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Spring 2009

CARD PR-1

Medicare Managed Care Plans Alabama

T. AARP MedicareComplete (United Healthcare) U. Advantra Freedom (Coventry Health Care) L. Aetna Medicare Open Plan (Aetna) I. Blue Advantage (Blue Cross Blue Shield of

Alabama) V. Care Assured (HealthMarkets) M. Concert (WellCare Health Plans, Inc.) P. HealthSpring (HealthSpring of Alabama, Inc.) J. Humana Gold Choice/HumanaChoice (Humana

Insurance Company) R. SecurityChoice (Unicare Life & Health Insurance

Company) W. SecureHorizons Medicare Direct (United

Healthcare) X. Today's Options (Universal American/Pyramid Life

Ins., Inc.) F. VIVA Medicare Plus (VIVA Health) Y. Windsor Medicare Extra (Windsor Health Plan, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Alabama

E. Patient 1st

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Alabama

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Alabama

T. AARP MedicareComplete (United Healthcare) U. Advantra Freedom (Coventry Health Care) L. Aetna Medicare Open Plan (Aetna) I. Blue Advantage (Blue Cross Blue Shield of

Alabama) V. Care Assured (HealthMarkets) M. Concert (WellCare Health Plans, Inc.) P. HealthSpring (HealthSpring of Alabama, Inc.) J. Humana Gold Choice/HumanaChoice (Humana

Insurance Company) R. SecurityChoice (Unicare Life & Health Insurance

Company) W. SecureHorizons Medicare Direct (United

Healthcare) X. Today's Options (Universal American/Pyramid Life

Ins., Inc.) F. VIVA Medicare Plus (VIVA Health) Y. Windsor Medicare Extra (Windsor Health Plan, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Alabama

E. Patient 1st

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees) Alabama

PP. Aetna HealthFund CDHP QQ. Aetna Healthfund HDHP C. APWU Health Plan H. Association Benefit Plan LL. Blue Cross and Blue Shield Service Benefit Plan –

Basic KK. Blue Cross and Blue Shield Service Benefit Plan -

Standard J. Foreign Service Benefit Plan HH. GEHA Benefit Plan – Standard II. GEHA Benefit Plan – High OO. Mail Handlers High Deductible Plan AA. Mail Handlers-Std F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Alabama

Family Assistance Program (FA)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Alaska

F. Advantra Freedom (Coventry Health Care)

B. Aetna Medicare Open Plan (Aetna)

C. Humana Gold Choice (Humana Insurance Company)

E. SecurityChoice (Unicare Life & Health Insurance Company)

G. SecureHorizons Medicare Direct (United Healthcare)

PR-1

Spring 2009

CARD PR-2

Plan Names Alaska

None

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Alaska

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Alaska

F. Advantra Freedom (Coventry Health Care)

B. Aetna Medicare Open Plan (Aetna)

C. Humana Gold Choice (Humana Insurance Company)

E. SecurityChoice (Unicare Life & Health Insurance Company)

G. SecureHorizons Medicare Direct (United Healthcare)

HX

-5

Spring 2009

CARD HX-6

Plan Names Alaska

None

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Alaska

AA. Aetna HealthFund CDHP BB. Aetna HealthFund HDHP C. APWU H. Association Benefit Plan Q. Blue Cross Blue Shield Service Benefit Plan – Basic P. Blue Cross Blue Shield Service Benefit Plan –

Standard J. Foreign Service Benefit Plan U. GEHA Benefit Plan – High V. GEHA Benefit Plan – Standard E. Mail Handlers W. Mail Handlers – High F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Alaska

Alaska Temporary Assistance Program (ATAP)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Arizona

ZZ. AARP MedicareComplete (United Healthcare)

GG. Abrazo Advantage (Abrazo Advantage Health Plan)

AAA. Advantra Freedom (Coventry Health Care)

HH. Aetna Golden /Medicare Open Plan (Aetna)

PP. ANY, ANY, ANY Plan (Universal HealthCare)

BBB. Care Assured (HealthMarkets)

CCC. CIGNA Medicare (CIGNA)

QQ. Concert (WellCare Health Plans, Inc.)

II. Desert Canyon Community Care (Arcadian Health Plan, Inc.)

SS. Health Net Violet (Health Net of Arizona, Inc.)

TT. HumanaChoice/Humana Gold (Humana Insurance Company)

WW. SecureHorizons Medicare Direct (United Healthcare)

XX. SecurityChoice (Unicare Life & Health Ins. Company)

LL. Sierra Spectrum (Sierra Health & Life Ins. Inc.)

NN. Sun Health MediSunONE (Sun Health)

DDD. Team Care (Mennonite Mutual Aid Association)

OO. Today’s Options (Universal American/Pyramid Life Ins., Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Arizona

CC. APIPA JJ. Arizona Department of Health Services OO. BRIDGEWAY HEALTH SOLUTION DD. Care 1st Arizona F. Cochise Health System AA. Evercare Select K. Health Choice Arizona II. LTC DD DES KK. Maricopa Health Plan N. Mercy Care Plan BB. Phoenix Health Plan/Community Connection X. Pima Health Plan EE. PINAL/GILA LTC PP. SCAN - LTC Y. University Family Care HH. YAVAPAI Long Term Care

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Arizona

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Arizona

ZZ. AARP MedicareComplete (United Healthcare)

GG. Abrazo Advantage (Abrazo Advantage Health Plan)

AAA. Advantra Freedom (Coventry Health Care)

HH. Aetna Golden /Medicare Open Plan (Aetna)

PP. ANY, ANY, ANY Plan (Universal HealthCare)

BBB. Care Assured (HealthMarkets)

CCC. CIGNA Medicare (CIGNA)

QQ. Concert (WellCare Health Plans, Inc.)

II. Desert Canyon Community Care (Arcadian Health Plan, Inc.)

SS. Health Net Violet (Health Net of Arizona, Inc.)

TT. HumanaChoice/Humana Gold (Humana Insurance Company)

WW. SecureHorizons Medicare Direct (United Healthcare)

XX. SecurityChoice (Unicare Life & Health Ins. Company)

LL. Sierra Spectrum (Sierra Health & Life Ins. Inc.)

NN. Sun Health MediSunONE (Sun Health)

DDD. Team Care (Mennonite Mutual Aid Association)

OO. Today’s Options (Universal American/Pyramid Life Ins., Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Arizona

CC. APIPA JJ. Arizona Department of Health Services OO. BRIDGEWAY HEALTH SOLUTION DD. Care 1st Arizona F. Cochise Health System AA. Evercare Select K. Health Choice Arizona II. LTC DD DES KK. Maricopa Health Plan N. Mercy Care Plan BB. Phoenix Health Plan/Community Connection X. Pima Health Plan EE. PINAL/GILA LTC PP. SCAN - LTC Y. University Family Care HH. YAVAPAI Long Term Care

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Arizona

QQ. Aetna HealthFund CDHP RR. Aetna HealthFund HDHP TT. Aetna Open Access C. APWU H. Association Benefit Plan LL. Blue Cross and Blue Shield Service Benefit Plan – Basic KK. Blue Cross and Blue Shield Service Benefit Plan – Standard J. Foreign Service Benefit Plan Y. GEHA Benefit Plan – High Z. GEHA Benefit Plan – Standard FF. Health Net of Arizona, Inc. SS. Humana CoverageFirst CDHP E. Mail Handlers PP. Mail Handlers High Deductible Plan F. NALC WW. PacifiCare of Arizona L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA XX. UnitedHealthcare Insurance Company, Inc.

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Arizona

Employing and Moving People Off Welfare and Encouraging Responsibility Program (EMPOWER)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Arkansas

Q. AARP MedicareComplete (United Healthcare) R. Advantra Freedom (Coventry Health Care) S. Aetna Medicare Open Plan (Aetna) T. Arkansas/Texarkana Community Care (Arcadian

Health Plans, Inc.) U. Care Assured (HealthMarkets) J. Concert (WellCare Health Plans, Inc.) F. Humana Gold Choice/HumanaChoice (Humana

Insurance Company) A. Medi-Pak Advantage (Arkansas Blue Cross) V. Mercy Medicare Advantage (Mercy Health System) H. SecurityChoice (Unicare Life and Health Ins.

Company) W. SecureHorizons MedicareDirect (United Healthcare) O. Today’s Options (Universal American/Pyramid Life

Insurance, Inc.) X. Unison Advantage Choice (Unison) P. Windsor Medicare Extra (Windsor Health Group,

Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Arkansas

A. ConnectCare

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Arkansas

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Arkansas

Q. AARP MedicareComplete (United Healthcare) R. Advantra Freedom (Coventry Health Care) S. Aetna Medicare Open Plan (Aetna) T. Arkansas/Texarkana Community Care (Arcadian

Health Plans, Inc.) U. Care Assured (HealthMarkets) J. Concert (WellCare Health Plans, Inc.) F. Humana Gold Choice/HumanaChoice (Humana

Insurance Company) A. Medi-Pak Advantage (Arkansas Blue Cross) V. Mercy Medicare Advantage (Mercy Health System) H. SecurityChoice (Unicare Life and Health Ins.

Company) W. SecureHorizons MedicareDirect (United Healthcare) O. Today’s Options (Universal American/Pyramid Life

Insurance, Inc.) X. Unison Advantage Choice (Unison) P. Windsor Medicare Extra (Windsor Health Group,

Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Arkansas

A. ConnectCare

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Arkansas

KK. Aetna HealthFund CDHP LL. Aetna HealthFund HDHP C. APWU H. Association Benefit Plan FF. Blue Cross and Blue Shield Service Benefit Plan –

Basic U. Blue Cross and Blue Shield Benefit Plan-Std J. Foreign Service Benefit Plan W. GEHA Benefit Plan – High X. GEHA Benefit Plan – Standard E. Mail Handlers JJ. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA MM. UnitedHealthcare Insurance Company, Inc.

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Arkansas

Transitional Employment Assistance Program (TEA)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans California

RRRR. AARP MedicareComplete (United Healthcare) MMM. Aetna Golden/Medicare Open Plan (Aetna) HHHH. Arta Gold (Arta Medicare Health Plan) KKK. Blue Cross Senior Secure (Anthem Blue Cross of California) AAA. Blue Shield 65 Plus (Blue Shield of California, Inc.) SSSS. California Advantage/Care More Value Plus (Care More Health Plan) IIII. Care 1st Medicare Advantage Plan (Care 1st Health Plan) TTTT. Care Assured (HealthMarkets) ZZ. CCHP Senior Program (Chinese Community Health Plan) ZZZ. Central Health Medicare Plan (Central Health Plan of California) AAAA. Citizens Choice Healthplan (Citizens Choice Healthplan) UUUU. Concert (WellCare Health Plans, Inc.) VVVV. Freedom Blue (Anthem Blue Cross) MMMM. GEMCare Medicare Plus (Golden Empire Managed Care) WWWW. Health Net (Health Net of California) NNNN. Health Net Pearl (Health Net) H. Health Net Seniority Plus (Health Net) OOOO. Humana Gold Choice (Humana Insurance Company) XXX. Inter Valley Health Plan (Inter Valley Health Plan) UUU. Kaiser Permanente Senior Advantage (Kaiser Permanente) XXXX. MD Care Advantage (MD Care Inc.) DDDD. Medcore Gold (MedCore HP) YYYY. Molina Medicare Options (Molina Healthcare of California) ZZZZ. San Miguel Health Plan Select (San Miguel Health Plan) EEE. SCAN Health Plan (SCAN - Senior Care Action Network) AB. SecureHorizons Medicare Direct (United Healthcare) FFFF. SmartValue (Anthem Blue Cross) AC. Team Care Advantage (Mennonite Mutual Aid Association) QQQQ. Today’s Options (Universal American/Pyramid Life Insurance

Company) JJJ. WHA Care + MA (Western Health Advantage)

PR-1

Spring 2009

CARD PR-2

Plan Names – California

QQ. Alameda Alliance for Health AJ. AltaMed B. Blue Cross of California Partnership Plan, Inc. F. CalOptima AK. Care 1st Partner Plan, LLC AX. CenCal Health YYY. Center for Elders Independence ZZZ. Central Coast Alliance for Health AZ. Community Eldercare of San Diego (St. Paul’s PACE) VV. Community Health Group Partnership Plan K. Contra Costa Health Plan M. Family Mosaic Project P. Health Net Community Solutions, Inc. DDDD. Health Plan of San Joaquin Q. Health Plan of San Mateo AAA. Inland Empire Health Plan CCC. Kern Family Health Care AY. KP Cal, LLC DDD. L.A. Care Health Plan YYYY. Molina Healthcare of California Partner Plan, Inc. AC. On Lok SeniorHealth KKK. Partnership Health Plan of California AW. Positive HealthCare (AIDS Health Care Foundation) NNN. San Francisco Health Plan PPP. Santa Clara Family Health Plan JJ. SCAN Health Plan KK. Sutter Senior Care VVV. Western Health Advantage Community Health Plan

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card California

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans California

RRRR. AARP MedicareComplete (United Healthcare) MMM. Aetna Golden/Medicare Open Plan (Aetna) HHHH. Arta Gold (Arta Medicare Health Plan) KKK. Blue Cross Senior Secure (Anthem Blue Cross of California) AAA. Blue Shield 65 Plus (Blue Shield of California, Inc.) SSSS. California Advantage/Care More Value Plus (Care More Health Plan) IIII. Care 1st Medicare Advantage Plan (Care 1st Health Plan) TTTT. Care Assured (HealthMarkets) ZZ. CCHP Senior Program (Chinese Community Health Plan) ZZZ. Central Health Medicare Plan (Central Health Plan of California) AAAA. Citizens Choice Healthplan (Citizens Choice Healthplan) UUUU. Concert (WellCare Health Plans, Inc.) VVVV. Freedom Blue (Anthem Blue Cross) MMMM. GEMCare Medicare Plus (Golden Empire Managed Care) WWWW. Health Net (Health Net of California) NNNN. Health Net Pearl (Health Net) H. Health Net Seniority Plus (Health Net) OOOO. Humana Gold Choice (Humana Insurance Company) XXX. Inter Valley Health Plan (Inter Valley Health Plan) UUU. Kaiser Permanente Senior Advantage (Kaiser Permanente) XXXX. MD Care Advantage (MD Care Inc.) DDDD. Medcore Gold (MedCore HP) YYYY. Molina Medicare Options (Molina Healthcare of California) ZZZZ. San Miguel Health Plan Select (San Miguel Health Plan) EEE. SCAN Health Plan (SCAN - Senior Care Action Network) AB. SecureHorizons Medicare Direct (United Healthcare) FFFF. SmartValue (Anthem Blue Cross) AC. Team Care Advantage (Mennonite Mutual Aid Association) QQQQ. Today’s Options (Universal American/Pyramid Life Insurance

Company) JJJ. WHA Care + MA (Western Health Advantage)

HX

-5

Spring 2009

CARD HX-6

Plan Names – California

QQ. Alameda Alliance for Health AJ. AltaMed B. Blue Cross of California Partnership Plan, Inc. F. CalOptima AK. Care 1st Partner Plan, LLC AX. CenCal Health YYY. Center for Elders Independence ZZZ. Central Coast Alliance for Health AZ. Community Eldercare of San Diego (St. Paul’s PACE) VV. Community Health Group Partnership Plan K. Contra Costa Health Plan M. Family Mosaic Project P. Health Net Community Solutions, Inc. DDDD. Health Plan of San Joaquin Q. Health Plan of San Mateo AAA. Inland Empire Health Plan CCC. Kern Family Health Care AY. KP Cal, LLC DDD. L.A. Care Health Plan YYYY. Molina Healthcare of California Partner Plan, Inc. AC. On Lok SeniorHealth KKK. Partnership Health Plan of California AW. Positive HealthCare (AIDS Health Care Foundation) NNN. San Francisco Health Plan PPP. Santa Clara Family Health Plan JJ. SCAN Health Plan KK. Sutter Senior Care VVV. Western Health Advantage Community Health Plan

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

California

NNN. Aetna HealthFund CDHP OOO. Aetna HealthFund HDHP SSS. Aetna Open Access C. APWU H. Association Benefit Plan QQ. Blue Cross – HMO AAA. Blue Cross and Blue Shield Service Benefit Plan – Basic ZZ. Blue Cross and Blue Shield Service Benefit Plan – Standard RR. Blue Shield of CA Access+ J. Foreign Service Benefit Plan KK. GEHA Benefit Plan – Standard EEE. GEHA High Deductible Health Plan TTT. Health Net of California – Northern Region UUU. Health Net of California – Southern Region VVV. Kaiser Foundation Health Plan of California – Northern CA WWW. Kaiser Foundation Health Plan of California – Southern CA E. Mail Handlers FFF. Mail Handlers High Deductible Plan F. NALC LLL. PacifiCare of California L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA XXX. United Healthcare Insurance Company, Inc.

HX

-8

Spring 2009

CARD IN-2A

State TANF Program California

CalWORKS (California Work Opportunity and Responsibility to Kids)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Colorado

NN. AARP MedicareComplete (United Healthcare)

OO. Advantra Freedom (Coventry Health Care)

FF. Aetna Medicare Open Plan (Aetna)

PP. Care Assured (HealthMarkets)

QQ. Colorado Access Advantage (Colorado Access)

RR. Concert (WellCare Health Plans, Inc.)

GG. Denver Health Medicare Select (Denver Health Medical Plan)

JJ. Humana Gold Choice /Humana Gold (Humana Insurance Company)

DD. RMHP (Rocky Mountain Health Plans)

SS. SecureHorizons Medicare Direct (United Healthcare)

Z. Senior Advantage (Kaiser Permanente)

TT. SmartValue (Blue Cross Blue Shield of Colorado)

LL. SureValue/SecurityChoice (Anthem Blue Cross & Blue Shield)

UU. Team Care (Mennonite Mutual Aid Association)

MM. Today’s Options (Universal American/Pyramid Life Insurance, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Colorado

L. Behavioral Healthcare, Inc.

H. Colorado Access

X. Colorado Health Network

V. Denver Health Medicaid Choice

Z. Denver Health Medical Plan (DHMP)

T. Foothills Behavioral Health

S. Northeast Behavioral Health

Y. Rocky Mountain Health Plans

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Colorado

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Colorado

NN. AARP MedicareComplete (United Healthcare)

OO. Advantra Freedom (Coventry Health Care)

FF. Aetna Medicare Open Plan (Aetna)

PP. Care Assured (HealthMarkets)

QQ. Colorado Access Advantage (Colorado Access)

RR. Concert (WellCare Health Plans, Inc.)

