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 Away!

of 21

Directory of U.S. NONPROFIT Health Plan Organizations

Service 2007-08 NCQA U.S. Ranking
Nonprofit Health Plan/Insurer Webite/URL Address
Areas/Subsidiaries Enrollment ^ & Ratings 2009-10 @

Blue Cross Blue Shield
nonprofit franchises in http://www.hcsc.com/about- Refer to individual state
Health Care Service Corporation 12.4 mil.
Illinois, New Mexico, hcsc/about-hcsc.html plans in the directory.
Oklahoma and Texas

https://members.kaiserperm
CA, CO, DC, GA, HI, MD, anente.org:443/kpweb/select Refer to individual state
Kaiser Permanente 8.8 mil.
OH, OR, VA, WA region.do?gt=/kpweb/entryP plans in the directory.
age.do%3Fcfe%3D478

Blue Cross Blue Shield of Illinois Illinois, offering "HMO
(owned by Health Care Service Advantage" and "Blue 6.5 mil. http://www.bcbsil.com/ # 181 rank/80.8 score
Corporation) Advantage" HMO plans.

Blue Cross Blue Shield in
https://www.highmark.com/h Refer to individual state
Highmark Inc. Pennsylvania, West 4.8 mil.
mk2/companies/index.shtml plans in the directory.
Virginia, Delaware

Blue Cross Blue Shield of
Michigan 4.6 mil. http://www.bcbsm.com/ NA
Michigan

Blue Cross Blue Shield of Alabama Child Caring
3.6 mil. http://www.bcbsal.org NA
Alabama Foundation (ACCF)

Serving eastern &
Refer to individual state
Independence Blue Cross southwestern 3.4 mil. http://www.ibx.com
plans in the directory.
Pennsylvania
Kaiser Foundation Health Plan of
Southern California
Southern California (part of 3.3 mil. http://www.kp.org # 71 rank/84.1 score
region.
Kaiser Permanente)
http://www.horizon-
Horizon Blue Cross Blue Shield New Jersey 3.3 mil. # 144 rank/81.8 score
bcbsnj.com/members.html
anente.org/kpweb/selectregi
Northern California (Kaiser Northern California region 3.2 mil. # 32 rank/86.2 score
on.do?gt=/kpweb/entryPage.
Permanente)
do%3Fcfe%3D478

Blue Cross and Blue Shield of Florida; Health Options, http://www3.bcbsfl.com/wps/ Health Options: # 131
3.1 mil.
Florida, Inc. Inc., Florida Health Plans portal/bcbsfl rank/82.0 score

Medical Mutual of Ohio Ohio 3.0 mil. http://www.medmutual.com # 117 rank/82.5 score

Copyright (C) 2010, Americans for a Nonprofit Health Plan Insurance Exchange (ANHPIE), http://www.CitizensHealthExchange.us

of 21



Blue Cross Blue Shield
Regence (Oregon and
http://www.regence.com/abo Refer to individual state
The Regence Group Utah); Blue Cross 2.9 mil.
ut/service-areas.jsp plans in the directory.
Regence (Washington,
Idaho)
http://www.bluecrossmn.com
/bc/wcs/groups/bcbsmn/@m
Minnesota 2.9 mil. bc_bluecrossmn/documents/ Insufficient Data
Minnesota
public/mbc1_home_index.hc
sp
Tennesee 2.8 mil. http://www.bcbst.com/ NA
Tennessee
Blue Cross Blue Sheild of North
North Carolina 2.7 mil. http://www.bcbsnc.com/ NA
Carolina

California (not affiliated
with the for-profit Anthem
Blue Shield of California 2.6 mil. http://www.blueshieldca.com NA
Blue Cross of California
franchise in the state)

Wellmark Blue Cross Blue
Iowa: # 63 rank/84.5
Wellmark, Inc. Shield (Iowa, South 2.0 mil. http://www.wellmark.com
score
Dakota)

Rochester, Buffalo,
Lifetime Healthcare Companies
upsate New York service 1.9 mil. http://www.lifetimehealth.org/ NA
(New York)
areas

Paramount Health Care
Serving northern Ohio http://www.paramounthealth
(subsidiary of ProMedica Health 1.8 mil. # 80 rank/83.9 score
region care.com
System)

