CARD PR-1
Medicare Managed Care Plans
Alabama
F. VIVA Medicare Plus
G. Seniors First (Healthspring of Alabama, Inc.)
H. United Healthcare Medicare Complete Choice (United Healthcare Insurance Company)
I. Blue Advantage (Blue Cross Blue Shield of Alabama)
J. Human Gold Choice/ HumanaChoice PPO (Humana Insurance Company)
K. SecureHorizons Direct (Healthspring of Alabama, Inc.)
CARD PR-2
Plan Names
Alabama
C. Maternity Care Program
D. Partnership Hospital Program
E. Patient 1st
CARD HX-3
Sample Medicaid Card
Alabama
CARD HX-5
Medicare Managed Care Plans
Alabama
F. VIVA Medicare Plus
G. Seniors First (Healthspring of Alabama, Inc.)
H. United Healthcare Medicare Complete Choice (United Healthcare Insurance Company)
I. Blue Advantage (Blue Cross Blue Shield of Alabama)
J. Human Gold Choice/ HumanaChoice PPO (Humana Insurance Company)
K. SecureHorizons Direct (Healthspring of Alabama, Inc.)
CARD HX-6
Plan Names
Alabama
C. Maternity Care Program
D. Partnership Hospital Program
E. Patient 1st
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
ALABAMA
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
Z. Mail Handlers Standard
CC. PBP Health Plan Standard
EE. APWU Health Plan High
FF. APWU Health Plan Consumer Driven
GG. PBP Health Plan High
HH. GEHA Benefit Plan Standard
II. GEHA Benefit Plan High
JJ. Mail Handlers High
KK. Blue Cross and Blue Shield Service Benefit Plan - Standard
LL. Blue Cross and Blue Shield Service Benefit Plan Basic
MM. SAMBA High
NN. SAMBA Standard
OO. Mail Handlers High Deductible Plan
PP. Aetna HealthFund CDHP
QQ. Aetna Healthfund HDHP
CARD IN-2A
State TANF Program
Alabama
Family Assistance Program
CARD PR-1
Medicare Managed Care Plans
Alaska
A. Secure Horizons Direct
CARD PR-2
Plan Names
Alaska
None
CARD HX-3
Sample Medicaid Card
Alaska
CARD HX-5
HX-5 Medicare Managed Care Plans
Alaska
A. Secure Horizons Direct
CARD HX-6
Plan Names
Alaska
None
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
ALASKA
C. APWU
D. GEHA Benefit Plan
E. Mail Handlers
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
N. SAMBA
P. Blue Cross Blue Shield Service Benefit Plan Standard
Q. Blue Cross Blue Shield Service Benefit Plan Basic
S. APWU Health Plan - High
T. APWU Health Plan Consumer Driven
U. GEHA Benefit Plan High
V. GEHA Benefit Plan Standard
W. Mail Handlers High
X. Mail Handlers Standard
Y. PBP Health Plan High
Z. PBP Health Plan Standard
CARD IN-2A
State TANF Program
Alaska
Alaska Temporary Assistance Program (ATAP)
CARD PR-1
Medicare Managed Care Plans
Arizona
S. SeniorCare (Health Net of Arizona, Inc.)
U. MedisunONE (Sun Health MedisunOne)
AA. CIGNA HealthCare for Seniors
BB. Evercare Premiere (United Healthcare Insurance Company)
CC. Humana Gold Classic (Humana Health Plan, Inc.)
FF. United Healthcare Medicare Complete (United Healthcare of Arizona, Inc.)
GG. Abrazo Advantage (Abrazo Advantage Health Plan)
HH. Aetna Golden (Aetna Medicare)
II. Desert Canyon Community Care
JJ. Health Net Preferred (Health Net)
KK. SecureHorizons Direct
LL. Sierra Spectrum
MM. Sun Health MediSun (MediSun Private Fee for Service)
NN. Sun Health MediSunONE
OO. Todays Options
CARD PR-2
Plan Names
Arizona
G. DES/CMDP (Department of Economic Security/ Comprehensive Medical and Dental Program)
K. Health Choice Arizona
N. Mercy Care Plan
W. Phoenix Health Plan/Community Connection
Y. University Family Care
Z. AHCCCS (The Arizona Health Care Cost Containment System)
AA. Evercare Select
CC. APIPA
DD. Care 1st Arizona
EE. PINAL/GILA LTC
FF. Conchise Health Systems
HH. YAVAPAI Long Term Care
II. LTC DD DES
JJ. Arizona Department of Health Services
KK. Maricopa Health Plan
LL. Mercy Care LTC
MM. Pima Health System
NN. Pimal LTC
CARD HX-3
Sample Medicaid Card
Arizona
CARD HX-5
Medicare Managed Care Plans
Arizona
S. SeniorCare (Health Net of Arizona, Inc.)
U. MedisunONE (Sun Health MedisunOne)
AA. CIGNA HealthCare for Seniors
BB. Evercare Premiere (United Healthcare Insurance Company)
CC. Humana Gold Classic (Humana Health Plan, Inc.)
FF. United Healthcare Medicare Complete (United Healthcare of Arizona, Inc.)
