Franks Companies Matrix

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List of companies & Plans I am contracted

Company	Plan ID	Plan Name	Plan Type	National Network	Referrals	Premium	Drug Deductible, On Tiers	Medical Deductible		MOOP		Hospital Inpatient, Days		Primary Doctor Copay		Secialist Copay
								In Net	Out Net	In Net	Out Net	Out Net	In Net	Out Net	In Net	Out Net	In Net
Humana	H0028-025-001	Humana Gold Plus	HMO	N	N	0	95, T4 & T5	0	–	4500	–	225, 1-5	–	0	–	40	–
Humana	H0028-025-002	Humana Gold Plus	HMO	N	N	0	95, T4 & T5	0	–	5900	–	290, 1-5	–	0	–	40	–
Humana	H0028-026-001	Humana Gold Plus	HMO	N	N	50	95, T4 & T5	0	–	6700	–	345, 1-5	–	11	–	50	–
Humana	H0028-026-002	Humana Gold Plus	HMO	N	N	34	95, T4 & T5	0	–	5500	–	250, 1-5	–	0	–	45	–
Humana	H5216-078-001	HumanaChoice H5216-078 (PPO)	PPO	Y	N	55	195, T3-T5	0	800	6700	10000	325, 1-5	50%	10	50%	50	50%
Humana	H5216-078-002	HumanaChoice H5216-078 (PPO)	PPO	Y	N	0	195, T3-T5	0	500	6700	10000	285, 1-6	50%	0	50%	45	50%
Humana	H5216-077-001	HumanaChoice H5216-077 (PPO)	PPO	Y	N	0	–	0	0	4400	6700	275, 1-5	300, 1-5	0	30%	30	30%
Humana	H5216-213-001	Humana Honor (PPO)	PPO	Y	N	0	–	0	0	4400	6700	195, 1-6	50%	20	50%	50	50%
Humana	H5216-195	Humana Value Plus H5216-195 (PPO)	PPO	y	N	24	435, T2-T5	185	185	6700	10000	Same as Medicare	Same as Medicare	20%	20%	20%	20%
Humana	H8145-123	Humana Gold Choice	PFFS	Y	N	127	300, T3-T5	0	0	6700	6700	325, 1-5	325, 1-5	15	15	50	50
Humana	H8145-120	Humana Gold Choice	PFFS	Y	N	59	–	150	150	6700	6700	360, 1-5	40%	20	40%	50	40%

UnitedHealthcare (AARP)	H0609-007-0	AARP Medicare Advantage SecureHorizons Plan 2 (HMO)	HMO	N	Y	49	75, T4-T5	0	–	3000	–	185, 1-5	–	0	–	25	–
UnitedHealthcare (AARP)	H0609-012-0	AARP Medicare Advantage SecureHorizons Plan 1 (HMO)	HMO	N	Y	0	75, T4-T5	0	–	3900	–	225, 1-6	–	0	–	35	–
UnitedHealthcare (AARP)	H0609-018-0	AARP Medicare Advantage SecureHorizons Essential (HMO)	HMO	N	Y	0	–	0	–	3900	–	225, 1-6	–	0	–	35	–
UnitedHealthcare (AARP)	H0609-034-001	AARP Medicare Advantage SecureHorizons Plan 1 (HMO)	HMO	N	Y	39	75, T4-T5	0	–	3700	–	225, 1-6	–	0	–	30	–
UnitedHealthcare (AARP)	H0609-034-002	AARP Medicare Advantage SecureHorizons Plan 1 (HMO)	HMO	N	Y	39	75, T4-T5	0	–	3200	–	225, 1-6	–	0	–	30	–
UnitedHealthcare (AARP)	H0609-035-001	AARP Medicare Advantage SecureHorizons Essential (HMO)	HMO	N	Y	-40	—	0	–	4700	–	275, 1-6	–	0	–	40	–
UnitedHealthcare (AARP)	H0609-035-002	AARP Medicare Advantage SecureHorizons Essential (HMO)	HMO	N	Y	-30	—	0	–	4700	–	275, 1-6	–	0	–	40	–
UnitedHealthcare (AARP)	H0609-036-001	AARP Medicare Advantage SecureHorizons Plan 2 (HMO)	HMO	N	Y	0	75, T4-T5	0	–	4700	–	275, 1-6	–	0	–	40	–
UnitedHealthcare (AARP)	H0609-036-002	AARP Medicare Advantage SecureHorizons Plan 2 (HMO)	HMO	N	Y	0	75, T4-T5	0	–	4500	–	275, 1-6	–	0	–	40	–
UnitedHealthcare (AARP)	H0624-001-000	UnitedHealthcare Dual Complete (HMO D-SNP)	HMO	N	Y	28	0 or 89 (LIS)	0	–	6700	–	Original Medicare	–	0	–	0	–
UnitedHealthcare (AARP)	H2577-001-001	AARP Medicare Advantage Walgreens Plan 1 (PPO)	PPO	Y	N	0	195, T3-T5	0	–	6700	10000	325, 1-5	500, 1-20	0	35	50	70
UnitedHealthcare (AARP)	H2577-001-002	AARP Medicare Advantage Walgreens Plan 1 (PPO)	PPO	Y	N	0	195, T3-T5	0	–	5500	10000	295, 1-6	500, 1-20	0	35	45	70
UnitedHealthcare (AARP)	H2577-002-000	AARP Medicare Advantage Walgreens (PPO)	PPO	Y	N	0	195, T3-T5	0	–	6700	10000	325, 1-5	500, 1-20	0	35	50	70
UnitedHealthcare (AARP)	H2577-003-001	AARP Medicare Advantage Walgreens Plan 2 (PPO)	PPO	Y	N	-40	435, T3-T5	0	–	6700	10000	490, 1-4	500, 1-20	25	50	50	70
UnitedHealthcare (AARP)	H2577-003-002	AARP Medicare Advantage Walgreens Plan 2 (PPO)	PPO	Y	N	-40	435, T3-T5	0	–	6700	10000	490, 1-4	500, 1-20	25	50	50	70