New York state (including
Excellus Blue Cross/Blue Shield 1.7 mil. http://www.excellusbcbs.com # 26 rank/86.3 score
NYC)
Alaska and Washington https://www.premera.com/st
Premera Blue Cross state, excluding Clark 1.7 mil. ellent/groups/public/docume NA
County nts/xcpproject/home.asp
Minnesota, Wisconsin,
Medica Health Plans North Dakota and South 1.4 mil. http://www.medica.com # 79 rank/83.9 score
Dakota
Arizona 1.2 mil. http://www.azblue.com/ NA
Arizona


of 21



CareFirst Blue Cross Blue
CareFirst BlueChoice (subsidiary
Shield (Maryland, District http://www.carefirst.com/mai
of CareFirst Blue Cross Blue 1.2 mil. # 132 rank/82.0 score
of Columbia and parts of n/html/HomePage.html
Shield)
northern Virginia
California, Florida,
Michigan, Missouri, New http://www.molinahealthcare.
Molina Healthcare 1.2 mil. Not Reported
Mexico, Ohio, Texas, com
Utah, and Washington
# 1 rank/91.1 score (in
Massachusetts, Maine, http://www.harvardpilgrim.or Mass.& Maine); and #
Harvard Pilgrim Health Care, Inc. 1.1 mil.
New Hamphire g 2 rank/90.2 (in New
Hampshire)

Blue Cross Blue Shield of http://www.bcbsla.com/web/
Louisiana 1.1 mil. NA
Louisiana RedDotCM/html/default.asp

Blue Cross Blue Shield of Massachusetts, New https://www.bluecrossma.co
1.0 mil. # 12 rank/87.3 score
Massachusetts Hampshire, Maine m/
Serves central
http://www.capbluecross.co
Capital Blue Cross Pennsylvania and Lehigh 1.0 mil. # 66 rank/84.4 score
m
Valley area.
Serves only Los Angeles
L.A. Care Health Plan .8 mil. http://lacareplan.org/ # 66 rank/70.2 score
County residents
New York state, New http://www.mvphealthcare.co
MVP Health Care Preferred Care .8 mil # 36 rank/86.0 score
Hampshire, Vermont m

Serves residents of
Massachusetts and
http://www.tuftshealthplan.co
Tufts Health Plan Rhode Island through 90 .7 mil. # 3 rank/89.9 score
m
hospitals and 25,000
clinicians.

Headquartered in
Albuquerque, New
Mexico, PHS operates 7
Presbyterian Healthcare hospitals and provides
.7 mil. http://www.phs.org # 145 rank/81.8 score
Services hospital, physician,
caregiver and insurance
plans to more than
700,000 state residents.


of 21



Blue Cross and Blue Shield of https://www.bcbsne.com/Def
Nebraska .7 mil. NA
Nebraska ault.aspx

Blue Cross Blue Shield of South http://southcarolinablues.co
South Carolina .7 mil. NA
Carolina m/

Hawaii Medical Service Blue Cross Blue Shield
.7 mil. http://www.hmsa.com/ # 146 rank/81.8 score
Association licensee in Hawaii

Blue Cross and Blue Shield of
Kansas .7 mil. http://www.bcbsks.com/ NA
Kansas
Alaska, California,
http://www2.providence.org/
Providence Health Plan Montana Oregon, .7 mil. # 224 rank/67.8 score
Pages/default.aspx
Washingon state

HealthPartners, Inc. Minnesota .7 mil. http://www.healthpartners.co # 25 rank/86.6 score
m
http://www.caresourceinc.co
CareSource, Inc. Connecticut .6 mil. NA
m
Blue Cross & Blue Shield of
Rhode Island .6 mil. http://www.bcbsri.com # 35 rank/86.0 score
Rhode Island

Blue Care Network of Michigan
(a subsidiary of Blue Cross Blue Michigan .6 mil. http://mibcn.com # 62 rank/84.5 score
Shield of Michigan)

PPO: # 76 rank/84.1
Group Health Cooperative Washington state, Idaho .6 mil. http://www.ghc.org score;HMO/POS plan #
226 rank/67.4 score

https://securews.bcbswny.co
BlueCross BlueShield of Western areas of upstate
.6 mil. m/wps/portal/wny/WNYHom NA
Western New York New York
e

Northeastern areas of
upstate New York
BlueCross BlueShield of
(included with BlueCross NA http://bsneny.com/ NA
Northeastern New York
BlueShield Western NY
enrollment total)


of 21



First Priority Health (HMO
operated by Blue Cross Blue Northeast region of
.6 mil. http://www.bcnepa.com # 141 rank/81.2 score
Shield of Northeastern Pennsylvania
Pennsylvania and Highmark)

