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Medicare Advantage HHSC Contract CMS Code …

Medicare Advantage Plan MCOHHSC Contract NumberCMS CodePlan IDPlan NameTypeCounties ServedHumana Health Plan of Texas 529-16-0012-00001H2649045 Humana Gold PlusHMOMAPA ransas, Bee, Jim Wells, Kleberg, Nueces, San PatricioHumana Health Plan of Texas 529-16-0012-00001H2649046 Humana Gold PlusHMOMAPA tascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina, WilsonHumana Health Plan of Texas 529-16-0012-00001H2649047 Humana Gold PlusHMOMAPB owie, Cass, Collin, Dallas, Delta, Denton, Ellis, Fannin, Johnson, Kaufman, Red River, Rockwall, Tarrant, Titus, WiseHumana Health Plan of Texas 529-16-0012-00001H2649049 Humana Gold PlusHMOMAPEl PasoHumana Health Plan of Texas 529-16-0012-00001H2649051 Humana Gold PlusHMOMAPH ayes, Travis, WilliamsonHumana Health Plan of Texas 529-16-0012-00001H26

Molina Healthcare of Texas, Inc 529-16-0013-00008 H7678 002 Molina Medicare Options SNP Bexar, Cameron, Collins, Dallas, ElPaso, Harris, Hidalgo, Webb Physicians Health Choice 529-16-0013-00011 H4527 003

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Transcription of Medicare Advantage HHSC Contract CMS Code …

1 Medicare Advantage Plan MCOHHSC Contract NumberCMS CodePlan IDPlan NameTypeCounties ServedHumana Health Plan of Texas 529-16-0012-00001H2649045 Humana Gold PlusHMOMAPA ransas, Bee, Jim Wells, Kleberg, Nueces, San PatricioHumana Health Plan of Texas 529-16-0012-00001H2649046 Humana Gold PlusHMOMAPA tascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina, WilsonHumana Health Plan of Texas 529-16-0012-00001H2649047 Humana Gold PlusHMOMAPB owie, Cass, Collin, Dallas, Delta, Denton, Ellis, Fannin, Johnson, Kaufman, Red River, Rockwall, Tarrant, Titus, WiseHumana Health Plan of Texas 529-16-0012-00001H2649049 Humana Gold PlusHMOMAPEl PasoHumana Health Plan of Texas 529-16-0012-00001H2649051 Humana Gold PlusHMOMAPH ayes, Travis, WilliamsonHumana Health Plan of Texas 529-16-0012-00001H2649801 Humana Gold PlusHMOMAPA nderson, Aransas, Atascosa, Bandera, Bee,Bexar, Bowie, Camp, Cass, Cherokee, Collin,Comal, Dallas, Delta, Denton, Ellis, El Paso,Fannin, Fort Bend, Franklin, Freestone,Gregg, Guadalupe, Hardin, Harris, Harrison,Hays, Henderson.

2 Hopkins, Houston,Jefferson, Jim Wells, Johnson, Kendall,Kleberg, Marion, Medina, Montgomery,Morris, Navarro, Nueces, Panola, Red River,Rockwall, Rusk, San Patricio, Shelby, Smith,Tarrant, Titus, Travis, Trinity, Upshur, VanZandt, Williamson, Wilson, Wise, WoodHumana Health Plan of Texas 529-16-0012-00001H2649802 Humana Gold PlusHMO (SNP-CHF/DMMAPA nderson, Aransas, Atascosa, Bandera, Bee,Bexar, Bowie, Camp, Cass, Cherokee, Collin,Comal, Dallas, Delta, Denton, Ellis, El Paso,Fannin, Fort Bend, Franklin, Freestone,Gregg, Guadalupe, Hardin, Harris, Harrison,Hays, Henderson, Hopkins, Houston,Jefferson, Jim Wells, Johnson, Kendall,Kleberg, Marion, Medina, Montgomery,Morris, Navarro, Nueces, Panola, Red River,Rockwall, Rusk, San Patricio, Shelby, Smith,Tarrant, Titus, Travis, Trinity, Upshur, VanZandt, Williamson, Wilson, Wise, WoodMedicare Advantage PlansPage 1 of 6 Humana Health Plan of Texas 529-16-0012-00001H2649803 Humana Gold PlusHMO (SNP-CHF/DMMAPA nderson, Aransas, Atascosa, Bandera, Bee,Bexar, Bowie, Camp, Cass, Cherokee, Collin.))

