| Samaritan Dual Advantage (HMO D-SNP)H3811-003-0 | Samaritan Advantage Health Plans | HMO D-SNP |
| SCAN Allied (HMO)H5425-118-0 | SCAN Health Plan | HMO |
| SCAN Allied (HMO)H5425-123-0 | SCAN Health Plan | HMO |
| SCAN Alta (HMO)H5425-082-0 | SCAN Health Plan | HMO |
| SCAN Ansim Care (HMO C-SNP)H5425-156-0 | SCAN Health Plan | HMO C-SNP |
| SCAN Baekse (HMO)H5425-155-0 | SCAN Health Plan | HMO |
| SCAN Balance (HMO C-SNP)H0978-002-0 | SCAN Health Plan | HMO C-SNP |
| SCAN Balance (HMO C-SNP)H1822-002-0 | SCAN Health Plan | HMO C-SNP |
| SCAN Balance (HMO C-SNP)H5425-034-0 | SCAN Health Plan | HMO C-SNP |
| SCAN Balance (HMO C-SNP)H5425-070-0 | SCAN Health Plan | HMO C-SNP |
| SCAN Balance (HMO C-SNP)H5425-076-0 | SCAN Health Plan | HMO C-SNP |
| SCAN Balance (HMO C-SNP)H5425-102-0 | SCAN Health Plan | HMO C-SNP |
| SCAN Balance (HMO C-SNP)H5425-104-0 | SCAN Health Plan | HMO C-SNP |
| SCAN Balance (HMO C-SNP)H5425-105-0 | SCAN Health Plan | HMO C-SNP |
| SCAN Balance (HMO C-SNP)H5425-106-0 | SCAN Health Plan | HMO C-SNP |
| SCAN Balance (HMO C-SNP)H5425-129-0 | SCAN Health Plan | HMO C-SNP |
| SCAN Balance (HMO C-SNP)H5425-150-0 | SCAN Health Plan | HMO C-SNP |
| SCAN Balance (HMO C-SNP)H5425-151-0 | SCAN Health Plan | HMO C-SNP |
| SCAN Balance Texas (HMO C-SNP)H8902-002-0 | SCAN Health Plan | HMO C-SNP |
| SCAN Classic (HMO)H0978-001-0 | SCAN Health Plan | HMO |
| SCAN Classic (HMO)H1822-001-0 | SCAN Health Plan | HMO |
| SCAN Classic (HMO)H5425-001-0 | SCAN Health Plan | HMO |
| SCAN Classic (HMO)H5425-005-0 | SCAN Health Plan | HMO |
| SCAN Classic (HMO)H5425-006-0 | SCAN Health Plan | HMO |
| SCAN Classic (HMO)H5425-007-0 | SCAN Health Plan | HMO |
| SCAN Classic (HMO)H5425-008-0 | SCAN Health Plan | HMO |
| SCAN Classic (HMO)H5425-009-0 | SCAN Health Plan | HMO |
| SCAN Classic (HMO)H5425-019-0 | SCAN Health Plan | HMO |
| SCAN Classic (HMO)H5425-069-0 | SCAN Health Plan | HMO |
| SCAN Classic (HMO)H5425-075-0 | SCAN Health Plan | HMO |
| SCAN Classic (HMO)H5425-101-0 | SCAN Health Plan | HMO |
| SCAN Classic (HMO)H5425-128-0 | SCAN Health Plan | HMO |
| SCAN Classic (HMO)H5425-153-0 | SCAN Health Plan | HMO |
| SCAN Classic Texas (HMO)H8902-010-0 | SCAN Health Plan | HMO |
| SCAN Classic WA (HMO)H4026-001-0 | SCAN Health Plan | HMO |
| SCAN Connections (HMO D-SNP)H0976-001-0 | SCAN Health Plan | HMO D-SNP |
| SCAN Connections at Home (HMO D-SNP)H0976-002-0 | SCAN Health Plan | HMO D-SNP |
| SCAN Costco Medicare Advantage (HMO)H0978-012-0 | SCAN Health Plan | HMO |
| SCAN Costco Medicare Advantage (HMO)H5425-136-0 | SCAN Health Plan | HMO |
| SCAN Costco Medicare Advantage (HMO)H5425-137-0 | SCAN Health Plan | HMO |
| SCAN Costco Medicare Advantage (HMO)H5425-138-0 | SCAN Health Plan | HMO |
| SCAN Costco Medicare Advantage (HMO)H5425-139-0 | SCAN Health Plan | HMO |
| SCAN Costco Medicare Advantage (HMO)H5425-140-0 | SCAN Health Plan | HMO |
| SCAN Costco Medicare Advantage (HMO)H5425-141-0 | SCAN Health Plan | HMO |