Kaiser Foundation Health Plan of anente.org/kpweb/selectregi
Colorado .5 mil. # 13 rank/87.2 score
Colorado on.do?gt=/kpweb/entryPage.
do%3Fcfe%3D478

District of Columbia, anente.org:443/kpweb/select
the Mid-Atlantic States (Kaiser .5 mil. # 81 rank/83.8 score
Maryland, Virginia region.do?gt=/kpweb/entryP
Permanente)
age.do%3Fcfe%3D478

32 counties in greater
Blue Cross and Blue Shield of Kansas City and
http://www.bluekc.com/Hom
Kansas City (aka Good Health northwest Missouri and .5 mil. # 88 rank/83.7 score
e.aspx
Plan HMO) Johnson and Wyandotte
counties in Kansas

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

Pittsburgh, southeast http://www.upmchealthplan.c
UPMC Health Plan, Inc. .5 mil. # 34 rank/86.0 score
Pennsylvania om
Kaiser Foundation Health Plan of Oregon, Washington
.5 mil. http://www.kp.org # 46 rank/85.2 score
the Northwest state.

Priority Health Michigan .4 mil. http://www.priorityhealth.com # 22 rank/86.9 score

Capital District Physicians New York state and # 14-15 rank/87.1
.4 mil. http://www.cdphp.com/
Health Plan (CDPHP) Vermont score @
Blue Cross Blue Shield of North
North Dakota .4 mil. http://www.bcbsnd.com/ NA
Dakota

Optima Health (owned by
Virginia .4 mil. http://www.optimahealth.com # 57 rank/84.7 score
Sentara Health System)


of 21



Serving the central,
Health Alliance Medical Plans,
southern and western
Inc. (owned by Carle Foundation .3 mil. https://healthalliance.org/ # 18 rank/87.0 score
regions of Illinois western
Hospitals)
Indiana; and central Iowa.

WPS Health Plan (part of
Wisconsin .3 mil. http://www.wpsic.com/ # 69 rank/84.2 score
Wisconsin Physicians Service)

Kaiser Foundation Health Plan of anente.org:443/kpweb/select
Georgia .3 mil. # 84 rank/83.8 score
Georgia (Kaiser Permanente) region.do?gt=/kpweb/entryP
age.do%3Fcfe%3D478
Florida: doctor-owned
physician centers that
http://www.prestigehealthcho
provide access to
Prestige Health Choice .3 mil. ice.com/prestigehealthchoic NA
comprehensive medical
e.htm
services for Florida
Medicaid enrollees

HealthFirst New Jersey New Jersey .3 mil. http://www.healthfirstnj.com NA

Serves the Orange
County area of Southern
California in joint
CalOptima .3 mil. http://www.caloptima.org/ Not Reported
partneship with the
federal/state-funded Medi-
cal system
Western upsate New
Independent Health Association, York, including Buffalo http://www.independenthealt
.3 mil. # 31 rank/86.2 score
Inc. region, and other parts of h.com
U.S.
San Bernadino, Riverside
Inland Empire Health Plan counties of Southern .3 mil. http://ww2.iehp.org/iehp # 62 rank/72.9 score
California

Blue Cross Blue Shield of New
http://www.bcbsnm.com/inde
Mexico (owned by Health Care New Mexico .3 mil. # 200 rank/79.0 score
x.html
Service Corp.)

https://www.bcidaho.com/ind
Blue Cross of Idaho Idaho .3 mil. NA
ex.asp


of 21



Medicare Plans for Senior
residents of Maricopa, http://www.mercycareplan.co
Mercy Care Plan .3 mil. Not Reported
Pima and Santa Cruz m/
counties in Arizona

http://www.mdwise.org/index
MDWise Indiana .3 mil. Not Reported
.html

Fidelis Care New York New York state and city .3 mil. http://www.fideliscare.org/ Not Reported

Blue Cross and Blue Shield of http://bcbsmt.com/Pages/glo
Montana .3 mil. Not Reported
Montana balhome.aspx

4 boroughs of New York:
MetroPlus Health Plan, Inc. Manhattan, Brooklyn, the .3 mil. http://www.metroplus.org/ NA
Bronx and Queens

Services the northeastern
Blue Cross of Northeastern
and north central .2 mil. http://www.bcnepa.com/ NA
Pennsylvania
Pennsylvania regions

Community Health Plan of
Washington state .2 mil. http://www.chpw.org/ Insufficient Data
Washington

Serves residents of
AultCare Health Plus .2 mil. http://www.aultcare.com/ # 219 rank/70.8 score
Canton, Ohio

AvMed Health Plans (owned by
Florida .2 mil. http://www.avmed.org/ # 161 rank/81.5 score
SantaFe Healthcare Inc.)

