directory of u.s. "nonprofit community health plans" - return to the "founding...

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Copyright (C) 2016, Americans for Nonprofit Universal Healthcare (ANUH), http://www.AmericansForNonprofitUniversalHealthcare.weebly.com

Nonprofit Health Plan/Insurer Service Areas/Subsidiaries 2007-08 Enrollment Webite/URL Address

Health Care Service Corporation Blue Cross Blue Shield nonprofit franchises in Illinois, Montana, New Mexico, Oklahoma and Texas

15.2 mil. http://www.hcsc.com

Kaiser Permanente CA, CO, DC, GA, HI, MD, OH, OR, VA, WA 10.0 mil.

https://healthy.kaiserpermanente.org/care/doctors-

locations/?searchtype=locations#/selectregion

Highmark Inc. Blue Cross Blue Shield in Delaware, Pennsylvania, West Virginia 5.3 mil.

http://discoverhighmark.com/individuals-

families/insurance/insurance-plans

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

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

Independence Blue Cross Serving Philadelphia & southwestern Pennsylvania 3.4 mil. http://www.ibx.com

Horizon Blue Cross Blue Shield New Jersey 3.3 mil. http://www.horizon-bcbsnj.com/members.html

Blue Cross and Blue Shield of Florida, Inc. Florida; Health Options, Inc., Florida Health Plans 3.1 mil. http://www3.bcbsfl.com/wps/port

al/bcbsfl

Medical Mutual of Ohio Ohio 3.0 mil. http://www.medmutual.com

The Regence GroupBlue Cross Blue Shield Regence (Oregon and Utah); Blue Cross Regence (Washington, Idaho)

2.9 mil.

https://www.regence.com/?p_auth=hcf7JMTU&p_p_id=49&p_p_lifecycle=1&p_p_state=normal&p_p_mode=view&_49_struts_action=%252Fmy_sites%252Fview&_49_groupId=10180&_49_priv

ateLayout=false

Blue Cross Blue Shield of Minnesota Minnesota 2.9 mil.

http://www.bluecrossmn.com/bc/wcs/groups/bcbsmn/@mbc_bluecrossmn/documents/public/mbc

1_home_index.hcsp

Blue Cross Blue Sheild of Tennessee Tennesee 2.8 mil. http://www.bcbst.com/

Blue Cross Blue Sheild of North Carolina North Carolina 2.7 mil. http://www.bcbsnc.com/

Blue Shield of CaliforniaCalifornia (not affiliated with the for-profit Anthem Blue Cross of California franchise in the state)

2.5 mil. http://www.blueshieldca.com

DIRECTORY of U.S. NONPROFIT COMMUNITY HEALTH PLAN ORGANIZATIONS

http://www.AmericansForNonprofitUniversalHealthcare.weebly.com

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Wellmark, Inc. Wellmark Blue Cross Blue Shield (Iowa, South Dakota) 2.1 mil. http://www.wellmark.com

Premera Blue Cross Alaska and Washington state, excluding Clark County 2.1 mil. https://www.premera.com/wa/vis

itor/

Medica Health Plans Iowa, Minnesota, Wisconsin, North Dakota and South Dakota 1.7 mil. http://www.medica.com

Blue Cross Blue Shield of Arizona Arizona 1.1 mil. http://www.azblue.com/

CareFirst, Inc.CareFirst Blue Cross Blue Shield (Maryland, District of Columbia and parts of northern Virginia

3.2 mil. https://individual.carefirst.com/individuals-families/home.page

Harvard Pilgrim Health Care, Inc. Massachusetts, New Hampshire, Maine 1.0 mil. http://www.harvardpilgrim.org

Blue Cross Blue Shield of Louisiana Louisiana 1.0 mil. http://www.bcbsla.com/web/RedDotCM/html/default.asp

Blue Cross Blue Shield of Massachusetts Massachusetts, New Hampshire, Maine 1.0 mil. https://www.bluecrossma.com/

Capital Blue Cross Serves central Pennsylvania and Lehigh Valley area. 1.0 mil. http://www.capbluecross.com

L.A. Care Health Plan Serves only Los Angeles County residents .8 mil. http://lacareplan.org/

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

Blue Cross Blue Shield of South Carolina South Carolina .7 mil. http://southcarolinablues.com/

