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Medication coverage guide

Memantine (Namenda)

Generic name: Memantine HCl

What it is used for

A drug used for moderate to severe dementia from Alzheimer's disease.

Which part of Medicare may cover it

Part D (tablets/capsules taken at home). Part A during a covered inpatient stay. No Part B clinician-administered form in the CMS Part B spending file.

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
5,495 of 5,495
Listing share
100%
Most common tier
Tier 4
Share of listing plans at that tier
54.25%

Full tier distribution

TierPlans
Tier 1338
Tier 2724
Tier 31,452
Tier 42,981

CMS dashboard figures

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

Memantine HCl

Brand name
Memantine HCl
Generic name
Memantine HCl
Total claims (2024)
5,630,610
Total program spending (2024)
166,970,485.78
Total beneficiaries (2024)
990,408
Rank by beneficiaries (2024)
119
Average spending per claim (2024)
29.654066927
Average spending per beneficiary (2024)
168.58757783
Average spending per dosage unit, weighted (2024)
0.4025068862

Memantine HCl ER

Brand name
Memantine HCl ER
Generic name
Memantine HCl
Total claims (2024)
650,504
Total program spending (2024)
63,589,657.21
Total beneficiaries (2024)
109,867
Rank by beneficiaries (2024)
415
Average spending per claim (2024)
97.754444569
Average spending per beneficiary (2024)
578.78759964
Average spending per dosage unit, weighted (2024)
2.2707797112

Namenda XR

Brand name
Namenda XR
Generic name
Memantine HCl
Total claims (2024)
1,148
Total program spending (2024)
698,541.73
Total beneficiaries (2024)
387
Rank by beneficiaries (2024)
2,205
Average spending per claim (2024)
608.48582753
Average spending per beneficiary (2024)
1,805.0173902
Average spending per dosage unit, weighted (2024)
14.795416078

Namenda

Brand name
Namenda
Generic name
Memantine HCl
Total claims (2024)
241
Total program spending (2024)
77,397.51
Total beneficiaries (2024)
227
Rank by beneficiaries (2024)
2,411
Average spending per claim (2024)
321.15149378
Average spending per beneficiary (2024)
340.95819383
Average spending per dosage unit, weighted (2024)
6.7440742147

Part B status

No memantine row in the CMS Part B Spending by Drug HCPCS file (RY26, data through 2024) — no J-code basis; coverage path is Part D.

Package notes

Dashboard rank 119 by beneficiaries 2024 (990,408 for the immediate-release row; an extended-release row for the same generic is also carried). Combination products (e.g. memantine/donepezil) are excluded from the formulary aggregation.

