Oct 10
More on Medicare & Medicaid
See the list: 7 plans, compared to 38 last year, receive 5 stars in the MA Star Ratings
Changes in methodology in 2024 and 2025 added Tukey outlier deletion that is used to set cut points for CAHPS measures.
Photo: shapecharge/Getty Images
Only seven plans received 5 stars for Parts C and D performance in the 2025 Medicare Advantage and Part D Star Ratings released by Centers for Medicare and Medicaid Services late Thursday.
This compares to 38 contracts that received 5 stars in 2024.
More plans this year received 4.5 stars than last year, 86 for 2025, compared to 81 in 2024. The number of 4-star plans saw a drop to 116 this year from 123 last year.
In the rest of the ratings, 165 plans got 3.5 stars, compared to 141 last year; 123 got 3 stars, compared to 126 last year; 23 got 2.5 stars, compared to 32 last year; and one contract got 2 stars compared to 4 last year.
Five-star plans include Alignment Health Plan, HealthSun Health Plans by Elevance Health, Highmark Blue Cross Blue Shield, Leon Health, MCS Advantage Classicare, Network Health Medicare Advantage Plans and Optimum HealthCare by Elevance.
Last year, six UnitedHealthcare plans made the 5-star list.
This year, UnitedHealth has sued CMS over the downgrade.
WHY THIS MATTERS
UnitedHealthcare has filed a lawsuit, saying the rating downgrade is based on a single interaction between a customer service representative and a CMS secret shopper posing as a Medicare beneficiary.
The lawsuit characterizes the CMS decision as "arbitrary and capricious" and asks the court to intervene ahead of the open enrollment period.
Humana has also challenged the results, it said in a filing with the Securities and Exchange Commission. The percent of members enrolled in 4-star plans or above accounted for 25% of all members for 2025, down from a 94% enrollment in 2024, Humana said.
Humana partially blamed higher industry cut points, the upper and lower thresholds for each measure that determine a plan's overall score, from 1-5 stars.
CMS said in its release that it made changes to the methodology through previous notice and comment rulemaking for the 2024 star ratings that affect the 2025 star ratings.
CMS said it added Tukey outlier deletion to the hierarchical clustering methodology that is used to set cut points for non-Consumer Assessment of Healthcare Providers and Systems (CAHPS) measures. This means that cut points are not influenced by a small number of extreme outliers.
THE LARGER TREND
Medicare open enrollment begins on October 15.
Star ratings are an important factor in determining Medicare Advantage plans' competitiveness in the market.
Higher star ratings also determine bonus payments.
Email the writer: SMorse@himss.org
| Contract Name | Organization Marketing Name | Parent Organization | 2025 Overall |
|---|---|---|---|
| HIGHMARK CHOICE COMPANY | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 5 |
| LEON HEALTH, INC. | Leon Health, Inc. | LMC Family Holdings, LLC | 5 |
| NETWORK HEALTH INSURANCE CORPORATION | Network Health Medicare Advantage Plans | Network Health, Inc. | 5 |
| ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC. | Alignment Health Plan | Alignment Healthcare USA, LLC | 5 |
| HEALTHSUN HEALTH PLANS, INC. | HealthSun Health Plans, Inc. | Elevance Health, Inc. | 5 |
| MCS ADVANTAGE, INC. | MCS Classicare | MHH Healthcare, L.P. | 5 |
| OPTIMUM HEALTHCARE, INC. | Optimum HealthCare, Inc. | Elevance Health, Inc. | 5 |
| HUMANA HEALTH PLAN OF OHIO, INC. | Humana | Humana Inc. | 4.5 |
| KS PLAN ADMINISTRATORS, LLC | KelseyCare Advantage | UnitedHealth Group, Inc. | 4.5 |
| KAISER FOUNDATION HP, INC. | Kaiser Permanente | Kaiser Foundation Health Plan, Inc. | 4.5 |
| UnitedHealthcare Benefits of Texas, Inc. | UnitedHealthcare | UnitedHealth Group, Inc. | 4.5 |
| CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 4.5 |
| AVMED, INC. | AvMed Medicare | Sentara Health Care (SHC) | 4.5 |
| HEALTH FIRST HEALTH PLANS | Health First Health Plans, Inc. | Health First Shared Services, Inc. | 4.5 |
| TSG GUARD, INC. | Valor Health Plan | The Schroer Group, Inc. | 4.5 |
| KAISER FOUNDATION HP OF GA, INC. | Kaiser Permanente | Kaiser Foundation Health Plan, Inc. | 4.5 |
| KAISER FOUNDATION HP, INC. | Kaiser Permanente | Kaiser Foundation Health Plan, Inc. | 4.5 |
| LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY | Blue Cross and Blue Shield of Louisiana | Louisiana Health Service & Indemnity Company | 4.5 |
| DEVOTED HEALTH PLAN OF FLORIDA, INC. | Devoted Health | Devoted Health, Inc. | 4.5 |
| CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 4.5 |
| COVENTRY HEALTH CARE OF WEST VIRGINIA, INC. | Aetna Medicare | CVS Health Corporation | 4.5 |
| KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES | Kaiser Permanente | Kaiser Foundation Health Plan, Inc. | 4.5 |
| CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 4.5 |
| PRIORITY HEALTH | Priority Health Medicare | Corewell Health | 4.5 |
| BCBSM, Inc. | Blue Cross and Blue Shield of Minnesota | Aware Integrated, Inc. | 4.5 |
| DEVOTED HEALTH PLAN OF OHIO INC. | Devoted Health | Devoted Health, Inc. | 4.5 |
| ESSENCE HEALTHCARE, INC. | Essence Healthcare | Lumeris Group Holdings Corporation | 4.5 |
| COVENTRY HEALTH CARE OF MISSOURI, INC. | Aetna Medicare | CVS Health Corporation | 4.5 |
| DEVOTED HEALTH PLAN OF OHIO, INC. | Devoted Health | Devoted Health, Inc. | 4.5 |
| VOLUNTEER STATE HEALTH PLAN | BlueCare Plus Tennessee | BlueCross BlueShield of Tennessee | 4.5 |
| MVP HEALTH PLAN, INC. | MVP HEALTH CARE | MVP Health Care, Inc. | 4.5 |
| INDEPENDENT HEALTH BENEFITS CORPORATION | Independent Health | Independent Health Association, Inc. | 4.5 |
| HEALTHFIRST HEALTH PLAN, INC. | Healthfirst Medicare Plan | Healthfirst, Inc. | 4.5 |
| INDEPENDENT HEALTH ASSOCIATION, INC. | Independent Health | Independent Health Association, Inc. | 4.5 |
| Highmark Western and Northeastern New York Inc. | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 4.5 |
| CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. | CDPHP Medicare Advantage | Capital District Physicians' Health Plan, Inc. | 4.5 |
| BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | Blue Cross and Blue Shield of North Carolina | Blue Cross and Blue Shield of North Carolina | 4.5 |
| BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | Blue Cross and Blue Shield of North Carolina | Blue Cross and Blue Shield of North Carolina | 4.5 |
| BLUE CROSS & BLUE SHIELD OF RHODE ISLAND | Blue Cross & Blue Shield of Rhode Island | Blue Cross & Blue Shield of Rhode Island | 4.5 |
| AETNA HEALTH INC. (ME) | Aetna Medicare | CVS Health Corporation | 4.5 |
| SUMMACARE INC. | SummaCare Medicare Advantage Plans | Summa Health | 4.5 |
| AULTCARE HEALTH INSURING CORPORATION | PrimeTime Health Plan | Aultman Health Foundation | 4.5 |
| MOUNT CARMEL HEALTH PLAN, INC. | MediGold | Trinity Health Corporation | 4.5 |
| THE HEALTH PLAN OF WEST VIRGINIA, INC. | The Health Plan | The Health Plan of West Virginia, Inc. | 4.5 |
| UPMC HEALTH PLAN, INC. | UPMC for Life | UPMC Health System | 4.5 |
| HIGHMARK SENIOR HEALTH COMPANY | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 4.5 |
| CAPITAL ADVANTAGE INSURANCE COMPANY | Capital Blue Cross | CAPITAL BLUE CROSS | 4.5 |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold | Risant Health, Inc. | 4.5 |
| AETNA HEALTH INC. (LA) | Aetna Medicare | CVS Health Corporation | 4.5 |
| KEYSTONE HEALTH PLAN EAST, INC. | Independence Blue Cross | Independence Health Group, Inc. | 4.5 |
| GEISINGER HEALTH PLAN | Geisinger Gold | Risant Health, Inc. | 4.5 |
| AETNA HEALTH INC. (PA) | Aetna Medicare | CVS Health Corporation | 4.5 |
| KEYSTONE HEALTH PLAN CENTRAL, INC. | Capital Blue Cross | CAPITAL BLUE CROSS | 4.5 |
| MMM HEALTHCARE, LLC | Medicare y Mucho Mas | Elevance Health, Inc. | 4.5 |
| BLUE CROSS & BLUE SHIELD OF RHODE ISLAND | Blue Cross & Blue Shield of Rhode Island | Blue Cross & Blue Shield of Rhode Island | 4.5 |
| CARITEN HEALTH PLAN INC. | Humana | Humana Inc. | 4.5 |
| HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | Cigna Healthcare | The Cigna Group | 4.5 |
| PHYSICIANS HEALTH CHOICE OF TEXAS, LLC | UnitedHealthcare | UnitedHealth Group, Inc. | 4.5 |
| PRIORITY HEALTH | Priority Health Medicare | Corewell Health | 4.5 |
| ALIGNMENT HEALTH PLAN | Alignment Health Plan | Alignment Healthcare USA, LLC | 4.5 |
| TEXAS INDEPENDENCE HEALTH PLAN, INC. | Texas Independence Health Plan | Regency ISNP Holdings LLC | 4.5 |
| CDPHP UNIVERSAL BENEFITS, INC. | CDPHP Medicare Advantage | Capital District Physicians' Health Plan, Inc. | 4.5 |
| HIGHMARK SENIOR SOLUTIONS COMPANY | Highmark Blue Cross Blue Shield | Highmark Health | 4.5 |
| DEVOTED HEALTH PLAN OF NORTH CAROLINA INC. | Devoted Health | Devoted Health, Inc. | 4.5 |
| AETNA HEALTH INC. (GA) | Aetna Medicare | CVS Health Corporation | 4.5 |
| COVENTRY HEALTH CARE OF KANSAS, INC. | Aetna Medicare | CVS Health Corporation | 4.5 |
| Preferred Care Network, Inc. | UnitedHealthcare | UnitedHealth Group, Inc. | 4.5 |
| SCAN HEALTH PLAN | SCAN Health Plan | SCAN Group | 4.5 |
| SIMPLY HEALTHCARE PLANS, INC. | Simply Healthcare Plans, Inc. | Elevance Health, Inc. | 4.5 |
| AETNA LIFE INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 4.5 |
| AETNA LIFE INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 4.5 |
| UPMC HEALTH NETWORK, INC. | UPMC for Life | UPMC Health System | 4.5 |
| AETNA HEALTH OF IOWA INC. | Aetna Medicare | CVS Health Corporation | 4.5 |
| SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. | UnitedHealthcare | UnitedHealth Group, Inc. | 4.5 |
| BLUE CARE NETWORK OF MICHIGAN | Blue Care Network | Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 4.5 |
| WELLMARK ADVANTAGE HEALTH PLAN, INC. | Wellmark Advantage Health Plan | Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 4.5 |
| GATEWAY HEALTH PLAN, INC. | Highmark Wholecare Medicare Assured | Highmark Health | 4.5 |
| CAPITAL HEALTH PLAN | Capital Health Plan | Guidewell Mutual Holding Corporation | 4.5 |
| DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA | Devoted Health | Devoted Health, Inc. | 4.5 |
| AETNA HEALTH INC. (PA) | Aetna Medicare | CVS Health Corporation | 4.5 |
| EMPHESYS INSURANCE COMPANY | Humana | Humana Inc. | 4.5 |
| UNIVERSITY OF MICHIGAN HEALTH MEDICARE | University of Michigan Health Plan | University of Michigan Health | 4.5 |
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. | BlueCross BlueShield of Tennessee | BlueCross BlueShield of Tennessee | 4.5 |
| DEVOTED HEALTH PLAN OF TEXAS, INC. | Devoted Health | Devoted Health, Inc. | 4.5 |
| GEORGIA ASSURANCE, INC. | Georgia Health Advantage | Mitchell Family Office | 4.5 |
| SCOTT AND WHITE HEALTH PLAN | Baylor Scott & White Health Plan | Baylor Scott & White Holdings | 4.5 |
| SANFORD HEALTH PLAN | Align powered by Sanford Health Plan | Sanford Health | 4.5 |
| THP INSURANCE COMPANY | The Health Plan | The Health Plan of West Virginia, Inc. | 4.5 |
| UCARE HEALTH, INC. | UCare | UCare Minnesota | 4.5 |
| BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY | Blue Cross Blue Shield of Michigan | Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 4.5 |
| CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA | CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA | HTA Holdings, LLC | 4.5 |
| QUARTZ HEALTH PLAN MN CORPORATION | Quartz Medicare Advantage | University of Wisconsin Hospitals and Clincs Autho | 4.5 |
| AETNA LIFE INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 4.5 |
| BLUE CROSS AND BLUE SHIELD OF ALABAMA | Blue Cross and Blue Shield of Alabama | BlueCross BlueShield of Alabama | 4 |
| VIVA HEALTH, INC. | VIVA Medicare | Triton Health Systems, L.L.C. | 4 |
| UNITEDHEALTHCARE OF WISCONSIN, INC. | UnitedHealthcare | UnitedHealth Group, Inc. | 4 |
| UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC. | UnitedHealthcare | UnitedHealth Group, Inc. | 4 |
| CIGNA HEALTHCARE OF ARIZONA, INC. | Cigna Healthcare | The Cigna Group | 4 |
| CIGNA HEALTHCARE OF GEORGIA, INC. | Cigna Healthcare | The Cigna Group | 4 |
| HUMANA INSURANCE COMPANY OF KENTUCKY | Humana | Humana Inc. | 4 |
| AETNA HEALTH OF OHIO INC. | Aetna Medicare | CVS Health Corporation | 4 |
| KAISER FOUNDATION HP OF CO | Kaiser Permanente | Kaiser Foundation Health Plan, Inc. | 4 |