Hawaii Medical Service Association Blue Cross Blue Shield licensee in Hawaii .7 mil. http://www.hmsa.com/

Blue Cross and Blue Shield of Kansas Kansas .7 mil. http://www.bcbsks.com

Providence Health Plan Oregon, southwestern Washingon .6 mil. http://www.providence.org

HealthPartners, Inc. Minnesota .6 mil.http://www.healthpartners.com

MVP Health Care Preferred Care New York state, New Hampshire, Vermont .6 mil http://www.mvphealthcare.com

CareSource, Inc. Connecticut .6 mil. http://www.caresourceinc.com

Blue Cross & Blue Shield of Rhode Island Rhode Island .5 mil. http://www.bcbsri.com

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Group Health Cooperative Washington state, Idaho .5 mil. http://www.ghc.org

BlueCross BlueShield of Western New York Western areas of upstate New York .5 mil. https://securews.bcbswny.com/wps/portal/wny/WNYHome

BlueCross BlueShield of Northeastern New York Northeastern areas of upstate New York .5 mil. http://bsneny.com/

Blue Cross and Blue Shield of Kansas City32 counties in greater Kansas City and northwest Missouri and Johnson and Wyandotte counties in Kansas

.5 mil. http://www.bluekc.com/Home.aspx

Health Alliance Plan of Michigan Michigan .5 mil. http://www.hap.org/

SelectHealth Utah .5 mil. http://www.selecthealth.org/

Healthfirst New York New York state and city .4 mil. http://www.healthfirstny.com/

UPMC Health Plan, Inc. Pittsburgh, southeast Pennsylvania .4 mil. http://www.upmchealthplan.com

Priority Health Michigan .4 mil. http://www.priorityhealth.com

Blue Cross Blue Shield of North Dakota North Dakota .4 mil. http://www.bcbsnd.com/

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

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

Capital District Physicians Health Plan (CDPHP) New York state and Vermont .4 mil. http://www.cdphp.com/

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/

Independent Health Association, Inc. Western upsate New York, including Buffalo region, and other parts of U.S. .3 mil. http://www.independenthealth.co

m

Inland Empire Health Plan San Bernadino, Riverside counties of Southern California .3 mil. http://ww2.iehp.org/iehp

Blue Cross of Idaho Idaho .3 mil. https://www.bcidaho.com/index.asp

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Mercy Care PlanMedicare Plans for Senior residents of Maricopa, Pima and Santa Cruz counties in Arizona

.3 mil. http://www.mercycareplan.com/

MDWise Indiana .3 mil. http://www.mdwise.org/index.html

Fidelis Care Plan New York state and city .2 mil. http://www.fideliscare.org/

Blue Cross and Blue Shield of Montana Montana .2 mil. http://bcbsmt.com/Pages/globalhome.aspx

MetroPlus Health Plan, Inc. 4 boroughs of New York: Manhattan, Brooklyn, the Bronx and Queens .2 mil. http://www.metroplus.org/

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

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

AultCare Health Plus Serves residents of Canton, Ohio .2 mil. http://www.aultcare.com/

AvMed, Inc. Florida .2 mil. http://www.avmed.org/

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

Geisinger Health Plan 42 counties throughout central and northeastern Pennsylvania .2 mil. http://www.thehealthplan.com/

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

SummaCare Akron, OH, other regions of state .1 mil. http://www.summacare.com/

Denver Health Serves the Denver, CO metro area .1 mil. http://www.denverhealth.org/portal/

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

Alameda Alliance for HealthServes the Alameda county region, including the Oakland, CA metropolitcan area.

.1 mil. http://alamedaalliance.org/

SelectHealth of South CarolinaSouth Carolina; Medicaid-managed plans First Choice (adults) and First Choice Kids

.1 mil. http://www.selecthealthofsc.com/

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Rocky Mountain Health Plans Colorado .1 mil. http://www.rmhp.org/index.aspx

Texas Children's Health PlanTexas; contracted through federal Childrens Health Insurance Plan (CHIP) program

.1 mil. http://www.texaschildrenshealthplan.org/

Scott and White Health Plan Serves the central Texas region .1 mil. http://www.sw.org/web/patientsAndVisitors

MaineCare

Maine; MaineCare (formerly Medicaid in state) now has "Federal/State" program, which provides assistance to residents with their health care payments.