GG. Denver Health Medicare Select (Denver Health Medical Plan)

JJ. Humana Gold Choice /Humana Gold (Humana Insurance Company)

DD. RMHP (Rocky Mountain Health Plans)

SS. SecureHorizons Medicare Direct (United Healthcare)

Z. Senior Advantage (Kaiser Permanente)

TT. SmartValue (Blue Cross Blue Shield of Colorado)

LL. SureValue/SecurityChoice (Anthem Blue Cross & Blue Shield)

UU. Team Care (Mennonite Mutual Aid Association)

MM. Today’s Options (Universal American/Pyramid Life Insurance, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Colorado

L. Behavioral Healthcare, Inc.

H. Colorado Access

X. Colorado Health Network

V. Denver Health Medicaid Choice

Z. Denver Health Medical Plan (DHMP)

T. Foothills Behavioral Health

S. Northeast Behavioral Health

Y. Rocky Mountain Health Plans

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Colorado

WW. Aetna HealthFund CDHP XX. Aetna HealthFund HDHP AAA. Aetna Open Access C. APWU H. Association Benefit Plan NN. Blue Cross and Blue Shield Service Benefit Plan – Basic MM. Blue Cross and Blue Shield Service Benefit Plan – Standard J. Foreign Service Benefit Plan BB. GEHA Benefit Plan – Standard QQ. GEHA High Deductible Health Plan YY. Humana Coverage First CDHP T. Kaiser Permanente E. Mail Handlers RR. Mail Handlers High Deductible Plan F. NALC VV. PacifiCare of Colorado L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Colorado

Colorado Works

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Connecticut

R. Aetna Golden/Aetna Medicare Open (Aetna)

AA. ConnectiCare (HIP Family of Health Plans)

T. Health Net (Health Net Of Connecticut)

U. Humana Gold Choice (Humana Insurance Company)

V. MediBlue HMO/SmartValue (Anthem Blue Cross and Blue Shield)

X. SecurityChoice (Unicare Life & Health Insurance Company)

BB. SecureHorizons MedicareComplete/Medicare Direct (United Healthcare)

Y. Today’s Options (Universal American/Pyramid Life Insurance, Inc.)

P. WellCare (WellCare Health Plans, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Connecticut

W. Anthem Blue Cross and Blue Shield

D. Community Health Network of Connecticut

X. Health Net of the Northeast (Healthy Options)

M. WellCare of Connecticut

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Connecticut

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Connecticut

R. Aetna Golden/Aetna Medicare Open (Aetna)

AA. ConnectiCare (HIP Family of Health Plans)

T. Health Net (Health Net Of Connecticut)

U. Humana Gold Choice (Humana Insurance Company)

V. MediBlue HMO/SmartValue (Anthem Blue Cross and Blue Shield)

X. SecurityChoice (Unicare Life & Health Insurance Company)

BB. SecureHorizons MedicareComplete/Medicare Direct (United Healthcare)

Y. Today’s Options (Universal American/Pyramid Life Insurance, Inc.)

P. WellCare (WellCare Health Plans, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Connecticut

W. Anthem Blue Cross and Blue Shield

D. Community Health Network of Connecticut

X. Health Net of the Northeast (Healthy Options)

M. WellCare of Connecticut

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Connecticut

TT. Aetna HealthFund CDHP UU. Aetna HealthFund HDHP VV. Aetna Open Access C. APWU H. Association Benefit Plan OO. Blue Cross and Blue Shield Service Benefit Plan –

Basic NN. Blue Cross and Blue Shield Service Benefit Plan –

Standard Q. ConnectiCare J. Foreign Service D. GEHA RR. GEHA High Deductible Health Plan E. Mail Handlers SS. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Connecticut

JOBS FIRST

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans District of Columbia

S. AARP MedicareComplete (United Healthcare)

T. Advantra Freedom (Coventry Health Care)

L. Aetna Golden/Aetna Medicare Open (Aetna)

M. Bravo (Bravo Health)

N. Concert (WellCare Health Plans, Inc.)

G. Kaiser Permanente Medicare Plus (Kaiser Permanente)

Q. SecurityChoice (Unicare Life & Health Insurance Company)

U. SecureHorizons Medicare Direct (United Healthcare)

PR-1

Spring 2009

CARD PR-2

Plan Names District of Columbia

P. Amerigroup

A. D.C. Chartered Health Plan

J. Health Right, Inc.

O. Health Services for Children with Special Needs, Inc. (HSCSN) PR

-2

Spring 2009

CARD HX-3

Sample Medicaid Card District of Columbia

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans District of Columbia

S. AARP MedicareComplete (United Healthcare)

T. Advantra Freedom (Coventry Health Care)

L. Aetna Golden/Aetna Medicare Open (Aetna)

M. Bravo (Bravo Health)

N. Concert (WellCare Health Plans, Inc.)

G. Kaiser Permanente Medicare Plus (Kaiser Permanente)

Q. SecurityChoice (Unicare Life & Health Insurance Company)

U. SecureHorizons Medicare Direct (United Healthcare)

HX

-5

Spring 2009

CARD HX-6

Plan Names District of Columbia

P. Amerigroup

A. D.C. Chartered Health Plan

J. Health Right, Inc.

O. Health Services for Children with Special Needs, Inc. (HSCSN)

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

District Of Columbia

EEE. Aetna HealthFund CDHP FFF. Aetna HealthFund HDHP BBB. Aetna Open Access – Basic C. APWU H. Association Benefit Plan SS. Blue Cross and Blue Shield Service Benefit Plan – Basic TT. Blue Cross and Blue Shield Service Benefit Plan -

Standard Q. Care First – Blue Choice J. Foreign Service Benefit Plan JJ. GEHA Benefit Plan – Standard YY. GEHA High Deductible Health Plan AA. Kaiser Permanente E. Mail Handlers ZZ. Mail Handlers High Deductible Plan BB. M.D. IPA F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA GGG. United HealthCare Definity HDHP

HX

-8

Spring 2009

CARD IN-2A

State TANF Program District of Columbia

None Available

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Delaware

O. Advantra Freedom (Coventry Health Care)

G. Aetna Golden/Medicare Open (Aetna)

I. Bravo Liberty (Bravo Health)

P. Concert (WellCare Health Plans, Inc.)

L. Humana Gold Choice (Humana Insurance Company)

Q. SecureHorizons Medicare Direct (United Healthcare)

N. SecurityChoice (Unicare Life & Health Insurance Company)

R. Team Care (Mennonite Mutual Aid Association)

S. Today’s Options (Universal American/Pyramid Life Ins., Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Delaware

J. Delaware Physicians Care Inc. (DPCI)

K. Diamond State Partners (DSP)

M. Unison Health Plan

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Delaware

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Delaware

O. Advantra Freedom (Coventry Health Care)

G. Aetna Golden/Medicare Open (Aetna)

I. Bravo Liberty (Bravo Health)

P. Concert (WellCare Health Plans, Inc.)

L. Humana Gold Choice (Humana Insurance Company)

Q. SecureHorizons Medicare Direct (United Healthcare)

N. SecurityChoice (Unicare Life & Health Insurance Company)

R. Team Care (Mennonite Mutual Aid Association)

S. Today’s Options (Universal American/Pyramid Life Ins., Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Delaware

J. Delaware Physicians Care Inc. (DPCI)

K. Diamond State Partners (DSP)

M. Unison Health Plan

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Delaware

LL. Aetna HealthFund CDHP MM. Aetna HealthFund HDHP PP. Aetna Open Access C. APWU H. Association Benefit Plan GG. Blue Cross and Blue Shield Service Benefit Plan – Basic FF. Blue Cross and Blue Shield Service Benefit Plan –

Standard NN. Coventry Healthcare of Delaware (HDHP) OO. Coventry Health Care of Delaware D. GEHA JJ. GEHA High Deductible Health Plan J. Foreign Service Benefit Plan E. Mail Handlers KK. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Delaware

A Better Chance (ABC)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Florida

AJ. AARP MedicareComplete (United Healthcare) OOOO. Advantage/AdvantageCare (Quality Health Plans /AdvantageCare) YYY. Aetna Golden/Aetna Medicare Open (Aetna) AK. AMERIVANTAGE (AMERIGROUP Community Care) RRRR. ANY, ANY, ANY Plan (Universal Health Care) AL. AvMed (AvMed Preferred) SSSS. BlueMedicare (Blue Cross and Blue Shield of Florida) FFF. Capital Health Plan (Capital Health Plan) AM. Care Assured (HealthMarkets) BBBB. Care (CarePlus Health Plans, Inc.) QQQ. Citrus (Citrus Health Care, Inc.) UUUU. Concert (WellCare Health Plans, Inc.) DDDD. FHCP Medvantage (Florida Health Care Plan, Inc.) AN. First Medical Advantage (First Medical Health Plan of Florida, Inc.) XXXX. Freedom/My Doctor (Freedom Health, Inc.) AO. Health First (Health First Medicare Plans) RR. HumanaChoice/Humana Gold (Humana Medical Plan, Inc.) FFFF. Leon Cares (Leon Medical Centers Health Plans, Inc.) AP. MD MedicareChoice (MD Medicare Choice) AQ. Medica Healthcare Plans (Medica Healthcare Plans, Inc.) HHH. Medicare Masterpiece (Universal Health Care, Inc.) AB. Optimum (Optimum HealthCare, Inc.) AR. Platinum Plans (Vista Healthplan, Inc.) AS. Preferred Care Partners (Preferred Care Partners, Inc.) AT. PUP (Physicians United Plan) AU. SecureHorizons Medicare Direct (United Healthcare) AG. SecurityChoice (Unicare Life & Health Insurance Company) AV. Summit (Summit Health Plan, Inc.) MMMM. SunPlus Advantage Plan (HealthSun Health Plans, Inc.) AW. Team Care (Mennonite Mutual Aid Association) AH. Today’s Options (Universal American/Pyramid Life Insurance, Inc.) AX. Vista Platinum (Vista Health Plan of So. Florida) AI. WellCare (WellCare Health Plans, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Florida

CCC. Amerigroup Florida, Inc. PPP. Buena Vista Medicaid AAA. Citrus Health Care QQQ. Evercare (United Healthcare Nursing Home

Product) RRR. Freedom Health ZZ. HealthEase PP. Humana Family Health Plan QQ. JMH Health Plan GG. Personal Health Plan/Healthy Palm Beaches UU. Preferred Medical Plan NNN. South Florida Community Care Network HH. Staywell Health Plan JJJ. Total Health Choice BBB. United Healthcare of Florida DDD. Universal Health Care HHH. Vista South Florida

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Florida

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Florida

AJ. AARP MedicareComplete (United Healthcare) OOOO. Advantage/AdvantageCare (Quality Health Plans /AdvantageCare) YYY. Aetna Golden/Aetna Medicare Open (Aetna) AK. AMERIVANTAGE (AMERIGROUP Community Care) RRRR. ANY, ANY, ANY Plan (Universal Health Care) AL. AvMed (AvMed Preferred) SSSS. BlueMedicare (Blue Cross and Blue Shield of Florida) FFF. Capital Health Plan (Capital Health Plan) AM. Care Assured (HealthMarkets) BBBB. Care (CarePlus Health Plans, Inc.) QQQ. Citrus (Citrus Health Care, Inc.) UUUU. Concert (WellCare Health Plans, Inc.) DDDD. FHCP Medvantage (Florida Health Care Plan, Inc.) AN. First Medical Advantage (First Medical Health Plan of Florida, Inc.) XXXX. Freedom/My Doctor (Freedom Health, Inc.) AO. Health First (Health First Medicare Plans) RR. HumanaChoice/Humana Gold (Humana Medical Plan, Inc.) FFFF. Leon Cares (Leon Medical Centers Health Plans, Inc.) AP. MD MedicareChoice (MD Medicare Choice) AQ. Medica Healthcare Plans (Medica Healthcare Plans, Inc.) HHH. Medicare Masterpiece (Universal Health Care, Inc.) AB. Optimum (Optimum HealthCare, Inc.) AR. Platinum Plans (Vista Healthplan, Inc.) AS. Preferred Care Partners (Preferred Care Partners, Inc.) AT. PUP (Physicians United Plan) AU. SecureHorizons Medicare Direct (United Healthcare) AG. SecurityChoice (Unicare Life & Health Insurance Company) AV. Summit (Summit Health Plan, Inc.) MMMM. SunPlus Advantage Plan (HealthSun Health Plans, Inc.) AW. Team Care (Mennonite Mutual Aid Association) AH. Today’s Options (Universal American/Pyramid Life Insurance, Inc.) AX. Vista Platinum (Vista Health Plan of So. Florida) AI. WellCare (WellCare Health Plans, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Florida

CCC. Amerigroup Florida, Inc. PPP. Buena Vista Medicaid AAA. Citrus Health Care QQQ. Evercare (United Healthcare Nursing Home

Product) RRR. Freedom Health ZZ. HealthEase PP. Humana Family Health Plan QQ. JMH Health Plan GG. Personal Health Plan/Healthy Palm Beaches UU. Preferred Medical Plan NNN. South Florida Community Care Network HH. Staywell Health Plan JJJ. Total Health Choice BBB. United Healthcare of Florida DDD. Universal Health Care HHH. Vista South Florida

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Florida MMM. Aetna HealthFund CDHP NNN. Aetna HealthFund HDHP C. APWU H. Association Benefit Plan P. AV-MED Health Plan WW. Blue Cross and Blue Shield Service Benefit Plan – Basic VV. Blue Cross and Blue Shield Service Benefit Plan – Standard R. Capital Health Plan J. Foreign Service Benefit Plan MM. GEHA Benefit Plan – Standard EEE. GEHA High Deductible Health Plan PPP. Humana CoverageFirst CDHP – Jacksonville RRR. Humana CoverageFirst CDHP – Orlando QQQ. Humana CoverageFirst CDHP – South Florida OOO. Humana CoverageFirst CDHP – Tampa UUU. Humana CoverageFirst - Daytona VVV. Humana CoverageFirst - Pensacola AA. Humana Medical Plan WWW. Humana Medical Plan, Inc. Tampa AAA. JMH Health Plan E. Mail Handlers FFF. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area M. Rural Carrier Benefit Plan N. SAMBA YYY. UnitedHealthcare Insurance Company, Inc. XXX. United Healthcare of Florida III. Vista Healthplan of South Florida

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Florida

Welfare Transition Program

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Georgia

EE. Advantra Freedom (Coventry Health Plan) P. Aetna Golden/Medicare Open Plan (Aetna Medicare) W. ANY, ANY, ANY Plan (Universal Health Care) FF. Blue Value Secure (Blue Cross Blue Shield) GG. Care Assured (HealthMarkets) HH. Concert (WellCare) II. Health Net (Health Net) Z. Humana Gold Choice/HumanaChoice (Humana Insurance

Company) JJ. InStil (Instil Health Insurance Company) M. Kaiser Permanente Senior Advantage (Kaiser Foundation

Health Plan, Inc.) AA. MedicareComplete/MedicareDirect (United Healthcare) KK. Secure Horizons (United Health Care) S. SmartValue/BlueValue/SecurityChoice (Blue CrossBlue

Shield of GA) LL. Southeast Community Care (Southeast Community Care) DD. Today’s Options (Universal American/Pyramid Life

Insurance, Inc.) U. WellCare (WellCare Health Plans, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Georgia

L. AMERIGROUP Community Care

J. PeachState Health Plan (Centene)

K. WellCare of Georgia

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Georgia

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Georgia

EE. Advantra Freedom (Coventry Health Plan) P. Aetna Golden/Medicare Open Plan (Aetna Medicare) W. ANY, ANY, ANY Plan (Universal Health Care) FF. Blue Value Secure (Blue Cross Blue Shield) GG. Care Assured (HealthMarkets) HH. Concert (WellCare) II. Health Net (Health Net) Z. Humana Gold Choice/HumanaChoice (Humana Insurance

Company) JJ. InStil (Instil Health Insurance Company) M. Kaiser Permanente Senior Advantage (Kaiser Foundation

Health Plan, Inc.) AA. MedicareComplete/MedicareDirect (United Healthcare) KK. Secure Horizons (United Health Care) S. SmartValue/BlueValue/SecurityChoice (Blue CrossBlue

Shield of GA) LL. Southeast Community Care (Southeast Community Care) DD. Today’s Options (Universal American/Pyramid Life

Insurance, Inc.) U. WellCare (WellCare Health Plans, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Georgia

L. AMERIGROUP Community Care

J. PeachState Health Plan (Centene)

K. WellCare of Georgia

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Georgia

TT. Aetna HealthFund CDHP UU. Aetna HealthFund HDHP ZZ. Aetna Open Access C. APWU H. Association Benefit Plan LL. Blue Cross and Blue Shield Service Benefit Plan – Basic KK. Blue Cross and Blue Shield Service Benefit Plan - Standard J. Foreign Service Benefit Plan D. GEHA OO. GEHA High Deductible Health Plan AAA. Humana CoverageFirst - Atlanta BBB. Humana CoverageFirst - Macon WW. Kaiser Foundation Health Plan of Georgia, Inc. YY. Kaiser Foundation Health Plan of Georgia, Inc. – HDHP E. Mail Handlers PP. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA CCC. UnitedHealthcare Insurance Company, Inc. W. United HealthCare of Georgia

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Georgia

None Available

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Hawaii

E. 65C Plus (HMSA - Hawaii Medicare Service Association)

H. AlohaCare Advantage (AlohaCare)

R. Concert/Melody/Prelude/Sonata (WellCare Health Plans, Inc.)

M. Health Net Pearl Option (Health Net)

N. Humana Gold Choice (Humana Insurance Company)

F. Kaiser Permanente Senior Advantage (Kaiser Foundation Health Plan, Inc. [HAWAII])

S. Secure Horizons MedicareComplete Choice/MedicareDirect (United Healthcare)

Q. SecurityChoice (Unicare Life & Health Insurance Company)

T. Today’s Options (Universal American/Pyramid Life Ins., Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Hawaii

Q. Aloha Care

C. HMSA (Hawaii Medical Services Association)

O. Kaiser Permanente

J. Kapiolani HealthHawaii

F. Queen's Hawaii Care

G. StraubCare Quantum (Straub)

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Hawaii

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Hawaii

E. 65C Plus (HMSA - Hawaii Medicare Service Association)

H. AlohaCare Advantage (AlohaCare)

R. Concert/Melody/Prelude/Sonata (WellCare Health Plans, Inc.)

M. Health Net Pearl Option (Health Net)

N. Humana Gold Choice (Humana Insurance Company)

F. Kaiser Permanente Senior Advantage (Kaiser Foundation Health Plan, Inc. [HAWAII])

S. Secure Horizons MedicareComplete Choice/MedicareDirect (United Healthcare)

Q. SecurityChoice (Unicare Life & Health Insurance Company)

T. Today’s Options (Universal American/Pyramid Life Ins., Inc.) H

X-5

Spring 2009

CARD HX-6

Plan Names Hawaii

Q. Aloha Care

C. HMSA (Hawaii Medical Services Association)

O. Kaiser Permanente

J. Kapiolani HealthHawaii

F. Queen's Hawaii Care

G. StraubCare Quantum (Straub)

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Hawaii

C. APWU H. Association Benefit Plan FF. Blue Cross and Blue Shield Service Benefit Plan –

Basic EE. Blue Cross and Blue Shield Service Benefit Plan -

Standard J. Foreign Service Benefit Plan D. GEHA II. GEHA High Deductible Health Plan Q. HMSA MM. Kaiser Foundation Health Plan of Hawaii E. Mail Handlers JJ. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Hawaii

