Page 1 of 21 Nonprofit Health Plan/Insurer Service Areas/Subsidiaries 2007-08 Enrollment ^ Webite/URL Address NCQA U.S. Ranking & Ratings 2009-10 @ Health Care Service Corporation Blue Cross Blue Shield nonprofit franchises in Illinois, New Mexico, Oklahoma and Texas 12.4 mil. http://www.hcsc.com/about- hcsc/about-hcsc.html Refer to individual state plans in the directory. Kaiser Permanente CA, CO, DC, GA, HI, MD, OH, OR, VA, WA 8.8 mil. https://members.kaiserperm anente.org:443/kpweb/select region.do?gt=/kpweb/entryP age.do%3Fcfe%3D478 Refer to individual state plans in the directory. Blue Cross Blue Shield of Illinois (owned by Health Care Service Corporation) Illinois, offering "HMO Advantage" and "Blue Advantage" HMO plans. 6.5 mil. http://www.bcbsil.com/ # 181 rank/80.8 score Highmark Inc. Blue Cross Blue Shield in Pennsylvania, West Virginia, Delaware 4.8 mil. https://www.highmark.com/h mk2/companies/index.shtml Refer to individual state plans in the directory. Blue Cross Blue Shield of Michigan Michigan 4.6 mil. http://www.bcbsm.com/ NA Blue Cross Blue Shield of Alabama Alabama Child Caring Foundation (ACCF) 3.6 mil. http://www.bcbsal.org NA Independence Blue Cross Serving eastern & southwestern Pennsylvania 3.4 mil. http://www.ibx.com Refer to individual state plans in the directory. Kaiser Foundation Health Plan of Southern California (part of Kaiser Permanente) Southern California region. 3.3 mil. http://www.kp.org # 71 rank/84.1 score Horizon Blue Cross Blue Shield New Jersey 3.3 mil. http://www.horizon- bcbsnj.com/members.html # 144 rank/81.8 score Kaiser Foundation Health Plan of Northern California (Kaiser Permanente) Northern California region 3.2 mil. https://members.kaiserperm anente.org/kpweb/selectregi on.do?gt=/kpweb/entryPage. do%3Fcfe%3D478 # 32 rank/86.2 score Blue Cross and Blue Shield of Florida, Inc. Florida; Health Options, Inc., Florida Health Plans 3.1 mil. http://www3.bcbsfl.com/wps/ portal/bcbsfl Health Options: # 131 rank/82.0 score Medical Mutual of Ohio Ohio 3.0 mil. http://www.medmutual.com # 117 rank/82.5 score Directory of U.S. NONPROFIT Health Plan Organizations Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us
Quit Getting "JACKED" by For-Profit/Big Health Insurance Corporations - A Directory of Ethics-based, Consumer-driven U.S. "Nonprofit Community Health Plans & Insurance" is a Mouse-Click
Jan 12, 2015
There are currently over 150 community-based NONPROFIT Health Plans/Insurance Organizations (and affiliates) operating in about 45 states of the Union and the District of Columbia offering LOWER-COST premiums, along with BROADER COVERAGE MENUS and CARE SERVICES — than what the antitrust-exempt For-Profit/Big Health Insurance carriers have been whittling away in their “punitive, profit-obsessive” business practices. The only way to break this century-old pattern of this “Live-or-Let-Die,” systemically institutionalized DENIALS- and RESCISSIONS-based For-Profit/Big Health Insurance (claiming an estimated 44,800 needless American deaths annually, according to a recent Harvard Medical study) is for consumers to take action with their checkbooks, working outside of Big Healthcare’s criminally complicit federal government by shifting your much-deserved business and health insurance coverage to “ethics-based” NONPROFIT Health Plans.
Tying in with Trans-American Alliance for a National Consensus' (TANC) presentation and position paper, "Rx for U.S. Healthcare Reform," TANC has assembled an online PDF “Directory of U.S. Nonprofit Health Plans” with single-click hyperlinks to state and municipal, community-based health plans in 45 states across the U.S. (which can also be found at the home page of http://www.transamericanalliance.org).
Only you, American citizens, can drive "true" Healthcare Reform, and that's by using your checkbooks/pocketbooks to pull your money out of price-fixed, antitrust-exempt "For-Profit/Big Health Insurance" premiums and opt instead to spend MUCH LESS and get MUCH MORE in terms of coverage areas and peace-of-mind with community- and ethics-based NONPROFIT Health Plan/Insurance organizations. You have that the POWER and the federal government and their minders/contributors from Big Health Insurance can't threaten, punish and suppress you any longer!
Stay well and Keep the Faith!
Please check our video-only "Rx for U.S. Healthcare Reform" presentation here on SlideShare or at http://www.transamericanalliance.org. TANC also has complete audiovisual copies of this presentation at http://www.screencast.com/t/OWFlYzQ0Zm(abridged presentation at 51 minutes running time) and at http://www.screencast.com/t/NmUxOWZkNT (full presentation at 1 hour, 25 minutes running time; please allow 1 minute or more for download of video stream to start).
Sincerely,
Michael A. Freeman, Executive Director
Americans for a Nonprofit Community Health Plan & Insurance Exchange (ANHPIE)
Tying in with Trans-American Alliance for a National Consensus' (TANC) presentation and position paper, "Rx for U.S. Healthcare Reform," TANC has assembled an online PDF “Directory of U.S. Nonprofit Health Plans” with single-click hyperlinks to state and municipal, community-based health plans in 45 states across the U.S. (which can also be found at the home page of http://www.transamericanalliance.org).
Only you, American citizens, can drive "true" Healthcare Reform, and that's by using your checkbooks/pocketbooks to pull your money out of price-fixed, antitrust-exempt "For-Profit/Big Health Insurance" premiums and opt instead to spend MUCH LESS and get MUCH MORE in terms of coverage areas and peace-of-mind with community- and ethics-based NONPROFIT Health Plan/Insurance organizations. You have that the POWER and the federal government and their minders/contributors from Big Health Insurance can't threaten, punish and suppress you any longer!
