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Medication coverage guide

Insulin lispro (Humalog, Admelog and others)

Generic name: Insulin Lispro

What it is used for

A rapid-acting insulin used to control blood sugar in people with diabetes, usually taken at mealtimes.

Which part of Medicare may cover it

Part D for insulin taken at home by pen or vial (self-administered). Part B only when insulin is used in a covered insulin pump (durable medical equipment) — that pump exception is stated on the page, not merged into this drug's Part D figures. Part A during a covered inpatient stay, as part of the stay.

Medicare Advantage

Most Medicare Advantage plans that include drug coverage (MAPD plans) use the same formulary-and-tier system; the plan's own drug list decides coverage and copay — check the plan's formulary.

Medicare Supplement

Medicare Supplement (Medigap) plans sold today do not include prescription drug coverage; drug coverage comes from Part D or an MAPD plan.

Part D formulary figures for 2027

Plans listing this drug
3,866 of 5,495
Listing share
70.35%
Most common tier
Tier 3
Share of listing plans at that tier
89.58%

Full tier distribution

TierPlans
Tier 1120
Tier 2110
Tier 33,463
Tier 4143
Tier 52
Tier 628

CMS dashboard figures

Program averages from CMS dashboard data — average total spending across Part D (before rebates), NOT a reader's copay.

Humalog Kwikpen U-100

Brand name
Humalog Kwikpen U-100
Generic name
Insulin Lispro
Total claims (2024)
1,392,033
Total program spending (2024)
334,334,171.91
Total beneficiaries (2024)
447,128
Rank by beneficiaries (2024)
202
Average spending per claim (2024)
240.17690091
Average spending per beneficiary (2024)
747.73705049
Average spending per dosage unit, weighted (2024)
9.9120085462

Insulin Lispro Kwikpen U-100

Brand name
Insulin Lispro Kwikpen U-100
Generic name
Insulin Lispro
Total claims (2024)
847,641
Total program spending (2024)
154,432,906.32
Total beneficiaries (2024)
283,488
Rank by beneficiaries (2024)
258
Average spending per claim (2024)
182.19140688
Average spending per beneficiary (2024)
544.75994158
Average spending per dosage unit, weighted (2024)
10.201026473

Humalog

Brand name
Humalog
Generic name
Insulin Lispro
Total claims (2024)
511,120
Total program spending (2024)
98,416,546.93
Total beneficiaries (2024)
149,275
Rank by beneficiaries (2024)
360
Average spending per claim (2024)
192.55076485
Average spending per beneficiary (2024)
659.29691462
Average spending per dosage unit, weighted (2024)
6.1845409229

Insulin Lispro

Brand name
Insulin Lispro
Generic name
Insulin Lispro
Total claims (2024)
300,584
Total program spending (2024)
17,494,054.85
Total beneficiaries (2024)
106,242
Rank by beneficiaries (2024)
421
Average spending per claim (2024)
58.200219739
Average spending per beneficiary (2024)
164.6623261
Average spending per dosage unit, weighted (2024)
2.4922814411

Admelog Solostar

Brand name
Admelog Solostar
Generic name
Insulin Lispro
Total claims (2024)
152,025
Total program spending (2024)
33,991,383.24
Total beneficiaries (2024)
50,864
Rank by beneficiaries (2024)
582
Average spending per claim (2024)
223.59074652
Average spending per beneficiary (2024)
668.27979003
Average spending per dosage unit, weighted (2024)
12.316151415

Humalog Kwikpen U-200

Brand name
Humalog Kwikpen U-200
Generic name
Insulin Lispro
Total claims (2024)
159,898
Total program spending (2024)
228,025,262.24
Total beneficiaries (2024)
45,830
Rank by beneficiaries (2024)
603
Average spending per claim (2024)
1,426.0670067
Average spending per beneficiary (2024)
4,975.4584822
Average spending per dosage unit, weighted (2024)
65.662372758

Admelog

Brand name
Admelog
Generic name
Insulin Lispro
Total claims (2024)
46,508
Total program spending (2024)
9,842,389.84
Total beneficiaries (2024)
16,113
Rank by beneficiaries (2024)
850
Average spending per claim (2024)
211.62788854
Average spending per beneficiary (2024)
610.83534041
Average spending per dosage unit, weighted (2024)
9.77619697

Humalog Junior Kwikpen

Brand name
Humalog Junior Kwikpen
Generic name
Insulin Lispro
Total claims (2024)
17,083
Total program spending (2024)
3,063,716.31
Total beneficiaries (2024)
6,564
Rank by beneficiaries (2024)
1,123
Average spending per claim (2024)
179.34299069
Average spending per beneficiary (2024)
466.7453245
Average spending per dosage unit, weighted (2024)
9.9833041475

Insulin Lispro Junior Kwikpen

Brand name
Insulin Lispro Junior Kwikpen
Generic name
Insulin Lispro
Total claims (2024)
10,234
Total program spending (2024)
1,570,983.86
Total beneficiaries (2024)
4,333
Rank by beneficiaries (2024)
1,249
Average spending per claim (2024)
153.5063377
Average spending per beneficiary (2024)
362.56262636
Average spending per dosage unit, weighted (2024)
10.080619217

Humalog Tempo Pen U-100

Brand name
Humalog Tempo Pen U-100
Generic name
Insulin Lispro
Total claims (2024)
1,309
Total program spending (2024)
225,263.25
Total beneficiaries (2024)
614
Rank by beneficiaries (2024)
2,027
Average spending per claim (2024)
172.08804431
Average spending per beneficiary (2024)
366.87825733
Average spending per dosage unit, weighted (2024)
10.023728474

Part B status

No insulin lispro row in the CMS Part B Spending by Drug HCPCS file (RY26, data through 2024) — the file carries pump-insulin J-codes for other insulins (e.g. J1811/J1817 insulin aspart (niacinamide) through a DME pump, J1813 Lyumjev (insulin lispro-aabc, a different insulin) through a DME pump); the Part B path for insulin is the covered-pump route, and no J-code row exists for insulin lispro itself in that file.

Package notes

Dashboard rank 202 by beneficiaries 2024 for the primary row (Humalog Kwikpen U-100, 447,128). Insulin lispro protamine mix products are combination products (name contains ' / ') and are excluded from the formulary aggregation. The $35 one-month insulin cost cap and the Part D deductible exemption for covered insulin are Medicare rules already carried on the gated /medications/ hub package.

Company rollup

Every organization below has at least one plan in the supplied plan-coverage file that lists this medication.

