2015 Medicare Advantage & Prescription Drug PlansAvailability by State

CONFIDENTIAL - FOR AGENT USE ONLYALL PLANS AND PREMIUMS PENDING CMS APPROVAL

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2015 MAPD HMO Plans

Alabama

Baldwin

Clarke

Escambia

Mobile

Bibb

Fayette

Jefferson

Shelby Tuscaloosa

Walker

Limestone Madison

Autauga

Barbour

Blount

Bullock

Butler

Calhoun

Chambers

Cherokee

Chilton

Choctaw

Clay

Cleburne

Coffee

Colbert

Conecuh

Coosa

Covington

Crenshaw

Cullman

Dale

Dallas

De Kalb

Elmore

Etowah

Franklin

Geneva

Greene Hale

Henry

Houston

Jackson

Lamar

Lauderdale

Lawrence

Lee

Lowndes

Macon

Marengo

Marion

Marshall

Monroe

Montgomery

Morgan

Perry

Pickens

Pike

Randolph

Russell

St Clair

Sumter

Talladega

Tallapoosa

Washington

Wilcox

Winston

Premium Ranges 0/79 25 29 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD DE SNP Plans

Alabama

Baldwin

Bibb

Clarke

Escambia

Fayette

Jefferson

Limestone Madison

Mobile

Shelby Tuscaloosa

Walker

Autauga

Barbour

Blount

Bullock

Butler

Calhoun

Chambers

Cherokee

Chilton

Choctaw

Clay

Cleburne

Coffee

Colbert

Conecuh

Coosa

Covington

Crenshaw

Cullman

Dale

Dallas

De Kalb

Elmore

Etowah

Franklin

Geneva

Greene Hale

Henry

Houston

Jackson

Lamar

Lauderdale

Lawrence

Lee

Lowndes

Macon

Marengo

Marion

Marshall

Monroe

Montgomery

Morgan

Perry

Pickens

Pike

Randolph

Russell

St Clair

Sumter

Talladega

Tallapoosa

Washington

Wilcox

Winston

Premium Ranges 32 No HMO-DE SNP Plans

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2015 MAPD HMO-POS Plans

Alabama

Chambers

Lee

Randolph

Russell

Baldwin

Clarke

Escambia

Mobile

Barbour

Coffee Dale

Henry

Houston

Bibb

Blount

Chilton

Fayette

Jefferson

Shelby

Walker

Bullock

Elmore

Lowndes

Macon

Montgomery

Wilcox

Colbert Jackson

Lauderdale Limestone Madison

Marion

Marshall

Morgan

Autauga

Butler

Calhoun

Cherokee

Choctaw

Clay

Cleburne

Conecuh

Coosa

Covington

Crenshaw

Cullman

Dallas

De Kalb

Etowah

Franklin

Geneva

Greene Hale

Lamar

Lawrence

Marengo

Monroe

Perry

Pickens

Pike

St Clair

Sumter

Talladega

Tallapoosa

Tuscaloosa

Washington

Winston

Premium Ranges 44 55 62 63 64 65 No HMO-POS Plans

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2015 MAPD LPPO Plans

Alabama

Chambers

Lee

Randolph

Russell

Baldwin

Clarke

Escambia

Mobile

Barbour

Coffee Dale

Henry

Houston

Bibb

Blount

Chilton

Fayette

Jefferson

Shelby

Walker

Autauga

Bullock

Elmore

Lowndes

Macon

Montgomery

Wilcox

Colbert Jackson

Lauderdale Limestone Madison

Marion

Marshall

Morgan

Butler

Calhoun

Cherokee

Choctaw

Clay

Cleburne

Conecuh

Coosa

Covington

Crenshaw

Cullman

Dallas

De Kalb

Etowah

Franklin

Geneva

Greene Hale

Lamar

Lawrence

Marengo

Monroe

Perry

Pickens

Pike

St Clair

Sumter

Talladega

Tallapoosa

Tuscaloosa

Washington

Winston

Premium Ranges 44 55 62 63 64 65 No LPPO Plans

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2015 MAPD PFFS Full Plans

Alabama

Autauga

Baldwin

Clay

Cullman

Fayette

Limestone Madison

Mobile

Montgomery

Randolph Shelby

Talladega

Barbour

Bibb

Blount

Bullock

Butler

Calhoun

Chambers

Cherokee

Chilton

Choctaw

Clarke

Cleburne

Coffee

Colbert

Conecuh

Coosa

Covington

Crenshaw

Dale

Dallas

De Kalb

Elmore

Escambia

Etowah

Franklin

Geneva

Greene Hale

Henry

Houston

Jackson

Jefferson

Lamar

Lauderdale

Lawrence

Lee

Lowndes

Macon

Marengo

Marion

Marshall

Monroe

Morgan

Perry

Pickens

Pike

Russell

St Clair

Sumter

Tallapoosa

Tuscaloosa

Walker

Washington

Wilcox

Winston

Premium Ranges 96 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD RPPO Plans

Alabama

Autauga

Baldwin

Barbour

Bibb

Blount

Bullock

Butler

Calhoun

Chambers

Cherokee

Chilton

Choctaw

Clarke

Clay

Cleburne

Coffee

Colbert

Conecuh

Coosa

Covington

Crenshaw

Cullman

Dale

Dallas

De Kalb

Elmore

Escambia

Etowah

Fayette

Franklin

Geneva

Greene Hale

Henry

Houston

Jackson

Jefferson

Lamar

Lauderdale

Lawrence

Lee

Limestone

Lowndes

Macon

Madison

Marengo

Marion

Marshall

Mobile

Monroe

Montgomery

Morgan

Perry

Pickens

Pike

Randolph

Russell

Shelby

St Clair

Sumter

Talladega

Tallapoosa

Tuscaloosa

Walker

Washington

Wilcox

Winston

Premium Ranges 70

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2015 MAPD HMO Plans

Arizona

Maricopa

La Paz

Mohave

Pima

Pinal

Yuma

Yavapai

Santa Cruz

Apache

Cochise

Coconino

Gila

Graham Greenlee

Navajo

Premium Ranges 0 0/56 0/62 38/85 52 62 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD Chronic SNP Plans

Arizona

Maricopa

Pinal

Apache

Cochise

Coconino

Gila

Graham Greenlee

La Paz

Mohave

Navajo

Pima

Santa Cruz

Yavapai

Yuma

Premium Ranges 0 No HMO-Chronic SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Arizona

Maricopa

Pima

Pinal

Santa Cruz

La Paz

Mohave

Yavapai

Apache

Cochise

Coconino

Gila

Graham Greenlee

Navajo

Yuma

Premium Ranges 122 125 92 96 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Arizona

Maricopa

Pima

Pinal

Santa Cruz

La Paz

Mohave

Yavapai

Apache

Cochise

Coconino

Gila

Graham Greenlee

Navajo

Yuma

Premium Ranges 122 125 92 96 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

Arizona

Cochise

Maricopa

Mohave

Pima

Pinal

Yavapai

Apache

Coconino

Gila

Graham Greenlee

La Paz

Navajo

Santa Cruz

Yuma

Premium Ranges 180 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD RPPO Plans

Arizona

Apache

Cochise

Coconino

Gila

Graham Greenlee

La Paz

Maricopa

Mohave

Navajo

Pima

Pinal

Santa Cruz

Yavapai

Yuma

Premium Ranges 152

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2015 MAPD HMO Plans

Arkansas

Benton

Crawford

Hempstead

Howard

Jefferson

Little River

Miller

Sebastian

Sevier

Washington

Baxter Boone Carroll

Franklin

Fulton

Johnson

Madison

Marion

Pope

Searcy

Cleburne

Conway

Garland

Independence

Izard

Lonoke

Perry

Pulaski

Randolph

Saline

Sharp

Van Buren

White

Arkansas

Ashley

Bradley

Calhoun

Chicot

Clark

Clay

Cleveland

Columbia

Craighead

Crittenden

Cross

Dallas

Desha

Drew

Faulkner

Grant

Greene

Hot Spring

Jackson

Lafayette

Lawrence

Lee

Lincoln

Logan

Mississippi

Monroe

Montgomery

Nevada

Newton

Ouachita

Phillips

Pike

Poinsett

Polk

Prairie

Scott

St Francis

Stone

Union

Woodruff

Yell

Premium Ranges 0 25 36 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD DE SNP Plans

Arkansas

Baxter Benton Boone Carroll

Cleburne

Conway

Crawford Franklin

Fulton

Garland

Hempstead

Howard

Independence

Izard

Jefferson

Johnson

Little River

Lonoke

Madison

Marion

Miller

Perry

Pope

Pulaski

Randolph

Saline

Searcy

Sebastian

Sevier

Sharp

Van Buren

Washington

White

Arkansas

Ashley

Bradley

Calhoun

Chicot

Clark

Clay

Cleveland

Columbia

Craighead

Crittenden

Cross

Dallas

Desha

Drew

Faulkner

Grant

Greene

Hot Spring

Jackson

Lafayette

Lawrence

Lee

Lincoln

Logan

Mississippi

Monroe

Montgomery

Nevada

Newton

Ouachita

Phillips

Pike

Poinsett

Polk

Prairie

Scott

St Francis

Stone

Union

Woodruff

Yell

Premium Ranges 31 No HMO-DE SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Arkansas

Crittenden

Baxter Benton Boone Carroll

Clark

Cleburne

Conway

Craighead

Crawford

Dallas

Faulkner

Franklin

Fulton

Garland

Grant

Greene

Hot Spring

Izard

Jefferson

Johnson

Lee

Logan

Lonoke

Madison

Marion

Montgomery

Newton

Perry

Phillips

Poinsett

Polk

Pope

Pulaski

Randolph

Saline

Scott

Searcy

Sebastian

Sharp

St Francis

Van Buren

Washington

White

Woodruff

Yell

Arkansas

Ashley

Bradley

Calhoun

Chicot

Clay

Cleveland

Columbia

Cross

Desha

Drew

Hempstead

Howard

Independence

Jackson

Lafayette

Lawrence

Lincoln

Little River

Miller

Mississippi

Monroe

Nevada

Ouachita

Pike

Prairie

Sevier

Stone

Union

Premium Ranges 55 60/87 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Arkansas

Crittenden

Baxter Benton Boone Carroll

Clark

Cleburne

Conway

Craighead

Crawford

Dallas

Faulkner

Franklin

Fulton

Garland

Grant

Greene

Hot Spring

Izard

Jefferson

Johnson

Lee

Logan

Lonoke

Madison

Marion

Montgomery

Newton

Perry

Phillips

Poinsett

Polk

Pope

Pulaski

Randolph

Saline

Scott

Searcy

Sebastian

Sharp

St Francis

Van Buren

Washington

White

Woodruff

Yell

Arkansas

Ashley

Bradley

Calhoun

Chicot

Clay

Cleveland

Columbia

Cross

Desha

Drew

Hempstead

Howard

Independence

Jackson

Lafayette

Lawrence

Lincoln

Little River

Miller

Mississippi

Monroe

Nevada

Ouachita

Pike

Prairie

Sevier

Stone

Union

Premium Ranges 55 60/87 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

Arkansas Arkansas

Baxter Benton Carroll

Cleburne

Conway

Craighead

Crawford

Crittenden

Cross

Dallas

Faulkner

Franklin

Fulton

Garland

Greene

Hot Spring

Independence

Jackson

Jefferson

Johnson

Lawrence

Lee

Logan

Marion

Monroe

Montgomery

Pope

Pulaski

Randolph

Saline

Scott

Sebastian

Sharp

Van Buren

Washington

White

Woodruff

Ashley

Boone

Bradley

Calhoun

Chicot

Clark

Clay

Cleveland

Columbia

Desha

Drew

Grant

Hempstead

Howard

Izard

Lafayette

Lincoln

Little River

Lonoke

Madison

Miller

Mississippi

Nevada

Newton

Ouachita

Perry

Phillips

Pike

Poinsett

Polk

Prairie

Searcy

Sevier

St Francis

Stone

Union

Yell

Premium Ranges 97 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD RPPO Plans

Arkansas Arkansas

Ashley

Baxter Benton Boone

Bradley

Calhoun

Carroll

Chicot

Clark

Clay

Cleburne

Cleveland

Columbia

Conway

Craighead

Crawford

Crittenden

Cross

Dallas

Desha

Drew

Faulkner

Franklin

Fulton

Garland

Grant

Greene

Hempstead

Hot Spring

Howard

Independence

Izard

Jackson

Jefferson

Johnson

Lafayette

Lawrence

Lee

Lincoln

Little River

Logan

Lonoke

Madison

Marion

Miller

Mississippi

Monroe

Montgomery

Nevada

Newton

Ouachita

Perry

Phillips

Pike

Poinsett

Polk

Pope

Prairie Pulaski

Randolph

Saline

Scott

Searcy

Sebastian

Sevier

Sharp

St Francis

Stone

Union

Van Buren

Washington

White

Woodruff

Yell

Premium Ranges 114

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

California

Santa Barbara

Tulare

Ventura Los Angeles

Orange Riverside

San Bernardino

Fresno

Kings

Madera

San Diego

San Joaquin Alameda

Contra Costa

Placer

Sacramento

San Francisco

Santa Clara

Stanislaus

Yolo

Santa Cruz

Alpine Amador

Butte

Calaveras

Colusa

Del Norte

El Dorado

Glenn

Humboldt

Imperial

Inyo

Kern

Lake

Lassen

Marin

Mariposa

Mendocino

Merced

Modoc

Mono

Monterey

Napa

Nevada

Plumas

San Benito

San Luis Obispo

San Mateo

Shasta

Sierra

Siskiyou

Solano Sonoma

Sutter

Tehama

Trinity

Tuolumne

Yuba

Premium Ranges 0 0/29 0/39 0/49 0/59 59 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD DE SNP Plans

California

Alameda

Fresno

Kings

Los Angeles

Madera

Orange Riverside

San Bernardino

San Francisco San Joaquin

Santa Clara

Stanislaus

Tulare

Alpine Amador

Butte

Calaveras

Colusa

Contra Costa

Del Norte

El Dorado

Glenn

Humboldt

Imperial

Inyo

Kern

Lake

Lassen

Marin

Mariposa

Mendocino

Merced

Modoc

Mono

Monterey

Napa

Nevada

Placer

Plumas

Sacramento

San Benito

San Diego

San Luis Obispo

San Mateo

Santa Barbara

Santa Cruz

Shasta

Sierra

Siskiyou

Solano Sonoma

Sutter

Tehama

Trinity

Tuolumne

Ventura

Yolo

Yuba Premium Ranges 30 No HMO-DE SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

Colorado

Adams

Arapahoe

Boulder

Broomfield

Clear Creek Denver

Douglas

El Paso

Elbert

Fremont

Jefferson

Larimer

Pueblo

Teller

Weld

Alamosa

Archuleta

Baca

Bent

Chaffee Cheyenne

Conejos

Costilla

Crowley

Custer

Delta

Dolores

Eagle Garfield

Gilpin

Grand

Gunnison

Hinsdale

Huerfano

Jackson

Kiowa

Kit Carson

La Plata

Lake

Las Animas

Lincoln

Logan

Mesa

Mineral

Moffat

Montezuma

Montrose

Morgan

Otero

Ouray

Park

Phillips

Pitkin

Prowers

Rio Blanco

Rio Grande

Routt

Saguache

San Juan

San Miguel

Sedgwick

Summit

Washington Yuma

Premium Ranges 0/27 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Colorado

Adams

Alamosa

Arapahoe

Archuleta

Boulder

Broomfield

Chaffee

Clear Creek

Conejos

Costilla

Crowley

Custer

Delta

Denver

Douglas

El Paso

Elbert

Fremont

Gilpin

Grand

Huerfano

Jefferson

Larimer

Las Animas

Logan

Mesa

Montrose

Morgan

Otero

Park

Pueblo

Teller

Weld

Baca

Bent

Cheyenne

Dolores

Eagle Garfield

Gunnison

Hinsdale

Jackson

Kiowa

Kit Carson

La Plata

Lake

Lincoln

Mineral

Moffat

Montezuma

Ouray

Phillips

Pitkin

Prowers

Rio Blanco

Rio Grande

Routt

Saguache

San Juan

San Miguel

Sedgwick

Summit

Washington Yuma

Premium Ranges 49/302 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Colorado

Adams

Alamosa

Arapahoe

Archuleta

Boulder

Broomfield

Chaffee

Clear Creek

Conejos

Costilla

Crowley

Custer

Delta

Denver

Douglas

El Paso

Elbert

Fremont

Gilpin

Grand

Huerfano

Jefferson

Larimer

Las Animas

Logan

Mesa

Montrose

Morgan

Otero

Park

Pueblo

Teller

Weld

Baca

Bent

Cheyenne

Dolores

Eagle Garfield

Gunnison

Hinsdale

Jackson

Kiowa

Kit Carson

La Plata

Lake

Lincoln

Mineral

Moffat

Montezuma

Ouray

Phillips

Pitkin

Prowers

Rio Blanco

Rio Grande

Routt

Saguache

San Juan

San Miguel

Sedgwick

Summit

Washington Yuma

Premium Ranges 49/302 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

Colorado

Adams

Alamosa

Arapahoe

Boulder

Broomfield

Chaffee

Costilla

Crowley

Custer

Delta

Denver

Douglas

El Paso

Elbert

Fremont

Gilpin

Grand

Huerfano

Jefferson

Larimer

Mesa

Montrose

Morgan

Otero

Park

Pueblo

Weld

Archuleta

Baca

Bent

Cheyenne

Clear Creek

Conejos

Dolores

Eagle Garfield

Gunnison

Hinsdale

Jackson

Kiowa

Kit Carson

La Plata

Lake

Las Animas

Lincoln

Logan

Mineral

Moffat

Montezuma

Ouray

Phillips

Pitkin

Prowers

Rio Blanco

Rio Grande

Routt

Saguache

San Juan

San Miguel

Sedgwick

Summit

Teller

Washington Yuma

Premium Ranges 98 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Delaware

Kent

New Castle

Sussex

Premium Ranges 67 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Delaware

Kent

New Castle

Sussex

Premium Ranges 67 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

Florida

Baker

Brevard

Broward

Charlotte

Citrus

Clay

Collier

Duval

Escambia

Flagler

Glades

Hardee

Hernando

Highlands

Hillsborough

Indian River

Lake

Lee

Manatee

Marion

Martin

Miami-Dade

Nassau

Okeechobee

Orange

Osceola

Palm Beach

Pasco

Pinellas Polk

Putnam

Santa Rosa

Sarasota

Seminole

St Johns

St Lucie

Sumter

Volusia

Alachua

Bay

Bradford

Calhoun

Columbia

De Soto

Dixie

Franklin

Gadsden

Gilchrist

Gulf

Hamilton

Hendry

Holmes Jackson

Jefferson

Lafayette

Leon

Levy

Liberty

Madison

Monroe

Okaloosa

Suwannee

Taylor Union Wakulla

Walton Washington

Premium Ranges 0 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD Chronic SNP Plans

Florida

Baker

Broward

Clay

Duval

Escambia

Flagler

Glades

Hernando

Hillsborough

Lake

Manatee

Marion

Martin

Miami-Dade

Nassau

Okeechobee

Orange

Osceola

Palm Beach

Pasco

Pinellas Polk

Putnam

Santa Rosa

Seminole

St Johns

St Lucie

Sumter

Volusia

Alachua

Bay

Bradford

Brevard

Calhoun

Charlotte

Citrus

Collier

Columbia

De Soto

Dixie

Franklin

Gadsden

Gilchrist

Gulf

Hamilton

Hardee

Hendry

Highlands

Holmes

Indian River

Jackson

Jefferson

Lafayette

Lee

Leon

Levy

Liberty

Madison

Monroe

Okaloosa

Sarasota

Suwannee

Taylor Union Wakulla

Walton Washington

Premium Ranges 0 No HMO-Chronic SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD DE SNP Plans

Florida Flagler

Volusia

Orange

Osceola

Seminole

Broward

Escambia Santa Rosa

Duval Baker

Clay

Nassau

Putnam

St Johns

Miami-Dade

Palm Beach

Martin

Okeechobee St Lucie

Brevard

Indian River

Glades

Lake

Marion

Sumter

Hillsborough

Pasco

Pinellas Polk

Citrus

Hardee

Hernando

Highlands Manatee

Alachua

Bay

Bradford

Calhoun

Charlotte

Collier

Columbia

De Soto

Dixie

Franklin

Gadsden

Gilchrist

Gulf

Hamilton

Hendry

Holmes Jackson

Jefferson

Lafayette

Lee

Leon

Levy

Liberty

Madison

Monroe

Okaloosa

Sarasota

Suwannee

Taylor Union Wakulla

Walton Washington

Premium Ranges 13 15.4/21.3 15.5/17.9 16 16.7/22.3 17 17.1/17.2 22.8/24.5 23.6/24.8 24 25 8.6/20.1 9 No HMO-DE SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Florida

Broward

Martin

Miami-Dade

Palm Beach

St Lucie

Alachua

Baker Bay

Bradford

Brevard

Calhoun

Charlotte

Citrus

Clay

Collier

Columbia

De Soto

Dixie

Duval

Escambia

Flagler

Franklin

Gadsden

Gilchrist

Glades

Gulf

Hamilton

Hardee

Hendry

Hernando

Highlands

Hillsborough

Holmes

Indian River

Jackson

Jefferson

Lafayette

Lake

Lee

Leon

Levy

Liberty

Madison

Manatee

Marion

Monroe

Nassau

Okaloosa

Okeechobee

Orange

Osceola

Pasco

Pinellas Polk

Putnam

Santa Rosa

Sarasota

Seminole

St Johns

Sumter

Suwannee

Taylor Union

Volusia

Wakulla

Walton Washington

Premium Ranges 45 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Florida

Broward

Martin

Miami-Dade

Palm Beach

St Lucie

Alachua

Baker Bay

Bradford

Brevard

Calhoun

Charlotte

Citrus

Clay

Collier

Columbia

De Soto

Dixie

Duval

Escambia

Flagler

Franklin

Gadsden

Gilchrist

Glades

Gulf

Hamilton

Hardee

Hendry

Hernando

Highlands

Hillsborough

Holmes

Indian River

Jackson

Jefferson

Lafayette

Lake

Lee

Leon

Levy

Liberty

Madison

Manatee

Marion

Monroe

Nassau

Okaloosa

Okeechobee

Orange

Osceola

Pasco

Pinellas Polk

Putnam

Santa Rosa

Sarasota

Seminole

St Johns

Sumter

Suwannee

Taylor Union

Volusia

Wakulla

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Premium Ranges 45 No LPPO Plans