| SCAN Costco Medicare Advantage (HMO)H5425-142-0 | SCAN Health Plan | HMO |
| SCAN Costco Medicare Advantage (HMO)H5425-143-0 | SCAN Health Plan | HMO |
| SCAN Costco Medicare Advantage (HMO)H5425-144-0 | SCAN Health Plan | HMO |
| SCAN Costco Medicare Advantage (HMO)H5425-145-0 | SCAN Health Plan | HMO |
| SCAN Costco Medicare Advantage (HMO)H5425-146-0 | SCAN Health Plan | HMO |
| SCAN DaVita Dialysis Care (HMO-POS C-SNP)H5943-005-0 | VillageHealth | HMO-POS C-SNP |
| SCAN DaVita Dialysis Care Complete (HMO-POS C-SNP)H1822-011-0 | SCAN Health Plan | HMO-POS C-SNP |
| SCAN DaVita Dialysis Care Complete (HMO-POS C-SNP)H5943-003-0 | VillageHealth | HMO-POS C-SNP |
| SCAN Desert Choice (HMO)H5425-135-0 | SCAN Health Plan | HMO |
| SCAN Embrace (HMO I-SNP)H5425-086-0 | SCAN Health Plan | HMO I-SNP |
| SCAN Embrace (HMO I-SNP)H5425-087-0 | SCAN Health Plan | HMO I-SNP |
| SCAN Embrace (HMO-POS I-SNP)H1822-005-0 | SCAN Health Plan | HMO-POS I-SNP |
| SCAN Embrace (HMO-POS I-SNP)H5425-091-0 | SCAN Health Plan | HMO-POS I-SNP |
| SCAN Embrace Together (HMO I-SNP)H5425-131-0 | SCAN Health Plan | HMO I-SNP |
| SCAN Embrace Together (HMO-POS I-SNP)H1822-008-0 | SCAN Health Plan | HMO-POS I-SNP |
| SCAN Embrace Together (HMO-POS I-SNP)H5425-132-0 | SCAN Health Plan | HMO-POS I-SNP |
| SCAN Essential Savings (HMO)H5425-133-0 | SCAN Health Plan | HMO |
| SCAN Inclusive (HMO)H5425-149-0 | SCAN Health Plan | HMO |
| SCAN Inclusive (HMO)H5425-158-0 | SCAN Health Plan | HMO |
| SCAN Inspired by women for women (HMO)H5425-100-0 | SCAN Health Plan | HMO |
| SCAN MyChoice (HMO)H1822-007-0 | SCAN Health Plan | HMO |
| SCAN Prime (HMO)H5425-065-0 | SCAN Health Plan | HMO |
| SCAN Select (HMO)H5425-134-0 | SCAN Health Plan | HMO |
| SCAN Select (HMO)H5425-159-0 | SCAN Health Plan | HMO |
| SCAN Strive (HMO C-SNP)H0978-010-0 | SCAN Health Plan | HMO C-SNP |
| SCAN Strive (HMO C-SNP)H5425-097-0 | SCAN Health Plan | HMO C-SNP |
| SCAN Strive (HMO C-SNP)H5425-098-0 | SCAN Health Plan | HMO C-SNP |
| SCAN Venture (HMO)H5425-084-0 | SCAN Health Plan | HMO |
| SCAN Venture (HMO)H5425-085-0 | SCAN Health Plan | HMO |
| SCAN Walmart Health Advantage (HMO)H8902-012-0 | SCAN Health Plan | HMO |
| SCAN Walmart Medicare Advantage (HMO)H1822-009-0 | SCAN Health Plan | HMO |
| SCAN Walmart Medicare Complete (HMO C-SNP)H1822-010-0 | SCAN Health Plan | HMO C-SNP |
| SCAN Walmart Medicare Complete (HMO C-SNP)H8902-013-0 | SCAN Health Plan | HMO C-SNP |
| SECUR Advantage (HMO I-SNP)H3048-001-0 | SECUR Health Plan | HMO I-SNP |
| SECUR CarePath (HMO C-SNP)H3048-004-0 | SECUR Health Plan | HMO C-SNP |
| SECUR Edge (HMO I-SNP)H3048-003-0 | SECUR Health Plan | HMO I-SNP |
| SECUR Enhanced (HMO I-SNP)H3048-002-0 | SECUR Health Plan | HMO I-SNP |
| Secure Blue Courage (PPO)H1302-004-0 | Blue Cross of Idaho | PPO |
| SecureBlue (HMO D-SNP)H2425-001-0 | Blue Plus | HMO D-SNP |
| Security Blue HMO-POS Basic (HMO-POS)H3957-043-1 | Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO-POS |