Stay well and Keep the Faith!
Please check our video-only "Rx for U.S. Healthcare Reform" presentation here on SlideShare or at http://www.transamericanalliance.org. TANC also has complete audiovisual copies of this presentation at http://www.screencast.com/t/OWFlYzQ0Zm(abridged presentation at 51 minutes running time) and at http://www.screencast.com/t/NmUxOWZkNT (full presentation at 1 hour, 25 minutes running time; please allow 1 minute or more for download of video stream to start).
Sincerely,
Michael A. Freeman, Executive Director
Americans for a Nonprofit Community Health Plan & Insurance Exchange (ANHPIE)
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1 of 21
Nonprofit Health Plan/Insurer Service Areas/Subsidiaries
2007-08 Enrollment ^ Webite/URL Address NCQA U.S. Ranking
& Ratings 2009-10 @
Health Care Service Corporation
Blue Cross Blue Shield nonprofit franchises in Illinois, New Mexico, Oklahoma and Texas
12.4 mil. http://www.hcsc.com/about-hcsc/about-hcsc.html
Refer to individual state plans in the directory.
Kaiser Permanente CA, CO, DC, GA, HI, MD, OH, OR, VA, WA 8.8 mil.
https://members.kaiserpermanente.org:443/kpweb/selectregion.do?gt=/kpweb/entryP
age.do%3Fcfe%3D478
Refer to individual state plans in the directory.
Blue Cross Blue Shield of Illinois (owned by Health Care Service Corporation)
Illinois, offering "HMO Advantage" and "Blue Advantage" HMO plans.
6.5 mil. http://www.bcbsil.com/ # 181 rank/80.8 score
Highmark Inc.Blue Cross Blue Shield in Pennsylvania, West Virginia, Delaware
4.8 mil. https://www.highmark.com/hmk2/companies/index.shtml
Refer to individual state plans in the directory.
Blue Cross Blue Shield of Michigan Michigan 4.6 mil. http://www.bcbsm.com/ NA
Blue Cross Blue Shield of Alabama
Alabama Child Caring Foundation (ACCF) 3.6 mil. http://www.bcbsal.org NA
Independence Blue Cross Serving eastern & southwestern Pennsylvania
3.4 mil. http://www.ibx.com Refer to individual state plans in the directory.
Kaiser Foundation Health Plan of Southern California (part of Kaiser Permanente)
Southern California region. 3.3 mil. http://www.kp.org # 71 rank/84.1 score
Horizon Blue Cross Blue Shield New Jersey 3.3 mil. http://www.horizon-bcbsnj.com/members.html # 144 rank/81.8 score
Kaiser Foundation Health Plan of Northern California (Kaiser Permanente)
Northern California region 3.2 mil.
https://members.kaiserpermanente.org/kpweb/selectregion.do?gt=/kpweb/entryPage.do%3Fcfe%3D478
# 32 rank/86.2 score
Blue Cross and Blue Shield of Florida, Inc.
Florida; Health Options, Inc., Florida Health Plans 3.1 mil. http://www3.bcbsfl.com/wps/
portal/bcbsflHealth Options: # 131
rank/82.0 score
Medical Mutual of Ohio Ohio 3.0 mil. http://www.medmutual.com # 117 rank/82.5 score
Directory of U.S. NONPROFIT Health Plan Organizations
Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us
Page 2 of 21
Nonprofit Health Plan/Insurer Service Areas/Subsidiaries
2007-08 Enrollment ^ Webite/URL Address NCQA U.S. Ranking
& Ratings 2009-10 @
Directory of U.S. NONPROFIT Health Plan Organizations
The Regence Group
Blue Cross Blue Shield Regence (Oregon and Utah); Blue Cross Regence (Washington, Idaho)
2.9 mil. http://www.regence.com/about/service-areas.jsp
Refer to individual state plans in the directory.
Blue Cross Blue Shield of Minnesota Minnesota 2.9 mil.
http://www.bluecrossmn.com/bc/wcs/groups/bcbsmn/@mbc_bluecrossmn/documents/public/mbc1_home_index.hc
sp
Insufficient Data
Blue Cross Blue Shield of Tennessee Tennesee 2.8 mil. http://www.bcbst.com/ NA
Blue Cross Blue Sheild of North Carolina North Carolina 2.7 mil. http://www.bcbsnc.com/ NA
Blue Shield of California
California (not affiliated with the for-profit Anthem Blue Cross of California franchise in the state)
2.6 mil. http://www.blueshieldca.com NA
Wellmark, Inc.Wellmark Blue Cross Blue Shield (Iowa, South Dakota)
2.0 mil. http://www.wellmark.com Iowa: # 63 rank/84.5 score
Lifetime Healthcare Companies (New York)
Rochester, Buffalo, upsate New York service areas
1.9 mil. http://www.lifetimehealth.org/ NA
Paramount Health Care (subsidiary of ProMedica Health System)
Serving northern Ohio region 1.8 mil. http://www.paramounthealth
care.com # 80 rank/83.9 score
Excellus Blue Cross/Blue Shield New York state (including NYC) 1.7 mil. http://www.excellusbcbs.com # 26 rank/86.3 score
Premera Blue Cross Alaska and Washington state, excluding Clark County
1.7 mil.https://www.premera.com/stellent/groups/public/docume
nts/xcpproject/home.aspNA
Medica Health Plans Minnesota, Wisconsin, North Dakota and South Dakota
1.4 mil. http://www.medica.com # 79 rank/83.9 score
Blue Cross Blue Shield of Arizona Arizona 1.2 mil. http://www.azblue.com/ NA
Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us
Page 3 of 21
Nonprofit Health Plan/Insurer Service Areas/Subsidiaries
2007-08 Enrollment ^ Webite/URL Address NCQA U.S. Ranking
& Ratings 2009-10 @
Directory of U.S. NONPROFIT Health Plan Organizations
CareFirst BlueChoice (subsidiary of CareFirst Blue Cross Blue Shield)
CareFirst Blue Cross Blue Shield (Maryland, District of Columbia and parts of northern Virginia
1.2 mil. http://www.carefirst.com/main/html/HomePage.html # 132 rank/82.0 score
Molina Healthcare
California, Florida, Michigan, Missouri, New Mexico, Ohio, Texas, Utah, and Washington
1.2 mil. http://www.molinahealthcare.com Not Reported
Harvard Pilgrim Health Care, Inc. Massachusetts, Maine, New Hamphire 1.1 mil. http://www.harvardpilgrim.or
g
# 1 rank/91.1 score (in Mass.& Maine); and # 2 rank/90.2 (in New
Hampshire)
Blue Cross Blue Shield of Louisiana Louisiana 1.1 mil. http://www.bcbsla.com/web/
RedDotCM/html/default.asp NA
Blue Cross Blue Shield of Massachusetts
Massachusetts, New Hampshire, Maine 1.0 mil. https://www.bluecrossma.co
m/ # 12 rank/87.3 score
Capital Blue CrossServes central Pennsylvania and Lehigh Valley area.