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2015 MAPD PFFS Full Plans

Florida Brevard

Broward

Calhoun

Charlotte

Citrus

Collier

De Soto

Escambia

Flagler

Glades

Hardee

Hernando

Highlands

Hillsborough

Holmes

Indian River

Jackson

Lee

Levy

Manatee

Marion

Martin

Miami-Dade

Okeechobee

Orange

Osceola

Palm Beach

Pasco

Pinellas Polk

Putnam

Santa Rosa

Sarasota

Seminole

St Johns

St Lucie

Sumter

Volusia

Alachua

Baker Bay

Bradford Clay

Columbia

Dixie

Duval

Franklin

Gadsden

Gilchrist

Gulf

Hamilton

Hendry

Jefferson

Lafayette

Lake

Leon

Liberty

Madison

Monroe

Nassau

Okaloosa

Suwannee

Taylor Union Wakulla

Walton Washington

Premium Ranges 103 No PFFS-Full Plans

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2015 MAPD RPPO Plans

Florida

Alachua

Baker Bay

Bradford

Brevard

Broward

Calhoun

Charlotte

Citrus

Clay

Collier

Columbia

De Soto

Dixie

Duval

Escambia

Flagler

Franklin

Gadsden

Gilchrist

Glades

Gulf

Hamilton

Hardee

Hendry

Hernando

Highlands

Hillsborough

Holmes

Indian River

Jackson

Jefferson

Lafayette

Lake

Lee

Leon

Levy

Liberty

Madison

Manatee

Marion

Martin

Miami-Dade Monroe

Nassau

Okaloosa

Okeechobee

Orange

Osceola

Palm Beach

Pasco

Pinellas Polk

Putnam

Santa Rosa

Sarasota

Seminole

St Johns

St Lucie

Sumter

Suwannee

Taylor Union

Volusia

Wakulla

Walton Washington

Premium Ranges 0/92

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

Georgia

Bibb

Burke

Cherokee

Clarke

Clayton

Cobb

Columbia

Coweta

Crawford

Dekalb

Elbert

Fayette

Forsyth

Fulton

Greene

Gwinnett

Henry

Jones

Madison

Mcduffie

Morgan

Oconee Oglethorpe

Pickens

Putnam Richmond

Twiggs

Chattahoochee

Harris

Marion

Meriwether

Muscogee

Stewart

Talbot

Webster

Catoosa Dade Walker

Appling

Atkinson

Bacon

Baker

Baldwin

Banks

Barrow

Bartow

Ben Hill

Berrien

Bleckley

Brantley

Brooks

Bryan

Bulloch

Butts

Calhoun

Camden

Candler

Carroll

Charlton

Chatham

Chattooga

Clay

Clinch

Coffee

Colquitt Cook

Crisp

Dawson

Decatur

Dodge Dooly

Dougherty

Douglas

Early

Echols

Effingham

Emanuel

Evans

Fannin

Floyd Franklin

Gilmer

Glascock

Glynn

Gordon

Grady

Habersham

Hall

Hancock

Haralson

Hart

Heard

Houston

Irwin

Jackson

Jasper

Jeff Davis

Jefferson

Jenkins

Johnson

Lamar

Lanier

Laurens

Lee Liberty

Lincoln

Long

Lowndes

Lumpkin

Macon

Mcintosh

Miller Mitchell

Monroe

Montgomery

Murray

Newton

Paulding

Peach

Pierce

Pike

Polk

Pulaski

Quitman

Rabun

Randolph

Rockdale

Schley

Screven

Seminole

Spalding

Stephens

Sumter

Taliaferro

Tattnall

Taylor

Telfair

Terrell

Thomas

Tift

Toombs

Towns

Treutlen

Troup

Turner

Union

Upson

Walton

Ware

Warren

Washington

Wayne

Wheeler

White

Whitfield

Wilcox

Wilkes

Wilkinson

Worth

Premium Ranges 0 15 37 No HMO Plans

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2015 MAPD Chronic SNP Plans

Georgia Cherokee

Clayton

Coweta

Dekalb

Fayette

Forsyth

Fulton Gwinnett

Henry

Pickens

Appling

Atkinson

Bacon

Baker

Baldwin

Banks

Barrow

Bartow

Ben Hill

Berrien

Bibb

Bleckley

Brantley

Brooks

Bryan

Bulloch

Burke

Butts

Calhoun

Camden

Candler

Carroll

Catoosa

Charlton

Chatham

Chattahoochee

Chattooga

Clarke

Clay

Clinch

Cobb

Coffee

Colquitt

Columbia

Cook

Crawford

Crisp

Dade

Dawson

Decatur

Dodge Dooly

Dougherty

Douglas

Early

Echols

Effingham

Elbert

Emanuel

Evans

Fannin

Floyd Franklin

Gilmer

Glascock

Glynn

Gordon

Grady

Greene

Habersham

Hall

Hancock

Haralson

Harris

Hart

Heard

Houston

Irwin

Jackson

Jasper

Jeff Davis

Jefferson

Jenkins

Johnson

Jones Lamar

Lanier

Laurens

Lee Liberty

Lincoln

Long

Lowndes

Lumpkin

Macon

Madison

Marion

Mcduffie

Mcintosh

Meriwether

Miller Mitchell

Monroe

Montgomery

Morgan

Murray

Muscogee

Newton

Oconee Oglethorpe Paulding

Peach

Pierce

Pike

Polk

Pulaski

Putnam

Quitman

Rabun

Randolph

Richmond

Rockdale

Schley

Screven

Seminole

Spalding

Stephens

Stewart Sumter

Talbot

Taliaferro

Tattnall

Taylor

Telfair

Terrell

Thomas

Tift

Toombs

Towns

Treutlen

Troup

Turner

Twiggs

Union

Upson

Walker

Walton

Ware

Warren

Washington

Wayne

Webster Wheeler

White

Whitfield

Wilcox

Wilkes

Wilkinson

Worth

Premium Ranges 0 No HMO-Chronic SNP Plans

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2015 MAPD DE SNP Plans

Georgia

Bibb

Catoosa

Chattahoochee

Cherokee

Clarke

Clayton

Coweta

Crawford

Dade

Dekalb

Elbert

Fayette

Forsyth

Fulton

Greene

Gwinnett

Harris

Henry

Jones

Madison

Marion

Meriwether Monroe

Morgan

Muscogee

Oconee Oglethorpe

Pickens

Stewart

Talbot Twiggs

Walker

Webster

Appling

Atkinson

Bacon

Baker

Baldwin

Banks

Barrow

Bartow

Ben Hill

Berrien

Bleckley

Brantley

Brooks

Bryan

Bulloch

Burke

Butts

Calhoun

Camden

Candler

Carroll

Charlton

Chatham

Chattooga

Clay

Clinch

Cobb

Coffee

Colquitt

Columbia

Cook

Crisp

Dawson

Decatur

Dodge Dooly

Dougherty

Douglas

Early

Echols

Effingham

Emanuel

Evans

Fannin

Floyd Franklin

Gilmer

Glascock

Glynn

Gordon

Grady

Habersham

Hall

Hancock

Haralson

Hart

Heard

Houston

Irwin

Jackson

Jasper

Jeff Davis

Jefferson

Jenkins

Johnson

Lamar

Lanier

Laurens

Lee Liberty

Lincoln

Long

Lowndes

Lumpkin

Macon

Mcduffie

Mcintosh

Miller Mitchell

Montgomery

Murray

Newton

Paulding

Peach

Pierce

Pike

Polk

Pulaski

Putnam

Quitman

Rabun

Randolph

Richmond

Rockdale

Schley

Screven

Seminole

Spalding

Stephens

Sumter

Taliaferro

Tattnall

Taylor

Telfair

Terrell

Thomas

Tift

Toombs

Towns

Treutlen

Troup

Turner

Union

Upson

Walton

Ware

Warren

Washington

Wayne

Wheeler

White

Whitfield

Wilcox

Wilkes

Wilkinson

Worth

Premium Ranges 30 No HMO-DE SNP Plans

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2015 MAPD HMO-POS Plans

Georgia

Bryan

Bulloch

Burke

Camden

Chatham

Chattahoochee

Clarke

Columbia

Effingham

Elbert

Evans

Franklin

Glascock

Glynn

Greene

Habersham

Hancock

Harris

Hart

Jackson

Jefferson

Liberty

Lumpkin

Madison

Marion

Mcduffie

Mcintosh

Morgan

Muscogee

Oconee Oglethorpe

Rabun

Randolph

Richmond

Screven

Stephens

Stewart

Talbot

Taliaferro

Towns

Troup

Union

Warren

Washington

Webster

Wilkes

Bartow

Carroll

Cherokee

Clayton

Cobb

Coweta

Dawson

Dekalb

Douglas

Fayette

Floyd

Forsyth

Fulton Gwinnett

Haralson

Henry

Meriwether

Newton

Paulding

Pickens

Rockdale Walton

Atkinson

Bacon

Berrien

Bibb

Bleckley

Clinch

Coffee

Dodge

Houston

Jasper

Johnson

Jones Lamar

Macon

Montgomery

Peach

Pike

Putnam

Telfair

Twiggs

Wheeler

Catoosa Dade Walker

Appling

Baker

Baldwin

Banks

Barrow

Ben Hill

Brantley

Brooks

Butts

Calhoun

Candler

Charlton

Chattooga

Clay

Colquitt Cook

Crawford

Crisp

Decatur

Dooly

Dougherty

Early

Echols

Emanuel

Fannin

Gilmer

Gordon

Grady

Hall

Heard

Irwin

Jeff Davis

Jenkins

Lanier

Laurens

Lee

Lincoln

Long

Lowndes

Miller Mitchell

Monroe

Murray

Pierce

Polk

Pulaski

Quitman

Schley

Seminole

Spalding

Sumter Tattnall

Taylor

Terrell

Thomas

Tift

Toombs

Treutlen

Turner

Upson

Ware

Wayne

White

Whitfield

Wilcox

Wilkinson

Worth

Premium Ranges 44 54 57 64 No HMO-POS Plans

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2015 MAPD LPPO Plans

Georgia

Bryan

Bulloch

Burke

Camden

Chatham

Chattahoochee

Clarke

Columbia

Effingham

Elbert

Evans

Franklin

Glascock

Glynn

Greene

Habersham

Hancock

Harris

Hart

Jackson

Jefferson

Liberty

Lumpkin

Madison

Marion

Mcduffie

Mcintosh

Morgan

Muscogee

Oconee Oglethorpe

Rabun

Randolph

Richmond

Screven

Stephens

Stewart

Talbot

Taliaferro

Towns

Troup

Union

Warren

Washington

Webster

Wilkes

Bartow

Carroll

Cherokee

Clayton

Cobb

Coweta

Dawson

Dekalb

Douglas

Fayette

Floyd

Forsyth

Fulton Gwinnett

Haralson

Henry

Meriwether

Newton

Paulding

Pickens

Rockdale Walton

Atkinson

Bacon

Berrien

Bibb

Bleckley

Clinch

Coffee

Dodge

Houston

Jasper

Johnson

Jones Lamar

Macon

Montgomery

Peach

Pike

Putnam

Telfair

Twiggs

Wheeler

Catoosa Dade Walker

Appling

Baker

Baldwin

Banks

Barrow

Ben Hill

Brantley

Brooks

Butts

Calhoun

Candler

Charlton

Chattooga

Clay

Colquitt Cook

Crawford

Crisp

Decatur

Dooly

Dougherty

Early

Echols

Emanuel

Fannin

Gilmer

Gordon

Grady

Hall

Heard

Irwin

Jeff Davis

Jenkins

Lanier

Laurens

Lee

Lincoln

Long

Lowndes

Miller Mitchell

Monroe

Murray

Pierce

Polk

Pulaski

Quitman

Schley

Seminole

Spalding

Sumter Tattnall

Taylor

Terrell

Thomas

Tift

Toombs

Treutlen

Turner

Upson

Ware

Wayne

White

Whitfield

Wilcox

Wilkinson

Worth

Premium Ranges 44 54 57 64 No LPPO Plans

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2015 MAPD PFFS Full Plans

Georgia Barrow

Candler

Chatham

Chattooga

Clayton

Dekalb

Elbert Forsyth

Franklin

Fulton

Glascock

Gwinnett

Habersham

Hancock

Hart

Henry

Jackson

Jefferson

Lincoln

Morgan

Muscogee

Polk

Randolph

Rockdale

Talbot

Taliaferro

Walton

Warren

Washington

White

Wilkes

Appling

Atkinson

Bacon

Baker

Baldwin

Banks

Bartow

Ben Hill

Berrien

Bibb

Bleckley

Brantley

Brooks

Bryan

Bulloch

Burke

Butts

Calhoun

Camden

Carroll

Catoosa

Charlton

Chattahoochee

Cherokee

Clarke

Clay

Clinch

Cobb

Coffee

Colquitt

Columbia

Cook

Coweta

Crawford

Crisp

Dade

Dawson

Decatur

Dodge Dooly

Dougherty

Douglas

Early

Echols

Effingham

Emanuel

Evans

Fannin

Fayette

Floyd

Gilmer

Glynn

Gordon

Grady

Greene

Hall

Haralson

Harris

Heard

Houston

Irwin

Jasper

Jeff Davis

Jenkins

Johnson

Jones Lamar

Lanier

Laurens

Lee Liberty

Long

Lowndes

Lumpkin

Macon

Madison

Marion

Mcduffie

Mcintosh

Meriwether

Miller Mitchell

Monroe

Montgomery

Murray

Newton

Oconee Oglethorpe Paulding

Peach

Pickens

Pierce

Pike

Pulaski

Putnam

Quitman

Rabun

Richmond

Schley

Screven

Seminole

Spalding

Stephens

Stewart Sumter Tattnall

Taylor

Telfair

Terrell

Thomas

Tift

Toombs

Towns

Treutlen

Troup

Turner

Twiggs

Union

Upson

Walker

Ware

Wayne

Webster Wheeler

Whitfield

Wilcox

Wilkinson

Worth

Premium Ranges 75 No PFFS-Full Plans

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2015 MAPD PFFS Partial Plans

Georgia

Atkinson

Bacon

Baker

Ben Hill

Brantley

Brooks

Calhoun

Clinch

Cook

Crisp

Decatur

Early

Echols

Gilmer

Grady

Hall

Heard

Irwin

Jenkins

Johnson

Lanier

Lowndes

Mitchell

Pulaski

Quitman

Seminole

Terrell

Tift

Towns

Treutlen

Turner

Upson

Wilcox

Appling

Baldwin

Banks

Barrow

Bartow

Berrien

Bibb

Bleckley

Bryan

Bulloch

Burke

Butts

Camden

Candler

Carroll

Catoosa

Charlton

Chatham

Chattahoochee

Chattooga

Cherokee

Clarke

Clay

Clayton

Cobb

Coffee

Colquitt

Columbia

Coweta

Crawford

Dade

Dawson

Dekalb

Dodge Dooly

Dougherty

Douglas

Effingham

Elbert

Emanuel

Evans

Fannin

Fayette

Floyd

Forsyth

Franklin

Fulton

Glascock

Glynn

Gordon

Greene

Gwinnett

Habersham

Hancock

Haralson

Harris

Hart

Henry

Houston

Jackson

Jasper

Jeff Davis

Jefferson Jones Lamar

Laurens

Lee Liberty

Lincoln

Long

Lumpkin

Macon

Madison

Marion

Mcduffie

Mcintosh

Meriwether

Miller

Monroe

Montgomery

Morgan

Murray

Muscogee

Newton

Oconee Oglethorpe Paulding

Peach

Pickens

Pierce

Pike

Polk

Putnam

Rabun

Randolph

Richmond

Rockdale

Schley

Screven

Spalding

Stephens

Stewart Sumter

Talbot

Taliaferro

Tattnall

Taylor

Telfair

Thomas

Toombs

Troup

Twiggs

Union Walker

Walton

Ware

Warren

Washington

Wayne

Webster Wheeler

White

Whitfield

Wilkes

Wilkinson

Worth

Premium Ranges 92 No PFFS-Partial Plans

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2015 MAPD RPPO Plans

Georgia

Appling

Atkinson

Bacon

Baker

Baldwin

Banks

Barrow

Bartow

Ben Hill

Berrien

Bibb

Bleckley

Brantley

Brooks

Bryan

Bulloch

Burke

Butts

Calhoun

Camden

Candler

Carroll

Catoosa

Charlton

Chatham

Chattahoochee

Chattooga

Cherokee

Clarke

Clay

Clayton

Clinch

Cobb

Coffee

Colquitt

Columbia

Cook

Coweta

Crawford

Crisp

Dade

Dawson

Decatur

Dekalb

Dodge Dooly

Dougherty

Douglas

Early

Echols

Effingham

Elbert

Emanuel

Evans

Fannin

Fayette

Floyd

Forsyth

Franklin

Fulton

Gilmer

Glascock

Glynn

Gordon

Grady

Greene

Gwinnett

Habersham

Hall

Hancock

Haralson

Harris

Hart

Heard

Henry

Houston

Irwin

Jackson

Jasper

Jeff Davis

Jefferson

Jenkins

Johnson

Jones Lamar

Lanier

Laurens

Lee Liberty

Lincoln

Long

Lowndes

Lumpkin

Macon

Madison

Marion

Mcduffie

Mcintosh

Meriwether

Miller Mitchell

Monroe

Montgomery

Morgan

Murray

Muscogee

Newton

Oconee Oglethorpe Paulding

Peach

Pickens

Pierce

Pike

Polk

Pulaski

Putnam

Quitman

Rabun

Randolph

Richmond

Rockdale

Schley

Screven

Seminole

Spalding

Stephens

Stewart Sumter

Talbot

Taliaferro

Tattnall

Taylor

Telfair

Terrell

Thomas

Tift

Toombs

Towns

Treutlen

Troup

Turner

Twiggs

Union

Upson

Walker

Walton

Ware

Warren

Washington

Wayne

Webster Wheeler

White

Whitfield

Wilcox

Wilkes

Wilkinson

Worth

Premium Ranges 77

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2015 MAPD HMO Plans

Hawaii

Honolulu

Kauai

Maui

Hawaii

Kalawao

Premium Ranges 0 No HMO Plans

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Hawaii

Honolulu

Kauai

Maui

Hawaii

Kalawao

Premium Ranges 36 No HMO-POS Plans

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2015 MAPD LPPO Plans

Hawaii

Honolulu

Kauai

Maui

Hawaii

Kalawao

Premium Ranges 36 No LPPO Plans

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2015 MAPD HMO Plans

Idaho

Ada Canyon

Payette

Adams

Bannock

Bear Lake

Benewah

Bingham Blaine

Boise

Bonner

Bonneville

Boundary

Butte

Camas

Caribou

Cassia

Clark

Clearwater

Custer

Elmore

Franklin

Fremont

Gem

Gooding

Idaho

Jefferson

Jerome

Kootenai

Latah

Lemhi

Lewis

Lincoln

Madison

Minidoka

Nez Perce

Oneida

Owyhee

Power

Shoshone

Teton

Twin Falls

Valley

Washington

Premium Ranges 36 No HMO Plans

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2015 MAPD HMO-POS Plans

Idaho

Bonneville

Kootenai

Ada

Boise

Canyon

Gem Payette

Bannock

Adams

Bear Lake

Benewah

Bingham Blaine

Bonner

Boundary

Butte

Camas

Caribou

Cassia

Clark

Clearwater

Custer

Elmore

Franklin

Fremont

Gooding

Idaho

Jefferson

Jerome

Latah

Lemhi

Lewis

Lincoln

Madison

Minidoka

Nez Perce

Oneida

Owyhee

Power

Shoshone

Teton

Twin Falls

Valley

Washington

Premium Ranges 205 59 59/205 No HMO-POS Plans

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2015 MAPD LPPO Plans

Idaho

Bonneville

Kootenai

Ada

Boise

Canyon

Gem Payette

Bannock

Adams

Bear Lake

Benewah

Bingham Blaine

Bonner

Boundary

Butte

Camas

Caribou

Cassia

Clark

Clearwater

Custer

Elmore

Franklin

Fremont

Gooding

Idaho

Jefferson

Jerome

Latah

Lemhi

Lewis

Lincoln

Madison

Minidoka

Nez Perce

Oneida

Owyhee

Power

Shoshone

Teton

Twin Falls

Valley

Washington

Premium Ranges 205 59 59/205 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

Idaho

Ada Bonneville

Canyon

Adams

Bannock

Bear Lake

Benewah

Bingham Blaine

Boise

Bonner

Boundary

Butte

Camas

Caribou

Cassia

Clark

Clearwater

Custer

Elmore

Franklin

Fremont

Gem

Gooding

Idaho

Jefferson

Jerome

Kootenai

Latah

Lemhi

Lewis

Lincoln

Madison

Minidoka

Nez Perce

Oneida

Owyhee

Payette

Power

Shoshone

Teton

Twin Falls

Valley

Washington

Premium Ranges 90 No PFFS-Full Plans

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2015 MAPD HMO Plans

Illinois Cook Du Page

Kankakee

Lake

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Will

Kane

Boone Stephenson Winnebago

Kendall

Mchenry

Knox Livingston

Marshall

Mclean

Peoria

Stark

Tazewell

Woodford

Logan

Sangamon

Adams

Alexander

Bond

Brown

Bureau

Calhoun

Carroll

Cass

Champaign

Christian

Clark

Clay

Clinton

Coles

Crawford

Cumberland

De Kalb

Dewitt

Douglas Edgar

Edwards

Effingham Fayette

Ford

Franklin

Fulton

Gallatin

Greene

Grundy

Hamilton

Hancock

Hardin

Henderson

Henry

Iroquois

Jackson

Jasper

Jefferson

Jersey

Jo Daviess

Johnson

La Salle

Lawrence

Lee

Macon

Macoupin

Marion

Mason

Massac

Mcdonough

Menard

Mercer

Monroe

Montgomery

Morgan Moultrie

Ogle

Perry

Piatt

Pike

Pope

Pulaski

Putnam

Randolph

Richland

Rock Island

Saline

Schuyler

Scott

Shelby

St Clair

Union

Vermilion

Wabash

Warren

Washington Wayne

White

Whiteside

Williamson

Premium Ranges 0 0/25 19 25 29 55 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD Chronic SNP Plans

Illinois Du Page

Adams

Alexander

Bond

Boone

Brown

Bureau

Calhoun

Carroll

Cass

Champaign

Christian

Clark

Clay

Clinton

Coles

Cook

Crawford

Cumberland

De Kalb

Dewitt

Douglas Edgar

Edwards

Effingham Fayette

Ford

Franklin

Fulton

Gallatin

Greene

Grundy

Hamilton

Hancock

Hardin

Henderson

Henry

Iroquois

Jackson

Jasper

Jefferson

Jersey

Jo Daviess

Johnson

Kane

Kankakee

Kendall

Knox

La Salle

Lake

Lawrence

Lee

Livingston

Logan

Macon

Macoupin

Madison

Marion

Marshall

Mason

Massac

Mcdonough

Mchenry

Mclean

Menard

Mercer

Monroe

Montgomery

Morgan Moultrie

Ogle

Peoria

Perry

Piatt

Pike

Pope

Pulaski

Putnam

Randolph

Richland

Rock Island

Saline

Sangamon

Schuyler

Scott

Shelby

St Clair

Stark

Stephenson

Tazewell

Union

Vermilion

Wabash

Warren

Washington Wayne

White

Whiteside

Will

Williamson

Winnebago

Woodford

Premium Ranges 0 No HMO-Chronic SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD DE SNP Plans

Illinois Boone Stephenson Winnebago

Adams

Alexander

Bond

Brown

Bureau

Calhoun

Carroll

Cass

Champaign

Christian

Clark

Clay

Clinton

Coles

Cook

Crawford

Cumberland

De Kalb

Dewitt

Douglas

Du Page

Edgar

Edwards

Effingham Fayette

Ford

Franklin

Fulton

Gallatin

Greene

Grundy

Hamilton

Hancock

Hardin

Henderson

Henry

Iroquois

Jackson

Jasper

Jefferson

Jersey

Jo Daviess

Johnson

Kane

Kankakee

Kendall

Knox

La Salle

Lake

Lawrence

Lee

Livingston

Logan

Macon

Macoupin

Madison

Marion

Marshall

Mason

Massac

Mcdonough

Mchenry

Mclean

Menard

Mercer

Monroe

Montgomery

Morgan Moultrie

Ogle

Peoria

Perry

Piatt

Pike

Pope

Pulaski

Putnam

Randolph

Richland

Rock Island

Saline

Sangamon

Schuyler

Scott

Shelby

St Clair

Stark

Tazewell

Union

Vermilion

Wabash

Warren

Washington Wayne

White

Whiteside

Will

Williamson

Woodford

Premium Ranges 31 No HMO-DE SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Illinois Boone

Brown Cass

Fulton Hancock

Henderson Knox

La Salle

Lee

Livingston

Marshall

Mcdonough Mclean

Ogle

Peoria

Putnam

Schuyler

Stark

Stephenson

Tazewell

Warren

Winnebago

Woodford

Cook De Kalb

Du Page Kane

Kankakee

Kendall

Lake Mchenry

Will

Madison

Monroe

St Clair

Adams

Christian

Clark

Edgar

Henry

Jasper

Menard

Mercer

Morgan Moultrie Pike

Richland

Rock Island

Sangamon Scott

Vermilion

Alexander

Bond

Bureau

Calhoun

Carroll

Champaign

Clay

Clinton

Coles

Crawford

Cumberland

Dewitt

Douglas

Edwards

Effingham Fayette

Ford

Franklin

Gallatin

Greene

Grundy

Hamilton

Hardin

Iroquois

Jackson

Jefferson

Jersey

Jo Daviess

Johnson

Lawrence

Logan

Macon

Macoupin

Marion

Mason

Massac

Montgomery

Perry

Piatt

Pope

Pulaski

Randolph

Saline

Shelby

Union

Wabash Washington

Wayne

White

Whiteside

Williamson

Premium Ranges 110 119 68/81 95 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Illinois Boone

Brown Cass

Fulton Hancock

Henderson Knox

La Salle

Lee

Livingston

Marshall

Mcdonough Mclean

Ogle

Peoria

Putnam

Schuyler

Stark

Stephenson

Tazewell

Warren

Winnebago

Woodford

Cook De Kalb

Du Page Kane

Kankakee

Kendall

Lake Mchenry

Will

Madison

Monroe

St Clair

Adams

Christian

Clark

Edgar

Henry

Jasper

Menard

Mercer

Morgan Moultrie Pike

Richland

Rock Island

Sangamon Scott

Vermilion

Alexander

Bond

Bureau

Calhoun

Carroll

Champaign

Clay

Clinton

Coles

Crawford

Cumberland

Dewitt

Douglas

Edwards

Effingham Fayette

Ford

Franklin

Gallatin

Greene

Grundy

Hamilton

Hardin

Iroquois

Jackson

Jefferson

Jersey

Jo Daviess

Johnson

Lawrence

Logan

Macon

Macoupin

Marion

Mason

Massac

Montgomery

Perry

Piatt

Pope

Pulaski

Randolph

Saline

Shelby

Union

Wabash Washington

Wayne

White

Whiteside

Williamson

Premium Ranges 110 119 68/81 95 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

Illinois

Bond

Boone

Brown

Bureau

Carroll

Cass

Clark

Clinton

Cook

Crawford

Dewitt

Douglas Edgar

Edwards

Gallatin

Greene

Grundy

Hardin

Iroquois

Jasper

Jo Daviess

Johnson

Kane

Kankakee

Kendall

Knox

La Salle

Lake

Lawrence

Lee

Logan

Madison

Mason

Mchenry

Mclean

Montgomery

Moultrie

Ogle

Peoria

Pike

Pope

Randolph

Richland

Rock Island

Sangamon

Schuyler

St Clair

Stephenson

Tazewell

Union

Wabash Washington

Wayne

White

Will

Winnebago

Adams

Alexander

Calhoun

Champaign

Christian

Clay

Coles

Cumberland

De Kalb Du Page

Effingham Fayette

Ford

Franklin

Fulton

Hamilton

Hancock

Henderson

Henry

Jackson

Jefferson

Jersey

Livingston

Macon

Macoupin

Marion

Marshall

Massac

Mcdonough

Menard

Mercer

Monroe

Morgan

Perry

Piatt

Pulaski

Putnam

Saline

Scott

Shelby

Stark

Vermilion

Warren

Whiteside

Williamson

Woodford

Premium Ranges 159 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Partial Plans

Illinois

Alexander

Clay

De Kalb

Fayette

Franklin Hamilton

Jackson

Jefferson

Marion

Massac

Perry

Pulaski

Saline

Shelby

Williamson

Adams

Bond

Boone

Brown

Bureau

Calhoun

Carroll

Cass

Champaign

Christian

Clark

Clinton

Coles

Cook

Crawford

Cumberland

Dewitt

Douglas

Du Page

Edgar

Edwards

Effingham

Ford

Fulton

Gallatin

Greene

Grundy

Hancock

Hardin

Henderson

Henry

Iroquois

Jasper Jersey

Jo Daviess

Johnson

Kane

Kankakee

Kendall

Knox

La Salle

Lake

Lawrence

Lee

Livingston

Logan

Macon

Macoupin

Madison

Marshall

Mason

Mcdonough

Mchenry

Mclean

Menard

Mercer

Monroe

Montgomery

Morgan Moultrie

Ogle

Peoria

Piatt

Pike

Pope

Putnam

Randolph

Richland

Rock Island

Sangamon

Schuyler

Scott

St Clair

Stark

Stephenson

Tazewell

Union

Vermilion

Wabash

Warren

Washington Wayne

White

Whiteside

Will

Winnebago

Woodford

Premkium Ranges 122 No PFFS-Partial Plans

AP-303a/GHHHZQ4EN

2015 MAPD RPPO Plans

Illinois

Adams

Alexander

Bond

Boone

Brown

Bureau

Calhoun

Carroll

Cass

Champaign

Christian

Clark

Clay

Clinton

Coles

Cook

Crawford

Cumberland

De Kalb

Dewitt

Douglas

Du Page

Edgar

Edwards

Effingham Fayette

Ford

Franklin

Fulton

Gallatin

Greene

Grundy

Hamilton

Hancock

Hardin

Henderson

Henry

Iroquois

Jackson

Jasper

Jefferson

Jersey

Jo Daviess

Johnson

Kane

Kankakee

Kendall

Knox

La Salle

Lake

Lawrence

Lee

Livingston

Logan

Macon

Macoupin

Madison

Marion

Marshall

Mason

Massac

Mcdonough

Mchenry

Mclean

Menard

Mercer

Monroe

Montgomery

Morgan Moultrie

Ogle

Peoria

Perry

Piatt

Pike

Pope

Pulaski

Putnam

Randolph

Richland

Rock Island

Saline

Sangamon

Schuyler

Scott

Shelby

St Clair

Stark

Stephenson

Tazewell

Union

Vermilion

Wabash

Warren

Washington Wayne

White

Whiteside

Will

Williamson

Winnebago

Woodford

Premium Ranges 125

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

Indiana Adams

Allen

De Kalb

Gibson

Huntington

Kosciusko

Lagrange

Posey Spencer Vanderburgh Warrick

Wells

Whitley

Boone Hamilton

Hancock Hendricks

Johnson

Madison

Marion

Marshall

Morgan

St Joseph

Clark

Floyd

Bartholomew

Benton

Blackford

Brown

Carroll

Cass

Clay

Clinton

Crawford

Daviess

Dearborn

Decatur

Delaware

Dubois

Elkhart

Fayette

Fountain

Franklin

Fulton

Grant

Greene

Harrison

Henry

Howard

Jackson

Jasper

Jay

Jefferson

Jennings

Knox

La Porte Lake

Lawrence

Martin

Miami

Monroe

Montgomery

Newton

Noble

Ohio

Orange

Owen

Parke

Perry

Pike

Porter

Pulaski

Putnam

Randolph

Ripley

Rush

Scott

Shelby

Starke

Steuben

Sullivan

Switzerland

Tippecanoe Tipton

Union

Vermillion

Vigo

Wabash

Warren

Washington

Wayne

White

Premium Ranges 0 19 29 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD Chronic SNP Plans

Indiana

Boone Hamilton

Hancock Hendricks

Johnson

Madison

Marion

Morgan

Adams

Allen

Bartholomew

Benton

Blackford

Brown

Carroll

Cass

Clark

Clay

Clinton

Crawford

Daviess

De Kalb

Dearborn

Decatur

Delaware

Dubois

Elkhart

Fayette

Floyd

Fountain

Franklin

Fulton

Gibson

Grant

Greene

Harrison

Henry

Howard

Huntington

Jackson

Jasper

Jay

Jefferson

Jennings

Knox

Kosciusko

La Porte

Lagrange

Lake

Lawrence

Marshall

Martin

Miami

Monroe

Montgomery

Newton

Noble

Ohio

Orange

Owen

Parke

Perry

Pike

Porter

Posey

Pulaski

Putnam

Randolph

Ripley

Rush

Scott

Shelby

Spencer

St Joseph

Starke

Steuben

Sullivan

Switzerland

Tippecanoe Tipton

Union

Vanderburgh

Vermillion

Vigo

Wabash

Warren

Warrick

Washington

Wayne

Wells White

Whitley

Premium Ranges 19 No HMO-Chronic SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD DE SNP Plans

Indiana

Boone Hamilton

Hancock Hendricks

Johnson

Madison

Marion

Morgan

Adams

Allen

Bartholomew

Benton

Blackford

Brown

Carroll

Cass

Clark

Clay

Clinton

Crawford

Daviess

De Kalb

Dearborn

Decatur

Delaware

Dubois

Elkhart

Fayette

Floyd

Fountain

Franklin

Fulton

Gibson

Grant

Greene

Harrison

Henry

Howard

Huntington

Jackson

Jasper

Jay

Jefferson

Jennings

Knox

Kosciusko

La Porte

Lagrange

Lake

Lawrence

Marshall

Martin

Miami

Monroe

Montgomery

Newton

Noble

Ohio

Orange

Owen

Parke

Perry

Pike

Porter

Posey

Pulaski

Putnam

Randolph

Ripley

Rush

Scott

Shelby

Spencer

St Joseph

Starke

Steuben

Sullivan

Switzerland

Tippecanoe Tipton

Union

Vanderburgh

Vermillion

Vigo

Wabash

Warren

Warrick

Washington

Wayne

Wells White

Whitley

Premium Ranges 36 No HMO-DE SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Indiana