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
ABSOLUTE TOTAL CARE, INC.1Tier 1Tier 1: 1
AETNA BETTER HEALTH INC. (CT)4Tier 4Tier 4: 4
AETNA BETTER HEALTH INC. (GA)27Tier 4Tier 4: 27
AETNA BETTER HEALTH INC. (NJ)1Tier 4Tier 4: 1
AETNA BETTER HEALTH OF CALIFORNIA INC.8Tier 4Tier 4: 8
AETNA BETTER HEALTH OF MICHIGAN INC.3Tier 4Tier 4: 3
AETNA BETTER HEALTH OF OKLAHOMA INC.1Tier 4Tier 4: 1
AETNA BETTER HEALTH OF TEXAS INC.6Tier 4Tier 4: 6
AETNA BETTER HEALTH OF WASHINGTON, INC.2Tier 4Tier 4: 2
AETNA BETTER HEALTH PREMIER PLAN MMAI INC.1Tier 4Tier 4: 1
AETNA BETTER HEALTH, INC. (LA)16Tier 4Tier 4: 16
AETNA HEALTH AND LIFE INSURANCE COMPANY20Tier 4Tier 4: 20
AETNA HEALTH INC. (CT)6Tier 4Tier 4: 6
AETNA HEALTH INC. (FL)49Tier 4Tier 4: 49
AETNA HEALTH INC. (GA)7Tier 4Tier 4: 7
AETNA HEALTH INC. (LA)1Tier 4Tier 4: 1
AETNA HEALTH INC. (ME)5Tier 4Tier 4: 5
AETNA HEALTH INC. (NJ)5Tier 4Tier 4: 5
AETNA HEALTH INC. (NY)18Tier 4Tier 4: 18
AETNA HEALTH INC. (PA)49Tier 4Tier 4: 49
AETNA HEALTH INC. (TX)29Tier 4Tier 4: 29
AETNA HEALTH OF CALIFORNIA INC.17Tier 4Tier 4: 17
AETNA HEALTH OF IOWA INC.8Tier 4Tier 4: 8
AETNA HEALTH OF MICHIGAN INC.12Tier 4Tier 4: 12
AETNA HEALTH OF OHIO INC.24Tier 4Tier 4: 24
AETNA HEALTH OF UTAH INC.2Tier 4Tier 4: 2
AETNA LIFE INSURANCE COMPANY181Tier 4Tier 4: 181
AIDS HEALTHCARE FOUNDATION1Tier 1Tier 1: 1
ALAMEDA ALLIANCE FOR HEALTH1Tier 1Tier 1: 1
ALIGN SENIOR CARE CALIFORNIA INC.3Tier 1–2Tier 1: 1 · Tier 2: 2
ALIGN SENIOR CARE FLORIDA, INC.2Tier 1–2Tier 1: 1 · Tier 2: 1
ALIGN SENIOR CARE IOWA INSURANCE COMPANY2Tier 1–2Tier 1: 1 · Tier 2: 1
ALIGN SENIOR CARE MI, LLC2Tier 1–2Tier 1: 1 · Tier 2: 1
ALIGNMENT HEALTH ADVANTAGE PLAN INC4Tier 4Tier 4: 4
ALIGNMENT HEALTH ADVANTAGE PLAN INC.5Tier 4Tier 4: 5
ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC10Tier 4Tier 4: 10
ALIGNMENT HEALTH PLAN37Tier 4Tier 4: 37
ALIGNMENT HEALTH PLAN OF ARIZONA, INC.7Tier 4Tier 4: 7
ALIGNMENT HEALTH PLAN OF NEVADA, INC.4Tier 4Tier 4: 4
ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.10Tier 4Tier 4: 10
ALLCARE HEALTH PLAN, INC.1Tier 1Tier 1: 1
ALLIANCE HEALTH AND LIFE INSURANCE COMPANY5Tier 4Tier 4: 5
ALLINA HEALTH AND AETNA INSURANCE COMPANY7Tier 4Tier 4: 7
ALOHACARE1Tier 4Tier 4: 1
ALTERWOOD ADVANTAGE, INC.6Tier 2Tier 2: 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
AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY6Tier 1Tier 1: 6
AMERIHEALTH CARITAS FLORIDA, INC.2Tier 4Tier 4: 2
AMERIHEALTH CARITAS LOUISIANA, INC.1Tier 4Tier 4: 1
AMERIHEALTH CARITAS NORTH CAROLINA, INC.1Tier 4Tier 4: 1
AMERIHEALTH HMO, INC1Tier 2Tier 2: 1
AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY1Tier 2Tier 2: 1
AMERIHEALTH MICHIGAN, INC.2Tier 4Tier 4: 2
AMH HEALTH, LLC5Tier 4Tier 4: 5
ANTHEM HEALTH PLANS, INC.6Tier 4Tier 4: 6
ANTHEM HP, LLC.6Tier 4Tier 4: 6
ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT2Tier 4Tier 4: 2
ANTHEM INSURANCE COMPANIES, INC.27Tier 4Tier 4: 27
ARCADIAN HEALTH PLAN, INC.71Tier 3–4Tier 3: 2 · Tier 4: 69
ARIZONA PHYSICIANS IPA, INC.2Tier 3Tier 3: 2
ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.4Tier 1Tier 1: 4
ARKANSAS SUPERIOR SELECT, INC.2Tier 1Tier 1: 2
ASPIRE HEALTH PLAN4Tier 2Tier 2: 4
ASTIVA HEALTH, INC.8Tier 4Tier 4: 8
ATRIO HEALTH PLANS11Tier 2Tier 2: 11
AULTCARE HEALTH INSURING CORPORATION3Tier 3Tier 3: 3
AmeriHealth Caritas VIP Next, Inc.2Tier 4Tier 4: 2
Anthem HP, LLC5Tier 4Tier 4: 5
BANNER - UNIVERSITY CARE ADVANTAGE2Tier 1Tier 1: 2
BANNER HEALTH PLAN, INC.1Tier 4Tier 4: 1
BAYCARE SELECT HEALTH PLANS, INC.2Tier 2Tier 2: 2
BCBS OF MASSACHUSETTS HMO BLUE, INC.7Tier 2Tier 2: 7
BCBS OF ALABAMA & UTIC INSURANCE COMPANY2Tier 3–4Tier 3: 1 · Tier 4: 1
BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY26Tier 4Tier 4: 26
BCBSM, Inc.9Tier 2Tier 2: 9
BESHP, INC.2Tier 4Tier 4: 2
BLUE CARE NETWORK OF MICHIGAN15Tier 4Tier 4: 15
BLUE CROSS & BLUE SHIELD OF RHODE ISLAND5Tier 2Tier 2: 5
BLUE CROSS AND BLUE SHIELD OF ALABAMA3Tier 2–3Tier 2: 1 · Tier 3: 2
BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.14Tier 2–4Tier 2: 1 · Tier 3: 12 · Tier 4: 1
BLUE CROSS AND BLUE SHIELD OF KANSAS3Tier 3–4Tier 3: 1 · Tier 4: 2
BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA14Tier 2–4Tier 2: 2 · Tier 4: 12
BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA4Tier 4Tier 4: 4
BLUE CROSS OF CALIFORNIA18Tier 4Tier 4: 18
BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.18Tier 4Tier 4: 18
BLUE CROSS OF IDAHO HEALTH SERVICE, INC.6Tier 4Tier 4: 6
BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA6Tier 4Tier 4: 6
BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.3Tier 3Tier 3: 3
BLUECROSS BLUESHIELD OF TENNESSEE, INC.19Tier 2Tier 2: 19
BRAVO HEALTH MID-ATLANTIC, INC.5Tier 3Tier 3: 5
BRAVO HEALTH PENNSYLVANIA, INC.31Tier 3Tier 3: 31
BUCKEYE COMMUNITY HEALTH PLAN, INC.4Tier 1Tier 1: 4
Baylor Scott & White Insurance Company3Tier 3Tier 3: 3