1.0 mil. http://www.capbluecross.com # 66 rank/84.4 score
L.A. Care Health Plan Serves only Los Angeles County residents .8 mil. http://lacareplan.org/ # 66 rank/70.2 score
MVP Health Care Preferred Care New York state, New Hampshire, Vermont .8 mil http://www.mvphealthcare.co
m # 36 rank/86.0 score
Tufts Health Plan
Serves residents of Massachusetts and Rhode Island through 90 hospitals and 25,000 clinicians.
.7 mil. http://www.tuftshealthplan.com # 3 rank/89.9 score
Presbyterian Healthcare Services
Headquartered in Albuquerque, New Mexico, PHS operates 7 hospitals and provides hospital, physician, caregiver and insurance plans to more than 700,000 state residents.
.7 mil. http://www.phs.org # 145 rank/81.8 score
Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us
Page 4 of 21
Nonprofit Health Plan/Insurer Service Areas/Subsidiaries
2007-08 Enrollment ^ Webite/URL Address NCQA U.S. Ranking
& Ratings 2009-10 @
Directory of U.S. NONPROFIT Health Plan Organizations
Blue Cross and Blue Shield of Nebraska Nebraska .7 mil. https://www.bcbsne.com/Def
ault.aspx NA
Blue Cross Blue Shield of South Carolina South Carolina .7 mil. http://southcarolinablues.co
m/ NA
Hawaii Medical Service Association
Blue Cross Blue Shield licensee in Hawaii .7 mil. http://www.hmsa.com/ # 146 rank/81.8 score
Blue Cross and Blue Shield of Kansas Kansas .7 mil. http://www.bcbsks.com/ NA
Providence Health PlanAlaska, California, Montana Oregon, Washingon state
.7 mil. http://www2.providence.org/Pages/default.aspx # 224 rank/67.8 score
HealthPartners, Inc. Minnesota .7 mil. http://www.healthpartners.com
# 25 rank/86.6 score
CareSource, Inc. Connecticut .6 mil. http://www.caresourceinc.com NA
Blue Cross & Blue Shield of Rhode Island Rhode Island .6 mil. http://www.bcbsri.com # 35 rank/86.0 score
Blue Care Network of Michigan (a subsidiary of Blue Cross Blue Shield of Michigan)
Michigan .6 mil. http://mibcn.com # 62 rank/84.5 score
Group Health Cooperative Washington state, Idaho .6 mil. http://www.ghc.orgPPO: # 76 rank/84.1
score;HMO/POS plan # 226 rank/67.4 score
BlueCross BlueShield of Western New York
Western areas of upstate New York .6 mil.
https://securews.bcbswny.com/wps/portal/wny/WNYHome
NA
BlueCross BlueShield of Northeastern New York
Northeastern areas of upstate New York (included with BlueCross BlueShield Western NY enrollment total)
NA http://bsneny.com/ NA
Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us
Page 5 of 21
Nonprofit Health Plan/Insurer Service Areas/Subsidiaries
2007-08 Enrollment ^ Webite/URL Address NCQA U.S. Ranking
& Ratings 2009-10 @
Directory of U.S. NONPROFIT Health Plan Organizations
First Priority Health (HMO operated by Blue Cross Blue Shield of Northeastern Pennsylvania and Highmark)
Northeast region of Pennsylvania .6 mil. http://www.bcnepa.com # 141 rank/81.2 score
Kaiser Foundation Health Plan of Colorado Colorado .5 mil.
https://members.kaiserpermanente.org/kpweb/selectregion.do?gt=/kpweb/entryPage.do%3Fcfe%3D478
# 13 rank/87.2 score
Kaiser Foundation Health Plan of the Mid-Atlantic States (Kaiser Permanente)
District of Columbia, Maryland, Virginia .5 mil.