Gibson

Posey Spencer Vanderburgh Warrick

Adams

Allen

Cass

De Kalb

Elkhart

Fulton

Grant

Huntington

Kosciusko

La Porte

Lagrange

Marshall

Miami

Noble

St Joseph Steuben

Wabash

Wells

Whitley

Boone

Delaware

Hamilton

Hancock Hendricks

Johnson

Madison

Marion

Montgomery

Morgan

Owen

Putnam

Shelby Vigo

Dearborn

Franklin

Ohio

Switzerland

Bartholomew Brown

Decatur

Dubois

Jackson

Jefferson

Jennings

Lawrence

Monroe

Orange

Ripley

Scott

Washington

Blackford

Carroll

Clark

Clinton

Floyd

Fountain

Greene

Harrison

Howard

Knox

Lake

Newton

Perry

Porter

Randolph

Tipton

Vermillion

Warren

White

Benton

Clay

Crawford

Daviess

Fayette

Henry

Jasper

Jay

Martin

Parke

Pike

Pulaski

Rush

Starke

Sullivan

Tippecanoe

Union

Wayne

Premium Ranges 40 46 50 55 59 64 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Indiana

Gibson

Posey Spencer Vanderburgh Warrick

Adams

Allen

Cass

De Kalb

Elkhart

Fulton

Grant

Huntington

Kosciusko

La Porte

Lagrange

Marshall

Miami

Noble

St Joseph Steuben

Wabash

Wells

Whitley

Boone

Delaware

Hamilton

Hancock Hendricks

Johnson

Madison

Marion

Montgomery

Morgan

Owen

Putnam

Shelby Vigo

Dearborn

Franklin

Ohio

Switzerland

Bartholomew Brown

Decatur

Dubois

Jackson

Jefferson

Jennings

Lawrence

Monroe

Orange

Ripley

Scott

Washington

Blackford

Carroll

Clark

Clinton

Floyd

Fountain

Greene

Harrison

Howard

Knox

Lake

Newton

Perry

Porter

Randolph

Tipton

Vermillion

Warren

White

Benton

Clay

Crawford

Daviess

Fayette

Henry

Jasper

Jay

Martin

Parke

Pike

Pulaski

Rush

Starke

Sullivan

Tippecanoe

Union

Wayne

Premium Ranges 40 46 50 55 59 64 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

Indiana

Blackford

Boone

Clark

Clay

Clinton

Crawford Floyd

Fulton

Grant

Hamilton

Hancock

Harrison

Hendricks

Henry

Howard

Jennings

Johnson

Knox

Marion

Martin

Miami

Morgan

Orange

Perry

Pulaski

Randolph

Rush

Starke

Switzerland

Tipton

Vigo

Warren

Wayne

Adams

Allen

Brown

Decatur

Fayette

Fountain

Gibson

Huntington

Jackson

Jay

Kosciusko

Lawrence

Madison

Marshall

Montgomery

Noble

Owen

Parke

Pike

Posey

Putnam

Spencer

St Joseph Steuben

Union

Vanderburgh Warrick

Wells

Whitley

Bartholomew

Benton Carroll

Cass

Daviess

De Kalb

Dearborn

Delaware

Dubois

Elkhart

Franklin

Greene

Jasper

Jefferson

La Porte

Lagrange

Lake

Monroe

Newton

Ohio

Porter

Ripley

Scott

Shelby

Sullivan

Tippecanoe

Vermillion

Wabash

Washington

White

Premium Ranges 175 85 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Partial Plans

Indiana

Bartholomew Dearborn

Dubois

Franklin

Jefferson

Newton

Ohio

Ripley

Scott

Adams

Allen

Benton

Blackford

Boone

Brown

Carroll

Cass

Clark

Clay

Clinton

Crawford

Daviess

De Kalb

Decatur

Delaware

Elkhart

Fayette

Floyd

Fountain

Fulton

Gibson

Grant

Greene

Hamilton

Hancock

Harrison

Hendricks

Henry

Howard

Huntington

Jackson

Jasper

Jay

Jennings

Johnson

Knox

Kosciusko

La Porte

Lagrange

Lake

Lawrence

Madison

Marion

Marshall

Martin

Miami

Monroe

Montgomery

Morgan

Noble

Orange

Owen

Parke

Perry

Pike

Porter

Posey

Pulaski

Putnam

Randolph

Rush

Shelby

Spencer

St Joseph

Starke

Steuben

Sullivan

Switzerland

Tippecanoe Tipton

Union

Vanderburgh

Vermillion

Vigo

Wabash

Warren

Warrick

Washington

Wayne

Wells White

Whitley

Premium Ranges 75 No PFFS-Partial Plans

AP-303a/GHHHZQ4EN

2015 MAPD RPPO Plans

Indiana Adams

Allen

Bartholomew

Benton

Blackford

Boone

Brown

Carroll

Cass

Clark

Clay

Clinton

Crawford

Daviess

De Kalb

Dearborn

Decatur

Delaware

Dubois

Elkhart

Fayette

Floyd

Fountain

Franklin

Fulton

Gibson

Grant

Greene

Hamilton

Hancock

Harrison

Hendricks

Henry

Howard

Huntington

Jackson

Jasper

Jay

Jefferson

Jennings

Johnson

Knox

Kosciusko

La Porte

Lagrange

Lake

Lawrence

Madison

Marion

Marshall

Martin

Miami

Monroe

Montgomery

Morgan

Newton

Noble

Ohio

Orange

Owen

Parke

Perry

Pike

Porter

Posey

Pulaski

Putnam

Randolph

Ripley

Rush

Scott

Shelby

Spencer

St Joseph

Starke

Steuben

Sullivan

Switzerland

Tippecanoe Tipton

Union

Vanderburgh

Vermillion

Vigo

Wabash

Warren

Warrick

Washington

Wayne

Wells White

Whitley

Premium Ranges 79

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

Iowa

Benton Boone

Buchanan

Cedar

Clinton

Dallas

Delaware

Iowa Jasper Johnson

Jones Linn

Madison Marion

Marshall

Muscatine

Polk

Pottawattamie

Story

Warren Washington Adair

Adams

Allamakee

Appanoose

Audubon

Black Hawk

Bremer Buena Vista Butler

Calhoun

Carroll

Cass

Cerro Gordo

Cherokee

Chickasaw

Clarke

Clay

Clayton

Crawford

Davis Decatur

Des Moines

Dickinson

Dubuque

Emmet

Fayette

Floyd

Franklin

Fremont

Greene

Grundy

Guthrie

Hamilton

Hancock

Hardin

Harrison

Henry

Howard

Humboldt

Ida

Jackson

Jefferson

Keokuk

Kossuth

Lee

Louisa

Lucas

Lyon

Mahaska

Mills

Mitchell

Monona

Monroe Montgomery

O'Brien

Osceola

Page

Palo Alto

Plymouth Pocahontas

Poweshiek

Ringgold

Sac

Scott Shelby

Sioux

Tama

Taylor

Union

Van Buren

Wapello

Wayne

Webster

Winnebago

Winneshiek

Woodbury

Worth

Wright

Premium Ranges 0 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Iowa

Pottawattamie

Benton

Black Hawk

Boone

Buchanan

Cedar

Dallas

Delaware

Iowa Jasper Johnson

Jones Linn

Madison Marion

Marshall

Muscatine

Polk Scott

Story

Warren Washington Adair

Allamakee

Appanoose

Audubon

Buena Vista Butler

Calhoun

Carroll

Cass

Cerro Gordo

Cherokee

Clayton

Clinton

Crawford

Davis Decatur

Dickinson Emmet

Floyd

Franklin

Fremont

Grundy Hamilton

Hancock

Hardin

Harrison

Henry

Humboldt

Ida

Jackson

Jefferson

Keokuk

Kossuth

Lee

Lucas

Lyon

Mahaska

Mills

Monona

Monroe

O'Brien

Osceola

Page

Palo Alto

Plymouth Pocahontas

Poweshiek

Ringgold

Sac

Sioux

Tama

Union

Van Buren

Wapello

Wayne

Webster

Winnebago

Winneshiek

Woodbury

Worth

Wright

Adams

Bremer

Chickasaw

Clarke

Clay

Des Moines

Dubuque

Fayette

Greene

Guthrie

Howard

Louisa

Mitchell

Montgomery

Shelby

Taylor

Premium Ranges 105 45 57 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Iowa

Pottawattamie

Benton

Black Hawk

Boone

Buchanan

Cedar

Dallas

Delaware

Iowa Jasper Johnson

Jones Linn

Madison Marion

Marshall

Muscatine

Polk Scott

Story

Warren Washington Adair

Allamakee

Appanoose

Audubon

Buena Vista Butler

Calhoun

Carroll

Cass

Cerro Gordo

Cherokee

Clayton

Clinton

Crawford

Davis Decatur

Dickinson Emmet

Floyd

Franklin

Fremont

Grundy Hamilton

Hancock

Hardin

Harrison

Henry

Humboldt

Ida

Jackson

Jefferson

Keokuk

Kossuth

Lee

Lucas

Lyon

Mahaska

Mills

Monona

Monroe

O'Brien

Osceola

Page

Palo Alto

Plymouth Pocahontas

Poweshiek

Ringgold

Sac

Sioux

Tama

Union

Van Buren

Wapello

Wayne

Webster

Winnebago

Winneshiek

Woodbury

Worth

Wright

Adams

Bremer

Chickasaw

Clarke

Clay

Des Moines

Dubuque

Fayette

Greene

Guthrie

Howard

Louisa

Mitchell

Montgomery

Shelby

Taylor

Premium Ranges 105 45 57 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

Iowa

Adair

Adams

Audubon

Buena Vista

Calhoun

Carroll

Cherokee

Dickinson Emmet

Harrison

Humboldt

Ida

Louisa

Lyon

Madison

Pocahontas

Sac

Sioux

Union

Van Buren

Washington

Webster

Allamakee

Appanoose

Benton

Black Hawk

Boone

Bremer

Buchanan

Butler

Cass

Cedar

Cerro Gordo Chickasaw

Clarke

Clay

Clayton

Clinton

Crawford

Dallas

Davis Decatur

Delaware

Des Moines

Dubuque

Fayette

Floyd

Franklin

Fremont

Greene

Grundy

Guthrie

Hamilton

Hancock

Hardin

Henry

Howard

Iowa

Jackson

Jasper

Jefferson

Johnson

Jones

Keokuk

Kossuth

Lee

Linn

Lucas

Mahaska Marion

Marshall

Mills

Mitchell

Monona

Monroe Montgomery

Muscatine

O'Brien

Osceola

Page

Palo Alto

Plymouth

Polk

Pottawattamie

Poweshiek

Ringgold

Scott Shelby

Story Tama

Taylor

Wapello

Warren

Wayne

Winnebago

Winneshiek

Woodbury

Worth

Wright

Premium Ranges 79 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

Kansas

Butler

Harvey

Sedgwick

Sumner

Douglas

Jefferson

Johnson

Leavenworth

Miami

Shawnee Wyandotte

Allen

Anderson

Atchison

Barber

Barton

Bourbon

Brown

Chase

Chautauqua Cherokee

Cheyenne

Clark

Clay

Cloud

Coffey

Comanche Cowley

Crawford

Decatur

Dickinson

Doniphan

Edwards

Elk

Ellis

Ellsworth

Finney

Ford

Franklin

Geary Gove

Graham

Grant

Gray

Greeley

Greenwood

Hamilton

Harper

Haskell

Hodgeman

Jackson

Jewell

Kearny

Kingman Kiowa

Labette

Lane

Lincoln

Linn

Logan

Lyon

Marion

Marshall

Mcpherson

Meade

Mitchell

Montgomery

Morris

Morton

Nemaha

Neosho

Ness

Norton

Osage

Osborne

Ottawa

Pawnee

Phillips

Pottawatomie

Pratt

Rawlins

Reno

Republic

Rice

Riley Rooks

Rush

Russell

Saline

Scott

Seward

Sheridan Sherman

Smith

Stafford

Stanton

Stevens

Thomas

Trego Wabaunsee

Wallace

Washington

Wichita

Wilson

Woodson

Premium Ranges 0 0/25 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Kansas

Cherokee

Crawford

Labette

Bourbon Butler

Cowley

Douglas

Franklin

Harvey

Jefferson

Johnson

Leavenworth

Linn

Miami

Pottawatomie

Reno

Sedgwick

Shawnee

Sumner

Wyandotte

Allen

Anderson

Atchison

Barber

Barton

Brown

Chase

Chautauqua

Cheyenne

Clark

Clay

Cloud

Coffey

Comanche

Decatur

Dickinson

Doniphan

Edwards

Elk

Ellis

Ellsworth

Finney

Ford

Geary Gove

Graham

Grant

Gray

Greeley

Greenwood

Hamilton

Harper

Haskell

Hodgeman

Jackson

Jewell

Kearny

Kingman Kiowa

Lane

Lincoln

Logan

Lyon

Marion

Marshall

Mcpherson

Meade

Mitchell

Montgomery

Morris

Morton

Nemaha

Neosho

Ness

Norton

Osage

Osborne

Ottawa

Pawnee

Phillips

Pratt

Rawlins Republic

Rice

Riley Rooks

Rush

Russell

Saline

Scott

Seward

Sheridan Sherman

Smith

Stafford

Stanton

Stevens

Thomas

Trego Wabaunsee

Wallace

Washington

Wichita

Wilson

Woodson

Premium Ranges 60/87 68/81 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Kansas

Cherokee

Crawford

Labette

Bourbon Butler

Cowley

Douglas

Franklin

Harvey

Jefferson

Johnson

Leavenworth

Linn

Miami

Pottawatomie

Reno

Sedgwick

Shawnee

Sumner

Wyandotte

Allen

Anderson

Atchison

Barber

Barton

Brown

Chase

Chautauqua

Cheyenne

Clark

Clay

Cloud

Coffey

Comanche

Decatur

Dickinson

Doniphan

Edwards

Elk

Ellis

Ellsworth

Finney

Ford

Geary Gove

Graham

Grant

Gray

Greeley

Greenwood

Hamilton

Harper

Haskell

Hodgeman

Jackson

Jewell

Kearny

Kingman Kiowa

Lane

Lincoln

Logan

Lyon

Marion

Marshall

Mcpherson

Meade

Mitchell

Montgomery

Morris

Morton

Nemaha

Neosho

Ness

Norton

Osage

Osborne

Ottawa

Pawnee

Phillips

Pratt

Rawlins Republic

Rice

Riley Rooks

Rush

Russell

Saline

Scott

Seward

Sheridan Sherman

Smith

Stafford

Stanton

Stevens

Thomas

Trego Wabaunsee

Wallace

Washington

Wichita

Wilson

Woodson

Premium Ranges 60/87 68/81 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

Kansas

Anderson

Bourbon Butler

Cherokee

Crawford

Harvey

Johnson

Labette

Leavenworth

Sedgwick

Allen

Atchison

Barber

Barton

Brown

Chase

Chautauqua

Cheyenne

Clark

Clay

Cloud

Coffey

Comanche Cowley

Decatur

Dickinson

Doniphan

Douglas

Edwards

Elk

Ellis

Ellsworth

Finney

Ford

Franklin

Geary Gove

Graham

Grant

Gray

Greeley

Greenwood

Hamilton

Harper

Haskell

Hodgeman

Jackson

Jefferson

Jewell

Kearny

Kingman Kiowa

Lane

Lincoln

Linn

Logan

Lyon

Marion

Marshall

Mcpherson

Meade

Miami

Mitchell

Montgomery

Morris

Morton

Nemaha

Neosho

Ness

Norton

Osage

Osborne

Ottawa

Pawnee

Phillips

Pottawatomie

Pratt

Rawlins

Reno

Republic

Rice

Riley Rooks

Rush

Russell

Saline

Scott

Seward

Shawnee

Sheridan Sherman

Smith

Stafford

Stanton

Stevens Sumner

Thomas

Trego Wabaunsee

Wallace

Washington

Wichita

Wilson

Woodson

Wyandotte

Premium Ranges 97 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Partial Plans

Kansas

Allen

Atchison

Chase

Chautauqua

Cheyenne

Clark

Coffey

Edwards

Elk

Finney

Ford

Geary Gove

Graham

Gray

Jackson

Jewell

Kearny

Lane

Logan

Lyon Mcpherson

Meade

Mitchell

Morton

Ness

Norton

Osborne

Phillips Rawlins

Riley

Rush

Saline

Scott

Smith

Stevens

Trego

Washington

Wichita

Woodson

Anderson

Barber

Barton

Bourbon

Brown

Butler

Cherokee

Clay

Cloud

Comanche Cowley

Crawford

Decatur

Dickinson

Doniphan

Douglas Ellis

Ellsworth

Franklin

Grant

Greeley

Greenwood

Hamilton

Harper

Harvey

Haskell

Hodgeman

Jefferson

Johnson

Kingman Kiowa

Labette

Leavenworth

Lincoln

Linn

Marion

Marshall

Miami

Montgomery

Morris

Nemaha

Neosho

Osage

Ottawa

Pawnee

Pottawatomie

Pratt

Reno

Republic

Rice

Rooks

Russell

Sedgwick

Seward

Shawnee

Sheridan Sherman

Stafford

Stanton

Sumner

Thomas

Wabaunsee Wallace

Wilson

Wyandotte

Premium Ranges 94 No PFFS-Partial Plans

AP-303a/GHHHZQ4EN

2015 MAPD RPPO Plans

Kansas

Allen

Anderson

Atchison

Barber

Barton

Bourbon

Brown

Butler

Chase

Chautauqua Cherokee

Cheyenne

Clark

Clay

Cloud

Coffey

Comanche Cowley

Crawford

Decatur

Dickinson

Doniphan

Douglas

Edwards

Elk

Ellis

Ellsworth

Finney

Ford

Franklin

Geary Gove

Graham

Grant

Gray

Greeley

Greenwood

Hamilton

Harper

Harvey

Haskell

Hodgeman

Jackson

Jefferson

Jewell

Johnson

Kearny

Kingman Kiowa

Labette

Lane

Leavenworth

Lincoln

Linn

Logan

Lyon

Marion

Marshall

Mcpherson

Meade

Miami

Mitchell

Montgomery

Morris

Morton

Nemaha

Neosho

Ness

Norton

Osage

Osborne

Ottawa

Pawnee

Phillips

Pottawatomie

Pratt

Rawlins

Reno

Republic

Rice

Riley Rooks

Rush

Russell

Saline

Scott

Sedgwick

Seward

Shawnee

Sheridan Sherman

Smith

Stafford

Stanton

Stevens Sumner

Thomas

Trego Wabaunsee

Wallace

Washington

Wichita

Wilson

Woodson

Wyandotte

Premium Ranges 167

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

Kentucky Boone

Bourbon

Campbell

Clark Fayette

Grant

Henderson Jessamine

Kenton

Madison

Montgomery

Pendleton

Scott

Woodford

Jefferson

Bullitt

Hardin

Oldham

Adair

Allen

Anderson

Ballard

Barren

Bath

Bell

Boyd

Boyle

Bracken

Breathitt

Breckinridge

Butler Caldwell

Calloway

Carlisle

Carroll

Carter

Casey

Christian

Clay

Clinton

Crittenden

Cumberland

Daviess

Edmonson

Elliott

Estill

Fleming

Floyd

Franklin

Fulton

Gallatin

Garrard

Graves

Grayson

Green

Greenup

Hancock

Harlan

Harrison

Hart

Henry

Hickman

Hopkins Jackson

Johnson

Knott

Knox

Larue

Laurel

Lawrence

Lee

Leslie Letcher

Lewis

Lincoln

Livingston

Logan

Lyon

Magoffin

Marion

Marshall

Martin

Mason

Mccracken

Mccreary

Mclean

Meade Menifee

Mercer

Metcalfe

Monroe

Morgan

Muhlenberg

Nelson

Nicholas

Ohio

Owen

Owsley

Perry

Pike

Powell

Pulaski

Robertson

Rockcastle

Rowan

Russell

Shelby

Simpson

Spencer

Taylor

Todd Trigg

Trimble

Union

Warren

Washington

Wayne

Webster

Whitley

Wolfe

Premium Ranges 0 0/29 29 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD Chronic SNP Plans

Kentucky Boone Campbell

Grant

Jefferson

Kenton

Pendleton

Adair

Allen

Anderson

Ballard

Barren

Bath

Bell

Bourbon

Boyd

Boyle

Bracken

Breathitt

Breckinridge

Bullitt

Butler Caldwell

Calloway

Carlisle

Carroll

Carter

Casey

Christian

Clark

Clay

Clinton

Crittenden

Cumberland

Daviess

Edmonson

Elliott

Estill

Fayette

Fleming

Floyd

Franklin

Fulton

Gallatin

Garrard

Graves

Grayson

Green

Greenup

Hancock

Hardin

Harlan

Harrison

Hart

Henderson

Henry

Hickman

Hopkins Jackson

Jessamine Johnson

Knott

Knox

Larue

Laurel

Lawrence

Lee

Leslie Letcher

Lewis

Lincoln

Livingston

Logan

Lyon

Madison Magoffin

Marion

Marshall

Martin

Mason

Mccracken

Mccreary

Mclean

Meade Menifee

Mercer

Metcalfe

Monroe

Montgomery

Morgan

Muhlenberg

Nelson

Nicholas

Ohio

Oldham

Owen

Owsley

Perry

Pike

Powell

Pulaski

Robertson

Rockcastle

Rowan

Russell

Scott

Shelby

Simpson

Spencer

Taylor

Todd Trigg

Trimble

Union

Warren

Washington

Wayne

Webster

Whitley

Wolfe

Woodford

Premium Ranges 0 No HMO-Chronic SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD DE SNP Plans

Kentucky

Jefferson

Boone Campbell

Grant

Kenton

Pendleton

Adair

Allen

Anderson

Ballard

Barren

Bath

Bell

Bourbon

Boyd

Boyle

Bracken

Breathitt

Breckinridge

Bullitt

Butler Caldwell

Calloway

Carlisle

Carroll

Carter

Casey

Christian

Clark

Clay

Clinton

Crittenden

Cumberland

Daviess

Edmonson

Elliott

Estill

Fayette

Fleming

Floyd

Franklin

Fulton

Gallatin

Garrard

Graves

Grayson

Green

Greenup

Hancock

Hardin

Harlan

Harrison

Hart

Henderson

Henry

Hickman

Hopkins Jackson

Jessamine Johnson

Knott

Knox

Larue

Laurel

Lawrence

Lee

Leslie Letcher

Lewis

Lincoln

Livingston

Logan

Lyon

Madison Magoffin

Marion

Marshall

Martin

Mason

Mccracken

Mccreary

Mclean

Meade Menifee

Mercer

Metcalfe

Monroe

Montgomery

Morgan

Muhlenberg

Nelson

Nicholas

Ohio

Oldham

Owen

Owsley

Perry

Pike

Powell

Pulaski

Robertson

Rockcastle

Rowan

Russell

Scott

Shelby

Simpson

Spencer

Taylor

Todd Trigg

Trimble

Union

Warren

Washington

Wayne

Webster

Whitley

Wolfe

Woodford

Premium Ranges 22 35 No HMO-DE SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Kentucky

Henderson

Mccracken

Webster

Bath Bourbon

Boyle

Clark Fayette

Franklin

Harrison

Jackson

Jessamine

Lincoln

Madison

Menifee Montgomery

Powell

Scott

Woodford

Boone

Bracken

Campbell Kenton

Bullitt

Hardin

Henry

Jefferson

Marion

Nelson

Oldham

Shelby

Spencer

Washington

Adair

Allen

Barren

Boyd

Butler

Carroll

Carter

Casey

Clay

Clinton

Crittenden

Cumberland

Edmonson

Floyd

Fulton

Gallatin

Grant

Green

Greenup

Harlan

Hickman

Johnson

Knott

Leslie Letcher Livingston

Logan

Magoffin

Martin

Meade

Metcalfe

Monroe

Morgan

Owen

Owsley

Pendleton

Perry

Pike

Simpson

Trimble

Union

Warren

Whitley

Anderson

Ballard

Bell

Breathitt

Breckinridge

Caldwell

Calloway

Carlisle Christian

Daviess

Elliott

Estill

Fleming

Garrard

Graves

Grayson

Hancock

Hart Hopkins

Knox

Larue

Laurel

Lawrence

Lee

Lewis

Lyon

Marshall

Mason

Mccreary

Mclean

Mercer

Muhlenberg

Nicholas

Ohio

Pulaski

Robertson

Rockcastle

Rowan

Russell

Taylor

Todd Trigg Wayne

Wolfe

Premium Ranges 40 47 55 64 66 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Kentucky

Henderson

Mccracken

Webster

Bath Bourbon

Boyle

Clark Fayette

Franklin

Harrison

Jackson

Jessamine

Lincoln

Madison

Menifee Montgomery

Powell

Scott

Woodford

Boone

Bracken

Campbell Kenton

Bullitt

Hardin

Henry

Jefferson

Marion

Nelson

Oldham

Shelby

Spencer

Washington

Adair

Allen

Barren

Boyd

Butler

Carroll

Carter

Casey

Clay

Clinton

Crittenden

Cumberland

Edmonson

Floyd

Fulton

Gallatin

Grant

Green

Greenup

Harlan

Hickman

Johnson

Knott

Leslie Letcher Livingston

Logan

Magoffin

Martin

Meade

Metcalfe

Monroe

Morgan

Owen

Owsley

Pendleton

Perry

Pike

Simpson

Trimble

Union

Warren

Whitley

Anderson

Ballard

Bell

Breathitt

Breckinridge

Caldwell

Calloway

Carlisle Christian

Daviess

Elliott

Estill

Fleming

Garrard

Graves

Grayson

Hancock

Hart Hopkins

Knox

Larue

Laurel

Lawrence

Lee

Lewis

Lyon

Marshall

Mason

Mccreary

Mclean

Mercer

Muhlenberg

Nicholas

Ohio

Pulaski

Robertson

Rockcastle

Rowan

Russell

Taylor

Todd Trigg Wayne

Wolfe

Premium Ranges 40 47 55 64 66 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

Kentucky

Barren

Bullitt

Daviess

Franklin

Henderson

Henry

Jefferson

Mccracken

Nelson

Oldham

Shelby

Warren

Anderson

Boone

Bourbon

Campbell

Clark Fayette

Jessamine

Kenton

Madison

Scott

Woodford

Adair

Allen

Ballard

Bath

Bell

Boyd

Boyle

Bracken

Breathitt

Breckinridge

Butler Caldwell

Calloway

Carlisle

Carroll

Carter

Casey

Christian

Clay

Clinton

Crittenden

Cumberland

Edmonson

Elliott

Estill

Fleming

Floyd

Fulton

Gallatin

Garrard

Grant

Graves

Grayson

Green

Greenup

Hancock

Hardin

Harlan

Harrison

Hart

Hickman

Hopkins Jackson

Johnson

Knott

Knox

Larue

Laurel

Lawrence

Lee

Leslie Letcher

Lewis

Lincoln

Livingston

Logan

Lyon

Magoffin

Marion

Marshall

Martin

Mason

Mccreary

Mclean

Meade Menifee

Mercer

Metcalfe

Monroe

Montgomery

Morgan

Muhlenberg

Nicholas

Ohio

Owen

Owsley

Pendleton

Perry

Pike

Powell

Pulaski

Robertson

Rockcastle

Rowan

Russell

Simpson

Spencer

Taylor

Todd Trigg

Trimble

Union Washington

Wayne

Webster

Whitley

Wolfe

Premium Ranges 145 85 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Partial Plans

