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22 Health Care Resource Guide | 2019-2020 Health and dental plans Health and dental plans Ordered by number of regional members No. of members/ region No. of doctors or dentists/ hospitals or locations Chief executive Plans offered Delta Dental of Massachusetts 465 Medford St., Boston 02129 617-886-1000 • www.deltadentalma.com 2,234,000 Statewide 5,200 3,365 (a) Dennis Leonard president & CEO Delta Dental PPO Plus Premier, Delta Dental Premier, Total Choice PPO, Delta Dental PPO, DeltaCare, Delta Dental EPO, Delta Dental PPO Value for Seniors and Delta Dental Patient Direct Discount Card Blue Cross and Blue Shield of Massachusetts Inc. 101 Huntington Ave., Boston 02199 617-246-5000 • www.bluecrossma.com 2,100,000 Statewide 57,360 (b) 74 Andrew Dreyfus president & CEO Medical including HMO Blue, Preferred Blue PPO, Blue Care Elect Preferred; dental including Dental Blue Tufts Health Plan (c) 1 Mercantile Place, Worcester 01608 508-757-8300 • www.tuftshealthplan.com 1,082,500 Statewide 60,000 65 Thomas Croswell president & CEO Health insurance coverage through employer-sponsored plans; group Medicare plans; individual Medicare and Medicaid plans and Qualified Health Plans Harvard Pilgrim Health Care (c) 93 Worcester St., Wellesley 02481 617-509-1000 • www.harvardpilgrim.org 851,088 Statewide 35,860 73 Michael Carson president Medical including Best Buy HMO and PPO, Choice Plus and Hospital Prefer plans, Point of Service plans, Medicare plans, student insurance plans UnitedHealthcare 950 Winter St., Suite 3800, Waltham 02451 888-735-5842 • www.uhc.com 514,936 Statewide 48,899 125 Stephen Farrell CEO, UnitedHealthcare of New England Commercial, Medicare and Medicaid plans Boston Medical Center HealthNet Plan 529 Main St., Suite 500, Charlestown 02129 617-748-6000 • www.bmchp.org 321,000 Statewide 19,000 56 Kate Walsh CEO Medical HMOs: MassHealth; Qualified Health Plan, including ConnectorCare; Senior Care Options AllWays Health Partners (d) 399 Revolution Drive, Somerville 02145 866-414-5533 • allwayshealthpartners.org 242,000 Statewide 22,000 74 (e) David Segal president and CEO Range of HMO and PPO plans which include medical, behavioral health, and pharmacy coverage for large and small employers, as well as plans for individuals and families through the Massachusetts Health Connector and MassHealth Fallon Health Inc. 10 Chestnut St., Worcester 01608 508-799-2100 • www.fallonhealth.org 227,093 Statewide 95,244 81 Richard Burke president & CEO Medical including HMOs, PPOs, PACE, SCO/SNP, point-of-service plans; Medicaid and Medicare Advantage plans Altus Dental 10 Charles St., Providence, RI 02904 877-223-0588 • www.altusdental.com 182,000 Statewide 3,498 9,231 Joseph Perroni president & CEO Dental premium and self-insured plans for small and large group programs Health New England 1 Monarch Place, Springfield 01144 413-787-4004 • healthnewengland.org 161,000 Central and Western Mass. nearly 11,000 23 Marion A. McGowan (f) president & CEO A range of healthcare plans in the commercial, Medicaid and Medicare markets Sources: Each company by survey or website as of August 2019. Notes: Data for Blue Cross and Blue Shield of Mass. from company fact sheet, updated January 2019. EPO = exclusive provider organization, HMO = health maintenance organization, PACE = program of all-inclusive care for the elderly, PPO = preferred provider organization, SCO/SNP = senior care option/special needs plan. (a) Last year's reported figure of 3,500 has been revised by the company to 3,283 locations in 2018. (b) Figure includes 6,499 primary care providers, 18,488 specialists, 5,253 dentists, 15,372 ancillary providers and 11,748 behavioral health providers. (c) On August 14, Watertown's Tufts Health Plan and Wellesley's Harvard Pilgrim Health Care announced plans to merge, pending regulatory approval; no merger date has been set. (d) On Jan. 1, 2019 rebranded from Neighborhood Health Plan (e) With an additional 92 community health centers (f) As of July 2019; succeeded Jody Gross who served as interim president and CEO after Maura McCaffrey stepped down July 2018. - Compiled by: Heide Martin, hmartin@nebusinessmedia.com • Assisted Living Residence • Skilled Nursing Facility • Long Term Care Center • Residential Memory Care • Short Term Rehabilitation • Adult & Pediatric Hospice • Adult & Pediatric Palliative Care • Educational Resource Center NOTRE DAME HEALTH CARE 555-559 Plantation Street, Worcester, MA 01605 (508) 852-5800 notredamehealthcare.org EMBRACING ENHANCING ENRICHING EMPOWERING Giving you the peace of mind you need and deserve, in your own home or on our beautiful campus.