| Security Blue HMO-POS Basic (HMO-POS)H3957-043-2 | Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO-POS |
| Security Blue HMO-POS Deluxe (HMO-POS)H3957-046-1 | Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO-POS |
| Security Blue HMO-POS Deluxe (HMO-POS)H3957-046-2 | Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO-POS |
| Security Blue HMO-POS Standard (HMO-POS)H3957-045-1 | Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO-POS |
| Security Blue HMO-POS Standard (HMO-POS)H3957-045-2 | Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO-POS |
| Security Blue HMO-POS ValueRx (HMO-POS)H3957-031-0 | Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO-POS |
| Security Blue HMO-POS ValueRx (HMO-POS)H3957-044-1 | Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO-POS |
| Security Blue HMO-POS ValueRx (HMO-POS)H3957-044-4 | Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO-POS |
| Select Health Medicare Dual (HMO D-SNP)H1994-015-0 | Select Health | HMO D-SNP |
| Select Health Medicare Essential (HMO)H1994-001-0 | Select Health | HMO |
| Select Health Medicare Essential (HMO)H1994-012-0 | Select Health | HMO |
| Select Health Medicare Essential (HMO)H1994-017-0 | Select Health | HMO |
| Select Health Medicare Essential (HMO)H1994-027-0 | Select Health | HMO |
| Select Health Medicare Essential (HMO)H1994-029-0 | Select Health | HMO |
| Select Health Medicare Essential (HMO)H1994-045-0 | Select Health | HMO |
| Select Health Medicare Essential (HMO)H1994-047-0 | Select Health | HMO |
| Select Health Medicare Value Giveback (HMO)H1994-021-0 | Select Health | HMO |
| Select Health Medicare Veterans (HMO)H1994-016-0 | Select Health | HMO |
| Select Health Medicare Veterans (HMO)H1994-033-0 | Select Health | HMO |
| Select Health Medicare Veterans (HMO)H1994-046-0 | Select Health | HMO |
| Select Health Medicare Wellness (HMO)H1994-044-0 | Select Health | HMO |
| Senior Blue 601 (HMO)H3384-022-0 | Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO |
| Senior Blue 652 (HMO)H3384-013-0 | Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO |
| Senior Care (HMO I-SNP)H2185-001-0 | Lifeworks Advantage | HMO I-SNP |
| Senior Care (HMO I-SNP)H3274-001-0 | Align Senior Care | HMO I-SNP |
| Senior Care (HMO I-SNP)H4127-001-0 | Align Senior Care | HMO I-SNP |
| Senior Care (HMO I-SNP)H4172-003-0 | NHC Advantage | HMO I-SNP |
| Senior Care (HMO I-SNP)H6832-001-0 | Align Senior Care | HMO I-SNP |
| Senior Care (HMO I-SNP)H9917-006-0 | Align Senior Care | HMO I-SNP |
| Senior Health Plan Oklahoma Dual Complete (HMO D-SNP)H3755-006-0 | CommunityCare Senior Health Plan (HMO) | HMO D-SNP |
| Senior Health Plan Platinum (HMO)H3755-001-0 | CommunityCare Senior Health Plan (HMO) | HMO |
| Senior Health Plan Platinum Plus (HMO)H3755-004-0 | CommunityCare Senior Health Plan (HMO) | HMO |
| Senior Health Plan Silver (HMO)H3755-002-0 | CommunityCare Senior Health Plan (HMO) | HMO |
| Senior Health Plan Silver Plus (HMO)H3755-005-0 | CommunityCare Senior Health Plan (HMO) | HMO |