Bridgeway Health Solutions of Arizona, Inc.2Tier 1Tier 1: 2
CALIFORNIA PHYSICIANS' SERVICE20Tier 4Tier 4: 20
CAPITAL ADVANTAGE INSURANCE COMPANY24Tier 3–4Tier 3: 2 · Tier 4: 22
CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.3Tier 3Tier 3: 3
CAPITAL HEALTH PLAN4Tier 2–3Tier 2: 2 · Tier 3: 2
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.204Tier 3Tier 3: 204
CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA4Tier 4Tier 4: 4
CAREFIRST ADVANTAGE DSNP, INC.1Tier 4Tier 4: 1
CAREFIRST ADVANTAGE PPO, INC.4Tier 4Tier 4: 4
CAREPLUS HEALTH PLANS, INC.37Tier 3Tier 3: 37
CARESOURCE OHIO, INC.1Tier 1Tier 1: 1
CARITEN HEALTH PLAN INC.51Tier 4Tier 4: 51
CELTIC INSURANCE COMPANY3Tier 1Tier 1: 3
CHA HMO, INC.47Tier 4Tier 4: 47
CHAMPION HEALTH PLAN OF CALIFORNIA INC10Tier 2Tier 2: 10
CHAMPION HEALTH PLAN OF NEVADA, INC.6Tier 2Tier 2: 6
CHINESE COMMUNITY HEALTH PLAN4Tier 2Tier 2: 4
CLEVER CARE OF GOLDEN STATE, INC.6Tier 2Tier 2: 6
CLOVER HMO OF NEW JERSEY INC.2Tier 4Tier 4: 2
CLOVER INSURANCE COMPANY11Tier 4Tier 4: 11
COMMONWEALTH CARE ALLIANCE, INC.2Tier 1Tier 1: 2
COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.2Tier 4Tier 4: 2
COMMUNITY CARE HEALTH PLAN, INC.1Tier 1Tier 1: 1
COMMUNITY FIRST HEALTH PLANS, INC.3Tier 2Tier 2: 3
COMMUNITY HEALTH CHOICE TEXAS, INC.5Tier 2Tier 2: 5
COMMUNITY HEALTH GROUP2Tier 2Tier 2: 2
COMMUNITY HEALTH PLAN OF WASHINGTON2Tier 4Tier 4: 2
COMMUNITY INSURANCE COMPANY10Tier 4Tier 4: 10
COMMUNITYCARE GOVERNMENT PROGRAMS, INC.4Tier 2Tier 2: 4
COMPCARE HEALTH SERVICES INSURANCE CORPORATION16Tier 4Tier 4: 16
CONTRA COSTA COUNTY MEDICAL SERVICE DBA CONTRA COSTA HEALTH1Tier 2Tier 2: 1
COORDINATED CARE CORPORATION3Tier 1Tier 1: 3
COORDINATED CARE OF WASHINGTON, INC.2Tier 1Tier 1: 2
COVENTRY HEALTH AND LIFE INSURANCE COMPANY27Tier 4Tier 4: 27
COVENTRY HEALTH CARE OF ILLINOIS, INC.14Tier 4Tier 4: 14
COVENTRY HEALTH CARE OF KANSAS, INC.9Tier 4Tier 4: 9
COVENTRY HEALTH CARE OF MISSOURI, INC.35Tier 4Tier 4: 35
COVENTRY HEALTH CARE OF NEBRASKA, INC.3Tier 4Tier 4: 3
COVENTRY HEALTH CARE OF VIRGINIA, INC.1Tier 4Tier 4: 1
COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.6Tier 4Tier 4: 6
COX HEALTH SYSTEMS HMO INC3Tier 2Tier 2: 3
California Physicians' Service2Tier 4Tier 4: 2
DEAN HEALTH PLAN, INC.4Tier 4Tier 4: 4
DENVER HEALTH MEDICAL PLAN, INC.2Tier 2Tier 2: 2
DEVOTED HEALTH PLAN OF OREGON1Tier 4Tier 4: 1
DEVOTED HEALTH INSURANCE COMPANY5Tier 4Tier 4: 5
DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC12Tier 4Tier 4: 12
DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC.4Tier 4Tier 4: 4
DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC10Tier 4Tier 4: 10
DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC4Tier 4Tier 4: 4
DEVOTED HEALTH INSURANCE COMPANY OF CONNECTICUT12Tier 4Tier 4: 12
DEVOTED HEALTH INSURANCE COMPANY OF DELAWARE5Tier 4Tier 4: 5
DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC16Tier 4Tier 4: 16
DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC9Tier 4Tier 4: 9
DEVOTED HEALTH INSURANCE COMPANY OF INDIANA23Tier 4Tier 4: 23
DEVOTED HEALTH INSURANCE COMPANY OF KANSAS11Tier 4Tier 4: 11
DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC10Tier 4Tier 4: 10
DEVOTED HEALTH INSURANCE COMPANY OF LOUISIANA23Tier 4Tier 4: 23
DEVOTED HEALTH INSURANCE COMPANY OF MICHIGAN12Tier 4Tier 4: 12
DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI10Tier 4Tier 4: 10
DEVOTED HEALTH INSURANCE COMPANY OF MISSOURI4Tier 4Tier 4: 4
DEVOTED HEALTH INSURANCE COMPANY OF NEBRASKA8Tier 4Tier 4: 8
DEVOTED HEALTH INSURANCE COMPANY OF NEW HAMPSHIRE6Tier 4Tier 4: 6
DEVOTED HEALTH INSURANCE COMPANY OF NEW JERSEY6Tier 4Tier 4: 6
DEVOTED HEALTH INSURANCE COMPANY OF NEW YORK23Tier 4Tier 4: 23
DEVOTED HEALTH INSURANCE COMPANY OF OKLAHOMA12Tier 4Tier 4: 12
DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC5Tier 4Tier 4: 5
DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC43Tier 4Tier 4: 43
DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC7Tier 4Tier 4: 7
DEVOTED HEALTH INSURANCE COMPANY OF TEXAS1Tier 4Tier 4: 1
DEVOTED HEALTH INSURANCE COMPANY OF UTAH, INC.7Tier 4Tier 4: 7
DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON4Tier 4Tier 4: 4
DEVOTED HEALTH PLAN OF ALABAMA INC6Tier 4Tier 4: 6
DEVOTED HEALTH PLAN OF ARIZONA, INC.12Tier 2–4Tier 2: 2 · Tier 4: 10
DEVOTED HEALTH PLAN OF COLORADO INC17Tier 4Tier 4: 17
DEVOTED HEALTH PLAN OF FLORIDA, INC.100Tier 2–4Tier 2: 30 · Tier 4: 70
DEVOTED HEALTH PLAN OF HAWAII, INC.9Tier 4Tier 4: 9
DEVOTED HEALTH PLAN OF ILLINOIS, INC.6Tier 4Tier 4: 6
DEVOTED HEALTH PLAN OF MISSOURI INC27Tier 4Tier 4: 27
DEVOTED HEALTH PLAN OF NEW MEXICO, INC.11Tier 4Tier 4: 11
DEVOTED HEALTH PLAN OF NORTH CAROLINA INC36Tier 4Tier 4: 36
DEVOTED HEALTH PLAN OF OHIO INC2Tier 4Tier 4: 2
DEVOTED HEALTH PLAN OF OHIO, INC.20Tier 4Tier 4: 20
DEVOTED HEALTH PLAN OF OREGON INC22Tier 4Tier 4: 22