None Available

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Idaho

P. Aetna Medicare Open Plan (Aetna)

Q. Care Assured (HealthMarkets)

R. Concert (WellCare Health Plans, Inc.)

E. Humana Gold Choice (Humana Insurance Company)

F. MedAdvantage (Regence BlueShield of Idaho)

O. MedicareComplete Choice/MedicareDirect (United Healthcare)

G. Secure Blue/Flexi Blue (Blue Cross of Idaho Health Services, Inc.)

M. SecurityChoice (Unicare Life & Health Insurance, Company)

S. Team Care (Mennonite Mutual Aid Association)

T. Today’s Options (Pyramid Life Ins., Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Idaho

A. Healthy Connections

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Idaho

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Idaho

P. Aetna Medicare Open Plan (Aetna)

Q. Care Assured (HealthMarkets)

R. Concert (WellCare Health Plans, Inc.)

E. Humana Gold Choice (Humana Insurance Company)

F. MedAdvantage (Regence BlueShield of Idaho)

O. MedicareComplete Choice/MedicareDirect (United Healthcare)

G. Secure Blue/Flexi Blue (Blue Cross of Idaho Health Services, Inc.)

M. SecurityChoice (Unicare Life & Health Insurance, Company)

S. Team Care (Mennonite Mutual Aid Association)

T. Today’s Options (Pyramid Life Ins., Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Idaho

A. Healthy Connections

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Idaho

LL. Aetna HealthFund CDHP MM. Aetna HealthFund HDHP NN. Altius Health Plans C. APWU H. Association Benefit Plan EE. Blue Cross and Blue Shield Service Benefit Plan – Basic DD. Blue Cross and Blue Shield Service Benefit Plan –

Standard J. Foreign Service Benefit Plan D. GEHA HH. GEHA High Deductible Health Plan AA. Group Health Cooperative E. Mail Handlers II. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Idaho

Temporary Assistance for Families in Idaho

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Illinois

EEE. Advantra Freedom (Coventry Health Care) JJ. Advantra/Gold Advantage (Group Health Plan, Inc.) FFF. Advantra Silver (PersonalCare Advantra) PP. Aetna Golden/Aetna Medicare Open Plan (Aetna) GGG. Care Assured (HealthMarkets) HHH. Concert (WellCare Health Plans, Inc.) XX. Essence (Essence Healthcare, Inc.) NN. Health Alliance Medicare (Health Alliance Medical

Plans) RR. HealthSpring Advantage/Healthy Living (Healthspring,

Inc.) III. Humana Gold/HumanaChoice (Humana Insurance

Company) ZZ. MedicareComplete/MedicareDirect (United Healthcare) JJJ. Mercy Medicare Advantage (Mercy Health Plans) FF. OSF Care Advantage/Preferred (Order of St. Francis -

OSF Health Care) OO. SecurityChoice (Unicare Life & Health Ins. Company) KKK. Team Care (Mennonite Mutual Aid Association) CCC. Today’s Options (Universal American/Pyramid Life

Insurance, Inc.) DDD. WellCare (WellCare Health Plans, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Illinois

R. Family Health Network

S. Harmony Health Plan

Z. Illinois Health Connect (PCCM)

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Illinois

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Illinois

EEE. Advantra Freedom (Coventry Health Care) JJ. Advantra/Gold Advantage (Group Health Plan, Inc.) FFF. Advantra Silver (PersonalCare Advantra) PP. Aetna Golden/Aetna Medicare Open Plan (Aetna) GGG. Care Assured (HealthMarkets) HHH. Concert (WellCare Health Plans, Inc.) XX. Essence (Essence Healthcare, Inc.) NN. Health Alliance Medicare (Health Alliance Medical

Plans) RR. HealthSpring Advantage/Healthy Living (Healthspring,

Inc.) III. Humana Gold/HumanaChoice (Humana Insurance

Company) ZZ. MedicareComplete/MedicareDirect (United Healthcare) JJJ. Mercy Medicare Advantage (Mercy Health Plans) FF. OSF Care Advantage/Preferred (Order of St. Francis -

OSF Health Care) OO. SecurityChoice (Unicare Life & Health Ins. Company) KKK. Team Care (Mennonite Mutual Aid Association) CCC. Today’s Options (Universal American/Pyramid Life

Insurance, Inc.) DDD. WellCare (WellCare Health Plans, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Illinois

R. Family Health Network

S. Harmony Health Plan

Z. Illinois Health Connect (PCCM)

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Illinois NNN. Aetna HealthFund CDHP OOO. Aetna HealthFund HDHP SSS. Aetna Open Access C. APWU H. Association Benefit Plan EEE. Blue Cross and Blue Shield Service Benefit Plan – Basic DDD. Blue Cross and Blue Shield Service Benefit Plan – Standard VVV. Blue Preferred HMO J. Foreign Service Benefit Plan D. GEHA HHH. GEHA High Deductible Health Plan X. Group Health Plan Y. Health Alliance HMO AA. Humana Health Plan, Inc. QQQ. Humana CoverageFirst CDHP E. Mail Handlers III. Mail Handlers High Deductible Plan F. NALC XX. OSF HealthPlans L. Panama Canal Area Benefit Plan HH. Personal Care’s HMO M. Rural Carrier Benefit Plan N. SAMBA YY. UNICARE HMO NN. Union Health Service TTT. United Health BBcare of the Midwest WWW. UnitedHealthcare Insurance Company, Inc. UUU. UnitedHealthcare Plan of the River Valley Inc.

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Illinois

None Available

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Indiana

CC. ADVANTAGE Preferred (Advantage Health Solutions, Inc.)

DD. Advantra Freedom (Coventry Health Care) EE. Aetna Medicare Open (Aetna) Q. Blue Medicare Access/Anthem Senior Advantage/

Medicare Preferred/SmartValue (Anthem Blue Cross and Blue Shield)

FF. Care Assured (HealthMarkets) GG. Concert (WellCare Health Plans, Inc.) HH. Essence (Essence Healthcare) R. HumanaChoice/Humana Gold Choice (Humana Insurance

Company) Z. MedicareComplete Choice/MedicareDirect (United

Healthcare) O. SecurityChoice (Unicare Life and Health Insurance

Company) II. Team Care (Mennonite Mutual Aid Association) BB. Today’s Options (Universal American/Pyramid Life

Insurance, Inc.) JJ. Wellborn (Wellborn HMO Senior Advantage) KK. WellCare (WellCare Health Plans, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Indiana

N. Anthem

C. Managed Health Services

I. MDwise

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Indiana

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Indiana

CC. ADVANTAGE Preferred (Advantage Health Solutions, Inc.)

DD. Advantra Freedom (Coventry Health Care) EE. Aetna Medicare Open (Aetna) Q. Blue Medicare Access/Anthem Senior Advantage/

Medicare Preferred/SmartValue (Anthem Blue Cross and Blue Shield)

FF. Care Assured (HealthMarkets) GG. Concert (WellCare Health Plans, Inc.) HH. Essence (Essence Healthcare) R. HumanaChoice/Humana Gold Choice (Humana Insurance

Company) Z. MedicareComplete Choice/MedicareDirect (United

Healthcare) O. SecurityChoice (Unicare Life and Health Insurance

Company) II. Team Care (Mennonite Mutual Aid Association) BB. Today’s Options (Universal American/Pyramid Life

Insurance, Inc.) JJ. Wellborn (Wellborn HMO Senior Advantage) KK. WellCare (WellCare Health Plans, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Indiana

N. Anthem

C. Managed Health Services

I. MDwise

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Indiana QQQ. Advantage Health Solutions LLL. Aetna HealthFund CDHP MMM. Aetna HealthFund HDHP RRR. Aetna Open Access C. APWU H. Association Benefit Plan AAA. Blue Cross and Blue Shield Service Benefit Plan – Basic ZZ. Blue Cross and Blue Shield Service Benefit Plan – Standard TTT. Bluegrass Family Health, Inc J. Foreign Service Benefit Plan D. GEHA GGG. GEHA High Deductible Health Plan U. Health Alliance HMO UUU. Humana CoverageFirst – Eastern Indiana VVV. Humana CoverageFirst – Indianapolis OOO. Humana CoverageFirst CDHP X. Humana Health Plan, Inc. E. Mail Handlers HHH. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan FF. Physicians HP of N. Indiana M. Rural Carrier Benefit Plan N. SAMBA WW. UNICARE HMO

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Indiana

IMPACT (Indiana Manpower Placement and Comprehensive Training)

TANF Work Program

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Iowa

DD. AARP MedicareComplete (United Healthcare)

EE. Advantra Freedom (Coventry Health Care)

V. Aetna Medicare Open Plan (Aetna)

W. Concert (WellCare Health Plans, Inc.)

Q. Coventry Advantra (Coventry Health Care of Iowa, Inc.)

O. Humana Gold Choice/HumanaChoice (Humana Insurance Company)

R. MedicareBlue PPO (Wellmark Blue Cross and Blue Shield of IA)

BB. SecureHorizons MedicareDirect (United Healthcare)

N. SecurityChoice (Unicare Life and Health Insurance Company)

FF. Team Care (Mennonite Mutual Aid Association)

U. Today’s Options (Pyramid Life Insurance)

PR-1

Spring 2009

CARD PR-2

Plan Names Iowa

K. Coventry Health Care of Iowa

L. Iowa Plan for Behavioral Health

N. Medipass (PCCM)

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Iowa

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Iowa

DD. AARP MedicareComplete (United Healthcare)

EE. Advantra Freedom (Coventry Health Care)

V. Aetna Medicare Open Plan (Aetna)

W. Concert (WellCare Health Plans, Inc.)

Q. Coventry Advantra (Coventry Health Care of Iowa, Inc.)

O. Humana Gold Choice/HumanaChoice (Humana Insurance Company)

R. MedicareBlue PPO (Wellmark Blue Cross and Blue Shield of IA)

BB. SecureHorizons MedicareDirect (United Healthcare)

N. SecurityChoice (Unicare Life and Health Insurance Company)

FF. Team Care (Mennonite Mutual Aid Association)

U. Today’s Options (Pyramid Life Insurance) HX

-5

Spring 2009

CARD HX-6

Plan Names Iowa

K. Coventry Health Care of Iowa

L. Iowa Plan for Behavioral Health

N. Medipass (PCCM)

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Iowa

C. APWU H. Association Benefit Plan MM. Blue Cross and Blue Shield Service Benefit Plan – Basic LL. Blue Cross and Blue Shield Service Benefit Plan –

Standard HH. Coventry Health Care of Iowa J. Foreign Service Benefit Plan D. GEHA PP. GEHA High Deductible Health Plan II. Health Alliance HMO VV. HealthPartners Classic/Open Access Deductible E. Mail Handlers QQ. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA XX. Sanford Health Plan YY. UnitedHealthcare Insurance Company, Inc. WW. UnitedHealthcare Plan of the River Valley, Inc.

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Iowa

Family Investment Program (FIP)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Kansas

K. Advantra (Coventry Health Care of Kansas, Inc.)

X. Advantra Freedom (Coventry Health Care of Kansas, Inc.)

P. Aetna Medicare Open Plan (Aetna)

Y. Care Assured (HealthMarkets)

Q. Concert (WellCare Health Plans, Inc.)

S. HumanaChoice/Humana Gold (Humana Insurance Company)

Z. MedicareComplete (United Healthcare)

AA. SecureHorizons Medicare Direct (United Healthcare)

U. SecurityChoice (Unicare Life & Health Insurance Company)

BB. Team Care (Mennonite Mutual Aid Association)

W. Today’s Options (Pyramid Life Insurance, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Kansas

K. Children's Mercy Family Health Partners

G. HealthConnect Kansas

L. Kansas Health Solutions

J. Unicare Health Plan of Kansas

M. ValueOptions of Kansas PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Kansas

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Kansas

K. Advantra (Coventry Health Care of Kansas, Inc.)

X. Advantra Freedom (Coventry Health Care of Kansas, Inc.)

P. Aetna Medicare Open Plan (Aetna)

Y. Care Assured (HealthMarkets)

Q. Concert (WellCare Health Plans, Inc.)

S. HumanaChoice/Humana Gold (Humana Insurance Company)

Z. MedicareComplete (United Healthcare)

AA. SecureHorizons Medicare Direct (United Healthcare)

U. SecurityChoice (Unicare Life & Health Insurance Company)

BB. Team Care (Mennonite Mutual Aid Association)

W. Today’s Options (Pyramid Life Insurance, Inc.) HX

-5

Spring 2009

CARD HX-6

Plan Names Kansas

K. Children's Mercy Family Health Partners

G. HealthConnect Kansas

L. Kansas Health Solutions

J. Unicare Health Plan of Kansas

M. ValueOptions of Kansas

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Kansas

YY. Aetna HealthFund CDHP ZZ. Aetna HealthFund HDHP FFF. Aetna Open Access C. APWU H. Association Benefit Plan OO. Blue Cross and Blue Shield Service Benefit Plan – Basic NN. Blue Cross and Blue Shield Service Benefit Plan – Standard A. Blue Cross and Blue Shield Service Benefit Plan (HDHP) KK. Coventry Health Care of Kansas – Kansas City UU. Coventry Health Care of Kansas – Wichita/Salinas – High AAA. Coventry Health Care of Kansas, Inc. HDHP J. Foreign Service Benefit Plan D. GEHA RR. GEHA High Deductible Health Plan GGG. Humana CoverageFirst MM. Humana Health Plan, Inc. – Standard E. Mail Handlers SS. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA EEE. United Health BBcare of the Midwest HHH. UnitedHealthcare Insurance Company, Inc.

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Kansas

Kansas Works

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Kentucky

Q. Advantra Freedom (Coventry Health Care)

K. Aetna Medicare Open Plan (Aetna)

H. Blue Medicare Access/Anthem Sr. Advantage/ SmartValue/Medicare Preferred (Anthem Blue Cross and Blue Shield)

L. Concert (WellCare Health Plans, Inc.)

R. Essence (Essence Healthcare)

N. HumanaChoice/Humana Gold (Humana Insurance Company)

S. SecureHorizons Medicare Direct (United Healthcare)

G. Security Choice (Unicare Life and Health Insurance Company)

P. Today’s Options (Pyramid Life Insurance, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Kentucky

B. Passport Health Plan

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Kentucky

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Kentucky

Q. Advantra Freedom (Coventry Health Care)

K. Aetna Medicare Open Plan (Aetna)

H. Blue Medicare Access/Anthem Sr. Advantage/ SmartValue/Medicare Preferred (Anthem Blue Cross and Blue Shield)

L. Concert (WellCare Health Plans, Inc.)

R. Essence (Essence Healthcare)

N. HumanaChoice/Humana Gold (Humana Insurance Company)

S. SecureHorizons Medicare Direct (United Healthcare)

G. Security Choice (Unicare Life and Health Insurance Company)

P. Today’s Options (Pyramid Life Insurance, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Kentucky

B. Passport Health Plan

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Kentucky

WW. Aetna HealthFund CDHP XX. Aetna HealthFund HDHP BBB. Aetna Open Access C. APWU H. Association Benefit Plan NN. Blue Cross and Blue Shield Service Benefit Plan – Basic MM. Blue Cross and Blue Shield Service Benefit Plan -

Standard Q. Bluegrass Family Health J. Foreign Service Benefit Plan D. GEHA RR. GEHA High Deductible Health Plan YY. Humana CoverageFirst CDHP – Lexington AAA. Humana CoverageFirst CDHP – N. Kentucky E. Mail Handlers SS. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Kentucky

Kentucky Transitional Assistance Program (K-TAP)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Louisiana

FF. Advantra Freedom (Coventry Health Care) T. Aetna Medicare Open Plan (Aetna) U. ANY, ANY, ANY Plan (Universal Health Care) GG. Arcadian Community Care (Arcadian Community

Care) HH. Care Assured (HealthMarkets) V. Choices/HealthCare Select (Peoples Health) II. Concert (WellCare Health Plans, Inc.) JJ. HumanaChoice (Humana Insurance Company) KK. Humana Gold (Humana Health Benefit Plan of LA,

Inc.) LL. SecureHorizons MedicareDirect (United Healthcare) Z. SecurityChoice (Unicare Life & Health Insurance

Company) CC. Today’s Options (Universal American/Pyramid Life

Insurance, Inc.) MM. Vantage (Vantage Health Plan, Inc.) EE. WellCare (WellCare Health Plans, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Louisiana

A. Community Care Program (PCCM)

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Louisiana

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Louisiana

FF. Advantra Freedom (Coventry Health Care) T. Aetna Medicare Open Plan (Aetna) U. ANY, ANY, ANY Plan (Universal Health Care) GG. Arcadian Community Care (Arcadian Community

Care) HH. Care Assured (HealthMarkets) V. Choices/HealthCare Select (Peoples Health) II. Concert (WellCare Health Plans, Inc.) JJ. HumanaChoice (Humana Insurance Company) KK. Humana Gold (Humana Health Benefit Plan of LA,

Inc.) LL. SecureHorizons MedicareDirect (United Healthcare) Z. SecurityChoice (Unicare Life & Health Insurance

Company) CC. Today’s Options (Universal American/Pyramid Life

Insurance, Inc.) MM. Vantage (Vantage Health Plan, Inc.) EE. WellCare (WellCare Health Plans, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Louisiana

A. Community Care Program (PCCM)

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Louisiana

EEE. Aetna HealthFund CDHP GGG. Aetna HealthFund HDHP C. APWU H. Association Benefit Plan RR. Blue Cross and Blue Shield Service Benefit Plan – Basic QQ. Blue Cross and Blue Shield Service Benefit Plan – Standard PP. Coventry Healthcare Louisiana – Baton Rouge OO. Coventry Healthcare Louisiana – New Orleans AAA. Coventry Healthcare Louisiana HDHP – Baton Rouge J. Foreign Service Benefit Plan D. GEHA UU. GEHA High Deductible Health Plan FFF. Humana CoverageFirst HHH. Humana CoverageFirst-Baton Rouge E. Mail Handlers VV. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA III. UnitedHealthcare Insurance Company, Inc. YY. Vantage HealthPlan – Monroe/Shreveport/Alexandria

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Louisiana

Family Independence Temporary Assistance Program (FITAP)

Strategies to Empower People (STEP)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Maine

J. AARP/SecureHorizons MedicareComplete/ Medicare Direct (United Healthcare)

D. Aetna Medicare Open Plan/Aetna Golden (Aetna)

K. Care Assured (HealthMarkets)

L. First Seniority Freedom (Harvard Pilgrim Health Care Inc.)

F. Humana Gold Choice (Humana Insurance Company)

G. Martin’s Point Generations Advantage (Martin’s Point Health Care)

H. Northeast Community Care (Arcadian Health Plan)

I. SecurityChoice (Unicare Life & Health Insurance Company)

M. SmartValue (Anthem Blue Cross and Blue Shield)

B. Today’s Options (Pyramid Life Ins., Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Maine

B. MaineCare (PCCM)

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Maine

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Maine

J. AARP/SecureHorizons MedicareComplete/ Medicare Direct (United Healthcare)

D. Aetna Medicare Open Plan/Aetna Golden (Aetna)

K. Care Assured (HealthMarkets)

L. First Seniority Freedom (Harvard Pilgrim Health Care Inc.)

F. Humana Gold Choice (Humana Insurance Company)

G. Martin’s Point Generations Advantage (Martin’s Point Health Care)

H. Northeast Community Care (Arcadian Health Plan)

I. SecurityChoice (Unicare Life & Health Insurance Company)

M. SmartValue (Anthem Blue Cross and Blue Shield)

B. Today’s Options (Pyramid Life Ins., Inc.) HX

-5

Spring 2009

CARD HX-6

Plan Names Maine

B. MaineCare (PCCM)

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Maine

II. Aetna HealthFund CDHP JJ. Aetna HealthFund HDHP C. APWU H. Association Benefit Plan DD. Blue Cross and Blue Shield Service Benefit Plan –

Basic CC. Blue Cross and Blue Shield Service Benefit Plan –

Standard J. Foreign Service Benefit Plan D. GEHA GG. GEHA High Deductible Health Plan E. Mail Handlers HH. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Maine

TANF

ASPIRE (Additional Support for People in Retraining and Employment)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Maryland

HH. Advantra Freedom (Coventry Health Care)

II. Aetna Golden/Aetna Medicare Open Plan (Aetna)

JJ. AMERIVANTAGE (AMERIGROUP Community Care)

AA. Bravo (Bravo Health)

KK. Concert (WellCare Health Plans, Inc.)