OrganizationPlans listing the drugTier rangeTier distribution
AIDS HEALTHCARE FOUNDATION1Tier 2Tier 2: 1
ALAMEDA ALLIANCE FOR HEALTH1Tier 1Tier 1: 1
ALIGN SENIOR CARE CALIFORNIA INC.3Tier 1–3Tier 1: 1 · Tier 3: 2
ALIGN SENIOR CARE FLORIDA, INC.2Tier 1–3Tier 1: 1 · Tier 3: 1
ALIGN SENIOR CARE IOWA INSURANCE COMPANY2Tier 1–3Tier 1: 1 · Tier 3: 1
ALIGN SENIOR CARE MI, LLC2Tier 1–3Tier 1: 1 · Tier 3: 1
ALIGNMENT HEALTH ADVANTAGE PLAN INC4Tier 3Tier 3: 4
ALIGNMENT HEALTH ADVANTAGE PLAN INC.5Tier 3Tier 3: 5
ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC10Tier 3Tier 3: 10
ALIGNMENT HEALTH PLAN37Tier 3Tier 3: 37
ALIGNMENT HEALTH PLAN OF ARIZONA, INC.7Tier 3Tier 3: 7
ALIGNMENT HEALTH PLAN OF NEVADA, INC.4Tier 3Tier 3: 4
ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.10Tier 3Tier 3: 10
ALLCARE HEALTH PLAN, INC.1Tier 1Tier 1: 1
ALOHACARE1Tier 3Tier 3: 1
ALTERWOOD ADVANTAGE, INC.6Tier 3Tier 3: 6
AMERICAN HEALTH PLAN OF FL, INC.1Tier 1Tier 1: 1
AMERICAN HEALTH PLAN OF INDIANA INC3Tier 1Tier 1: 3
AMERICAN HEALTH PLAN OF IOWA INC3Tier 1Tier 1: 3
AMERICAN HEALTH PLAN OF MISSOURI, INC.2Tier 1Tier 1: 2
AMERICAN HEALTH PLAN OF MS, INC.1Tier 1Tier 1: 1
AMERICAN HEALTH PLAN OF PENNSYLVANIA INC1Tier 1Tier 1: 1
AMERICAN HEALTH PLAN OF UT, INC.2Tier 1Tier 1: 2
AMERICAN HEALTH PLAN, INC.1Tier 1Tier 1: 1
AMERIHEALTH CARITAS FLORIDA, INC.2Tier 3Tier 3: 2
AMERIHEALTH CARITAS LOUISIANA, INC.1Tier 3Tier 3: 1
AMERIHEALTH CARITAS NORTH CAROLINA, INC.1Tier 3Tier 3: 1
AMERIHEALTH HMO, INC1Tier 3Tier 3: 1
AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY1Tier 3Tier 3: 1
AMERIHEALTH MICHIGAN, INC.2Tier 3Tier 3: 2
ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT2Tier 3Tier 3: 2
ARCADIAN HEALTH PLAN, INC.71Tier 2–3Tier 2: 2 · Tier 3: 69
ARIZONA PHYSICIANS IPA, INC.2Tier 3Tier 3: 2
ARKANSAS SUPERIOR SELECT, INC.2Tier 1Tier 1: 2
ASPIRE HEALTH PLAN4Tier 3Tier 3: 4
ASTIVA HEALTH, INC.8Tier 3Tier 3: 8
ATRIO HEALTH PLANS11Tier 3Tier 3: 11
AULTCARE HEALTH INSURING CORPORATION3Tier 3Tier 3: 3
AmeriHealth Caritas VIP Next, Inc.2Tier 3Tier 3: 2
BANNER - UNIVERSITY CARE ADVANTAGE2Tier 1Tier 1: 2
BANNER HEALTH PLAN, INC.1Tier 3Tier 3: 1
BAYCARE SELECT HEALTH PLANS, INC.2Tier 3Tier 3: 2
BCBS OF MASSACHUSETTS HMO BLUE, INC.7Tier 3Tier 3: 7
BCBS OF ALABAMA & UTIC INSURANCE COMPANY2Tier 3Tier 3: 2
BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY26Tier 3Tier 3: 26
BCBSM, Inc.9Tier 3Tier 3: 9
BESHP, INC.2Tier 3Tier 3: 2
BLUE CARE NETWORK OF MICHIGAN15Tier 3Tier 3: 15
BLUE CROSS & BLUE SHIELD OF RHODE ISLAND5Tier 3Tier 3: 5
BLUE CROSS AND BLUE SHIELD OF ALABAMA3Tier 3Tier 3: 3
BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.14Tier 3Tier 3: 14
BLUE CROSS AND BLUE SHIELD OF KANSAS3Tier 3Tier 3: 3
BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA14Tier 3Tier 3: 14
BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA6Tier 3Tier 3: 6
BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.3Tier 3Tier 3: 3
BRAVO HEALTH MID-ATLANTIC, INC.5Tier 3Tier 3: 5
BRAVO HEALTH PENNSYLVANIA, INC.31Tier 3Tier 3: 31
Baylor Scott & White Insurance Company3Tier 3Tier 3: 3
CALIFORNIA PHYSICIANS' SERVICE20Tier 3Tier 3: 20
CAPITAL ADVANTAGE INSURANCE COMPANY24Tier 3Tier 3: 24
CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.3Tier 3Tier 3: 3
CAPITAL HEALTH PLAN4Tier 3Tier 3: 4
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.204Tier 3Tier 3: 204
CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA4Tier 3Tier 3: 4
CAREFIRST ADVANTAGE DSNP, INC.1Tier 3Tier 3: 1
CAREFIRST ADVANTAGE PPO, INC.2Tier 3Tier 3: 2
CAREPLUS HEALTH PLANS, INC.37Tier 2Tier 2: 37
CARESOURCE OHIO, INC.1Tier 1Tier 1: 1
CARITEN HEALTH PLAN INC.51Tier 3Tier 3: 51
CHA HMO, INC.47Tier 3Tier 3: 47
CHAMPION HEALTH PLAN OF CALIFORNIA INC10Tier 3Tier 3: 10
CHAMPION HEALTH PLAN OF NEVADA, INC.6Tier 3Tier 3: 6
CHINESE COMMUNITY HEALTH PLAN4Tier 3Tier 3: 4
CLEVER CARE OF GOLDEN STATE, INC.6Tier 3Tier 3: 6
CLOVER HMO OF NEW JERSEY INC.2Tier 3Tier 3: 2
CLOVER INSURANCE COMPANY11Tier 3Tier 3: 11
COMMONWEALTH CARE ALLIANCE, INC.2Tier 1Tier 1: 2
