Whatcom Humana Gold Plus H5619-114 (HMO) MAPD-HMO H5619-114-000

Washington Whatcom Humana Gold Plus H5619-115 (HMO) MAPD-HMO H5619-115-000

Washington Whatcom HumanaChoice H5216-047 (PPO) MAPD-LPPO H5216-047-000

Washington Whatcom HumanaChoice H5216-247 (PPO) MAPD-LPPO H5216-247-000

Washington D.C.


Washington D.C. (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-151-000

West Virginia


West Virginia (All Counties)


West Virginia (All Counties)

HumanaChoice R0923-002 (Regional PPO)

MAPD-RPPO R0923-002-000


Y0040_GHHKYF4EN_C

West Virginia Boone Humana Gold Plus H5619-113 (HMO) MAPD-HMO H5619-113-000

West Virginia Boone HumanaChoice H5216-021 (PPO) MAPD-LPPO H5216-021-000

West Virginia Braxton HumanaChoice H5216-021 (PPO) MAPD-LPPO H5216-021-000

West Virginia Brooke HumanaChoice H5525-023 (PPO) MAPD-LPPO H5525-023-000

West Virginia Cabell Humana Gold Plus H5619-113 (HMO) MAPD-HMO H5619-113-000

West Virginia Cabell HumanaChoice H5216-021 (PPO) MAPD-LPPO H5216-021-000

West Virginia Calhoun HumanaChoice H5216-052 (PPO) MAPD-LPPO H5216-052-002

West Virginia Clay HumanaChoice H5216-021 (PPO) MAPD-LPPO H5216-021-000

West Virginia Doddridge HumanaChoice H5216-052 (PPO) MAPD-LPPO H5216-052-002

West Virginia Fayette HumanaChoice H5216-021 (PPO) MAPD-LPPO H5216-021-000

West Virginia Gilmer HumanaChoice H5216-052 (PPO) MAPD-LPPO H5216-052-002

West Virginia Hancock HumanaChoice H5525-023 (PPO) MAPD-LPPO H5525-023-000

West Virginia Harrison HumanaChoice H5216-052 (PPO) MAPD-LPPO H5216-052-002

West Virginia Jackson HumanaChoice H5216-052 (PPO) MAPD-LPPO H5216-052-002

West Virginia Kanawha Humana Gold Plus H5619-113 (HMO) MAPD-HMO H5619-113-000

West Virginia Kanawha HumanaChoice H5216-021 (PPO) MAPD-LPPO H5216-021-000

West Virginia Lewis HumanaChoice H5216-021 (PPO) MAPD-LPPO H5216-021-000

West Virginia Lincoln Humana Gold Plus H5619-113 (HMO) MAPD-HMO H5619-113-000

West Virginia Lincoln HumanaChoice H5216-021 (PPO) MAPD-LPPO H5216-021-000

West Virginia Logan Humana Gold Plus H5619-113 (HMO) MAPD-HMO H5619-113-000

West Virginia Logan HumanaChoice H5525-023 (PPO) MAPD-LPPO H5525-023-000

West Virginia Marion HumanaChoice H5216-052 (PPO) MAPD-LPPO H5216-052-002

West Virginia Marshall HumanaChoice H5216-052 (PPO) MAPD-LPPO H5216-052-002

West Virginia Mason Humana Gold Plus H5619-113 (HMO) MAPD-HMO H5619-113-000

West Virginia Mason HumanaChoice H5216-021 (PPO) MAPD-LPPO H5216-021-000

West Virginia Mercer HumanaChoice H5216-021 (PPO) MAPD-LPPO H5216-021-000

West Virginia Mineral HumanaChoice H5525-023 (PPO) MAPD-LPPO H5525-023-000

West Virginia Mingo Humana Gold Plus H5619-113 (HMO) MAPD-HMO H5619-113-000

West Virginia Mingo HumanaChoice H5525-023 (PPO) MAPD-LPPO H5525-023-000

West Virginia Monongalia


West Virginia Monroe HumanaChoice H5216-021 (PPO) MAPD-LPPO H5216-021-000

West Virginia Nicholas HumanaChoice H5216-021 (PPO) MAPD-LPPO H5216-021-000

West Virginia Ohio HumanaChoice H5216-052 (PPO) MAPD-LPPO H5216-052-002

West Virginia Pleasants HumanaChoice H5216-052 (PPO) MAPD-LPPO H5216-052-002

West Virginia Pocahontas


West Virginia Putnam Humana Gold Plus H5619-113 (HMO) MAPD-HMO H5619-113-000

West Virginia Putnam HumanaChoice H5216-021 (PPO) MAPD-LPPO H5216-021-000

West Virginia Raleigh HumanaChoice H5525-023 (PPO) MAPD-LPPO H5525-023-000

West Virginia Ritchie HumanaChoice H5216-052 (PPO) MAPD-LPPO H5216-052-002

West Virginia Roane HumanaChoice H5216-021 (PPO) MAPD-LPPO H5216-021-000