DD. Humana Gold Choice (Humana Insurance Company)

P. Kaiser Permanente Medicare Plus (Kaiser Foundation Health Plan, Inc.)

LL. SecureHorizons Medicare Direct (SecureHorizons)

FF. SecurityChoice (Unicare Life & Health Insurance Company)

MM. Team Care (Mennonite Mutual Aid Association)

GG. Today’s Options (Universal American/Pyramid Life Insurance, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Maryland

BB. Amerigroup Community Care

X. Diamond Plan

I. JAI Medical Systems, Inc.

J. Maryland Physicians Care

AA. MedStar Family Choice

W. Priority Partners

Z. UnitedHealthcare (Americhoice)

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Maryland

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Maryland

HH. Advantra Freedom (Coventry Health Care)

II. Aetna Golden/Aetna Medicare Open Plan (Aetna)

JJ. AMERIVANTAGE (AMERIGROUP Community Care)

AA. Bravo (Bravo Health)

KK. Concert (WellCare Health Plans, Inc.)

DD. Humana Gold Choice (Humana Insurance Company)

P. Kaiser Permanente Medicare Plus (Kaiser Foundation Health Plan, Inc.)

LL. SecureHorizons Medicare Direct (SecureHorizons)

FF. SecurityChoice (Unicare Life & Health Insurance Company)

MM. Team Care (Mennonite Mutual Aid Association)

GG. Today’s Options (Universal American/Pyramid Life Insurance, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Maryland

BB. Amerigroup Community Care

X. Diamond Plan

I. JAI Medical Systems, Inc.

J. Maryland Physicians Care

AA. MedStar Family Choice

W. Priority Partners

Z. UnitedHealthcare (Americhoice)

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Maryland

KKK. Aetna HealthFund CDHP LLL. Aetna HealthFund HDHP GGG. Aetna Open Access – Basic C. APWU H. Association Benefit Plan XX. Blue Cross and Blue Shield Service Benefit Plan – Basic WW. Blue Cross and Blue Shield Service Benefit Plan – Standard YY. CareFirst BlueChoice MMM. Coventry Health Care of Delaware – HDHP J. Foreign Service Benefit Plan D. GEHA DDD. GEHA High Deductible Health Plan CC. Kaiser Permanente DD. M.D. IPA E. Mail Handlers EEE. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA NNN. United HealthCare Definity HDHP

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Maryland

Family Investment Program (FIP)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Massachusetts

JJ. Advantra Freedom (Coventry Health Care) DD. Aetna Medicare Open Plan (Aetna) KK. Care Assured (HealthMarkets) V. Fallon Senior Plan (Fallon Community Health

Plan) Y. First Seniority (Harvard Pilgrim Health Care, Inc.) LL. Health Net Pearl (Health Net) FF. Humana Gold Choice (Humana Insurance

Company) BB. Medicare PPO/HMO Blue/Blue Medicare (Blue

Cross & Blue Shield of Massachusetts, Inc.) CC. Medicare Preferred (Tufts Health Plan) HH. SecureHorizons MedicareDirect/AARP

MedicareComplete (United Healthcare) II. SecurityChoice (Unicare Life & Health Insurance

Company) MM. Today’s Options (Universal American/Pyramid

Life Ins., Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Massachusetts

S. Boston Medical Center Healthnet Plan

J. Fallon Community Health Plan

R. Massachusetts Behavioral Health Partnership

N. Neighborhood Health Plan

Z. Network Health PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Massachusetts

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Massachusetts

JJ. Advantra Freedom (Coventry Health Care) DD. Aetna Medicare Open Plan (Aetna) KK. Care Assured (HealthMarkets) V. Fallon Senior Plan (Fallon Community Health

Plan) Y. First Seniority (Harvard Pilgrim Health Care, Inc.) LL. Health Net Pearl (Health Net) FF. Humana Gold Choice (Humana Insurance

Company) BB. Medicare PPO/HMO Blue/Blue Medicare (Blue

Cross & Blue Shield of Massachusetts, Inc.) CC. Medicare Preferred (Tufts Health Plan) HH. SecureHorizons MedicareDirect/AARP

MedicareComplete (United Healthcare) II. SecurityChoice (Unicare Life & Health Insurance

Company) MM. Today’s Options (Universal American/Pyramid

Life Ins., Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Massachusetts

S. Boston Medical Center Healthnet Plan

J. Fallon Community Health Plan

R. Massachusetts Behavioral Health Partnership

N. Neighborhood Health Plan

Z. Network Health

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Massachusetts

YY. Aetna HealthFund CDHP ZZ. Aetna HealthFund HDHP C. APWU H. Association Benefit Plan MM. Blue CHiP, Coordinated Health Partners, Inc. RR. Blue Cross and Blue Shield Service Benefit Plan – Basic QQ. Blue Cross and Blue Shield Service Benefit Plan –

Standard NN. ConnectiCare WW. Fallon Community Health Plan – High XX. Fallon Community Health Plan – Std J. Foreign Service Benefit Plan D. GEHA UU. GEHA High Deductible Health Plan E. Mail Handlers VV. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Massachusetts

Transitional Aid to Families with Dependent Children (TAFDC)

Employment Services Program (ESP)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Michigan

HH. Advantra Freedom (Coventry Health Care) BB. Aetna Medicare Open Plan (Aetna) II. Alliance Medicare PPO/HAP Senior Plus (Health

Alliance Plan of Michigan) V. BCN Advantage (Blue Care Network) JJ. Care Assured (HealthMarkets) CC. Concert (WellCare Health Plans, Inc.) H. HealthPlus Senior (HealthPlus of Michigan) W. Humana Gold Choice/HumanaChoice (Humana

Insurance Company) X. Medicare Plus Blue (Blue Cross Blue Shield of

Michigan) KK. Molina Medicare (Molina Healthcare of Michigan) Y. Paramount Elite (Paramount Health Care) Z. PriorityMedicare (PriorityHealth) LL. SecureHorizons MedicareDirect/MedicareComplete

(United Healthcare) S. SecurityChoice (Unicare Life & Health Ins. Company) MM. Team Care (Mennonite Mutual Aid Association) GG. Today’s Options (Universal American/Pyramid Life

Insurance, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Michigan

JJJ. BlueCaid

U. Community Choice Michigan

DD. Great Lakes Health Plan, Inc.

AAA. Health Plan of Michigan, Inc

CCC. HealthPlus Partners, Inc.

EE. McLaren Health Plan

K. Midwest Health Plan

WW. Molina Healthcare of Michigan

M. OmniCare Health Plan

DDD. PHP-mm Family Care

FFF. Priority Health Government Programs, Inc.

MM. Pro-Care Health Plan

HHH. Total Health Care

OO. Upper Peninsula Health Plan

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Michigan

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Michigan

HH. Advantra Freedom (Coventry Health Care) BB. Aetna Medicare Open Plan (Aetna) II. Alliance Medicare PPO/HAP Senior Plus (Health

Alliance Plan of Michigan) V. BCN Advantage (Blue Care Network) JJ. Care Assured (HealthMarkets) CC. Concert (WellCare Health Plans, Inc.) H. HealthPlus Senior (HealthPlus of Michigan) W. Humana Gold Choice/HumanaChoice (Humana

Insurance Company) X. Medicare Plus Blue (Blue Cross Blue Shield of

Michigan) KK. Molina Medicare (Molina Healthcare of Michigan) Y. Paramount Elite (Paramount Health Care) Z. PriorityMedicare (PriorityHealth) LL. SecureHorizons MedicareDirect/MedicareComplete

(United Healthcare) S. SecurityChoice (Unicare Life & Health Ins. Company) MM. Team Care (Mennonite Mutual Aid Association) GG. Today’s Options (Universal American/Pyramid Life

Insurance, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Michigan

JJJ. BlueCaid

U. Community Choice Michigan

DD. Great Lakes Health Plan, Inc.

AAA. Health Plan of Michigan, Inc

CCC. HealthPlus Partners, Inc.

EE. McLaren Health Plan

K. Midwest Health Plan

WW. Molina Healthcare of Michigan

M. OmniCare Health Plan

DDD. PHP-mm Family Care

FFF. Priority Health Government Programs, Inc.

MM. Pro-Care Health Plan

HHH. Total Health Care

OO. Upper Peninsula Health Plan

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Michigan FFF. Aetna HealthFund CDHP GGG. Aetna HealthFund HDHP C. APWU H. Association Benefit Plan ZZ. Blue Cross Blue Shield Service Benefit Plan – Basic YY. Blue Cross Blue Shield Service Benefit Plan – Standard PP. Bluecare Network of MI – Midland County TT. Bluecare Network of MI – Mid Michigan AAA. Bluecare Network of MI - Southeast MI J. Foreign Service Benefit Plan D. GEHA DDD. GEHA High Deductible Health Plan V. Grand Valley Health Plan W. Health Alliance Plan of MI X. HealthPlus of MI HHH. Humana CoverageFirst (Consumer Driven Plan) III. Humana CoverageFirst-Detroit JJJ. Humana CoverageFirst-Grand Rapids E. Mail Handlers EEE. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan BB. Physicians Health Plan of Mid-Michigan M. Rural Carrier Benefit Plan N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Michigan

Family Independence Program (FIP)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Minnesota

FF. Aetna Medicare Open Plan (Aetna) LL. Concert (WellCare Health Plans, Inc.) Z. HealthPartners Freedom (HealthPartners) E. HealthPartners Liberty Medicare/HealthPartners

Classic (HealthPartners Liberty Medicare) W. Humana Gold Choice (Humana Insurance

Company) II. Medica Advantage/Prime Solution (Medica Health

Plans) BB. MedicareBlue PPO (Blue Cross/Blue Shield of

Minnesota) JJ. MHP North Star Advantage (Metropolitan Health

Plan) MM. SecureHorizons MedicareDirect (United

Healthcare) T. SecurityChoice (Unicare Life and Health

Insurance Company) EE. Today’s Options (Universal American/Pyramid

Life Insurance, Inc.) U. UCare for Seniors (UCare Minnesota)

PR-1

Spring 2009

CARD PR-2

Plan Names Minnesota

A. Blue Plus

J. FirstPlan of Minnesota

K. HealthPartners

L. Itasca Medical Care

M. Medica

E. Metropolitan Health Plan (MHP)

T. PrimeWest Health System

S. South Country Health Alliance

R. UCare Minnesota

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Minnesota

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Minnesota

FF. Aetna Medicare Open Plan (Aetna) LL. Concert (WellCare Health Plans, Inc.) Z. HealthPartners Freedom (HealthPartners) E. HealthPartners Liberty Medicare/HealthPartners

Classic (HealthPartners Liberty Medicare) W. Humana Gold Choice (Humana Insurance

Company) II. Medica Advantage/Prime Solution (Medica Health

Plans) BB. MedicareBlue PPO (Blue Cross/Blue Shield of

Minnesota) JJ. MHP North Star Advantage (Metropolitan Health

Plan) MM. SecureHorizons MedicareDirect (United

Healthcare) T. SecurityChoice (Unicare Life and Health

Insurance Company) EE. Today’s Options (Universal American/Pyramid

Life Insurance, Inc.) U. UCare for Seniors (UCare Minnesota)

HX

-5

Spring 2009

CARD HX-6

Plan Names Minnesota

A. Blue Plus

J. FirstPlan of Minnesota

K. HealthPartners

L. Itasca Medical Care

M. Medica

E. Metropolitan Health Plan (MHP)

T. PrimeWest Health System

S. South Country Health Alliance

R. UCare Minnesota

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Minnesota

C. APWU H. Association Benefit Plan II. Blue Cross and Blue Shield Service Benefit Plan – Basic HH. Blue Cross and Blue Shield Service Benefit Plan –

Standard A. Blue Cross and Blue Shield Service Benefit Plan (HDHP) J. Foreign Service Benefit Plan D. GEHA MM. GEHA High Deductible Health Plan EE. Health Partners Primary Clinic Plan OO. HealthPartners Classic/Open Access Deductible E. Mail Handlers NN. Mail Handlers High Deductible Plan PP. Medica Health Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Minnesota

Minnesota Family Investment Program (MFIP)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Mississippi

O. Advantra Freedom (Coventry Health Care)

G. Aetna Medicare Open Plan (Aetna)

P. Concert (WellCare Health Plans, Inc.)

D. HealthSpring (HealthSpring, Inc.)

E. Humana Gold/HumanaChoice PPO (Humana Insurance Company)

Q. SecureHorizons Medicare Direct (United Healthcare)

K. SecurityChoice (Unicare Life & Health Insurance Company)

M. Today’s Options (Universal American/Pyramid Life Insurance, Inc.)

R. Unison Advantage (Unison Advantage)

N. Windsor Medicare Extra (Windsor Health Group)

PR-1

Spring 2009

CARD PR-2

Plan Names Mississippi

None Available

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Mississippi

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Mississippi

O. Advantra Freedom (Coventry Health Care)

G. Aetna Medicare Open Plan (Aetna)

P. Concert (WellCare Health Plans, Inc.)

D. HealthSpring (HealthSpring, Inc.)

E. Humana Gold/HumanaChoice PPO (Humana Insurance Company)

Q. SecureHorizons Medicare Direct (United Healthcare)

K. SecurityChoice (Unicare Life & Health Insurance Company)

M. Today’s Options (Universal American/Pyramid Life Insurance, Inc.)

R. Unison Advantage (Unison Advantage)

N. Windsor Medicare Extra (Windsor Health Group)

HX

-5

Spring 2009

CARD HX-6

Plan Names Mississippi

None Available

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Mississippi

GG. Aetna HealthFund CDHP HH. Aetna HealthFund HDHP C. APWU H. Association Benefit Plan BB. Blue Cross and Blue Shield Service Benefit Plan –

Basic AA. Blue Cross and Blue Shield Service Benefit Plan –

Standard J. Foreign Service Benefit Plan D. GEHA EE. GEHA High Deductible Health Plan E. Mail Handlers FF. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA II. UnitedHealthcare Insurance Company, Inc.

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Mississippi

None Available

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Missouri

V. Advantra (Coventry Health Care of Kansas, Inc.) OO. Advantra Freedom (Coventry Health and Life Ins.

Company) FF. Aetna Medicare Open Plan (Aetna) PP. Anthem Senior Advantage/Medicare Preferred (Anthem

Blue Cross and Blue Shield) QQ. Care Assured (HealthMarkets) RR. Concert (WellCare Health Plans, Inc.) DD. Essence (Essence Healthcare) II. Gold Advantage/Advantra (Group Health Plan, Inc.) JJ. HumanaChoice PPO/Humana Gold (Humana Insurance

Company) KK. SecureHorizons/AARP MedicareComplete/

MedicareDirect (United Healthcare) MM. SmartValue (Blue Cross Blue Shield of Missouri) SS. St. John’s PremierPlus/Mercy Medicare Advantage

(Mercy Health Plans of Missouri, Inc.) NN. Today’s Options (Universal American/Pyramid Life

Insurance, Inc.) TT. WellCare (WellCare Health Plans, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Missouri

L. Blue Advantage Plus of Kansas City, Inc.

BB. Children’s Mercy Family Health Partners

CC. Harmony Health Plan of Missouri

D. HealthCare USA

DD. Mercy CarePlus

T. Missouri Care

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Missouri

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Missouri

V. Advantra (Coventry Health Care of Kansas, Inc.) OO. Advantra Freedom (Coventry Health and Life Ins.

Company) FF. Aetna Medicare Open Plan (Aetna) PP. Anthem Senior Advantage/Medicare Preferred (Anthem

Blue Cross and Blue Shield) QQ. Care Assured (HealthMarkets) RR. Concert (WellCare Health Plans, Inc.) DD. Essence (Essence Healthcare) II. Gold Advantage/Advantra (Group Health Plan, Inc.) JJ. HumanaChoice PPO/Humana Gold (Humana Insurance

Company) KK. SecureHorizons/AARP MedicareComplete/

MedicareDirect (United Healthcare) MM. SmartValue (Blue Cross Blue Shield of Missouri) SS. St. John’s PremierPlus/Mercy Medicare Advantage

(Mercy Health Plans of Missouri, Inc.) NN. Today’s Options (Universal American/Pyramid Life

Insurance, Inc.) TT. WellCare (WellCare Health Plans, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Missouri

L. Blue Advantage Plus of Kansas City, Inc.

BB. Children’s Mercy Family Health Partners

CC. Harmony Health Plan of Missouri

D. HealthCare USA

DD. Mercy CarePlus

T. Missouri Care

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Missouri

CCC. Aetna HealthFund CDHP DDD. Aetna HealthFund HDHP JJJ. Aetna Open Access C. APWU H. Association Benefit Plan PP. Blue Cross and Blue Shield Service Benefit Plan - Basic OO. Blue Cross and Blue Shield Service Benefit Plan – Standard A. Blue Cross and Blue Shield Service Benefit Plan (HDHP) P. BlueCHOICE EEE. Coventry Health Care of Kansas – Kansas City – HDHP AAA. Coventry Health Care of Kansas – Kansas City – Std. J. Foreign Service Benefit Plan D. GEHA VV. GEHA High Deductible Health Plan FFF. Group Health Plan, Inc. MMM. Group Health Plan, Inc. St. Louis United Healthcare of the

Midwest KKK. Humana CoverageFirst SS. Humana Health Plan, Inc. – Standard E. Mail Handlers WW. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA NNN. UnitedHealthcare Insurance Company, Inc. III. United Healthcare of the Midwest

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Missouri

Beyond Welfare

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Montana

G. Aetna Medicare Open Plan (Aetna)

M. Big Sky (Clear Choice Health Plans)

I. Concert (WellCare Health Plans, Inc.)

B. Humana Gold Choice (Humana Insurance Company)

C. MedicareBlue PPO (Blue Cross/Blue Shield of Montana)

D. New West Medicare (New West Health Services)

N. SecureHorizons MedicareDirect (United Healthcare)

L. SecurityChoice (Unicare Life & Health Insurance Company)

O. Team Care (Mennonite Mutual Aid Association)

P. Today’s Options (Universal American/Pyramid Life Ins., Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Montana

D. Passport to Health (PCCM)

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Montana

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Montana

G. Aetna Medicare Open Plan (Aetna)

M. Big Sky (Clear Choice Health Plans)

I. Concert (WellCare Health Plans, Inc.)

B. Humana Gold Choice (Humana Insurance Company)

C. MedicareBlue PPO (Blue Cross/Blue Shield of Montana)

D. New West Medicare (New West Health Services)

N. SecureHorizons MedicareDirect (United Healthcare)

L. SecurityChoice (Unicare Life & Health Insurance Company)

O. Team Care (Mennonite Mutual Aid Association)

P. Today’s Options (Universal American/Pyramid Life Ins., Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Montana

D. Passport to Health (PCCM)

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Montana

C. APWU H. Association Benefit Plan BB. Blue Cross and Blue Shield Service Benefit Plan –

Basic AA. Blue Cross and Blue Shield Service Benefit Plan –

Standard J. Foreign Service Benefit Plan D. GEHA FF. GEHA High Deductible Health Plan E. Mail Handlers GG. Mail Handlers High Deductible Plan F. NALC Z. New West Health Services L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Montana

Families Achieving Independence in Montana (FAIM)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans North Carolina

T. Advantra Freedom (Coventry Health Care) P. Aetna Medicare Open Plan (Aetna) U. Blue Medicare HMO/PPO (PARTNERS National Health

Plans, a BCBS NC Company) V. Care Assured (HealthMarkets) W. Cigna Medicare Access (Cigna) X. Concert/Melody/Prelude/Sonata (WellCare Health Plans,

Inc.) Y. Health Net Pearl (Health Net) L. Humana Gold Choice/HumanaChoice (Humana Insurance

Company) Z. Patriot/Presidential (America’s 1st Choice Insurance

Company of NC, Inc.) AA. SecureHorizons MedicareDirect/AARP Medicare

Complete (United Healthcare) M. SecurityChoice (Unicare Life & Health Ins. Company) BB. Southeast Community Care (Southeast Community Care) O. Today’s Options (Universal American/Pyramid Life

Insurance, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names North Carolina

X. ACCESS II Care of Western North Carolina Y. ACCESS III of Lower Cape Fear Z. ACCESSCare, Inc. AA. Carolina Collaborative Community Care BB. Carolina Community Health Partnership V. Community Care of North Carolina/Carolina

ACCESS (CCNC/CA) II. Community Care of Wake/Johnston Counties DD. Community Care Plan of Eastern Carolina EE. Community Health Partners FF. Partnership for Health Management GG. Sandhills Community Care Network HH. Southern Piedmont Community Care Plan KK. Community Care Partners of Greater Mecklenburg LL. Northern Piedmont Community Care JJ. Northwest Community Care

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card North Carolina

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans North Carolina

T. Advantra Freedom (Coventry Health Care) P. Aetna Medicare Open Plan (Aetna) U. Blue Medicare HMO/PPO (PARTNERS National Health

Plans, a BCBS NC Company) V. Care Assured (HealthMarkets) W. Cigna Medicare Access (Cigna) X. Concert/Melody/Prelude/Sonata (WellCare Health Plans,

Inc.) Y. Health Net Pearl (Health Net) L. Humana Gold Choice/HumanaChoice (Humana Insurance

Company) Z. Patriot/Presidential (America’s 1st

AA. SecureHorizons MedicareDirect/AARP Medicare Complete (United Healthcare)

Choice Insurance Company of NC, Inc.)