Boston Medical Center http://www.bmchp.org/pages
Boston, MA region .2 mil. # 2 rank/89.3 score
HealthNet Plus /home.aspx

42 counties throughout
http://www.thehealthplan.co
Geisinger Health Plan central and northeastern .2 mil. # 6 rank/88.6 score
m/
Pennsylvania

http://www.healthplus-
New York City and
Health Plus (PHSP), Inc. .2 mil. ny.org/en/index_ENG_HTML NA
Nassau County
.html

http://www.rmhp.org/index.a
Rocky Mountain Health Plans Colorado .2 mil. # 98 rank/68.0 score
spx


of 21



Texas; contracted through
federal Childrens Health http://www.texaschildrenshe
Texas Children's Health Plan .2 mil. NA
Insurance Plan (CHIP) althplan.org/
program

Serves the central Texas http://www.sw.org/web/patie
Scott and White Health Plan .2 mil. # 150 rank/81.7 score
region ntsAndVisitors

Maine; MaineCare
(formerly Medicaid in
state) now has http://www.maine.gov/dhhs/
MaineCare "Federal/State" program, .2 mil. OIAS/public- NA
which provides assistance assistance/index.html
to residents with their
health care payments.

Blue Cross and Blue Shield of http://www.bcbsvt.com/visitor
Vermont .2 mil. # 30 rank/86.2 score
Vermont /index.html

Region of central http://www.mclarenhealthpla
McLaren Health Plan .2 mil. NA
Michigan n.org/

http://www.nhp.org/Pages/ho
Neighborhood Health Plan, Inc. Massachusetts .2 mil. # 50 rank/84.9 score
me.aspx

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


of 21



General Under-65
Commercial Market #
86 rank/83.8 score;
Kaiser Foundation Health Plan of anente.org/kpweb/selectregi
Hawaii 0.2 Medicare # 14
Hawaii (Kaiser Permanente) on.do?gt=/kpweb/entryPage.
rank/86.5 score;
do%3Fcfe%3D478
Medicaid # 1 rank/89.4
score

The Health Plan of Upper-Ohio
Ohio and northern West http://www.healthplan.org/in
Valley (subsidiary of The Health .2 mil. # 114 rank/82.5 score
Virgina dex.php/home/our-products
Plan Co.)

PreferredOne Community Health
Minnesota .2 mil. http://www.preferredone.com # 134 rank/82.0 score
Plan

Western region of
Health New England (owned by http://www.healthnewenglan
Massachussets (including .1 mil. # 8 rank/87.9 score
Baystate Health) d.com/Index.html
Springfield region)

Akron, OH, other regions
SummaCare .1 mil. http://www.summacare.com/ # 70 rank/84.2 score
of state

Serves the Denver, CO http://www.denverhealth.org/
Denver Health Medical Plan .1 mil. # 239 rank/61.7 score
metro area portal/

Serves the Santa Clara
http://www.scfhp.com/index.
Santa Clara Family Health Plan County area, including .1 mil. NA
asp
San Jose, CA

Serves the Alameda
county region, including
Alameda Alliance for Health .1 mil. http://alamedaalliance.org/ NA
the Oakland, CA
metropolitcan area.

South Carolina; Medicaid-
managed plans First http://www.selecthealthofsc.
SelectHealth of South Carolina .1 mil. NA
Choice (adults) and First com/
Choice Kids

Phiadelphia, PA
Health Partners of Philadelphia .1 mil. http://www.healthpart.com/ NA
metropolitan area


of 21



Security Health Plan of http://www.securityhealth.org
Wisconsin .1 mil. # 37 rank/85.9 score
Wisconsin, Inc. /visitors/pages/index.aspx

Community First Health Plans,
South Texas region .1 mil. http://www.cfhp.com/ Not Reported
Inc.