West Virginia Taylor HumanaChoice H5525-023 (PPO) MAPD-LPPO H5525-023-000

West Virginia Tyler HumanaChoice H5216-052 (PPO) MAPD-LPPO H5216-052-002

West Virginia Upshur HumanaChoice H5216-021 (PPO) MAPD-LPPO H5216-021-000

West Virginia Wayne Humana Gold Plus H5619-113 (HMO) MAPD-HMO H5619-113-000


Y0040_GHHKYF4EN_C

West Virginia Wayne HumanaChoice H5216-021 (PPO) MAPD-LPPO H5216-021-000

West Virginia Webster HumanaChoice H5216-021 (PPO) MAPD-LPPO H5216-021-000

West Virginia Wetzel HumanaChoice H5216-052 (PPO) MAPD-LPPO H5216-052-002

West Virginia Wirt HumanaChoice H5216-052 (PPO) MAPD-LPPO H5216-052-002

West Virginia Wood HumanaChoice H5216-052 (PPO) MAPD-LPPO H5216-052-002

West Virginia Wyoming HumanaChoice H5525-023 (PPO) MAPD-LPPO H5525-023-000


Y0040_GHHKYF4EN_C

Wisconsin


Wisconsin (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-162-000

Wisconsin Brown Humana Gold Plus H6622-001 (HMO) MAPD-HMO H6622-001-000

Wisconsin Brown HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Calumet Humana Gold Plus H6622-001 (HMO) MAPD-HMO H6622-001-000

Wisconsin Calumet HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Columbia HumanaChoice H5216-006 (PPO) MAPD-LPPO H5216-006-000

Wisconsin Columbia HumanaChoice H5216-168 (PPO) MAPD-LPPO H5216-168-000

Wisconsin Crawford HumanaChoice H5216-006 (PPO) MAPD-LPPO H5216-006-000

Wisconsin Crawford HumanaChoice H5216-168 (PPO) MAPD-LPPO H5216-168-000

Wisconsin Dane Humana Gold Plus H6622-002 (HMO) MAPD-HMO H6622-002-000

Wisconsin Dane Humana Gold Plus H6622-034 (HMO) MAPD-HMO H6622-034-000

Wisconsin Dane HumanaChoice H5216-006 (PPO) MAPD-LPPO H5216-006-000

Wisconsin Dane HumanaChoice H5216-168 (PPO) MAPD-LPPO H5216-168-000

Wisconsin Dodge HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Door HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Douglas HumanaChoice H5216-080 (PPO) MAPD-LPPO H5216-080-003

Wisconsin Fond du Lac Humana Gold Plus H6622-001 (HMO) MAPD-HMO H6622-001-000

Wisconsin Fond du Lac HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Forest HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Green HumanaChoice H5216-006 (PPO) MAPD-LPPO H5216-006-000

Wisconsin Green HumanaChoice H5216-168 (PPO) MAPD-LPPO H5216-168-000

Wisconsin Green Lake Humana Gold Plus H6622-001 (HMO) MAPD-HMO H6622-001-000

Wisconsin Green Lake HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Iowa HumanaChoice H5216-006 (PPO) MAPD-LPPO H5216-006-000

Wisconsin Iowa HumanaChoice H5216-168 (PPO) MAPD-LPPO H5216-168-000

Wisconsin Jefferson HumanaChoice H5216-006 (PPO) MAPD-LPPO H5216-006-000

Wisconsin Jefferson HumanaChoice H5216-168 (PPO) MAPD-LPPO H5216-168-000

Wisconsin Kenosha Humana Gold Plus H6622-002 (HMO) MAPD-HMO H6622-002-000

Wisconsin Kenosha Humana Gold Plus H6622-034 (HMO) MAPD-HMO H6622-034-000


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Wisconsin Kenosha HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Kewaunee Humana Gold Plus H6622-001 (HMO) MAPD-HMO H6622-001-000

Wisconsin Kewaunee HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Lafayette HumanaChoice H5216-006 (PPO) MAPD-LPPO H5216-006-000

Wisconsin Lafayette HumanaChoice H5216-168 (PPO) MAPD-LPPO H5216-168-000

Wisconsin Manitowoc Humana Gold Plus H6622-001 (HMO) MAPD-HMO H6622-001-000

Wisconsin Manitowoc HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Marathon Humana Gold Plus H6622-001 (HMO) MAPD-HMO H6622-001-000