| SOLIS HEALTH PLANS, INC. | Solis Health Plans | Athena Healthcare Holdings, LLC | 4 |
| CAREPLUS HEALTH PLANS, INC. | CarePlus Health Plans, Inc. | Humana Inc. | 4 |
| HUMANA MEDICAL PLAN, INC. | Humana | Humana Inc. | 4 |
| PREFERRED CARE PARTNERS, INC. | UnitedHealthcare | UnitedHealth Group, Inc. | 4 |
| AETNA HEALTH INC.(GA) | Aetna Medicare | CVS Health Corporation | 4 |
| CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 4 |
| HUMANA BENEFIT PLAN OF ILLINOIS, INC. | Humana | Humana Inc. | 4 |
| COVENTRY HEALTH AND LIFE INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 4 |
| AETNA HEALTH INC. (FL) | Aetna Medicare | CVS Health Corporation | 4 |
| MOUNT CARMEL HEALTH INSURANCE COMPANY | MediGold | Trinity Health Corporation | 4 |
| HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC. | Humana | Humana Inc. | 4 |
| PEOPLES HEALTH, INC. | Peoples Health | UnitedHealth Group, Inc. | 4 |
| REGENCE BLUESHIELD OF IDAHO, INC. | Regence BlueShield of Idaho | Cambia Health Solutions, Inc. | 4 |
| ASTIVA HEALTH, INC. | Astiva Health | Astiva Health Holdings Incorporated | 4 |
| SELECTHEALTH, INC. | Select Health | Intermountain Health Care, Inc. | 4 |
| SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. | UnitedHealthcare | UnitedHealth Group, Inc. | 4 |
| BAYCARE SELECT HEALTH PLANS, INC. | BayCare Health Plans | BayCare Health System, Inc. | 4 |
| TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION | Tufts Health Plan | Point32Health, Inc. | 4 |
| SILVERSCRIPT INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 4 |
| ALLIANCE HEALTH AND LIFE INSURANCE COMPANY | HAP Senior Plus (PPO) | Henry Ford Health System | 4 |
| HEALTH ALLIANCE PLAN OF MICHIGAN | HAP Senior Plus | Henry Ford Health System | 4 |
| KANSAS SUPERIOR SELECT, INC. | Kansas Health Advantage | Kansas Superior Select | 4 |
| CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 4 |
| PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE | PrimeWest Health | PrimeWest Rural MN Health Care Access Initiative | 4 |
| HEALTHPARTNERS, INC. | HealthPartners | HealthPartners, Inc. | 4 |
| MEDICA INSURANCE COMPANY | Medica | Medica Holding Company | 4 |
| UCARE MINNESOTA | UCare | UCare Minnesota | 4 |
| CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA | CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA | HTA Holdings, LLC | 4 |
| UNITEDHEALTHCARE OF THE MIDLANDS, INC. | UnitedHealthcare | UnitedHealth Group, Inc. | 4 |
| COX HEALTH SYSTEMS HMO INC. | Cox HealthPlans | CoxHealth | 4 |
| HOMETOWN HEALTH PLAN, INC. | Senior Care Plus | Renown Health | 4 |
| ULTIMATE HEALTH PLANS, INC. | Ultimate Health Plans | Ultimate Healthcare Holdings, LLC | 4 |
| AETNA BETTER HEALTH INC. (GA) | Aetna Medicare | CVS Health Corporation | 4 |
| AETNA HEALTH INC. (NJ) | Aetna Medicare | CVS Health Corporation | 4 |
| ALLINA HEALTH AND AETNA INSURANCE COMPANY | Allina Health Aetna Medicare | Allina Health and Aetna Insurance Holding Company | 4 |
| AETNA BETTER HEALTH, INC. (LA) | Aetna Medicare | CVS Health Corporation | 4 |
| CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 4 |
| EXCELLUS HEALTH PLAN, INC. | Excellus Health Plan, Inc. | Lifetime Healthcare, Inc. | 4 |
| EXCELLUS HEALTH PLAN, INC. | Excellus Health Plan, Inc. | Lifetime Healthcare, Inc. | 4 |
| PARAMOUNT CARE, INC. | Paramount Elite Medicare Plans | MEDICAL MUTUAL OF OHIO | 4 |
| GLOBALHEALTH, INC. | GlobalHealth | MHH Healthcare, L.P. | 4 |
| COMMUNITYCARE GOVERNMENT PROGRAMS, INC. | CommunityCare Senior Health Plan (HMO) | St Francis Health System & St John Health System | 4 |
| BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | Experience Health | Blue Cross and Blue Shield of North Carolina | 4 |
| UNITEDHEALTHCARE OF WISCONSIN, INC. | UnitedHealthcare | UnitedHealth Group, Inc. | 4 |
| ALIGNMENT HEALTH PLAN | Alignment Health Plan | Alignment Healthcare USA, LLC | 4 |
| HEALTH CARE SERVICE CORPORATION | Blue Cross and Blue Shield of IL, NM | Health Care Service Corporation | 4 |
| QCC INSURANCE COMPANY | Independence Blue Cross | Independence Health Group, Inc. | 4 |
| GHS HEALTH MAINTENANCE ORGANIZATION, INC. | Blue Cross and Blue Shield of Oklahoma | Health Care Service Corporation | 4 |
| MMM HEALTHCARE, LLC | PMC Medicare Choice | Elevance Health, Inc. | 4 |
| HUMANA HEALTH PLANS OF PUERTO RICO, INC. | Humana | Humana Inc. | 4 |
| ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 4 |
| DOCTORS HEALTHCARE PLANS, INC. | Doctors HealthCare Plans, Inc. | DOCTORS HEALTHCARE PLANS, INC. | 4 |
| HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC. | Humana | Humana Inc. | 4 |
| NHC ADVANTAGE, LLC | NHC Advantage | Missouri Healthcare Advisors, LLC | 4 |
| UPMC FOR YOU, INC. | UPMC for Life Complete Care | UPMC Health System | 4 |
| HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | Cigna Healthcare | The Cigna Group | 4 |
| MEDICAL MUTUAL OF OHIO | Medical Mutual of Ohio | MEDICAL MUTUAL OF OHIO | 4 |
| AETNA HEALTH INC. (TX) | Aetna Medicare | CVS Health Corporation | 4 |
| REGENCE BLUECROSS BLUESHIELD OF UTAH | Regence BlueCross BlueShield of Utah | Cambia Health Solutions, Inc. | 4 |
| HEALTHPARTNERS, INC. | HealthPartners | HealthPartners, Inc. | 4 |
| KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | Kaiser Permanente | Kaiser Foundation Health Plan, Inc. | 4 |
| CLOVER INSURANCE COMPANY | Clover Health | Clover Health Holdings, Inc. | 4 |
| SECURITY HEALTH PLAN OF WISCONSIN, INC. | Security Health Plan of Wisconsin, Inc. | Marshfield Clinic Health System, Inc. | 4 |
| UNITEDHEALTHCARE OF WISCONSIN, INC. | UnitedHealthcare | UnitedHealth Group, Inc. | 4 |
| QUARTZ HEALTH PLAN CORPORATION | Quartz Medicare Advantage | University of Wisconsin Hospitals and Clincs Autho | 4 |
| CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 4 |
| LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC. | Longevity Health Plan | Longevity Health Founders, LLC | 4 |
| HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC. | Humana | Humana Inc. | 4 |
| SHARP HEALTH PLAN | Sharp Health Plan | Sharp Healthcare | 4 |
| FREEDOM HEALTH, INC. | Freedom Health, Inc. | Elevance Health, Inc. | 4 |
