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Health Care Resource Guide | 2017-2018 31 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/ 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 54,302 * 74 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 1,900,000 MA 5,096 3,506 Steven J. Pollock 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 Tufts Health Plan 1 Mercantile Place, Worcester 01608 508-757-8300 • www.tuftshealthplan.com 1,100,000 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 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 UnitedHealthCare 950 Winter St., Waltham 02451 888-735-5842 • www.uhc.com 521,000 MA 47,500 123 Stephen Farrell CEO, UnitedHealthcare of New England Commercial, Medicare and Medicaid plans Neighborhood Health Plan 399 Revolution Drive, Somerville 02145 800-433-5556 • www.nhp.org 380,000 MA 18,000 74 David Segal president & CEO Medical, behavioral health, and pharmacy coverage with Prime HMO and Prime PPO for individuals and small employers including Health Connector QHP plans plus the ACA required pediatric dental and pediatric vision coverage; medical, behavioral health, and pharmacy coverage with Prime Solutions HMO and PPOs for large employers Boston Medical Center HealthNet Plan 529 Main St., Suite 500, Charlestown 02129 617-748-6000 • www.bmchp.org 247,000 MA ** 18,500 54 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 Fallon Health Inc. 10 Chestnut St., Worcester 01608 508-799-2100 • www.fallonhealth.org 163,387 MA 88,306 140 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 161,000 MA 3,413 7,991 Joseph Nagle CEO Dental premium and self-insured plans for small and large group programs CeltiCare Health 200 West St., Suite 250, Waltham 02451 855-678-6975 • www.celticarehealthplan.com 45,700 MA 8,500 49 Jennifer Weigand president & CEO MassHealth CarePlus, Ambetter from CeltiCare Health Sources: Each company by survey or website as of August 2017. Notes: Data for Blue Cross and Blue Shield of Mass. from company fact sheet, updated March 2017. Minuteman Health Inc., listed last year with 9,000 members in Mass., is now under control of the Mass. Commissioner of Insurance, effective Aug. 3, 2017. Individual insurance policies will remain in effect through Dec. 31, 2017. 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 6,656 primary care providers, 17,644 specialists, 5,211 dentists, 13,528 ancillary providers and 11,263 behavioral health providers. ** Excluding Dukes and Nantucket counties - Compiled by: Heide Martin, hmartin@nebusinessmedia.com Did you know our lists are available for download? Our lists can be your lists! • Choose the format that best meets your needs – PDF or Excel • Download any individual list or a combination of lists • Get extended lists not available anywhere else Our Lists are the only comprehensive source for information on the region's companies, executives and industries that drive Central Massachusetts' economy and market. Worcester Business Journal WBJ Questions? Want to be included on a List? Contact Stephanie R. Meagher at smeagher@nebusinessmedia.com. ACCESS THE LISTS TODAY! Order now at wbjournal.com/datacenter Information is POWER!