COMMUNITY CARE HEALTH PLAN, INC.1Tier 1Tier 1: 1
COMMUNITY FIRST HEALTH PLANS, INC.3Tier 3Tier 3: 3
COMMUNITY HEALTH CHOICE TEXAS, INC.5Tier 3Tier 3: 5
COMMUNITY HEALTH GROUP2Tier 3Tier 3: 2
COMMUNITY HEALTH PLAN OF WASHINGTON2Tier 3Tier 3: 2
COMMUNITYCARE GOVERNMENT PROGRAMS, INC.4Tier 3Tier 3: 4
CONTRA COSTA COUNTY MEDICAL SERVICE DBA CONTRA COSTA HEALTH1Tier 3Tier 3: 1
California Physicians' Service2Tier 3Tier 3: 2
DEAN HEALTH PLAN, INC.4Tier 3Tier 3: 4
DENVER HEALTH MEDICAL PLAN, INC.2Tier 3Tier 3: 2
DEVOTED HEALTH PLAN OF OREGON1Tier 3Tier 3: 1
DEVOTED HEALTH INSURANCE COMPANY4Tier 3Tier 3: 4
DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC10Tier 3Tier 3: 10
DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC.3Tier 3Tier 3: 3
DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC6Tier 3Tier 3: 6
DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC3Tier 3Tier 3: 3
DEVOTED HEALTH INSURANCE COMPANY OF CONNECTICUT6Tier 3Tier 3: 6
DEVOTED HEALTH INSURANCE COMPANY OF DELAWARE2Tier 3Tier 3: 2
DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC9Tier 3Tier 3: 9
DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC8Tier 3Tier 3: 8
DEVOTED HEALTH INSURANCE COMPANY OF INDIANA10Tier 3Tier 3: 10
DEVOTED HEALTH INSURANCE COMPANY OF KANSAS5Tier 3Tier 3: 5
DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC4Tier 3Tier 3: 4
DEVOTED HEALTH INSURANCE COMPANY OF LOUISIANA14Tier 3Tier 3: 14
DEVOTED HEALTH INSURANCE COMPANY OF MICHIGAN6Tier 3Tier 3: 6
DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI6Tier 3Tier 3: 6
DEVOTED HEALTH INSURANCE COMPANY OF MISSOURI1Tier 3Tier 3: 1
DEVOTED HEALTH INSURANCE COMPANY OF NEBRASKA5Tier 3Tier 3: 5
DEVOTED HEALTH INSURANCE COMPANY OF NEW HAMPSHIRE3Tier 3Tier 3: 3
DEVOTED HEALTH INSURANCE COMPANY OF NEW JERSEY4Tier 3Tier 3: 4
DEVOTED HEALTH INSURANCE COMPANY OF NEW YORK11Tier 3Tier 3: 11
DEVOTED HEALTH INSURANCE COMPANY OF OKLAHOMA6Tier 3Tier 3: 6
DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC4Tier 3Tier 3: 4
DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC27Tier 3Tier 3: 27
DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC7Tier 3Tier 3: 7
DEVOTED HEALTH INSURANCE COMPANY OF TEXAS1Tier 3Tier 3: 1
DEVOTED HEALTH INSURANCE COMPANY OF UTAH, INC.4Tier 3Tier 3: 4
DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON4Tier 3Tier 3: 4
DEVOTED HEALTH PLAN OF ALABAMA INC6Tier 3Tier 3: 6
DEVOTED HEALTH PLAN OF ARIZONA, INC.11Tier 3Tier 3: 11
DEVOTED HEALTH PLAN OF COLORADO INC10Tier 3Tier 3: 10
DEVOTED HEALTH PLAN OF FLORIDA, INC.78Tier 3Tier 3: 78
DEVOTED HEALTH PLAN OF HAWAII, INC.3Tier 3Tier 3: 3
DEVOTED HEALTH PLAN OF ILLINOIS, INC.3Tier 3Tier 3: 3
DEVOTED HEALTH PLAN OF MISSOURI INC16Tier 3Tier 3: 16
DEVOTED HEALTH PLAN OF NEW MEXICO, INC.5Tier 3Tier 3: 5
DEVOTED HEALTH PLAN OF NORTH CAROLINA INC20Tier 3Tier 3: 20
DEVOTED HEALTH PLAN OF OHIO INC1Tier 3Tier 3: 1
DEVOTED HEALTH PLAN OF OHIO, INC.11Tier 3Tier 3: 11
DEVOTED HEALTH PLAN OF OREGON INC10Tier 3Tier 3: 10
DEVOTED HEALTH PLAN OF PENNSYLVANIA INC16Tier 3Tier 3: 16
DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC1Tier 3Tier 3: 1
DEVOTED HEALTH PLAN OF TENNESSEE INC9Tier 3Tier 3: 9
DEVOTED HEALTH PLAN OF TEXAS, INC.47Tier 3Tier 3: 47
DEVOTED HEALTH PLAN OF VIRGINIA INC7Tier 3Tier 3: 7
DEVOTED HEALTH PLAN OF WASHINGTON, INC.9Tier 3Tier 3: 9
DIGNITY CARE CORPORATION2Tier 1Tier 1: 2
DOCTORS HEALTHCARE PLANS, INC.9Tier 3Tier 3: 9
Devoted of Illinois, Inc.9Tier 3Tier 3: 9
EL PASO FIRST HEALTH PLANS, INC.4Tier 3Tier 3: 4
ELDERPLAN, INC.3Tier 1Tier 1: 3
ELDERSERVE HEALTH, INC.2Tier 1Tier 1: 2
ELITE HEALTH PLAN, INC.2Tier 3Tier 3: 2
EMPHESYS INSURANCE COMPANY111Tier 2–3Tier 2: 4 · Tier 3: 107
ESSENCE HEALTHCARE PPO, INC.7Tier 3Tier 3: 7
ESSENCE HEALTHCARE, INC.7Tier 3Tier 3: 7
ETERNALHEALTH OF ARIZONA INC3Tier 3Tier 3: 3
ETERNALHEALTH, INC.3Tier 3Tier 3: 3
EXCELLUS HEALTH PLAN COMMUNITY CARE LLC4Tier 3Tier 3: 4
EXCELLUS HEALTH PLAN, INC.14Tier 3Tier 3: 14
FALLON COMMUNITY HEALTH PLAN12Tier 1–3Tier 1: 2 · Tier 3: 10