| Senior Health Plan Silver Savings (HMO)H3755-007-0 | CommunityCare Senior Health Plan (HMO) | HMO |
| Senior Whole Health Medicare Complete Care (HMO D-SNP)H5992-010-0 | Senior Whole Health of New York | HMO D-SNP |
| Senior Whole Health of New York NHC (HMO D-SNP)H5992-007-0 | Senior Whole Health of New York | HMO D-SNP |
| Senior Whole Health SCO (HMO D-SNP)H2224-001-0 | Molina Healthcare of Massachusetts | HMO D-SNP |
| Senior Whole Health SCO NHC (HMO D-SNP)H2224-003-0 | Molina Healthcare of Massachusetts | HMO D-SNP |
| SeniorCare Complete (HMO D-SNP)H2419-001-0 | South Country Health Alliance | HMO D-SNP |
| Sentara Community Complete (HMO D-SNP)H4499-001-0 | Sentara Medicare | HMO D-SNP |
| Sentara Community Complete Select (HMO D-SNP)H2563-020-0 | Sentara Medicare | HMO D-SNP |
| SFHP Care Plus (HMO D-SNP)H8051-001-0 | San Francisco Health Plan | HMO D-SNP |
| SilverScript Choice (PDP)S5601-006-0 | Aetna Medicare | Part D only |
| SilverScript Choice (PDP)S5601-008-0 | Aetna Medicare | Part D only |
| SilverScript Choice (PDP)S5601-010-0 | Aetna Medicare | Part D only |
| SilverScript Choice (PDP)S5601-014-0 | Aetna Medicare | Part D only |
| SilverScript Choice (PDP)S5601-016-0 | Aetna Medicare | Part D only |
| SilverScript Choice (PDP)S5601-020-0 | Aetna Medicare | Part D only |
| SilverScript Choice (PDP)S5601-022-0 | Aetna Medicare | Part D only |
| SilverScript Choice (PDP)S5601-024-0 | Aetna Medicare | Part D only |
| SilverScript Choice (PDP)S5601-026-0 | Aetna Medicare | Part D only |
| SilverScript Choice (PDP)S5601-028-0 | Aetna Medicare | Part D only |
| SilverScript Choice (PDP)S5601-034-0 | Aetna Medicare | Part D only |
| SilverScript Choice (PDP)S5601-036-0 | Aetna Medicare | Part D only |
| SilverScript Choice (PDP)S5601-038-0 | Aetna Medicare | Part D only |
| SilverScript Choice (PDP)S5601-040-0 | Aetna Medicare | Part D only |
| SilverScript Choice (PDP)S5601-044-0 | Aetna Medicare | Part D only |
| SilverScript Choice (PDP)S5601-048-0 | Aetna Medicare | Part D only |
| SilverScript Choice (PDP)S5601-052-0 | Aetna Medicare | Part D only |
| SilverScript Choice (PDP)S5601-056-0 | Aetna Medicare | Part D only |
| SilverScript Choice (PDP)S5601-058-0 | Aetna Medicare | Part D only |
| SilverScript Choice (PDP)S5601-068-0 | Aetna Medicare | Part D only |
| Simply Complete Platinum (HMO D-SNP)H5471-118-0 | Simply Healthcare Plans, Inc. | HMO D-SNP |
| Simply Complete Platinum (HMO D-SNP)H5471-125-0 | Simply Healthcare Plans, Inc. | HMO D-SNP |
| Simply Integrated Platinum (HMO D-SNP)H5471-135-0 | Simply Healthcare Plans, Inc. | HMO D-SNP |
| Simpra Advantage Assist (PPO I-SNP)H4091-003-0 | Simpra Advantage | PPO I-SNP |
| Simpra Advantage Dual Care (PPO D-SNP)H4091-002-0 | Simpra Advantage | PPO D-SNP |
| Simpra Advantage Nursing Home Plan (PPO I-SNP)H4091-001-0 | Simpra Advantage | PPO I-SNP |
| Solis Balanced Plan (HMO C-SNP)H0982-027-0 | Solis Health Plans | HMO C-SNP |