https://members.kaiserpermanente.org:443/kpweb/selectregion.do?gt=/kpweb/entryP
age.do%3Fcfe%3D478
# 81 rank/83.8 score
Blue Cross and Blue Shield of Kansas City (aka Good Health Plan HMO)
32 counties in greater Kansas City and northwest Missouri and Johnson and Wyandotte counties in Kansas
.5 mil. http://www.bluekc.com/Home.aspx # 88 rank/83.7 score
Health Alliance Plan of Michigan Michigan .5 mil. http://www.hap.org/ # 43 rank/85.4 score
SelectHealth Utah, Idaho .5 mil. http://www.selecthealth.org/ # 153 rank/81.6 score
Healthfirst New York New York state and city .5 mil. http://www.healthfirstny.com/ NA
UPMC Health Plan, Inc. Pittsburgh, southeast Pennsylvania .5 mil. http://www.upmchealthplan.c
om # 34 rank/86.0 score
Kaiser Foundation Health Plan of the Northwest
Oregon, Washington state. .5 mil. http://www.kp.org # 46 rank/85.2 score
Priority Health Michigan .4 mil. http://www.priorityhealth.com # 22 rank/86.9 score
Capital District Physicians Health Plan (CDPHP)
New York state and Vermont .4 mil. http://www.cdphp.com/ # 14-15 rank/87.1
score @
Blue Cross Blue Shield of North Dakota North Dakota .4 mil. http://www.bcbsnd.com/ NA
Optima Health (owned by Sentara Health System) Virginia .4 mil. http://www.optimahealth.com # 57 rank/84.7 score
Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us
Page 6 of 21
Nonprofit Health Plan/Insurer Service Areas/Subsidiaries
2007-08 Enrollment ^ Webite/URL Address NCQA U.S. Ranking
& Ratings 2009-10 @
Directory of U.S. NONPROFIT Health Plan Organizations
Health Alliance Medical Plans, Inc. (owned by Carle Foundation Hospitals)
Serving the central, southern and western regions of Illinois western Indiana; and central Iowa.
.3 mil. https://healthalliance.org/ # 18 rank/87.0 score
WPS Health Plan (part of Wisconsin Physicians Service) Wisconsin .3 mil. http://www.wpsic.com/ # 69 rank/84.2 score
Kaiser Foundation Health Plan of Georgia (Kaiser Permanente) Georgia .3 mil.
https://members.kaiserpermanente.org:443/kpweb/selectregion.do?gt=/kpweb/entryP
age.do%3Fcfe%3D478
# 84 rank/83.8 score
Prestige Health Choice
Florida: doctor-owned physician centers that provide access to comprehensive medical services for Florida Medicaid enrollees
.3 mil.http://www.prestigehealthchoice.com/prestigehealthchoice.htm
NA
HealthFirst New Jersey New Jersey .3 mil. http://www.healthfirstnj.com NA
CalOptima
Serves the Orange County area of Southern California in joint partneship with the federal/state-funded Medi-cal system
.3 mil. http://www.caloptima.org/ Not Reported
Independent Health Association, Inc.
Western upsate New York, including Buffalo region, and other parts of U.S.
.3 mil. http://www.independenthealth.com # 31 rank/86.2 score
Inland Empire Health PlanSan Bernadino, Riverside counties of Southern California
.3 mil. http://ww2.iehp.org/iehp # 62 rank/72.9 score
Blue Cross Blue Shield of New Mexico (owned by Health Care Service Corp.)
New Mexico .3 mil. http://www.bcbsnm.com/index.html # 200 rank/79.0 score
Blue Cross of Idaho Idaho .3 mil. https://www.bcidaho.com/index.asp NA
Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us
Page 7 of 21
Nonprofit Health Plan/Insurer Service Areas/Subsidiaries
2007-08 Enrollment ^ Webite/URL Address NCQA U.S. Ranking
& Ratings 2009-10 @
Directory of U.S. NONPROFIT Health Plan Organizations
Mercy Care Plan
Medicare Plans for Senior residents of Maricopa, Pima and Santa Cruz counties in Arizona
.3 mil. http://www.mercycareplan.com/ Not Reported
MDWise Indiana .3 mil. http://www.mdwise.org/index.html Not Reported
Fidelis Care New York New York state and city .3 mil. http://www.fideliscare.org/ Not Reported
Blue Cross and Blue Shield of Montana Montana .3 mil. http://bcbsmt.com/Pages/glo
balhome.aspx Not Reported
MetroPlus Health Plan, Inc.4 boroughs of New York: Manhattan, Brooklyn, the Bronx and Queens
.3 mil. http://www.metroplus.org/ NA
Blue Cross of Northeastern Pennsylvania
Services the northeastern and north central Pennsylvania regions
.2 mil. http://www.bcnepa.com/ NA
Community Health Plan of Washington Washington state .2 mil. http://www.chpw.org/ Insufficient Data
AultCare Health Plus Serves residents of Canton, Ohio .2 mil. http://www.aultcare.com/ # 219 rank/70.8 score
AvMed Health Plans (owned by SantaFe Healthcare Inc.) Florida .2 mil. http://www.avmed.org/ # 161 rank/81.5 score
Boston Medical Center HealthNet Plus Boston, MA region .2 mil. http://www.bmchp.org/pages
/home.aspx # 2 rank/89.3 score
Geisinger Health Plan42 counties throughout central and northeastern Pennsylvania
.2 mil. http://www.thehealthplan.com/ # 6 rank/88.6 score
Health Plus (PHSP), Inc. New York City and Nassau County .2 mil.
http://www.healthplus-ny.org/en/index_ENG_HTML.html
NA
Rocky Mountain Health Plans Colorado .2 mil. http://www.rmhp.org/index.aspx # 98 rank/68.0 score
Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us
Page 8 of 21
Nonprofit Health Plan/Insurer Service Areas/Subsidiaries
2007-08 Enrollment ^ Webite/URL Address NCQA U.S. Ranking
& Ratings 2009-10 @
Directory of U.S. NONPROFIT Health Plan Organizations
Texas Children's Health Plan
Texas; contracted through federal Childrens Health Insurance Plan (CHIP) program
.2 mil. http://www.texaschildrenshealthplan.org/ NA
Scott and White Health Plan Serves the central Texas region .2 mil. http://www.sw.org/web/patie
ntsAndVisitors # 150 rank/81.7 score
MaineCare
Maine; MaineCare (formerly Medicaid in state) now has "Federal/State" program, which provides assistance to residents with their health care payments.