FLORIDA BLUE MEDICARE, INC.20Tier 3Tier 3: 20
GEORGIA ASSURANCE, INC.2Tier 1–3Tier 1: 1 · Tier 3: 1
GOLD KIDNEY OF ARIZONA6Tier 1–6Tier 1: 1 · Tier 6: 5
GOLD KIDNEY OF FLORIDA INC9Tier 1–6Tier 1: 2 · Tier 6: 7
GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.2Tier 3Tier 3: 2
GROUP HEALTH COOPERATIVE OF EAU CLAIRE2Tier 3Tier 3: 2
HAMASPIK, INC.2Tier 1Tier 1: 2
HAP CARESOURCE1Tier 3Tier 3: 1
HAWAII MEDICAL SERVICE ASSOCIATION4Tier 3Tier 3: 4
HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)2Tier 1–3Tier 1: 1 · Tier 3: 1
HEALTH CARE SERVICE CORPORATION5Tier 3Tier 3: 5
HEALTH CHOICE ARIZONA, INC.1Tier 1Tier 1: 1
HEALTH INSURANCE PLAN OF GREATER NEW YORK9Tier 3Tier 3: 9
HEALTH NEW ENGLAND, INC.6Tier 3Tier 3: 6
HEALTH PLAN OF CAREOREGON, INC.1Tier 6Tier 6: 1
HEALTHFIRST HEALTH PLAN, INC.7Tier 1–3Tier 1: 1 · Tier 3: 6
HEALTHFIRST INSURANCE COMPANY, INC.1Tier 3Tier 3: 1
HEALTHPARTNERS INSURANCE COMPANY2Tier 3Tier 3: 2
HEALTHPARTNERS, INC.5Tier 3Tier 3: 5
HEALTHSPRING HEALTHCARE OF COLORADO, INC.5Tier 3Tier 3: 5
HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.135Tier 3Tier 3: 135
HEALTHSPRING OF FLORIDA, INC.10Tier 3Tier 3: 10
HEALTHY ARKANSAS, INC.3Tier 3Tier 3: 3
HEALTHY MISSISSIPPI, INC.3Tier 3Tier 3: 3
HIGHMARK BCBSD INC.3Tier 3Tier 3: 3
HIGHMARK CHOICE COMPANY31Tier 3Tier 3: 31
HIGHMARK SENIOR HEALTH COMPANY38Tier 3Tier 3: 38
HIGHMARK SENIOR SOLUTIONS COMPANY8Tier 3Tier 3: 8
HMO LOUISIANA, INC.9Tier 3Tier 3: 9
HMO Minnesota1Tier 3Tier 3: 1
HOPKINS HEALTH ADVANTAGE, INC.6Tier 1–3Tier 1: 2 · Tier 3: 4
HORIZON HEALTHCARE OF NEW JERSEY, INC.2Tier 1–3Tier 1: 1 · Tier 3: 1
HORIZON INSURANCE COMPANY2Tier 3Tier 3: 2
HPMP OF FLORIDA, INC.5Tier 3Tier 3: 5
HUMANA BENEFIT PLAN OF ILLINOIS, INC.33Tier 3Tier 3: 33
HUMANA BENEFIT PLAN OF SOUTH CAROLINA, INC.1Tier 3Tier 3: 1
HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.7Tier 3Tier 3: 7
HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.23Tier 2–3Tier 2: 1 · Tier 3: 22
HUMANA HEALTH COMPANY OF NEW YORK, INC.5Tier 3Tier 3: 5
HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.6Tier 2–3Tier 2: 2 · Tier 3: 4
HUMANA HEALTH PLAN OF CALIFORNIA, INC.2Tier 3Tier 3: 2
HUMANA HEALTH PLAN OF OHIO, INC.4Tier 3Tier 3: 4
HUMANA HEALTH PLAN OF TEXAS, INC.1Tier 3Tier 3: 1
HUMANA HEALTH PLAN, INC.3Tier 3Tier 3: 3
HUMANA INSURANCE COMPANY221Tier 2–3Tier 2: 4 · Tier 3: 217
HUMANA INSURANCE COMPANY OF KENTUCKY3Tier 3Tier 3: 3
HUMANA INSURANCE COMPANY OF NEW YORK2Tier 3Tier 3: 2
HUMANA MEDICAL PLAN OF MICHIGAN, INC.4Tier 2–3Tier 2: 1 · Tier 3: 3
HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.2Tier 3Tier 3: 2
HUMANA MEDICAL PLAN OF UTAH, INC.2Tier 3Tier 3: 2
HUMANA MEDICAL PLAN, INC.84Tier 2–3Tier 2: 52 · Tier 3: 32
HUMANA REGIONAL HEALTH PLAN, INC.2Tier 3Tier 3: 2
HUMANA WI HEALTH ORGANIZATION INSURANCE CORP58Tier 2–3Tier 2: 1 · Tier 3: 57
HUMANADENTAL INSURANCE COMPANY1Tier 3Tier 3: 1
Healthy Mississippi, Inc.1Tier 3Tier 3: 1
Highmark Western and Northeastern New York Inc.11Tier 3Tier 3: 11
Humana Insurance Co. & Humana Insurance Co. of NY102Tier 3Tier 3: 102
IMPERIAL COUNTY LOCAL HEALTH AUTHORITY1Tier 3Tier 3: 1
IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.3Tier 3Tier 3: 3
INDEPENDENT CARE HEALTH PLAN1Tier 3Tier 3: 1
INDEPENDENT HEALTH ASSOCIATION, INC.5Tier 3Tier 3: 5
INDEPENDENT HEALTH BENEFITS CORPORATION1Tier 3Tier 3: 1
ISNP VENTURES, LLC2Tier 3Tier 3: 2
ITASCA MEDICAL CARE1Tier 3Tier 3: 1
Inland Empire Health Plan1Tier 1Tier 1: 1
JOHNS HOPKINS HEALTH PLAN OF VIRGINIA, INC.1Tier 3Tier 3: 1
KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES19Tier 4Tier 4: 19
KAISER FOUNDATION HEALTH PLAN OF NEVADA3Tier 4Tier 4: 3
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON13Tier 4Tier 4: 13
KAISER FOUNDATION HP OF CO11Tier 4Tier 4: 11
KAISER FOUNDATION HP OF GA, INC.8Tier 4Tier 4: 8
KAISER FOUNDATION HP OF THE N W4Tier 4Tier 4: 4
KAISER FOUNDATION HP, INC.54Tier 4Tier 4: 54
KANSAS SUPERIOR SELECT, INC.2Tier 1Tier 1: 2
KERN HEALTH SYSTEMS1Tier 3Tier 3: 1
KEYSTONE HEALTH PLAN CENTRAL, INC.11Tier 3Tier 3: 11