M. SecurityChoice (Unicare Life & Health Ins. Company) BB. Southeast Community Care (Southeast Community Care) O. Today’s Options (Universal American/Pyramid Life

Insurance, Inc.) HX

-5

Spring 2009

CARD HX-6

Plan Names North Carolina

X. ACCESS II Care of Western North Carolina Y. ACCESS III of Lower Cape Fear Z. ACCESSCare, Inc. AA. Carolina Collaborative Community Care BB. Carolina Community Health Partnership V. Community Care of North Carolina/Carolina

ACCESS (CCNC/CA) EII. Community Care of Wake/Johnston Counties KK. Community Care Partners of Greater Mecklenburg DD. Community Care Plan of Eastern Carolina E. Community Health Partners LL. Northern Piedmont Community Care JJ. Northwest Community Care FF. Partnership for Health Management GG. Sandhills Community Care Network HH. Southern Piedmont Community Care Plan

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

North Carolina

NN. Aetna HealthFund CDHP OO. Aetna HealthFund HDHP PP. Aetna Open Access C. APWU H. Association Benefit Plan II. Blue Cross and Blue Shield Service Benefit Plan – Basic HH. Blue Cross and Blue Shield Service Benefit Plan –

Standard J. Foreign Service Benefit Plan D. GEHA LL. GEHA High Deductible Health Plan E. Mail Handlers MM. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA QQ. UnitedHealthcare Insurance Company, Inc.

HX

-8

Spring 2009

CARD IN-2A

State TANF Program North Carolina

Work First

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans North Dakota

P. Advantra Freedom (Coventry Health Care)

K. Aetna Medicare Open Plan (Aetna)

Q. Concert (WellCare Health Plans, Inc.)

G. Humana Gold Choice (Humana Insurance Company)

M. Medica Advantage/Prime (Medica Health Plans)

H. MedicareBlue PPO (Blue Cross/Blue Shield of North Dakota)

R. SecureHorizons Medicare Direct (United Healthcare)

O. SecurityChoice (Unicare Life & Health Insurance Company)

S. Today’s Options (Universal American/Pyramid Life Ins., Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names North Dakota

C. Primary Care Provider Program (PCCM)

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card North Dakota

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans North Dakota

P. Advantra Freedom (Coventry Health Care)

K. Aetna Medicare Open Plan (Aetna)

Q. Concert (WellCare Health Plans, Inc.)

G. Humana Gold Choice (Humana Insurance Company)

M. Medica Advantage/Prime (Medica Health Plans)

H. MedicareBlue PPO (Blue Cross/Blue Shield of North Dakota)

R. SecureHorizons Medicare Direct (United Healthcare)

O. SecurityChoice (Unicare Life & Health Insurance Company)

S. Today’s Options (Universal American/Pyramid Life Ins., Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names North Dakota

C. Primary Care Provider Program (PCCM)

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

North Dakota

C. APWU H. Association Benefit Plan CC. Blue Cross and Blue Shield Service Benefit Plan –

Basic BB. Blue Cross and Blue Shield Service Benefit Plan –

Standard J. Foreign Service Benefit Plan D. GEHA FF. GEHA High Deductible Health Plan II. HealthPartners Open Access Deductible HH. Heart of America Health Plan E. Mail Handlers GG. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program North Dakota

Training, Employment, Education Management (TEEM)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Nebraska

L. Advantra (Coventry Health Care of Nebraska Advantra)

M. Advantra Freedom (Coventry Health Care)

I. Aetna Medicare Open Plan (Aetna)

N. Concert (WellCare Health Plans, Inc.)

F. Humana Gold Choice (Humana Insurance Company)

G. MedicareBlue PPO (Blue Cross and Blue Shield of Nebraska)

O. SecureHorizons Medicare Direct/AARP MedicareComplete (United Healthcare)

E. SecurityChoice (Unicare Life and Health Insurance Company)

P. Team Care (Mennonite Mutual Aid Association)

Q. Today’s Options/Avera Advantage (Pyramid Life Ins., Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Nebraska

F. Magellan Behavioral Health

G. Primary Care Plus

H. Share Advantage

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card – Nebraska

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Nebraska

L. Advantra (Coventry Health Care of Nebraska Advantra)

M. Advantra Freedom (Coventry Health Care)

I. Aetna Medicare Open Plan (Aetna)

N. Concert (WellCare Health Plans, Inc.)

F. Humana Gold Choice (Humana Insurance Company)

G. MedicareBlue PPO (Blue Cross and Blue Shield of Nebraska)

O. SecureHorizons Medicare Direct/AARP MedicareComplete (United Healthcare)

E. SecurityChoice (Unicare Life and Health Insurance Company)

P. Team Care (Mennonite Mutual Aid Association)

Q. Today’s Options/Avera Advantage (Pyramid Life Ins., Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Nebraska

F. Magellan Behavioral Health

G. Primary Care Plus

H. Share Advantage

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Nebraska

C. APWU H. Association Benefit Plan EE. Blue Cross and Blue Shield Service Benefit Plan –

Basic DD. Blue Cross and Blue Shield Service Benefit Plan –

Standard JJ. Coventry Health Care of Nebraska J. Foreign Service Benefit Plan D. GEHA HH. GEHA High Deductible Health Plan E. Mail Handlers II. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Nebraska

Employment First

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Nevada

V. Advantra Freedom (Coventry Health Care) P. Aetna Medicare Open Plan/Aetna Golden (Aetna) Q. ANY, ANY, ANY Plan (Universal Health Care) W. Care Assured (HealthMarkets) X. Concert (WellCare Health Plans, Inc.) L. Humana Gold Choice (Humana Insurance Company) Y. Molina Medicare (Molina HealthCare of Nevada) Z. SecureHorizons Medicare Direct/AARP

MedicareComplete (United Healthcare) T. SecurityChoice (Unicare Life & Health Insurance

Company) H. Senior Care Plus (Hometown Health Plan, Inc.) D. Senior Dimensions (Health Plan of Nevada, Inc.) N. Sierra Nevada/Sierra Spectrum (Sierra Health & Life

Insurance, Inc.) AA. SmartValue/Anthem Medicare Preferred (Anthem Blue

Cross and Blue Shield) BB. Today’s Options (Universal American/Pyramid Life Ins.,

Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Nevada

J. Anthem Blue Cross Blue Shield Partnership Plan

F. Health Plan of Nevada

B. NevadaCare

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Nevada

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Nevada

V. Advantra Freedom (Coventry Health Care) P. Aetna Medicare Open Plan/Aetna Golden (Aetna) Q. ANY, ANY, ANY Plan (Universal Health Care) W. Care Assured (HealthMarkets) X. Concert (WellCare Health Plans, Inc.) L. Humana Gold Choice (Humana Insurance Company) Y. Molina Medicare (Molina HealthCare of Nevada) Z. SecureHorizons Medicare Direct/AARP

MedicareComplete (United Healthcare) T. SecurityChoice (Unicare Life & Health Insurance

Company) H. Senior Care Plus (Hometown Health Plan, Inc.) D. Senior Dimensions (Health Plan of Nevada, Inc.) N. Sierra Nevada/Sierra Spectrum (Sierra Health & Life

Insurance, Inc.) AA. SmartValue/Anthem Medicare Preferred (Anthem Blue

Cross and Blue Shield) BB. Today’s Options (Universal American/Pyramid Life Ins.,

Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Nevada

J. Anthem Blue Cross Blue Shield Partnership Plan

F. Health Plan of Nevada

B. NevadaCare

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Nevada

RR. Aetna Health Fund CDHP SS. Aetna Health Fund HDHP UU. Aetna Open Access C. APWU H. Association Benefit Plan HH. Blue Cross and Blue Shield Service Benefit Plan – Basic GG. Blue Cross and Blue Shield Service Benefit Plan –

Standard J. Foreign Service Benefit Plan D. GEHA KK. GEHA High Deductible Health Plan Q. Health Plan of Nevada E. Mail Handlers LL. Mail Handlers High Deductible Plan F. NALC QQ. PacifiCare of Nevada L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA VV. UnitedHealthcare Insurance Company, Inc.

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Nevada

None Available

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans New Hampshire

I. Aetna Medicare Open Plan (Aetna)

F. First Seniority (Harvard Pilgrim Health Care, Inc.)

K. Humana Gold Choice (Humana Insurance Company)

N. SecureHorizons Medicare Direct (SecureHorizons)

L. SecurityChoice (Unicare Life & Health Insurance Company)

M. SmartValue (Anthem Blue Cross and Blue Shield)

H. Today’s Options (Universal American/Pyramid Life Insurance, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names New Hampshire

G. Enhanced Care Coordination

H. The New Hampshire Medicaid Health Management Program

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card New Hampshire

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans New Hampshire

I. Aetna Medicare Open Plan (Aetna)

F. First Seniority (Harvard Pilgrim Health Care, Inc.)

K. Humana Gold Choice (Humana Insurance Company)

N. SecureHorizons Medicare Direct (SecureHorizons)

L. SecurityChoice (Unicare Life & Health Insurance Company)

M. SmartValue (Anthem Blue Cross and Blue Shield)

H. Today’s Options (Universal American/Pyramid Life Insurance, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names New Hampshire

G. Enhanced Care Coordination

H. The New Hampshire Medicaid Health Management Program

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

New Hampshire

LL. Aetna HealthFund CDHP MM. Aetna HealthFund HDHP C. APWU H. Association Benefit Plan GG. Blue Cross and Blue Shield Service Benefit Plan –

Basic FF. Blue Cross and Blue Shield Service Benefit Plan –

Standard J. Foreign Service Benefit Plan D. GEHA JJ. GEHA High Deductible Health Plan E. Mail Handlers KK. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program New Hampshire

Family Assistance Program (FAP)

New Hampshire Employment Program (NHEP)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans New Jersey

II. AARP MedicareComplete (United Healthcare) BB. Aetna Golden/Aetna Medicare Open Plan (Aetna) G. AmeriHealth 65 (AmeriHealth) JJ. AMERIVANTAGE (AMERIGROUP Community

Care) KK. Concert (WellCare Health Plans, Inc.) LL. HealthFirst NJ (HealthFirst NJ) MM. Horizon Medicare Blue (Horizon Blue Cross Blue

Shield of New Jersey, Inc.) DD. Humana Gold Choice (Humana Insurance

Company) NN. SecureHorizons Medicare Direct (United

Healthcare) FF. SecurityChoice (Unicare Life & Health Insurance

Company) GG. Today’s Options (Universal American/Pyramid

Life Insurance, Inc.) OO. WellCare (WellCare Health Plans, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names New Jersey

X. AmeriChoice of New Jersey, Inc.

Y. AmeriGroup New Jersey, Inc.

Z. Health Net of New Jersey, Inc.

DD. Horizon NJ Health

T. University Health Plans, Inc.

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card New Jersey

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans New Jersey

II. AARP MedicareComplete (United Healthcare) BB. Aetna Golden/Aetna Medicare Open Plan (Aetna) G. AmeriHealth 65 (AmeriHealth) JJ. AMERIVANTAGE (AMERIGROUP Community

Care) KK. Concert (WellCare Health Plans, Inc.) LL. HealthFirst NJ (HealthFirst NJ) MM. Horizon Medicare Blue (Horizon Blue Cross Blue

Shield of New Jersey, Inc.) DD. Humana Gold Choice (Humana Insurance

Company) NN. SecureHorizons Medicare Direct (United

Healthcare) FF. SecurityChoice (Unicare Life & Health Insurance

Company) GG. Today’s Options (Universal American/Pyramid

Life Insurance, Inc.) OO. WellCare (WellCare Health Plans, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names New Jersey

X. AmeriChoice of New Jersey, Inc.

Y. AmeriGroup New Jersey, Inc.

Z. Health Net of New Jersey, Inc.

DD. Horizon NJ Health

T. University Health Plans, Inc.

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

New Jersey

YY. Aetna HealthFund CDHP ZZ. Aetna HealthFund HDHP BBB. Aetna Open Access Q. AmeriHealth HMO, Inc. C. APWU H. Association Benefit Plan QQ. Blue Cross and Blue Shield Service Benefit Plan – Basic PP. Blue Cross and Blue Shield Service Benefit Plan – Standard CCC. Coventry Health Care AAA. Coventry Health Care HDHP J. Foreign Service Benefit Plan D. GEHA TT. GEHA High Deductible Health Plan T. GHI Health Plan E. Mail Handlers UU. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program New Jersey

Work First New Jersey (WFNJ)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans New Mexico

V. AMERIVANTAGE (AMERIGROUP Community Care)

K. Blue Medicare PPO (HISC-Blue Cross Blue Shield of New Mexico)

P. Concert (WellCare Health Plans, Inc.) R. Health Net Pearl (Health Net) L. Humana Gold Choice/HumanaChoice PPO

(Humana Insurance Company) B. Lovelace Senior Plan/Premiere Choice (Lovelace

Health Plan and Lovelace Insurance Company) W. Molina Medicare Options (Molina HealthCare of

New Mexico, Inc.) X. Physicians Health Choice (Physicians Health Choice

of New Mexico) M. Presbyterian Medicare PPO/Presbyterian Senior

Care (Presbyterian Medi-Care Health Plan) Y. SecureHorizons MedicareComplete/Medicare Direct

(United Healthcare) T. SecurityChoice (Unicare Life & Health Insurance

Company)

PR-1

Spring 2009

CARD PR-2

Plan Names New Mexico

I. Salud! Lovelace Community Health Plan

J. Salud! Molina Healthcare of New Mexico

K. Salud! Presbyterian Health Plan

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card New Mexico

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans New Mexico

V. AMERIVANTAGE (AMERIGROUP Community Care)

K. Blue Medicare PPO (HISC-Blue Cross Blue Shield of New Mexico)

P. Concert (WellCare Health Plans, Inc.) R. Health Net Pearl (Health Net) L. Humana Gold Choice/HumanaChoice PPO

(Humana Insurance Company) B. Lovelace Senior Plan/Premiere Choice (Lovelace

Health Plan and Lovelace Insurance Company) W. Molina Medicare Options (Molina HealthCare of

New Mexico, Inc.) X. Physicians Health Choice (Physicians Health Choice

of New Mexico) M. Presbyterian Medicare PPO/Presbyterian Senior

Care (Presbyterian Medi-Care Health Plan) Y. SecureHorizons MedicareComplete/Medicare Direct

(United Healthcare) T. SecurityChoice (Unicare Life & Health Insurance

Company)

HX

-5

Spring 2009

CARD HX-6

Plan Names New Mexico

I. Salud! Lovelace Community Health Plan

J. Salud! Molina Healthcare of New Mexico

K. Salud! Presbyterian Health Plan

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

New Mexico

C. APWU H. Association Benefit Plan GG. Blue Cross and Blue Shield Service Benefit Plan – Basic FF. Blue Cross and Blue Shield Service Benefit Plan –

Standard J. Foreign Service Benefit Plan D. GEHA JJ. GEHA High Deductible Health Plan R. Lovelace Health Plan E. Mail Handlers KK. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan S. Presbyterian Health Plan M. Rural Carrier Benefit Plan N. SAMBA LL. UnitedHealthcare Insurance Company, Inc.

HX

-8

Spring 2009

CARD IN-2A

State TANF Program New Mexico

NM Works

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans New York

AE. Advantra Freedom (Coventry Health Care) AF. Aetna Golden/Aetna Medicare Open Plan (Aetna) AG. AMERIVANTAGE (AMERIGROUP Community Care) FFF. CDPHP Medicare (Capital District Physicians’ Health Plan) SSSS. Concert (WellCare Health Plans, Inc.) GGG. Elderplan (Elderplan, Inc.) HHH. Encompass 65/Medicare Passport/Medicare Anywhere (Independent

Health) XXX. Fidelis Medicare Advantage (New York State Catholic Health Plan,

Inc.) HHHH. GHI Medicare (GHI) YYY. HealthFirst (HealthFirst Medicare Plan) VVVV. Health Net Pearl Option (Health Net) AH. HIP VIP (HIP Health Plan of Greater New York) WWWW. Humana Gold Choice (Humana Insurance Company of New York) MMMM. Liberty Health Advantage (Liberty Health Advantage) AI. MediBlue SmartValue (Empire BlueCross BlueShield) AJ. Medicare Blue/Senior Choice (Excellus Health Plan, Inc.) ZZZZ. MVP Gold (MVP Gold) OOOO. Neighborhood Medicare (Neighborhood Health Providers) QQQQ. Preferred Care Gold (Preferred Care GoldAnywhere) AK. SecureHorizons/AARP MedicareComplete/MedicareDirect (United

Healthcare) AC. SecurityChoice (Unicare Life & Health Insurance Company) RRR. Senior Blue (Senior Blue) AL. Today’s Options (Universal American/Pyramid Life Ins., Inc.) AD. Touchstone (Touchstone Health) CCCC. Traditional Blue (Traditional Blue Medicare) JJJJ. WellCare (WellCare Health Plans, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names New York (Page 1 of 2)

KKKK. Affinity Health Plan LLLL. AmeriChoice CV. AMERIGROUP F. Blue Choice Option BR. Broome MAX JJJ. Capital District Physicians Health Plan CW. CCM Select G. Centercare, Inc. DJ. Community Blue MMM. Community Choice Health Plan K. Community Choice Health Plan of Westchester, Inc. QQQQ. Community Premier Plus BX. Comprehensive Care Management BZ. Eddy Seniorcare CA. Elant Choice BM. Excellus Health Plan, Inc. S. Fidelis (Catholic Services Health Plan) BL. GHI HMO Select, Inc. CY. Group Health Inc. CD. Guildnet U. Health Care Plus (Health Plus Prepaid Health Services) UUUU. HealthFirst (PHSP) X. Health Insurance Plan of Greater New York BI. HealthNow New York, Inc. BH. HealthPlus, Inc. DN. HHH Choices DA. HIP Health Plan of NY CF. Homefirst BF. Hudson Health Plan, Inc. CG. Independent Care Systems Inc.