| Highmark Western and Northeastern New York Inc. | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 4 |
| MARTIN'S POINT GENERATIONS ADVANTAGE, INC. | Martin's Point Generations Advantage | Martin's Point Health Care, Inc. | 4 |
| TRIPLE S ADVANTAGE, INC. | Triple S Advantage | Guidewell Mutual Holding Corporation | 4 |
| AETNA HEALTH INC. (CT) | Aetna Medicare | CVS Health Corporation | 4 |
| PROMINENCE HEALTHFIRST | Prominence Health Plan | Universal Health Services, Inc. | 4 |
| BCBSM, Inc. | Blue Cross and Blue Shield of Minnesota | Aware Integrated, Inc. | 4 |
| ESSENCE HEALTHCARE PPO, INC. | Essence Healthcare | Lumeris Group Holdings Corporation | 4 |
| NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY | NextBlue of North Dakota | Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 4 |
| FIRSTCAROLINACARE INSURANCE COMPANY | FirstMedicare Direct | The Carle Foundation | 4 |
| SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC. | MyTruAdvantage | SIHO Holding, Inc. | 4 |
| UNITEDHEALTHCARE OF WISCONSIN, INC. | UnitedHealthcare | UnitedHealth Group, Inc. | 4 |
| MEDICAL MUTUAL OF OHIO | Medical Mutual of Ohio | MEDICAL MUTUAL OF OHIO | 4 |
| ASPIRUS HEALTH PLAN, INC. | Aspirus Health Plan | Aspirus, Inc. | 4 |
| MOUNT CARMEL HEALTH PLAN OF IDAHO, INC. | Saint Alphonsus Health Plan | Trinity Health Corporation | 4 |
| CIGNA HEALTHCARE OF SOUTH CAROLINA, INC. | Cigna Healthcare | The Cigna Group | 4 |
| DEVOTED HEALTH PLAN OF COLORADO INC | Devoted Health | Devoted Health, Inc. | 4 |
| DEVOTED HEALTH PLAN OF ILLINOIS, INC. | Devoted Health | Devoted Health, Inc. | 4 |
| COVENTRY HEALTH CARE OF ILLINOIS, INC. | Aetna Medicare | CVS Health Corporation | 4 |
| MMM HEALTHCARE, LLC | Medicare y Mucho Mas | Elevance Health, Inc. | 4 |
| DEVOTED HEALTH PLAN OF TENNESSEE INC. | Devoted Health | Devoted Health, Inc. | 4 |
| PROMINENCE HEALTHFIRST OF TEXAS | Prominence Health Plan | Universal Health Services, Inc. | 4 |
| HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | Cigna Healthcare | The Cigna Group | 4 |
| BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA | Blue Cross Blue Shield of South Carolina | BlueCross BlueShield of South Carolina (BCBSSC) | 4 |
| HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 4 |
| HIGHMARK BCBSD INC. | Highmark Blue Cross Blue Shield | Highmark Health | 4 |
| DEVOTED HEALTH PLAN OF ARIZONA, INC. | Devoted Health | Devoted Health, Inc. | 4 |
| SAPPHIRE EDGE, INC. | Blue Cross and Blue Shield of Nebraska | Blue Cross Blue Shield of Nebraska | 4 |
| AETNA BETTER HEALTH OF KANSAS INC. | Aetna Medicare | CVS Health Corporation | 4 |
| PRIORITY HEALTH CHOICE, INC. | Priority Health Medicare | Corewell Health | 4 |
| FALLON COMMUNITY HEALTH PLAN | Fallon Health | Fallon Community Health Plan, Inc. | 4 |
| KAISER FOUNDATION HP OF THE N W | Kaiser Permanente | Kaiser Foundation Health Plan, Inc. | 4 |
| SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC. | MyTruAdvantage | SIHO Holding, Inc. | 4 |
| PROVIDENCE HEALTH ASSURANCE | Providence Medicare Advantage Plans | Providence St Joseph Health | 4 |
| DEAN HEALTH PLAN, INC. | Dean Advantage | Medica Holding Company | 4 |
| ALIGNMENT HEALTH PLAN OF NEVADA, INC. | Alignment Health Plan | Alignment Healthcare USA, LLC | 4 |
| CIGNA HEALTHCARE OF NORTH CAROLINA, INC. | Cigna Healthcare | The Cigna Group | 4 |
| CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 4 |
| CHA HMO, INC. | Humana | Humana Inc. | 3.5 |
| HEALTH CARE SERVICE CORPORATION | Blue Cross and Blue Shield of Montana | Health Care Service Corporation | 3.5 |
| WELLCARE OF TEXAS, INC. | Wellcare | Centene Corporation | 3.5 |
| WELLCARE HEALTH INSURANCE COMPANY OF AMERICA | Wellcare | Centene Corporation | 3.5 |
| MEDISUN, INC. | Blue Cross Blue Shield of Arizona (AZ Blue) | Blue Cross Blue Shield of Arizona | 3.5 |
| ARIZONA PHYSICIANS IPA, INC. | UnitedHealthcare | UnitedHealth Group, Inc. | 3.5 |
| UNITEDHEALTHCARE OF THE MIDLANDS, INC. | UnitedHealthcare | UnitedHealth Group, Inc. | 3.5 |
| CALIFORNIA PHYSICIANS' SERVICE | Blue Shield of California | California Physicians' Service | 3.5 |
| WELLCARE OF CONNECTICUT, INC. | Wellcare | Centene Corporation | 3.5 |
| CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 3.5 |
| HEALTHIER NEW JERSEY INSURANCE COMPANY | Braven Health | Horizon Mutual Holdings, Inc | 3.5 |
| WELLPOINT IOWA, INC. | Wellpoint | Elevance Health, Inc. | 3.5 |
| BUCKEYE COMMUNITY HEALTH PLAN, INC. | Wellcare by Allwell | Centene Corporation | 3.5 |
| SCAN HEALTH PLAN NEVADA, INC. | SCAN Health Plan | SCAN Group | 3.5 |
| Sunshine State Health Plan, Inc. | Wellcare | Centene Corporation | 3.5 |
| FLORIDA BLUE MEDICARE, INC. | Florida Blue HMO | Guidewell Mutual Holding Corporation | 3.5 |
| CHRISTUS HEALTH PLAN | CHRISTUS Health Advantage | CHRISTUS Health | 3.5 |
| NEBRASKA TOTAL CARE, INC. | Wellcare | Centene Corporation | 3.5 |
| REGENCE BLUESHIELD OF IDAHO, INC. | Regence BlueShield of Idaho | Cambia Health Solutions, Inc. | 3.5 |
| BLUE CROSS OF IDAHO CARE PLUS, INC. | Blue Cross of Idaho | Gemstone Holdings, Inc. | 3.5 |
| UnitedHealthcare Benefits of Texas, Inc. | UnitedHealthcare | UnitedHealth Group, Inc. | 3.5 |
| HARMONY HEALTH PLAN, INC. | Wellcare | Centene Corporation | 3.5 |
| HEALTH ALLIANCE CONNECT, INC. | Health Alliance Medicare | The Carle Foundation | 3.5 |
| ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 3.5 |
| LONGEVITY HEALTH PLAN OF FLORIDA, INC. | Longevity Health Plan | Longevity Health Founders, LLC | 3.5 |
| CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 3.5 |
| CENTENE VENTURE COMPANY INDIANA, INC. | Wellcare by Allwell | Centene Corporation | 3.5 |
| MOLINA HEALTHCARE OF KENTUCKY, INC. | Passport Advantage | Molina Healthcare, Inc. | 3.5 |
| SCAN DESERT HEALTH PLAN, INC. | SCAN Health Plan | SCAN Group | 3.5 |
| CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 3.5 |
| WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC. | Wellcare | Centene Corporation | 3.5 |
| COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC. | Healthy Blue | Elevance Health, Inc. | 3.5 |
