Medicare Advantage HHSC Contract Number CMS Code Plan …

1 Medicare Advantage Plan MCOHHSC Contract NumberCMS CodePlan IDPlan NameTypeCounties ServedCHA HMO, Gold PlusHMOMAPA ransas, Bee, Jim Wells, Kleberg, Nueces, San PatricioCHA HMO, Group Medicare HMO MAPK leberg, Nueces, San PatricioCHA HMO, Group Medicare HMO MAPA tascosa, Bandera, Bexar, Comal, Kendall, WilsonCHA HMO, Group Medicare HMO MAPG regg, Harrison, Jefferson, Rusk, Smith, UpshurCHA HMO, Gold Plus HMO SNP-CHF/DMMAPC ollin, Dallas, Denton, Ellis, Johnson, Kaufman, Rockwall, Tarrant, Wise Bowie, Cass, Delta, Fannin, Red River, TitusCHA HMO, Gold Plus HMO SNP-CHF/DMMAPC ameron, Hidalgo, WillacyCHA HMO, Inc.

2 HHS000232800001H0028030 Humana Gold PlusHMOMAPA tascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina, WilsonCHA HMO, Inc. HHS000232800001H0028035 Humana Gold PlusHMOMAPEl PasoCHA HMO, Inc. HHS000232800001H0028037 Humana Gold PlusHMOMAPHays, Travis, WilliamsonCHA HMO, Inc. HHS000232800001H0028042 Humana Gold PlusHMOMAPB razoria, Fort Bend, Harris, Jefferson, Liberty, Montgomery, Orange, San JacintoDevoted Health Plan of Texas, Health Plan of Texas, Bend, Harris, Montgomery, WallerDevoted Health Plan of Texas, Health Plan of Texas, Bend, Harris, Montgomery, WallerHealthSpring Life & Health Insurance Company, Advantage (HMO)MAPA ngelina, Brazoria, Cameron, Chambers, Fort Bend, Galveston.

3 (77510, 77511, 77517, 77518, 77539, 77546, 77549, 77563, 77565, 77568, 77573, 77574, 77590, 77591,77592), Hardin, Harris, Hidalgo, Jasper, Jefferson, Liberty, Montgomery, Nacogdoches, Newton, Orange, Polk, San Jacinto, Tyler, Walker, Waller, Webb, WillacyMedicare Advantage Plan MCOHHSC Contract NumberCMS CodePlan IDPlan NameTypeCounties ServedHealthSpring Life & Health Insurance Company, Inc. HHS000576600002H4513025 Cigna-HealthSpring Preferred (HMO)MAPA ngelina, Brazoria, Cameron, Chambers, Fort Bend, Galveston: (77510, 77511, 77517, 77518, 77539, 77546, 77549, 77563, 77565, 77568, 77573, 77574, 77590, 77591,77592), Hardin, Harris, Hidalgo, Jasper, Jefferson, Liberty, Montgomery, Nacogdoches, Newton, Orange, Polk, San Jacinto, Tyler, Walker, Waller, Webb, WillacyHealthSpring Life & Health Insurance Company, Inc.

4 HHS000576600002H4513026 Cigna-HealthSpring Preferred (HMO)MAPH enderson, Rusk, Smith, Upshur, Van ZandtHealthSpring Life & Health Insurance Company, Preferred (HMO)MAPB exar, Collin, Dallas, Denton, Hood,Johnson, Parker, Tarrant, WiseImperial Insurance Company of Texas, Insurance Company of Texas DualMAPB exar, Dallas, El Paso, Harris, Tarrant, TravisSelectCare Health Plans, TexanPlus Classic (HMO)MAPC ollin, Dallas, Denton, Rockwall, TarrantSelectCare of Texas Group (HMO)MAPA ustin, Brazoria, Chambers, Fort Bend, Galveston: (77510, 77511, 77517, 77518, 77539, 77546, 77549, 77563, 77565, 77568, 77573, 77574, 77590, 77591, 77592), Hardin, Harris, Jefferson, Liberty, Montgomery, Orange, WallerSelectCare of Texas TexanPlus Classic (HMO)MAPA ustin, Brazoria, Chambers, Fort Bend, Galveston.

5 (77510, 77511, 77517, 77518, 77539, 77546, 77549, 77563, 77565, 77568, 77573, 77574, 77590, 77591, 77592), Hardin, Harris, Jefferson, Liberty, Montgomery, Orange, WallerSelectCare of Texas TexanPlus Value (HMO)MAPA ustin, Brazoria, Chambers, Fort Bend, Galveston (77510, 77511, 77517, 77518, 77539, 77546, 77549, 77563, 77565, 77568, 77573, 77574, 77590, 77591, 77592), Hardin, Harris, Jefferson, Liberty, Montgomery, Orange, WallerSelectCare of Texas TexanPlus ChoiceMAPA ustin, Brazoria, Chambers, Fort Bend, Galveston (77510, 77511, 77517, 77518, 77539, 77546, 77549, 77563, 77565,77568, 77573, 77574, 77590, 77591, 77592)