KEYSTONE HEALTH PLAN EAST, INC.9Tier 3Tier 3: 9
KS PLAN ADMINISTRATORS, LLC2Tier 3Tier 3: 2
LAGNIAPPE ADVANTAGE INSURANCE COMPANY1Tier 1Tier 1: 1
LEON HEALTH, INC.4Tier 2Tier 2: 4
LIBERTY ADVANTAGE, LLC3Tier 1–6Tier 1: 2 · Tier 6: 1
LIFEWORKS ADVANTAGE, LLC2Tier 1–3Tier 1: 1 · Tier 3: 1
LOCAL INITIATIVE HEALTH AUTHORITY FOR LA COUNTY1Tier 3Tier 3: 1
LONGEVITY HEALTH PLAN OF COLORADO, INC.1Tier 1Tier 1: 1
LONGEVITY HEALTH PLAN OF FLORIDA, INC.1Tier 1Tier 1: 1
LONGEVITY HEALTH PLAN OF ILLINOIS, INC.1Tier 1Tier 1: 1
LONGEVITY HEALTH PLAN OF MICHIGAN, INC.1Tier 1Tier 1: 1
LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP2Tier 1Tier 1: 2
LONGEVITY HEALTH PLAN OF NEW YORK, INC.1Tier 1Tier 1: 1
LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.1Tier 1Tier 1: 1
LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY3Tier 3Tier 3: 3
MARQUIS ADVANTAGE, INC.3Tier 3Tier 3: 3
MARTIN'S POINT GENERATIONS ADVANTAGE, INC.8Tier 3Tier 3: 8
MASS GENERAL BRIGHAM HEALTH PLAN, INC2Tier 1Tier 1: 2
MCLAREN HEALTH PLAN, INC.3Tier 3Tier 3: 3
MCS ADVANTAGE, INC.20Tier 3Tier 3: 20
MEDCARE PARTNERS HEALTH PLAN OF TEXAS, LLC3Tier 6Tier 6: 3
MEDICA HEALTH PLANS23Tier 3Tier 3: 23
MEDICA INSURANCE COMPANY4Tier 3Tier 3: 4
MEDICAL MUTUAL OF OHIO16Tier 3Tier 3: 16
MEDISUN, INC.5Tier 3Tier 3: 5
MERCY CARE3Tier 1Tier 1: 3
METROPLUS HEALTH PLAN, INC.3Tier 1–3Tier 1: 2 · Tier 3: 1
MMM HEALTHCARE, LLC24Tier 4Tier 4: 24
MOLINA HEALTHCARE OF ARIZONA, INC.1Tier 3Tier 3: 1
MOLINA HEALTHCARE OF CALIFORNIA4Tier 3Tier 3: 4
MOLINA HEALTHCARE OF ILLINOIS, INC.1Tier 3Tier 3: 1
MOLINA HEALTHCARE OF IOWA, INC.2Tier 3Tier 3: 2
MOLINA HEALTHCARE OF KENTUCKY, INC.3Tier 3Tier 3: 3
MOLINA HEALTHCARE OF MICHIGAN, INC.3Tier 3Tier 3: 3
MOLINA HEALTHCARE OF NEBRASKA, INC.2Tier 3Tier 3: 2
MOLINA HEALTHCARE OF NEW MEXICO, INC.1Tier 3Tier 3: 1
MOLINA HEALTHCARE OF OHIO, INC.2Tier 3Tier 3: 2
MOLINA HEALTHCARE OF SOUTH CAROLINA,INC2Tier 3Tier 3: 2
MOLINA HEALTHCARE OF TEXAS, INC.7Tier 3Tier 3: 7
MOLINA HEALTHCARE OF UTAH, INC.3Tier 3Tier 3: 3
MOLINA HEALTHCARE OF WASHINGTON, INC.3Tier 3Tier 3: 3
MOUNT CARMEL HEALTH INSURANCE COMPANY1Tier 3Tier 3: 1
MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.2Tier 3Tier 3: 2
MOUNT CARMEL HEALTH PLAN, INC.9Tier 3Tier 3: 9
MULTICARE HEALTH PLAN2Tier 3Tier 3: 2
MVP HEALTH PLAN, INC.8Tier 3Tier 3: 8
Mass General Brigham Health Plan, Inc.3Tier 3Tier 3: 3
Molina Healthcare of Wisconsin, Inc.4Tier 3Tier 3: 4
NATIVE ADVANTAGE, INC.1Tier 3Tier 3: 1
NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND2Tier 3Tier 3: 2
NETWORK HEALTH INSURANCE CORPORATION7Tier 4Tier 4: 7
NEW CENTURY HEALTH PLAN, INC.2Tier 3Tier 3: 2
NHC ADVANTAGE, LLC2Tier 3Tier 3: 2
OH CHS SNP INC.4Tier 1–3Tier 1: 3 · Tier 3: 1
OKLAHOMA SUPERIOR SELECT, INC.1Tier 1Tier 1: 1
ORANGE COUNTY HEALTH AUTHORITY1Tier 1Tier 1: 1
OXFORD HEALTH PLANS (NJ), INC.5Tier 3Tier 3: 5
PEAK HEALTH INSURANCE CORPORATION9Tier 3Tier 3: 9
PEOPLES HEALTH, INC.18Tier 3Tier 3: 18
PERENNIAL ADVANTAGE OF COLORADO, INC.6Tier 1–3Tier 1: 2 · Tier 3: 4
PERENNIAL ADVANTAGE OF OHIO, INC.3Tier 1–3Tier 1: 1 · Tier 3: 2
PHYSICIANS HEALTH CHOICE OF TEXAS, LLC23Tier 3Tier 3: 23
PREFERRED CARE PARTNERS, INC.32Tier 3Tier 3: 32
PRESBYTERIAN HEALTH PLAN3Tier 3Tier 3: 3
PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE2Tier 1Tier 1: 2
PRIORITY HEALTH35Tier 3Tier 3: 35
PRIORITY HEALTH CHOICE, INC.5Tier 3Tier 3: 5
PROCARE ADVANTAGE, LLC3Tier 3Tier 3: 3
PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS1Tier 1Tier 1: 1
PROVIDER PARTNERS HEALTH PLAN OF INDIANA3Tier 1Tier 1: 3
PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.3Tier 1Tier 1: 3
PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA3Tier 1Tier 1: 3
PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC3Tier 1Tier 1: 3
PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.1Tier 1Tier 1: 1
PRUITTHEALTH PREMIER NORTH CAROLINA, LLC3Tier 3Tier 3: 3
PRUITTHEALTH PREMIER, INC.3Tier 3Tier 3: 3
Preferred Care Network, Inc.3Tier 3Tier 3: 3
QCC INSURANCE COMPANY3Tier 3Tier 3: 3