| Baylor Scott & White Insurance Company | Baylor Scott & White Health Plan | Baylor Scott & White Holdings | 3.5 |
| AETNA BETTER HEALTH OF MICHIGAN INC. | Aetna Medicare | CVS Health Corporation | 3.5 |
| SENIOR WHOLE HEALTH, LLC | Senior Whole Health | Molina Healthcare, Inc. | 3.5 |
| COMMONWEALTH CARE ALLIANCE, INC. | Commonwealth Care Alliance Massachusetts | Commonwealth Care Alliance, Inc. | 3.5 |
| UNITEDHEALTHCARE INSURANCE COMPANY | UnitedHealthcare | UnitedHealth Group, Inc. | 3.5 |
| BCBS OF MASSACHUSETTS HMO BLUE, INC. | Blue Cross Blue Shield of Massachusetts | Blue Cross and Blue Shield of Massachusetts, Inc. | 3.5 |
| INDEPENDENT CARE HEALTH PLAN | iCare | Humana Inc. | 3.5 |
| SELECTHEALTH, INC. | Select Health | Intermountain Health Care, Inc. | 3.5 |
| BCBS OF MASSACHUSETTS HMO BLUE, INC. | Blue Cross Blue Shield of Massachusetts | Blue Cross and Blue Shield of Massachusetts, Inc. | 3.5 |
| SIGNATURE ADVANTAGE, LLC | Signature Advantage (HMO SNP) | SA Plan, LLC | 3.5 |
| HMO Minnesota | Blue Plus | Aware Integrated, Inc. | 3.5 |
| UCARE MINNESOTA | UCare's MSHO | UCare Minnesota | 3.5 |
| HUMANA MEDICAL PLAN OF UTAH, INC. | Humana | Humana Inc. | 3.5 |
| WELLPOINT TEXAS, INC. | Wellpoint | Elevance Health, Inc. | 3.5 |
| DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC | Devoted Health | Devoted Health, Inc. | 3.5 |
| HEALTH NEW ENGLAND, INC. | Health New England Medicare Advantage Plans | Baystate Health, Inc. | 3.5 |
| AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY | Wellcare | Centene Corporation | 3.5 |
| PENNSYLVANIA HEALTH & WELLNESS, INC. | Wellcare by Allwell | Centene Corporation | 3.5 |
| DEVOTED HEALTH PLAN OF ALABAMA INC | Devoted Health | Devoted Health, Inc. | 3.5 |
| OXFORD HEALTH PLANS (NJ), INC. | UnitedHealthcare | UnitedHealth Group, Inc. | 3.5 |
| SAPPHIRE EDGE, INC. | Blue Cross and Blue Shield of Nebraska | Blue Cross Blue Shield of Nebraska | 3.5 |
| AETNA HEALTH OF MICHIGAN INC. | Aetna Medicare | CVS Health Corporation | 3.5 |
| WELLPOINT NEW JERSEY, INC. | Wellpoint | Elevance Health, Inc. | 3.5 |
| CONNECTICARE INSURANCE COMPANY, INC. | ConnectiCare | EmblemHealth, Inc. | 3.5 |
| AETNA HEALTH AND LIFE INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 3.5 |
| AETNA HEALTH INC. (NY) | Aetna Medicare | CVS Health Corporation | 3.5 |
| HEALTH INSURANCE PLAN OF GREATER NEW YORK | EmblemHealth | EmblemHealth, Inc. | 3.5 |
| ELDERPLAN, INC. | Elderplan | Elderplan, Inc. | 3.5 |
| UNITEDHEALTHCARE OF NEW YORK, INC. | UnitedHealthcare | UnitedHealth Group, Inc. | 3.5 |
| UNITEDHEALTHCARE OF NEW YORK, INC. | UnitedHealthcare | UnitedHealth Group, Inc. | 3.5 |
| ALIGNMENT HEALTH PLAN OF ARIZONA, INC. | Alignment Health Plan | Alignment Healthcare USA, LLC | 3.5 |
| HEALTHKEEPERS, INC. | Anthem HealthKeepers | Elevance Health, Inc. | 3.5 |
| COORDINATED CARE CORPORATION | Wellcare by Allwell | Centene Corporation | 3.5 |
| CONNECTICARE, INC. | ConnectiCare | EmblemHealth, Inc. | 3.5 |
| COMMUNITY INSURANCE COMPANY | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 3.5 |
| PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS | Provider Partners Health Plans | Rifkin Managed Care Holding, LLC | 3.5 |
| UnitedHealthcare Benefits of Texas, Inc. | UnitedHealthcare | UnitedHealth Group, Inc. | 3.5 |
| REGENCE BLUECROSS BLUESHIELD OF OREGON | Regence BlueCross BlueShield of Oregon | Cambia Health Solutions, Inc. | 3.5 |
| HAWAII MEDICAL SERVICE ASSOCIATION | HMSA Akamai Advantage | Hawaii Medical Service Association | 3.5 |
| PACIFICSOURCE COMMUNITY HEALTH PLANS | PacificSource Medicare | PacificSource | 3.5 |
| AETNA HEALTH INC. (PA) | Aetna Medicare | CVS Health Corporation | 3.5 |
| BRAVO HEALTH PENNSYLVANIA, INC. | Cigna Healthcare | The Cigna Group | 3.5 |
| WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC. | Wellcare | Centene Corporation | 3.5 |
| TRIPLE S ADVANTAGE, INC. | Triple-S Advantage | Guidewell Mutual Holding Corporation | 3.5 |
| WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC. | Wellcare | Centene Corporation | 3.5 |
| USABLE MUTUAL INSURANCE COMPANY | Arkansas Blue Medicare | USAble Mutual Insurance Company | 3.5 |
| VISTA HEALTH PLAN, INC. | VISTA Health Plan Inc. | Independence Health Group, Inc. | 3.5 |
| SELECTCARE OF TEXAS, INC. | Wellcare | Centene Corporation | 3.5 |
| UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C. | UnitedHealthcare | UnitedHealth Group, Inc. | 3.5 |
| UNITEDHEALTHCARE OF THE ROCKIES, INC. | UnitedHealthcare | UnitedHealth Group, Inc. | 3.5 |
| HUMANA REGIONAL HEALTH PLAN, INC. | Humana | Humana Inc. | 3.5 |
| ZING HEALTH OF MICHIGAN, INC. | Zing Health | Zing Health Consolidator, Inc. | 3.5 |
| TROY HEALTH, INC. | Troy Medicare | Troy Holdings, Inc. | 3.5 |
| COVENTRY HEALTH CARE OF NEBRASKA, INC. | Aetna Medicare | CVS Health Corporation | 3.5 |
| PACIFICSOURCE COMMUNITY HEALTH PLANS | PacificSource Medicare | PacificSource | 3.5 |
| WELLCARE OF SOUTH CAROLINA, INC. | Wellcare | Centene Corporation | 3.5 |
| NEW YORK QUALITY HEALTHCARE CORPORATION | Wellcare | Centene Corporation | 3.5 |
| BANNER - UNIVERSITY CARE ADVANTAGE | Banner Medicare Advantage | Banner Health | 3.5 |
| Molina Healthcare of Wisconsin, Inc. | My Choice Wisconsin | Molina Healthcare, Inc. | 3.5 |
| HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 3.5 |
| CAREPARTNERS OF CONNECTICUT, INC. | CarePartners of Connecticut | Point32Health, Inc. | 3.5 |
| SUPERIOR HEALTHPLAN, INC. | Wellcare by Allwell | Centene Corporation | 3.5 |
| BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 3.5 |
| BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. | Florida Blue | Guidewell Mutual Holding Corporation | 3.5 |
| IMPERIAL HEALTH PLAN OF CALIFORNIA, INC. | Imperial Health Plan of California, Inc. | Imperial Health Plan of California | 3.5 |
| HUMANA BENEFIT PLAN OF ILLINOIS, INC. | Humana | Humana Inc. | 3.5 |
| VNS CHOICE | VNS Health Medicare | Visiting Nurse Service of New York | 3.5 |
| DENVER HEALTH MEDICAL PLAN, INC. | Elevate Medicare Advantage | Denver Health and Hospital Authority | 3.5 |
| ARCADIAN HEALTH PLAN, INC. | Humana | Humana Inc. | 3.5 |