Dallas, TX metropolitan http://www.parklandhmo.co
Parkland Community Health Plan .1 mil. NA
area m/
Serving the Texas Gulf http://www.communityhealth
Community Health Choice, Inc. .1 mil. NA
region choice.org/en/main.htm

Minnesota, western http://www.ucare.org/Pages/
Ucare .1 mil. # 86 rank/71.8 score
Wisconsin default.aspx

Serving the Tallahassee,
Capital Health Plan, Inc. .1 mil. http://capitalhealth.com/ # 5 rank/89.0 score
FL metro region

Maryland; affiliated with
John Hopkins Medical
http://www.hopkinsmedicine.
Priority Partners Center and contracted for .1 mil. NA
org/priority_partners
state Medicaid services
for low-income residents

Kaiser Foundaton Health Plan of anente.org/kpweb/selectregi
Ohio .1 mil. # 123 rank/82.2 score
Ohio on.do?gt=/kpweb/entryPage.
do%3Fcfe%3D478

Serves Kern country
http://www.kernhealthsystem
Kern Health Systems, Inc. region of California, .1 mil. NA
s.com/
including Bakersfield


of 21



Serves Southern and
North California regions
and Phoenix, AZ
metropolitan area; carries
Classic/Options/SNP
contract with Medicare
http://www.scanhealthplan.or plans #131 rank/65.2
SCAN Health Plan Advantage Prescription .1 mil.
g/ score; Legacy plan #
Drug program (MA-PD) to
132 rank/65.2 score
provide enhanced "Social
Managed Care Plan"
services to Senior
Citizens

Oregon; a managed care
plan contracted through
CareOregon .1 mil. http://www.careoregon.org/ NA
Medicaid for low-income
Americans

Massachusetts;
comprehensive health
care coverage to more
than 150,000 residents
who qualify for http://www.network-
Network Health .1 mil. NA
MassHealth and health.org/
Commonwealth Care in
more than 300 cities and
towns across
Massachusetts.
Arizona; affiliated with
The Unversity of Arizona
University Physicians Healthcare Medical Center, serving .1 mil. http://www.uph.org/ NA
low-income Medicaid-
eligible residents.

Northeastern areas of
Pennsylvania; a Medical
Assistance (Medicaid)
http://www.amerihealthmerc
AmeriHealth Mercy managed care health plan .1 mil. NA
yhp.com/
serving more than
100,000 Medical
Assistance recipients.


of 21



Servicing the Northern
California region including
the following counties: http://www.westernhealth.co
Western Health Advantage .1 mil. # 133 rank/82.0 score
Sacramento, Yolo, m
Solano, Western El
Dorado, Western Placer.

Serving the Eau Claire
Group Health Cooperative of Eau https://www.group-
and western Wisconsin .1 mil. # 215 rank/71.5 score
Claire health.com/default.aspx
region.

Physicians Plus Insurance
Serving the south-central
Corporation (owned by Meriter .1 mil. http://www.pplusic.com/ Not Reported
region of Wisconsin
Health Services)

Unity Health Insurance (owned Southern and central
by University of Wisconsin regions Wisconsin (about .09 mil. http://www.unityhealth.com # 44 rank/85.3 score
Health) 15 counties total)

Gundersen Lutheran Health Plan
(subsidiary of Gundersen Iowa and Wisconsin .09 mil. http://www.glhealthplan.org/ # 220 rank/70.2 score
Lutheran Health System)

Primary Care Services
to patients in Portland,
Maine and Brunswick,
Maine, and
Portsmouth, New
Hampshire;a U.S.
military-based
Martin's Point Healthcare TRICARE Prime plan .08 mil. http://www.martinspoint.org # 216 rank/74.4 score
that serves
beneficiaries through a
network of providers in
Maine, New
Hampshire, Vermont,
and northeastern New
York.


of 21



Serves the central
California region and
CenCal Health .08 mil. http://www.cencalhealth.org/ NA
Santa Barbara and San
Luis Obispo counties.

Neighborhood Health Plan of Rhode Island: a Medicaid http://www.nhpri.org/matriarc
.08 mil. NA
Rhode Island managed care program. h/default.asp

Serves the Northern
http://www.cchealth.org/healt
Contra Costa Health Services California area of Contra .07 mil. Not Reported
h_plan/
Costa County.

Serves the Northern
Health Plan of San Mateo California area of San .06 mil. http://www.hpsm.org/ # 160 rank/60.1 score
Mateo County.