.1 mil. http://www.maine.gov/dhhs/OIAS/public-assistance/index.html

Blue Cross and Blue Shield of Vermont Vermont .1 mil. http://www.bcbsvt.com/visitor/index.html

McLaren Health Plan Region of central Michigan .1 mil. http://www.mclarenhealthplan.org/

Neighborhood Health Plan, Inc. Massachusetts .1 mil. http://www.nhp.org/Pages/home.aspx

Fallon Community Health Plan Masachusetts .1 mil. http://www.fchp.org/

Mercy Health Plans, Inc. Arkansas, Missouri, Oklahoma, Texas .1 mil. http://www.mercyhealthplans.com/

HealthPlus of Michigan, Inc. Michigan .1 mil. http://www.healthplus.org/

Family Health Partners Kansas, Missouri .1 mil. http://www.fhp.org/

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

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

Community First Health Plans, Inc. South Texas region .1 mil. http://www.cfhp.com/

Parkland Community Health Plan Dallas, TX metropolitan area .1 mil. http://www.parklandhmo.com/

Community Health Choice, Inc. Serving the Texas Gulf region .1 mil. http://www.communityhealthchoice.org/en/main.htm

Ucare Minnesota, western Wisconsin .1 mil. http://www.ucare.org/Pages/default.aspx

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Capital Health Plan, Inc. Serving the Tallahassee, FL metro region .1 mil. http://capitalhealth.com/

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

Kern Health Systems, Inc. Serves Kern country region of California, including Bakersfield .1 mil. http://www.kernhealthsystems.c

om/

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/

CareOregonOregon; a managed care plan contracted through Medicaid for low-income Americans

.1 mil. http://www.careoregon.org/

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/

University Physicians HealthcareArizona; affiliated with The Unversity of Arizona Medical Center, serving low-income Medicaid-eligible residents.

.1 mil. http://www.uph.org/

AmeriHealth Mercy

Northeastern areas of Pennsylvania, including Adams, Berks, Carbon, Cumberland, Dauphin, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Monroe, Northampton, Perry, Pike and York counties; a Medical Assistance (Medicaid) managed care health plan serving more than 100,000 Medical Assistance recipients.

.1 mil. http://www.amerihealthmercyhp.com/

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CenCal HealthServes the central California region and Santa Barbara and San Luis Obispo counties.

.08 mil. http://www.cencalhealth.org/

Neighborhood Health Plan of Rhode Island

Rhode Island: a Medicaid managed care program; for 1) Low and moderate income famililes; 2) children with special health care needs (CSN); 3) all children in the Rhode Island foster care system; 4) Dually eligible adults (Medicaid/Medicare); and 5) Medicaid-only adults.

.076 mil. http://www.nhpri.org/matriarch/default.asp

Contra Costa Health Services Serves the Northern California area of Contra Costa County. .065 mil. http://www.cchealth.org/health_p

lan/

Health Plan of San Mateo Serves the Northern California area of San Mateo County. .059 mil. http://www.hpsm.org/

San Francisco Health Plan San Francisco, CA metro area .055 mil. http://www.sfhp.org/

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&section=medicaid

Children's Community Health Plan Wisconsin NAhttp://www.childrenschp.com/display/PPF/DocID/33909/router.asp

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/

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

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/

Univera Healthcare Upstate western New York NA https://www.univerahealthcare.com/wps/portal/uv

Total Care

Upstate northeastern New York, including in Onondaga, Oswego, Tompkins and Cortland counties; a Medicaid Managed Care Plan.

NA http://www.totalcareny.com/

Monroe Plan for Medical CareUpstate New York region; a Medicaid-managed plan, with offices in Rochester, Buffalo, Geneva and Binghamton.

NA http://www.monroeplan.com/

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

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/

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

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Metropolitan Health Plans Minnesota; affiliated with Hennepin County government based out Minneapolis.

NA http://www.mhp4life.org/

Chidren's Mercy Health PartnersKansas, Missouri; under contract with federal Children Health Insurance Program (CHIP).

NA http://www.fhp.org/

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

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

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

Commonwealth Care Alliance Massachusetts NA http://www.commonwealthcare.org/

Colorado Access Colorado NA https://www.coaccess.com/

Total State/Community Nonprofit Health Plans 115 Health Care Plans including a total ofabout 150 affiliates 97.9 mil.