GG. Abrazo Advantage (Abrazo Advantage Health Plan)
HH. Aetna Golden (Aetna Medicare)
II. Desert Canyon Community Care
JJ. Health Net Preferred (Health Net)
KK. SecureHorizons Direct
LL. Sierra Spectrum
MM. Sun Health MediSun (MediSun Private Fee for Service)
NN. Sun Health MediSunONE
OO. Todays Options
CARD HX-6
Plan Names
Arizona
G. DES/CMDP (Department of Economic Security/ Comprehensive Medical and Dental Program)
K. Health Choice Arizona
N. Mercy Care Plan
W. Phoenix Health Plan/Community Connection
Y. University Family Care
Z. AHCCCS (The Arizona Health Care Cost Containment System)
AA. Evercare Select
CC. APIPA
DD. Care 1st Arizona
EE. PINAL/GILA LTC
FF. Conchise Health Systems
HH. YAVAPAI Long Term Care
II. LTC DD DES
JJ. Arizona Department of Health Services
KK. Maricopa Health Plan
LL. Mercy Care LTC
MM. Pima Health System
NN. Pimal LTC
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
ARIZONA
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
Y. GEHA Benefit Plan High
Z. GEHA Benefit Plan Standard
AA. Mail Handlers High
BB. Mail Handlers Standard
CC. PBP Health Plan High
DD. PBP Health Plan Standard
HH APWU Health Plan - High
II. APWU Health Plan Consumer Driven
KK. Blue Cross and Blue Shield Service Benefit Plan Standard
LL. Blue Cross and Blue Shield Service Benefit Plan Basic
MM. SAMBA High
NN. SAMBA Standard
OO. GEHA High Deductible Health Plan
PP. Mail Handlers High Deductible Plan
QQ. Aetna HealthFund CDHP
RR. Aetna HealthFund HDHP
SS. Humana CoverageFirst CDHP
TT. Aetna Open Access
UU. Health Net of Arizona, Inc.
VV. PacifiCare Desert Region (AZ)
CARD IN-2A
State TANF Program
Arizona
Employing and Moving People Off Welfare and Encouraging Responsibility Program (EMPOWER)
CARD PR-1
Medicare Managed Care Plans
Arkansas
E. Arkansas Community Care (Arkansas Community Care, Inc.)
F. Humana Gold Choice/HumanaChoice PPO (Humana Insurance Company)
G. SecureHorizons Direct
H. SecurityChoice (Unicare Life and Health Ins. Company)
I. United Healthcare Medicare Complete (United Healthcare of Arkansas, Inc.)
CARD PR-2
Plan Names
Arkansas
NONE AVAILABLE
CARD HX-3
Sample Medicaid Card
Arkansas
CARD HX-5
Medicare Managed Care Plans
Arkansas
E. Arkansas Community Care (Arkansas Community Care, Inc.)
F. Humana Gold Choice/HumanaChoice PPO (Humana Insurance Company)
G. SecureHorizons Direct
H. SecurityChoice (Unicare Life and Health Ins. Company)
I. United Healthcare Medicare Complete (United Healthcare of Arkansas, Inc.)
CARD HX-6
Plan Names
Arkansas
NONE AVAILABLE
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
ARKANSAS
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
W. GEHA Benefit Plan High
X. GEHA Benefit Plan Standard
Y. Mail Handlers High
Z. Mail Handlers Standard
AA. PBP Health Plan High
BB. PBP Health Plan Standard
CC. APWU Health Plan - High
DD. APWU Health Plan Consumer Driven
EE. Blue Cross and Blue Shield Service Benefit Plan Standard
FF. Blue Cross and Blue Shield Service Benefit Plan Basic
GG. SAMBA High
HH. SAMBA Standard
II. GEHA High Deductible Health Plan
JJ. Mail Handlers High Deductible Plan
KK. Aetna HealthFund CDHP
LL. Aetna HealthFund HDHP
CARD IN-2A
State TANF Program
Arkansas
Transitional Employment Assistance Program (TEA)
CARD PR-1
Medicare Managed Care Plans
California
AAA. Blue Shield 65 Plus (Blue Shield of California, Inc.)