.2 mil.http://www.maine.gov/dhhs/OIAS/public-assistance/index.html
NA
Blue Cross and Blue Shield of Vermont Vermont .2 mil. http://www.bcbsvt.com/visitor
/index.html # 30 rank/86.2 score
McLaren Health Plan Region of central Michigan .2 mil. http://www.mclarenhealthpla
n.org/ NA
Neighborhood Health Plan, Inc. Massachusetts .2 mil. http://www.nhp.org/Pages/home.aspx # 50 rank/84.9 score
Fallon Community Health Plan Masachusetts .2 mil. http://www.fchp.org/ # 7 rank/88.0 score
HealthPlus of Michigan, Inc. Michigan .2 mil. http://www.healthplus.org/ # 33 rank/86.1 score
Family Health Partners Missouri, Kansas .2 mil. http://www.fhp.org/ NA
Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us
Page 9 of 21
Nonprofit Health Plan/Insurer Service Areas/Subsidiaries
2007-08 Enrollment ^ Webite/URL Address NCQA U.S. Ranking
& Ratings 2009-10 @
Directory of U.S. NONPROFIT Health Plan Organizations
Kaiser Foundation Health Plan of Hawaii (Kaiser Permanente) Hawaii 0.2
https://members.kaiserpermanente.org/kpweb/selectregion.do?gt=/kpweb/entryPage.
do%3Fcfe%3D478
General Under-65 Commercial Market # 86 rank/83.8 score;
Medicare # 14 rank/86.5 score;
Medicaid # 1 rank/89.4 score
The Health Plan of Upper-Ohio Valley (subsidiary of The Health Plan Co.)
Ohio and northern West Virgina .2 mil. http://www.healthplan.org/in
dex.php/home/our-products # 114 rank/82.5 score
PreferredOne Community Health Plan Minnesota .2 mil. http://www.preferredone.com # 134 rank/82.0 score
Health New England (owned by Baystate Health)
Western region of Massachussets (including Springfield region)
.1 mil. http://www.healthnewengland.com/Index.html # 8 rank/87.9 score
SummaCare Akron, OH, other regions of state .1 mil. http://www.summacare.com/ # 70 rank/84.2 score
Denver Health Medical Plan Serves the Denver, CO metro area .1 mil. http://www.denverhealth.org/
portal/ # 239 rank/61.7 score
Santa Clara Family Health PlanServes the Santa Clara County area, including San Jose, CA
.1 mil. http://www.scfhp.com/index.asp NA
Alameda Alliance for Health
Serves the Alameda county region, including the Oakland, CA metropolitcan area.
.1 mil. http://alamedaalliance.org/ NA
SelectHealth of South Carolina
South Carolina; Medicaid-managed plans First Choice (adults) and First Choice Kids
.1 mil. http://www.selecthealthofsc.com/ NA
Health Partners of Philadelphia Phiadelphia, PA metropolitan area .1 mil. http://www.healthpart.com/ NA
Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us
Page 10 of 21
Nonprofit Health Plan/Insurer Service Areas/Subsidiaries
2007-08 Enrollment ^ Webite/URL Address NCQA U.S. Ranking
& Ratings 2009-10 @
Directory of U.S. NONPROFIT Health Plan Organizations
Security Health Plan of Wisconsin, Inc. Wisconsin .1 mil. http://www.securityhealth.org
/visitors/pages/index.aspx # 37 rank/85.9 score
Community First Health Plans, Inc. South Texas region .1 mil. http://www.cfhp.com/ Not Reported
Parkland Community Health Plan Dallas, TX metropolitan area .1 mil. http://www.parklandhmo.co
m/ NA
Community Health Choice, Inc. Serving the Texas Gulf region .1 mil. http://www.communityhealth
choice.org/en/main.htm NA
Ucare Minnesota, western Wisconsin .1 mil. http://www.ucare.org/Pages/
default.aspx # 86 rank/71.8 score
Capital Health Plan, Inc. Serving the Tallahassee, FL metro region .1 mil. http://capitalhealth.com/ # 5 rank/89.0 score
Priority Partners
Maryland; affiliated with John Hopkins Medical Center and contracted for state Medicaid services for low-income residents
.1 mil. http://www.hopkinsmedicine.org/priority_partners NA
Kaiser Foundaton Health Plan of Ohio Ohio .1 mil.
https://members.kaiserpermanente.org/kpweb/selectregion.do?gt=/kpweb/entryPage.do%3Fcfe%3D478
# 123 rank/82.2 score
Kern Health Systems, Inc.Serves Kern country region of California, including Bakersfield
.1 mil. http://www.kernhealthsystems.com/ NA
Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us
Page 11 of 21
Nonprofit Health Plan/Insurer Service Areas/Subsidiaries
2007-08 Enrollment ^ Webite/URL Address NCQA U.S. Ranking
& Ratings 2009-10 @
Directory of U.S. NONPROFIT Health Plan Organizations
SCAN Health Plan
Serves Southern and North California regions and Phoenix, AZ metropolitan area; carries contract with Medicare Advantage Prescription Drug program (MA-PD) to provide enhanced "Social Managed Care Plan" services to Senior Citizens
.1 mil. http://www.scanhealthplan.org/
Classic/Options/SNP plans #131 rank/65.2 score; Legacy plan # 132 rank/65.2 score
CareOregon
Oregon; a managed care plan contracted through Medicaid for low-income Americans
.1 mil. http://www.careoregon.org/ NA
Network Health
Massachusetts; comprehensive health care coverage to more than 150,000 residents who qualify for MassHealth and Commonwealth Care in more than 300 cities and towns across Massachusetts.
.1 mil. http://www.network-health.org/ NA
University Physicians Healthcare
Arizona; affiliated with The Unversity of Arizona Medical Center, serving low-income Medicaid-eligible residents.
.1 mil. http://www.uph.org/ NA
AmeriHealth Mercy
Northeastern areas of Pennsylvania; a Medical Assistance (Medicaid) managed care health plan serving more than 100,000 Medical Assistance recipients.