Wisconsin Marathon HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Marinette Humana Gold Plus H6622-001 (HMO) MAPD-HMO H6622-001-000

Wisconsin Marinette HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Marquette Humana Gold Plus H6622-001 (HMO) MAPD-HMO H6622-001-000

Wisconsin Marquette HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Menominee HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Milwaukee Humana Gold Plus H6622-002 (HMO) MAPD-HMO H6622-002-000

Wisconsin Milwaukee Humana Gold Plus H6622-034 (HMO) MAPD-HMO H6622-034-000

Wisconsin Milwaukee HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Oconto Humana Gold Plus H6622-001 (HMO) MAPD-HMO H6622-001-000

Wisconsin Oconto HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Outagamie Humana Gold Plus H6622-001 (HMO) MAPD-HMO H6622-001-000

Wisconsin Outagamie HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Ozaukee Humana Gold Plus H6622-002 (HMO) MAPD-HMO H6622-002-000

Wisconsin Ozaukee Humana Gold Plus H6622-034 (HMO) MAPD-HMO H6622-034-000

Wisconsin Ozaukee HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



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Wisconsin Portage HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Racine Humana Gold Plus H6622-002 (HMO) MAPD-HMO H6622-002-000



Wisconsin Racine HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Richland HumanaChoice H5216-006 (PPO) MAPD-LPPO H5216-006-000

Wisconsin Richland HumanaChoice H5216-168 (PPO) MAPD-LPPO H5216-168-000

Wisconsin Rock Humana Gold Plus H6622-002 (HMO) MAPD-HMO H6622-002-000

Wisconsin Rock Humana Gold Plus H6622-034 (HMO) MAPD-HMO H6622-034-000

Wisconsin Rock HumanaChoice H5216-006 (PPO) MAPD-LPPO H5216-006-000

Wisconsin Rock HumanaChoice H5216-168 (PPO) MAPD-LPPO H5216-168-000

Wisconsin Sauk HumanaChoice H5216-006 (PPO) MAPD-LPPO H5216-006-000

Wisconsin Sauk HumanaChoice H5216-168 (PPO) MAPD-LPPO H5216-168-000

Wisconsin Shawano Humana Gold Plus H6622-001 (HMO) MAPD-HMO H6622-001-000

Wisconsin Sheboygan Humana Gold Plus H6622-002 (HMO) MAPD-HMO H6622-002-000

Wisconsin Sheboygan Humana Gold Plus H6622-034 (HMO) MAPD-HMO H6622-034-000

Wisconsin Sheboygan HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin St. Croix HumanaChoice H5216-063 (PPO) MAPD-LPPO H5216-063-000

Wisconsin St. Croix HumanaChoice H5216-167 (PPO) MAPD-LPPO H5216-167-000

Wisconsin Walworth Humana Gold Plus H6622-002 (HMO) MAPD-HMO H6622-002-000

Wisconsin Walworth Humana Gold Plus H6622-034 (HMO) MAPD-HMO H6622-034-000

Wisconsin Walworth HumanaChoice H5216-006 (PPO) MAPD-LPPO H5216-006-000

Wisconsin Walworth HumanaChoice H5216-168 (PPO) MAPD-LPPO H5216-168-000

Wisconsin Washington Humana Gold Plus H6622-002 (HMO) MAPD-HMO H6622-002-000

Wisconsin Washington Humana Gold Plus H6622-034 (HMO) MAPD-HMO H6622-034-000

Wisconsin Washington HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Waukesha Humana Gold Plus H6622-002 (HMO) MAPD-HMO H6622-002-000

Wisconsin Waukesha Humana Gold Plus H6622-034 (HMO) MAPD-HMO H6622-034-000

Wisconsin Waukesha HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Waupaca Humana Gold Plus H6622-001 (HMO) MAPD-HMO H6622-001-000

Wisconsin Waupaca HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Waushara Humana Gold Plus H6622-001 (HMO) MAPD-HMO H6622-001-000


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Wisconsin Waushara HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wisconsin Winnebago Humana Gold Plus H6622-001 (HMO) MAPD-HMO H6622-001-000

Wisconsin Winnebago HumanaChoice H5216-001 (PPO) MAPD-LPPO H5216-001-000



Wyoming


Wyoming (All Counties) Humana Premier Rx Plan (PDP) PDP S5884-171-000


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Puerto Rico


Puerto Rico (All Counties)



HumanaChoice Value H2029-001 (PPO) MAPD-LPPO H2029-001-000







humana’s insulin savings program plan list – plan year

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