| MOLINA HEALTHCARE OF CALIFORNIA | Molina Healthcare of California | Molina Healthcare, Inc. | 3.5 |
| BANNER HEALTH PLAN, INC. | Banner Medicare Advantage | Banner Health | 3.5 |
| AIDS HEALTHCARE FOUNDATION | AHF | AIDS Healthcare Foundation | 3.5 |
| ANTHEM HEALTH PLANS, INC. | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 3.5 |
| HEALTH PLAN OF CAREOREGON, INC. | CareOregon Advantage | CareOregon, Inc. | 3.5 |
| California Physicians' Service | Blue Shield of California | California Physicians' Service | 3.5 |
| HUMANA INSURANCE COMPANY OF NEW YORK | Humana | Humana Inc. | 3.5 |
| HEALTH INSURANCE PLAN OF GREATER NEW YORK | EmblemHealth | EmblemHealth, Inc. | 3.5 |
| USABLE HMO, INC. | Arkansas Blue Medicare | USAble Mutual Insurance Company | 3.5 |
| CARESOURCE OHIO, INC. | CareSource | CareSource | 3.5 |
| HMO LOUISIANA, INC. | Blue Cross and Blue Shield of Louisiana | Louisiana Health Service & Indemnity Company | 3.5 |
| Devoted Health Insurance of Illinois, Inc. | Devoted Health | Devoted Health, Inc. | 3.5 |
| HUMANA WI HEALTH ORGANIZATION INSURANCE CORP | Humana | Humana Inc. | 3.5 |
| VERMONT BLUE ADVANTAGE, INC. | Vermont Blue Advantage | Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 3.5 |
| CENTERS PLAN FOR HEALTHY LIVING, LLC | Centers Plan for Healthy Living | Centers Plan for Healthy Living, LLC | 3.5 |
| BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC. | Blue Cross and Blue Shield of Kansas | Blue Cross Blue Shield of Kansas | 3.5 |
| COMMUNITY INSURANCE COMPANY | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 3.5 |
| MEMORIAL HERMANN HEALTH PLAN | Memorial Hermann Health Plan | Memorial Hermann Health System | 3.5 |
| UPMC HEALTH COVERAGE, INC. | UPMC for Life Complete Care | UPMC Health System | 3.5 |
| WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC. | Wellcare | Centene Corporation | 3.5 |
| INDIANA UNIVERSITY HEALTH PLANS NFP, INC. | Indiana University Health Plans | Indiana University Health | 3.5 |
| WELLCARE OF SOUTH CAROLINA, INC. | Wellcare | Centene Corporation | 3.5 |
| CAREFIRST ADVANTAGE PPO, INC. | CareFirst BlueCross BlueShield Medicare Advantage | CareFirst, Inc. | 3.5 |
| UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC. | UnitedHealthcare | UnitedHealth Group, Inc. | 3.5 |
| CENTRAL MASS HEALTH, LLC | Mass Advantage | Central Mass Health Holding LLC | 3.5 |
| CENTENE VENTURE COMPANY INDIANA, INC. | Wellcare by Allwell | Centene Corporation | 3.5 |
| CLOVER HMO OF NEW JERSEY INC. | Clover Health | Clover Health Holdings, Inc. | 3.5 |
| UCARE MINNESOTA | UCare | UCare Minnesota | 3.5 |
| GHS INSURANCE COMPANY | Blue Cross and Blue Shield of Texas | Health Care Service Corporation | 3.5 |
| MANAGED HEALTH SERVICES INSURANCE CORP. | Wellcare by Allwell | Centene Corporation | 3.5 |
| CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 3.5 |
| HORIZON HEALTHCARE OF NEW JERSEY, INC. | Horizon Blue Cross Blue Shield of New Jersey | Horizon Mutual Holdings, Inc | 3.5 |
| ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY | Blue Cross and Blue Shield of Illinois | Health Care Service Corporation | 3.5 |
| GHS INSURANCE COMPANY | Blue Cross and Blue Shield of OK, TX | Health Care Service Corporation | 3.5 |
| HEALTH NEW ENGLAND, INC. | Health New England Medicare Advantage Plans | Baystate Health, Inc. | 3.5 |
| AETNA BETTER HEALTH OF TEXAS INC. | Aetna Medicare | CVS Health Corporation | 3.5 |
| HEALTH CARE SERVICE CORPORATION | Blue Cross and Blue Shield of IL, NM | Health Care Service Corporation | 3.5 |
| AETNA HEALTH OF UTAH INC. | Aetna Medicare | CVS Health Corporation | 3.5 |
| WELLPOINT INSURANCE COMPANY | Wellpoint | Elevance Health, Inc. | 3.5 |
| MEDICA HEALTH PLANS | Medica | Medica Holding Company | 3.5 |
| FALLON COMMUNITY HEALTH PLAN | Fallon Health | Fallon Community Health Plan, Inc. | 3.5 |
| BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH | Blue Cross and Blue Shield of North Carolina | Blue Cross and Blue Shield of North Carolina | 3.5 |
| PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC. | Provider Partners Health Plans | Rifkin Managed Care Holding, LLC | 3.5 |
| HEALTH PARTNERS PLANS, INC. | Jefferson Health Plans | Thomas Jefferson University | 3.5 |
| ALTERWOOD ADVANTAGE, INC. | Alterwood Advantage | LifeBridge Health, Inc. | 3.5 |
| Mass General Brigham Health Plan, Inc. | Mass General Brigham Health Plan | Mass General Brigham Incorporated | 3.5 |
| COMPCARE HEALTH SERVICES INSURANCE CORPORATION | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 3.5 |
| BOSTON MEDICAL CENTER HEALTH PLAN, INC. | WellSense Health Plan | BMC Health System, Inc. | 3.5 |
| MVP HEALTH PLAN, INC. | MVP HEALTH CARE | MVP Health Care, Inc. | 3.5 |
| ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC. | Wellcare by Allwell | Centene Corporation | 3.5 |
| USABLE HMO, INC. | Arkansas Blue Medicare | USAble Mutual Insurance Company | 3.5 |
| WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC | Wellcare | Centene Corporation | 3.5 |
| OCHSNER HEALTH PLAN, INC. | Ochsner Health Plan | Ochsner Clinic Foundation | 3.5 |
| DEVOTED HEALTH INSURANCE COMPANY | Devoted Health | Devoted Health, Inc. | 3.5 |
| TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION | Tufts Health Plan | Point32Health, Inc. | 3.5 |
| HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 3.5 |
| HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 3.5 |
| CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 3.5 |
| HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 3.5 |
| ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 3.5 |
| HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 3.5 |
| ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 3.5 |
| HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 3.5 |
| CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 3.5 |
| WELLCARE OF MISSISSIPPI, INC. | Wellcare | Centene Corporation | 3 |
| WELLCARE OF GEORGIA, INC. | Wellcare | Centene Corporation | 3 |
| UNITEDHEALTHCARE INSURANCE COMPANY | UnitedHealthcare | UnitedHealth Group, Inc. | 3 |
| HEALTH NET OF ARIZONA, INC. | Wellcare by Allwell | Centene Corporation | 3 |