PR-2

Spring 2009

CARD PR-2

Plan Names New York (Page 2 of 2)

WWW. Independent Health Association, Inc. FF. Independent Living for Seniors CI. Liberty Health Advantage DE. Managed Health Inc/A+ Health Plan YYYY. MetroPlus Health Plan BA. MVP Health Plan, Inc. ZZZZ. Neighborhood Health Providers DH. The New York Presbyterian Health Plan CS. NY Presbyterian Community Health Plan CK. NY Presbyterian System Select Health DF. NYS Catholic Health Plan Inc. CM. PACE CNY CN. Partners in Community Care DI. PCMP II-A AE. Preferred Care AU. SCHC Total Care, Inc. CO. Senior Health Partners, Inc. DG. Senior Network Health DL. Senior Whole Health CQ. Southern Tier Pediatrics AV. Southern Tier Priority Healthcare CCCC. Suffolk Health Plan (Suffolk County Department of Health Services) CT. Total Aging In Place DM. Touchstone/Prestige EEEE. UnitedHealthcare of Upstate NY, Inc. AX. Univera Community Health, Inc. AY. VidaCare, Inc. CU. VNS Choice (PHSP) HHHH. WellCare of New York, Inc.

PR-2

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card New York

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans New York

AE. Advantra Freedom (Coventry Health Care) AF. Aetna Golden/Aetna Medicare Open Plan (Aetna) AG. AMERIVANTAGE (AMERIGROUP Community Care) FFF. CDPHP Medicare (Capital District Physicians’ Health Plan) SSSS. Concert (WellCare Health Plans, Inc.) GGG. Elderplan (Elderplan, Inc.) HHH. Encompass 65/Medicare Passport/Medicare Anywhere (Independent

Health) XXX. Fidelis Medicare Advantage (New York State Catholic Health Plan,

Inc.) HHHH. GHI Medicare (GHI) YYY. HealthFirst (HealthFirst Medicare Plan) VVVV. Health Net Pearl Option (Health Net) AH. HIP VIP (HIP Health Plan of Greater New York) WWWW. Humana Gold Choice (Humana Insurance Company of New York) MMMM. Liberty Health Advantage (Liberty Health Advantage) AI. MediBlue SmartValue (Empire BlueCross BlueShield) AJ. Medicare Blue/Senior Choice (Excellus Health Plan, Inc.) ZZZZ. MVP Gold (MVP Gold) OOOO. Neighborhood Medicare (Neighborhood Health Providers) QQQQ. Preferred Care Gold (Preferred Care GoldAnywhere) AK. SecureHorizons/AARP MedicareComplete/MedicareDirect (United

Healthcare) AC. SecurityChoice (Unicare Life & Health Insurance Company) RRR. Senior Blue (Senior Blue) AL. Today’s Options (Universal American/Pyramid Life Ins., Inc.) AD. Touchstone (Touchstone Health) CCCC. Traditional Blue (Traditional Blue Medicare) JJJJ. WellCare (WellCare Health Plans, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names New York (Page 1 of 2)

KKKK. Affinity Health Plan LLLL. AmeriChoice CV. AMERIGROUP F. Blue Choice Option BR. Broome MAX JJJ. Capital District Physicians Health Plan CW. CCM Select G. Centercare, Inc. DJ. Community Blue MMM. Community Choice Health Plan K. Community Choice Health Plan of Westchester, Inc. QQQQ. Community Premier Plus BX. Comprehensive Care Management BZ. Eddy Seniorcare CA. Elant Choice BM. Excellus Health Plan, Inc. S. Fidelis (Catholic Services Health Plan) BL. GHI HMO Select, Inc. CY. Group Health Inc. CD. Guildnet U. Health Care Plus (Health Plus Prepaid Health Services) UUUU. HealthFirst (PHSP) X. Health Insurance Plan of Greater New York BI. HealthNow New York, Inc. BH. HealthPlus, Inc. DN. HHH Choices DA. HIP Health Plan of NY CF. Homefirst BF. Hudson Health Plan, Inc. CG. Independent Care Systems Inc.

HX

-6

Spring 2009

CARD HX-6

Plan Names New York (Page 2 of 2)

WWW. Independent Health Association, Inc. FF. Independent Living for Seniors CI. Liberty Health Advantage DE. Managed Health Inc/A+ Health Plan YYYY. MetroPlus Health Plan BA. MVP Health Plan, Inc. ZZZZ. Neighborhood Health Providers DH. The New York Presbyterian Health Plan CS. NY Presbyterian Community Health Plan CK. NY Presbyterian System Select Health DF. NYS Catholic Health Plan Inc. CM. PACE CNY CN. Partners in Community Care DI. PCMP II-A AE. Preferred Care AU. SCHC Total Care, Inc. CO. Senior Health Partners, Inc. DG. Senior Network Health DL. Senior Whole Health CQ. Southern Tier Pediatrics AV. Southern Tier Priority Healthcare CCCC. Suffolk Health Plan (Suffolk County Department of Health Services) CT. Total Aging In Place DM. Touchstone/Prestige EEEE. UnitedHealthcare of Upstate NY, Inc. AX. Univera Community Health, Inc. AY. VidaCare, Inc. CU. VNS Choice (PHSP) HHHH. WellCare of New York, Inc.

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

New York

PPPP. Aetna HealthFund CDHP QQQQ. Aetna HealthFund HDHP SSSS. Aetna Open Access C. APWU H. Association Benefit Plan P. Blue Choice AAAA. Blue Cross Blue Shield Service Benefit Plan – Basic ZZZ. Blue Cross Blue Shield Service Benefit Plan – Standard HHHH. CDPHP Universal Benefits, Inc. TTTT. CDPHP Universal Benefits HDHP J. Foreign Service Benefit Plan D. GEHA EEEE. GEHA High Deductible Health Plan Z. GHI Health Plan GGG. GHI HMO Select – Capital/Hudson Valley LLLL. GHI HMO Select – Std – Brnx/Brklyn/Mnht/Qns/Rchmn/Wstc DD. HIP of Greater New York EE. Independent Health Association E. Mail Handlers FFFF. Mail Handlers High Deductible Plan WWW. MVP Health Care-Central VVV. MVP Health Care-Eastern WWWW. MVP Health Care-Mid-Hudson F. NALC L. Panama Canal Area Benefit Plan MM. Preferred Care M. Rural Carrier Benefit Plan N. SAMBA PPP. Univera Healthcare – Western NY (N. Counties) XXX. Univera Healthcare – Western NY (S. Counties)

HX

-8

Spring 2009

CARD IN-2A

State TANF Program New York

Family Assistance Program (FA)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Ohio

JJJ. Advantage Plan (Advantage Plans from Medical Mutual of Ohio)

QQQ. Advantra (CareLink Advantra PPO) RRR. Advantra Freedom (Coventry Health Care) GGG. Aetna Golden/Aetna Medicare Open Plan (Aetna Medicare) HHH. Blue Medicare Access/Anthem Sr Advantage/Medicare

Preferred (Anthem Blue Cross and Blue Shield) SSS. Care Assured (HealthMarkets) KKK. Concert (WellCare Health Plans, Inc.) CCC. Health Plan Secure (The Health Plan) DDD. HumanaChoice PPO/Humana Gold (Humana Insurance

Company) D. Medicare Plus (Kaiser Foundation Health Plan of Ohio) MM. MediGold (MediGold) E. Paramount Elite (Paramount Healthcare, Inc.) NN. PrimeTime Health Plan (PrimeTime Health Plan) TTT. SecureHorizons Medicare Direct/AARP MedicareComplete

(United Healthcare) M. SummaCare Secure (SummaCare, Inc.) UUU. Team Care (Mennonite Mutual Aid Association) NNN. Today’s Options (Universal American/Pyramid Life Insurance,

Inc.) VVV. WellCare (WellCare Health Plans, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Ohio

CC. Amerigroup Community Care

JJ. Anthem Blue Cross Blue Shield Partnership Plan

Z. Buckeye Community Health Plan

V. CareSource

FF. Molina Healthcare of Ohio

J. Paramount Advantage

GG. Unison Health Plan of Ohio

HH. WellCare of Ohio

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Ohio

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Ohio

JJJ. Advantage Plan (Advantage Plans from Medical Mutual of Ohio)

QQQ. Advantra (CareLink Advantra PPO) RRR. Advantra Freedom (Coventry Health Care) GGG. Aetna Golden/Aetna Medicare Open Plan (Aetna Medicare) HHH. Blue Medicare Access/Anthem Sr Advantage/Medicare

Preferred (Anthem Blue Cross and Blue Shield) SSS. Care Assured (HealthMarkets) KKK. Concert (WellCare Health Plans, Inc.) CCC. Health Plan Secure (The Health Plan) DDD. HumanaChoice PPO/Humana Gold (Humana Insurance

Company) D. Medicare Plus (Kaiser Foundation Health Plan of Ohio) MM. MediGold (MediGold) E. Paramount Elite (Paramount Healthcare, Inc.) NN. PrimeTime Health Plan (PrimeTime Health Plan) TTT. SecureHorizons Medicare Direct/AARP MedicareComplete

(United Healthcare) M. SummaCare Secure (SummaCare, Inc.) UUU. Team Care (Mennonite Mutual Aid Association) NNN. Today’s Options (Universal American/Pyramid Life Insurance,

Inc.) VVV. WellCare (WellCare Health Plans, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Ohio

CC. Amerigroup Community Care

JJ. Anthem Blue Cross Blue Shield Partnership Plan

Z. Buckeye Community Health Plan

V. CareSource

FF. Molina Healthcare of Ohio

J. Paramount Advantage

GG. Unison Health Plan of Ohio

HH. WellCare of Ohio

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Ohio

VVV. Aetna HealthFund CDHP WWW. Aetna HealthFund HDHP ZZZ. Aetna Open Access C. APWU AAAA. AultCare HMO H. Association Benefit Plan A. Blue Cross and Blue Shield Service Benefit Plan (HDHP) FFF. Blue Cross Blue Shield Service Benefit Plan – Basic EEE. Blue Cross Blue Shield Service Benefit Plan – Standard J. Foreign Service Benefit Plan D. GEHA KKK. GEHA High Deductible Health Plan SSS. The Health Plan of the Upper Ohio Valley BB. HMO Health Ohio BBBB. Humana CoverageFirst CCCC. Kaiser Permanente Health Plan of Ohio E. Mail Handlers LLL. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan GG. Paramount Health Care M. Rural Carrier Benefit Plan N. SAMBA ZZ. SummaCare Health Plan AAA. SuperMed HMO BBB. United Health Care of Ohio, Inc. DDDD. UnitedHealthcare Insurance Company, Inc.

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Ohio

Ohio Works First (OWF)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Oklahoma

U. AARP MedicareComplete (United Healthcare)

V. Advantra Freedom (Coventry Health Care)

N. Aetna Golden/Aetna Medicare Open Plan (Aetna)

W. Arcadian Health Plan (Arcadian Health Plan)

X. Care Assured (HealthMarkets)

Y. Concert (WellCare Health Plans, Inc.)

H. Generations (Generations Healthcare)

J. Humana Gold Choice/HumanaChoice PPO (Humana Insurance Company)

L. Medicare Blue PPO (Blue Cross/Blue Shield of Oklahoma)

Z. SecureHorizons (United Healthcare)

R. SecurityChoice (Unicare Life & Health Insurance Company)

G. Senior Health Plan (CommunityCare Senior Health Plan)

AA. Team Care (Mennonite Mutual Aid Association)

T. Today’s Options (Universal American/Pyramid Life Insurance, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Oklahoma

G. SoonerCare Choice (PCCM)

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Oklahoma

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Oklahoma

U. AARP MedicareComplete (United Healthcare)

V. Advantra Freedom (Coventry Health Care)

N. Aetna Golden/Aetna Medicare Open Plan (Aetna)

W. Arcadian Health Plan (Arcadian Health Plan)

X. Care Assured (HealthMarkets)

Y. Concert (WellCare Health Plans, Inc.)

H. Generations (Generations Healthcare)

J. Humana Gold Choice/HumanaChoice PPO (Humana Insurance Company)

L. Medicare Blue PPO (Blue Cross/Blue Shield of Oklahoma)

Z. SecureHorizons (United Healthcare)

R. SecurityChoice (Unicare Life & Health Insurance Company)

G. Senior Health Plan (CommunityCare Senior Health Plan)

AA. Team Care (Mennonite Mutual Aid Association)

T. Today’s Options (Universal American/Pyramid Life Insurance, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Oklahoma

G. SoonerCare Choice (PCCM)

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Oklahoma

OO. Aetna HealthFund CDHP PP. Aetna HealthFund HDHP QQ. Aetna Open Access C. APWU H. Association Benefit Plan GG. Blue Cross and Blue Shield Service Benefit Plan – Basic FF. Blue Cross and Blue Shield Service Benefit Plan –

Standard J. Foreign Service Benefit Plan D. GEHA JJ. GEHA High Deductible Health Plan MM. Globalhealth, Inc. E. Mail Handlers KK. Mail Handlers High Deductible Plan F. NALC NN. PacifiCare Southwest Region (OK) L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA RR. UnitedHealthcare Insurance Company, Inc.

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Oklahoma

None Available

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Oregon

HH. Aetna Medicare Open Plan (Aetna) II. ATRIO MyAdvantage (ATRIO Health Plans) SS. Care Assured (HealthMarkets) Y. CareSource (CareSource) P. Clear Choice (Clear Choice Health Plans) JJ. Concert (WellCare Health Plans, Inc.) LL. Health Net (Health Net Medicare Advantage) MM. Humana Gold Choice (Humana Insurance Company) TT. MedAdvantage (Regence BlueCross BlueShield of Oregon) AA. ODS Advantage PPO (ODS Health Plan, Inc.) UU. Physicians Choice (Marion Polk Community Health Plan

Advantage) CC. PremierCare (FamilyCare Health Plans, Inc.) NN. Providence Medicare (Providence Health Plan) VV. Samaritan Advantage (Samaritan Advantage Health Plan) WW. SecureHorizons/AARP MedicareComplete/MedicareDirect

(United Healthcare) PP. SecurityChoice (Unicare Life & Health Insurance Company) U. Senior Advantage (Kaiser Foundation Health Plan of the

Northwest) XX. Team Care (Mennonite Mutual Aid Association) FF. Today’s Options (Universal American/Pyramid Life Insurance,

Inc.) RR. Trillium Advantage (Trillium Advantage)

PR-1

Spring 2009

CARD PR-2

Plan Names Oregon

B. CareOregon LL. Cascade Comprehensive Care, Inc. UUU. Central Oregon Individual Health Solutions

(COIHS) SSS. Doctors of the Oregon Coast South (DOCS) OO. Douglas County IPA E. FamilyCare, Inc. J. InterCommunity Health Network YYY. Kaiser Permanente Oregon Plus, LLC HHH. Lane Individual Practice Association (LIPA) III. Marion Polk Community Health Plan EE. Mid-Rogue IPA XXX. ODS Community Health, Inc. GG. Oregon Health Management Services WWW. Providence Health Assurance X. Tuality Health Alliance

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Oregon

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Oregon

HH. Aetna Medicare Open Plan (Aetna) II. ATRIO MyAdvantage (ATRIO Health Plans) SS. Care Assured (HealthMarkets) Y. CareSource (CareSource) P. Clear Choice (Clear Choice Health Plans) JJ. Concert (WellCare Health Plans, Inc.) LL. Health Net (Health Net Medicare Advantage) MM. Humana Gold Choice (Humana Insurance Company) TT. MedAdvantage (Regence BlueCross BlueShield of Oregon) AA. ODS Advantage PPO (ODS Health Plan, Inc.) UU. Physicians Choice (Marion Polk Community Health Plan

Advantage) CC. PremierCare (FamilyCare Health Plans, Inc.) NN. Providence Medicare (Providence Health Plan) VV. Samaritan Advantage (Samaritan Advantage Health Plan) WW. SecureHorizons/AARP MedicareComplete/MedicareDirect

(United Healthcare) PP. SecurityChoice (Unicare Life & Health Insurance Company) U. Senior Advantage (Kaiser Foundation Health Plan of the

Northwest) XX. Team Care (Mennonite Mutual Aid Association) FF. Today’s Options (Universal American/Pyramid Life Insurance,

Inc.) RR. Trillium Advantage (Trillium Advantage)

HX

-5

Spring 2009

CARD HX-6

Plan Names Oregon

B. CareOregon LL. Cascade Comprehensive Care, Inc. UUU. Central Oregon Individual Health Solutions

(COIHS) SSS. Doctors of the Oregon Coast South (DOCS) OO. Douglas County IPA E. FamilyCare, Inc. J. InterCommunity Health Network YYY. Kaiser Permanente Oregon Plus, LLC HHH. Lane Individual Practice Association (LIPA) III. Marion Polk Community Health Plan EE. Mid-Rogue IPA XXX. ODS Community Health, Inc. GG. Oregon Health Management Services WWW. Providence Health Assurance X. Tuality Health Alliance

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Oregon

C. APWU

H. Association Benefit Plan

HH. Blue Cross and Blue Shield Service Benefit Plan – Basic

GG. Blue Cross and Blue Shield Service Benefit Plan – Standard

J. Foreign Service Benefit Plan

D. GEHA

KK. GEHA High Deductible Health Plan

Q. Kaiser Permanente – Standard

E. Mail Handlers

LL. Mail Handlers High Deductible Plan

F. NALC

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

OO. United Healthcare (HDHP)

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Oregon

JOBS (Job Opportunities and Basic Skills Program)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Pennsylvania

XXX. Advantra Freedom (Coventry Health Care) GGG. Advantra PPO (Advantra PPO) FFF. Advantra Silver/Gold/Bronze (HealthAmerica Advantra) HHH. Aetna Golden/Aetna Medicare Open Plan (Aetna) PPP. Bravo (Bravo Health) YYY. Care Assured (HealthMarkets) QQQ. Concert (WellCare Health Plans, Inc.) SS. FreedomBlue (Highmark, Inc.) B. Geisinger Gold (Geisinger Health Plan GoldChoice) JJJ. Humana Gold Choice/HumanaChoice PPO (Humana Insurance

Company) LL. Keystone 65 (Keystone 65) UU. Personal Choice 65 (Personal Choice 65) ZZZ. SecureHorizons MedicareComplete/MedicareDirect (United

Healthcare) G. Security Blue (Keystone Health Plan West, Inc.) VVV. SecurityChoice (Unicare Life & Health Insurance Company) AAAA. Select Advantage Silver/Gold (Select Advantage) LLL. SeniorBlue (Keystone Health Plan Central, Inc./Capital

Advantage Insurance Company) VV. Senior Partners Gold (Senior Partners) BBBB. Team Care Advantage (Mennonite Mutual Aid Association) CCCC. Today’s Options (Universal American/Pyramid Life Ins., Inc.) NNN. Unison Advantage (Unison Advantage) PP. UPMC for Life (UPMC Health Plan)

PR-1

Spring 2009

CARD PR-2

Plan Names Pennsylvania

DD. AmeriChoice of Pennsylvania

EE. AmeriHealth Mercy Health Plan

II. Gateway Health Plan, Inc.

JJ. Health Partners of Philadelphia, Inc.

