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Commercial HMO/PPOs/Marketplace Summary

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Enrollment data are current as of 2020

Accreditation data are current as of December 31, 2020

Source: Florida Office of Insurance Regulation

Health Plan Type	Plan Name	Number of Counties/ Service Area	counties	Statewide Enrollment	Accreditation Status
Commercial HMO	Aetna Health, Inc.	53	AlachuaBakerBayBradfordBrevardBrowardCharlotteCitrusClayCollierColumbiaMiami-DadeDeSotoDuvalFlaglerGilchristGladesHardeeHendryHernandoHighlandsHillsboroughIndian RiverLakeLeeLeonLevyMadisonManateeMarionMartinMonroeNassauOkaloosaOkeechobeeOrangeOsceolaPalm BeachPascoPinellasPolkPutnamSt. JohnsSt. LucieSanta RosaSarasotaSeminoleSumterSuwanneeTaylorVolusiaWakullaWalton	114,974	NCQA - 3 Year Accreditation
Commercial HMO	AvMed, Inc.	43	AlachuaBakerBradfordBrevardBrowardCharlotteCitrusClayCollierColumbiaMiami-DadeDixieDuvalEscambiaFlaglerGilchristHernandoHighlandsHillsboroughIndian RiverLakeLeeLevyManateeMarionMartinMonroeNassauOkeechobeeOrangeOsceolaPalm BeachPascoPinellasPolkPutnamSt. JohnsSt. LucieSarasotaSeminoleSuwanneeUnionVolusia	53,894	NCQA - 3 Year Accreditation
Commercial HMO	Capital Health Plan, Inc.	7	CalhounFranklinGadsdenJeffersonLeonLibertyWakulla	109,144	NCQA - 3 Year Accreditation
Commercial HMO	CIGNA Healthcare of Florida, Inc.	8	BrevardBrowardMiami-DadeHillsboroughOrangePalm BeachPolkSeminole	270	NCQA - 3 Year Accreditation
Commercial HMO	Florida Blue, Inc.	66	AlachuaBakerBayBradfordBrevardBrowardCalhounCharlotteCitrusClayCollierColumbiaMiami-DadeDeSotoDixieDuvalEscambiaFlaglerGadsdenGilchristGladesGulfHamiltonHardeeHendryHernandoHighlandsHillsboroughHolmesIndian RiverJacksonJeffersonLafayetteLakeLeeLeonLevyLibertyMadisonManateeMarionMartinMonroeNassauOkaloosaOkeechobeeOrangeOsceolaPalm BeachPascoPinellasPolkPutnamSt. JohnsSt. LucieSanta RosaSarasotaSeminoleSumterSuwanneeTaylorUnionVolusiaWakullaWaltonWashington	329	NCQA - 3 Year Accreditation
Commercial HMO	Florida Health Care Plan, Inc.	19	AlachuaBrevardBrowardClayDuvalFlaglerIndian RiverLakeLevyMarionOrangeOsceolaPalm BeachPinellasPutnamSt. JohnsSeminoleSumterVolusia	63,055	NCQA - Less than 3 year accreditation
Commercial HMO	Health First Health Plans, Inc.	9	Brevard 18 25 28 31 48 49 59 64	14,948	NCQA - 3 Year Accreditation
Commercial HMO	Health Options	64	AlachuaBakerBayBradfordBrevardBrowardCalhounCharlotteCitrusClayCollierColumbiaMiami-DadeDeSotoDixieDuvalEscambiaFlaglerFranklinGilchristGladesGulfHamiltonHardeeHendryHernandoHighlandsHillsboroughIndian RiverJacksonJeffersonLafayetteLakeLeeLeonLevyMadisonManateeMarionMartinMonroeNassauOkaloosaOkeechobeeOrangeOsceolaPalm BeachPascoPinellasPolkPutnamSt. JohnsSt. LucieSanta RosaSarasotaSeminoleSumterSuwanneeTaylorUnionVolusiaWakullaWaltonWashington	345,279	NCQA - 3 Year Accreditation