Kentucky

Adair

Allen Bell

Boyd

Boyle

Breathitt

Breckinridge

Butler Caldwell

Calloway

Carlisle

Carroll

Carter

Casey

Christian

Clay

Clinton

Crittenden

Cumberland

Elliott

Estill

Fleming

Floyd

Fulton

Garrard

Graves

Grayson

Green

Greenup

Harlan

Hart

Hickman

Hopkins

Johnson

Knott

Knox

Laurel

Lawrence

Lee

Leslie Letcher

Lewis

Logan

Lyon

Magoffin

Marshall

Martin

Mccreary

Mercer

Monroe

Morgan

Muhlenberg

Nicholas

Ohio

Owen

Owsley

Perry

Pike

Pulaski

Robertson

Rockcastle

Rowan

Russell

Simpson

Taylor

Todd Trigg

Union

Wayne Whitley

Wolfe

Anderson

Ballard

Barren

Bath

Boone

Bourbon

Bracken

Bullitt

Campbell

Clark

Daviess

Edmonson

Fayette

Franklin

Gallatin

Grant

Hancock

Hardin

Harrison

Henderson

Henry

Jackson

Jefferson

Jessamine

Kenton

Larue

Lincoln

Livingston

Madison

Marion

Mason

Mccracken

Mclean

Meade Menifee

Metcalfe

Montgomery

Nelson

Oldham

Pendleton

Powell

Scott

Shelby

Spencer

Trimble

Warren

Washington

Webster

Woodford

Premium Ranges 125 No PFFS-Partial Plans

AP-303a/GHHHZQ4EN

2015 MAPD RPPO Plans

Kentucky

Adair

Allen

Anderson

Ballard

Barren

Bath

Bell

Boone

Bourbon

Boyd

Boyle

Bracken

Breathitt

Breckinridge

Bullitt

Butler Caldwell

Calloway

Campbell

Carlisle

Carroll

Carter

Casey

Christian

Clark

Clay

Clinton

Crittenden

Cumberland

Daviess

Edmonson

Elliott

Estill

Fayette

Fleming

Floyd

Franklin

Fulton

Gallatin

Garrard

Grant

Graves

Grayson

Green

Greenup

Hancock

Hardin

Harlan

Harrison

Hart

Henderson

Henry

Hickman

Hopkins Jackson

Jefferson

Jessamine Johnson

Kenton

Knott

Knox

Larue

Laurel

Lawrence

Lee

Leslie Letcher

Lewis

Lincoln

Livingston

Logan

Lyon

Madison Magoffin

Marion

Marshall

Martin

Mason

Mccracken

Mccreary

Mclean

Meade Menifee

Mercer

Metcalfe

Monroe

Montgomery

Morgan

Muhlenberg

Nelson

Nicholas

Ohio

Oldham

Owen

Owsley

Pendleton

Perry

Pike

Powell

Pulaski

Robertson

Rockcastle

Rowan

Russell

Scott

Shelby

Simpson

Spencer

Taylor

Todd Trigg

Trimble

Union

Warren

Washington

Wayne

Webster

Whitley

Wolfe

Woodford

Premium Ranges 79

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

Louisiana

Acadia Ascension

Assumption

Calcasieu

Caldwell

Cameron

Catahoula

Concordia

E Baton Rouge

E Carroll

E Feliciana

Franklin

Grant

Iberia

Iberville

Jackson

Jefferson

Lafayette

Lafourche

Lincoln

Livingston

Madison

Morehouse

Orleans

Ouachita

Plaquemines

Pointe Coupee

Rapides

Richland

St Charles

St Helena

St James St John The Baptist

St Landry

St Martin

Tensas

Terrebonne

Union

Vermilion

W Baton Rouge

W Carroll

W Feliciana

Bossier Caddo

Webster

St Tammany

Washington

Tangipahoa Allen

Avoyelles

Beauregard

Bienville

Claiborne

De Soto

Evangeline

Jefferson Davis

La Salle

Natchitoches

Red River

Sabine

St Bernard St Mary

Vernon

Winn

Premium Ranges 0 25 29 60 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD Chronic SNP Plans

Louisiana

Assumption

E Baton Rouge

Jefferson

Lafourche

Orleans

Plaquemines

St Charles

St James St John The Baptist

Terrebonne

Bossier Caddo

Webster

Acadia

Allen

Ascension

Avoyelles

Beauregard

Bienville

Calcasieu

Caldwell

Cameron

Catahoula

Claiborne

Concordia

De Soto

E Carroll

E Feliciana

Evangeline

Franklin

Grant

Iberia

Iberville

Jackson

Jefferson Davis

La Salle

Lafayette

Lincoln

Livingston

Madison

Morehouse

Natchitoches

Ouachita

Pointe Coupee

Rapides

Red River

Richland

Sabine

St Bernard

St Helena

St Landry

St Martin

St Mary

St Tammany

Tangipahoa

Tensas

Union

Vermilion

Vernon

W Baton Rouge

W Carroll

W Feliciana Washington

Winn

Premium Ranges 0 25 No HMO-Chronic SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD DE SNP Plans

Louisiana Bossier Caddo

Caldwell

E Carroll

Franklin

Jackson

Lincoln

Madison

Morehouse

Ouachita Richland

Tensas

Union W Carroll

Ascension

Assumption

Calcasieu

Cameron

E Baton Rouge

E Feliciana

Grant

Iberville

Jefferson

Lafayette

Lafourche

Livingston

Orleans

Plaquemines

Pointe Coupee

Rapides

St Charles

St Helena

St James St John The Baptist

St Tammany

Terrebonne

W Baton Rouge

W Feliciana Washington

Acadia

Allen

Avoyelles

Beauregard

Bienville

Catahoula

Claiborne

Concordia

De Soto

Evangeline

Iberia

Jefferson Davis

La Salle

Natchitoches

Red River

Sabine

St Bernard

St Landry

St Martin

St Mary

Tangipahoa

Vermilion

Vernon

Webster

Winn

Premium Ranges 30 34 No HMO-DE SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Louisiana Bienville

Calcasieu

Caldwell

Cameron

Claiborne

De Soto

La Salle

Lafayette

Morehouse

Natchitoches

Ouachita

Red River

Sabine

St Landry

St Martin

St Mary

Washington

Winn

Acadia

Allen

Ascension

Assumption

Avoyelles

Beauregard

Bossier Caddo

Catahoula

Concordia

E Baton Rouge

E Carroll

E Feliciana Evangeline

Franklin

Grant

Iberia

Iberville

Jackson

Jefferson

Jefferson Davis

Lafourche

Lincoln

Livingston

Madison

Orleans

Plaquemines

Pointe Coupee

Rapides

Richland

St Bernard

St Charles

St Helena

St James St John The Baptist

St Tammany

Tangipahoa

Tensas

Terrebonne

Union

Vermilion

Vernon

W Baton Rouge

W Carroll

W Feliciana

Webster

Premium Ranges 39 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Louisiana Bienville

Calcasieu

Caldwell

Cameron

Claiborne

De Soto

La Salle

Lafayette

Morehouse

Natchitoches

Ouachita

Red River

Sabine

St Landry

St Martin

St Mary

Washington

Winn

Acadia

Allen

Ascension

Assumption

Avoyelles

Beauregard

Bossier Caddo

Catahoula

Concordia

E Baton Rouge

E Carroll

E Feliciana Evangeline

Franklin

Grant

Iberia

Iberville

Jackson

Jefferson

Jefferson Davis

Lafourche

Lincoln

Livingston

Madison

Orleans

Plaquemines

Pointe Coupee

Rapides

Richland

St Bernard

St Charles

St Helena

St James St John The Baptist

St Tammany

Tangipahoa

Tensas

Terrebonne

Union

Vermilion

Vernon

W Baton Rouge

W Carroll

W Feliciana

Webster

Premium Ranges 39 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS - No Network Plans

Louisiana

Avoyelles

Evangeline

Vernon

Acadia

Allen

Ascension

Assumption

Beauregard

Bienville

Bossier Caddo

Calcasieu

Caldwell

Cameron

Catahoula

Claiborne

Concordia

De Soto

E Baton Rouge

E Carroll

E Feliciana

Franklin

Grant

Iberia

Iberville

Jackson

Jefferson

Jefferson Davis

La Salle

Lafayette

Lafourche

Lincoln

Livingston

Madison

Morehouse

Natchitoches

Orleans

Ouachita

Plaquemines

Pointe Coupee

Rapides

Red River

Richland

Sabine

St Bernard

St Charles

St Helena

St James St John The Baptist

St Landry

St Martin

St Mary

St Tammany

Tangipahoa

Tensas

Terrebonne

Union

Vermilion

W Baton Rouge

W Carroll

W Feliciana Washington

Webster

Winn Premium Ranges

51 No PFFS-No Network Plans

AP-303a/GHHHZQ4EN

2015 MAPD RPPO Plans

Louisiana

Acadia

Allen

Ascension

Assumption

Avoyelles

Beauregard

Bienville

Bossier Caddo

Calcasieu

Caldwell

Cameron

Catahoula

Claiborne

Concordia

De Soto

E Baton Rouge

E Carroll

E Feliciana Evangeline

Franklin

Grant

Iberia

Iberville

Jackson

Jefferson

Jefferson Davis

La Salle

Lafayette

Lafourche

Lincoln

Livingston

Madison

Morehouse

Natchitoches

Orleans

Ouachita

Plaquemines

Pointe Coupee

Rapides

Red River

Richland

Sabine

St Bernard

St Charles

St Helena

St James St John The Baptist

St Landry

St Martin

St Mary

St Tammany

Tangipahoa

Tensas

Terrebonne

Union

Vermilion

Vernon

W Baton Rouge

W Carroll

W Feliciana Washington

Webster

Winn Premium Ranges 44/78

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

Maine

Androscoggin

Cumberland Sagadahoc

York

Kennebec

Knox

Oxford

Penobscot

Waldo

Aroostook

Franklin

Hancock

Lincoln

Piscataquis

Somerset

Washington

Premium Ranges 0/25.4 34 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD DE SNP Plans

Maine

Androscoggin

Cumberland

York

Knox

Oxford

Aroostook

Franklin

Hancock

Kennebec

Lincoln

Penobscot

Piscataquis

Sagadahoc

Somerset

Waldo

Washington

Premium Ranges 23 30 No HMO-DE SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Maine

Androscoggin

Cumberland

Kennebec

Knox

Oxford

Piscataquis

Sagadahoc

Somerset

Waldo

York

Aroostook

Franklin

Hancock

Lincoln

Penobscot

Washington

Premium Ranges 180 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Maine

Androscoggin

Cumberland

Kennebec

Knox

Oxford

Piscataquis

Sagadahoc

Somerset

Waldo

York

Aroostook

Franklin

Hancock

Lincoln

Penobscot

Washington

Premium Ranges 180 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Maryland Allegany

Garrett Washington

Anne Arundel

Baltimore

Baltimore City

Calvert

Caroline

Carroll Cecil

Charles Dorchester

Frederick Harford

Howard Kent

Montgomery

Prince Georges

Queen Annes

Somerset

St Marys

Talbot

Wicomico

Worcester

Premium Ranges 64 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Maryland Allegany

Garrett Washington

Anne Arundel

Baltimore

Baltimore City

Calvert

Caroline

Carroll Cecil

Charles Dorchester

Frederick Harford

Howard Kent

Montgomery

Prince Georges

Queen Annes

Somerset

St Marys

Talbot

Wicomico

Worcester

Premium Ranges 64 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

Michigan

Ingham Macomb

Washtenaw Wayne

Alcona

Alger

Allegan

Alpena Antrim

Arenac

Baraga

Barry

Bay

Benzie

Berrien Branch

Calhoun

Cass

Charlevoix

Cheboygan

Chippewa

Clare

Clinton

Crawford

Delta Dickinson

Eaton

Emmet

Genesee

Gladwin

Gogebic

Grand Traverse

Gratiot

Hillsdale

Houghton

Huron

Ionia

Iosco

Iron

Isabella

Jackson Kalamazoo

Kalkaska

Kent

Keweenaw

Lake

Lapeer

Leelanau

Lenawee

Livingston

Luce

Mackinac

Manistee

Marquette

Mason

Mecosta

Menominee

Midland

Missaukee

Monroe

Montcalm

Montmorency

Muskegon

Newaygo

Oakland

Oceana

Ogemaw

Ontonagon

Osceola

Oscoda

Otsego

Ottawa

Presque Isle

Roscommon

Saginaw Sanilac

Schoolcraft

Shiawassee St Clair

St Joseph

Tuscola

Van Buren

Wexford

Premium Ranges 80 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Michigan

Barry

Clare

Clinton

Eaton

Gladwin

Gratiot

Ingham

Isabella

Kent

Midland

Montcalm Muskegon

Oceana

Ottawa

Saginaw

Allegan

Berrien Branch

Calhoun

Cass Hillsdale

Kalamazoo

Lenawee Monroe St Joseph

Van Buren

Alcona

Alger

Alpena Antrim

Arenac

Baraga

Bay

Benzie

Charlevoix

Cheboygan

Chippewa

Crawford

Delta

Dickinson

Emmet

Genesee

Gogebic

Grand Traverse

Houghton

Huron

Ionia

Iosco

Iron

Jackson

Kalkaska

Keweenaw

Lake

Lapeer

Leelanau

Livingston

Luce

Mackinac

Macomb

Manistee

Marquette

Mason

Mecosta

Menominee

Missaukee

Montmorency

Newaygo

Oakland

Ogemaw

Ontonagon

Osceola

Oscoda

Otsego

Presque Isle

Roscommon

Sanilac

Schoolcraft

Shiawassee St Clair

Tuscola

Washtenaw Wayne

Wexford

Premium Ranges 59 69 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Michigan

Barry

Clare

Clinton

Eaton

Gladwin

Gratiot

Ingham

Isabella

Kent

Midland

Montcalm Muskegon

Oceana

Ottawa

Saginaw

Allegan

Berrien Branch

Calhoun

Cass Hillsdale

Kalamazoo

Lenawee Monroe St Joseph

Van Buren

Alcona

Alger

Alpena Antrim

Arenac

Baraga

Bay

Benzie

Charlevoix

Cheboygan

Chippewa

Crawford

Delta Dickinson

Emmet

Genesee

Gogebic

Grand Traverse

Houghton

Huron

Ionia

Iosco

Iron

Jackson

Kalkaska

Keweenaw

Lake

Lapeer

Leelanau

Livingston

Luce

Mackinac

Macomb

Manistee

Marquette

Mason

Mecosta

Menominee

Missaukee

Montmorency

Newaygo

Oakland

Ogemaw

Ontonagon

Osceola

Oscoda

Otsego

Presque Isle

Roscommon

Sanilac

Schoolcraft

Shiawassee St Clair

Tuscola

Washtenaw Wayne

Wexford

Premium Ranges 59 69 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPS PFFS Full Plans

Michigan

Alger

Baraga

Chippewa

Delta

Gogebic

Houghton

Iron

Keweenaw

Luce

Mackinac

Ontonagon

Schoolcraft

Allegan

Antrim

Arenac

Barry

Benzie

Berrien

Calhoun

Cass

Clinton

Crawford

Dickinson

Eaton

Grand Traverse

Hillsdale

Ingham

Kalamazoo

Kalkaska

Kent

Leelanau

Lenawee

Manistee

Marquette

Menominee

Monroe

Montcalm Muskegon

Oceana

Osceola

Ottawa Shiawassee

St Joseph

Van Buren

Wexford

Alcona

Alpena

Bay

Branch

Charlevoix

Cheboygan

Clare

Emmet

Genesee

Gladwin

Gratiot

Huron

Ionia

Iosco

Isabella

Jackson

Lake

Lapeer

Livingston Macomb

Mason

Mecosta Midland

Missaukee

Montmorency

Newaygo

Oakland

Ogemaw

Oscoda

Otsego

Presque Isle

Roscommon

Saginaw Sanilac

St Clair

Tuscola

Washtenaw Wayne

Premium Ranges 112 85 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD RPPO Plans

Michigan Alcona

Alger

Allegan

Alpena Antrim

Arenac

Baraga

Barry

Bay

Benzie

Berrien Branch

Calhoun

Cass

Charlevoix

Cheboygan

Chippewa

Clare

Clinton

Crawford

Delta Dickinson

Eaton

Emmet

Genesee

Gladwin

Gogebic

Grand Traverse

Gratiot

Hillsdale

Houghton

Huron

Ingham

Ionia

Iosco

Iron

Isabella

Jackson Kalamazoo

Kalkaska

Kent

Keweenaw

Lake

Lapeer

Leelanau

Lenawee

Livingston

Luce

Mackinac

Macomb

Manistee

Marquette

Mason

Mecosta

Menominee

Midland

Missaukee

Monroe

Montcalm

Montmorency

Muskegon

Newaygo

Oakland

Oceana

Ogemaw

Ontonagon

Osceola

Oscoda

Otsego

Ottawa

Presque Isle

Roscommon

Saginaw Sanilac

Schoolcraft

Shiawassee St Clair

St Joseph

Tuscola

Van Buren Washtenaw Wayne

Wexford

Premium Ranges 119

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Minnesota

Big Stone

Chippewa

Grant

Kandiyohi

Kittson

Lac Qui Parle

Lincoln Lyon

Murray

Nobles

Pipestone

Pope

Renville

Rock

Swift

Aitkin

Anoka

Becker

Beltrami

Benton

Blue Earth

Brown

Carlton

Carver

Cass

Chisago

Clay

Clearwater

Cottonwood

Crow Wing

Dakota

Dodge

Douglas

Faribault Fillmore Freeborn

Goodhue

Hennepin

Houston

Hubbard

Isanti

Itasca

Jackson

Kanabec

Lake

Le Sueur

Lk Of The Woods

Mahnomen

Marshall

Martin

Mcleod

Meeker

Mille Lacs

Morrison

Mower

Nicollet

Norman

Olmsted

Otter Tail

Pennington

Pine

Polk

Ramsey

Red Lake

Redwood Rice

Roseau

Scott

Sherburne

Sibley

St Louis

Stearns

Steele

Todd

Wabasha

Wadena

Waseca

Washington

Watonwan

Wilkin

Winona

Wright

Cook

Koochiching

Stevens

Traverse

Yellow Medicine

Premium Ranges 262 63 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Minnesota

Big Stone

Chippewa

Grant

Kandiyohi

Kittson

Lac Qui Parle

Lincoln Lyon

Murray

Nobles

Pipestone

Pope

Renville

Rock

Swift

Aitkin

Anoka

Becker

Beltrami

Benton

Blue Earth

Brown

Carlton

Carver

Cass

Chisago

Clay

Clearwater

Cottonwood

Crow Wing

Dakota

Dodge

Douglas

Faribault Fillmore Freeborn

Goodhue

Hennepin

Houston

Hubbard

Isanti

Itasca

Jackson

Kanabec

Lake

Le Sueur

Lk Of The Woods

Mahnomen

Marshall

Martin

Mcleod

Meeker

Mille Lacs

Morrison

Mower

Nicollet

Norman

Olmsted

Otter Tail

Pennington

Pine

Polk

Ramsey

Red Lake

Redwood Rice

Roseau

Scott

Sherburne

Sibley

St Louis

Stearns

Steele

Todd

Wabasha

Wadena

Waseca

Washington

Watonwan

Wilkin

Winona

Wright

Cook

Koochiching

Stevens

Traverse

Yellow Medicine

Premium Ranges 262 63 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

Minnesota

Blue Earth

Brown

Dodge

Faribault Fillmore Freeborn

Goodhue

Houston Jackson Martin Mower

Nicollet

Olmsted

Redwood Rice

Sibley

Steele

Wabasha

Waseca Winona

Aitkin

Anoka

Becker

Beltrami

Benton

Big Stone

Carlton

Carver

Cass

Chippewa

Chisago

Clay

Clearwater

Cook

Cottonwood

Crow Wing

Dakota

Douglas Grant

Hennepin

Hubbard

Isanti

Itasca

Kanabec

Kandiyohi

Kittson

Koochiching

Lac Qui Parle

Lake

Le Sueur Lincoln

Lk Of The Woods

Lyon

Mahnomen

Marshall

Mcleod

Meeker

Mille Lacs

Morrison

Murray

Nobles

Norman

Otter Tail

Pennington

Pine

Pipestone

Polk

Pope

Ramsey

Red Lake

Renville

Rock

Roseau

Scott

Sherburne

St Louis

Stearns Stevens

Swift

Todd

Traverse

Wadena

Washington

Watonwan

Wilkin

Wright

Yellow Medicine

Premium Ranges 89 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

Mississippi

Hancock Harrison Jackson

Pearl River

De Soto

Attala

Copiah

Hinds

Madison

Rankin

Adams

Alcorn

Amite

Benton

Bolivar

Calhoun

Carroll

Chickasaw

Choctaw

Claiborne Clarke

Clay

Coahoma

Covington

Forrest

Franklin

George

Greene

Grenada

Holmes Humphreys

Issaquena

Itawamba

Jasper

Jefferson

Jefferson Davis Jones

Kemper

Lafayette

Lamar

Lauderdale

Lawrence

Leake

Lee

Leflore

Lincoln

Lowndes

Marion

Marshall

Monroe

Montgomery

Neshoba

Newton

Noxubee

Oktibbeha

Panola

Perry Pike

Pontotoc

Prentiss

Quitman

Scott

Sharkey

Simpson Smith

Stone

Sunflower

Tallahatchie

Tate

Tippah Tishomingo

Tunica

Union

Walthall

Warren

Washington

Wayne

Webster

Wilkinson

Winston

Yalobusha

Yazoo

Premium Ranges 0 39 40 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD Chronic SNP Plans

Mississippi

Hancock Harrison Jackson

Pearl River

Attala

Copiah

Hinds

Madison

Rankin

Adams

Alcorn

Amite

Benton

Bolivar

Calhoun

Carroll

Chickasaw

Choctaw

Claiborne Clarke

Clay

Coahoma

Covington

De Soto

Forrest

Franklin

George

Greene

Grenada

Holmes Humphreys

Issaquena

Itawamba

Jasper

Jefferson

Jefferson Davis Jones

Kemper

Lafayette

Lamar

Lauderdale

Lawrence

Leake

Lee

Leflore

Lincoln

Lowndes

Marion

Marshall

Monroe

Montgomery

Neshoba

Newton

Noxubee

Oktibbeha

Panola

Perry Pike

Pontotoc

Prentiss

Quitman

Scott

Sharkey

Simpson Smith

Stone

Sunflower

Tallahatchie

Tate

Tippah Tishomingo

Tunica

Union

Walthall

Warren

Washington

Wayne

Webster

Wilkinson

Winston

Yalobusha

Yazoo

Premium Ranges 0 35 No HMO-Chronic SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD DE SNP Plans

Mississippi

Attala

Copiah

De Soto

Hancock Harrison

Hinds

Jackson

Madison

Pearl River

Rankin

Adams

Alcorn

Amite

Benton

Bolivar

Calhoun

Carroll

Chickasaw

Choctaw

Claiborne Clarke

Clay

Coahoma

Covington

Forrest

Franklin

George

Greene

Grenada

Holmes Humphreys

Issaquena

Itawamba

Jasper

Jefferson

Jefferson Davis Jones

Kemper

Lafayette

Lamar

Lauderdale

Lawrence

Leake

Lee

Leflore

Lincoln

Lowndes

Marion

Marshall

Monroe

Montgomery

Neshoba

Newton

Noxubee

Oktibbeha

Panola

Perry Pike

Pontotoc

Prentiss

Quitman

Scott

Sharkey

Simpson Smith

Stone

Sunflower

Tallahatchie

Tate

Tippah Tishomingo

Tunica

Union

Walthall

Warren

Washington

Wayne

Webster

Wilkinson

Winston

Yalobusha

Yazoo Premium Ranges 33 No HMO-DE SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Mississippi Grenada

Lafayette

Yalobusha

Attala

Claiborne

Copiah

Hinds

Leake

Madison

Rankin Scott

Wilkinson

Yazoo

Benton De Soto

Marshall Tate Tunica

George

Hancock Harrison Jackson

Pearl River Stone

Adams

Alcorn

Amite

Bolivar

Calhoun

Carroll

Chickasaw

Choctaw

Clarke

Clay

Coahoma

Covington

Forrest

Franklin

Greene

Holmes Humphreys

Issaquena

Itawamba

Jasper

Jefferson

Jefferson Davis Jones

Kemper

Lamar

Lauderdale

Lawrence

Lee

Leflore

Lincoln

Lowndes

Marion

Monroe

Montgomery

Neshoba

Newton

Noxubee

Oktibbeha

Panola

Perry Pike

Pontotoc

Prentiss

Quitman

Sharkey

Simpson Smith

Sunflower

Tallahatchie

Tippah Tishomingo

Union

Walthall

Warren

Washington

Wayne

Webster

Winston

Premium Ranges 37 52 55 64 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Mississippi Grenada

Lafayette

Yalobusha

Attala

Claiborne

Copiah

Hinds

Leake

Madison

Rankin Scott

Wilkinson

Yazoo

Benton De Soto

Marshall Tate Tunica

George

Hancock Harrison Jackson

Pearl River Stone

Adams

Alcorn

Amite

Bolivar

Calhoun

Carroll

Chickasaw

Choctaw

Clarke

Clay

Coahoma

Covington

Forrest

Franklin

Greene

Holmes Humphreys

Issaquena

Itawamba

Jasper

Jefferson

Jefferson Davis Jones

Kemper

Lamar

Lauderdale

Lawrence

Lee

Leflore

Lincoln

Lowndes

Marion

Monroe

Montgomery

Neshoba

Newton

Noxubee

Oktibbeha

Panola

Perry Pike

Pontotoc

Prentiss

Quitman

Sharkey

Simpson Smith

Sunflower

Tallahatchie

Tippah Tishomingo

Union

Walthall

Warren

Washington

Wayne

Webster

Winston

Premium Ranges 37 52 55 64 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

Mississippi Calhoun Chickasaw

Clay

Greene

Hancock Harrison

Hinds

Holmes

Jackson

Jones

Lauderdale

Lawrence Lincoln

Madison

Monroe

Noxubee

Oktibbeha

Pike

Rankin Scott

Walthall

Warren

Washington

Wayne

Wilkinson

Adams

Alcorn

Amite

Attala

Benton

Bolivar

Carroll

Choctaw

Claiborne Clarke

Coahoma

Copiah

Covington

De Soto

Forrest

Franklin

George

Grenada

Humphreys

Issaquena

Itawamba

Jasper

Jefferson

Jefferson Davis

Kemper

Lafayette

Lamar

Leake

Lee

Leflore Lowndes

Marion

Marshall

Montgomery

Neshoba

Newton

Panola

Pearl River

Perry

Pontotoc

Prentiss

Quitman

Sharkey

Simpson Smith

Stone

Sunflower

Tallahatchie

Tate

Tippah Tishomingo

Tunica

Union

Webster

Winston

Yalobusha

Yazoo

Premium Ranges 82 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Partial Plans

Mississippi

Alcorn

Franklin

Leflore

Pontotoc

Adams

Amite

Attala

Benton

Bolivar

Calhoun

Carroll

Chickasaw

Choctaw

Claiborne Clarke

Clay

Coahoma

Copiah

Covington

De Soto

Forrest

George

Greene

Grenada

Hancock Harrison

Hinds

Holmes Humphreys

Issaquena

Itawamba

Jackson

Jasper

Jefferson

Jefferson Davis Jones

Kemper

Lafayette

Lamar

Lauderdale

Lawrence

Leake

Lee

Lincoln

Lowndes

Madison

Marion

Marshall

Monroe

Montgomery

Neshoba

Newton

Noxubee

Oktibbeha

Panola

Pearl River

Perry Pike

Prentiss

Quitman

Rankin Scott

Sharkey

Simpson Smith

Stone

Sunflower

Tallahatchie

Tate

Tippah Tishomingo

Tunica

Union

Walthall

Warren

Washington

Wayne

Webster

Wilkinson

Winston

Yalobusha

Yazoo

Premium Ranges 130 No PFFS-Partial Plans

AP-303a/GHHHZQ4EN

2015 MAPD RPPO Plans

Mississippi

Adams

Alcorn

Amite

Attala

Benton

Bolivar

Calhoun

Carroll

Chickasaw

Choctaw

Claiborne Clarke

Clay

Coahoma

Copiah

Covington

De Soto

Forrest

Franklin

George

Greene

Grenada

Hancock Harrison

Hinds

Holmes Humphreys

Issaquena

Itawamba

Jackson

Jasper

Jefferson

Jefferson Davis Jones

Kemper

Lafayette

Lamar

Lauderdale

Lawrence

Leake

Lee

Leflore

Lincoln

Lowndes

Madison

Marion

Marshall

Monroe

Montgomery

Neshoba

Newton

Noxubee

Oktibbeha

Panola

Pearl River

Perry Pike

Pontotoc

Prentiss

Quitman

Rankin Scott

Sharkey

Simpson Smith

Stone

Sunflower

Tallahatchie

Tate

Tippah Tishomingo

Tunica

Union

Walthall

Warren

Washington

Wayne

Webster

Wilkinson

Winston

Yalobusha

Yazoo

Premium Ranges 44/78

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

Missouri

Franklin

Jefferson

St Charles

St Francois

St Louis St Louis City

Warren

Washington

Cass

Clay

Jackson

Johnson

Lafayette

Platte Ray

Barry

Cedar

Christian

Dade

Dallas

Douglas

Greene

Howell

Jasper

Laclede

Lawrence

Mcdonald

Newton

Ozark

Polk

Pulaski

St Clair

Stone Taney

Webster Wright

Adair

Andrew

Atchison

Audrain

Barton

Bates Benton

Bollinger

Boone

Buchanan

Butler

Caldwell

Callaway

Camden

Cape Girardeau

Carroll

Carter

Chariton

Clark

Clinton

Cole

Cooper

Crawford

Daviess Dekalb

Dent

Dunklin

Gasconade

Gentry Grundy

Harrison

Henry

Hickory

Holt

Howard

Iron

Knox Lewis

Lincoln

Linn Livingston Macon

Madison

Maries

Marion

Mercer

Miller

Mississippi

Moniteau

Monroe

Montgomery

Morgan

New Madrid

Nodaway

Oregon

Osage

Pemiscot

Perry

Pettis

Phelps

Pike

Putnam

Ralls Randolph

Reynolds

Ripley

Saline

Schuyler Scotland

Scott Shannon

Shelby

Ste Genevieve

Stoddard

Sullivan

Texas

Vernon

Wayne

Worth

Premium Ranges 0 0/25 15 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD Chronic SNP Plans