DEVOTED HEALTH PLAN OF PENNSYLVANIA INC30Tier 4Tier 4: 30
DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC1Tier 4Tier 4: 1
DEVOTED HEALTH PLAN OF TENNESSEE INC9Tier 4Tier 4: 9
DEVOTED HEALTH PLAN OF TEXAS, INC.75Tier 4Tier 4: 75
DEVOTED HEALTH PLAN OF VIRGINIA INC16Tier 4Tier 4: 16
DEVOTED HEALTH PLAN OF WASHINGTON, INC.18Tier 4Tier 4: 18
DIGNITY CARE CORPORATION2Tier 1Tier 1: 2
DOCTORS HEALTHCARE PLANS, INC.9Tier 3Tier 3: 9
Devoted Health Insurance Company of Illinois, Inc.2Tier 4Tier 4: 2
Devoted of Illinois, Inc.16Tier 4Tier 4: 16
EL PASO FIRST HEALTH PLANS, INC.4Tier 2Tier 2: 4
ELDERPLAN, INC.4Tier 1–4Tier 1: 3 · Tier 4: 1
ELDERSERVE HEALTH, INC.2Tier 1Tier 1: 2
ELITE HEALTH PLAN, INC.2Tier 2Tier 2: 2
EMPHESYS INSURANCE COMPANY111Tier 3–4Tier 3: 4 · Tier 4: 107
ESSENCE HEALTHCARE PPO, INC.7Tier 4Tier 4: 7
ESSENCE HEALTHCARE, INC.7Tier 4Tier 4: 7
ETERNALHEALTH OF ARIZONA INC3Tier 4Tier 4: 3
ETERNALHEALTH, INC.3Tier 4Tier 4: 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
FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY1Tier 4Tier 4: 1
FLORIDA BLUE MEDICARE, INC.20Tier 2–3Tier 2: 2 · Tier 3: 18
FREEDOM HEALTH, INC.24Tier 3Tier 3: 24
GATEWAY HEALTH PLAN, INC.4Tier 2Tier 2: 4
GEISINGER HEALTH PLAN9Tier 3Tier 3: 9
GEISINGER INDEMNITY INSURANCE COMPANY4Tier 3Tier 3: 4
GEORGIA ASSURANCE, INC.2Tier 1–2Tier 1: 1 · Tier 2: 1
GLOBALHEALTH, INC.6Tier 1Tier 1: 6
GOLD KIDNEY OF ARIZONA6Tier 1–2Tier 1: 1 · Tier 2: 5
GOLD KIDNEY OF FLORIDA INC9Tier 1–2Tier 1: 2 · Tier 2: 7
GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.2Tier 4Tier 4: 2
GROUP HEALTH COOPERATIVE OF EAU CLAIRE2Tier 4Tier 4: 2
HAMASPIK, INC.2Tier 1Tier 1: 2
HAP CARESOURCE1Tier 4Tier 4: 1
HARMONY HEALTH PLAN, INC.14Tier 1Tier 1: 14
HAWAII MEDICAL SERVICE ASSOCIATION4Tier 4Tier 4: 4
HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)2Tier 1–4Tier 1: 1 · Tier 4: 1
HEALTH ALLIANCE PLAN OF MICHIGAN7Tier 4Tier 4: 7
HEALTH CARE SERVICE CORPORATION5Tier 3Tier 3: 5
HEALTH CHOICE ARIZONA, INC.1Tier 1Tier 1: 1
HEALTH FIRST HEALTH PLANS6Tier 4Tier 4: 6
HEALTH INSURANCE PLAN OF GREATER NEW YORK9Tier 2Tier 2: 9
HEALTH NET COMMUNITY SOLUTIONS, INC.4Tier 1Tier 1: 4
HEALTH NET HEALTH PLAN OF OREGON, INC.2Tier 1Tier 1: 2
HEALTH NET LIFE INSURANCE COMPANY4Tier 1Tier 1: 4
HEALTH NET OF ARIZONA, INC.5Tier 1Tier 1: 5
HEALTH NET OF CALIFORNIA, INC.8Tier 1Tier 1: 8
HEALTH NEW ENGLAND, INC.6Tier 3Tier 3: 6
HEALTH PARTNERS PLANS, INC.7Tier 4Tier 4: 7
HEALTH PLAN OF CAREOREGON, INC.1Tier 1Tier 1: 1
HEALTHFIRST HEALTH PLAN, INC.7Tier 1–4Tier 1: 1 · Tier 4: 6
HEALTHFIRST INSURANCE COMPANY, INC.1Tier 4Tier 4: 1
HEALTHKEEPERS, INC.22Tier 4Tier 4: 22
HEALTHPARTNERS INSURANCE COMPANY2Tier 2Tier 2: 2
HEALTHPARTNERS, INC.5Tier 2Tier 2: 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
HEALTHSUN HEALTH PLANS, INC.11Tier 2Tier 2: 11
HEALTHY ARKANSAS, INC.3Tier 2Tier 2: 3
HEALTHY MISSISSIPPI, INC.3Tier 2Tier 2: 3
HIGHMARK BCBSD INC.3Tier 2Tier 2: 3
HIGHMARK BCBSD, INC.2Tier 2Tier 2: 2
HIGHMARK CHOICE COMPANY31Tier 2–3Tier 2: 22 · Tier 3: 9
HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC.1Tier 2Tier 2: 1
HIGHMARK SENIOR HEALTH COMPANY38Tier 2–3Tier 2: 35 · Tier 3: 3
HIGHMARK SENIOR SOLUTIONS COMPANY8Tier 2–3Tier 2: 5 · Tier 3: 3
HMO COLORADO, INC.11Tier 4Tier 4: 11
HMO LOUISIANA, INC.9Tier 4Tier 4: 9
HMO Minnesota1Tier 3Tier 3: 1
HOME STATE HEALTH PLAN, INC.3Tier 1Tier 1: 3
HOPKINS HEALTH ADVANTAGE, INC.6Tier 1–4Tier 1: 2 · Tier 2: 3 · Tier 4: 1
HORIZON HEALTHCARE OF NEW JERSEY, INC.2Tier 1–4Tier 1: 1 · Tier 4: 1
HORIZON INSURANCE COMPANY2Tier 3–4Tier 3: 1 · Tier 4: 1
HPMP OF FLORIDA, INC.5Tier 2Tier 2: 5
HUMANA BENEFIT PLAN OF ILLINOIS, INC.33Tier 4Tier 4: 33
HUMANA BENEFIT PLAN OF SOUTH CAROLINA, INC.1Tier 4Tier 4: 1
HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.7Tier 4Tier 4: 7
HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.23Tier 3–4Tier 3: 1 · Tier 4: 22
HUMANA HEALTH COMPANY OF NEW YORK, INC.5Tier 4Tier 4: 5
HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.6Tier 3–4Tier 3: 2 · Tier 4: 4
HUMANA HEALTH PLAN OF CALIFORNIA, INC.2Tier 4Tier 4: 2
HUMANA HEALTH PLAN OF OHIO, INC.4Tier 4Tier 4: 4
HUMANA HEALTH PLAN OF TEXAS, INC.1Tier 4Tier 4: 1
HUMANA HEALTH PLAN, INC.3Tier 4Tier 4: 3
HUMANA INSURANCE COMPANY221Tier 3–4Tier 3: 4 · Tier 4: 217
HUMANA INSURANCE COMPANY OF KENTUCKY3Tier 4Tier 4: 3
HUMANA INSURANCE COMPANY OF NEW YORK2Tier 4Tier 4: 2
HUMANA MEDICAL PLAN OF MICHIGAN, INC.4Tier 3–4Tier 3: 1 · Tier 4: 3
HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.2Tier 4Tier 4: 2
HUMANA MEDICAL PLAN OF UTAH, INC.2Tier 4Tier 4: 2
HUMANA MEDICAL PLAN, INC.84Tier 3–4Tier 3: 52 · Tier 4: 32
HUMANA REGIONAL HEALTH PLAN, INC.2Tier 4Tier 4: 2
HUMANA WI HEALTH ORGANIZATION INSURANCE CORP58Tier 3–4Tier 3: 1 · Tier 4: 57
HUMANADENTAL INSURANCE COMPANY1Tier 4Tier 4: 1
HealthKeepers, Inc.4Tier 4Tier 4: 4
Healthy Mississippi, Inc.1Tier 2Tier 2: 1