.1 mil. http://www.amerihealthmercyhp.com/ NA
Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us
Page 12 of 21
Nonprofit Health Plan/Insurer Service Areas/Subsidiaries
2007-08 Enrollment ^ Webite/URL Address NCQA U.S. Ranking
& Ratings 2009-10 @
Directory of U.S. NONPROFIT Health Plan Organizations
Western Health Advantage
Servicing the Northern California region including the following counties: Sacramento, Yolo, Solano, Western El Dorado, Western Placer.
.1 mil. http://www.westernhealth.com # 133 rank/82.0 score
Group Health Cooperative of Eau Claire
Serving the Eau Claire and western Wisconsin region.
.1 mil. https://www.group-health.com/default.aspx # 215 rank/71.5 score
Physicians Plus Insurance Corporation (owned by Meriter Health Services)
Serving the south-central region of Wisconsin .1 mil. http://www.pplusic.com/ Not Reported
Unity Health Insurance (owned by University of Wisconsin Health)
Southern and central regions Wisconsin (about 15 counties total)
.09 mil. http://www.unityhealth.com # 44 rank/85.3 score
Gundersen Lutheran Health Plan (subsidiary of Gundersen Lutheran Health System)
Iowa and Wisconsin .09 mil. http://www.glhealthplan.org/ # 220 rank/70.2 score
Martin's Point Healthcare
Primary Care Services to patients in Portland, Maine and Brunswick, Maine, and Portsmouth, New Hampshire;a U.S. military-based TRICARE Prime plan that serves beneficiaries through a network of providers in Maine, New Hampshire, Vermont, and northeastern New York.
.08 mil. http://www.martinspoint.org # 216 rank/74.4 score
Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us
Page 13 of 21
Nonprofit Health Plan/Insurer Service Areas/Subsidiaries
2007-08 Enrollment ^ Webite/URL Address NCQA U.S. Ranking
& Ratings 2009-10 @
Directory of U.S. NONPROFIT Health Plan Organizations
CenCal Health
Serves the central California region and Santa Barbara and San Luis Obispo counties.
.08 mil. http://www.cencalhealth.org/ NA
Neighborhood Health Plan of Rhode Island
Rhode Island: a Medicaid managed care program. .08 mil. http://www.nhpri.org/matriarc
h/default.asp NA
Contra Costa Health ServicesServes the Northern California area of Contra Costa County.
.07 mil. http://www.cchealth.org/health_plan/ Not Reported
Health Plan of San MateoServes the Northern California area of San Mateo County.
.06 mil. http://www.hpsm.org/ # 160 rank/60.1 score
San Francisco Health Plan San Francisco, CA metro area .06 mil. http://www.sfhp.org/ NA
Total Health Care, Inc. Detroit, MI area. .06 mil. http://www.mi.thconline.us/DesktopDefault.aspx # 196 rank/79.5 score
New West Health Services
Montana’s provider-sponsored health plan, with headquarters in Helena, operations center in Kalispell and regional offices in Billings and Missoula.
.04 mil. http://www.newwesthealth.com/ Not Reported
MercyCare Health Plans (subsidiary of Mercy Health System)
Serving southern Wisconsin and northern Illinois region.
.03 mil. http://www.mercycarehealthplans.com/ # 106 rank/82.9 score
Grand Valley Health PlanMichigan; Grand Rapids and sorrounding Grand Valley area.
NA http://www.gvhp.com # 4 rank/89.4 score
Group Health Cooperative of South Central Wisconsin (GHC-SCW)
Provides entire spectrum of managed care health care services, including insurance, Primary Care and Specialty Care to Dane County (including Madison, WI) residents.
NA https://ghcscw.com/index.asp # 10 rank/87.6 score
Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us
Page 14 of 21
Nonprofit Health Plan/Insurer Service Areas/Subsidiaries
2007-08 Enrollment ^ Webite/URL Address NCQA U.S. Ranking
& Ratings 2009-10 @
Directory of U.S. NONPROFIT Health Plan Organizations
Physicians Health Plan of Mid-Michigan (Sparrow Health Network)
Central Michigan region. NA http://www.phpmm.org # 40 rank/85.7 score
MVP Health Care Rochester, NY area NA http://www.mvphealthcare.com #41 rank/85.6 score
Keystone Health Plan West (owned by Highmark BC/BS)
Offered under KeystoneBlue HMO plans, serving the western and eastern areas of Pennsylvania including Pittsburgh and Philadelphia)
NA http://www.highmarkbcbs.com # 47 rank/85.1 score
Network Health Plan (owned by Affinity Health System) Wisconsin NA http://www.networkhealth.co
m #48 rank/85.1 score
Dean Health Plan (physician owned and operated in partnership with Sister St. Mary Health System)
Wisconsin NA http://www.deancare.com # 49 rank/85.0 score
HealthNow New York (affiliated with Blue Cross/Blue Shield of Western New York)
Serves western New York including Buffalo area. NA http://www.healthnowny.com # 54 rank/84.8 score
Univera Healthcare (owned by Lifetime Healthcare Companies)
Upstate western New York NA https://www.univerahealthcar
e.com/wps/portal/uv # 58 rank/84.6 score
Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us
Page 15 of 21
Nonprofit Health Plan/Insurer Service Areas/Subsidiaries
2007-08 Enrollment ^ Webite/URL Address NCQA U.S. Ranking
& Ratings 2009-10 @
Directory of U.S. NONPROFIT Health Plan Organizations
Health First Health Plans
Provides care services through three nonprofit hospials in Florida's central Atlantic region (Space Coast) in Brevard County — Cape Canaveral Hospital in Cocoa Beach, Holmes Regional Medical Center in Melbourne, and Palm Bay Hospital in Palm Bay, and Viera Hospital in Viera.
NA http://www.health-first.org # 60 rank/84.6 score
Keystone Health Plan Central (owned by Capital Blue Cross)
Central Pennsylvania and Lehigh Valley regions (including Harrisburg, PA)
NA http://www.capbluecross.com # 64 rank/84.5 score
The Vermont Health Plan (owned by Blue Cross Blue Shield of Vermont)
Vermont. Small group employers, those with less than 50 employees, may directly purchase TVHP health plans as community-rated groups.