San Francisco, CA metro
San Francisco Health Plan .06 mil. http://www.sfhp.org/ NA
area

http://www.mi.thconline.us/D
Total Health Care, Inc. Detroit, MI area. .06 mil. # 196 rank/79.5 score
esktopDefault.aspx

Montana’s provider-
sponsored health plan,
with headquarters in
http://www.newwesthealth.c
New West Health Services Helena, operations center .04 mil. Not Reported
om/
in Kalispell and regional
offices in Billings and
Missoula.

MercyCare Health Plans Serving southern
http://www.mercycarehealth
(subsidiary of Mercy Health Wisconsin and northern .03 mil. # 106 rank/82.9 score
plans.com/
System) Illinois region.

Michigan; Grand Rapids
Grand Valley Health Plan and sorrounding Grand NA http://www.gvhp.com # 4 rank/89.4 score
Valley area.

Provides entire spectrum
of managed care health
Group Health Cooperative of care services, including
https://ghcscw.com/index.as
South Central Wisconsin (GHC- insurance, Primary Care NA # 10 rank/87.6 score
p
SCW) and Specialty Care to
Dane County (including
Madison, WI) residents.


of 21



Physicians Health Plan of Mid-
Michigan (Sparrow Health Central Michigan region. NA http://www.phpmm.org # 40 rank/85.7 score
Network)

http://www.mvphealthcare.co
MVP Health Care Rochester, NY area NA #41 rank/85.6 score
m

Offered under
KeystoneBlue HMO
plans, serving the western
Keystone Health Plan West http://www.highmarkbcbs.co
and eastern areas of NA # 47 rank/85.1 score
(owned by Highmark BC/BS) m
Pennsylvania including
Pittsburgh and
Philadelphia)

Network Health Plan (owned by http://www.networkhealth.co
Wisconsin NA #48 rank/85.1 score
Affinity Health System) m

Dean Health Plan (physician
owned and operated in
Wisconsin NA http://www.deancare.com # 49 rank/85.0 score
partnership with Sister St. Mary
Health System)

HealthNow New York (affiliated
Serves western New York
with Blue Cross/Blue Shield of NA http://www.healthnowny.com # 54 rank/84.8 score
including Buffalo area.
Western New York)

Univera Healthcare (owned by Upstate western New https://www.univerahealthcar
NA # 58 rank/84.6 score
Lifetime Healthcare Companies) York e.com/wps/portal/uv


of 21



Provides care services
through three nonprofit
hospials in Florida's
central Atlantic region
(Space Coast) in Brevard
County — Cape
Health First Health Plans Canaveral Hospital in NA http://www.health-first.org # 60 rank/84.6 score
Cocoa Beach, Holmes
Regional Medical Center
in Melbourne, and Palm
Bay Hospital in Palm
Bay, and Viera Hospital in
Viera.

Central Pennsylvania and
Keystone Health Plan Central http://www.capbluecross.co
Lehigh Valley regions NA # 64 rank/84.5 score
(owned by Capital Blue Cross) m
(including Harrisburg, PA)

Vermont. Small group
employers, those with http://www.bcbsvt.com/broke
The Vermont Health Plan (owned
less than 50 employees, r/ProductDescriptions/small_
by Blue Cross Blue Shield of NA # 65 rank/84.5 score
may directly purchase group_health_plans/index.ht
Vermont)
TVHP health plans as ml
community-rated groups.

Short-term major medical
coverage plan, serving
Capital Advantage Insurance
the central Pennsylvania http://www.capbluecross.co
Company (owned by Capital NA # 66 rank/84.4 score
and Lehigh Valley region m
Blue Cross of Pennsylvania)
(including Harrisburg,
PA).

Keystone Health Plan East Serving eastern &
http://www.ibx.com/health_pl
(owned by Independence Blue southwestern NA # 77 rank/83.9 score
ans/individual/hmo.html
Cross) Pennsylvania

http://www.bluechoicesc.co
BlueChoice South Carolina South Carolina NA m/visitors/aboutus/news.asp # 101 rank/83.1 score
x?article_id=104

http://www.bcbsde.com/Hom
Delaware (pending affiliation Delaware NA # 111 rank/82.6 score
e_Sitemap.htm
with Highmark)


of 21



Indiana, servicing small-
Advantage Health Solutions
to larger-employer group http://www.advantageplan.co
(owned by four Catholic hospital NA # 140 rank/81.8 score
plans throughout the m
systems in Indiana)
state.