Missouri

Barry

Cedar

Christian

Dade

Dallas

Douglas

Greene

Howell

Jasper

Laclede

Lawrence

Mcdonald

Newton

Ozark

Polk

Pulaski

St Clair

Stone Taney

Webster Wright

Adair

Andrew

Atchison

Audrain

Barton

Bates Benton

Bollinger

Boone

Buchanan

Butler

Caldwell

Callaway

Camden

Cape Girardeau

Carroll

Carter

Cass

Chariton

Clark

Clay

Clinton

Cole

Cooper

Crawford

Daviess Dekalb

Dent

Dunklin

Franklin Gasconade

Gentry Grundy

Harrison

Henry

Hickory

Holt

Howard

Iron

Jackson

Jefferson

Johnson

Knox

Lafayette

Lewis

Lincoln

Linn Livingston Macon

Madison

Maries

Marion

Mercer

Miller

Mississippi

Moniteau

Monroe

Montgomery

Morgan

New Madrid

Nodaway

Oregon

Osage

Pemiscot

Perry

Pettis

Phelps

Pike Platte

Putnam

Ralls Randolph

Ray

Reynolds

Ripley

Saline

Schuyler Scotland

Scott Shannon

Shelby

St Charles

St Francois

St Louis St Louis City

Ste Genevieve

Stoddard

Sullivan

Texas

Vernon

Warren

Washington

Wayne

Worth

Premium Ranges 0 No HMO-Chronic SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD DE SNP Plans

Missouri

Barry

Cass

Cedar

Christian

Clay

Dade

Dallas

Douglas

Greene

Jackson

Jasper

Laclede

Lawrence

Mcdonald

Newton

Platte

Polk

Pulaski

Stone Taney

Webster Wright

Adair

Andrew

Atchison

Audrain

Barton

Bates Benton

Bollinger

Boone

Buchanan

Butler

Caldwell

Callaway

Camden

Cape Girardeau

Carroll

Carter

Chariton

Clark

Clinton

Cole

Cooper

Crawford

Daviess Dekalb

Dent

Dunklin

Franklin Gasconade

Gentry Grundy

Harrison

Henry

Hickory

Holt

Howard

Howell

Iron

Jefferson

Johnson

Knox

Lafayette

Lewis

Lincoln

Linn Livingston Macon

Madison

Maries

Marion

Mercer

Miller

Mississippi

Moniteau

Monroe

Montgomery

Morgan

New Madrid

Nodaway

Oregon

Osage

Ozark

Pemiscot

Perry

Pettis

Phelps

Pike

Putnam

Ralls Randolph

Ray

Reynolds

Ripley

Saline

Schuyler Scotland

Scott Shannon

Shelby

St Charles

St Clair

St Francois

St Louis St Louis City

Ste Genevieve

Stoddard

Sullivan

Texas

Vernon

Warren

Washington

Wayne

Worth

Premium Ranges 33 No HMO-DE SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Missouri

Jasper

Mcdonald

Newton

Audrain

Barry

Bates Benton

Boone

Callaway

Cass

Cedar

Christian

Clay

Cole

Cooper

Dade

Dallas

Douglas

Franklin

Greene

Henry

Hickory

Howard

Howell

Jackson

Jefferson

Johnson

Laclede

Lafayette

Lawrence

Lincoln

Miller

Moniteau

Morgan

Oregon

Osage

Ozark

Pettis

Phelps

Platte

Polk

Pulaski

Ray

Saline

St Charles

St Clair

St Francois

St Louis St Louis City

Stone Taney

Vernon

Warren

Washington

Webster Wright

Adair

Andrew

Atchison

Barton

Bollinger

Buchanan

Butler

Caldwell

Camden

Cape Girardeau

Carroll

Carter

Chariton

Clark

Clinton

Crawford

Daviess Dekalb

Dent

Dunklin

Gasconade

Gentry Grundy

Harrison

Holt

Iron

Knox Lewis

Linn Livingston Macon

Madison

Maries

Marion

Mercer

Mississippi

Monroe

Montgomery

New Madrid

Nodaway

Pemiscot

Perry

Pike

Putnam

Ralls Randolph

Reynolds

Ripley

Schuyler Scotland

Scott Shannon

Shelby

Ste Genevieve

Stoddard

Sullivan

Texas

Wayne

Worth

Premium Ranges 60/87 68/81 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Missouri

Jasper

Mcdonald

Newton

Audrain

Barry

Bates Benton

Boone

Callaway

Cass

Cedar

Christian

Clay

Cole

Cooper

Dade

Dallas

Douglas

Franklin

Greene

Henry

Hickory

Howard

Howell

Jackson

Jefferson

Johnson

Laclede

Lafayette

Lawrence

Lincoln

Miller

Moniteau

Morgan

Oregon

Osage

Ozark

Pettis

Phelps

Platte

Polk

Pulaski

Ray

Saline

St Charles

St Clair

St Francois

St Louis St Louis City

Stone Taney

Vernon

Warren

Washington

Webster Wright

Adair

Andrew

Atchison

Barton

Bollinger

Buchanan

Butler

Caldwell

Camden

Cape Girardeau

Carroll

Carter

Chariton

Clark

Clinton

Crawford

Daviess Dekalb

Dent

Dunklin

Gasconade

Gentry Grundy

Harrison

Holt

Iron

Knox Lewis

Linn Livingston Macon

Madison

Maries

Marion

Mercer

Mississippi

Monroe

Montgomery

New Madrid

Nodaway

Pemiscot

Perry

Pike

Putnam

Ralls Randolph

Reynolds

Ripley

Schuyler Scotland

Scott Shannon

Shelby

Ste Genevieve

Stoddard

Sullivan

Texas

Wayne

Worth

Premium Ranges 60/87 68/81 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

Missouri

Barry

Benton

Boone

Callaway

Carroll

Cedar

Christian

Clay

Cole

Crawford

Dade

Dallas

Douglas

Greene

Henry

Hickory

Jackson

Jasper

Jefferson

Laclede

Lawrence

Miller

Montgomery

Newton

Ozark

Pemiscot

Perry

Phelps

Pike Platte

Polk

Pulaski

Reynolds

St Charles

St Clair

St Louis St Louis City

Stone Taney

Vernon

Wright

Adair

Andrew

Atchison

Audrain

Barton

Bates

Bollinger

Buchanan

Butler

Caldwell

Camden

Cape Girardeau

Carter

Cass

Chariton

Clark

Clinton

Cooper

Daviess Dekalb

Dent

Dunklin

Franklin Gasconade

Gentry Grundy

Harrison

Holt

Howard

Howell

Iron

Johnson

Knox

Lafayette

Lewis

Lincoln

Linn Livingston Macon

Madison

Maries

Marion

Mcdonald

Mercer

Mississippi

Moniteau

Monroe

Morgan

New Madrid

Nodaway

Oregon

Osage

Pettis

Putnam

Ralls Randolph

Ray

Ripley

Saline

Schuyler Scotland

Scott Shannon

Shelby

St Francois Ste Genevieve

Stoddard

Sullivan

Texas

Warren

Washington

Wayne

Webster

Worth

Premium Ranges 68 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Partial Plans

Missouri Atchison

Bollinger

Butler

Camden

Cape Girardeau

Carter

Chariton

Clark

Dekalb

Dunklin

Grundy Holt Lewis

Macon

Maries

Marion

Mercer

Mississippi

Ralls Randolph

Schuyler

Scott

Stoddard

Sullivan

Wayne

Adair

Andrew

Audrain

Barry

Barton

Bates Benton

Boone

Buchanan Caldwell

Callaway

Carroll

Cass

Cedar

Christian

Clay

Clinton

Cole

Cooper

Crawford

Dade

Dallas

Daviess

Dent

Douglas

Franklin Gasconade

Gentry

Greene

Harrison

Henry

Hickory

Howard

Howell

Iron

Jackson

Jasper

Jefferson

Johnson

Knox

Laclede

Lafayette

Lawrence

Lincoln

Linn Livingston

Madison

Mcdonald

Miller

Moniteau

Monroe

Montgomery

Morgan

New Madrid

Newton

Nodaway

Oregon

Osage

Ozark

Pemiscot

Perry

Pettis

Phelps

Pike Platte

Polk

Pulaski

Putnam

Ray

Reynolds

Ripley

Saline

Scotland

Shannon

Shelby

St Charles

St Clair

St Francois

St Louis St Louis City

Ste Genevieve

Stone Taney

Texas

Vernon

Warren

Washington

Webster

Worth

Wright

Premium Ranges 94 No PFFS-Partial Plans

AP-303a/GHHHZQ4EN

2015 MAPD RPPO Plans

Missouri Adair

Andrew

Atchison

Audrain

Barry

Barton

Bates Benton

Bollinger

Boone

Buchanan

Butler

Caldwell

Callaway

Camden

Cape Girardeau

Carroll

Carter

Cass

Cedar

Chariton

Christian

Clark

Clay

Clinton

Cole

Cooper

Crawford

Dade

Dallas

Daviess Dekalb

Dent

Douglas

Dunklin

Franklin Gasconade

Gentry

Greene

Grundy

Harrison

Henry

Hickory

Holt

Howard

Howell

Iron

Jackson

Jasper

Jefferson

Johnson

Knox

Laclede

Lafayette

Lawrence

Lewis

Lincoln

Linn Livingston Macon

Madison

Maries

Marion

Mcdonald

Mercer

Miller

Mississippi

Moniteau

Monroe

Montgomery

Morgan

New Madrid

Newton

Nodaway

Oregon

Osage

Ozark

Pemiscot

Perry

Pettis

Phelps

Pike Platte

Polk

Pulaski

Putnam

Ralls Randolph

Ray

Reynolds

Ripley

Saline

Schuyler Scotland

Scott Shannon

Shelby

St Charles

St Clair

St Francois

St Louis St Louis City

Ste Genevieve

Stoddard

Stone

Sullivan

Taney

Texas

Vernon

Warren

Washington

Wayne

Webster

Worth

Wright

Premium Ranges 114

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

Montana

Big Horn

Carbon

Golden Valley Musselshell

Rosebud

Stillwater Sweet Grass

Treasure

Wheatland

Yellowstone

Beaverhead

Blaine

Broadwater

Carter

Cascade

Chouteau

Custer

Daniels

Dawson

Deer Lodge

Fallon

Fergus

Flathead

Gallatin

Garfield

Glacier

Granite

Hill

Jefferson

Judith Basin

Lake

Lewis And Clark

Liberty Lincoln

Madison

Mccone

Meagher

Mineral

Missoula

Park

Petroleum

Phillips Pondera

Powder River

Powell Prairie

Ravalli

Richland

Roosevelt

Sanders

Sheridan

Silver Bow

Teton

Toole

Valley

Wibaux

Premium Ranges 34 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Montana

Carbon

Stillwater

Yellowstone

Broadwater

Cascade

Chouteau

Flathead

Granite

Hill

Jefferson

Lewis And Clark

Liberty

Mineral

Missoula

Pondera

Powell

Ravalli

Sanders

Silver Bow

Teton

Beaverhead

Big Horn

Blaine

Carter

Custer

Daniels

Dawson

Deer Lodge

Fallon

Fergus

Gallatin

Garfield

Glacier

Golden Valley

Judith Basin

Lake

Lincoln

Madison

Mccone

Meagher

Musselshell

Park

Petroleum

Phillips

Powder River

Prairie

Richland

Roosevelt

Rosebud

Sheridan

Sweet Grass

Toole

Treasure

Valley

Wheatland

Wibaux

Premium Ranges 61 69 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Montana

Carbon

Stillwater

Yellowstone

Broadwater

Cascade

Chouteau

Flathead

Granite

Hill

Jefferson

Lewis And Clark

Liberty

Mineral

Missoula

Pondera

Powell

Ravalli

Sanders

Silver Bow

Teton

Beaverhead

Big Horn

Blaine

Carter

Custer

Daniels

Dawson

Deer Lodge

Fallon

Fergus

Gallatin

Garfield

Glacier

Golden Valley

Judith Basin

Lake

Lincoln

Madison

Mccone

Meagher

Musselshell

Park

Petroleum

Phillips

Powder River

Prairie

Richland

Roosevelt

Rosebud

Sheridan

Sweet Grass

Toole

Treasure

Valley

Wheatland

Wibaux

Premium Ranges 61 69 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

Montana

Carbon

Cascade

Chouteau

Flathead

Judith Basin

Pondera

Ravalli Rosebud

Teton

Beaverhead

Big Horn

Blaine

Broadwater

Carter

Custer

Daniels

Dawson

Deer Lodge

Fallon

Fergus

Gallatin

Garfield

Glacier

Golden Valley Granite

Hill

Jefferson

Lake

Lewis And Clark

Liberty Lincoln

Madison

Mccone

Meagher

Mineral

Missoula

Musselshell

Park

Petroleum

Phillips

Powder River

Powell Prairie

Richland

Roosevelt

Sanders

Sheridan

Silver Bow

Stillwater Sweet Grass

Toole

Treasure

Valley

Wheatland

Wibaux

Yellowstone

Premium Ranges 89 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Partial Plans

Montana

Blaine

Deer Lodge

Golden Valley

Lincoln

Powder River

Prairie

Silver Bow

Beaverhead

Big Horn

Broadwater

Carbon

Carter

Cascade

Chouteau

Custer

Daniels

Dawson

Fallon

Fergus

Flathead

Gallatin

Garfield

Glacier

Granite

Hill

Jefferson

Judith Basin

Lake

Lewis And Clark

Liberty

Madison

Mccone

Meagher

Mineral

Missoula

Musselshell

Park

Petroleum

Phillips Pondera

Powell

Ravalli

Richland

Roosevelt

Rosebud

Sanders

Sheridan

Stillwater Sweet Grass

Teton

Toole

Treasure

Valley

Wheatland

Wibaux

Yellowstone

Premium Ranges 89 No PFFS-Partial Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

Nebraska

Cass

Dodge

Douglas

Lancaster

Sarpy

Saunders

Washington

Adams

Antelope

Arthur Banner

Blaine

Boone

Box Butte

Boyd

Brown

Buffalo

Burt

Butler

Cedar

Chase

Cherry

Cheyenne

Clay

Colfax

Cuming

Custer

Dakota

Dawes

Dawson

Deuel

Dixon

Dundy

Fillmore

Franklin

Frontier

Furnas Gage

Garden

Garfield

Gosper

Grant

Greeley

Hall Hamilton

Harlan

Hayes

Hitchcock

Holt

Hooker

Howard

Jefferson

Johnson

Kearney

Keith

Keya Paha

Kimball

Knox

Lincoln

Logan

Loup Madison

Mcpherson

Merrick

Morrill

Nance

Nemaha

Nuckolls

Otoe

Pawnee

Perkins

Phelps

Pierce

Platte

Polk

Red Willow Richardson

Rock

Saline

Scotts Bluff

Seward

Sheridan

Sherman

Sioux

Stanton

Thayer

Thomas

Thurston

Valley

Wayne

Webster

Wheeler

York

Premium Ranges 0 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Nebraska

Cass

Dodge

Douglas

Lancaster

Sarpy

Saunders

Washington

Adams

Antelope

Arthur Banner

Blaine

Boone

Box Butte

Boyd

Brown

Buffalo

Burt

Butler

Cedar

Chase

Cherry

Cheyenne

Clay

Colfax

Cuming

Custer

Dakota

Dawes

Dawson

Deuel

Dixon

Dundy

Fillmore

Franklin

Frontier

Furnas Gage

Garden

Garfield

Gosper

Grant

Greeley

Hall Hamilton

Harlan

Hayes

Hitchcock

Holt

Hooker

Howard

Jefferson

Johnson

Kearney

Keith

Keya Paha

Kimball

Knox

Lincoln

Logan

Loup Madison

Mcpherson

Merrick

Morrill

Nance

Nemaha

Nuckolls

Otoe

Pawnee

Perkins

Phelps

Pierce

Platte

Polk

Red Willow Richardson

Rock

Saline

Scotts Bluff

Seward

Sheridan

Sherman

Sioux

Stanton

Thayer

Thomas

Thurston

Valley

Wayne

Webster

Wheeler

York

Premium Ranges 105 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Nebraska

Cass

Dodge

Douglas

Lancaster

Sarpy

Saunders

Washington

Adams

Antelope

Arthur Banner

Blaine

Boone

Box Butte

Boyd

Brown

Buffalo

Burt

Butler

Cedar

Chase

Cherry

Cheyenne

Clay

Colfax

Cuming

Custer

Dakota

Dawes

Dawson

Deuel

Dixon

Dundy

Fillmore

Franklin

Frontier

Furnas Gage

Garden

Garfield

Gosper

Grant

Greeley

Hall Hamilton

Harlan

Hayes

Hitchcock

Holt

Hooker

Howard

Jefferson

Johnson

Kearney

Keith

Keya Paha

Kimball

Knox

Lincoln

Logan

Loup Madison

Mcpherson

Merrick

Morrill

Nance

Nemaha

Nuckolls

Otoe

Pawnee

Perkins

Phelps

Pierce

Platte

Polk

Red Willow Richardson

Rock

Saline

Scotts Bluff

Seward

Sheridan

Sherman

Sioux

Stanton

Thayer

Thomas

Thurston

Valley

Wayne

Webster

Wheeler

York

Premium Ranges 105 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Partial Plans

Nebraska

Adams

Blaine

Boone

Buffalo

Garfield

Gosper Hayes

Hooker

Johnson

Keya Paha

Lincoln

Madison

Mcpherson

Nuckolls

Platte

Sherman

Thurston

Wheeler

Antelope

Arthur Banner

Box Butte

Boyd

Brown

Burt

Butler

Cass

Cedar

Chase

Cherry

Cheyenne

Clay

Colfax

Cuming

Custer

Dakota

Dawes

Dawson

Deuel

Dixon

Dodge

Douglas

Dundy

Fillmore

Franklin

Frontier

Furnas Gage

Garden

Grant

Greeley

Hall Hamilton

Harlan Hitchcock

Holt

Howard

Jefferson

Kearney

Keith Kimball

Knox

Lancaster

Logan

Loup

Merrick

Morrill

Nance

Nemaha

Otoe

Pawnee

Perkins

Phelps

Pierce

Polk

Red Willow Richardson

Rock

Saline

Sarpy

Saunders

Scotts Bluff

Seward

Sheridan

Sioux

Stanton

Thayer

Thomas

Valley Washington

Wayne

Webster

York

87 No PFFS-Partial Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

MAPD - HMONevada

Clark

Nye

Carson City

Churchill

Douglas

Elko

Esmeralda

Eureka

Humboldt

Lander

Lincoln

Lyon

Mineral

Pershing

Storey

Washoe

White Pine

Premium Ranges 0 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD Chronic SNP Plans

Nevada

Clark

Nye

Carson City

Churchill

Douglas

Elko

Esmeralda

Eureka

Humboldt

Lander

Lincoln

Lyon

Mineral

Pershing

Storey

Washoe

White Pine

Premium Ranges 0/21 No HMO-Chronic SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

MAPD - HMO

Nevada

Washoe

Clark

Carson City

Churchill

Douglas

Elko

Esmeralda

Eureka

Humboldt

Lander

Lincoln

Lyon

Mineral

Nye

Pershing

Storey White Pine

Premium Ranges 37/72 42/128 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

MAPD - HMONevada

Washoe

Clark

Carson City

Churchill

Douglas

Elko

Esmeralda

Eureka

Humboldt

Lander

Lincoln

Lyon

Mineral

Nye

Pershing

Storey White Pine

Premium Ranges 37/72 42/128 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

New Hampshire

Carroll

Rockingham

Belknap

Cheshire

Coos

Grafton

Hillsboro

Merrimack Strafford Sullivan

Premium Ranges 34 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

New Jersey Bergen

Burlington

Gloucester

Morris

Somerset

Warren

Atlantic

Camden

Cape May

Cumberland

Essex Hudson

Hunterdon

Mercer

Middlesex

Monmouth

Ocean

Passaic

Salem

Sussex

Union

Premium Ranges 297 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

New Jersey Bergen

Burlington

Gloucester

Morris

Somerset

Warren

Atlantic

Camden

Cape May

Cumberland

Essex Hudson

Hunterdon

Mercer

Middlesex

Monmouth

Ocean

Passaic

Salem

Sussex

Union

Premium Ranges 297 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

New Mexico

Bernalillo

San Miguel

Sandoval Santa Fe

Torrance Valencia

Catron

Chaves

Cibola

Colfax

Curry

De Baca

Dona Ana Eddy

Grant

Guadalupe

Harding

Hidalgo

Lea

Lincoln

Los Alamos

Luna

Mckinley

Mora

Otero

Quay

Rio Arriba

Roosevelt

San Juan

Sierra

Socorro

Taos

Union

Premium Ranges 0 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

New Mexico

Dona Ana

Luna

Otero

Bernalillo

Catron

Cibola

Colfax

Curry

De Baca

Grant

Guadalupe

Lincoln

Los Alamos

Mckinley

Quay

Rio Arriba

Roosevelt

San Miguel

Sandoval Santa Fe

Sierra

Socorro

Taos

Torrance

Union

Valencia

Chaves

Eddy

Harding

Hidalgo

Lea

Mora

San Juan

Premium Ranges 32 35 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

New Mexico

Dona Ana

Luna

Otero

Bernalillo

Catron

Cibola

Colfax

Curry

De Baca

Grant

Guadalupe

Lincoln

Los Alamos

Mckinley

Quay

Rio Arriba

Roosevelt

San Miguel

Sandoval Santa Fe

Sierra

Socorro

Taos

Torrance

Union

Valencia

Chaves

Eddy

Harding

Hidalgo

Lea

Mora

San Juan

Premium Ranges 32 35 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

New Mexico

Bernalillo

Colfax

Dona Ana Grant

Lincoln

Luna

Otero

Rio Arriba

Roosevelt

San Miguel

Sandoval Santa Fe

Sierra

Taos

Torrance Valencia

Catron

Chaves

Cibola

Curry

De Baca

Eddy

Guadalupe

Harding

Hidalgo

Lea

Los Alamos

Mckinley

Mora

Quay

San Juan

Socorro

Union

Premiun Ranges 62 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

New York

Bronx

Kings

New York Queens

Richmond

Albany

Madison

Oneida

Onondaga

Oswego

Rensselaer

Saratoga

Schenectady

Warren

Nassau

Suffolk

Allegany

Broome

Cattaraugus

Cayuga

Chautauqua

Chemung

Chenango

Clinton

Columbia

Cortland

Delaware

Dutchess

Erie

Essex

Franklin

Fulton

Genesee

Greene

Hamilton

Herkimer

Jefferson

Lewis

Livingston

Monroe

Montgomery

Niagara

Ontario

Orange

Orleans

Otsego

Putnam

Rockland

Schoharie

Schuyler

Seneca

St Lawrence

Steuben

Sullivan

Tioga

Tompkins

Ulster

Washington

Wayne

Westchester

Wyoming Yates

Premium Ranges 0 0/24.5 35/165 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD DE SNP Plans

New York

Bronx

Kings

New York Queens

Richmond

Albany

Madison

Oneida

Onondaga

Oswego

Rensselaer

Saratoga

Schenectady

Warren

Allegany

Broome

Cattaraugus

Cayuga

Chautauqua

Chemung

Chenango

Clinton

Columbia

Cortland

Delaware

Dutchess

Erie

Essex

Franklin

Fulton

Genesee

Greene

Hamilton

Herkimer

Jefferson

Lewis

Livingston

Monroe

Montgomery

Nassau

Niagara

Ontario

Orange

Orleans

Otsego

Putnam

Rockland

Schoharie

Schuyler

Seneca

St Lawrence

Steuben

Suffolk

Sullivan

Tioga

Tompkins

Ulster

Washington

Wayne

Westchester

Wyoming Yates

Premium Ranges 31 38 No HMO-DE SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

New York

Cayuga

Herkimer

Lewis

Madison

Oneida

Onondaga

Oswego

New York

Allegany

Broome

Cattaraugus Chautauqua

Chemung

Chenango

Cortland

Delaware

Schuyler

Seneca

Steuben Tioga

Tompkins

Yates Albany

Columbia Greene

Montgomery

Otsego Rensselaer

Saratoga

Schenectady

Schoharie

Bronx

Clinton

Dutchess

Erie

Essex

Franklin

Fulton

Genesee

Hamilton

Jefferson

Kings

Livingston

Monroe

Nassau

Niagara

Ontario

Orange

Orleans

Putnam

Queens Richmond

Rockland

St Lawrence

Suffolk

Sullivan

Ulster

Warren

Washington

Wayne

Westchester

Wyoming

Premium Ranges 32/165 325 34/165 57/159 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

New York

Cayuga

Herkimer

Lewis

Madison

Oneida

Onondaga

Oswego

New York

Allegany

Broome

Cattaraugus Chautauqua

Chemung

Chenango

Cortland

Delaware

Schuyler

Seneca

Steuben Tioga

Tompkins

Yates Albany

Columbia Greene

Montgomery

Otsego Rensselaer

Saratoga

Schenectady

Schoharie

Bronx

Clinton

Dutchess

Erie

Essex

Franklin

Fulton

Genesee

Hamilton

Jefferson

Kings

Livingston

Monroe

Nassau

Niagara

Ontario

Orange

Orleans

Putnam

Queens Richmond

Rockland

St Lawrence

Suffolk

Sullivan

Ulster

Warren

Washington

Wayne

Westchester

Wyoming

Premium Ranges 32/165 325 34/165 57/159 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

New York

Allegany

Broome

Cattaraugus

Cayuga

Chemung

Chenango

Oneida

Onondaga

Schuyler Steuben

Tioga

Albany

Bronx

Chautauqua

Clinton

Columbia

Cortland

Delaware

Dutchess

Erie

Essex

Franklin

Fulton

Genesee

Greene

Hamilton

Herkimer

Jefferson

Kings

Lewis

Livingston

Madison

Monroe

Montgomery

Nassau New York

Niagara

Ontario

Orange

Orleans

Oswego

Otsego

Putnam

Queens

Rensselaer

Richmond

Rockland

Saratoga

Schenectady

Schoharie

Seneca

St Lawrence

Suffolk

Sullivan

Tompkins

Ulster

Warren

Washington

Wayne

Westchester

Wyoming Yates

Premium Ranges 79 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

North Carolina

Alamance Alexander

Alleghany

Anson

Ashe

Burke

Cabarrus

Caldwell

Caswell

Catawba Davidson

Davie

Forsyth

Gaston

Guilford

Iredell

Lincoln

Mecklenburg

Person

Randolph

Rockingham

Rowan

Stanly

Stokes

Union

Wake

Wilkes Yadkin Avery

Beaufort

Bertie

Bladen

Brunswick

Buncombe

Camden

Carteret

Chatham

Cherokee

Chowan

Clay

Cleveland

Columbus

Craven Cumberland

Currituck

Dare

Duplin

Durham

Edgecombe

Franklin

Gates

Graham

Granville

Greene

Halifax

Harnett

Haywood

Henderson

Hertford

Hoke

Hyde

Jackson

Johnston

Jones

Lee

Lenoir Macon

Madison Martin Mcdowell

Mitchell

Montgomery Moore

Nash

New Hanover

Northampton

Onslow

Orange

Pamlico

Pasquotank

Pender

Perquimans

Pitt

Polk

Richmond

Robeson

Rutherford

Sampson Scotland

Surry

Swain

Transylvania

Tyrrell

Vance Warren

Washington

Watauga

Wayne

Wilson

Yancey

Premium Ranges 0 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD Chronic SNP Plans