| METROPLUS HEALTH PLAN, INC. | MetroPlus Health Plan | New York City Health and Hospitals Corporation | 3 |
| AETNA HEALTH OF CALIFORNIA INC. | Aetna Medicare | CVS Health Corporation | 3 |
| UHC OF CALIFORNIA | UnitedHealthcare | UnitedHealth Group, Inc. | 3 |
| BLUE CROSS OF CALIFORNIA | Anthem Blue Cross | Elevance Health, Inc. | 3 |
| HEALTH NET OF CALIFORNIA, INC. | Wellcare by Health Net | Centene Corporation | 3 |
| UnitedHealthcare Benefits of Texas, Inc. | UnitedHealthcare | UnitedHealth Group, Inc. | 3 |
| BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, Inc. | Wellcare by Allwell | Centene Corporation | 3 |
| WELLCARE HEALTH PLANS OF NEW JERSEY, INC. | Wellcare | Centene Corporation | 3 |
| WELLCARE OF GEORGIA, INC. | Wellcare | Centene Corporation | 3 |
| LOCAL INITIATIVE HEALTH AUTHORITY FOR LA COUNTY | L.A. Care Health Plan | Local Initiative Health Authority for LA County | 3 |
| HOPKINS HEALTH ADVANTAGE, INC. | Johns Hopkins Advantage MD | Johns Hopkins Healthcare LLC | 3 |
| MARTIN'S POINT GENERATIONS ADVANTAGE, INC. | Martin's Point Generations Advantage | Martin's Point Health Care, Inc. | 3 |
| NEBRASKA TOTAL CARE, INC. | Wellcare | Centene Corporation | 3 |
| WELLPOINT OHIO, INC. | Wellpoint | Elevance Health, Inc. | 3 |
| COVENTRY HEALTH CARE OF VIRGINIA, INC. | Aetna Better Health of Virginia | CVS Health Corporation | 3 |
| HOME STATE HEALTH PLAN, INC. | Wellcare by Allwell | Centene Corporation | 3 |
| HCSC INSURANCE SERVICES COMPANY | Blue Cross and Blue Shield of NM, TX | Health Care Service Corporation | 3 |
| HEALTHFIRST HEALTH PLAN, INC. | Healthfirst Medicare Plan | Healthfirst, Inc. | 3 |
| REGENCE BLUESHIELD | Regence BlueShield | Cambia Health Solutions, Inc. | 3 |
| BRAVO HEALTH MID-ATLANTIC, INC. | Cigna Healthcare | The Cigna Group | 3 |
| MERIDIAN HEALTH PLAN OF MICHIGAN, INC. | Wellcare | Centene Corporation | 3 |
| CELTIC INSURANCE COMPANY | Wellcare | Centene Corporation | 3 |
| VILLAGE SENIOR SERVICES CORPORATION | VillageCareMAX | Village Care of New York, Inc. | 3 |
| TRILLIUM COMMUNITY HEALTH PLAN, INC. | Wellcare by Trillium | Centene Corporation | 3 |
| UNITEDHEALTHCARE COMMUNITY PLAN, INC. | UnitedHealthcare | UnitedHealth Group, Inc. | 3 |
| SOUTH COUNTRY HEALTH ALLIANCE | South Country Health Alliance | South Country Health Alliance | 3 |
| MEDICA HEALTH PLANS | Medica | Medica Holding Company | 3 |
| HUMANA HEALTH PLAN OF TEXAS, INC. | Humana | Humana Inc. | 3 |
| WELLCARE HEALTH INSURANCE OF ARIZONA, INC. | Wellcare | Centene Corporation | 3 |
| SENTARA HEALTH PLANS | Sentara Medicare | Sentara Health Care (SHC) | 3 |
| ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC | UnitedHealthcare | UnitedHealth Group, Inc. | 3 |
| Primewell Health Services of Arkansas, Inc. | Primewell Health Services | Louisiana Health Service & Indemnity Company | 3 |
| ANTHEM HEALTH PLANS, INC. | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 3 |
| SHARED HEALTH MISSISSIPPI, INC. | Shared Health Dual Plus | BlueCross BlueShield of Tennessee | 3 |
| WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA | Wellcare | Centene Corporation | 3 |
| CLEAR SPRING HEALTH COMMUNITY CARE, INC. | Clear Spring Health | Group 1001 | 3 |
| PRESBYTERIAN HEALTH PLAN | Presbyterian Health Plan | Presbyterian Healthcare Services | 3 |
| HEALTH CARE SERVICE CORPORATION | Blue Cross and Blue Shield of New Mexico | Health Care Service Corporation | 3 |
| OXFORD HEALTH PLANS (NY), INC. | UnitedHealthcare | UnitedHealth Group, Inc. | 3 |
| CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 3 |
| HUMANA HEALTH COMPANY OF NEW YORK, INC. | Humana | Humana Inc. | 3 |
| USABLE PPO INSURANCE COMPANY | Arkansas Blue Medicare | USAble Mutual Insurance Company | 3 |
| AETNA BETTER HEALTH OF WASHINGTON, INC. | Aetna Medicare | CVS Health Corporation | 3 |
| ALLCARE HEALTH PLAN, INC. | AllCare Advantage | AllCare Health, Inc. | 3 |
| SAMARITAN HEALTH PLANS, INC. | Samaritan Advantage Health Plans | Samaritan Health Services | 3 |
| HOPKINS HEALTH ADVANTAGE, INC. | Johns Hopkins Advantage MD | Johns Hopkins Healthcare LLC | 3 |
| SANTA CLARA COUNTY HEALTH AUTHORITY | Santa Clara Family Health Plan | SANTA CLARA COUNTY HEALTH AUTHORITY | 3 |
| BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | Anthem Blue Cross Partnership Plan | Elevance Health, Inc. | 3 |
| HMO COLORADO, INC. | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 3 |
| PEOPLES HEALTH, INC. | Peoples Health | UnitedHealth Group, Inc. | 3 |
| COMMUNITY HEALTH GROUP | Community Health Group | Community Health Group | 3 |
| GHS INSURANCE COMPANY | Blue Cross and Blue Shield of OK, TX | Health Care Service Corporation | 3 |
| AETNA BETTER HEALTH OF OKLAHOMA INC. | Aetna Medicare | CVS Health Corporation | 3 |
| ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 3 |
| CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 3 |
| REGENCE BLUESHIELD | Regence BlueShield | Cambia Health Solutions, Inc. | 3 |
| ASURIS NORTHWEST HEALTH | Asuris Northwest Health | Cambia Health Solutions, Inc. | 3 |
| WELLCARE OF CALIFORNIA, INC. | Wellcare | Centene Corporation | 3 |
| CENTENE VENTURE COMPANY KANSAS | Wellcare by Allwell | Centene Corporation | 3 |
| HEALTHSPRING OF FLORIDA, INC. | Cigna Healthcare | The Cigna Group | 3 |
| CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 3 |
| HEALTH NET LIFE INSURANCE COMPANY | Wellcare by Health Net | Centene Corporation | 3 |
| MERIDIAN HEALTH PLAN OF MICHIGAN, INC. | Wellcare | Centene Corporation | 3 |
| HEALTH CHOICE ARIZONA, INC. | BCBSAZ Health Choice | Blue Cross Blue Shield of Arizona | 3 |
| Bridgeway Health Solutions of Arizona, Inc. | Wellcare by Allwell | Centene Corporation | 3 |
| NEW YORK QUALITY HEALTHCARE CORPORATION | Wellcare by Fidelis Care | Centene Corporation | 3 |
| MOLINA HEALTHCARE OF UTAH, INC. | Molina Healthcare of Utah & Idaho | Molina Healthcare, Inc. | 3 |
| MERIDIAN HEALTH PLAN OF ILLINOIS, INC. | Wellcare | Centene Corporation | 3 |
| MOLINA HEALTHCARE OF WASHINGTON, INC. | Molina Healthcare of Washington, Inc. | Molina Healthcare, Inc. | 3 |
| COMMUNITY HEALTH PLAN OF WASHINGTON | Community Health Plan of WA Medicare Advantage | Community Health Plan of Washington | 3 |