Highmark Western and Northeastern New York Inc.11Tier 2Tier 2: 11
Humana Insurance Co. & Humana Insurance Co. of NY102Tier 4Tier 4: 102
IMPERIAL COUNTY LOCAL HEALTH AUTHORITY1Tier 2Tier 2: 1
IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.3Tier 2Tier 2: 3
INDEPENDENT CARE HEALTH PLAN1Tier 4Tier 4: 1
INDEPENDENT HEALTH ASSOCIATION, INC.5Tier 2Tier 2: 5
INDEPENDENT HEALTH BENEFITS CORPORATION1Tier 2Tier 2: 1
ISNP VENTURES, LLC2Tier 2Tier 2: 2
ITASCA MEDICAL CARE1Tier 4Tier 4: 1
Inland Empire Health Plan1Tier 1Tier 1: 1
JOHNS HOPKINS HEALTH PLAN OF VIRGINIA, INC.1Tier 4Tier 4: 1
KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES19Tier 2Tier 2: 19
KAISER FOUNDATION HEALTH PLAN OF NEVADA3Tier 2Tier 2: 3
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON13Tier 2Tier 2: 13
KAISER FOUNDATION HP OF CO11Tier 2Tier 2: 11
KAISER FOUNDATION HP OF GA, INC.8Tier 2Tier 2: 8
KAISER FOUNDATION HP OF THE N W4Tier 2Tier 2: 4
KAISER FOUNDATION HP, INC.54Tier 2Tier 2: 54
KANSAS SUPERIOR SELECT, INC.2Tier 1Tier 1: 2
KERN HEALTH SYSTEMS1Tier 2Tier 2: 1
KEYSTONE HEALTH PLAN CENTRAL, INC.11Tier 3–4Tier 3: 6 · Tier 4: 5
KEYSTONE HEALTH PLAN EAST, INC.9Tier 2–4Tier 2: 5 · Tier 4: 4
KS PLAN ADMINISTRATORS, LLC2Tier 4Tier 4: 2
LAGNIAPPE ADVANTAGE INSURANCE COMPANY1Tier 1Tier 1: 1
LEON HEALTH, INC.4Tier 1Tier 1: 4
LIBERTY ADVANTAGE, LLC3Tier 1–2Tier 1: 2 · Tier 2: 1
LIFEWORKS ADVANTAGE, LLC2Tier 1–2Tier 1: 1 · Tier 2: 1
LOCAL INITIATIVE HEALTH AUTHORITY FOR LA COUNTY1Tier 4Tier 4: 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 4Tier 4: 3
MANAGED HEALTH SERVICES INSURANCE CORP.3Tier 1Tier 1: 3
MARQUIS ADVANTAGE, INC.3Tier 2Tier 2: 3
MARTIN'S POINT GENERATIONS ADVANTAGE, INC.8Tier 2–4Tier 2: 2 · Tier 4: 6
MASS GENERAL BRIGHAM HEALTH PLAN, INC2Tier 1Tier 1: 2
MCLAREN HEALTH PLAN, INC.3Tier 2Tier 2: 3
MCS ADVANTAGE, INC.20Tier 2Tier 2: 20
MEDCARE PARTNERS HEALTH PLAN OF TEXAS, LLC3Tier 2Tier 2: 3
MEDCO CONTAINMENT LIFE & MEDCO CONTAINMENT NY & HEALTH CARE40Tier 3–4Tier 3: 35 · Tier 4: 5
MEDICA HEALTH PLANS23Tier 4Tier 4: 23
MEDICA INSURANCE COMPANY4Tier 4Tier 4: 4
MEDICAL MUTUAL OF OHIO16Tier 4Tier 4: 16
MEDISUN, INC.5Tier 2–4Tier 2: 2 · Tier 4: 3
MERCY CARE3Tier 1Tier 1: 3
MERIDIAN HEALTH PLAN OF ILLINOIS, INC.4Tier 1Tier 1: 4
MERIDIAN HEALTH PLAN OF MICHIGAN, INC.6Tier 1Tier 1: 6
METROPLUS HEALTH PLAN, INC.3Tier 1–4Tier 1: 2 · Tier 4: 1
MISSOURI CARE, INCORPORATED2Tier 4Tier 4: 2
MMM HEALTHCARE, LLC24Tier 2Tier 2: 24
MOLINA HEALTHCARE OF ARIZONA, INC.1Tier 4Tier 4: 1
MOLINA HEALTHCARE OF CALIFORNIA4Tier 4Tier 4: 4
MOLINA HEALTHCARE OF ILLINOIS, INC.1Tier 4Tier 4: 1
MOLINA HEALTHCARE OF IOWA, INC.2Tier 4Tier 4: 2
MOLINA HEALTHCARE OF KENTUCKY, INC.3Tier 4Tier 4: 3
MOLINA HEALTHCARE OF MICHIGAN, INC.3Tier 4Tier 4: 3
MOLINA HEALTHCARE OF NEBRASKA, INC.2Tier 4Tier 4: 2
MOLINA HEALTHCARE OF NEW MEXICO, INC.1Tier 4Tier 4: 1
MOLINA HEALTHCARE OF OHIO, INC.2Tier 4Tier 4: 2
MOLINA HEALTHCARE OF SOUTH CAROLINA,INC2Tier 4Tier 4: 2
MOLINA HEALTHCARE OF TEXAS, INC.7Tier 4Tier 4: 7
MOLINA HEALTHCARE OF UTAH, INC.3Tier 4Tier 4: 3
MOLINA HEALTHCARE OF WASHINGTON, INC.3Tier 4Tier 4: 3
MOUNT CARMEL HEALTH INSURANCE COMPANY1Tier 4Tier 4: 1
MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.2Tier 4Tier 4: 2
MOUNT CARMEL HEALTH PLAN, INC.9Tier 4Tier 4: 9
MULTICARE HEALTH PLAN2Tier 2Tier 2: 2
MVP HEALTH PLAN, INC.8Tier 4Tier 4: 8
Mass General Brigham Health Plan, Inc.3Tier 3Tier 3: 3
Molina Healthcare of Wisconsin, Inc.4Tier 4Tier 4: 4
NATIVE ADVANTAGE, INC.1Tier 2Tier 2: 1
NEBRASKA TOTAL CARE, INC.3Tier 1Tier 1: 3
NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND2Tier 4Tier 4: 2
NETWORK HEALTH INSURANCE CORPORATION7Tier 3Tier 3: 7
NEW CENTURY HEALTH PLAN, INC.2Tier 2Tier 2: 2
NEW YORK QUALITY HEALTHCARE CORPORATION7Tier 1Tier 1: 7
NHC ADVANTAGE, LLC2Tier 2Tier 2: 2
OH CHS SNP INC.4Tier 1–2Tier 1: 3 · Tier 2: 1
OKLAHOMA SUPERIOR SELECT, INC.1Tier 1Tier 1: 1
OPTIMUM HEALTHCARE, INC.13Tier 3Tier 3: 13
ORANGE COUNTY HEALTH AUTHORITY1Tier 1Tier 1: 1
OXFORD HEALTH PLANS (NJ), INC.5Tier 3Tier 3: 5
PACIFICSOURCE COMMUNITY HEALTH PLANS5Tier 4Tier 4: 5
PARTNERS INSURANCE COMPANY INC2Tier 4Tier 4: 2
PARTNERS INSURANCE COMPANY OF NEW JERSEY INC1Tier 4Tier 4: 1
PEAK HEALTH INSURANCE CORPORATION9Tier 2Tier 2: 9
PENNSYLVANIA HEALTH & WELLNESS, INC.3Tier 1Tier 1: 3
PEOPLES HEALTH, INC.18Tier 3Tier 3: 18
PERENNIAL ADVANTAGE OF COLORADO, INC.6Tier 1–2Tier 1: 2 · Tier 2: 4
PERENNIAL ADVANTAGE OF OHIO, INC.3Tier 1–2Tier 1: 1 · Tier 2: 2
PHYSICIANS HEALTH CHOICE OF TEXAS, LLC23Tier 3Tier 3: 23
PREFERRED CARE PARTNERS, INC.32Tier 3Tier 3: 32
PRESBYTERIAN HEALTH PLAN3Tier 2Tier 2: 3
PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE2Tier 1Tier 1: 2
PRIORITY HEALTH35Tier 4Tier 4: 35
PRIORITY HEALTH CHOICE, INC.5Tier 4Tier 4: 5
PROCARE ADVANTAGE, LLC3Tier 2Tier 2: 3
PROMINENCE HEALTHFIRST10Tier 4Tier 4: 10