3 Comal, Dallas, Delta, Denton, Ellis, El Paso,Fannin, Fort Bend, Franklin, Freestone,Gregg, Guadalupe, Hardin, Harris, Harrison,Hays, Henderson, Hopkins, Houston,Jefferson, Jim Wells, Johnson, Kendall,Kleberg, Marion, Medina, Montgomery,Morris, Navarro, Nueces, Panola, Red River,Rockwall, Rusk, San Patricio, Shelby, Smith,Tarrant, Titus, Travis, Trinity, Upshur, VanZandt, Williamson, Wilson, Wise, WoodHumana Health Plan of Texas 529-16-0012-00001H2649052 Humana Gold PlusHMOMAPH arris, Fort Bend, MontgomeryHumana Health Plan of Texas 529-16-0012-00001H2649053 Humana Group MedicareHMOMAPK leberg, Nueces, San PatricioHumana Health Plan of Texas 529-16-0012-00001H2649054 Humana Group MedicareHMOMAPA tascosa, Bandera, Bexar, Comal,Kendall, WilsonHumana Health Plan of Texas 529-16-0012-00001H2649055 Humana Group MedicareHMOMAPA nderson, Camp, Cherokee, Franklin,Freestone, Gregg, Hardin, Harrison,Henderson, Hopkins, Houston,Jefferson, Marion, Morris,Navarro, Panola, Rusk, Shelby, Smith,Trinity, Upshur, Van Zandt.

4 WoodInsurance Company of Scott and White529-16-0012-00005H8237001 Vital Traditions (HMO)MAPC ollin, Dallas, Ellis, Johonson, Rockwall, TarrantInsurance Company of Scott and White529-16-0012-00005H8237003 Vital Traditions (HMO POS)MAPC ollin, Dallas, Ellis, Johonson, Rockwall, TarrantSelectCare Health Plans529-16-0012-00002H5656001 TexanPlus Classic (HMO)MAPC ollin, Dallas, Rockwall, TarrantSelectCare of Texas529-16-0012-00003H4506003 TexanPlus Classic (HMO)MAPA ustin, Brazoria, Chambers, Fort Bend, Galveston (77510, 77511, 77517, 77518, 77539, 77546, 77549, 77563, 77564,77568, 77573, 77574, 77590, 77591, 77592), Hardin, Harris, Jefferson, Liberty, Montgomery, Orange, WallerMedicare Advantage PlansPage 2 of 6 SelectCare of Texas529-16-0012-00003H4506010 TexanPlus Value (HMO)MAPA ustin, Brazoria, Chambers, Fort Bend, Galveston (77510, 77511, 77517, 77518, 77539, 77546, 77549, 77563, 77564,77568, 77573, 77574, 77590, 77591, 77592)

5 , Hardin, Harris, Jefferson, Liberty, Montgomery, Orange, WallerSelectCare of Texas529-16-0012-00003H4506029 TexanPlus ChoiceMAPA ustin, Brazoria, Chambers, Fort Bend, Galveston (77510, 77511, 77517, 77518, 77539, 77546, 77549, 77563, 77564,77568, 77573, 77574, 77590, 77591, 77592), Hardin, Harris, Jefferson, Liberty, Montgomery, Orange, WallerTexas HealthSpring 529-16-0012-00004H4513009 Cigna - HealthSpring AdvantageMAPA ngelina, Brazoria, Cameron, Chambers, Fort Bend, Hardin, Harris, Hidalgo, Jasper, Jefferson, Liberty, Montgomery, Nacogdoches, Newton, Orange, Polk, Sabine, San Augustine, San Jacinto, Shelby, Tyler, Walker, Waller and Willacy.