Y. Keystone Mercy Health Plan

SS. Unison Health Plan/MedPLUS+

OO. UPMC Health Plan, Inc./UPMC For You

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Pennsylvania

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Pennsylvania

XXX. Advantra Freedom (Coventry Health Care) GGG. Advantra PPO (Advantra PPO) FFF. Advantra Silver/Gold/Bronze (HealthAmerica Advantra) HHH. Aetna Golden/Aetna Medicare Open Plan (Aetna) PPP. Bravo (Bravo Health) YYY. Care Assured (HealthMarkets) QQQ. Concert (WellCare Health Plans, Inc.) SS. FreedomBlue (Highmark, Inc.) B. Geisinger Gold (Geisinger Health Plan GoldChoice) JJJ. Humana Gold Choice/HumanaChoice PPO (Humana Insurance

Company) LL. Keystone 65 (Keystone 65) UU. Personal Choice 65 (Personal Choice 65) ZZZ. SecureHorizons MedicareComplete/MedicareDirect (United

Healthcare) G. Security Blue (Keystone Health Plan West, Inc.) VVV. SecurityChoice (Unicare Life & Health Insurance Company) AAAA. Select Advantage Silver/Gold (Select Advantage) LLL. SeniorBlue (Keystone Health Plan Central, Inc./Capital

Advantage Insurance Company) VV. Senior Partners Gold (Senior Partners) BBBB. Team Care Advantage (Mennonite Mutual Aid Association) CCCC. Today’s Options (Universal American/Pyramid Life Ins., Inc.) NNN. Unison Advantage (Unison Advantage) PP. UPMC for Life (UPMC Health Plan)

HX

-5

Spring 2009

CARD HX-6

Plan Names Pennsylvania

DD. AmeriChoice of Pennsylvania

EE. AmeriHealth Mercy Health Plan

II. Gateway Health Plan, Inc.

JJ. Health Partners of Philadelphia, Inc.

Y. Keystone Mercy Health Plan

SS. Unison Health Plan/MedPLUS+

OO. UPMC Health Plan, Inc./UPMC For You

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Pennsylvania

UUU. Aetna HealthFund CDHP VVV. Aetna HealthFund HDHP BBBB. Aetna Open Access C. APWU H. Association Benefit Plan CCC. Blue Cross and Blue Shield Service Benefit Plan – Basic BBB. Blue Cross and Blue Shield Service Benefit Plan – Standard J. Foreign Service Benefit Plan D. GEHA HHH. GEHA High Deductible Health Plan W. Geisinger Health Plan Y. HealthAmerica Pennsylvania CCCC. HealthAmerica Pennsylvania HDHP CC. Keystone Health Plan Central DD. Keystone Health Plan East E. Mail Handlers III. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA YY. UPMC Health Plan DDDD. UPMC Health Plan Western Pennsylvania

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Pennsylvania

Pennsylvania TANF/Cash Assistance

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Rhode Island

N. AARP Medicare Complete (United Healthcare of New England, Inc.)

O. Aetna Medicare Open Plan (Aetna)

K. BlueCHIP for Medicare (Blue Cross and Blue Shield of Rhode Island)

Q. Humana Gold Choice (Humana Insurance Company)

T. SecureHorizons Medicare Direct (United Healthcare)

S. SecurityChoice (Unicare Life & Health Insurance Company)

PR-1

Spring 2009

CARD PR-2

Plan Names Rhode Island

K. Blue Cross and Blue Shield of RI

C. Neighborhood Health Plan of Rhode Island

H. United Healthcare of New England

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Rhode Island

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Rhode Island

N. AARP Medicare Complete (United Healthcare of New England, Inc.)

O. Aetna Medicare Open Plan (Aetna)

K. BlueCHIP for Medicare (Blue Cross and Blue Shield of Rhode Island)

Q. Humana Gold Choice (Humana Insurance Company)

T. SecureHorizons Medicare Direct (United Healthcare)

S. SecurityChoice (Unicare Life & Health Insurance Company)

HX

-5

Spring 2009

CARD HX-6

Plan Names Rhode Island

K. Blue Cross and Blue Shield of RI

C. Neighborhood Health Plan of Rhode Island

H. United Healthcare of New England

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Rhode Island

C. APWU

H. Association Benefit Plan

CC. Blue Chip, Coord Health Partners, Inc.

GG. Blue Cross and Blue Shield Service Benefit Plan – Basic

FF. Blue Cross and Blue Shield Service Benefit Plan - Standard

J. Foreign Service Benefit Plan

D. GEHA

JJ. GEHA High Deductible Health Plan

E. Mail Handlers

KK. Mail Handlers High Deductible Plan

F. NALC

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

LL. UnitedHealthcare Insurance Company, Inc.

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Rhode Island

Family Independence Program (FIP)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans South Carolina

S. Advantra Freedom (Coventry Health Care) J. Aetna Medicare Open Plan (Aetna) K. ANY, ANY, ANY Plan (Universal Health Care) T. Care Assured (HealthMarkets) L. Concert (WellCare Health Plans, Inc.) C. Humana Gold Choice/HumanaChoice (Humana Insurance

Company) E. InStil InChoice (InStil Health Insurance Company) F. Medicare Blue (Blue Cross and Blue Shield of SC) U. Patriot Plus/Presidential (America’s 1st Choice Health

Plans, Inc.) G. Platinum Advantage (BlueChoice Health Plan) V. SecureHorizons MedicareDirect (United Healthcare) P. SecurityChoice (Unicare Life & Health Insurance

Company) R. Southeast Community Care (Arcadian Health Plan of

Georgia) I. Today’s Options (Universal American/Pyramid Life

Insurance, Inc.) W. Windsor Medicare Extra (Windsor Health Group, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names South Carolina

P. AMERIGROUP Community Care

O. BlueChoice Health Plan of SC

Q. Carolina Crescent Health Plan

M. CHCcares of South Carolina

I. First Choice by Select Health of South Carolina

N. Total Carolina Care, Inc.

H. Unison Health Plan of South Carolina

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card South Carolina

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans South Carolina

S. Advantra Freedom (Coventry Health Care) J. Aetna Medicare Open Plan (Aetna) K. ANY, ANY, ANY Plan (Universal Health Care) T. Care Assured (HealthMarkets) L. Concert (WellCare Health Plans, Inc.) C. Humana Gold Choice/HumanaChoice (Humana Insurance

Company) E. InStil InChoice (InStil Health Insurance Company) F. Medicare Blue (Blue Cross and Blue Shield of SC) U. Patriot Plus/Presidential (America’s 1st Choice Health

Plans, Inc.) G. Platinum Advantage (BlueChoice Health Plan) V. SecureHorizons MedicareDirect (United Healthcare) P. SecurityChoice (Unicare Life & Health Insurance

Company) R. Southeast Community Care (Arcadian Health Plan of

Georgia) I. Today’s Options (Universal American/Pyramid Life

Insurance, Inc.) W. Windsor Medicare Extra (Windsor Health Group, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names South Carolina

P. AMERIGROUP Community Care

O. BlueChoice Health Plan of SC

Q. Carolina Crescent Health Plan

M. CHCcares of South Carolina

I. First Choice by Select Health of South Carolina

N. Total Carolina Care, Inc.

H. Unison Health Plan of South Carolina

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

South Carolina

MM. Aetna HealthFund CDHP

NN. Aetna HealthFund HDHP

C. APWU

H. Association Benefit Plan

GG. Blue Cross and Blue Shield Service Benefit Plan – Basic

FF. Blue Cross and Blue Shield Service Benefit Plan – Standard

J. Foreign Service Benefit Plan

D. GEHA

JJ. GEHA High Deductible Health Plan

E. Mail Handlers

KK. Mail Handlers High Deductible Plan

F. NALC

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program South Carolina

Family Independence

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans South Dakota

J. Advantra Freedom (Coventry Health Care)

K. Aetna Medicare Open Plan (Aetna)

L. Concert (WellCare Health Plans, Inc.)

M. Coventry Advantra (Coventry Health and Life Insurance Company)

B. Humana Gold Choice (Humana Insurance Company)

E. MedicareBlue PPO (Wellmark Blue Cross Blue Shield of SD)

C. Prime Solution (Medica Insurance Company)

N. SecureHorizons Medicare Direct (United Healthcare)

I. SecurityChoice (Unicare Life & Health Insurance Company)

O. Team Care (Mennonite Mutual Aid Association)

P. Today’s Options/Avera (Pyramid Life Ins., Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names South Dakota

D. Managed Care Program

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card South Dakota

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans South Dakota

J. Advantra Freedom (Coventry Health Care)

K. Aetna Medicare Open Plan (Aetna)

L. Concert (WellCare Health Plans, Inc.)

M. Coventry Advantra (Coventry Health and Life Insurance Company)

B. Humana Gold Choice (Humana Insurance Company)

E. MedicareBlue PPO (Wellmark Blue Cross Blue Shield of SD)

C. Prime Solution (Medica Insurance Company)

N. SecureHorizons Medicare Direct (United Healthcare)

I. SecurityChoice (Unicare Life & Health Insurance Company)

O. Team Care (Mennonite Mutual Aid Association)

P. Today’s Options/Avera (Pyramid Life Ins., Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names South Dakota

D. Managed Care Program

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

South Dakota

C. APWU H. Association Benefit Plan DD. Blue Cross and Blue Shield Service Benefit Plan –

Basic CC. Blue Cross and Blue Shield Service Benefit Plan –

Standard J. Foreign Service Benefit Plan D. GEHA GG. GEHA High Deductible Health Plan KK. HealthPartners Classic/Open Access Deductible E. Mail Handlers HH. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA LL. Sanford Health Plan Eastern/Central/Rapid City

HX

-8

Spring 2009

CARD IN-2A

State TANF Program South Dakota

None Available

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Tennessee

HH. Advantra Freedom (Coventry Health Care) Y. Aetna Medicare Open Plan/Aetna Golden (Aetna) II. AMERIVANTAGE (AMERIGROUP Community Care) U. BlueAdvantage (Blue Cross Blue Shield of Tennessee) JJ. Care Assured (HealthMarkets) K. Cariten Senior Health/CSH Advantage (Cariten Senior

Health) Z. Concert (WellCare Health Plans, Inc.) P. Healthspring (Healthspring of Tennessee) V. HumanaChoice PPO/Humana Gold Choice (Humana

Insurance Company) KK. SecureHorizons Medicare Direct/AARP

MedicareComplete (United Healthcare) DD. SecurityChoice (Unicare Life & Health Insurance

Company) FF. Today’s Options (Universal American/Pyramid Life

Insurance, Inc.) LL. UAHC Gold (UAHC Gold) GG. Unison Advantage (Unison Advantage) X. Windsor Medicare Extra (Windsor Health Group, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Tennessee

JJ. AmeriChoice East

KK. AmeriChoice Middle

LL. AmeriGroup Community Care

N. BlueCare (Volunteer State Health Plan, Inc.)

W. Preferred Health Partnership/PHP TennCare

EE. TennCare Select

K. TLC Family Care Healthplan (Memphis Managed Care Corporation)

HH. UAHC Health Plan of Tennessee, Inc. (Omnicare)

MM. Unison Health Plan

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Tennessee

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Tennessee

HH. Advantra Freedom (Coventry Health Care) Y. Aetna Medicare Open Plan/Aetna Golden (Aetna) II. AMERIVANTAGE (AMERIGROUP Community Care) U. BlueAdvantage (Blue Cross Blue Shield of Tennessee) JJ. Care Assured (HealthMarkets) K. Cariten Senior Health/CSH Advantage (Cariten Senior

Health) Z. Concert (WellCare Health Plans, Inc.) P. Healthspring (Healthspring of Tennessee) V. HumanaChoice PPO/Humana Gold Choice (Humana

Insurance Company) KK. SecureHorizons Medicare Direct/AARP

MedicareComplete (United Healthcare) DD. SecurityChoice (Unicare Life & Health Insurance

Company) FF. Today’s Options (Universal American/Pyramid Life

Insurance, Inc.) LL. UAHC Gold (UAHC Gold) GG. Unison Advantage (Unison Advantage) X. Windsor Medicare Extra (Windsor Health Group, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Tennessee

JJ. AmeriChoice East

KK. AmeriChoice Middle

LL. AmeriGroup Community Care

N. BlueCare (Volunteer State Health Plan, Inc.)

W. Preferred Health Partnership/PHP TennCare

EE. TennCare Select

K. TLC Family Care Healthplan (Memphis Managed Care Corporation)

HH. UAHC Health Plan of Tennessee, Inc. (Omnicare)

MM. Unison Health Plan

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Tennessee

VV. Aetna HealthFund CDHP WW. Aetna HealthFund HDHP ZZ. Aetna Open Access C. APWU H. Association Benefit Plan OO. Blue Cross and Blue Shield Service Benefit Plan – Basic NN. Blue Cross and Blue Shield Service Benefit Plan –

Standard A. Blue Cross and Blue Shield Service Benefit Plan

(HDHP) J. Foreign Service Benefit Plan D. GEHA RR. GEHA High Deductible Health Plan YY. Humana CoverageFirst (Consumer Driven Plan) E. Mail Handlers SS. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA AAA. UnitedHealthcare Insurance Company, Inc.

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Tennessee

Families First

IN-2A

Spring 2009

CARD PR-1

PR-1

Medicare Managed Care Plans Texas

RRR. Advantra Freedom (Coventry Health Care) SS. Aetna Golden/Aetna Medicare Open (Aetna) SSS. AMERIVANTAGE (AMERIGROUP Community Care) DDD. ANY, ANY, ANY Plan (Universal Health Care Insurance Company,

Inc.) TT. Blue Medicare PPO (HISC – Blue Cross Blue Shield of Texas) EEE. Bravo (Bravo Health) TTT. Care Assured (HealthMarkets) FFF. Concert (WellCare Health Plans, Inc.) VV. FirstCare Advantage (FirstCare Health Plans) III. Health Net (Health Net, Inc.) RR. HumanaChoice PPO/Humana Gold (Humana Insurance Company) UUU. KelseyCare Advantage (KelseyCare Advantage) VVV. Molina Medicare (Molina HealthCare of Texas, Inc.) XX. Physicians Health Choice (Physicians Health Choice) WWW. SecureHorizons MedicareDirect /AARP Medicare Complete

(SecureHorizons) LLL. SecurityChoice (Unicare Life & Health Insurance Company) J. SeniorCare (Scott and White Health Plan SeniorCare) PP. Texan (SelectCare of Texas, LLC) XXX. Texan (TexasFirst Health Plans) OOO. Texarkana (Texarkana Community Care, Inc.) AAA. Texas Community Care (Texas Community Care) QQ. Texas Healthspring/TXHS Valley Advantage (Healthspring) QQQ. Today’s Options (Universal American/Pyramid Life Insurance, Inc.) BBB. Valley Advantage (Valley Baptist Health Plans) YYY. WellCare (WellCare Health Plans, Inc.)

Spring 2009

CARD PR-2

Plan Names Texas

LL. Aetna Medicaid

YY. Amerigroup

E. Community First Health Plans

MM. Community Health Choice

WW. Cook Children’s Health Plan

XX. Driscoll Children’s Health Plan

II. El Paso First Premier Plan

KK. Evercare

F. Firstcare

OO. Molina Healthcare of Texas

PP. Parkland HealthFirst

DD. Superior Health Plan

RR. Texas Children’s Health Plan

SS. Unicare Health Plans of Texas

ZZ. United Healthcare-TX

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Texas

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Texas

RRR. Advantra Freedom (Coventry Health Care) SS. Aetna Golden/Aetna Medicare Open (Aetna) SSS. AMERIVANTAGE (AMERIGROUP Community Care) DDD. ANY, ANY, ANY Plan (Universal Health Care Insurance Company,

Inc.) TT. Blue Medicare PPO (HISC – Blue Cross Blue Shield of Texas) EEE. Bravo (Bravo Health) TTT. Care Assured (HealthMarkets) FFF. Concert (WellCare Health Plans, Inc.) VV. FirstCare Advantage (FirstCare Health Plans) III. Health Net (Health Net, Inc.) RR. HumanaChoice PPO/Humana Gold (Humana Insurance Company) UUU. KelseyCare Advantage (KelseyCare Advantage) VVV. Molina Medicare (Molina HealthCare of Texas, Inc.) XX. Physicians Health Choice (Physicians Health Choice) WWW. SecureHorizons MedicareDirect /AARP Medicare Complete

(SecureHorizons) LLL. SecurityChoice (Unicare Life & Health Insurance Company) J. SeniorCare (Scott and White Health Plan SeniorCare) PP. Texan (SelectCare of Texas, LLC) XXX. Texan (TexasFirst Health Plans) OOO. Texarkana (Texarkana Community Care, Inc.) AAA. Texas Community Care (Texas Community Care) QQ. Texas Healthspring/TXHS Valley Advantage (Healthspring) QQQ. Today’s Options (Universal American/Pyramid Life Insurance, Inc.) BBB. Valley Advantage (Valley Baptist Health Plans) YYY. WellCare (WellCare Health Plans, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Texas

LL. Aetna Medicaid

YY. Amerigroup

E. Community First Health Plans

MM. Community Health Choice

WW. Cook Children’s Health Plan

XX. Driscoll Children’s Health Plan

II. El Paso First Premier Plan

KK. Evercare

F. Firstcare

OO. Molina Healthcare of Texas

PP. Parkland HealthFirst

DD. Superior Health Plan

RR. Texas Children’s Health Plan

SS. Unicare Health Plans of Texas

ZZ. United Healthcare-TX

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Texas

QQQ. Aetna HealthFund CDHP RRR. Aetna HealthFund HDHP XXX. Aetna Open Access C. APWU H. Association Benefit Plan CCC. Blue Cross and Blue Shield Service Benefit Plan – Basic BBB. Blue Cross and Blue Shield Service Benefit Plan - Standard S. FIRSTCARE J. Foreign Service Benefit Plan D. GEHA JJJ. GEHA High Deductible Health Plan WWW. Humana CoverageFirst CDHP – Austin UUU. Humana CoverageFirst CDHP – Corpus Christi TTT. Humana CoverageFirst CDHP – Dallas/Ft. Worth SSS. Humana CoverageFirst CDHP – Houston VVV. Humana CoverageFirst CDHP – San Antonio GGG. Humana Health Plan of Texas – Standard E. Mail Handlers KKK. Mail Handlers High Deductible Plan F. NALC Z. PacifiCare of Texas L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Texas

Texas Works

Choices

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Utah

R. Aetna Medicare Open Plan (Aetna)

X. Advantra Freedom (Coventry Health Care)

Y. Altius Advantra (Altius Advantra)

S. ANY, ANY, ANY Plan (Universal Health Care)

Z. Care Assured (HealthMarkets)

AA. Concert (WellCare Health Plans, Inc.)