North Carolina

Anson

Cabarrus Gaston

Lincoln

Mecklenburg

Rowan

Stanly

Union

Alamance Alexander

Alleghany Ashe

Avery

Beaufort

Bertie

Bladen

Brunswick

Buncombe

Burke

Caldwell

Camden

Carteret

Caswell

Catawba Chatham

Cherokee

Chowan

Clay

Cleveland

Columbus

Craven Cumberland

Currituck

Dare Davidson

Davie

Duplin

Durham

Edgecombe

Forsyth Franklin

Gates

Graham

Granville

Greene

Guilford

Halifax

Harnett

Haywood

Henderson

Hertford

Hoke

Hyde

Iredell

Jackson

Johnston

Jones

Lee

Lenoir Macon

Madison Martin Mcdowell

Mitchell

Montgomery Moore

Nash

New Hanover

Northampton

Onslow

Orange

Pamlico

Pasquotank

Pender

Perquimans

Person

Pitt

Polk

Randolph

Richmond

Robeson

Rockingham

Rutherford

Sampson Scotland

Stokes Surry

Swain

Transylvania

Tyrrell

Vance

Wake

Warren

Washington

Watauga

Wayne

Wilkes

Wilson

Yadkin

Yancey

Premium Ranges 0 No HMO-Chronic SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD DE SNP Plans

North Carolina

Alamance

Alleghany

Anson

Ashe

Cabarrus

Caswell

Davidson

Davie

Forsyth

Gaston

Guilford

Lincoln

Mecklenburg

Person

Randolph

Rockingham

Rowan

Stanly

Stokes

Union

Wilkes Yadkin

Alexander

Avery

Beaufort

Bertie

Bladen

Brunswick

Buncombe

Burke

Caldwell

Camden

Carteret

Catawba Chatham

Cherokee

Chowan

Clay

Cleveland

Columbus

Craven Cumberland

Currituck

Dare

Duplin

Durham

Edgecombe

Franklin

Gates

Graham

Granville

Greene

Halifax

Harnett

Haywood

Henderson

Hertford

Hoke

Hyde

Iredell

Jackson

Johnston

Jones

Lee

Lenoir Macon

Madison Martin Mcdowell

Mitchell

Montgomery Moore

Nash

New Hanover

Northampton

Onslow

Orange

Pamlico

Pasquotank

Pender

Perquimans

Pitt

Polk

Richmond

Robeson

Rutherford

Sampson Scotland

Surry

Swain

Transylvania

Tyrrell

Vance

Wake

Warren

Washington

Watauga

Wayne

Wilson

Yancey

Premium Ranges 31 No HMO-DE SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

North Carolina

Alamance Alexander

Alleghany

Anson

Ashe

Avery

Buncombe

Cabarrus

Caldwell

Caswell

Catawba Chatham

Cherokee Clay

Cleveland

Davidson

Davie

Durham Forsyth

Franklin

Gaston Graham

Guilford

Haywood

Henderson

Iredell

Jackson

Lee Lincoln

Macon

Madison

Mcdowell

Mecklenburg

Mitchell

Montgomery Moore

Orange

Person

Polk

Randolph

Rockingham

Rowan

Rutherford Stanly

Stokes

Swain

Transylvania

Union

Vance

Wake

Warren Watauga Wilkes

Yadkin

Yancey

Columbus

Cumberland

Currituck

Beaufort

Bertie

Bladen

Brunswick

Burke

Camden

Carteret

Chowan

Craven

Dare

Duplin

Edgecombe

Gates

Granville

Greene

Halifax

Harnett

Hertford

Hoke

Hyde Johnston

Jones

Lenoir

Martin Nash

New Hanover

Northampton

Onslow

Pamlico

Pasquotank

Pender

Perquimans

Pitt

Richmond

Robeson

Sampson Scotland

Surry

Tyrrell Washington

Wayne

Wilson

Premium Ranges 44 57 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

North Carolina

Alamance Alexander

Alleghany

Anson

Ashe

Avery

Buncombe

Cabarrus

Caldwell

Caswell

Catawba Chatham

Cherokee Clay

Cleveland

Davidson

Davie

Durham Forsyth

Franklin

Gaston Graham

Guilford

Haywood

Henderson

Iredell

Jackson

Lee Lincoln

Macon

Madison

Mcdowell

Mecklenburg

Mitchell

Montgomery Moore

Orange

Person

Polk

Randolph

Rockingham

Rowan

Rutherford Stanly

Stokes

Swain

Transylvania

Union

Vance

Wake

Warren Watauga Wilkes

Yadkin

Yancey

Columbus

Cumberland

Currituck

Beaufort

Bertie

Bladen

Brunswick

Burke

Camden

Carteret

Chowan

Craven

Dare

Duplin

Edgecombe

Gates

Granville

Greene

Halifax

Harnett

Hertford

Hoke

Hyde Johnston

Jones

Lenoir

Martin Nash

New Hanover

Northampton

Onslow

Pamlico

Pasquotank

Pender

Perquimans

Pitt

Richmond

Robeson

Sampson Scotland

Surry

Tyrrell Washington

Wayne

Wilson

Premium Ranges 44 57 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

North Carolina

Alexander

Anson

Avery Bertie

Caswell

Catawba

Cherokee

Chowan

Davidson

Davie

Forsyth

Gaston

Gates

Henderson

Lincoln

Madison

Mecklenburg

Rowan

Scotland

Union

Watauga

Yancey

Alamance

Alleghany Ashe

Beaufort

Bladen

Brunswick

Buncombe

Burke

Cabarrus

Caldwell

Camden

Carteret

Chatham

Clay

Cleveland

Columbus

Craven Cumberland

Currituck

Dare

Duplin

Durham

Edgecombe

Franklin

Graham

Granville

Greene

Guilford

Halifax

Harnett

Haywood

Hertford

Hoke

Hyde

Iredell

Jackson

Johnston

Jones

Lee

Lenoir Macon

Martin Mcdowell

Mitchell

Montgomery Moore

Nash

New Hanover

Northampton

Onslow

Orange

Pamlico

Pasquotank

Pender

Perquimans

Person

Pitt

Polk

Randolph

Richmond

Robeson

Rockingham

Rutherford

Sampson

Stanly

Stokes Surry

Swain

Transylvania

Tyrrell

Vance

Wake

Warren

Washington

Wayne

Wilkes

Wilson

Yadkin

Premium Ranges 67 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Partial Plans

North Carolina

Buncombe

Burke

Alamance Alexander

Alleghany

Anson

Ashe

Avery

Beaufort

Bertie

Bladen

Brunswick

Cabarrus

Caldwell

Camden

Carteret

Caswell

Catawba Chatham

Cherokee

Chowan

Clay

Cleveland

Columbus

Craven Cumberland

Currituck

Dare Davidson

Davie

Duplin

Durham

Edgecombe

Forsyth Franklin

Gaston

Gates

Graham

Granville

Greene

Guilford

Halifax

Harnett

Haywood

Henderson

Hertford

Hoke

Hyde

Iredell

Jackson

Johnston

Jones

Lee

Lenoir

Lincoln

Macon

Madison Martin Mcdowell

Mecklenburg

Mitchell

Montgomery Moore

Nash

New Hanover

Northampton

Onslow

Orange

Pamlico

Pasquotank

Pender

Perquimans

Person

Pitt

Polk

Randolph

Richmond

Robeson

Rockingham

Rowan

Rutherford

Sampson Scotland

Stanly

Stokes Surry

Swain

Transylvania

Tyrrell

Union

Vance

Wake

Warren

Washington

Watauga

Wayne

Wilkes

Wilson

Yadkin

Yancey

Premium Ranges 67 No PFFS-Partial Plans

AP-303a/GHHHZQ4EN

2015 MAPD RPPO Plans

North Carolina

Alamance Alexander

Alleghany

Anson

Ashe

Avery

Beaufort

Bertie

Bladen

Brunswick

Buncombe

Burke

Cabarrus

Caldwell

Camden

Carteret

Caswell

Catawba Chatham

Cherokee

Chowan

Clay

Cleveland

Columbus

Craven Cumberland

Currituck

Dare Davidson

Davie

Duplin

Durham

Edgecombe

Forsyth Franklin

Gaston

Gates

Graham

Granville

Greene

Guilford

Halifax

Harnett

Haywood

Henderson

Hertford

Hoke

Hyde

Iredell

Jackson

Johnston

Jones

Lee

Lenoir

Lincoln

Macon

Madison Martin Mcdowell

Mecklenburg

Mitchell

Montgomery Moore

Nash

New Hanover

Northampton

Onslow

Orange

Pamlico

Pasquotank

Pender

Perquimans

Person

Pitt

Polk

Randolph

Richmond

Robeson

Rockingham

Rowan

Rutherford

Sampson Scotland

Stanly

Stokes Surry

Swain

Transylvania

Tyrrell

Union

Vance

Wake

Warren

Washington

Watauga

Wayne

Wilkes

Wilson

Yadkin

Yancey

Premium Ranges 79

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

North Dakota

Barnes Burleigh

Cass

Grand Forks

Kidder

Morton

Richland

Stutsman

Traill

Adams

Benson

Billings

Bottineau

Bowman

Burke Cavalier

Dickey

Divide

Dunn

Eddy

Emmons

Foster

Golden Valley

Grant

Griggs

Hettinger Lamoure Logan

Mchenry

Mcintosh

Mckenzie

Mclean

Mercer

Mountrail

Nelson

Oliver

Pembina

Pierce Ramsey

Ransom

Renville Rolette

Sargent

Sheridan

Sioux

Slope

Stark

Steele

Towner

Walsh Ward

Wells

Williams

Premium Ranges 69 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

North Dakota

Barnes Burleigh

Cass

Grand Forks

Kidder

Morton

Richland

Stutsman

Traill

Adams

Benson

Billings

Bottineau

Bowman

Burke Cavalier

Dickey

Divide

Dunn

Eddy

Emmons

Foster

Golden Valley

Grant

Griggs

Hettinger Lamoure Logan

Mchenry

Mcintosh

Mckenzie

Mclean

Mercer

Mountrail

Nelson

Oliver

Pembina

Pierce Ramsey

Ransom

Renville Rolette

Sargent

Sheridan

Sioux

Slope

Stark

Steele

Towner

Walsh Ward

Wells

Williams

Premium Ranges 69 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

North Dakota

Burleigh

Adams

Barnes

Benson

Billings

Bottineau

Bowman

Burke

Cass

Cavalier

Dickey

Divide

Dunn

Eddy

Emmons

Foster

Golden Valley

Grand Forks

Grant

Griggs

Hettinger

Kidder

Lamoure Logan

Mchenry

Mcintosh

Mckenzie

Mclean

Mercer

Morton

Mountrail

Nelson

Oliver

Pembina

Pierce Ramsey

Ransom

Renville

Richland

Rolette

Sargent

Sheridan

Sioux

Slope

Stark

Steele

Stutsman

Towner

Traill

Walsh Ward

Wells

Williams

Premium Ranges 89 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

Ohio

Butler

Carroll

Clark

Clermont

Delaware

Fairfield

Franklin

Hamilton

Licking

Mahoning

Portage

Stark

Summit

Trumbull

Warren

Wayne

Greene Montgomery Preble

Cuyahoga

Lake

Lorain

Lucas

Medina

Ottawa

Sandusky

Seneca

Wood

Adams

Allen Ashland

Ashtabula

Athens

Auglaize

Belmont

Brown

Champaign

Clinton

Columbiana

Coshocton

Crawford

Darke

Defiance

Erie

Fayette

Fulton

Gallia

Geauga

Guernsey

Hancock

Hardin

Harrison

Henry

Highland

Hocking

Holmes

Huron

Jackson

Jefferson Knox

Lawrence

Logan

Madison

Marion

Meigs

Mercer

Miami

Monroe

Morgan

Morrow

Muskingum

Noble

Paulding

Perry

Pickaway

Pike

Putnam

Richland

Ross

Scioto

Shelby

Tuscarawas

Union

Van Wert

Vinton

Washington

Williams

Wyandot

Premium Ranges 0 19 29 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD Chronic SNP Plans

Ohio

Butler

Clermont

Delaware

Fairfield

Franklin

Hamilton

Licking

Warren

Adams

Allen Ashland

Ashtabula

Athens

Auglaize

Belmont

Brown

Carroll

Champaign

Clark

Clinton

Columbiana

Coshocton

Crawford

Cuyahoga

Darke

Defiance

Erie

Fayette

Fulton

Gallia

Geauga

Greene

Guernsey

Hancock

Hardin

Harrison

Henry

Highland

Hocking

Holmes

Huron

Jackson

Jefferson Knox

Lake

Lawrence

Logan

Lorain

Lucas

Madison

Mahoning

Marion

Medina

Meigs

Mercer

Miami

Monroe Montgomery

Morgan

Morrow

Muskingum

Noble

Ottawa

Paulding

Perry

Pickaway

Pike

Portage

Preble

Putnam

Richland

Ross

Sandusky

Scioto

Seneca

Shelby

Stark

Summit

Trumbull

Tuscarawas

Union

Van Wert

Vinton

Washington

Wayne

Williams

Wood

Wyandot

Premium Ranges 0 No HMO-Chronic SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD DE SNP Plans

Ohio

Butler

Clermont

Delaware

Fairfield

Franklin

Hamilton

Licking

Warren

Adams

Allen Ashland

Ashtabula

Athens

Auglaize

Belmont

Brown

Carroll

Champaign

Clark

Clinton

Columbiana

Coshocton

Crawford

Cuyahoga

Darke

Defiance

Erie

Fayette

Fulton

Gallia

Geauga

Greene

Guernsey

Hancock

Hardin

Harrison

Henry

Highland

Hocking

Holmes

Huron

Jackson

Jefferson Knox

Lake

Lawrence

Logan

Lorain

Lucas

Madison

Mahoning

Marion

Medina

Meigs

Mercer

Miami

Monroe Montgomery

Morgan

Morrow

Muskingum

Noble

Ottawa

Paulding

Perry

Pickaway

Pike

Portage

Preble

Putnam

Richland

Ross

Sandusky

Scioto

Seneca

Shelby

Stark

Summit

Trumbull

Tuscarawas

Union

Van Wert

Vinton

Washington

Wayne

Williams

Wood

Wyandot

Premium Ranges 31 No HMO-DE SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Ohio Ashland

Carroll

Columbiana

Coshocton

Holmes

Knox

Mahoning

Richland Stark

Trumbull

Tuscarawas

Wayne

Belmont Guernsey

Marion

Monroe

Morgan

Muskingum

Noble

Washington

Adams

Brown

Butler

Champaign

Clark

Clermont

Darke

Greene

Hamilton Highland

Miami

Montgomery

Pike

Preble

Ross

Shelby

Warren

Delaware

Fairfield

Franklin

Licking

Madison

Morrow

Pickaway

Union

Cuyahoga

Geauga

Lake

Lorain

Medina Portage

Summit

Allen

Erie

Fulton

Hancock

Lucas

Mercer

Ottawa

Sandusky

Seneca

Williams

Wood

Ashtabula

Athens

Auglaize

Clinton

Crawford

Defiance

Fayette

Gallia

Hardin

Harrison

Henry

Hocking

Huron

Jackson

Jefferson

Lawrence

Logan

Meigs

Paulding

Perry

Putnam

Scioto

Van Wert

Vinton

Wyandot

Premium Ranges 39 44 55 62 74 81 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Ohio Ashland

Carroll

Columbiana

Coshocton

Holmes

Knox

Mahoning

Richland Stark

Trumbull

Tuscarawas

Wayne

Belmont Guernsey

Marion

Monroe

Morgan

Muskingum

Noble

Washington

Adams

Brown

Butler

Champaign

Clark

Clermont

Darke

Greene

Hamilton Highland

Miami

Montgomery

Pike

Preble

Ross

Shelby

Warren

Delaware

Fairfield

Franklin

Licking

Madison

Morrow

Pickaway

Union

Cuyahoga

Geauga

Lake

Lorain

Medina Portage

Summit

Allen

Erie

Fulton

Hancock

Lucas

Mercer

Ottawa

Sandusky

Seneca

Williams

Wood

Ashtabula

Athens

Auglaize

Clinton

Crawford

Defiance

Fayette

Gallia

Hardin

Harrison

Henry

Hocking

Huron

Jackson

Jefferson

Lawrence

Logan

Meigs

Paulding

Perry

Putnam

Scioto

Van Wert

Vinton

Wyandot

Premium Ranges 39 44 55 62 74 81 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

Ohio Ashland

Athens

Auglaize

Butler

Champaign

Clark

Clermont

Columbiana

Coshocton

Crawford

Delaware

Fairfield

Fayette

Franklin

Greene

Hamilton

Hancock

Holmes

Knox

Licking

Logan

Mahoning

Marion Mercer

Miami

Montgomery

Morgan

Muskingum

Noble

Pickaway

Preble

Richland

Ross

Shelby

Stark

Trumbull

Tuscarawas

Union

Warren Washington

Wayne Wyandot

Adams

Allen

Ashtabula

Belmont

Brown

Carroll

Clinton

Cuyahoga

Darke

Defiance

Erie

Fulton

Gallia

Geauga

Guernsey

Hardin

Harrison

Henry

Highland

Hocking

Huron

Jackson

Jefferson

Lake

Lawrence

Lorain

Lucas

Madison

Medina

Meigs

Monroe

Morrow

Ottawa

Paulding

Perry

Pike

Portage

Putnam

Sandusky

Scioto

Seneca Summit

Van Wert

Vinton

Williams

Wood

Premium Ranges 89 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD RPPO Plans

Ohio

Adams

Allen Ashland

Ashtabula

Athens

Auglaize

Belmont

Brown

Butler

Carroll

Champaign

Clark

Clermont

Clinton

Columbiana

Coshocton

Crawford

Cuyahoga

Darke

Defiance

Delaware

Erie

Fairfield

Fayette

Franklin

Fulton

Gallia

Geauga

Greene

Guernsey

Hamilton

Hancock

Hardin

Harrison

Henry

Highland

Hocking

Holmes

Huron

Jackson

Jefferson Knox

Lake

Lawrence

Licking

Logan

Lorain

Lucas

Madison

Mahoning

Marion

Medina

Meigs

Mercer

Miami

Monroe Montgomery

Morgan

Morrow

Muskingum

Noble

Ottawa

Paulding

Perry

Pickaway

Pike

Portage

Preble

Putnam

Richland

Ross

Sandusky

Scioto

Seneca

Shelby

Stark

Summit

Trumbull

Tuscarawas

Union

Van Wert

Vinton

Warren Washington

Wayne

Williams

Wood

Wyandot

Premium Ranges 99

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

Oklahoma

Canadian

Cleveland

Oklahoma Okmulgee

Tulsa

Adair

Alfalfa

Atoka

Beaver

Beckham

Blaine

Bryan

Caddo

Carter

Cherokee

Choctaw

Cimarron

Coal Comanche

Cotton

Craig

Creek

Custer

Delaware

Dewey

Ellis

Garfield

Garvin

Grady

Grant

Greer

Harmon

Harper

Haskell

Hughes

Jackson

Jefferson

Johnston

Kay

Kingfisher

Kiowa Latimer Le Flore

Lincoln

Logan

Love

Major

Marshall

Mayes

Mcclain

Mccurtain

Mcintosh

Murray

Muskogee

Noble

Nowata

Okfuskee

Osage

Ottawa

Pawnee

Payne

Pittsburg

Pontotoc

Pottawatomie

Pushmataha

Roger Mills

Rogers

Seminole

Sequoyah

Stephens

Texas

Tillman

Wagoner

Washington

Washita

Woods

Woodward

Premium Ranges 24 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Oklahoma

Canadian

Carter

Cherokee

Cleveland

Comanche

Craig

Custer

Delaware

Dewey

Ellis

Garfield

Grady

Haskell

Hughes

Kay

Kiowa Le Flore

Lincoln

Logan

Mayes

Mcclain

Muskogee

Noble

Nowata

Oklahoma Okmulgee

Osage

Ottawa

Pawnee

Pittsburg

Pottawatomie

Rogers

Seminole

Sequoyah

Stephens

Texas

Tulsa

Wagoner

Washington

Adair

Alfalfa

Atoka

Beaver

Beckham

Blaine

Bryan

Caddo

Choctaw

Cimarron

Coal

Cotton

Creek

Garvin

Grant

Greer

Harmon

Harper

Jackson

Jefferson

Johnston

Kingfisher

Latimer

Love

Major

Marshall Mccurtain

Mcintosh

Murray

Okfuskee

Payne

Pontotoc

Pushmataha

Roger Mills

Tillman

Washita

Woods

Woodward

Premium Ranges 60/68 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Oklahoma

Canadian

Carter

Cherokee

Cleveland

Comanche

Craig

Custer

Delaware

Dewey

Ellis

Garfield

Grady

Haskell

Hughes

Kay

Kiowa Le Flore

Lincoln

Logan

Mayes

Mcclain

Muskogee

Noble

Nowata

Oklahoma Okmulgee

Osage

Ottawa

Pawnee

Pittsburg

Pottawatomie

Rogers

Seminole

Sequoyah

Stephens

Texas

Tulsa

Wagoner

Washington

Adair

Alfalfa

Atoka

Beaver

Beckham

Blaine

Bryan

Caddo

Choctaw

Cimarron

Coal

Cotton

Creek

Garvin

Grant

Greer

Harmon

Harper

Jackson

Jefferson

Johnston

Kingfisher

Latimer

Love

Major

Marshall Mccurtain

Mcintosh

Murray

Okfuskee

Payne

Pontotoc

Pushmataha

Roger Mills

Tillman

Washita

Woods

Woodward

Premium Ranges 60/68 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

Oklahoma

Caddo

Canadian

Cleveland

Craig

Delaware

Grady

Haskell

Logan

Marshall

Mayes

Mcclain

Muskogee

Oklahoma Okmulgee

Ottawa

Pottawatomie Seminole

Tulsa

Wagoner Adair

Alfalfa

Atoka

Beaver

Beckham

Blaine

Bryan

Carter

Cherokee

Choctaw

Cimarron

Coal Comanche

Cotton

Creek

Custer

Dewey

Ellis

Garfield

Garvin

Grant

Greer

Harmon

Harper

Hughes

Jackson

Jefferson

Johnston

Kay

Kingfisher

Kiowa Latimer Le Flore

Lincoln

Love

Major

Mccurtain

Mcintosh

Murray

Noble

Nowata

Okfuskee

Osage

Pawnee

Payne

Pittsburg

Pontotoc

Pushmataha

Roger Mills

Rogers

Sequoyah

Stephens

Texas

Tillman

Washington

Washita

Woods

Woodward

Premium Ranges 97 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Partial Plans

Oklahoma

Alfalfa

Atoka

Beckham

Bryan Choctaw

Coal

Grant

Jackson

Jefferson

Love

Major

Mccurtain

Okfuskee

Pontotoc

Pushmataha Tillman

Woods

Woodward

Adair

Beaver

Blaine

Caddo

Canadian

Carter

Cherokee

Cimarron

Cleveland

Comanche

Cotton

Craig

Creek

Custer

Delaware

Dewey

Ellis

Garfield

Garvin

Grady Greer

Harmon

Harper

Haskell

Hughes

Johnston

Kay

Kingfisher

Kiowa Latimer Le Flore

Lincoln

Logan

Marshall

Mayes

Mcclain

Mcintosh

Murray

Muskogee

Noble

Nowata

Oklahoma Okmulgee

Osage

Ottawa

Pawnee

Payne

Pittsburg

Pottawatomie

Roger Mills

Rogers

Seminole

Sequoyah

Stephens

Texas

Tulsa

Wagoner

Washington

Washita

Premium Ranges 94 No PFFS-Partial Plans

AP-303a/GHHHZQ4EN

2015 MAPD RPPO Plans

Oklahoma

Adair

Alfalfa

Atoka

Beaver

Beckham

Blaine

Bryan

Caddo

Canadian

Carter

Cherokee

Choctaw

Cimarron

Cleveland

Coal Comanche

Cotton

Craig

Creek

Custer

Delaware

Dewey

Ellis

Garfield

Garvin

Grady

Grant

Greer

Harmon

Harper

Haskell

Hughes

Jackson

Jefferson

Johnston

Kay

Kingfisher

Kiowa Latimer Le Flore

Lincoln

Logan

Love

Major

Marshall

Mayes

Mcclain

Mccurtain

Mcintosh

Murray

Muskogee

Noble

Nowata

Okfuskee Oklahoma

Okmulgee

Osage

Ottawa

Pawnee

Payne

Pittsburg

Pontotoc

Pottawatomie

Pushmataha

Roger Mills

Rogers

Seminole

Sequoyah

Stephens

Texas

Tillman

Tulsa

Wagoner

Washington

Washita

Woods

Woodward

Premium Ranges 167

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

Oregon

Clackamas

Multnomah Washington

Deschutes

Baker

Benton

Clatsop Columbia

Coos

Crook

Curry

Douglas

Gilliam

Grant

Harney

Hood River

Jackson

Jefferson

Josephine

Klamath Lake

Lane

Lincoln

Linn

Malheur

Marion

Morrow

Polk

Sherman Tillamook

Umatilla Union

Wallowa

Wasco

Wheeler

Yamhill

Premium Ranges 0 64 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Oregon

Benton

Columbia

Hood River

Lincoln

Linn

Polk

Malheur

Crook

Deschutes

Jefferson Baker

Clackamas

Clatsop

Coos

Curry

Douglas

Gilliam

Grant

Harney

Jackson

Josephine

Klamath Lake

Lane

Marion

Morrow Multnomah

Sherman Tillamook

Umatilla Union

Wallowa

Wasco

Washington

Wheeler

Yamhill

Premium Ranges 205 59 97/205 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Oregon

Benton

Columbia

Hood River

Lincoln

Linn

Polk

Malheur

Crook

Deschutes

Jefferson Baker

Clackamas

Clatsop

Coos

Curry

Douglas

Gilliam

Grant

Harney

Jackson

Josephine

Klamath Lake

Lane

Marion

Morrow Multnomah

Sherman Tillamook

Umatilla Union

Wallowa

Wasco

Washington

Wheeler

Yamhill

Premium Ranges 205 59 97/205 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

Oregon

Clackamas

Multnomah Washington

Baker

Benton

Clatsop Columbia

Coos

Crook

Curry

Deschutes

Douglas

Gilliam

Grant

Harney

Hood River

Jackson

Jefferson

Josephine

Klamath Lake

Lane

Lincoln

Linn

Malheur

Marion

Morrow

Polk

Sherman Tillamook

Umatilla Union

Wallowa

Wasco

Wheeler

Yamhill

Premium Ranges 78 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

Pennsylvania

Berks Bucks

Chester

Cumberland

Dauphin

Delaware

Lackawanna

Lancaster

Lawrence

Lehigh

Luzerne

Mercer

Northampton

Perry

Philadelphia

Wyoming

Adams

Allegheny

Armstrong

Beaver

Bedford

Blair

Bradford

Butler

Cambria

Cameron

Carbon Centre

Clarion

Clearfield

Clinton

Columbia

Crawford

Elk

Erie

Fayette

Forest

Franklin Fulton

Greene

Huntingdon

Indiana

Jefferson

Juniata

Lebanon

Lycoming

Mckean

Mifflin

Monroe

Montgomery

Montour

Northumberland

Pike

Potter

Schuylkill Snyder

Somerset

Sullivan

Susquehanna Tioga

Union

Venango

Warren

Washington

Wayne

Westmoreland

York

Premium Ranges 0 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Pennsylvania

Adams

Berks

Blair

Cumberland

Dauphin Huntingdon

Juniata

Lancaster

Lebanon

Lehigh Mifflin

Northumberland

Perry

Snyder

Union

York

Lawrence

Mercer

Bradford

Carbon Centre

Clinton

Columbia

Crawford

Erie

Lackawanna

Luzerne

Lycoming

Mckean

Monroe Montour

Northampton

Potter

Schuylkill

Sullivan

Susquehanna Tioga

Warren

Wayne

Wyoming

Allegheny

Beaver

Butler

Westmoreland Bucks

Chester Delaware

Philadelphia

Armstrong

Bedford

Cambria

Cameron

Clarion

Clearfield

Elk

Fayette

Forest

Franklin Fulton

Greene

Indiana

Jefferson

Montgomery

Pike

Somerset

Venango

Washington

Premium Ranges 36 39 47 57 67 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Pennsylvania