PROMINENCE HEALTHFIRST OF FLORIDA INC6Tier 4Tier 4: 6
PROMINENCE HEALTHFIRST OF TEXAS13Tier 4Tier 4: 13
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 2Tier 2: 3
PRUITTHEALTH PREMIER, INC.3Tier 2Tier 2: 3
Preferred Care Network, Inc.3Tier 3Tier 3: 3
QCC INSURANCE COMPANY3Tier 2–4Tier 2: 1 · Tier 4: 2
QUARTZ HEALTH PLAN CORPORATION10Tier 4Tier 4: 10
QUARTZ HEALTH PLAN MN CORPORATION4Tier 4Tier 4: 4
RANGE HEALTH, INC.4Tier 4Tier 4: 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 2Tier 2: 1
SAN FRANCISCO HEALTH AUTHORITY DBA SAN FRANCISCO HEALTH PLAN1Tier 2Tier 2: 1
SAN JOAQUIN COUNTY HEALTH COMMISSION1Tier 2Tier 2: 1
SAN MATEO HEALTH COMMISSION1Tier 1Tier 1: 1
SANFORD HEALTH PLAN4Tier 4Tier 4: 4
SANFORD HEALTH PLAN OF MINNESOTA2Tier 4Tier 4: 2
SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTHORITY DBA1Tier 2Tier 2: 1
SANTA CLARA COUNTY HEALTH AUTHORITY1Tier 2Tier 2: 1
SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MANAGED MEDIC1Tier 2Tier 2: 1
SAPPHIRE EDGE, INC.3Tier 3Tier 3: 3
SCAN DESERT HEALTH PLAN, INC.8Tier 2Tier 2: 8
SCAN HEALTH PLAN66Tier 2Tier 2: 66
SCAN HEALTH PLAN (OR)2Tier 2Tier 2: 2
SCAN HEALTH PLAN (WA)1Tier 2Tier 2: 1
SCAN HEALTH PLAN NEVADA, INC.4Tier 2Tier 2: 4
SCAN HEALTH PLAN TEXAS, INC.4Tier 2Tier 2: 4
SCOTT AND WHITE HEALTH PLAN4Tier 3Tier 3: 4
SECUR INC4Tier 1–2Tier 1: 2 · Tier 2: 2
SECURITY HEALTH PLAN OF WISCONSIN, INC.4Tier 4Tier 4: 4
SELECT HEALTH OF SOUTH CAROLINA, INC.1Tier 4Tier 4: 1
SELECTCARE OF TEXAS, INC.1Tier 1Tier 1: 1
SELECTHEALTH, INC.10Tier 2Tier 2: 10
SENIOR WHOLE HEALTH OF NEW YORK, INC.2Tier 4Tier 4: 2
SENIOR WHOLE HEALTH, LLC3Tier 4Tier 4: 3
SENTARA HEALTH PLANS2Tier 2Tier 2: 2
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.81Tier 3Tier 3: 81
SIGNATURE ADVANTAGE, LLC2Tier 1Tier 1: 2
SILVERSCRIPT INSURANCE COMPANY35Tier 4Tier 4: 35
SIMPLY HEALTHCARE PLANS, INC.3Tier 2Tier 2: 3
SIMPRA ADVANTAGE, INC.3Tier 1–2Tier 1: 2 · Tier 2: 1
SOLIS HEALTH PLANS, INC.19Tier 3Tier 3: 19
SOUTH COUNTRY HEALTH ALLIANCE2Tier 4Tier 4: 2
SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.3Tier 2Tier 2: 3
ST. LUKE'S HEALTH PLAN, INC.3Tier 2Tier 2: 3
SUMMACARE INC.5Tier 3Tier 3: 5
SUNFLOWER STATE HEALTH PLAN, INC.3Tier 1Tier 1: 3
SUPERIOR HEALTHPLAN, INC.12Tier 1Tier 1: 12
Sunshine State Health Plan, Inc.20Tier 1Tier 1: 20
TEXAS INDEPENDENCE HEALTH PLAN, INC.2Tier 1Tier 1: 2
THE HEALTH PLAN OF WEST VIRGINIA, INC.3Tier 4Tier 4: 3
THP INSURANCE COMPANY3Tier 4Tier 4: 3
TRILLIUM COMMUNITY HEALTH PLAN, INC.1Tier 1Tier 1: 1
TRINITY HEALTH PLAN OF MICHIGAN INC3Tier 4Tier 4: 3
TRIPLE S ADVANTAGE, INC.17Tier 1–2Tier 1: 9 · Tier 2: 8
TROY HEALTH, INC.2Tier 2Tier 2: 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 4Tier 4: 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 3–4Tier 3: 39 · Tier 4: 34
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 2Tier 2: 4
UPMC HEALTH COVERAGE, INC.1Tier 2Tier 2: 1
UPMC HEALTH NETWORK, INC.8Tier 2Tier 2: 8
UPMC HEALTH PLAN, INC.17Tier 2Tier 2: 17
UPPER PENINSULA HEALTH PLAN, LLC1Tier 4Tier 4: 1
USABLE HMO, INC.2Tier 4Tier 4: 2
USABLE MUTUAL INSURANCE COMPANY3Tier 4Tier 4: 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 2Tier 2: 2
VERDA HEALTH PLAN OF TEXAS INC4Tier 2Tier 2: 4
VILLAGE SENIOR SERVICES CORPORATION3Tier 2Tier 2: 3
VISTA HEALTH PLAN, INC.2Tier 4Tier 4: 2
VIVA HEALTH, INC.8Tier 1–4Tier 1: 2 · Tier 4: 6
VNA HOMECARE OPTIONS, LLC3Tier 1Tier 1: 3
VNS CHOICE3Tier 1–2Tier 1: 2 · Tier 2: 1
VOLUNTEER STATE HEALTH PLAN3Tier 2Tier 2: 3
Ventura County Medi-Cal Managed Care Commission1Tier 3Tier 3: 1
WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC7Tier 1Tier 1: 7
WELLCARE HEALTH INSURANCE OF ARIZONA, INC.10Tier 1Tier 1: 10
WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.4Tier 1Tier 1: 4
WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.3Tier 1Tier 1: 3
WELLCARE HEALTH PLANS OF NEW JERSEY, INC.3Tier 1Tier 1: 3
WELLCARE OF CALIFORNIA, INC.2Tier 1Tier 1: 2
WELLCARE OF CONNECTICUT, INC.3Tier 1Tier 1: 3
WELLCARE OF GEORGIA, INC.13Tier 1Tier 1: 13
WELLCARE OF IOWA, INC.4Tier 1Tier 1: 4
WELLCARE OF MAINE, INC.2Tier 1Tier 1: 2
WELLCARE OF MISSISSIPPI, INC.2Tier 1Tier 1: 2
WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC2Tier 1Tier 1: 2
WELLCARE OF SOUTH CAROLINA, INC.5Tier 1Tier 1: 5
WELLCARE OF TEXAS, INC.12Tier 1Tier 1: 12
WELLCARE PRESCRIPTION INSURANCE, INC.68Tier 3Tier 3: 68
WELLMARK IA & SD, & BCBS MN, MT, NE, ND,& WY1Tier 2Tier 2: 1
WELLPOINT HEALTH PLANS, INC.6Tier 4Tier 4: 6
WELLPOINT INSURANCE COMPANY33Tier 4Tier 4: 33
WELLPOINT IOWA, INC.1Tier 4Tier 4: 1
WELLPOINT NEW JERSEY, INC.3Tier 4Tier 4: 3
WELLPOINT TENNESSEE, INC.9Tier 4Tier 4: 9
WELLPOINT TEXAS, INC.8Tier 4Tier 4: 8
WELLPOINT WEST VIRGINIA , INC.3Tier 4Tier 4: 3
WEST VIRGINIA SENIOR ADVANTAGE, INC.1Tier 1Tier 1: 1
WYOBLUE ADVANTAGE INC2Tier 4Tier 4: 2
ZING HEALTH OF MICHIGAN, INC.36Tier 2–4Tier 2: 30 · Tier 4: 6