HHH. UHP Healthcare for Seniors (UHP Healthcare for Seniors)
JJJ. WHA Care + (Western Health Advantage)
KKK. Blue Cross Senior Secure (Blue Cross of California)
MMM. Aetna Golden Medicare Plan (Aetna Health of California, Inc.)
OOO. Health Net Seniority (Health Net of CA)
QQQ. CCHP (Chinese Community Health Plan)
RRR. California Medicare Advantage (CIS)
SSS. SCAN Health Plan (SCAN Health Plan)
TTT. Health Advantage (Universal Care Health Advantage)
UUU. Kaiser Permanente Senior Advantage (Kaiser Permanente)
VVV. Secure Horizons (Secure Horizons Medicare Advantage Plan)
WWW. Caremore Value PLUS (CIS)
XXX. InterValley Health Plan
YYY. Aetna Golden (Aetna Medicare)
ZZZ. Central Health Medicare Plan
AAAA. Citizens Choice Healthplan
BBBB. Freedom Blue (BC Life and Health Insurance Company)
CCCC. Health Net Options Plus (Health Net Life Insurance Company)
EEEE. SecureHorizons Direct
FFFF. SmartValue (Blue Cross of California)
GGGG. Universal Care Health Advantage
CARD PR-2
Plan Names California
B. Blue Cross of California
K. Contra Costa Health Plan
Q. Health Plan of San Mateo
KK. Sutter Senior Care
QQ. Alameda Alliance for Health
VV. Community Health Group
ZZ. Health Plan of San Joaquin
AAA. Inland Empire Health Plan
CCC. Kern Family Health Care
DDD. L.A. Care Health Plan
NNN. San Francisco Health Plan
PPP. Santa Clara Family Health Plan
YYY. Center for Elders Independence
ZZZ. Central Coast Alliance for Health
XXXX. Partnership Health Plan of California
YYYY. Molina Healthcare of California
ZZZZ. Family Mosaic Project
AB. Kaiser Foundation Health Plan, Inc.
AC. On Lok Senior Health
AE. Western Health Advantage
AJ. AltaMed
AK. Care 1st
AM. Santa Barbara Regional Health Authority
AN. SCAN Health Plan
AO. Stanislaus County Local Initiative
AP. Tulare County Local Initiative (Blue Cross)
AR. CalOPTIMA
AS. AIDS Healthcare Centers
AT. Blue Cross Partnership Plan
AU. Health Net Community Solutions
CARD HX-3
Sample Medicaid Card
California
CARD HX-5
Medicare Managed Care Plans
California
AAA. Blue Shield 65 Plus (Blue Shield of California, Inc.)
HHH. UHP Healthcare for Seniors (UHP Healthcare for Seniors)
JJJ. WHA Care + (Western Health Advantage)
KKK. Blue Cross Senior Secure (Blue Cross of California)
MMM. Aetna Golden Medicare Plan (Aetna Health of California, Inc.)
OOO. Health Net Seniority (Health Net of CA)
QQQ. CCHP (Chinese Community Health Plan)
RRR. California Medicare Advantage (CIS)
SSS. SCAN Health Plan (SCAN Health Plan)
TTT. Health Advantage (Universal Care Health Advantage)
UUU. Kaiser Permanente Senior Advantage (Kaiser Permanente)
VVV. Secure Horizons (Secure Horizons Medicare Advantage Plan)
WWW. Caremore Value PLUS (CIS)
XXX. InterValley Health Plan
YYY. Aetna Golden (Aetna Medicare)
ZZZ. Central Health Medicare Plan
AAAA. Citizens Choice Healthplan
BBBB. Freedom Blue (BC Life and Health Insurance Company)
CCCC. Health Net Options Plus (Health Net Life Insurance Company)
EEEE. SecureHorizons Direct
FFFF. SmartValue (Blue Cross of California)
GGGG. Universal Care Health Advantage
CARD HX-6
Plan Names California
B. Blue Cross of California
K. Contra Costa Health Plan
Q. Health Plan of San Mateo
KK. Sutter Senior Care
QQ. Alameda Alliance for Health
VV. Community Health Group
ZZ. Health Plan of San Joaquin
AAA. Inland Empire Health Plan
CCC. Kern Family Health Care
DDD. L.A. Care Health Plan
NNN. San Francisco Health Plan
PPP. Santa Clara Family Health Plan
YYY. Center for Elders Independence
ZZZ. Central Coast Alliance for Health
XXXX. Partnership Health Plan of California
YYYY. Molina Healthcare of California
ZZZZ. Family Mosaic Project
AB. Kaiser Foundation Health Plan, Inc.