St. Mary's Healthfirst Plan
http://www.saintmaryshealth
(owned by Catholic Healthcare Nevada NA # 209 rank/77.6 score
plans.com/
West)

http://north.sanfordhealth.or
Sanford Health Plan (North) Iowa, North Dakota NA # 222 rank/68.1 score
g/index.aspx

Sanford Health Plan of Minnesota, South Dakota, http://south.sanfordhealth.or
Minnesota (South) Nebraska g/

Florida Heath Care Plans (a
subsidiary of Blue Cross Blue Florida NA http://www.fhcp.com/ # 225 rank/67.8 score
Shield of Florida)

Evansville and
Welborn Health Plans and Health http://www.welbornhealthpla
surrounding southeastern NA # 227 rank/67.1 score
Care Solutions ns.com/
Indiana communities

Ventura County,
California, serving only http://www.vchealthcareplan.
Ventura County Health Care Plan NA # 238 rank/62.9 score
county employees and org/
their dependents

5 boroughs of New York
City; a unit of the http://www.metropolitan.org/i
Metropolitan Jewish ndex.php?option=com_cont
HomeFirst NA NA
Health System, which is ent&task=view&id=27&Itemi
contracted with New York d=92&section=medicaid
State Medicaid program.

http://www.childrenschp.com
Children's Community Health
Wisconsin NA /display/PPF/DocID/33909/r NA
Plan
outer.asp


of 21



Arkansas, offering such
Health Advantage - Arkansas
plans as BlueChoice® https://secure.healthadvanta
(subsidiary of Arkansas Blue
POS, Health Advantage NA ge- Insufficient Data
Cross Blue Shield and Baptist
HMO and Open Access hmo.com/provider_directory/
Health HMO, Inc.)
POS.

Virginia; a Medicaid
managed care plan
operating in over 80
Virginia Premier Health Plan, Inc. NA http://www.vapremier.com/ NA
counties in central,
eastern, western and
southwestern Virginia.

Cook's Children's Health Care https://www.cookchildrens.or
Ft. Worth, TX NA NA
System g/Pages/default.aspx

Florida, serving Miami
JMH Health Plan (subsidiary of and the surrounding
NA http://www.jmhhp.com/ Insufficient Data
Jackson Memorial Hospital) Broward and Dade
counties.

CommunityCare Managed http://www.ccok.com/index.a
Oklahoma NA Not Reported
Healthcare Plans of Oklahoma sp

New York City: a
Medicare Advantage plan
and Medicaid Long Term
http://2010.vnschoice.org/wh
VNS Choice Care plans available to NA Insufficient Data
at-is-vns-choice/
Senior Citizens and under-
65 adult consumers,
respectively.

Univera Healthcare (owned by Upstate western New https://www.univerahealthcar
Lifetime Healthcare Companies) York e.com/wps/portal/uv

Athens Area Health Plan Select Northeastern region of
(subsidiary of Athens Regional Georgia, including Athens NA http://www.aahps.com/ Not Reported
Medical Center) regional area.

Serving the San Diego,
http://www.sharphealthplan.c
Sharp Health Plan California metropolitan NA Not Reported
om/
area.


of 21



http://www.winhealthpartners
WINhealth Partners Wyoming NA Not Reported
.org/

Upstate northeastern New
York, including in
Onondaga, Oswego,
Total Care NA http://www.totalcareny.com/ NA
Tompkins and Cortland
counties; a Medicaid
Managed Care Plan.

Northwestern area of
Community Health Plan Missouri and northeastern NA http://www.mychp.com/ Not Reported
parts of Kansas.

Southwestern region of
http://www.coxhealthplans.c
Cox Health Systems HMO Missouri, including NA Not Reported
om/
Springfield area.

Kentucky, southern
Indiana (Clark, Crawford,
Floyd, Harrison,
Jefferson, Orange, Scott
Bluegrasss Family Health (BFH) NA http://www.bgfh.com/ Not Reported
and Washington) and the
metropolitan areas of
Nashville and Knoxville,
Tennessee.

Total Health Choice (subsidiary http://www.fl.thconline.us/De
Florida NA Not Reported
of Total Health Care Inc.) sktopDefault.aspx

Upstate New York region;
a Medicaid-managed
Monroe Plan for Medical Care plan, with offices in NA http://www.monroeplan.com/ NA
Rochester, Buffalo,
Geneva and Binghamton.


of 21



BlueCross BlueShield of Texas
(subsidiary of Health Care Texas NA http://www.bcbstx.com/ Not Reported
Service Corporation)

Oklahoma/BlueLines HMO http://www.bcbsok.com/inde
Oklahoma NA Not Reported
(subsidiary of Health Care x.html
Service Corporation)

Hudson Valley area of http://www.hudsonhealthplan
Hudson Health Plan NA NA
New York. .org/

5 boroughs of New York
City; a special-
classification "Social
Managed Care Plan"
Elderplan NA http://www.elderplan.org/ Insufficient Data
under the Medicare
Advantage Prescription
Drug (MA-PD) program
for Senior Citizens.