Adams

Berks

Blair

Cumberland

Dauphin Huntingdon

Juniata

Lancaster

Lebanon

Lehigh Mifflin

Northumberland

Perry

Snyder

Union

York

Lawrence

Mercer

Bradford

Carbon Centre

Clinton

Columbia

Crawford

Erie

Lackawanna

Luzerne

Lycoming

Mckean

Monroe Montour

Northampton

Potter

Schuylkill

Sullivan

Susquehanna Tioga

Warren

Wayne

Wyoming

Allegheny

Beaver

Butler

Westmoreland Bucks

Chester Delaware

Philadelphia

Armstrong

Bedford

Cambria

Cameron

Clarion

Clearfield

Elk

Fayette

Forest

Franklin Fulton

Greene

Indiana

Jefferson

Montgomery

Pike

Somerset

Venango

Washington

Premium Ranges 36 39 47 57 67 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

Pennsylvania

Allegheny

Beaver

Bedford

Bucks

Butler

Clarion

Delaware Fulton Greene

Indiana

Lawrence

Lehigh

Mercer

Montgomery

Northampton

Philadelphia

Schuylkill

Washington

Westmoreland

Adams

Berks

Bradford

Cameron

Carbon Centre

Chester

Clinton

Crawford

Cumberland

Dauphin

Erie

Franklin

Huntingdon

Jefferson

Juniata

Lackawanna

Lancaster

Lebanon

Luzerne

Lycoming

Mifflin

Montour

Northumberland

Perry

Potter

Snyder

Sullivan

Susquehanna Tioga

Wayne

Wyoming

York

Armstrong

Blair Cambria

Clearfield Columbia

Elk

Fayette

Forest

Mckean

Monroe

Pike

Somerset

Union

Venango

Warren

Premium Ranges 197 64 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD RPPO Plans

Pennsylvania

Adams

Allegheny

Armstrong

Beaver

Bedford

Berks

Blair

Bradford

Bucks

Butler

Cambria

Cameron

Carbon Centre

Chester

Clarion

Clearfield

Clinton

Columbia

Crawford

Cumberland

Dauphin

Delaware

Elk

Erie

Fayette

Forest

Franklin Fulton

Greene

Huntingdon

Indiana

Jefferson

Juniata

Lackawanna

Lancaster

Lawrence

Lebanon

Lehigh

Luzerne

Lycoming

Mckean

Mercer

Mifflin

Monroe

Montgomery

Montour

Northampton

Northumberland

Perry

Philadelphia

Pike

Potter

Schuylkill Snyder

Somerset

Sullivan

Susquehanna Tioga

Union

Venango

Warren

Washington

Wayne

Westmoreland

Wyoming

York

Premium Ranges 99

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

Puerto Rico

Adjuntas

Aguada

Aguadilla

Aguas Buenas

Aibonito

Anasco

Arecibo

Arroyo

Barceloneta

Barranquitas

Bayamon

Cabo Rojo

Caguas

Camuy

Canovanas Carolina

Catano

Cayey

Ceiba Ciales

Cidra

Coamo

Comerio

Corozal Culebra

Dorado

Fajardo Florida

Guanica Guayama

Guayanilla

Guaynabo

Gurabo

Hatillo

Hormigueros Humacao

Isabela

Jayuya

Juana Diaz

Juncos

Lajas

Lares Las Marias

Las Piedras

Loiza

Luquillo

Manati

Maricao

Maunabo

Mayaguez

Moca

Morovis

Naguabo Naranjito

Orocovis

Patillas Penuelas Ponce

Quebradillas

Rincon Rio Grande

Sabana Grande

Salinas

San German

San Juan

San Lorenzo

San Sebastian

Santa Isabel

Toa Alta

Toa Baja

Trujillo Alto

Utuado

Vega Alta Vega Baja

Vieques Villalba

Yabucoa Yauco

Premium Ranges 0

AP-303a/GHHHZQ4EN

2015 MAPD DE SNP Plans

Puerto Rico

Adjuntas

Aguada

Aguadilla

Aguas Buenas

Aibonito

Anasco

Arecibo

Arroyo

Barceloneta

Barranquitas

Bayamon

Cabo Rojo

Caguas

Camuy

Canovanas Carolina

Catano

Cayey

Ceiba Ciales

Cidra

Coamo

Comerio

Corozal Culebra

Dorado

Fajardo Florida

Guanica Guayama

Guayanilla

Guaynabo

Gurabo

Hatillo

Hormigueros Humacao

Isabela

Jayuya

Juana Diaz

Juncos

Lajas

Lares Las Marias

Las Piedras

Loiza

Luquillo

Manati

Maricao

Maunabo

Mayaguez

Moca

Morovis

Naguabo

Naranjito

Orocovis

Patillas Penuelas Ponce

Quebradillas

Rincon Rio Grande

Sabana Grande

Salinas

San German

San Juan

San Lorenzo

San Sebastian

Santa Isabel

Toa Alta

Toa Baja

Trujillo Alto

Utuado

Vega Alta Vega Baja

Vieques Villalba

Yabucoa Yauco

Premium Ranges 0

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Puerto Rico

Adjuntas

Aguada

Aguadilla

Aguas Buenas

Aibonito

Anasco

Arecibo

Arroyo

Barceloneta

Barranquitas

Bayamon

Cabo Rojo

Caguas

Camuy

Canovanas Carolina

Catano

Cayey

Ceiba Ciales

Cidra

Coamo

Comerio

Corozal Culebra

Dorado

Fajardo Florida

Guanica Guayama

Guayanilla

Guaynabo

Gurabo

Hatillo

Hormigueros Humacao

Isabela

Jayuya

Juana Diaz

Juncos

Lajas

Lares Las Marias

Las Piedras

Loiza

Luquillo

Manati

Maricao

Maunabo

Mayaguez

Moca

Morovis

Naguabo Naranjito

Orocovis

Patillas Penuelas Ponce

Quebradillas

Rincon Rio Grande

Sabana Grande

Salinas

San German

San Juan

San Lorenzo

San Sebastian

Santa Isabel

Toa Alta

Toa Baja

Trujillo Alto

Utuado

Vega Alta Vega Baja

Vieques Villalba

Yabucoa Yauco

Premium Ranges 50

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Puerto Rico

Adjuntas

Aguada

Aguadilla

Aguas Buenas

Aibonito

Anasco

Arecibo

Arroyo

Barceloneta

Barranquitas

Bayamon

Cabo Rojo

Caguas

Camuy

Canovanas Carolina

Catano

Cayey

Ceiba Ciales

Cidra

Coamo

Comerio

Corozal Culebra

Dorado

Fajardo Florida

Guanica Guayama

Guayanilla

Guaynabo

Gurabo

Hatillo

Hormigueros Humacao

Isabela

Jayuya

Juana Diaz

Juncos

Lajas

Lares Las Marias

Las Piedras

Loiza

Luquillo

Manati

Maricao

Maunabo

Mayaguez

Moca

Morovis

Naguabo Naranjito

Orocovis

Patillas Penuelas Ponce

Quebradillas

Rincon Rio Grande

Sabana Grande

Salinas

San German

San Juan

San Lorenzo

San Sebastian

Santa Isabel

Toa Alta

Toa Baja

Trujillo Alto

Utuado

Vega Alta Vega Baja

Vieques Villalba

Yabucoa Yauco

Premium Ranges 50

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

South Carolina

Anderson

Cherokee

Greenville

Richland

Spartanburg

Allendale

Berkeley

Charleston Colleton

Dorchester

Oconee

Pickens

Abbeville

Aiken

Bamberg Barnwell

Beaufort

Calhoun

Chester

Chesterfield

Clarendon

Darlington

Dillon

Edgefield

Fairfield

Florence

Georgetown

Greenwood

Hampton

Horry

Jasper

Kershaw

Lancaster

Laurens

Lee

Lexington Marion

Marlboro

Mccormick

Newberry

Orangeburg

Saluda

Sumter

Union

Williamsburg

York

Premium Ranges 0 15 19 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD DE SNP Plans

South Carolina

Anderson

Cherokee

Greenville

Oconee

Pickens Spartanburg

Abbeville

Aiken

Allendale

Bamberg Barnwell

Beaufort

Berkeley

Calhoun

Charleston

Chester

Chesterfield

Clarendon

Colleton

Darlington

Dillon

Dorchester

Edgefield

Fairfield

Florence

Georgetown

Greenwood

Hampton

Horry

Jasper

Kershaw

Lancaster

Laurens

Lee

Lexington

Marion

Marlboro

Mccormick

Newberry

Orangeburg

Richland Saluda

Sumter

Union

Williamsburg

York

Premium Ranges 30 No HMO-DE SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

South Carolina

Abbeville

Anderson

Cherokee

Greenville

Laurens

Oconee

Pickens Spartanburg

Union

York

Aiken

Barnwell

Newberry

Saluda

Allendale

Berkeley

Charleston Colleton

Dorchester

Hampton

Bamberg

Calhoun

Fairfield

Georgetown

Kershaw

Lee

Orangeburg

Beaufort

Chester

Chesterfield

Clarendon

Darlington

Dillon

Edgefield

Florence

Greenwood

Horry

Jasper

Lancaster

Lexington Marion

Marlboro

Mccormick

Richland

Sumter

Williamsburg

Premium Ranges 39 44 56 57 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

South Carolina

Abbeville

Anderson

Cherokee

Greenville

Laurens

Oconee

Pickens Spartanburg

Union

York

Aiken

Barnwell

Newberry

Saluda

Allendale

Berkeley

Charleston Colleton

Dorchester

Hampton

Bamberg

Calhoun

Fairfield

Georgetown

Kershaw

Lee

Orangeburg

Beaufort

Chester

Chesterfield

Clarendon

Darlington

Dillon

Edgefield

Florence

Greenwood

Horry

Jasper

Lancaster

Lexington Marion

Marlboro

Mccormick

Richland

Sumter

Williamsburg

Premium Ranges 39 44 56 57 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

South Carolina

Abbeville

Aiken

Anderson

Bamberg

Beaufort

Edgefield

Greenville

Jasper

Lee

Oconee

Richland

Spartanburg

York

Allendale

Barnwell

Berkeley

Calhoun

Charleston

Cherokee

Chester

Chesterfield

Clarendon

Colleton

Darlington

Dillon

Dorchester

Fairfield

Florence

Georgetown

Greenwood

Hampton

Horry

Kershaw

Lancaster

Laurens

Lexington Marion

Marlboro

Mccormick

Newberry

Orangeburg

Pickens

Saluda

Sumter

Union

Williamsburg

Premium Ranges 75 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD RPPO Plans

South Carolina

Abbeville

Aiken

Allendale

Anderson

Bamberg Barnwell

Beaufort

Berkeley

Calhoun

Charleston

Cherokee

Chester

Chesterfield

Clarendon

Colleton

Darlington

Dillon

Dorchester

Edgefield

Fairfield

Florence

Georgetown

Greenville

Greenwood

Hampton

Horry

Jasper

Kershaw

Lancaster

Laurens

Lee

Lexington Marion

Marlboro

Mccormick

Newberry

Oconee

Orangeburg

Pickens

Richland Saluda

Spartanburg

Sumter

Union

Williamsburg

York

Premium Ranges 77

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

South Dakota

Beadle

Bon Homme

Brookings

Brown

Clark

Clay

Codington

Davison

Day

Deuel

Grant

Hamlin

Hanson

Hutchinson

Kingsbury

Lake

Lincoln

Marshall

Mccook

Miner

Minnehaha

Moody

Roberts

Sanborn

Spink

Turner

Union

Yankton

Butte

Custer

Fall River

Lawrence

Meade

Pennington

Aurora

Bennett

Brule

Buffalo

Campbell

Charles Mix

Corson

Dewey

Douglas

Edmunds

Faulk

Gregory

Haakon

Hand

Harding

Hughes

Hyde

Jackson

Jerauld

Jones Lyman

Mcpherson

Mellette

Perkins

Potter

Shannon

Stanley

Sully

Todd

Tripp

Walworth

Ziebach

Premium Ranges 49 69 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

South Dakota

Beadle

Bon Homme

Brookings

Brown

Clark

Clay

Codington

Davison

Day

Deuel

Grant

Hamlin

Hanson

Hutchinson

Kingsbury

Lake

Lincoln

Marshall

Mccook

Miner

Minnehaha

Moody

Roberts

Sanborn

Spink

Turner

Union

Yankton

Butte

Custer

Fall River

Lawrence

Meade

Pennington

Aurora

Bennett

Brule

Buffalo

Campbell

Charles Mix

Corson

Dewey

Douglas

Edmunds

Faulk

Gregory

Haakon

Hand

Harding

Hughes

Hyde

Jackson

Jerauld

Jones Lyman

Mcpherson

Mellette

Perkins

Potter

Shannon

Stanley

Sully

Todd

Tripp

Walworth

Ziebach

Premium Ranges 49 69 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

South Dakota

Bennett

Bon Homme

Brule

Campbell

Codington

Corson

Davison

Deuel

Dewey

Edmunds

Faulk

Haakon

Hanson

Hughes

Hyde

Jones Lyman

Mcpherson

Mellette

Pennington

Perkins

Potter

Shannon

Spink

Stanley

Sully

Tripp Turner

Union

Walworth

Yankton

Aurora

Beadle Brookings

Brown

Buffalo

Butte

Charles Mix

Clark

Clay

Custer

Day

Douglas

Fall River

Grant

Gregory

Hamlin

Hand

Harding

Hutchinson

Jackson

Jerauld

Kingsbury

Lake

Lawrence

Lincoln

Marshall

Mccook

Meade

Miner

Minnehaha

Moody

Roberts

Sanborn

Todd

Ziebach

Premium Ranges 89 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

Tennessee

Bedford

Dickson

Fayette

Madison

Marshall

Maury

Rutherford

Shelby

Tipton

Warren

Wilson Davidson

Dekalb White Williamson

Anderson

Blount

Campbell Carter

Claiborne

Cocke Cumberland

Grainger Greene Hamblen

Hancock Hawkins

Jefferson

Johnson

Knox

Loudon

Monroe

Morgan Putnam

Roane

Scott

Sevier

Sullivan

Unicoi

Union Washington

Bledsoe

Bradley Franklin

Grundy

Hamilton Marion

Mcminn

Rhea

Sequatchie

Benton

Cannon

Carroll

Cheatham

Chester

Clay

Coffee

Crockett

Decatur

Dyer

Fentress

Gibson

Giles Hardeman Hardin

Haywood Henderson

Henry

Hickman

Houston

Humphreys

Jackson Lake

Lauderdale

Lawrence

Lewis

Lincoln

Macon

Mcnairy

Meigs

Montgomery

Moore

Obion Overton

Perry

Pickett

Polk

Robertson

Smith

Stewart Sumner

Trousdale

Van Buren

Wayne

Weakley

Premium Ranges 0 0/85 35/107 45/115 No HMO Plans

AP-303a/GHHHZQ4EN

2015 MAPD DE SNP Plans

Tennessee

Anderson

Bedford Bledsoe Blount

Bradley

Campbell Carter

Claiborne

Cocke Cumberland

Davidson

Dekalb

Dickson

Fayette Franklin

Grainger Greene

Grundy

Hamblen

Hamilton

Hancock Hawkins

Jefferson

Johnson

Knox

Loudon

Madison

Marion

Marshall

Maury

Mcminn Monroe

Morgan Putnam

Rhea

Roane Rutherford

Scott

Sequatchie

Sevier

Shelby

Sullivan

Tipton

Unicoi

Union

Warren

Washington

White Williamson

Wilson Benton

Cannon

Carroll

Cheatham

Chester

Clay

Coffee

Crockett

Decatur

Dyer

Fentress

Gibson

Giles Hardeman Hardin

Haywood Henderson

Henry

Hickman

Houston

Humphreys

Jackson Lake

Lauderdale

Lawrence

Lewis

Lincoln

Macon

Mcnairy

Meigs

Montgomery

Moore

Obion Overton

Perry

Pickett

Polk

Robertson

Smith

Stewart Sumner

Trousdale

Van Buren

Wayne

Weakley

Premium Ranges 32 No HMO-DE SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Tennessee

Fayette

Madison

Shelby

Anderson

Bledsoe Blount

Bradley

Campbell Claiborne

Cocke Cumberland

Fentress

Franklin

Grainger

Grundy

Hamblen

Hamilton

Jefferson Knox

Loudon

Marion

Meigs Monroe

Morgan

Polk

Rhea

Roane

Scott

Sequatchie

Sevier

Union

Bedford

Cheatham Davidson

Dekalb

Dickson

Hardin

Hickman

Jackson

Lewis

Macon

Marshall

Maury

Montgomery

Overton

Robertson

Rutherford

Smith

Sumner Trousdale

Warren

Wayne

White Williamson

Benton

Cannon

Carroll

Carter

Chester

Clay

Coffee

Crockett

Decatur

Dyer Gibson

Giles

Greene

Hancock

Hardeman

Hawkins

Haywood Henderson

Henry Houston

Humphreys

Johnson Lake

Lauderdale

Lawrence Lincoln

Mcminn

Mcnairy Moore

Obion

Perry

Pickett

Putnam

Stewart Sullivan

Tipton

Unicoi

Van Buren

Washington Weakley

Wilson

Premium Ranges 55 64 68 No HMO-POS Plans

AP-303a/GHHHZQ4EN

2015 MAPD LPPO Plans

Tennessee

Fayette

Madison

Shelby

Anderson

Bledsoe Blount

Bradley

Campbell Claiborne

Cocke Cumberland

Fentress

Franklin

Grainger

Grundy

Hamblen

Hamilton

Jefferson Knox

Loudon

Marion

Meigs Monroe

Morgan

Polk

Rhea

Roane

Scott

Sequatchie

Sevier

Union

Bedford

Cheatham Davidson

Dekalb

Dickson

Hardin

Hickman

Jackson

Lewis

Macon

Marshall

Maury

Montgomery

Overton

Robertson

Rutherford

Smith

Sumner Trousdale

Warren

Wayne

White Williamson

Benton

Cannon

Carroll

Carter

Chester

Clay

Coffee

Crockett

Decatur

Dyer Gibson

Giles

Greene

Hancock

Hardeman

Hawkins

Haywood Henderson

Henry Houston

Humphreys

Johnson Lake

Lauderdale

Lawrence Lincoln

Mcminn

Mcnairy Moore

Obion

Perry

Pickett

Putnam

Stewart Sullivan

Tipton

Unicoi

Van Buren

Washington Weakley

Wilson

Premium Ranges 55 64 68 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD RPPO Plans

Tennessee

Anderson

Bedford

Benton

Bledsoe Blount

Bradley

Campbell

Cannon

Carroll

Carter Cheatham

Chester

Claiborne Clay

Cocke

Coffee

Crockett

Cumberland

Davidson

Decatur

Dekalb

Dickson Dyer

Fayette

Fentress

Franklin

Gibson

Giles

Grainger Greene

Grundy

Hamblen

Hamilton

Hancock

Hardeman Hardin

Hawkins

Haywood Henderson

Henry

Hickman

Houston

Humphreys

Jackson

Jefferson

Johnson

Knox

Lake

Lauderdale

Lawrence

Lewis

Lincoln

Loudon

Macon

Madison

Marion

Marshall

Maury

Mcminn

Mcnairy

Meigs Monroe

Montgomery

Moore

Morgan

Obion Overton

Perry

Pickett

Polk

Putnam

Rhea

Roane

Robertson

Rutherford

Scott

Sequatchie

Sevier

Shelby

Smith

Stewart Sullivan Sumner

Tipton

Trousdale

Unicoi

Union

Van Buren Warren

Washington

Wayne

Weakley

White Williamson

Wilson

Premium Ranges 70

AP-303a/GHHHZQ4EN

2015 MAPD HMO Plans

Texas

Aransas

Atascosa

Bandera

Bee

Bexar

Bowie

Cass Collin

Comal

Dallas

Delta Denton

El Paso

Ellis

Fannin

Ft Bend Guadalupe Harris

Hays

Jim Wells

Johnson

Kaufman

Kendall

Kleberg

Medina

Montgomery

Nueces

Red River

Rockwall

San Patricio

Tarrant

Titus

Travis

Williamson

Wilson

Wise

Anderson

Camp

Cherokee

Franklin

Freestone

Gregg

Hardin

Harrison

Henderson

Hopkins

Houston

Jefferson

Marion

Morris

Navarro Panola Rusk

Shelby

Smith

Trinity

Upshur Van Zandt

Wood

Andrews

Angelina

Archer

Armstrong

Austin

Bailey

Bastrop

Baylor

Bell

Blanco

Borden

Bosque

Brazoria

Brazos

Brewster

Briscoe

Brooks

Brown

Burleson Burnet

Caldwell

Calhoun

Callahan

Cameron

Carson

Castro

Chambers

Childress

Clay Cochran

Coke Coleman

Collingsworth

Colorado

Comanche

Concho

Cooke

Coryell

Cottle

Crane

Crockett

Crosby

Culberson

Dallam

Dawson

De Witt

Deaf Smith

Dickens

Dimmit

Donley

Duval

Eastland

Ector

Edwards

Erath

Falls

Fayette

Fisher

Floyd Foard

Frio

Gaines

Galveston

Garza

Gillespie

Glasscock

Goliad

Gonzales

Gray

Grayson

Grimes

Hale

Hall

Hamilton

Hansford

Hardeman

Hartley

Haskell

Hemphill

Hidalgo

Hill

Hockley

Hood Howard

Hudspeth

Hunt

Hutchinson

Irion

Jack

Jackson

Jasper Jeff Davis

Jim Hogg

Jones

Karnes

Kenedy

Kent

Kerr

Kimble

King

Kinney

Knox

La Salle

Lamar

Lamb

Lampasas

Lavaca

Lee

Leon

Liberty

Limestone

Lipscomb

Live Oak

Llano

Loving

Lubbock

Lynn

Madison

Martin

Mason

Matagorda Maverick

Mcculloch

Mclennan

Mcmullen

Menard

Midland

Milam

Mills

Mitchell

Montague

Moore

Motley

Nacogdoches

Newton

Nolan

Ochiltree

Oldham

Orange

Palo Pinto Parker

Parmer

Pecos Polk

Potter

Presidio

Rains

Randall

Reagan

Real

Reeves

Refugio

Roberts

Robertson

Runnels

Sabine San Augustine

San Jacinto

San Saba

Schleicher

Scurry Shackelford

Sherman

Somervell

Starr

Stephens

Sterling

Stonewall

Sutton

Swisher

Taylor

Terrell

Terry Throckmorton

Tom Green

Tyler

Upton

Uvalde

Val Verde

Victoria

Walker

Waller

Ward

Washington

Webb

Wharton

Wheeler

Wichita Wilbarger

Willacy

Winkler

Yoakum Young

Zapata

Zavala

Premium Ranges 0 19 No HMO Plans

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2015 MAPD Chronic SNP Plans

Texas

Atascosa

Bandera

Bexar

Comal Kendall

Kleberg

Nueces

San Patricio

Wilson

Anderson

Andrews

Angelina

Aransas

Archer

Armstrong

Austin

Bailey

Bastrop

Baylor

Bee

Bell

Blanco

Borden

Bosque

Bowie

Brazoria

Brazos

Brewster

Briscoe

Brooks

Brown

Burleson Burnet

Caldwell

Calhoun

Callahan

Cameron

Camp

Carson

Cass

Castro

Chambers

Cherokee

Childress

Clay Cochran

Coke Coleman

Collin

Collingsworth

Colorado

Comanche

Concho

Cooke

Coryell

Cottle

Crane

Crockett

Crosby

Culberson

Dallam

Dallas Dawson

De Witt

Deaf Smith

Delta Denton

Dickens

Dimmit

Donley

Duval

Eastland

Ector

Edwards

El Paso

Ellis Erath

Falls

Fannin

Fayette

Fisher

Floyd Foard

Franklin

Freestone

Frio

Ft Bend

Gaines

Galveston

Garza

Gillespie

Glasscock

Goliad

Gonzales

Gray

Grayson

Gregg

Grimes

Guadalupe

Hale

Hall

Hamilton

Hansford

Hardeman

Hardin

Harris

Harrison

Hartley

Haskell

Hays

Hemphill

Henderson

Hidalgo

Hill

Hockley

Hood

Hopkins

Houston

Howard

Hudspeth

Hunt

Hutchinson

Irion

Jack

Jackson

Jasper Jeff Davis

Jefferson

Jim Hogg

Jim Wells

Johnson

Jones

Karnes

Kaufman

Kenedy

Kent

Kerr

Kimble

King

Kinney

Knox

La Salle

Lamar

Lamb

Lampasas

Lavaca

Lee

Leon

Liberty

Limestone

Lipscomb

Live Oak

Llano

Loving

Lubbock

Lynn

Madison

Marion

Martin

Mason

Matagorda Maverick

Mcculloch

Mclennan

Mcmullen

Medina

Menard

Midland

Milam

Mills

Mitchell

Montague

Montgomery

Moore

Morris

Motley

Nacogdoches

Navarro

Newton

Nolan

Ochiltree

Oldham

Orange

Palo Pinto

Panola

Parker

Parmer

Pecos Polk

Potter

Presidio

Rains

Randall

Reagan

Real

Red River

Reeves

Refugio

Roberts

Robertson

Rockwall

Runnels

Rusk

Sabine San Augustine

San Jacinto

San Saba

Schleicher

Scurry Shackelford

Shelby

Sherman

Smith Somervell

Starr

Stephens

Sterling

Stonewall

Sutton

Swisher

Tarrant

Taylor

Terrell

Terry Throckmorton Titus

Tom Green

Travis

Trinity

Tyler

Upshur

Upton

Uvalde

Val Verde

Van Zandt

Victoria

Walker

Waller

Ward

Washington

Webb

Wharton

Wheeler

Wichita Wilbarger

Willacy

Williamson

Winkler

Wise

Wood

Yoakum Young

Zapata

Zavala

Premium Ranges 0 No HMO-Chronic SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD DE SNP Plans