Commercial HMO	Humana Medical Plan, Inc.	50	AlachuaBakerBayBradfordBrevardBrowardCharlotteCitrusClayCollierColumbiaMiami-DadeDeSotoDuvalEscambiaFlaglerGladesHardeeHendryHernandoHighlandsHillsboroughIndian RiverLakeLeeLeonLevyManateeMarionMartinMonroeNassauOkaloosaOkeechobeeOrangeOsceolaPalm BeachPascoPinellasPolkPutnamSt. JohnsSt. LucieSanta RosaSarasotaSeminoleSumterVolusiaWakullaWalton	122,672	NCQA - 3 Year Accreditation
Commercial HMO	Neighborhood Health Partnership, Inc.	49	AlachuaBakerBayBrevardBrowardCharlotteCitrusClayCollierColumbiaMiami-DadeDeSotoDuvalEscambiaFlaglerGladesHardeeHendryHernandoHighlandsHillsboroughIndian RiverLakeLeeLeonLevyManateeMarionMartinMonroeNassauOkaloosaOkeechobeeOrangeOsceolaPalm BeachPascoPinellasPolkPutnamSt. JohnsSt. LucieSanta RosaSarasotaSeminoleSumterSuwanneeVolusiaWalton	170,308	NCQA - 3 Year Accreditation
Commercial HMO	United Healthcare of Florida, Inc.	66	AlachuaBakerBayBradfordBrevardBrowardCalhounCharlotteCitrusClayCollierColumbiaMiami-DadeDeSotoDixieDuvalEscambiaFlaglerFranklinGadsdenGilchristGladesHamiltonHardeeHendryHernandoHighlandsHillsboroughHolmesIndian RiverJacksonJeffersonLafayetteLakeLeeLeonLevyLibertyMadisonManateeMarionMartinMonroeNassauOkaloosaOkeechobeeOrangeOsceolaPalm BeachPascoPinellasPolkPutnamSt. JohnsSt. LucieSanta RosaSarasotaSeminoleSumterSuwanneeTaylorUnionVolusiaWakullaWaltonWashington	124,245	NCQA - 3 Year Accreditation
Commercial Marketplace	Bright Health Plan - FL EPO	5	Orange 49 51 59 64	12,616	Not Applicable
Commercial Marketplace	Florida Blue EPO	66	AlachuaBakerBayBradfordBrevardBrowardCalhounCharlotteCitrusClayCollierColumbiaMiami-DadeDeSotoDixieDuvalEscambiaFlaglerGadsdenGilchristGladesGulfHamiltonHardeeHendryHernandoHighlandsHillsboroughHolmesIndian RiverJacksonJeffersonLafayetteLakeLeeLeonLevyLibertyMadisonManateeMarionMartinMonroeNassauOkaloosaOkeechobeeOrangeOsceolaPalm BeachPascoPinellasPolkPutnamSt. JohnsSt. LucieSanta RosaSarasotaSeminoleSumterSuwanneeTaylorUnionVolusiaWakullaWaltonWashington	414,342	NCQA - 3 Year Accreditation
Commercial Marketplace	Florida Health Care Plan, Inc-POS	22	AlachuaBrevardBrowardClayMiami-DadeDuvalFlaglerHillsboroughIndian RiverLakeLeonLevyMarionOrangeOsceolaPalm BeachPinellasPolkPutnamSt. JohnsSeminoleVolusia	1,864	NCQA - Less than 3 year accreditation
Commercial Marketplace	Florida Health Care Plan, Inc.-HMO	22	AlachuaBrevardBrowardClayMiami-DadeDuvalFlaglerHillsboroughIndian RiverLakeLeonLevyMarionOrangeOsceolaPalm BeachPinellasPolkPutnamSt. JohnsSeminoleVolusia	31,120	NCQA - Less than 3 year accreditation
Commercial Marketplace	Health First Health Plan-HMO	13	BrevardFlaglerHillsboroughIndian RiverLakeMarionOrangeOsceolaPalm BeachPolkSt. LucieSeminoleVolusia	12,765	NCQA - 3 Year Accreditation
Commercial Marketplace	Health First Health Plan-POS	13	BrevardFlaglerHillsboroughIndian RiverLakeMarionOrangeOsceolaPalm BeachPolkSt. LucieSeminoleVolusia	2,542	NCQA - 3 Year Accreditation
