Health Care Resource Guide • 2015 – 2016
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
Delta Dental of Massachusetts
465 Medford St., Boston 02129
617-886-1000 • www.deltadentalma.com
2,300,000
MA
5,281
3,521
Steven J. Pollock
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
2
Blue Cross and Blue Shield of
Massachusetts Inc.
101 Huntington Ave., Boston 02199
617-246-5000 • www.bluecrossma.com
2,000,000
MA
48,705 *
77
Andrew Dreyfus
President & CEO
Medical including HMO Blue, Preferred Blue PPO, Blue Care Elect Preferred; Dental
including Dental Blue
3
Tufts Health Plan
1 Mercantile Pl., Worcester 01608
508-757-8300 • www.tuftshealthplan.com
1,000,000
MA
23,818
67
James Roosevelt Jr.
CEO
Health insurance coverage through employer - sponsored plans; group Medicare plans;
individual Medicare and Medicaid plans
4
Harvard Pilgrim Health Care
93 Worcester St., Wellesley 02481
781-251-1500 • www.harvardpilgrim.org
987,799
MA
28,576
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
Neighborhood Health Plan
253 Summer St., Boston 02210
617-772-5500 • www.nhp.org
404,800
MA
17,800
70
David Segal
President & CEO
Medical including Prime HMO, Prime Solution HMO and PPOs (currently for small and large
employers)
6
UnitedHealthCare
475 Kilvert St., Warwick, RI 02886
888-735-5842 • www.uhc.com
400,000
MA
30,500
106 **
Stephen Farrell
CEO, UnitedHealthcare
of New England
Commercial, Medicare and Medicaid plans
7
Boston Medical Center HealthNet Plan
2 Copley Pl., Ste. 600, Boston 02116
617-748-6000 • www.bmchp.org
222,000
MA
16,000
50
Susan Coakley
President
Medical HMOs: MassHealth; Qualified Health Plan, including ConnectorCare
8
Health New England
1 Monarch Pl., Springfield 01144
413-787-4004 • www.hne.com
200,000
MA
7,300
21
Maura McCaffrey
President & CEO
Medical including various HMOs, PPOs and high-deductible health plans in basic, value and
premium tiers
9
Fallon Health Inc.
10 Chestnut St., Worcester 01608
508-799-2100 • www.fallonhealth.org
163,096
MA
42,000
76
Richard Burke
Interim president &
CEO
Medical including HMOs, PPOs, Point of Service plans; Medicaid and Medicare Advantage
plans
10
Altus Dental
10 Charles St., Providence, RI 02904
877-223-0588 • www.altusdental.com
156,000
MA
6,334
N/A
Joseph Nagle
CEO
Dental premium and self-insured plans for small and large group programs
11
CeltiCare Health
200 West St., Ste. 250, Waltham 02451
855-678-6975 • www.celticarehealthplan.com
53,253
MA
8,304
42
Jay Gonzalez
President & CEO
MassHealth CarePlus, Ambetter from CeltiCare Health
12
Minuteman Health Inc.
179 Lincoln St., Boston 02211
855-644-1776 • www.minutemanhealth.org
6,000
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 as of August, 2015.
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; 6,468 primary care providers; 16,574 specialists; 10,163 behavioral health providers; 10,300 ancillary providers.
** Figure includes hospitals and other locations.
- Compiled by: Heide Martin, hmartin@wbjournal.com
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