| WELLPOINT TENNESSEE, INC. | Wellpoint | Elevance Health, Inc. | 3 |
| MOLINA HEALTHCARE OF MICHIGAN, INC. | Molina Healthcare of Michigan | Molina Healthcare, Inc. | 3 |
| UCARE MINNESOTA | UCare | UCare Minnesota | 3 |
| SCAN HEALTH PLAN | VillageHealth | SCAN Group | 3 |
| ALOHACARE | AlohaCare | AlohaCare | 3 |
| HEALTHFIRST HEALTH PLAN, INC. | Healthfirst Medicare Plan | Healthfirst, Inc. | 3 |
| ATRIO HEALTH PLANS | ATRIO Health Plans | ATRIO Health Plans | 3 |
| SAN MATEO HEALTH COMMISSION | HEALTH PLAN OF SAN MATEO | Health Plan of San Mateo | 3 |
| Group Retiree Health Solutions, Inc. | Blue Medicare Advantage | Elevance Health, Inc. | 3 |
| MEDICA HEALTH PLANS | Medica | Medica Holding Company | 3 |
| REGENCE BLUECROSS BLUESHIELD OF OREGON | Regence BlueCross BlueShield of Oregon | Cambia Health Solutions, Inc. | 3 |
| MCLAREN HEALTH PLAN, INC. | McLaren Medicare | McLaren Health Care Corporation | 3 |
| COORDINATED CARE CORPORATION | Wellcare by Allwell | Centene Corporation | 3 |
| AETNA BETTER HEALTH INC. (NJ) | Aetna Better Health of New Jersey | CVS Health Corporation | 3 |
| SUNFLOWER STATE HEALTH PLAN, INC. | Wellcare by Allwell | Centene Corporation | 3 |
| WELLCARE OF ILLINOIS, INC. | Wellcare | Centene Corporation | 3 |
| ATRIO HEALTH PLANS | ATRIO Health Plans | ATRIO Health Plans | 3 |
| HEALTH NET HEALTH PLAN OF OREGON, INC. | Wellcare by Health Net | Centene Corporation | 3 |
| ATRIO HEALTH PLANS | ATRIO Health Plans | ATRIO Health Plans | 3 |
| BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC. | Wellcare | Centene Corporation | 3 |
| DEVOTED HEALTH PLAN OF OREGON | Devoted Health | Devoted Health, Inc. | 3 |
| HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC. | Humana | Humana Inc. | 3 |
| WELLCARE NATIONAL HEALTH INSURANCE COMPANY | Wellcare | Centene Corporation | 3 |
| WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC | Wellcare | Centene Corporation | 3 |
| CLEVER CARE OF GOLDEN STATE, INC. | Clever Care Health Plan | Clever Care Health Plan, Inc. | 3 |
| MOLINA HEALTHCARE OF TEXAS, INC. | Molina Healthcare of Texas, Inc. | Molina Healthcare, Inc. | 3 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Cigna Healthcare | The Cigna Group | 3 |
| MOLINA HEALTHCARE OF SOUTH CAROLINA,INC | Molina Healthcare of South Carolina | Molina Healthcare, Inc. | 3 |
| TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION | Tufts Health Plan | Point32Health, Inc. | 3 |
| ANTHEM HEALTHCHOICE HMO, INC. | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 3 |
| ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY | Anthem Blue Cross Life and Health Insurance Compan | Elevance Health, Inc. | 3 |
| ASPIRE HEALTH PLAN | Aspire Health | Montage Health | 3 |
| CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 3 |
| CAREFIRST ADVANTAGE DSNP, INC. | CareFirst BlueCross BlueShield Medicare Advantage | CareFirst, Inc. | 3 |
| Inland Empire Health Plan | IEHP DualChoice | INLAND EMPIRE HEALTH PLAN | 3 |
| HUMANA MEDICAL PLAN OF MICHIGAN, INC. | Humana | Humana Inc. | 3 |
| AMH HEALTH, LLC | AMH Health | Elevance Health, Inc. | 3 |
| AMH HEALTH PLANS OF MAINE, INC. | AMH Health | Elevance Health, Inc. | 3 |
| WELLCARE OF MAINE, INC. | Wellcare | Centene Corporation | 3 |
| SUNFLOWER STATE HEALTH PLAN, INC. | Wellcare by Allwell | Centene Corporation | 3 |
| FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 3 |
| CIGNA HEALTHCARE OF ST LOUIS, INC. | Cigna Healthcare | The Cigna Group | 3 |
| HCSC INSURANCE SERVICES COMPANY | Blue Cross and Blue Shield of Texas | Health Care Service Corporation | 3 |
| CENTRAL MASS HEALTH, LLC | Mass Advantage | Central Mass Health Holding LLC | 3 |
| MOLINA HEALTHCARE OF OHIO, INC. | Molina Healthcare of Ohio | Molina Healthcare, Inc. | 3 |
| CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 3 |
| CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 3 |
| HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 3 |
| CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 3 |
| HAMASPIK, INC. | Hamaspik, Inc. | Hamaspik of Rockland County, Inc. | 2.5 |
| CHINESE COMMUNITY HEALTH PLAN | CCHP (Chinese Community Health Plan) | Chinese Hospital Association | 2.5 |
| CIGNA HEALTHCARE OF COLORADO, INC. | Cigna Healthcare | The Cigna Group | 2.5 |
| WELLCARE HEALTH PLANS OF VERMONT, INC. | Wellcare | Centene Corporation | 2.5 |
| WELLPOINT WASHINGTON, INC. | Wellpoint | Elevance Health, Inc. | 2.5 |
| WELLCARE OF NEW HAMPSHIRE, INC. | Wellcare | Centene Corporation | 2.5 |
| AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY | Wellcare | Centene Corporation | 2.5 |
| MATTHEW THORNTON HEALTH PLAN, INC. | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 2.5 |
| HEALTH NET COMMUNITY SOLUTIONS, INC. | Wellcare by Health Net | Centene Corporation | 2.5 |
| ATRIO HEALTH PLANS | ATRIO Health Plans | ATRIO Health Plans | 2.5 |
| PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC. | Provider Partners Health Plans | Rifkin Managed Care Holding, LLC | 2.5 |
| CALIFORNIA PHYSICIANS' SERVICE | Blue Shield of California | California Physicians' Service | 2.5 |
| AETNA BETTER HEALTH OF CALIFORNIA INC. | Aetna Medicare | CVS Health Corporation | 2.5 |
| ORANGE COUNTY HEALTH AUTHORITY | CalOptima Health OneCare | Orange County Health Authority | 2.5 |
| MERCY CARE | Mercy Care Advantage | Mercy Care | 2.5 |
| CENTRAL HEALTH PLAN OF CALIFORNIA, INC. | Central Health Medicare Plan | Molina Healthcare, Inc. | 2.5 |
| WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON | Wellcare | Centene Corporation | 2.5 |
| BOSTON MEDICAL CENTER HEALTH PLAN, INC. | WellSense Health Plan | BMC Health System, Inc. | 2.5 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Cigna Healthcare | The Cigna Group | 2.5 |
| Molina Healthcare of Virginia, LLC | Molina Healthcare of Virginia | Molina Healthcare, Inc. | 2.5 |
| WELLCARE HEALTH INSURANCE OF THE SOUTHWEST, INC. | Wellcare | Centene Corporation | 2.5 |
| WELLCARE OF OKLAHOMA, INC. | Wellcare | Centene Corporation | 2.5 |
| MEDICA HEALTH PLANS | Medica | Medica Holding Company | 2.5 |
| ZING HEALTH, INC. | Zing Health | Zing Health Consolidator, Inc. | 2 |