Commercial Marketplace	Health Options	66	AlachuaBakerBayBradfordBrevardBrowardCalhounCharlotteCitrusClayCollierColumbiaMiami-DadeDeSotoDixieDuvalEscambiaFlaglerGadsdenGilchristGladesGulfHamiltonHardeeHendryHernandoHighlandsHillsboroughHolmesIndian RiverJacksonJeffersonLafayetteLakeLeeLeonLevyLibertyMadisonManateeMarionMartinMonroeNassauOkaloosaOkeechobeeOrangeOsceolaPalm BeachPascoPinellasPolkPutnamSt. JohnsSt. LucieSanta RosaSarasotaSeminoleSumterSuwanneeTaylorUnionVolusiaWakullaWaltonWashington	336,987	NCQA - 3 Year Accreditation
Commercial Marketplace	Molina Healthcare of Florida, Inc.	8	BrowardMiami-DadeDuvalHillsboroughOsceolaPalm BeachPinellasPolk	38,755	NCQA - 3 Year Accreditation
Commercial Marketplace	Oscar Insurance Corporation - FL EPO	3	Miami-Dade 6 50	111,586	Not Applicable
Commercial Marketplace	Sunshine Health	53	AlachuaBakerBradfordBrevardBrowardCharlotteCitrusClayCollierColumbiaMiami-DadeDeSotoDixieDuvalEscambiaFlaglerGilchristGladesHamiltonHardeeHendryHernandoHighlandsHillsboroughIndian RiverLafayetteLakeLeeLevyManateeMarionMartinMonroeNassauOkaloosaOkeechobeeOrangeOsceolaPalm BeachPascoPinellasPolkPutnamSt. JohnsSt. LucieSanta RosaSarasotaSeminoleSumterSuwanneeUnionVolusiaWalton	372,900	NCQA - 3 Year Accreditation
Commercial PPO	Aetna Life Insurance Company	All Counties	All Counties	841,250	Not Applicable
Commercial PPO	CIGNA Healthcare of Florida, Inc.	All Counties	All Counties	12,838	Not Applicable
Commercial PPO	Florida Blue	All Counties	All Counties	1,493,096	Not Applicable
Commercial PPO	Golden Rule Insurance Company	All Counties	All Counties	25,727	Not Applicable
Commercial PPO	Humana Health Insurance Company of Florida	All Counties	All Counties	3,222	Not Applicable
Commercial PPO	UnitedHealthcare Insurance Company	All Counties	All Counties	223,311	Not Applicable

* These plans only serve people with certain diagnoses or conditions.

	Best	at or above 50% of all Medicaid health plans' scores
	Good	better than at least 40% of all Medicaid health plans' scores
	Fair	better than at least 25% of all Medicaid health plans' scores
	Poor	better than at least 10% of all Medicaid health plans' scores
	Very Poor	worse than 90% of all Medicaid health plans' scores
N/A		Not Measurable/Small Population
N/R		Not Rated

N/A	- Not Measurable/Small Population
N/R	- No Data Reported

	Best	at or above 50% of all health plans' scores
	Good	better than at least 40% of all health plans' scores
	Fair	better than at least 25% of all health plans' scores
	Poor	better than at least 10% of all health plans' scores
	Very Poor	worse than 90% of all health plans' scores
N/A		Not Measurable/Small Population
N/R		Not Rated

N/A	- Not Measurable/Small Population
N/R	- Not Rated

N/A	- Not Measurable/Small Population
N/R	- Not Rated

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