BB. Educators (Educators Mutual Insurance Association)

L. HumanaChoice PPO/Humana Gold (Humana Insurance Company)

M. MedAdvantage (Regence Blue Cross Blue Shield of Utah)

CC. Molina Medicare (Molina HealthCare of Utah)

DD. SecureHorizons Medicare Direct/AARP MedicareComplete (United Healthcare)

J. SecurityChoice (Unicare Life & Health Ins. Company)

O. Sierra Spectrum (Sierra Health and Life Ins., Inc.)

P. Today’s Options (Pyramid Life Insurance, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Utah

Q. Healthy U

S. Molina Healthcare of Utah

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Utah

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Utah

R. Aetna Medicare Open Plan (Aetna)

X. Advantra Freedom (Coventry Health Care)

Y. Altius Advantra (Altius Advantra)

S. ANY, ANY, ANY Plan (Universal Health Care)

Z. Care Assured (HealthMarkets)

AA. Concert (WellCare Health Plans, Inc.)

BB. Educators (Educators Mutual Insurance Association)

L. HumanaChoice PPO/Humana Gold (Humana Insurance Company)

M. MedAdvantage (Regence Blue Cross Blue Shield of Utah)

CC. Molina Medicare (Molina HealthCare of Utah)

DD. SecureHorizons Medicare Direct/AARP MedicareComplete (United Healthcare)

J. SecurityChoice (Unicare Life & Health Ins. Company)

O. Sierra Spectrum (Sierra Health and Life Ins., Inc.)

P. Today’s Options (Pyramid Life Insurance, Inc.) HX

-5

Spring 2009

CARD HX-6

Plan Names Utah

Q. Healthy U

S. Molina Healthcare of Utah

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Utah

BB. Altius Health Plans C. APWU H. Association Benefit Plan FF. Blue Cross and Blue Shield Service Benefit Plan –

Basic EE. Blue Cross and Blue Shield Service Benefit Plan –

Standard J. Foreign Service Benefit Plan D. GEHA II. GEHA High Deductible Health Plan E. Mail Handlers JJ. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Utah

Family Employment Program (FEP)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Vermont

E. Aetna Medicare Open Plan (Aetna)

G. Humana Gold Choice (Humana Insurance Company)

J. SecureHorizons Medicare Direct (United Healthcare)

I. SecurityChoice (Unicare Life & Health Insurance Company)

D. Today’s Options (Universal American/Pyramid Life Insurance, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Vermont

F. Vermont Health Access

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Vermont

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Vermont

E. Aetna Medicare Open Plan (Aetna)

G. Humana Gold Choice (Humana Insurance Company)

J. SecureHorizons Medicare Direct (United Healthcare)

I. SecurityChoice (Unicare Life & Health Insurance Company)

D. Today’s Options (Universal American/Pyramid Life Insurance, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Vermont

F. Vermont Health Access

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Vermont

KK. Aetna HealthFund CDHP LL. Aetna HealthFund HDHP C. APWU H. Association Benefit Plan FF. Blue Cross and Blue Shield Service Benefit Plan –

Basic EE. Blue Cross and Blue Shield Service Benefit Plan –

Standard J. Foreign Service Benefit Plan D. GEHA II. GEHA High Deductible Health Plan E. Mail Handlers JJ. Mail Handlers High Deductible Plan DD. MVP Health Care F. NALC L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Vermont

Aid to Needy Families with Children (ANFC)

Reach Up

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Virginia

Y. AARP MedicareComplete (United Healthcare)

Z. Advantra Freedom (Coventry Health Care)

M. Aetna Golden/Aetna Medicare Open Plan (Aetna)

N. Anthem Medicare Preferred/SmartValue (Anthem Blue Cross and Blue Shield)

AA. Care Assured (HealthMarkets)

T. Concert (WellCare Health Plans, Inc.)

BB. Health Net (Health Net)

O. Humana Gold/HumanaChoice PPO (Humana Insurance Company)

I. Kaiser Permanente Medicare Plus (Kaiser Foundation Health Plan, Inc.)

P. Optima Medicare (Optima Health)

CC. SecureHorizons Medicare Direct (United Healthcare)

L. SecurityChoice (Unicare Life and Health Insurance Company)

DD. Team Care (Mennonite Mutual Aid Association)

R. Today’s Options (Universal American/Pyramid Life Insurance, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names Virginia

T. AMERIGROUP Community Care

U. Anthem HealthKeepers Plus by HealthKeepers

V. Anthem HealthKeepers Plus by Peninsula Health Care

W. Anthem HealthKeepers Plus by Priority Health Care

L. CareNet Southern Health Services

X. Optima Family Care

P. Virginia Premier Health Plan

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Virginia

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Virginia

Y. AARP MedicareComplete (United Healthcare)

Z. Advantra Freedom (Coventry Health Care)

M. Aetna Golden/Aetna Medicare Open Plan (Aetna)

N. Anthem Medicare Preferred/SmartValue (Anthem Blue Cross and Blue Shield)

AA. Care Assured (HealthMarkets)

T. Concert (WellCare Health Plans, Inc.)

BB. Health Net (Health Net)

O. Humana Gold/HumanaChoice PPO (Humana Insurance Company)

I. Kaiser Permanente Medicare Plus (Kaiser Foundation Health Plan, Inc.)

P. Optima Medicare (Optima Health)

CC. SecureHorizons Medicare Direct (United Healthcare)

L. SecurityChoice (Unicare Life and Health Insurance Company)

DD. Team Care (Mennonite Mutual Aid Association)

R. Today’s Options (Universal American/Pyramid Life Insurance, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names Virginia

T. AMERIGROUP Community Care

U. Anthem HealthKeepers Plus by HealthKeepers

V. Anthem HealthKeepers Plus by Peninsula Health Care

W. Anthem HealthKeepers Plus by Priority Health Care

L. CareNet Southern Health Services

X. Optima Family Care

P. Virginia Premier Health Plan

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Virginia

MMM. Aetna HealthFund CDHP NNN. Aetna HealthFund HDHP OOO. Aetna Open Access C. APWU H. Association Benefit Plan AAA. Blue Cross Blue Shield Service Benefit Plan – Basic ZZ. Blue Cross Blue Shield Service Benefit Plan – Standard VV. CareFirst BlueChoice J. Foreign Service Benefit Plan D. GEHA FFF. GEHA High Deductible Health Plan AA. Kaiser Permanente E. Mail Handlers GGG. Mail Handlers High Deductible Plan BB. M.D. IPA F. NALC LLL. Optima Health Plan L. Panama Canal Area Benefit Plan WW. Piedmont Community Healthcare M. Rural Carrier Benefit Plan N. SAMBA QQQ. United HealthCare

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Virginia

VIEW (Virginia Initiative for Employment, Not Welfare)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Washington

UU. Advantra Freedom (Coventry Health Care) LL. Aetna Medicare Open Plan (Aetna) VV. Care Assured (HealthMarkets) WW. Clear Care (Group Health Cooperative) FF. Columbia/Spokane Community Care (Spokane Community Care) MM. Community HealthFirst (Community HealthFirst Medicare

Advantage Plan) XX. Concert (WellCare Health Plans, Inc.) YY. Essence (Essence HealthCare) OO. Health Net (Health Net, Inc.) PP. Humana Gold Choice (Humana Insurance Company) HH. MedAdvantage (Regence BlueCross BlueShield of OR) ZZ. Molina Medicare (Molina HealthCare of Washington, Inc.) AAA. Partners (Puget Sound Health Partners) II. Providence Medicare (Providence Health Plan) BBB. SecureHorizons/AARP MedicareComplete/Medicare Direct

(United Healthcare) RR. SecurityChoice (Unicare Life & Health Insurance Company) Z. Senior Advantage (Kaiser Foundation Health Plan of the

Northwest) CCC. Today’s Options (Universal American/Pyramid Life Ins., Inc.) DDD. TruAdvantage (Asuris Northwest Health)

PR-1

Spring 2009

CARD PR-2

Plan Names Washington

RR. ASURIS Northwest Health

LL. Columbia United Providers

HH. Community Health Plans of Washington

H. Group Health Cooperative

OO. Molina Healthcare of Washington

II. Regence BlueShield

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Washington

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Washington

UU. Advantra Freedom (Coventry Health Care) LL. Aetna Medicare Open Plan (Aetna) VV. Care Assured (HealthMarkets) WW. Clear Care (Group Health Cooperative) FF. Columbia/Spokane Community Care (Spokane Community Care) MM. Community HealthFirst (Community HealthFirst Medicare

Advantage Plan) XX. Concert (WellCare Health Plans, Inc.) YY. Essence (Essence HealthCare) OO. Health Net (Health Net, Inc.) PP. Humana Gold Choice (Humana Insurance Company) HH. MedAdvantage (Regence BlueCross BlueShield of OR) ZZ. Molina Medicare (Molina HealthCare of Washington, Inc.) AAA. Partners (Puget Sound Health Partners) II. Providence Medicare (Providence Health Plan) BBB. SecureHorizons/AARP MedicareComplete/Medicare Direct

(United Healthcare) RR. SecurityChoice (Unicare Life & Health Insurance Company) Z. Senior Advantage (Kaiser Foundation Health Plan of the

Northwest) CCC. Today’s Options (Universal American/Pyramid Life Ins., Inc.) DDD. TruAdvantage (Asuris Northwest Health) H

X-5

Spring 2009

CARD HX-6

Plan Names Washington

RR. ASURIS Northwest Health

LL. Columbia United Providers

HH. Community Health Plans of Washington

H. Group Health Cooperative

OO. Molina Healthcare of Washington

II. Regence BlueShield

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Washington

HHH. Aetna HealthFund CDHP III. Aetna HealthFund HDHP KKK. Aetna Open Access C. APWU H. Association Benefit Plan SS. Blue Cross and Blue Shield Service Benefit Plan – Basic RR. Blue Cross and Blue Shield Service Benefit Plan – Standard J. Foreign Service Benefit Plan D. GEHA YY. GEHA High Deductible Health Plan Q. Group Health Cooperative-Std T. Kaiser Permanente – Std VV. KPS Health Plans – Std E. Mail Handlers ZZ. Mail Handlers High Deductible Plan F. NALC Y. PacifiCare of Washington L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA LLL. UnitedHealthcare Insurance Company, Inc.

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Washington

WorkFirst

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans West Virginia

E. Advantra (CareLink Advantra PPO) B. Advantra Freedom (Coventry Health Care) P. Aetna Medicare Open Plan (Aetna) W. Concert (WellCare Health Plans, Inc.) X. FreedomBlue (Highmark Health Insurance

Company) J. Health Plan Secure (The Health Plan) M. Humana Gold Choice/HumanaChoice PPO

(Humana Insurance Company) AA. Secure Horizons Medicare Direct (United

Healthcare) Y. SecureChoice (Health Plan SecureChoice) Z. SecureFreedom (Health Plan SecureFreedom) S. SecurityChoice (Unicare Life & Health Insurance

Company) U. Today’s Options (Universal American/Pyramid Life

Insurance, Inc.)

PR-1

Spring 2009

CARD PR-2

Plan Names West Virginia

A. CareLink Health Plans

C. The Health Plan of the Upper Ohio Valley

F. Unicare

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card West Virginia

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans West Virginia

E. Advantra (CareLink Advantra PPO) B. Advantra Freedom (Coventry Health Care) P. Aetna Medicare Open Plan (Aetna) W. Concert (WellCare Health Plans, Inc.) X. FreedomBlue (Highmark Health Insurance

Company) J. Health Plan Secure (The Health Plan) M. Humana Gold Choice/HumanaChoice PPO

(Humana Insurance Company) AA. Secure Horizons Medicare Direct (United

Healthcare) Y. SecureChoice (Health Plan SecureChoice) Z. SecureFreedom (Health Plan SecureFreedom) S. SecurityChoice (Unicare Life & Health Insurance

Company) U. Today’s Options (Universal American/Pyramid Life

Insurance, Inc.)

HX

-5

Spring 2009

CARD HX-6

Plan Names West Virginia

A. CareLink Health Plans

C. The Health Plan of the Upper Ohio Valley

F. Unicare

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

West Virginia

NN. Aetna HealthFund CDHP

OO. Aetna HealthFund HDHP

C. APWU

H. Association Benefit Plan

HH. Blue Cross and Blue Shield Service Benefit Plan – Basic

GG. Blue Cross and Blue Shield Service Benefit Plan – Standard

J. Foreign Service Benefit Plan

D. GEHA

KK. GEHA High Deductible Health Plan

MM. The Health Plan of the Upper Ohio Valley

E. Mail Handlers

LL. Mail Handlers High Deductible Plan

F. NALC

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program West Virginia

West Virginia Works

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Wisconsin

HH. Advantra Freedom (Coventry Health Care) V. Advocare (Security Health Plan of Wisconsin, Inc.) DD. Aetna Medicare Open Plan (Aetna) II. Care Assured (HealthMarkets) EE. Concert (WellCare Health Plans, Inc.) O. Gundersen Lutheran Senior (Gundersen Lutheran Health Plan,

Inc.) JJ. HealthPartners (HealthPartners Liberty Medicare) Y. HumanaChoice PPO/Humana Gold Choice (Humana Insurance

Plan) Z. Medica Advantage Solution/Prime Solution (Medica Insurance

Company) X. Network Platinum (Network Health Insurance Corporation) KK. SecureHorizons/AARP MedicareComplete/Medicare Direct

(United Healthcare) BB. SmartValue/Senior Advantage/SecurityChoice/Medicare

Preferred (Blue Cross Blue Shield of Wisconsin/Anthem Blue Cross and Blue Shield)

GG. Today’s Health (Today’s Health) CC. Today’s Options (Universal American/Pyramid Life Ins., Inc.) LL. UCare for Seniors (UCare)

PR-1

Spring 2009

CARD PR-2

Plan Names Wisconsin

MM. Abri Health Plan, Inc.

NN. Children’s Community Health Plan, Inc.

C. Compcare Health Services, Inc.

Q. Dean Health Plan, Inc.

F. Group Health Cooperative of Eau Claire

G. Group Health Cooperative, South Central Wisconsin

BB. Health Tradition Health Plan

J. Managed Health Services

T. MercyCare Health Plan, Inc.

S. Network Health Plan

V. Security Health Plan of Wisconsin, Inc.

TT. UnitedHealthcare of Wisconsin, Inc.

UU. Unity Health Plans Insurance Corporation

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Wisconsin

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Wisconsin

HH. Advantra Freedom (Coventry Health Care) V. Advocare (Security Health Plan of Wisconsin, Inc.) DD. Aetna Medicare Open Plan (Aetna) II. Care Assured (HealthMarkets) EE. Concert (WellCare Health Plans, Inc.) O. Gundersen Lutheran Senior (Gundersen Lutheran Health Plan,

Inc.) JJ. HealthPartners (HealthPartners Liberty Medicare) Y. HumanaChoice PPO/Humana Gold choice (Humana Insurance

Plan) Z. Medica Advantage Solution/Prime Solution (Medica Insurance

Company) X. Network Platinum (Network Health Insurance Corporation) KK. SecureHorizons/AARP MedicareComplete/Medicare Direct

(United Healthcare) BB. SmartValue/Senior Advantage/SecurityChoice/Medicare

Preferred (Blue Cross Blue Shield of Wisconsin/Anthem Blue Cross and Blue Shield)

GG. Today’s Health (Today’s Health) CC. Today’s Options (Universal American/Pyramid Life Ins., Inc.) LL. UCare for Seniors (UCare)

HX

-5

Spring 2009

CARD HX-6

Plan Names Wisconsin

MM. Abri Health Plan, Inc.

NN. Children’s Community Health Plan, Inc.

C. Compcare Health Services, Inc.

Q. Dean Health Plan, Inc.

F. Group Health Cooperative of Eau Claire

G. Group Health Cooperative, South Central Wisconsin

BB. Health Tradition Health Plan

J. Managed Health Services

T. MercyCare Health Plan, Inc.

S. Network Health Plan

V. Security Health Plan of Wisconsin, Inc.

TT. UnitedHealthcare of Wisconsin, Inc.

UU. Unity Health Plans Insurance Corporation

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Wisconsin

NNN. Aetna HealthFund CDHP PPP. Aetna HealthFund HDHP C. APWU H. Association Benefit Plan YY. Blue Cross Blue Shield Service Benefit Plan – Basic XX. Blue Cross Blue Shield Service Benefit Plan – Standard RR. Dean Health Plan J. Foreign Service Benefit Plan D. GEHA FFF. GEHA High Deductible Health Plan MMM. Group Health Cooperative OOO. HealthPartners BBB. HealthPartners Primary Clinic Plan LLL. Humana CoverageFirst CDHP E. Mail Handlers GGG. Mail Handlers High Deductible Plan F. NALC L. Panama Canal Area Benefit Plan QQQ. Prevea Health Plan M. Rural Carrier Benefit Plan N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Wisconsin

Wisconsin Works (W-2)

IN-2A

Spring 2009

CARD PR-1

Medicare Managed Care Plans Wyoming

J. Advantra Freedom (Coventry Health Care)

E. Aetna Medicare Open Plan (Aetna)

K. Altius Advantra (Coventry Health Care)

F. Concert (WellCare Health Plans, Inc.)

A. Humana Gold Choice (Humana Insurance Company)

B. MedicareBlue PPO (BlueCross Blue Shield of Wyoming)

L. SecureHorizons Medicare Direct (United Healthcare)

I. SecurityChoice (Unicare Life & Health Insurance Company)

M. Today’s Options (Universal American/Pyramid Life Ins., Inc.)

N. WINhealth (WINhealth Partners)

PR-1

Spring 2009

CARD PR-2

Plan Names Wyoming

None Available

PR-2

Spring 2009

CARD HX-3

Sample Medicaid Card Wyoming

HX

-3

Spring 2009

CARD HX-5

Medicare Managed Care Plans Wyoming

J. Advantra Freedom (Coventry Health Care)

E. Aetna Medicare Open Plan (Aetna)

K. Altius Advantra (Coventry Health Care)

F. Concert (WellCare Health Plans, Inc.)

A. Humana Gold Choice (Humana Insurance Company)

B. MedicareBlue PPO (BlueCross Blue Shield of Wyoming)

L. SecureHorizons Medicare Direct (United Healthcare)

I. SecurityChoice (Unicare Life & Health Insurance Company)

M. Today’s Options (Universal American/Pyramid Life Ins., Inc.)

N. WINhealth (WINhealth Partners) HX

-5

Spring 2009

CARD HX-6

Plan Names Wyoming

None Available

HX

-6

Spring 2009

CARD HX-8

Plan Names (for Federal Civilian Employees)

Wyoming

C. APWU

H. Association Benefit Plan

BB. Blue Cross and Blue Shield Service Benefit Plan – Basic

AA. Blue Cross and Blue Shield Service Benefit Plan – Standard

J. Foreign Service Benefit Plan

D. GEHA

EE. GEHA High Deductible Health Plan

E. Mail Handlers

FF. Mail Handlers High Deductible Plan

F. NALC

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

HX

-8

Spring 2009

CARD IN-2A

State TANF Program Wyoming

POWER (Personal Opportunities with Employment Responsibility)

IN-2A

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