| Solis Balanced Plan (HMO C-SNP)H0982-034-0 | Solis Health Plans | HMO C-SNP |
| Solis Guardian Plan (HMO D-SNP)H0982-002-0 | Solis Health Plans | HMO D-SNP |
| Solis Guardian Plan (HMO D-SNP)H0982-010-0 | Solis Health Plans | HMO D-SNP |
| Solis Guardian Plan (HMO D-SNP)H0982-012-0 | Solis Health Plans | HMO D-SNP |
| Solis Guardian Plan (HMO D-SNP)H0982-013-0 | Solis Health Plans | HMO D-SNP |
| Solis Guardian Plan (HMO D-SNP)H0982-025-0 | Solis Health Plans | HMO D-SNP |
| Solis Healthy Living Plan (HMO)H0982-007-0 | Solis Health Plans | HMO |
| Solis Healthy Living Plan (HMO)H0982-008-0 | Solis Health Plans | HMO |
| Solis Healthy Living Plan (HMO)H0982-009-0 | Solis Health Plans | HMO |
| Solis Healthy Living Plan (HMO)H0982-022-0 | Solis Health Plans | HMO |
| Solis Healthy Living Plan (HMO)H0982-024-0 | Solis Health Plans | HMO |
| Solis Wellness Giveback Plan (HMO C-SNP)H0982-028-0 | Solis Health Plans | HMO C-SNP |
| Solis Wellness Giveback Plan (HMO C-SNP)H0982-030-0 | Solis Health Plans | HMO C-SNP |
| Solis Wellness Giveback Plan (HMO C-SNP)H0982-031-0 | Solis Health Plans | HMO C-SNP |
| Solis Wellness Giveback Plan (HMO C-SNP)H0982-033-0 | Solis Health Plans | HMO C-SNP |
| Solis Wellness Plan (HMO C-SNP)H0982-016-0 | Solis Health Plans | HMO C-SNP |
| Solis Wellness Plan (HMO C-SNP)H0982-017-0 | Solis Health Plans | HMO C-SNP |
| Solis Wellness Plan (HMO C-SNP)H0982-026-0 | Solis Health Plans | HMO C-SNP |
| Springs Advantage, a SCAN Medicare Plan (HMO-POS I-SNP)H3879-001-0 | SCAN Health Plan | HMO-POS I-SNP |
| Springs Together, a SCAN Medicare Plan (HMO-POS I-SNP)H3879-002-0 | SCAN Health Plan | HMO-POS I-SNP |
| St. Luke's Advantage Rx 01 (HMO)H3012-001-0 | St. Luke's Health Plan | HMO |
| St. Luke's Advantage Rx 02 (HMO)H3012-002-0 | St. Luke's Health Plan | HMO |
| St. Luke's Advantage Rx 03 (HMO)H3012-003-0 | St. Luke's Health Plan | HMO |
| SummaCare Medicare Amber (HMO)H3660-058-0 | SummaCare Medicare Advantage Plans | HMO |
| SummaCare Medicare Emerald (HMO-POS)H3660-028-0 | SummaCare Medicare Advantage Plans | HMO-POS |
| SummaCare Medicare Quartz (HMO)H3660-057-0 | SummaCare Medicare Advantage Plans | HMO |
| SummaCare Medicare Ruby (HMO)H3660-044-0 | SummaCare Medicare Advantage Plans | HMO |
| SummaCare Medicare Sapphire (HMO-POS)H3660-029-0 | SummaCare Medicare Advantage Plans | HMO-POS |
| SummaCare Medicare Topaz (HMO)H3660-050-0 | SummaCare Medicare Advantage Plans | HMO |
| Sutter Senior Advantage, a SCAN Medicare Plan (HMO)H5425-124-0 | SCAN Health Plan | HMO |
| Sutter Senior Advantage, a SCAN Medicare Plan (HMO)H5425-125-0 | SCAN Health Plan | HMO |
| Sutter Senior Advantage, a SCAN Medicare Plan (HMO)H5425-126-0 | SCAN Health Plan | HMO |
| Sutter Senior Advantage, a SCAN Medicare Plan (HMO)H5425-127-0 | SCAN Health Plan | HMO |
| Sutter Senior Advantage, a SCAN Medicare Plan (HMO)H5425-147-0 | SCAN Health Plan | HMO |
| Sutter Senior Advantage, a SCAN Medicare Plan (HMO)H5425-148-0 | SCAN Health Plan | HMO |