The Central Mass/MetroWest Health Care Resource Guide • 2014 – 2015
13
Top health and dental plans
Ranked by number of regional members
No. of members/
Region
No. of doctors or dentists/
Hospitals or locations
Chief executive/
Title Plans offered
1
Blue Cross and Blue Shield of
Massachusetts Inc.
401 Park Dr., Boston 02215
617-246-5000 • www.bluecrossma.com
2,000,000
MA
29,400 *
77
Andrew Dreyfus
President & CEO
Medical including HMO Blue, Preferred Blue PPO, Blue Care Elect Preferred; Dental
including Dental Blue
1
Delta Dental of Massachusetts
465 Medford St., Boston 02129
617-886-1000 • www.deltadentalma.com
2,000,000
MA
5,209
10,036
Fay Donohue
CEO
Delta Dental PPO Plus Premier, Delta Dental Premier, Delta Dental PPO, DeltaCare, Delta
Dental EPO, Delta Dental PPO Value for Seniors, Delta Dental Patient Direct Discount Card
3
Tufts Health Plan
1 Mercantile Pl., Worcester 01608
508-757-8300 • www.tuftshealthplan.com
1,005,840
MA
23,818
67
James Roosevelt Jr.
President & CEO
Medical including standard network and higher tier HMOs and PPOs
4
Harvard Pilgrim Health Care
93 Worcester St., Wellesley 02481
781-251-1500 • www.harvardpilgrim.org
960,000
MA
20,000
73
Eric H. Schultz
President & CEO
Medical including Best Buy HMO and PPO, Choice Plus and Hospital Prefer plans, Point of
Service plans, Medicare plans, student insurance plans
5
United HealthCare
475 Kilvert St., Warwick, RI 02886
888-735-5842 • www.uhc.com
394,000
MA
26,000
101
Stephen Farrell
CEO, UnitedHealthcare
of New England
Commercial, Medicare and Medicaid plans
6
Neighborhood Health Plan
253 Summer St., Boston 02210
617-772-5500 • www.nhp.org
334,430
MA
22,228
69
Deborah C. Enos
President & CEO
Medical including Prime HMO, Prime Solution HMO and PPOs (currently for small and large
employers)
7
Boston Medical Center HealthNet Plan
2 Copley Pl., Ste. 600, Boston 02116
617-748-6000 • www.bmchp.org
304,002
MA
15,000
60
Susan Coakley
Interim president
Medical HMOs including Commonwealth Care/Commonwealth Choice, ConnectorCare,
Qualified Health Plan; MassHealth
8
Altus Dental
10 Charles St., Providence, RI 02904
877-223-0577 • www.altusdental.com
150,000
MA
5,983
N/A
Joseph Nagle
CEO
Dental including Altus Dental Preferred, Altus Dental Value Option Plan
9
Fallon Heath Inc.
10 Chestnut St., Worcester 01608
508-799-2100 • www.fchp.org
146,563 **
MA
21,051
66
Patrick Hughes
President & CEO
Medical including HMOs, PPOs, Point of Service plans; Medicaid and Medicare Advantage
plans
10
Health New England
1 Monarch Pl., Springfield 01144
413-787-4004 • www.hne.com
142,586
MA
4,310
14
Maura McCaffrey
President & CEO
Medical including various HMOs, PPOs and high-deductible health plans in basic, value and
premium tiers
11
CeltiCare Health Plan of Massachusetts
200 West St., Ste. 250, Waltham 02451
866-895-1786 • www.celticarehealthplan.com
33,904
MA
15,489
56
Jay Gonzalez
President & CEO
Medical HMOs including Commonwealth Choice/CeltiCare Direct, Ambetter from CeltiCare
Health, Commonwealth Care; MassHealth CarePlus
12
Minuteman Health
711 Atlantic Ave., Boston 02211
855-644-1776 • www.minutemanhealth.org
1,873
Central and Eastern MA
7,500
26
Thomas D. Policelli
CEO
Member-governed organization; medical including various tiered HMOs and PPOs,
catastrophic HMO plan
Sources: Each company by survey and/or website and Mass. Office of Consumer Affairs & Business Regulation, Mass. Division of Insurance as of March 31, 2014.
Notes: N/A = not available. Cigna, located in Bloomfield, Conn., offers dental plans in Massachusetts, but did not provide current data.
* Figure includes 5,200 dentists
** Sum of HMO and PPO plan members
- Compiled by: Roger Magnus and Heide Martin, rmagnus@nebusinessmedia.com
Economic
ForEcast 2015
Coming December 22!