Plan-level detail

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

Showing 100 of 5,495 matching plans

Plan nameOrganizationContract / plan / segmentTier
Wellcare Absolute Total Care Dual Align (HMO D-SNP)ABSOLUTE TOTAL CARE, INC.H5272 / 001 / 000Tier 1
Aetna Medicare Chronic Care (HMO-POS C-SNP)AETNA BETTER HEALTH INC. (CT)H6303 / 001 / 000Tier 4
Aetna Medicare Enhanced (HMO-POS)AETNA BETTER HEALTH INC. (CT)H6303 / 002 / 000Tier 4
Aetna Medicare Full Dual Extra (HMO-POS D-SNP)AETNA BETTER HEALTH INC. (CT)H6303 / 004 / 000Tier 4
Aetna Medicare QMB Only Extra (HMO-POS D-SNP)AETNA BETTER HEALTH INC. (CT)H6303 / 005 / 000Tier 4
Aetna Medicare Chronic Care (HMO C-SNP)AETNA BETTER HEALTH INC. (GA)H3146 / 037 / 000Tier 4
Aetna Medicare Chronic Care (HMO C-SNP)AETNA BETTER HEALTH INC. (GA)H3146 / 038 / 000Tier 4
Aetna Medicare Chronic Care (HMO C-SNP)AETNA BETTER HEALTH INC. (GA)H3146 / 053 / 000Tier 4
Aetna Medicare Chronic Care Total (HMO C-SNP)AETNA BETTER HEALTH INC. (GA)H3146 / 036 / 000Tier 4
Aetna Medicare Chronic Care Value (HMO C-SNP)AETNA BETTER HEALTH INC. (GA)H3146 / 044 / 000Tier 4
Aetna Medicare Enhanced (HMO)AETNA BETTER HEALTH INC. (GA)H3146 / 039 / 000Tier 4
Aetna Medicare Enhanced (HMO)AETNA BETTER HEALTH INC. (GA)H3146 / 040 / 000Tier 4
Aetna Medicare Enhanced (HMO)AETNA BETTER HEALTH INC. (GA)H3146 / 047 / 000Tier 4
Aetna Medicare Enhanced (HMO)AETNA BETTER HEALTH INC. (GA)H3146 / 058 / 000Tier 4
Aetna Medicare Enhanced (HMO)AETNA BETTER HEALTH INC. (GA)H3146 / 059 / 000Tier 4
Aetna Medicare Full Dual (HMO D-SNP)AETNA BETTER HEALTH INC. (GA)H3146 / 002 / 000Tier 4
Aetna Medicare Full Dual (HMO D-SNP)AETNA BETTER HEALTH INC. (GA)H3146 / 016 / 000Tier 4
Aetna Medicare Full Dual Care (HMO D-SNP)AETNA BETTER HEALTH INC. (GA)H3146 / 022 / 000Tier 4
Aetna Medicare Full Dual Care (HMO D-SNP)AETNA BETTER HEALTH INC. (GA)H3146 / 023 / 000Tier 4
Aetna Medicare Prime (HMO)AETNA BETTER HEALTH INC. (GA)H3146 / 007 / 000Tier 4
Aetna Medicare Signature (HMO)AETNA BETTER HEALTH INC. (GA)H3146 / 001 / 000Tier 4
Aetna Medicare Signature (HMO)AETNA BETTER HEALTH INC. (GA)H3146 / 004 / 000Tier 4
Aetna Medicare Signature (HMO)AETNA BETTER HEALTH INC. (GA)H3146 / 014 / 000Tier 4
Aetna Medicare Signature (HMO)AETNA BETTER HEALTH INC. (GA)H3146 / 048 / 000Tier 4
Aetna Medicare Signature (HMO)AETNA BETTER HEALTH INC. (GA)H3146 / 049 / 000Tier 4
Aetna Medicare Signature (HMO)AETNA BETTER HEALTH INC. (GA)H3146 / 051 / 000Tier 4
Aetna Medicare Signature (HMO)AETNA BETTER HEALTH INC. (GA)H3146 / 052 / 000Tier 4
Aetna Medicare Signature (HMO)AETNA BETTER HEALTH INC. (GA)H3146 / 060 / 000Tier 4
Aetna Medicare Signature Extra (HMO)AETNA BETTER HEALTH INC. (GA)H3146 / 050 / 000Tier 4
Aetna Medicare Value Plus (HMO)AETNA BETTER HEALTH INC. (GA)H3146 / 006 / 000Tier 4
Aetna Medicare Value Plus (HMO)AETNA BETTER HEALTH INC. (GA)H3146 / 011 / 000Tier 4
Aetna Medicare Value Plus (HMO)AETNA BETTER HEALTH INC. (GA)H3146 / 012 / 000Tier 4
Aetna Medicare FIDE (HMO D-SNP)AETNA BETTER HEALTH INC. (NJ)H6399 / 001 / 000Tier 4
Aetna Medicare Prime Extra (HMO)AETNA BETTER HEALTH OF CALIFORNIA INC.H4982 / 025 / 000Tier 4
Aetna Medicare Prime Extra (HMO)AETNA BETTER HEALTH OF CALIFORNIA INC.H4982 / 026 / 000Tier 4
Aetna Medicare Prime Value Plus (HMO)AETNA BETTER HEALTH OF CALIFORNIA INC.H4982 / 022 / 000Tier 4
Aetna Medicare Signature (HMO)AETNA BETTER HEALTH OF CALIFORNIA INC.H4982 / 001 / 000Tier 4
Aetna Medicare Signature (HMO)AETNA BETTER HEALTH OF CALIFORNIA INC.H4982 / 002 / 000Tier 4
Aetna Medicare Signature (HMO)AETNA BETTER HEALTH OF CALIFORNIA INC.H4982 / 003 / 000Tier 4
Aetna Medicare Signature (HMO)AETNA BETTER HEALTH OF CALIFORNIA INC.H4982 / 007 / 000Tier 4
Aetna Medicare Signature Extra (HMO)AETNA BETTER HEALTH OF CALIFORNIA INC.H4982 / 030 / 000Tier 4
Aetna Medicare Elite (HMO)AETNA BETTER HEALTH OF MICHIGAN INC.H2056 / 003 / 000Tier 4
Aetna Medicare Elite (HMO)AETNA BETTER HEALTH OF MICHIGAN INC.H2056 / 005 / 000Tier 4
Aetna Medicare HIDE (HMO D-SNP)AETNA BETTER HEALTH OF MICHIGAN INC.H9314 / 001 / 000Tier 4
Aetna Medicare Signature (HMO)AETNA BETTER HEALTH OF OKLAHOMA INC.H4835 / 002 / 000Tier 4
Aetna Medicare Full Dual Care (HMO D-SNP)AETNA BETTER HEALTH OF TEXAS INC.H8597 / 001 / 000Tier 4
Aetna Medicare Full Dual Care (HMO D-SNP)AETNA BETTER HEALTH OF TEXAS INC.H8597 / 002 / 000Tier 4
Aetna Medicare Full Dual Care (HMO D-SNP)AETNA BETTER HEALTH OF TEXAS INC.H8597 / 003 / 000Tier 4
Aetna Medicare QMB Only Care (HMO D-SNP)AETNA BETTER HEALTH OF TEXAS INC.H8597 / 004 / 000Tier 4
Aetna Medicare QMB Only Care (HMO D-SNP)AETNA BETTER HEALTH OF TEXAS INC.H8597 / 005 / 000Tier 4