NA
http://www.bcbsvt.com/broker/ProductDescriptions/small_group_health_plans/index.html
# 65 rank/84.5 score
Capital Advantage Insurance Company (owned by Capital Blue Cross of Pennsylvania)
Short-term major medical coverage plan, serving the central Pennsylvania and Lehigh Valley region (including Harrisburg, PA).
NA http://www.capbluecross.com # 66 rank/84.4 score
Keystone Health Plan East (owned by Independence Blue Cross)
Serving eastern & southwestern Pennsylvania
NA http://www.ibx.com/health_plans/individual/hmo.html # 77 rank/83.9 score
BlueChoice South Carolina South Carolina NAhttp://www.bluechoicesc.com/visitors/aboutus/news.asp
x?article_id=104# 101 rank/83.1 score
BlueCross BlueShield of Delaware (pending affiliation with Highmark)
Delaware NA http://www.bcbsde.com/Home_Sitemap.htm # 111 rank/82.6 score
Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us
Page 16 of 21
Nonprofit Health Plan/Insurer Service Areas/Subsidiaries
2007-08 Enrollment ^ Webite/URL Address NCQA U.S. Ranking
& Ratings 2009-10 @
Directory of U.S. NONPROFIT Health Plan Organizations
Advantage Health Solutions (owned by four Catholic hospital systems in Indiana)
Indiana, servicing small- to larger-employer group plans throughout the state.
NA http://www.advantageplan.com # 140 rank/81.8 score
St. Mary's Healthfirst Plan (owned by Catholic Healthcare West)
Nevada NA http://www.saintmaryshealthplans.com/ # 209 rank/77.6 score
Sanford Health Plan (North) Iowa, North Dakota NA http://north.sanfordhealth.org/index.aspx # 222 rank/68.1 score
Sanford Health Plan of Minnesota (South)
Minnesota, South Dakota, Nebraska NA http://south.sanfordhealth.or
g/ # 223 rank/68.1 score
Florida Heath Care Plans (a subsidiary of Blue Cross Blue Shield of Florida)
Florida NA http://www.fhcp.com/ # 225 rank/67.8 score
Welborn Health Plans and Health Care Solutions
Evansville and surrounding southeastern Indiana communities
NA http://www.welbornhealthplans.com/ # 227 rank/67.1 score
Ventura County Health Care Plan
Ventura County, California, serving only county employees and their dependents
NA http://www.vchealthcareplan.org/ # 238 rank/62.9 score
HomeFirst
5 boroughs of New York City; a unit of the Metropolitan Jewish Health System, which is contracted with New York State Medicaid program.
NA
http://www.metropolitan.org/index.php?option=com_content&task=view&id=27&Itemid=92§ion=medicaid
NA
Children's Community Health Plan Wisconsin NA
http://www.childrenschp.com/display/PPF/DocID/33909/router.asp
NA
Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us
Page 17 of 21
Nonprofit Health Plan/Insurer Service Areas/Subsidiaries
2007-08 Enrollment ^ Webite/URL Address NCQA U.S. Ranking
& Ratings 2009-10 @
Directory of U.S. NONPROFIT Health Plan Organizations
Health Advantage - Arkansas (subsidiary of Arkansas Blue Cross Blue Shield and Baptist Health HMO, Inc.)
Arkansas, offering such plans as BlueChoice® POS, Health Advantage HMO and Open Access POS.
NAhttps://secure.healthadvantage-hmo.com/provider_directory/
Insufficient Data
Virginia Premier Health Plan, Inc.
Virginia; a Medicaid managed care plan operating in over 80 counties in central, eastern, western and southwestern Virginia.
NA http://www.vapremier.com/ NA
Cook's Children's Health Care System Ft. Worth, TX NA https://www.cookchildrens.or
g/Pages/default.aspx NA
JMH Health Plan (subsidiary of Jackson Memorial Hospital)
Florida, serving Miami and the surrounding Broward and Dade counties.
NA http://www.jmhhp.com/ Insufficient Data
CommunityCare Managed Healthcare Plans of Oklahoma Oklahoma NA http://www.ccok.com/index.a
sp Not Reported
VNS Choice
New York City: a Medicare Advantage plan and Medicaid Long Term Care plans available to Senior Citizens and under-65 adult consumers, respectively.
NA http://2010.vnschoice.org/what-is-vns-choice/ Insufficient Data
Univera Healthcare (owned by Lifetime Healthcare Companies)
Upstate western New York NA https://www.univerahealthcar
e.com/wps/portal/uv # 58 rank/84.6 score
Athens Area Health Plan Select (subsidiary of Athens Regional Medical Center)
Northeastern region of Georgia, including Athens regional area.
NA http://www.aahps.com/ Not Reported
Sharp Health PlanServing the San Diego, California metropolitan area.
NA http://www.sharphealthplan.com/ Not Reported
Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us
Page 18 of 21
Nonprofit Health Plan/Insurer Service Areas/Subsidiaries
2007-08 Enrollment ^ Webite/URL Address NCQA U.S. Ranking
& Ratings 2009-10 @
Directory of U.S. NONPROFIT Health Plan Organizations
WINhealth Partners Wyoming NA http://www.winhealthpartners.org/ Not Reported
Total Care
Upstate northeastern New York, including in Onondaga, Oswego, Tompkins and Cortland counties; a Medicaid Managed Care Plan.
NA http://www.totalcareny.com/ NA
Community Health PlanNorthwestern area of Missouri and northeastern parts of Kansas.
NA http://www.mychp.com/ Not Reported
Cox Health Systems HMOSouthwestern region of Missouri, including Springfield area.
NA http://www.coxhealthplans.com/ Not Reported
Bluegrasss Family Health (BFH)
Kentucky, southern Indiana (Clark, Crawford, Floyd, Harrison, Jefferson, Orange, Scott and Washington) and the metropolitan areas of Nashville and Knoxville, Tennessee.