6 , Hardin, Harris, Jefferson, Liberty, Montgomery, Orange, WallerSuperior HealthPlan Community Solutions, from Superior HealthPlanMAPB exar, Guadalupe, Wilson Aransas, Comal, Jim Wells El Paso, NuecesMedicare Advantage Plan MCOHHSC Contract NumberCMS CodePlan IDPlan NameTypeCounties ServedSuperior HealthPlan Community Solutions, from Superior HealthPlanMAPC ollin, Dallas, Denton, Rockwall, TarrantSuperior HealthPlan Community Solutions, from Superior HealthPlanMAPC ameron, Hidalgo, StarrSuperior HealthPlan Community Solutions, from Superior HealthPlanMAPFort Bend, MontgomeryWellCare National Health Insurance CompanyHHS000576600008H7323001 WellCare Prime (PPO)MAPB astrop, Blanco, Burnet, Caldwell, Hays, Lee, Milam, Travis, WilliamsonWellCare National Health Insurance CompanyHHS000576600008H7323002 WellCare Premier(PPO)MAPC ollin, Dallas, Denton, RockwallWellCare National Health Insurance CompanyHHS000576600008H7323003 WellCare Premier(PPO)

7 MAPA ustin, Brazoria, Chambers, Fort Bend, Galveston, Hardin, Harris, Jefferson, Liberty, Montgomery, Orange, WallerWellCare National Health Insurance CompanyHHS000576600008H7323004 WellCare Prime (PPO)MAPB exar, El PasoWellCare of Texas, TexanPlus Classic (HMO)MAPB astrop, Blanco, Burnet, Caldwell, Hays,Lee, Milam,Travis, WilliamsonWellCare of Texas, TexanPlus Classic (HMO)MAPB exar, El PasoWellCare of Texas, Dividend Prim (HMO)MAPB exar, Dallas, Denton, El Paso, Fort Bend, HarrisWellCare of Texas, Value (HMO-POS)MAPB exar, Dallas, Denton, El Paso, Fort Bend, Galveston, Harris, Jefferson, Johnson, Montgomery, TarrantWellCare of Texas, Gardian (HMO CSNP)MAPB exarMedicare Advantage Special Needs PlanMCOHHSC Contract NumberCMS CodePlan IDPlan NameTypeCounties ServedHealthSpring Life & Health Insurance Company, Spring TotaCare(HMO SNP)

8 SNPH enderson, Rusk, Smith, Upshur, Van ZandtAetna Better Health of Texas Medicare Dual Core (HMO SNP)SNPB exar, Cameron, Comal, Ector, El Paso, Gregg, Guadalupe, Hays, Hidalgo, Lubbock, Midland, Nueces, Potter, Randall, Smith, Taylor, Tom Green, Travis, Webb, WilliamsonMedicare Advantage Plan MCOHHSC Contract NumberCMS CodePlan IDPlan NameTypeCounties ServedAetna Better Health of Texas Medicare Dual Core (HMO SNP)SNPC ollin, Dallas, Denton, JohnsonAetna Better Health of Texas Medicare Dual Core (HMO SNP)SNPFort Bend, Harris, Jefferson, Montgomery, OrangeAmerigroup Texas, Dual Coordination(HMO SNP)

9 SNPA rcher, Atascosa, Austin, Bailey, Bandera, Bastrop, Bexar, Blanco, Briscoe, Burnet, Caldwell, Castro, Chambers, Clay, Cochran, Collin, Colorado, Comal, Cooke, Crosby, Dallas, Delta, Denton, Dickens, El Paso, Floyd, Fort Bend, Galveston, Garza, Gonzales, Grayson, Grimes, Guadalupe, Hale, Hamilton, Hardin, Harris, Hays, Henderson, Hockley, Hudspeth, Hunt, Jack, Jasper, Jefferson, Johnson, Kendall, La Salle, Lamb, Lampasas, Lee, Liberty, Lubbock, Lynn, Mason, Matagorda, Medina, Mills, Montague, Montgomery, Motley, Navarro, Orange, Palo Pinto, Parker, Rains, Real, Rockwall, San Jacinto, San Saba, Swisher, Tarrant, Terry, Throckmorton, Travis, Van Zandt, Walker, Waller, Wharton, Williamson, Wilson, Wise, ZavalaAmerigroup Texas, Dual Coordination(HMO SNP)SNPA ustin, Chambers, Colorado, Fort Bend, Galveston, Grimes, Hardin, Harris, Jasper, Jefferson, Liberty, Matagorda, Montgomery, Orange, San Jacinto, Walker, Waller, WhartonAmerigroup Texas, Dual Coordination(HMO SNP)

10 SNPA rcher, Clay, Collin, Cooke, Dallas, Delta, Denton, Grayson, Henderson, Hunt, Jack, Johnson, Montague, Navarro, Palo Pinto, Parker, Rains, Rockwall, Tarrant, Throckmorton, Van Zandt, WiseAmerigroup Texas, Dual Coordination(HMO SNP)SNPA tascosa, Bandera, Bexar, Comal, Gonzales, Guadalupe, Kendall, La Salle, Medina, Real, Wilson, ZavalaAmerigroup Texas, Dual Secure (HMO SNP)SNPEl Paso, HudspethAmerigroup Texas, Dual Secure (HMO SNP)SNPB astrop, Blanco, Burnet, Caldwell, Hamilton, Hays, Lampasas, Lee, Mason, Mills, San Saba, Travis, WilliamsonBlue Cross Medicare AdvantageHHS 000519600001H9706002 Blue Cross MedicareSNPA tascosa, Bandera, Bastrop, Bexar, Blanco, Bo