Physicians Health Plan of Serving the northern
NA http://www.phpni.com/ Not Reported
Northern Indiana Indiana region.

Affiinity Health Plan New York City NA https://www.affinityplan.org/ Insufficient Data

Minnesota; affiliated with
Hennepin County
Metropolitan Health Plans NA http://www.mhp4life.org/ NA
government based out
Minneapolis.

Kansas, Missouri; under
contract with federal
Chidren's Mercy Health Partners Children's Health NA http://www.fhp.org/ NA
Insurance Program
(CHIP).

Healthcare Services for Children
District of Columbia NA http://www.hscsn-net.org/ NA
with Special Needs


of 21



Carolina Care Plan (owned http://www.carolinacareplan.
South Carolina NA Not Reported
Medical Mutual of Ohio) com/default.aspx

HealthPlus of Lousiana (owned
http://www.wkhealthplus.co
by Willis-Knighton Health Louisiana NA Not Reported
m/
System)

Health Tradition Health Plan http://www.healthtradition.co
Wisconsin NA Not Reported
(owned by Mayo Health System) m/

http://www.healthright-
HealthRight Inc. District of Columbia NA NA
dc.com/

http://www.hometownhealth.
Hometown Health Northern areas of Nevada NA Not Reported
com/

Community Health Network of
Connecticut NA http://www.chnct.org/ NA
Connecticut, Inc.

FirstCarolinaCare Heath Plan
http://www.firstcarolinacare.c
(owned by FirstHealth of the North Carolina NA Not Reported
om/
Carolinas)

KPS Health Plans (owned by http://www.kpshealthplans.c
Washington state NA Not Reported
Group Health Cooperative) om/index.shtml

FirstCare Health Plans (owned
Texas NA http://www.firstcare.com/ Not Reported
by SHA LLC)

Rio Grande region of
http://www.valleybaptisthealt
southern Texas including NA Not Reported
Valley Baptist Insurance (HMO) hplans.com/
Harlingen.

http://www.commonwealthca
Commonwealth Care Alliance Massachusetts NA Insufficient Data
re.org/


of 21



Serving active-duty U.S.
military and family
dependent through
http://usfhp.com/Default.asp
U.S. Family Health Plan TRICARE program in MD, NA Not Reported
x
WA, PA, DC, VA, WVA,
DE, VT, NY, MA, NJ, CT
and TX.

Colorado Access Colorado NA https://www.coaccess.com/ # 156 rank/62.7 score

Over 180 Health Care
Plans (primary,
Total State/Community Nonprofit
secondary, subsidiary 97.9 mil.
Health Plans
and affiliated) in 49
states

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 of
patients/customers and published by U.S. News & World Report (November 11, 2009) at http://health.usnews.com/health-plans — an explanation of
their research methodology is included on their website. Since this directory attempted to be a broader compilation of "Nonprofit Community Health
Plans" from across the U.S., there were some Medicaid- and Medicare-only plans that were included — ANHPIE expects to compile separate
Medicaid- and Medicare-only directories in the near future. NA: not available or not applicable. Insufficient Data: NCQA listed this for health plans
that lacked enough respondent survey responses in such areas as getting care, satisfaction with physicians, customer service, and processing
claims. 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.
Color-coded: Ranked as Medicare-based health plan by NCQA.
ANY OTHER FORM OF RE-DISTRIBUTION AND REPRODUCTION OF THIS DIRECTORY IS PROHIBITED, UNLESS IT IS DONE
UNDER WRITTEN REQUEST AND RECEIVES THE EXPRESS WRITTEN CONSENT/APPROVAL OF ANHPIE AND ITS SENIOR
EXECUTIVES.


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 Away!

Empfohlen

Empfohlen

Weitere ähnliche Inhalte

Andere mochten auch

Andere mochten auch (6)

Mehr von Michael Freeman

Mehr von Michael Freeman (8)

Kürzlich hochgeladen

Kürzlich hochgeladen (20)

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 Away!