AC. On Lok Senior Health
AE. Western Health Advantage
AJ. AltaMed
AK. Care 1st
AM. Santa Barbara Regional Health Authority
AN. SCAN Health Plan
AO. Stanislaus County Local Initiative
AP. Tulare County Local Initiative (Blue Cross)
AR. CalOPTIMA
AS. AIDS Healthcare Centers
AT. Blue Cross Partnership Plan
AU. Health Net Community Solutions
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
CALIFORNIA
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
X. Health Net of CA
JJ. GEHA Benefit Plan High
KK. GEHA Benefit Plan Standard
LL. Mail Handlers High
MM. Mail Handlers Standard
NN. PBP Health Plan High
OO. PBP Health Plan Standard
QQ. Blue Cross HMO
RR. Blue Shield of CA Access+
UU. UHP HEALTHCARE
XX. APWU Health Plan High
YY. APWU Health Plan Consumer Driven
ZZ. Blue Cross and Blue Shield Service Benefit Plan Standard
AAA. Blue Cross and Blue Shield Service Benefit Plan Basic
CCC. SAMBA High
DDD. SAMBA Standard
EEE. GEHA High Deductible Health Plan
FFF. Mail Handlers High Deductible Plan
LLL. PacifiCare of California
MMM. Universal Care High S. CA
NNN. Aetna HealthFund CDHP
OOO. Aetna HealthFund HDHP
QQQ Aetna HMO
RRR Kaiser Permanente
CARD IN-2A
State TANF Program
California
CalWORKS
(California Work Opportunity and Responsibility to Kids)
CARD PR-1
Medicare Managed Care Plans
Colorado
Z. Senior Advantage (Kaiser Permanente)
BB. Secure Horizons (Secure Horizons Medicare Advantage Plan)
DD. RMHP (Rocky Mountain Health Plans)
EE. SecureHorizons Direct
CARD PR-2
Plan Names
Colorado
F. Rocky Mountain HMO
H. Colorado Access
P. Primary Care Physician Program
V. Denver Health
W. Management Team Solutions
CARD HX-3
Sample Medicaid Card
Colorado
CARD HX-5
Medicare Managed Care Plans
Colorado
Z. Senior Advantage (Kaiser Permanente)
BB. Secure Horizons (Secure Horizons Medicare Advantage Plan)
DD. RMHP (Rocky Mountain Health Plans)