Texas

Aransas

Atascosa

Bandera

Bee

Bexar

Bowie

Cass Collin

Comal

Dallas

Delta Denton

El Paso

Ellis

Fannin

Ft Bend

Gregg

Guadalupe

Harris

Harrison

Henderson

Jim Wells

Johnson

Kaufman

Kendall

Kleberg

Medina

Montgomery

Nueces

Red River

Rockwall

San Patricio

Tarrant

Titus

Wilson

Wise

Anderson

Andrews

Angelina

Archer

Armstrong

Austin

Bailey

Bastrop

Baylor

Bell

Blanco

Borden

Bosque

Brazoria

Brazos

Brewster

Briscoe

Brooks

Brown

Burleson Burnet

Caldwell

Calhoun

Callahan

Cameron

Camp

Carson

Castro

Chambers

Cherokee

Childress

Clay Cochran

Coke Coleman

Collingsworth

Colorado

Comanche

Concho

Cooke

Coryell

Cottle

Crane

Crockett

Crosby

Culberson

Dallam

Dawson

De Witt

Deaf Smith

Dickens

Dimmit

Donley

Duval

Eastland

Ector

Edwards

Erath

Falls

Fayette

Fisher

Floyd Foard

Franklin

Freestone

Frio

Gaines

Galveston

Garza

Gillespie

Glasscock

Goliad

Gonzales

Gray

Grayson

Grimes

Hale

Hall

Hamilton

Hansford

Hardeman

Hardin

Hartley

Haskell

Hays

Hemphill

Hidalgo

Hill

Hockley

Hood

Hopkins

Houston

Howard

Hudspeth

Hunt

Hutchinson

Irion

Jack

Jackson

Jasper Jeff Davis

Jefferson

Jim Hogg

Jones

Karnes

Kenedy

Kent

Kerr

Kimble

King

Kinney

Knox

La Salle

Lamar

Lamb

Lampasas

Lavaca

Lee

Leon

Liberty

Limestone

Lipscomb

Live Oak

Llano

Loving

Lubbock

Lynn

Madison

Marion

Martin

Mason

Matagorda Maverick

Mcculloch

Mclennan

Mcmullen

Menard

Midland

Milam

Mills

Mitchell

Montague

Moore

Morris

Motley

Nacogdoches

Navarro

Newton

Nolan

Ochiltree

Oldham

Orange

Palo Pinto

Panola

Parker

Parmer

Pecos Polk

Potter

Presidio

Rains

Randall

Reagan

Real

Reeves

Refugio

Roberts

Robertson

Runnels

Rusk

Sabine San Augustine

San Jacinto

San Saba

Schleicher

Scurry Shackelford

Shelby

Sherman

Smith Somervell

Starr

Stephens

Sterling

Stonewall

Sutton

Swisher

Taylor

Terrell

Terry Throckmorton

Tom Green

Travis

Trinity

Tyler

Upshur

Upton

Uvalde

Val Verde

Van Zandt

Victoria

Walker

Waller

Ward

Washington

Webb

Wharton

Wheeler

Wichita Wilbarger

Willacy

Williamson

Winkler

Wood

Yoakum Young

Zapata

Zavala

Premium Ranges 28 No HMO-DE SNP Plans

AP-303a/GHHHZQ4EN

2015 MAPD HMO-POS Plans

Texas

Bastrop

Bell

Caldwell

Coryell

Hays

Mclennan

Travis

Williamson

Anderson

Aransas

Armstrong

Atascosa

Austin Bandera

Bee

Bexar Brazoria

Brazos

Callahan

Camp

Carson

Chambers

Cherokee Coleman

Collin

Colorado Comal

Comanche

Cooke

Dallas Dawson

Deaf Smith

Delta Denton

Dimmit

Eastland

Ector

Edwards

Ellis Erath

Fannin

Franklin

Frio

Ft Bend

Gillespie

Gray

Grayson

Gregg

Guadalupe

Hardin

Harris

Harrison

Henderson Hood

Howard

Hunt

Jefferson

Jim Wells

Johnson

Jones Kaufman

Kendall

Kinney

Kleberg

Liberty

Marion

Martin

Matagorda Maverick

Medina

Midland

Montgomery

Morris

Navarro

Newton

Nueces

Orange

Palo Pinto

Panola

Polk

Potter

Randall

Real

Rockwall

Rusk

San Jacinto

San Patricio

Shackelford

Shelby

Smith

Tarrant

Taylor

Tom Green

Tyler

Upshur

Uvalde

Val Verde

Van Zandt

Victoria

Walker

Waller Washington

Webb

Wharton Wilson

Wise

Wood

Zavala

Andrews

Angelina

Archer

Bailey

Baylor

Blanco

Borden

Bosque

Bowie

Brewster

Briscoe

Brooks

Brown

Burleson Burnet

Calhoun

Cameron

Cass

Castro Childress

Clay Cochran

Coke

Collingsworth

Concho

Cottle

Crane

Crockett

Crosby

Culberson

Dallam

De Witt

Dickens

Donley

Duval

El Paso

Falls

Fayette

Fisher

Floyd Foard

Freestone

Gaines

Galveston

Garza

Glasscock

Goliad

Gonzales

Grimes

Hale

Hall

Hamilton

Hansford

Hardeman

Hartley

Haskell

Hemphill

Hidalgo

Hill

Hockley

Hopkins

Houston Hudspeth

Hutchinson

Irion

Jack

Jackson

Jasper Jeff Davis

Jim Hogg

Karnes

Kenedy

Kent

Kerr

Kimble

King Knox

La Salle

Lamar

Lamb

Lampasas

Lavaca

Lee

Leon Limestone

Lipscomb

Live Oak

Llano

Loving

Lubbock

Lynn

Madison

Mason

Mcculloch

Mcmullen

Menard Milam

Mills

Mitchell

Montague

Moore

Motley

Nacogdoches

Nolan

Ochiltree

Oldham

Parker

Parmer

Pecos

Presidio

Rains

Reagan

Red River

Reeves

Refugio

Roberts

Robertson

Runnels

Sabine San Augustine San Saba

Schleicher

Scurry

Sherman

Somervell

Starr

Stephens

Sterling

Stonewall

Sutton

Swisher

Terrell

Terry Throckmorton Titus

Trinity Upton

Ward

Wheeler

Wichita Wilbarger

Willacy

Winkler

Yoakum Young

Zapata

Premium Ranges 124 66 No HMO-POS Plans

AP-303a/GHHHZQ4EN

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Texas

Bastrop

Bell

Caldwell

Coryell

Hays

Mclennan

Travis

Williamson

Anderson

Aransas

Armstrong

Atascosa

Austin Bandera

Bee

Bexar Brazoria

Brazos

Callahan

Camp

Carson

Chambers

Cherokee Coleman

Collin

Colorado Comal

Comanche

Cooke

Dallas Dawson

Deaf Smith

Delta Denton

Dimmit

Eastland

Ector

Edwards

Ellis Erath

Fannin

Franklin

Frio

Ft Bend

Gillespie

Gray

Grayson

Gregg

Guadalupe

Hardin

Harris

Harrison

Henderson Hood

Howard

Hunt

Jefferson

Jim Wells

Johnson

Jones Kaufman

Kendall

Kinney

Kleberg

Liberty

Marion

Martin

Matagorda Maverick

Medina

Midland

Montgomery

Morris

Navarro

Newton

Nueces

Orange

Palo Pinto

Panola

Polk

Potter

Randall

Real

Rockwall

Rusk

San Jacinto

San Patricio

Shackelford

Shelby

Smith

Tarrant

Taylor

Tom Green

Tyler

Upshur

Uvalde

Val Verde

Van Zandt

Victoria

Walker

Waller Washington

Webb

Wharton Wilson

Wise

Wood

Zavala

Andrews

Angelina

Archer

Bailey

Baylor

Blanco

Borden

Bosque

Bowie

Brewster

Briscoe

Brooks

Brown

Burleson Burnet

Calhoun

Cameron

Cass

Castro Childress

Clay Cochran

Coke

Collingsworth

Concho

Cottle

Crane

Crockett

Crosby

Culberson

Dallam

De Witt

Dickens

Donley

Duval

El Paso

Falls

Fayette

Fisher

Floyd Foard

Freestone

Gaines

Galveston

Garza

Glasscock

Goliad

Gonzales

Grimes

Hale

Hall

Hamilton

Hansford

Hardeman

Hartley

Haskell

Hemphill

Hidalgo

Hill

Hockley

Hopkins

Houston Hudspeth

Hutchinson

Irion

Jack

Jackson

Jasper Jeff Davis

Jim Hogg

Karnes

Kenedy

Kent

Kerr

Kimble

King Knox

La Salle

Lamar

Lamb

Lampasas

Lavaca

Lee

Leon Limestone

Lipscomb

Live Oak

Llano

Loving

Lubbock

Lynn

Madison

Mason

Mcculloch

Mcmullen

Menard Milam

Mills

Mitchell

Montague

Moore

Motley

Nacogdoches

Nolan

Ochiltree

Oldham

Parker

Parmer

Pecos

Presidio

Rains

Reagan

Red River

Reeves

Refugio

Roberts

Robertson

Runnels

Sabine San Augustine San Saba

Schleicher

Scurry

Sherman

Somervell

Starr

Stephens

Sterling

Stonewall

Sutton

Swisher

Terrell

Terry Throckmorton Titus

Trinity Upton

Ward

Wheeler

Wichita Wilbarger

Willacy

Winkler

Yoakum Young

Zapata

Premium Ranges 124 66 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

Texas

Anderson

Bandera

Bastrop

Bee

Bexar

Blanco

Bosque

Brazos Burleson

Burnet

Caldwell

Cameron

Camp

Cherokee Coke Coleman

Collin

Colorado Comal

Cooke

Dallas

De Witt

Denton

El Paso

Falls

Fayette

Floyd

Franklin

Freestone

Frio

Ft Bend

Garza

Gillespie

Guadalupe

Hamilton

Hardin

Harris Hays

Henderson

Hidalgo

Hill

Hood

Houston

Jackson

Jefferson

Jim Wells

Johnson

Kendall Kerr

Kleberg

Lamb

Lee

Llano

Lubbock

Lynn

Marion

Mason

Mclennan

Medina

Midland

Montgomery

Newton

Nueces

Orange

Polk

Potter

Rains

Randall

Refugio

Rockwall

San Jacinto

Shelby

Smith

Swisher

Tarrant

Taylor

Terry

Tom Green

Travis

Trinity

Tyler

Van Zandt

Victoria

Walker

Washington

Webb

Wharton

Willacy

Williamson

Wilson

Wise

Wood

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Clay Cochran

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Dawson

Deaf Smith

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Donley

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Ector

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Ellis Erath

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Fisher

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Grayson

Gregg

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Hall

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Hardeman

Harrison

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Howard

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Hutchinson

Irion

Jack

Jasper Jeff Davis

Jim Hogg

Jones

Karnes

Kaufman

Kenedy

Kent

Kimble

King

Kinney

Knox

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Leon

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Limestone

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Live Oak

Loving

Madison

Martin

Matagorda Maverick

Mcculloch

Mcmullen

Menard Milam

Mills

Mitchell

Montague

Moore

Morris

Motley

Nacogdoches

Navarro Nolan

Ochiltree

Oldham

Palo Pinto

Panola

Parker

Parmer

Pecos

Presidio

Reagan

Real

Red River

Reeves

Roberts

Robertson

Runnels

Rusk

Sabine San Augustine

San Patricio

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Schleicher

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Sherman

Somervell

Starr

Stephens

Sterling

Stonewall

Sutton

Terrell

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Upshur

Upton

Uvalde

Val Verde Waller

Ward

Wheeler

Wichita Wilbarger

Winkler

Yoakum Young

Zapata

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Texas

Anderson

Andrews

Angelina

Aransas

Archer

Armstrong

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Austin

Bailey

Bandera

Bastrop

Baylor

Bee

Bell

Bexar

Blanco

Borden

Bosque

Bowie

Brazoria

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Brewster

Briscoe

Brooks

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Burleson Burnet

Caldwell

Calhoun

Callahan

Cameron

Camp

Carson

Cass

Castro

Chambers

Cherokee

Childress

Clay Cochran

Coke Coleman

Collin

Collingsworth

Colorado Comal

Comanche

Concho

Cooke

Coryell

Cottle

Crane

Crockett

Crosby

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Dallam

Dallas Dawson

De Witt

Deaf Smith

Delta Denton

Dickens

Dimmit

Donley

Duval

Eastland

Ector

Edwards

El Paso

Ellis Erath

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Fannin

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Fisher

Floyd Foard

Franklin

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Garza

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Goliad

Gonzales

Gray

Grayson

Gregg

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Hale

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Hamilton

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Hardin

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Hays

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Hill

Hockley

Hood

Hopkins

Houston

Howard

Hudspeth

Hunt

Hutchinson

Irion

Jack

Jackson

Jasper Jeff Davis

Jefferson

Jim Hogg

Jim Wells

Johnson

Jones

Karnes

Kaufman

Kendall

Kenedy

Kent

Kerr

Kimble

King

Kinney

Kleberg

Knox

La Salle

Lamar

Lamb

Lampasas

Lavaca

Lee

Leon

Liberty

Limestone

Lipscomb

Live Oak

Llano

Loving

Lubbock

Lynn

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Rockwall

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Rusk

Sabine San Augustine

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San Patricio

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Stonewall

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Tom Green

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Upton

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Victoria

Walker

Waller

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Webb

Wharton

Wheeler

Wichita Wilbarger

Willacy

Williamson

Wilson

Winkler

Wise

Wood

Yoakum Young

Zapata

Zavala

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Utah Davis

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Box Elder

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Carbon

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Duchesne

Emery

Garfield

Grand

Iron

Juab

Kane

Millard

Morgan

Piute

Rich

San Juan

Sanpete

Sevier

Summit

Tooele

Uintah

Wasatch

Washington

Wayne

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Utah

Daggett

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Weber

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Box Elder

Cache

Carbon

Duchesne

Emery

Garfield

Grand

Iron

Juab

Kane

Millard

Morgan

Piute

Rich

San Juan

Sanpete

Sevier

Summit

Utah Wasatch

Washington

Wayne

Premium Ranges 49 No HMO-POS Plans

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Utah

Daggett

Davis

Salt Lake

Tooele

Uintah

Weber

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Box Elder

Cache

Carbon

Duchesne

Emery

Garfield

Grand

Iron

Juab

Kane

Millard

Morgan

Piute

Rich

San Juan

Sanpete

Sevier

Summit

Utah Wasatch

Washington

Wayne

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Virginia

Alleghany

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Charles City

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Fairfax Fairfax City

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Giles Gloucester

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Henry

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King And Queen

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Prince Edward Prince George

Richmond

Rockbridge

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Spotsylvania

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Newport News

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Albemarle

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Alexandria Arlington Falls Church

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Manassas Manassas Park Prince William

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Buchanan

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Grayson Lee

Norton Russell

Scott Smyth

Tazewell

Washington

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Campbell

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Charlotte

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Danville

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Frederick

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Halifax

Lynchburg

Page

Pittsylvania

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Virginia

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Henry

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James City

King And Queen

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Lee

Lexington

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Sussex

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Washington

Waynesboro Westmoreland

Williamsburg

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Wise Wythe

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Virginia

Chesapeake

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Dinwiddie Hampton

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Richmond

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Buchanan

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Craig

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Loudoun

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Patrick

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Powhatan

Prince Edward Prince George

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Shenandoah

Smyth Southampton

Spotsylvania

Stafford

Staunton

Surry

Sussex

Warren

Waynesboro Westmoreland

Williamsburg

Winchester

York

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Virginia

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Newport News

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Surry

Virginia Beach

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Caroline

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King And Queen

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Powhatan

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Sussex

Frederick

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Grayson Lee

Norton Russell

Scott Smyth

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Washington

Wise Wythe

Alleghany

Bedford Bedford City

Bland

Botetourt

Covington

Craig

Floyd Franklin

Giles

Montgomery

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Roanoke Roanoke City Salem

Alexandria Arlington

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Falls Church

Loudoun

Manassas Manassas Park Prince William

Accomack

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Essex

Fauquier

Fredericksburg King George

Lancaster

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Middlesex

Northampton

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Page Rappahannock

Richmond

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Stafford

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Augusta

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Charles City

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Fluvanna

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Henry

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King William Lexington

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Mathews

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Prince Edward

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Virginia

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James City

Newport News

Norfolk

Poquoson

Portsmouth

Southampton Suffolk

Surry

Virginia Beach

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Caroline

Charlotte

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Cumberland

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Hopewell

King And Queen

Louisa

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Nottoway Petersburg

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Frederick

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Tazewell

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Wise Wythe

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Bedford Bedford City

Bland

Botetourt

Covington

Craig

Floyd Franklin

Giles

Montgomery

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Alexandria Arlington

Clarke

Falls Church

Loudoun

Manassas Manassas Park Prince William

Accomack

Culpeper

Essex

Fauquier

Fredericksburg King George

Lancaster

Madison

Middlesex

Northampton

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Orange

Page Rappahannock

Richmond

Spotsylvania

Stafford

Warren

Westmoreland Albemarle

Amherst

Appomattox

Augusta

Bath

Brunswick

Buckingham

Buena Vista

Campbell

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Charles City

Charlottesville

Danville

District of Columbia

Emporia

Fairfax Fairfax City

Fluvanna

Galax

Greene

Greensville Halifax

Harrisonburg

Henry

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King William Lexington

Lynchburg

Martinsville

Mathews

Mecklenburg

Nelson

Patrick

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Prince Edward

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Virginia

Alleghany

Amherst

Appomattox Bedford

Bedford City

Bland

Botetourt Buckingham

Buena Vista

Chesapeake

Chesterfield

Covington

Craig

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Richmond

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Salem

Southampton Suffolk Virginia Beach

Williamsburg York

Bristol

Buchanan

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Russell Smyth

Tazewell

Washington

Wise Wythe

Alexandria

Bath

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Culpeper

Emporia

Falls Church

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Fredericksburg

Galax Greensville

Harrisonburg Highland

King George

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Page

Patrick

Pittsylvania

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Rockingham

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Winchester

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Amelia

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Augusta

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Caroline

Charles City

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Cumberland

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District of Columbia Fairfax Fairfax City

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Frederick

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Hopewell James City

King And Queen King William

Louisa

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Martinsville

Mathews

Montgomery

Nelson

New Kent

Norton

Poquoson Prince George

Prince William

Scott

Staunton

Surry

Sussex

Warren

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Virginia

Augusta

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Henry Martinsville

Staunton Waynesboro

Accomack

Albemarle

Alexandria

Alleghany

Amelia

Amherst

Appomattox

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Bedford Bedford City

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Campbell

Caroline

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Charles City

Charlotte

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Chesapeake

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Colonial Heights

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Craig

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Dickenson Dinwiddie

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Emporia

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Fauquier

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Frederick

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Giles Gloucester

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Hampton

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Highland

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James City

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Lexington

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Mathews

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Middlesex

Montgomery

Nelson

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Newport News

Norfolk

Northampton

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Norton

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Page

Patrick

Petersburg

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Prince Edward Prince George

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Richmond

Richmond City

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Rockbridge

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Russell

Salem

Scott

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Surry

Sussex

Tazewell

Virginia Beach

Warren

Washington

Westmoreland

Williamsburg

Winchester

Wise Wythe

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Virginia

Accomack

Albemarle

Alexandria

Alleghany

Amelia

Amherst

Appomattox

Arlington

Augusta

Bath

Bedford Bedford City

Bland

Botetourt

Bristol

Brunswick

Buchanan

Buckingham

Buena Vista

Campbell

Caroline

Carroll

Charles City

Charlotte

Charlottesville

Chesapeake

Chesterfield

Clarke

Colonial Heights

Covington

Craig

Culpeper

Cumberland

Danville

Dickenson Dinwiddie

Emporia

Essex

Fairfax Fairfax City Falls Church

Fauquier

Floyd

Fluvanna

Franklin

Franklin City

Frederick

Fredericksburg

Galax

Giles Gloucester

Goochland

Grayson

Greene

Greensville Halifax

Hampton

Hanover

Harrisonburg

Henrico

Henry

Highland

Hopewell

Isle Of Wight

James City

King And Queen

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King William Lancaster

Lee

Lexington

Loudoun

Louisa

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Lynchburg

Madison

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Martinsville

Mathews

Mecklenburg

Middlesex

Montgomery

Nelson

New Kent

Newport News

Norfolk

Northampton

Northumberland

Norton

Nottoway

Orange

Page

Patrick

Petersburg

Pittsylvania

Poquoson

Portsmouth

Powhatan

Prince Edward Prince George

Prince William

Pulaski Radford

Rappahannock

Richmond

Richmond City

Roanoke Roanoke City

Rockbridge

Rockingham

Russell

Salem

Scott

Shenandoah

Smyth Southampton

Spotsylvania

Stafford

Staunton

Suffolk

Surry

Sussex

Tazewell

Virginia Beach

Warren

Washington

Waynesboro Westmoreland

Williamsburg

Winchester

Wise Wythe

York

District of Columbia

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Washington

Spokane

Clark

King

Snohomish

Pierce

Lewis

Thurston

Benton

Franklin Yakima

Adams

Asotin

Chelan

Clallam

Columbia

Cowlitz

Douglas

Ferry

Garfield

Grant

Grays Harbor

Island

Jefferson

Kitsap

Kittitas

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Lincoln

Mason

Okanogan

Pacific

Pend Oreille San Juan Skagit

Skamania

Stevens

Wahkiakum Walla Walla

Whatcom

Whitman

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Washington

Benton

Clark

Franklin

Pierce

Spokane

Thurston Adams

Asotin

Chelan

Clallam

Columbia

Cowlitz

Douglas

Ferry

Garfield

Grant

Grays Harbor

Island

Jefferson

King

Kitsap

Kittitas

Klickitat

Lewis

Lincoln

Mason

Okanogan

Pacific

Pend Oreille San Juan

Skagit

Skamania

Snohomish

Stevens

Wahkiakum Walla Walla

Whatcom

Whitman

Yakima

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Washington

Pierce

Skagit

Whatcom

Clark

Cowlitz

Island

King

Kitsap

Kittitas

Mason

Snohomish

Spokane

Walla Walla

Adams

Asotin Benton

Chelan

Clallam

Columbia

Douglas

Ferry

Franklin

Garfield

Grant

Grays Harbor

Jefferson

Klickitat

Lewis

Lincoln

Okanogan

Pacific

Pend Oreille San Juan

Skamania

Stevens

Thurston

Wahkiakum

Whitman

Yakima

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Washington

Pierce

Skagit

Whatcom

Clark

Cowlitz

Island

King

Kitsap

Kittitas

Mason

Snohomish

Spokane

Walla Walla

Adams

Asotin Benton

Chelan

Clallam

Columbia

Douglas

Ferry

Franklin

Garfield

Grant

Grays Harbor

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Klickitat

Lewis

Lincoln

Okanogan

Pacific

Pend Oreille San Juan

Skamania

Stevens

Thurston

Wahkiakum

Whitman

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West Virginia

Boone

Braxton

Cabell Clay

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Kanawha

Lewis

Lincoln

Mercer

Monroe

Nicholas

Putnam

Roane

Upshur

Wayne

Webster

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Pendleton

Tucker

Brooke

Hancock

Logan

Mineral

Mingo

Pocahontas

Taylor

Wyoming

Barbour

Greenbrier

Marion

Mason

Mcdowell

Monongalia

Preston

Raleigh

Randolph

Summers

Premium Ranges 39 44 54 59 No HMO-POS Plans

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2015 MAPD LPPO Plans

West Virginia

Boone

Braxton

Cabell Clay

Fayette

Kanawha

Lewis

Lincoln

Mercer

Monroe

Nicholas

Putnam

Roane

Upshur

Wayne

Webster

Calhoun

Doddridge

Gilmer

Harrison

Jackson

Marshall

Ohio

Pleasants

Ritchie

Tyler

Wetzel

Wirt

Wood

Berkeley

Grant

Hampshire

Hardy

Jefferson

Morgan

Pendleton

Tucker

Brooke

Hancock

Logan

Mineral

Mingo

Pocahontas

Taylor

Wyoming

Barbour

Greenbrier

Marion

Mason

Mcdowell

Monongalia

Preston

Raleigh

Randolph

Summers

Premium Ranges 39 44 54 59 No LPPO Plans

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2015 MAPD PFFS Full Plans

West Virginia

Barbour

Berkeley

Boone

Braxton

Brooke

Cabell

Calhoun

Clay

Doddridge

Gilmer

Grant

Greenbrier

Hancock

Hardy

Harrison

Jackson

Jefferson

Kanawha

Lewis

Logan

Marion

Marshall

Mason

Mcdowell Mercer

Mingo

Monroe

Nicholas

Ohio

Pendleton

Pocahontas

Putnam

Raleigh

Randolph

Ritchie

Roane

Summers

Taylor

Tucker

Tyler

Upshur

Wayne

Webster

Wetzel

Wood

Wyoming

Fayette

Hampshire

Lincoln

Mineral

Monongalia

Morgan

Pleasants

Preston

Wirt

Premium Ranges 59/85 No PFFS-Full Plans

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2015 MAPD RPPO Plans

West Virginia

Barbour

Berkeley

Boone

Braxton

Brooke

Cabell

Calhoun

Clay

Doddridge

Fayette

Gilmer

Grant

Greenbrier

Hampshire

Hancock

Hardy

Harrison

Jackson

Jefferson

Kanawha

Lewis

Lincoln

Logan

Marion

Marshall

Mason

Mcdowell Mercer

Mineral

Mingo

Monongalia

Monroe

Morgan

Nicholas

Ohio

Pendleton

Pleasants

Pocahontas

Preston

Putnam

Raleigh

Randolph

Ritchie

Roane

Summers

Taylor

Tucker

Tyler

Upshur

Wayne

Webster

Wetzel

Wirt

Wood

Wyoming

Premium Ranges 99

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2015 MAPD HMO Plans

Wisconsin

Brown

Calumet

Fond Du Lac Green Lake

Manitowoc

Marquette

Outagamie

Shawano

Waupaca

Waushara Winnebago

Milwaukee

Ozaukee

Racine

Sheboygan

Washington

Waukesha

Barron

Buffalo

Chippewa

Dunn

Eau Claire

Jackson

La Crosse Monroe

Pepin

Polk

Trempealeau

Adams

Ashland

Bayfield

Burnett

Clark

Columbia

Crawford

Dane

Dodge

Door

Douglas

Florence

Forest

Grant

Green

Iowa

Iron

Jefferson

Juneau

Kenosha

Kewaunee

Lafayette

Langlade Lincoln

Marathon

Marinette

Menominee Oconto

Oneida

Pierce

Portage

Price

Richland

Rock

Rusk

Sauk

Sawyer

St Croix

Taylor

Vernon

Vilas

Walworth

Washburn

Wood

Premium Ranges 0 29 72 No HMO Plans

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2015 MAPD HMO-POS Plans

Wisconsin

Columbia

Crawford

Dane

Green

Iowa Jefferson

Lafayette

Richland

Rock

Sauk

Brown

Calumet

Door

Fond Du Lac

Forest

Green Lake

Kewaunee

Manitowoc

Marathon

Marinette

Marquette

Menominee Oconto

Outagamie Portage

Sheboygan

Waupaca

Waushara Winnebago

Dodge

Kenosha

Milwaukee

Ozaukee

Racine

Washington

Waukesha

Adams

Ashland

Barron

Bayfield

Buffalo

Burnett

Chippewa

Clark

Douglas

Dunn

Eau Claire

Florence

Grant

Iron

Jackson

Juneau La Crosse

Langlade Lincoln

Monroe

Oneida

Pepin

Pierce

Polk

Price

Rusk

Sawyer

Shawano

St Croix

Taylor

Trempealeau

Vernon

Vilas

Walworth

Washburn

Wood

Premium Ranges 55 75 85 No HMO-POS Plans

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2015 MAPD LPPO Plans

Wisconsin

Columbia

Crawford

Dane

Green

Iowa Jefferson

Lafayette

Richland

Rock

Sauk

Brown

Calumet

Door

Fond Du Lac

Forest

Green Lake

Kewaunee

Manitowoc

Marathon

Marinette

Marquette

Menominee Oconto

Outagamie Portage

Sheboygan

Waupaca

Waushara Winnebago

Dodge

Kenosha

Milwaukee

Ozaukee

Racine

Washington

Waukesha

Adams

Ashland

Barron

Bayfield

Buffalo

Burnett

Chippewa

Clark

Douglas

Dunn

Eau Claire

Florence

Grant

Iron

Jackson

Juneau La Crosse

Langlade Lincoln

Monroe

Oneida

Pepin

Pierce

Polk

Price

Rusk

Sawyer

Shawano

St Croix

Taylor

Trempealeau

Vernon

Vilas

Walworth

Washburn

Wood

Premium Ranges 55 75 85 No LPPO Plans

AP-303a/GHHHZQ4EN

2015 MAPD PFFS Full Plans

Wisconsin

Adams

Barron

Brown

Burnett

Calumet

Clark

Dane

Dodge

Dunn

Eau Claire

Fond Du Lac

Forest

Green Lake

Jackson

Jefferson

Juneau

Kenosha

La Crosse

Lafayette

Langlade Lincoln

Manitowoc

Marathon

Marquette

Menominee

Milwaukee

Oneida

Outagamie

Ozaukee

Pepin Portage

Racine

Richland

Rusk

Sauk

Shawano

Sheboygan

Taylor

Trempealeau

Vernon

Vilas

Walworth

Washburn

Washington

Waukesha

Waupaca

Waushara Winnebago

Wood

Ashland

Bayfield

Buffalo

Chippewa

Columbia

Crawford

Door

Douglas

Florence

Grant

Green

Iowa

Iron

Kewaunee

Marinette

Monroe

Oconto

Pierce

Polk

Price

Rock

Sawyer

St Croix

Premium Ranges 89 No PFFS-Full Plans

AP-303a/GHHHZQ4EN

2015 MAPD RPPO Plans

Wisconsin

Adams

Ashland

Barron

Bayfield

Brown

Buffalo

Burnett

Calumet

Chippewa

Clark

Columbia

Crawford

Dane

Dodge

Door

Douglas

Dunn

Eau Claire

Florence

Fond Du Lac

Forest

Grant

Green

Green Lake

Iowa

Iron

Jackson

Jefferson

Juneau

Kenosha

Kewaunee

La Crosse

Lafayette

Langlade Lincoln

Manitowoc

Marathon

Marinette

Marquette

Menominee

Milwaukee

Monroe

Oconto

Oneida

Outagamie

Ozaukee

Pepin

Pierce

Polk

Portage

Price

Racine

Richland

Rock

Rusk

Sauk

Sawyer

Shawano

Sheboygan

St Croix

Taylor

Trempealeau

Vernon

Vilas

Walworth

Washburn

Washington

Waukesha

Waupaca

Waushara Winnebago

Wood

Premium Ranges 125

AP-303a/GHHHZQ4EN