6 Galveston (77510; 77511; 7517; 77518; 77539; 77546; 77549; 77563; 77565; 77568; 77573; 77574; 77590; 77591; 77592) Texas HealthSpring 529-16-0012-00004H4513025 Cigna - HealthSpring AdvantageMAPB razoria, Cameron, Chambers, Fort Bend, Hardin, Harris, Hidalgo, Jasper, Jefferson, Liberty, Montgomery, Newton, Orange, San Jacinto, Walker, Waller, Webb, Willacy, Angelina, Nacogdoches, Polk, Tyler, Galveston (77510; 77511; 7517; 77518; 77539; 77546; 77549; 77563; 77565; 77568; 77573; 77574; 77590; 77591; 77592 )Texas HealthSpring 529-16-0012-00004H4528001 Cigna - HealthSpring PreferredMAPB exar, Collin, Dallas, Denton, El Paso, Hood, Johnson, Parker,Tarrant, WiseTexas HealthSpring 529-16-0012-00004H2165018 Cigna - HealthSpring PreferredMAPH enderson, Lubbock, Rusk, Smith, Upshur, Van ZandtMedicare Advantage PlansPage 3 of 6 Medicare Advantage Special Needs PlanMCOHHSC Contract NumberCMS CodePlan IDPlan NameTypeCounties ServedAmerigroup529-16-0013-00002H581700 1 Amerivantge Dual CoordinationSNPB exar, ElPaso.

7 And TravisAmerigroup529-16-0013-00002H581700 2 Amerivantge Dual CoordinationSNPH arris Amerigroup529-16-0013-00002H5817003 Amerivantge Dual CoordinationSNPB razoria, Fort Bend, Galveston, Jefferson,Montgomery, Denton, Tarrant, Hudspeth,Comal, Medina, Lubbock, Hays, andWilliamson Care Improvement Plus 529-16-0013-00005R6801011 Dual AdvantageSNPAll CountiesCare Improvement Plus 529-16-0013-00005H0084005 Dual AdvantageSNPAll CountiesFirstCare529-16-0013-00006H45250 03 FirstCare Advantage SelectSNPC rosby, Ector, Floyd, Garza, Hale, Hockley, Jones, Lamb, Lubbock, Lynn, Midland, Potter, Randall, Taylor, Terry, Tom Green, Hill, DeafSmith, Carson, Swisher, Castro, Martin, McLennan, Hutchinson, Bauiley, Dickens, CochranGHS Insurance529-16-0013-00010H8133009 Blue Cross Medicare AdvantageDual CareSNPB astrop, Burnet, Caldwell, Hays, Lee, Williamson, ElPasoHumana Health Plan of Texas 529-16-0013-00007H2649048 Humana Gold Plus HMO SNP-DESNPB owie, Cass, Collin, Dallas, Delta,Denton, El Paso, Ellis, Fannin, Fort Bend,Gregg, Harris, Harrison, Henderson.

8 Johnson, Montgomery, Red River,Rockwall, Tarrant, Titus, WiseHumana Health Plan of Texas 529-16-0013-00007H2649050 Humana Gold Plus HMOSNP-DeSNPA ransas, Atascosa, Bandera, Bee, Bexar,Comal, Guadalupe, Jim Wells, Kendall,Kleberg, Medina, Nueces, San Patricio,WilsonMolina healthcare of Texas, Inc529-16-0013-00008H7678001 molina Medicare Options Plus SNPB exar, Cameron, Collins, Dallas, ElPaso, Harris, Hidalgo, WebbMedicare Advantage PlansPage 4 of 6 molina healthcare of Texas, Inc529-16-0013-00008H7678002 molina Medicare OptionsSNPB exar, Cameron, Collins, Dallas, ElPaso, Harris, Hidalgo, WebbPhysicians Health Choice 529-16-0013-00011H4527003 Physicians Health Choice Select PlanSNPHays, Travis WilliamsonPhysicians Health Choice 529-16-0013-00011H4527004 Physicians Health Choice Select PlanSNPA ransas, Kleberg, Nueces.

9 San PatricioPhysicians Health Choice 529-16-0013-00011H4527006 Physicians Health Choice Select PlanSNPEl PasoPhysicians Health Choice 529-16-0013-00011H4527015 Physicians Health Choice Select PlanSNPC ameron, Hidalgo, WillacySuperior 529-16-0013-00012H5294001 Superior HealthPlan AdvantageSNPB exar, Nueces, Dallas, Roc


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