Aetna Medicare	H3931-093	Prime Plan	HMO	n	y	0	195, T4-T5	0	–	5900	–	290, 1-5	–	10	–	45	–
Aetna	H3931-136-0	Prime Plan	HMO	N		0		0	–	6700	–
Aetna Medicare	H5521-250	Prime Essential	PPO	n	n	0	195, T4-T5	0	0	6700	10000	325, 1-5	40%	10	40%	50	40%
Aetna Medicare	H5521-057	Prime Plan	PPO	n	n	47	195, T4-T5	0	0	6100	10000	325, 1-5	40%	5	40%	40	40%
Aetna Medicare	H5521-187	Platinum Plan	PPO	y	n	94	95, T4-T5	0	0	5500	10000	275, 1-5	40%	0	40%	35	40%
Aetna Medicare	H5521-207	Essential Plan	PPO	n	n	0	195, T4-T5	0	500	6700	10000	370, 1-5	40%	10	40%	40	40%
Aetna Medicare	H5521-208	Prime Plan	PPO	n	n	57	195, T4-T5	0	0	6700	10000	325, 1-5	40%	0	40%	45	40%

Anthem Blue Cross and Blue Shield	H4346-012-0	MediBlue Plus	HMO	N	y	0	0	0	–	6200	–	289, 1-6	–	0	–	45	–
Anthem Blue Cross and Blue Shield	H4346-013-0	MediBlue Plus	HMO	N	y	0	0	0	–	5900	–	289, 1-6	–	0	–	45	–
Anthem Blue Cross and Blue Shield	H4346-014-0	MediBlue Dual Advantage SNP	HMO-SNP	N	Y	0	0	0	–	6700	–	0	–	0	–	0	–

BrightHealth	H7853-001-0	Bright Advantage	HMO	N	N	0	0	0	–	4200	–	250, 1-5	–	0	–	35	–
BrightHealth	H7853-002-0	Bright Advantage Plus	HMO	N	N	41	0	0	–	3250	–	195, 1-5	–	0	–	20	–
BrightHealth	H7853-005-0	Bright Advantage Assist	HMO	N	N	30	435, T2-T5	0	–	6700	–	295 1-6	–	0	–	25	–
BrightHealth	H7853-003-0	Bright Advantage Choice	HMO-POS	N	N	0	150, T3-T5	0	–	4500	25K max POS	295, 1-5	Not covered	0	35%	40	35%
BrightHealth	H7853-004-0	Bright Advantage Choice Plus	HMO-POS	N	N	67	0	0	–	3250	25K max for POS	195, 1-5	Not covered	0	30%	20	30%
BrightHealth	H5841-001	Bright Advantage Flex (PPO)	PPO	Limited	N	0	150, T3-T5	0		5900	10000	295, 1-5	35%	0	35%	40	35%
BrightHealth	H5841-002	Bright Advantage Flex Plus (PPO)	PPO	Limited	N	61	0	0		5000	10000	250, 1-5	35%	0	35%	25	35%
BrightHealth	H5841-007-0	Bright Advantage Access (PPO)	PPO	Limited	N	0	150, T2-T5	0		6700	10000	500, 1-not limited	Original Medicare amounts	0	20%	30	20%

Cigna	H0672-001-000	Cigna-HealthSpring Preferred (HMO)	HMO	N	Y	0	0	0	–	3900	–	290, 1-5	–	0	–	35	–
Cigna	H0672-002-000	Cigna-HealthSpring Preferred (HMO)	HMO	N	Y	0	0	0	–	3900	–	290, 1-5	–	0	–	35	–
Cigna	H7849-001-000	Cigna-HealthSpring True Choice (PPO)	PPO	Limited	N	0	0	0	0	5900	10000	330, 1-5	40%	5	$40	40	$55

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