QUARTZ HEALTH PLAN CORPORATION10Tier 3Tier 3: 10
QUARTZ HEALTH PLAN MN CORPORATION4Tier 3Tier 3: 4
REGENCE BLUECROSS BLUESHIELD OF OREGON9Tier 3Tier 3: 9
REGENCE BLUECROSS BLUESHIELD OF UTAH2Tier 3Tier 3: 2
REGENCE BLUESHIELD2Tier 3Tier 3: 2
SAMARITAN HEALTH PLANS, INC.1Tier 3Tier 3: 1
SAN FRANCISCO HEALTH AUTHORITY DBA SAN FRANCISCO HEALTH PLAN1Tier 3Tier 3: 1
SAN JOAQUIN COUNTY HEALTH COMMISSION1Tier 3Tier 3: 1
SAN MATEO HEALTH COMMISSION1Tier 2Tier 2: 1
SANFORD HEALTH PLAN4Tier 3Tier 3: 4
SANFORD HEALTH PLAN OF MINNESOTA2Tier 3Tier 3: 2
SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTHORITY DBA1Tier 3Tier 3: 1
SANTA CLARA COUNTY HEALTH AUTHORITY1Tier 3Tier 3: 1
SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MANAGED MEDIC1Tier 3Tier 3: 1
SAPPHIRE EDGE, INC.3Tier 3Tier 3: 3
SCAN DESERT HEALTH PLAN, INC.8Tier 3Tier 3: 8
SCAN HEALTH PLAN66Tier 3Tier 3: 66
SCAN HEALTH PLAN (OR)2Tier 3Tier 3: 2
SCAN HEALTH PLAN (WA)1Tier 3Tier 3: 1
SCAN HEALTH PLAN NEVADA, INC.4Tier 3Tier 3: 4
SCAN HEALTH PLAN TEXAS, INC.4Tier 3Tier 3: 4
SCOTT AND WHITE HEALTH PLAN4Tier 3Tier 3: 4
SECUR INC4Tier 1–3Tier 1: 2 · Tier 3: 2
SECURITY HEALTH PLAN OF WISCONSIN, INC.4Tier 3Tier 3: 4
SELECT HEALTH OF SOUTH CAROLINA, INC.1Tier 3Tier 3: 1
SELECTHEALTH, INC.10Tier 3Tier 3: 10
SENIOR WHOLE HEALTH OF NEW YORK, INC.2Tier 3Tier 3: 2
SENIOR WHOLE HEALTH, LLC3Tier 3Tier 3: 3
SENTARA HEALTH PLANS2Tier 3Tier 3: 2
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.81Tier 3Tier 3: 81
SIGNATURE ADVANTAGE, LLC2Tier 1Tier 1: 2
SIMPRA ADVANTAGE, INC.3Tier 1–3Tier 1: 2 · Tier 3: 1
SOLIS HEALTH PLANS, INC.19Tier 3Tier 3: 19
SOUTH COUNTRY HEALTH ALLIANCE2Tier 3Tier 3: 2
SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.3Tier 3Tier 3: 3
ST. LUKE'S HEALTH PLAN, INC.3Tier 3Tier 3: 3
SUMMACARE INC.5Tier 3Tier 3: 5
TEXAS INDEPENDENCE HEALTH PLAN, INC.2Tier 1Tier 1: 2
THE HEALTH PLAN OF WEST VIRGINIA, INC.3Tier 3Tier 3: 3
THP INSURANCE COMPANY3Tier 3Tier 3: 3
TRINITY HEALTH PLAN OF MICHIGAN INC3Tier 3Tier 3: 3
TRIPLE S ADVANTAGE, INC.17Tier 1–6Tier 1: 9 · Tier 6: 8
TROY HEALTH, INC.2Tier 3Tier 3: 2
TSG GUARD, INC.1Tier 1Tier 1: 1
TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION21Tier 1–3Tier 1: 2 · Tier 3: 19
TUFTS HEALTH PUBLIC PLANS, INC.2Tier 1Tier 1: 2
UHC OF CALIFORNIA39Tier 3Tier 3: 39
ULTIMATE HEALTH PLANS, INC.16Tier 3Tier 3: 16
UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.14Tier 3Tier 3: 14
UNITEDHEALTHCARE COMMUNITY PLAN, INC.7Tier 3Tier 3: 7
UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY73Tier 3Tier 3: 73
UNITEDHEALTHCARE INSURANCE COMPANY18Tier 3Tier 3: 18
UNITEDHEALTHCARE OF FLORIDA, INC.3Tier 3Tier 3: 3
UNITEDHEALTHCARE OF NEW ENGLAND, INC.5Tier 3Tier 3: 5
UNITEDHEALTHCARE OF NEW YORK, INC.19Tier 3Tier 3: 19
UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.8Tier 3Tier 3: 8
UNITEDHEALTHCARE OF THE MIDLANDS, INC.49Tier 3Tier 3: 49
UNITEDHEALTHCARE OF THE ROCKIES, INC.21Tier 3Tier 3: 21
UNITEDHEALTHCARE OF WISCONSIN, INC.149Tier 3Tier 3: 149
UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.7Tier 3Tier 3: 7
UPMC FOR YOU, INC4Tier 3Tier 3: 4
UPMC HEALTH COVERAGE, INC.1Tier 3Tier 3: 1
UPMC HEALTH NETWORK, INC.8Tier 3Tier 3: 8
UPMC HEALTH PLAN, INC.17Tier 3Tier 3: 17
UPPER PENINSULA HEALTH PLAN, LLC1Tier 3Tier 3: 1
USABLE HMO, INC.2Tier 3Tier 3: 2
USABLE MUTUAL INSURANCE COMPANY3Tier 3Tier 3: 3
UnitedHealthcare Benefits of Texas, Inc.66Tier 3Tier 3: 66
UnitedHealthcare of New England, Inc.2Tier 3Tier 3: 2
VERDA HEALTH PLAN OF ARIZONA, INC.2Tier 3–6Tier 3: 1 · Tier 6: 1
VERDA HEALTH PLAN OF TEXAS INC4Tier 3–6Tier 3: 2 · Tier 6: 2
VILLAGE SENIOR SERVICES CORPORATION3Tier 3Tier 3: 3
VISTA HEALTH PLAN, INC.2Tier 3Tier 3: 2
VIVA HEALTH, INC.8Tier 1–3Tier 1: 2 · Tier 3: 6
VNS CHOICE3Tier 3–5Tier 3: 1 · Tier 5: 2
Ventura County Medi-Cal Managed Care Commission1Tier 3Tier 3: 1
WELLMARK IA & SD, & BCBS MN, MT, NE, ND,& WY1Tier 3Tier 3: 1
WEST VIRGINIA SENIOR ADVANTAGE, INC.1Tier 1Tier 1: 1
WYOBLUE ADVANTAGE INC2Tier 3Tier 3: 2
ZING HEALTH OF MICHIGAN, INC.36Tier 3Tier 3: 36

