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10 Health Care Resource Guide • 2016 – 2017 Health and dental plans Ordered by number of regional members No. of members/region No. of doctors or dentists/ hospitals or locations Chief executive/ title Plans offered Blue Cross and Blue Shield of Massachusetts Inc. 101 Huntington Ave., Boston 02199 617-246-5000 • www.bluecrossma.com 2,000,000 MA 52,828 * 76 Andrew Dreyfus president & CEO Medical including HMO Blue, Preferred Blue PPO, Blue Care Elect Preferred; dental including Dental Blue Delta Dental of Massachusetts 465 Medford St., Boston 02129 617-886-1000 • www.deltadentalma.com 1,450,000 MA 5,280 3,561 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 and Delta Dental Patient Direct Discount Card Tufts Health Plan 1 Mercantile Place, Worcester 01608 508-757-8300 • www.tuftshealthplan.com 1,000,000 MA 45,000 110 Thomas Croswell CEO Health insurance coverage through employer - sponsored plans; group Medicare plans; individual Medicare and Medicaid plans and Qualified Health Plans Harvard Pilgrim Health Care 93 Worcester St., Wellesley 02481 617-509-1000 • www.harvardpilgrim.org 996,374 MA 33,359 66 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 UnitedHealthCare 950 Winter St., Waltham 02451 888-735-5842 • www.uhc.com 475,000 MA 44,000 114 Stephen Farrell CEO, UnitedHealthcare of New England Commercial, Medicare and Medicaid plans Neighborhood Health Plan 253 Summer St., Boston 02210 617-772-5500 • www.nhp.org 448,228 MA nearly 18,000 74 David Segal president & CEO Medical including Prime HMO, Prime Solution HMO and PPOs (currently for small and large employers) Boston Medical Center HealthNet Plan 2 Copley Place, Suite 600, Boston 02116 617-748-6000 • www.bmchp.org 226,000 MA 18,362 58 Susan Coakley president Medical HMOs: MassHealth; Qualified Health Plan, including ConnectorCare; Senior Care Options Health New England 1 Monarch Place, Springfield 01144 413-787-4004 • healthnewengland.org 200,000 Western and Central MA 7,700 23 Maura McCaffrey president & CEO A range of healthcare plans in the commercial, Medicaid and Medicare markets Altus Dental 10 Charles St., Providence, RI 02904 877-223-0588 • www.altusdental.com 165,014 MA 3,373 7,033 Joseph Nagle CEO Dental premium and self-insured plans for small and large group programs Fallon Health Inc. 10 Chestnut St., Worcester 01608 508-799-2100 • www.fallonhealth.org 160,665 MA 845,443 94 Richard Burke president & CEO Medical including HMOs, PPOs, PACE, SCO/SNP, Point of Service plans; Medicaid and Medicare Advantage plans CeltiCare Health 200 West St., Suite 250, Waltham 02451 855-678-6975 • www.celticarehealthplan.com 38,000 MA 10,000+ 48 Jay Gonzalez president & CEO MassHealth CarePlus, Ambetter from CeltiCare Health Minuteman Health, Inc. 38 Chauncy St., Boston 02111 857-263-8242 • MinutemanHealth.org 9,000 Central, Middlesex, Eastern, North Shore and South Shore 8,000 28 Thomas D. Policelli CEO Member-governed organization; medical including various tiered HMOs and PPOs, catastrophic HMO plan, value-based HMO plan Sources: Each company by survey and/or website as of July/August 2016. Data for Blue Cross and Blue Shield of Mass. from company fact sheet, updated May 2016. Notes: 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. Cigna, located in Bloomfield, Conn., offers dental plans in Massachusetts, but did not provide current data. * Figure includes 5,318 dentists; 6,554 primary care providers; 17,602 specialists; 10,980 behavioral health providers; 12,374 ancillary providers. - Compiled by: Heide Martin, hmartin@nebusinessmedia.com