NA http://www.bgfh.com/ Not Reported
Total Health Choice (subsidiary of Total Health Care Inc.) Florida NA http://www.fl.thconline.us/De
sktopDefault.aspx Not Reported
Monroe Plan for Medical Care
Upstate New York region; a Medicaid-managed plan, with offices in Rochester, Buffalo, Geneva and Binghamton.
NA http://www.monroeplan.com/ NA
Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us
Page 19 of 21
Nonprofit Health Plan/Insurer Service Areas/Subsidiaries
2007-08 Enrollment ^ Webite/URL Address NCQA U.S. Ranking
& Ratings 2009-10 @
Directory of U.S. NONPROFIT Health Plan Organizations
BlueCross BlueShield of Texas (subsidiary of Health Care Service Corporation)
Texas NA http://www.bcbstx.com/ Not Reported
BlueCross BlueShield of Oklahoma/BlueLines HMO (subsidiary of Health Care Service Corporation)
Oklahoma NA http://www.bcbsok.com/index.html Not Reported
Hudson Health Plan Hudson Valley area of New York. NA http://www.hudsonhealthplan
.org/ NA
Elderplan
5 boroughs of New York City; a special-classification "Social Managed Care Plan" under the Medicare Advantage Prescription Drug (MA-PD) program for Senior Citizens.
NA http://www.elderplan.org/ Insufficient Data
Physicians Health Plan of Northern Indiana
Serving the northern Indiana region. NA http://www.phpni.com/ Not Reported
Affiinity Health Plan New York City NA https://www.affinityplan.org/ Insufficient Data
Metropolitan Health Plans
Minnesota; affiliated with Hennepin County government based out Minneapolis.
NA http://www.mhp4life.org/ NA
Chidren's Mercy Health Partners
Kansas, Missouri; under contract with federal Children's Health Insurance Program (CHIP).
NA http://www.fhp.org/ NA
Healthcare Services for Children with Special Needs District of Columbia NA http://www.hscsn-net.org/ NA
Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us
Page 20 of 21
Nonprofit Health Plan/Insurer Service Areas/Subsidiaries
2007-08 Enrollment ^ Webite/URL Address NCQA U.S. Ranking
& Ratings 2009-10 @
Directory of U.S. NONPROFIT Health Plan Organizations
Carolina Care Plan (owned Medical Mutual of Ohio) South Carolina NA http://www.carolinacareplan.
com/default.aspx Not Reported
HealthPlus of Lousiana (owned by Willis-Knighton Health System)
Louisiana NA http://www.wkhealthplus.com/ Not Reported
Health Tradition Health Plan (owned by Mayo Health System) Wisconsin NA http://www.healthtradition.co
m/ Not Reported
HealthRight Inc. District of Columbia NA http://www.healthright-dc.com/ NA
Hometown Health Northern areas of Nevada NA http://www.hometownhealth.com/ Not Reported
Community Health Network of Connecticut, Inc. Connecticut NA http://www.chnct.org/ NA
FirstCarolinaCare Heath Plan (owned by FirstHealth of the Carolinas)
North Carolina NA http://www.firstcarolinacare.com/ Not Reported
KPS Health Plans (owned by Group Health Cooperative) Washington state NA http://www.kpshealthplans.c
om/index.shtml Not Reported
FirstCare Health Plans (owned by SHA LLC) Texas NA http://www.firstcare.com/ Not Reported
Valley Baptist Insurance (HMO)
Rio Grande region of southern Texas including Harlingen.
NA http://www.valleybaptisthealthplans.com/ Not Reported
Commonwealth Care Alliance Massachusetts NA http://www.commonwealthcare.org/ Insufficient Data
Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us
Page 21 of 21
Nonprofit Health Plan/Insurer Service Areas/Subsidiaries
2007-08 Enrollment ^ Webite/URL Address NCQA U.S. Ranking
& Ratings 2009-10 @
Directory of U.S. NONPROFIT Health Plan Organizations
U.S. Family Health Plan
Serving active-duty U.S. military and family dependent through TRICARE program in MD, WA, PA, DC, VA, WVA, DE, VT, NY, MA, NJ, CT and TX.
NA http://usfhp.com/Default.aspx Not Reported
Colorado Access Colorado NA https://www.coaccess.com/ # 156 rank/62.7 score
Total State/Community Nonprofit Health Plans
Over 180 Health Care Plans (primary, secondary, subsidiary and affiliated) in 49 states
97.9 mil.
ANY OTHER FORM OF RE-DISTRIBUTION AND REPRODUCTION OF THIS DIRECTORY IS PROHIBITED, UNLESS IT IS DONEUNDER WRITTEN REQUEST AND RECEIVES THE EXPRESS WRITTEN CONSENT/APPROVAL OF ANHPIE AND ITS SENIOREXECUTIVES.
Color-coded: Ranked as Medicare-based health plan by NCQA.
Notes: ^ Enrollment numbers rounded off to next number above 50,000 in first five digits; @ Rankings and scoring for "Commercial Health Plans"(excluding "For-Profit" health plans for this directory) compiled by the National Committee for Quality Assurance (NCQA) annual survey ofpatients/customers and published by U.S. News & World Report (November 11, 2009) at http://health.usnews.com/health-plans — an explanation oftheir research methodology is included on their website. Since this directory attempted to be a broader compilation of "Nonprofit Community HealthPlans" from across the U.S., there were some Medicaid- and Medicare-only plans that were included — ANHPIE expects to compile separateMedicaid- and Medicare-only directories in the near future. NA: not available or not applicable. Insufficient Data: NCQA listed this for health plansthat lacked enough respondent survey responses in such areas as getting care, satisfaction with physicians, customer service, and processingclaims. Not Reported: Certain health plans did not provide patient/claims data to NCQA and did not participate in the ranking survey.
Color-coded: Ranked as Medicaid-based health plan by NCQA.
Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us
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