Plan-level detail

Search the complete plan list by plan name, organization, contract, or plan number.

Showing 100 of 3,866 matching plans

Plan nameOrganizationContract / plan / segmentTier
PHP (HMO C-SNP)AIDS HEALTHCARE FOUNDATIONH5852 / 001 / 000Tier 2
Alameda Alliance Wellness (HMO D-SNP)ALAMEDA ALLIANCE FOR HEALTHH2035 / 001 / 000Tier 1
Advantage Care (HMO)ALIGN SENIOR CARE CALIFORNIA INC.H3274 / 005 / 000Tier 3
Premier Care (HMO I-SNP)ALIGN SENIOR CARE CALIFORNIA INC.H3274 / 002 / 000Tier 3
Senior Care (HMO I-SNP)ALIGN SENIOR CARE CALIFORNIA INC.H3274 / 001 / 000Tier 1
Premier Care (HMO I-SNP)ALIGN SENIOR CARE FLORIDA, INC.H9917 / 007 / 000Tier 3
Senior Care (HMO I-SNP)ALIGN SENIOR CARE FLORIDA, INC.H9917 / 006 / 000Tier 1
Premier (HMO I-SNP)ALIGN SENIOR CARE IOWA INSURANCE COMPANYH4127 / 002 / 000Tier 3
Senior Care (HMO I-SNP)ALIGN SENIOR CARE IOWA INSURANCE COMPANYH4127 / 001 / 000Tier 1
Premier Care (HMO-POS I-SNP)ALIGN SENIOR CARE MI, LLCH6832 / 004 / 000Tier 3
Senior Care (HMO I-SNP)ALIGN SENIOR CARE MI, LLCH6832 / 001 / 000Tier 1
Alignment Health Advantage 001 (PPO)ALIGNMENT HEALTH ADVANTAGE PLAN INCH8832 / 001 / 000Tier 3
Alignment Health Advantage 002 (PPO)ALIGNMENT HEALTH ADVANTAGE PLAN INCH8832 / 002 / 000Tier 3
Alignment Health Advantage 005 (PPO)ALIGNMENT HEALTH ADVANTAGE PLAN INCH8832 / 005 / 000Tier 3
Alignment Health Balance Plus 004 (PPO)ALIGNMENT HEALTH ADVANTAGE PLAN INCH8832 / 004 / 000Tier 3
Alignment Health BRIDGE 003 (HMO)ALIGNMENT HEALTH ADVANTAGE PLAN INC.H6697 / 003 / 000Tier 3
Alignment Health Platinum Preferred 004 (HMO)ALIGNMENT HEALTH ADVANTAGE PLAN INC.H6697 / 004 / 000Tier 3
Alignment Health Platinum Preferred+ 005 (HMO)ALIGNMENT HEALTH ADVANTAGE PLAN INC.H6697 / 005 / 000Tier 3
Central Health Harmony 001 (HMO)ALIGNMENT HEALTH ADVANTAGE PLAN INC.H6697 / 001 / 000Tier 3
Central Health Harmony Plus 002 (HMO C-SNP)ALIGNMENT HEALTH ADVANTAGE PLAN INC.H6697 / 002 / 000Tier 3
Alignment Health BRIDGE 013 (HMO-POS)ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INCH5472 / 013 / 000Tier 3
Alignment Health Duals+ 007 (HMO-POS D-SNP)ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INCH5472 / 007 / 000Tier 3
Alignment Health Duals+ 009 (HMO-POS D-SNP)ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INCH5472 / 009 / 000Tier 3
Alignment Health Heart & Diabetes 002 (HMO-POS C-SNP)ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INCH5472 / 002 / 000Tier 3
Alignment Health Heart & Diabetes Plus 004 (HMO-POS C-SNP)ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INCH5472 / 004 / 000Tier 3
Alignment Health ONE + Walgreens 001 (HMO-POS)ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INCH5472 / 001 / 000Tier 3
Alignment Health ONE 011 (HMO-POS)ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INCH5472 / 011 / 000Tier 3
Alignment Health Smart 003 (HMO-POS)ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INCH5472 / 003 / 000Tier 3
Alignment Health Smart 010 (HMO-POS)ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INCH5472 / 010 / 000Tier 3
Alignment Health Smart 012 (HMO-POS)ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INCH5472 / 012 / 000Tier 3
Alignment Health + AllCare Preferred 011 (HMO)ALIGNMENT HEALTH PLANH3815 / 011 / 000Tier 3
Alignment Health + CommUnity 046 (HMO)ALIGNMENT HEALTH PLANH3815 / 046 / 000Tier 3
Alignment Health Balance 006 (PPO)ALIGNMENT HEALTH PLANH4961 / 006 / 000Tier 3
Alignment Health Balance 033 (HMO C-SNP)ALIGNMENT HEALTH PLANH3815 / 033 / 000Tier 3
Alignment Health BreathEasy Plus 041 (HMO C-SNP)ALIGNMENT HEALTH PLANH3815 / 041 / 000Tier 3
Alignment Health Clarity Plus 042 (HMO C-SNP)ALIGNMENT HEALTH PLANH3815 / 042 / 000Tier 3
Alignment Health Duals+ 030 (HMO D-SNP)ALIGNMENT HEALTH PLANH3815 / 030 / 000Tier 3
Alignment Health Heart & Diabetes 010 (HMO C-SNP)ALIGNMENT HEALTH PLANH3815 / 010 / 000Tier 3
Alignment Health Heart & Diabetes 048 (HMO C-SNP)ALIGNMENT HEALTH PLANH3815 / 048 / 000Tier 3
Alignment Health Heart & Diabetes 051 (HMO C-SNP)ALIGNMENT HEALTH PLANH3815 / 051 / 000Tier 3
Alignment Health Heart & Diabetes 054 (HMO C-SNP)ALIGNMENT HEALTH PLANH3815 / 054 / 000Tier 3
Alignment Health Heart & Diabetes Plus 039 (HMO C-SNP)ALIGNMENT HEALTH PLANH3815 / 039 / 000Tier 3
Alignment Health Heart & Diabetes Plus 044 (HMO C-SNP)ALIGNMENT HEALTH PLANH3815 / 044 / 000Tier 3
Alignment Health Heart & Diabetes Plus 045 (HMO C-SNP)ALIGNMENT HEALTH PLANH3815 / 045 / 000Tier 3
Alignment Health Honor Plus 060 (HMO)ALIGNMENT HEALTH PLANH3815 / 060 / 000Tier 3
Alignment Health My Choice 001 (HMO)ALIGNMENT HEALTH PLANH3815 / 001 / 000Tier 3
Alignment Health My Choice 001 (PPO)ALIGNMENT HEALTH PLANH4961 / 001 / 000Tier 3
Alignment Health My Choice 028 (HMO)ALIGNMENT HEALTH PLANH3815 / 028 / 000Tier 3
Alignment Health My Choice 050 (HMO)ALIGNMENT HEALTH PLANH3815 / 050 / 000Tier 3
Alignment Health My Choice 061 (HMO)ALIGNMENT HEALTH PLANH3815 / 061 / 000Tier 3
Alignment Health ONE + Walgreens 035 (HMO)ALIGNMENT HEALTH PLANH3815 / 035 / 000Tier 3
Alignment Health Platinum + Instacart 008 (HMO)ALIGNMENT HEALTH PLANH3815 / 008 / 000Tier 3