Aetna Medicare QMB Only Care (HMO D-SNP)AETNA BETTER HEALTH OF TEXAS INC.H8597 / 006 / 000Tier 4
Aetna Medicare Chronic Care (HMO C-SNP)AETNA BETTER HEALTH OF WASHINGTON, INC.H3748 / 020 / 000Tier 4
Aetna Medicare Signature (HMO)AETNA BETTER HEALTH OF WASHINGTON, INC.H3748 / 003 / 000Tier 4
Aetna Medicare FIDE (HMO D-SNP)AETNA BETTER HEALTH PREMIER PLAN MMAI INC.H9771 / 001 / 000Tier 4
Aetna Medicare Chronic Care (HMO C-SNP)AETNA BETTER HEALTH, INC. (LA)H3239 / 030 / 000Tier 4
Aetna Medicare Dual Care (HMO D-SNP)AETNA BETTER HEALTH, INC. (LA)H3239 / 010 / 000Tier 4
Aetna Medicare Dual Care (HMO D-SNP)AETNA BETTER HEALTH, INC. (LA)H3239 / 012 / 000Tier 4
Aetna Medicare Dual Extra (HMO D-SNP)AETNA BETTER HEALTH, INC. (LA)H3239 / 005 / 000Tier 4
Aetna Medicare Dual Extra Care (HMO D-SNP)AETNA BETTER HEALTH, INC. (LA)H3239 / 002 / 000Tier 4
Aetna Medicare Dual Extra Care (HMO D-SNP)AETNA BETTER HEALTH, INC. (LA)H3239 / 015 / 000Tier 4
Aetna Medicare Full Dual Care (HMO D-SNP)AETNA BETTER HEALTH, INC. (LA)H3239 / 026 / 000Tier 4
Aetna Medicare Full Dual Care (HMO D-SNP)AETNA BETTER HEALTH, INC. (LA)H3239 / 027 / 000Tier 4
Aetna Medicare Full Dual Care (HMO D-SNP)AETNA BETTER HEALTH, INC. (LA)H3239 / 028 / 000Tier 4
Aetna Medicare Partial Dual Care (HMO D-SNP)AETNA BETTER HEALTH, INC. (LA)H3239 / 023 / 000Tier 4
Aetna Medicare QMB Only Care (HMO D-SNP)AETNA BETTER HEALTH, INC. (LA)H3239 / 001 / 000Tier 4
Aetna Medicare Signature (HMO)AETNA BETTER HEALTH, INC. (LA)H3239 / 014 / 000Tier 4
Aetna Medicare Signature Care (HMO)AETNA BETTER HEALTH, INC. (LA)H3239 / 017 / 000Tier 4
Aetna Medicare Signature Care (HMO)AETNA BETTER HEALTH, INC. (LA)H3239 / 020 / 000Tier 4
Aetna Medicare Signature Care (HMO)AETNA BETTER HEALTH, INC. (LA)H3239 / 022 / 000Tier 4
Aetna Medicare Signature Extra Care (HMO)AETNA BETTER HEALTH, INC. (LA)H3239 / 031 / 000Tier 4
Aetna Medicare Dual Care (PPO D-SNP)AETNA HEALTH AND LIFE INSURANCE COMPANYH3288 / 053 / 000Tier 4
Aetna Medicare Elite (PPO)AETNA HEALTH AND LIFE INSURANCE COMPANYH3288 / 027 / 000Tier 4
Aetna Medicare Enhanced (PPO)AETNA HEALTH AND LIFE INSURANCE COMPANYH3288 / 007 / 000Tier 4
Aetna Medicare Enhanced (PPO)AETNA HEALTH AND LIFE INSURANCE COMPANYH3288 / 009 / 000Tier 4
Aetna Medicare Enhanced (PPO)AETNA HEALTH AND LIFE INSURANCE COMPANYH3288 / 042 / 000Tier 4
Aetna Medicare Enhanced (PPO)AETNA HEALTH AND LIFE INSURANCE COMPANYH3288 / 047 / 000Tier 4
Aetna Medicare Signature (PPO)AETNA HEALTH AND LIFE INSURANCE COMPANYH3288 / 005 / 000Tier 4
Aetna Medicare Signature (PPO)AETNA HEALTH AND LIFE INSURANCE COMPANYH3288 / 008 / 000Tier 4
Aetna Medicare Signature (PPO)AETNA HEALTH AND LIFE INSURANCE COMPANYH3288 / 011 / 000Tier 4
Aetna Medicare Signature (PPO)AETNA HEALTH AND LIFE INSURANCE COMPANYH3288 / 020 / 000Tier 4
Aetna Medicare Signature (PPO)AETNA HEALTH AND LIFE INSURANCE COMPANYH3288 / 046 / 000Tier 4
Aetna Medicare Signature Extra (PPO)AETNA HEALTH AND LIFE INSURANCE COMPANYH3288 / 006 / 000Tier 4
Aetna Medicare Value Plus (PPO)AETNA HEALTH AND LIFE INSURANCE COMPANYH3288 / 001 / 000Tier 4
Aetna Medicare Value Plus (PPO)AETNA HEALTH AND LIFE INSURANCE COMPANYH3288 / 002 / 000Tier 4
Aetna Medicare Value Plus (PPO)AETNA HEALTH AND LIFE INSURANCE COMPANYH3288 / 003 / 000Tier 4
Aetna Medicare Value Plus (PPO)AETNA HEALTH AND LIFE INSURANCE COMPANYH3288 / 004 / 000Tier 4
Aetna Medicare Value Plus (PPO)AETNA HEALTH AND LIFE INSURANCE COMPANYH3288 / 017 / 000Tier 4
Aetna Medicare Value Plus (PPO)AETNA HEALTH AND LIFE INSURANCE COMPANYH3288 / 018 / 000Tier 4
Aetna Medicare Value Plus (PPO)AETNA HEALTH AND LIFE INSURANCE COMPANYH3288 / 019 / 000Tier 4
Aetna Medicare Value Plus (PPO)AETNA HEALTH AND LIFE INSURANCE COMPANYH3288 / 048 / 000Tier 4
Aetna Medicare Full Dual (HMO-POS D-SNP)AETNA HEALTH INC. (CT)H5793 / 017 / 000Tier 4
Aetna Medicare Prime Care (HMO-POS)AETNA HEALTH INC. (CT)H5793 / 019 / 000Tier 4
Aetna Medicare QMB Only (HMO-POS D-SNP)AETNA HEALTH INC. (CT)H5793 / 020 / 000Tier 4
Aetna Medicare Signature (HMO-POS)AETNA HEALTH INC. (CT)H5793 / 001 / 000Tier 4
Aetna Medicare Signature (HMO-POS)AETNA HEALTH INC. (CT)H5793 / 014 / 000Tier 4
Aetna Medicare Signature (HMO-POS)AETNA HEALTH INC. (CT)H5793 / 018 / 000Tier 4
Aetna Medicare Chronic Care (HMO C-SNP)AETNA HEALTH INC. (FL)H1609 / 080 / 000Tier 4
Aetna Medicare Chronic Care (HMO C-SNP)AETNA HEALTH INC. (FL)H1609 / 081 / 000Tier 4
Aetna Medicare Chronic Care (HMO C-SNP)AETNA HEALTH INC. (FL)H1609 / 082 / 000Tier 4
Aetna Medicare Chronic Care (HMO C-SNP)AETNA HEALTH INC. (FL)H1609 / 084 / 000Tier 4

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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