Alignment Health Platinum + Instacart 016 (HMO-POS)ALIGNMENT HEALTH PLANH3815 / 016 / 000Tier 3
Alignment Health Platinum 057 (HMO)ALIGNMENT HEALTH PLANH3815 / 057 / 000Tier 3
Alignment Health Platinum 059 (HMO)ALIGNMENT HEALTH PLANH3815 / 059 / 000Tier 3
Alignment Health Smart 013 (HMO)ALIGNMENT HEALTH PLANH3815 / 013 / 000Tier 3
Alignment Health Smart 038 (HMO)ALIGNMENT HEALTH PLANH3815 / 038 / 000Tier 3
Alignment Health Smart 040 (HMO)ALIGNMENT HEALTH PLANH3815 / 040 / 000Tier 3
Alignment Health Smart 047 (HMO)ALIGNMENT HEALTH PLANH3815 / 047 / 000Tier 3
Alignment Health Smart 055 (HMO)ALIGNMENT HEALTH PLANH3815 / 055 / 000Tier 3
Alignment Health Smart 056 (HMO)ALIGNMENT HEALTH PLANH3815 / 056 / 000Tier 3
Alignment Health Sutter Advantage +More (HMO)ALIGNMENT HEALTH PLANH3815 / 019 / 000Tier 3
Alignment Health Sutter Advantage +More (HMO)ALIGNMENT HEALTH PLANH3815 / 020 / 000Tier 3
Alignment Health Sutter Advantage +More (HMO)ALIGNMENT HEALTH PLANH3815 / 021 / 000Tier 3
Alignment Health Sutter Advantage +More (HMO)ALIGNMENT HEALTH PLANH3815 / 023 / 000Tier 3
Alignment Health ValorCare 053 (HMO)ALIGNMENT HEALTH PLANH3815 / 053 / 000Tier 3
Central Health Harmony 031 (HMO)ALIGNMENT HEALTH PLANH3815 / 031 / 000Tier 3
Alignment Health Heart & Diabetes 003 (HMO C-SNP)ALIGNMENT HEALTH PLAN OF ARIZONA, INC.H3443 / 003 / 000Tier 3
Alignment Health Heart & Diabetes Plus 006 (HMO C-SNP)ALIGNMENT HEALTH PLAN OF ARIZONA, INC.H3443 / 006 / 000Tier 3
Alignment Health Heart & Diabetes Plus 007 (HMO C-SNP)ALIGNMENT HEALTH PLAN OF ARIZONA, INC.H3443 / 007 / 000Tier 3
Alignment Health ONE + Walgreens 001 (HMO)ALIGNMENT HEALTH PLAN OF ARIZONA, INC.H3443 / 001 / 000Tier 3
Alignment Health ONE + Walgreens 002 (HMO)ALIGNMENT HEALTH PLAN OF ARIZONA, INC.H3443 / 002 / 000Tier 3
Alignment Health ONE 008 (HMO)ALIGNMENT HEALTH PLAN OF ARIZONA, INC.H3443 / 008 / 000Tier 3
Alignment Health Smart 005 (HMO)ALIGNMENT HEALTH PLAN OF ARIZONA, INC.H3443 / 005 / 000Tier 3
Alignment Health + Intermountain Health 009 (HMO)ALIGNMENT HEALTH PLAN OF NEVADA, INC.H9686 / 009 / 000Tier 3
Alignment Health Duals+ 005 (HMO D-SNP)ALIGNMENT HEALTH PLAN OF NEVADA, INC.H9686 / 005 / 000Tier 3
Alignment Health Heart & Diabetes 004 (HMO C-SNP)ALIGNMENT HEALTH PLAN OF NEVADA, INC.H9686 / 004 / 000Tier 3
Alignment Health Heart & Diabetes Plus 006 (HMO C-SNP)ALIGNMENT HEALTH PLAN OF NEVADA, INC.H9686 / 006 / 000Tier 3
Alignment Health AVA 001 (PPO)ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.H7074 / 001 / 000Tier 3
Alignment Health Duals+ 004 (HMO-POS D-SNP)ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.H5296 / 004 / 000Tier 3
Alignment Health Heart & Diabetes 011 (HMO C-SNP)ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.H5296 / 011 / 000Tier 3
Alignment Health Heart & Diabetes Plus 009 (HMO-POS C-SNP)ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.H5296 / 009 / 000Tier 3
Alignment Health Platinum + Instacart 007 (HMO)ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.H5296 / 007 / 000Tier 3
Alignment Health Platinum 010 (HMO)ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.H5296 / 010 / 000Tier 3
Alignment Health Platinum 012 (HMO)ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.H5296 / 012 / 000Tier 3
Alignment Health Smart 006 (HMO)ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.H5296 / 006 / 000Tier 3
Alignment Health Smart 008 (HMO)ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.H5296 / 008 / 000Tier 3
Alignment Health Smart 013 (HMO)ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.H5296 / 013 / 000Tier 3
AllCare Advantage Redwood Rx (HMO D-SNP)ALLCARE HEALTH PLAN, INC.H3810 / 023 / 000Tier 1
AlohaCare Advantage Plus (HMO D-SNP)ALOHACAREH5969 / 002 / 000Tier 3
Alterwood Advantage Choice (HMO)ALTERWOOD ADVANTAGE, INC.H9306 / 008 / 001Tier 3
Alterwood Advantage Choice (HMO)ALTERWOOD ADVANTAGE, INC.H9306 / 008 / 002Tier 3
Alterwood Advantage Dual Secure (HMO D-SNP)ALTERWOOD ADVANTAGE, INC.H9306 / 004 / 000Tier 3
Alterwood Advantage Dual Value (HMO D-SNP)ALTERWOOD ADVANTAGE, INC.H9306 / 007 / 000Tier 3
Alterwood Advantage Select (HMO)ALTERWOOD ADVANTAGE, INC.H9306 / 009 / 001Tier 3
Alterwood Advantage Select (HMO)ALTERWOOD ADVANTAGE, INC.H9306 / 009 / 002Tier 3
American Health Advantage of Florida (HMO I-SNP)AMERICAN HEALTH PLAN OF FL, INC.H6652 / 001 / 000Tier 1
American Health Advantage of Indiana (HMO I-SNP)AMERICAN HEALTH PLAN OF INDIANA INCH9690 / 001 / 000Tier 1
American Health Advantage of Kentucky (HMO I-SNP)AMERICAN HEALTH PLAN OF INDIANA INCH9690 / 003 / 000Tier 1
American Health Advantage of Ohio (HMO I-SNP)AMERICAN HEALTH PLAN OF INDIANA INCH9690 / 004 / 000Tier 1

Plan year 2027 · Source: CMS · Checked 2026-10-30

Care and Living Guide is not connected with or endorsed by the U.S. government or the federal Medicare program. For official information visit Medicare.gov or call 1-800-MEDICARE.

Coverage and costs change. Drug lists (formularies), tiers, and copays can change during the year and differ by plan. Always check with your insurance company or plan directly to confirm what is covered and what you will pay.

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