EE. SecureHorizons Direct
CARD HX-6
Plan Names
Colorado
F. Rocky Mountain HMO
H. Colorado Access
P. Primary Care Physician Program
V. Denver Health
W. Management Team Solutions
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
COLORADO
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
AA. GEHA Benefit Plan High
BB. GEHA Benefit Plan Standard
CC. Mail Handlers High
DD. Mail Handlers Standard
EE. PBP Health Plan High
FF. PBP Health Plan Standard
KK. APWU Health Plan High
LL. APWU Health Plan Consumer Driven
MM. Blue Cross and Blue Shield Service Benefit Plan Standard
NN. Blue Cross and Blue Shield Service Benefit Plan Basic
OO. SAMBA High
PP. SAMBA Standard
QQ. GEHA High Deductible Health Plan
RR. Mail Handlers High Deductible Plan
SS. Aetna Denver Area
TT. Kaiser Permanente High
UU. Kaiser Permanente Std
VV. PacifiCare of Colorado
WW. Aetna HealthFund CDHP
XX. Aetna HealthFund HDHP
YY. Humana Coverage First CDHP
ZZ. United Healthcare of Colorado
CARD IN-2A
State TANF Program
Colorado
Colorado Works
CARD PR-1
Medicare Managed Care Plans
Connecticut
M. Oxford Medicare Advantage (Oxford Health Plans (CT), Inc.)
N. Health Net SmartChoice for Connecticut (Health Net of Connecticut)
P. WellCare
Q. SecureHorizons Direct
CARD PR-2
Plan Names
Connecticut
D. Community Health Network of Connecticut
P. Anthem Blue Care Family Plan
S. Husky A/B
T. Healthy Start
U. Health Net
CARD HX-3
Sample Medicaid Card
Connecticut
CARD HX-5
Medicare Managed Care Plans
Connecticut
M. Oxford Medicare Advantage (Oxford Health Plans (CT), Inc.)
N. Health Net SmartChoice for Connecticut (Health Net of Connecticut)
P. WellCare
Q. SecureHorizons Direct
CARD HX-6
Plan Names
Connecticut
D. Community Health Network of Connecticut
P. Anthem Blue Care Family Plan
S. Husky A/B
T. Healthy Start
U. Health Net
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
CONNECTICUT
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
Q. ConnectiCare
EE. GEHA Benefit Plan High
FF. GEHA Benefit Plan Standard
GG. Mail Handlers High
HH. Mail Handlers Standard
II. PBP Health Plan High
JJ. PBP Health Plan Standard
LL. APWU Health Plan-High
MM. APWU Health Plan Consumer Driven
NN. Blue Cross and Blue Shield Service Benefit Plan Standard
OO. Blue Cross and Blue Shield Service Benefit Plan Basic
PP. SAMBA High
QQ. SAMBA Standard
RR. GEHA High Deductible Health Plan
SS. Mail Handlers High Deductible Plan
TT. Aetna HealthFund CDHP
UU. Aetna HealthFund HDHP
VV. Aetna Open Access
CARD IN-2A
State TANF Program
Connecticut
JOBS FIRST
CARD PR-1
Medicare Managed Care Plans
District of Columbia
G. Kaiser Permanente Medicare Plus (Kaiser Permanente Medicare Plus)
H. Aetna Golden (Aetna Medicare)
I. Elder Health (Elder Health Mid-Atlantic, Inc)
J. Kaiser Permanente Medicare Plus
K. SecureHorizons Direct
CARD PR-2
Plan Names
District of Columbia
J. Health Right, Inc.
N. D.C. Chartered Health Plan, Inc.
O. Health Services for Children with Special Needs, Inc. (HSCSN)
P. Amerigroup
CARD HX-3
Sample Medicaid Card
District of Columbia
CARD HX-5
Medicare Managed Care Plans
District of Columbia
G. Kaiser Permanente Medicare Plus (Kaiser Permanente Medicare Plus)
H. Aetna Golden (Aetna Medicare)
I. Elder Health (Elder Health Mid-Atlantic, Inc)
J. Kaiser Permanente Medicare Plus
K. SecureHorizons Direct
CARD HX-6
Plan Names
District of Columbia
J. Health Right, Inc.
N. D.C. Chartered Health Plan, Inc.
O. Health Services for Children with Special Needs, Inc. (HSCSN)
P. Amerigroup
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
DISTRICT OF COLUMBIA
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
Q. Care First Blue Choice
BB. M.D. IPA
II. GEHA Benefit Plan High
JJ. GEHA Benefit Plan Standard
KK. Mail Handlers High
LL. Mail Handlers Standard
MM. PBP Health Plan High
NN. PBP Health Plan Standard
QQ. APWU Health Plan High
RR. APWU Health Plan Consumer Driven
SS. Blue Cross and Blue Shield Service Benefit Plan Basic
TT. Blue Cross and Blue Shield Service Benefit Plan - Standard
WW. SAMBA High
XX. SAMBA Standard
YY. GEHA High Deductible Health Plan
ZZ. Mail Handlers High Deductible Plan
AAA. Aetna Open Access High
BBB. Aetna Open Access Basic
CCC. Kaiser Permanente High
DDD. Kaiser Permanente Standard
EEE. Aetna HealthFund CDHP
FFF. Aetna HealthFund HDHP
CARD PR-1
Medicare Managed Care Plans
Delaware
G. Aetna Golden (Aetna Medicare)
H. SecureHorizons Direct
CARD PR-2
Plan Names
Delaware
H. Diamond State Health Plan
J. Delaware Physicians Care Inc. (DPCI)
K. Diamond State Partners (DSP)
CARD HX-3
Sample Medicaid Card
Delaware
CARD HX-5
Medicare Managed Care Plans
Delaware
G. Aetna Golden (Aetna Medicare)
H. SecureHorizons Direct
CARD HX-6
Plan Names
Delaware
H. Diamond State Health Plan
J. Delaware Physicians Care Inc. (DPCI)
K. Diamond State Partners (DSP)
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
DELAWARE
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
X. GEHA Benefit Plan High
Y. GEHA Benefit Plan Standard
Z. Mail Handlers High
AA. Mail Handlers Standard
BB. PBP Health Plan High
CC. PBP Health Plan Standard
DD. APWU Health Plan High
EE. APWU Health Plan Consumer Driven
FF. Blue Cross and Blue Shield Service Benefit Plan Standard
GG. Blue Cross and Blue Shield Service Benefit Plan Basic
HH. SAMBA High
II. SAMBA Standard
JJ. GEHA High Deductible Health Plan
KK. Mail Handlers High Deductible Plan
LL. Aetna HealthFund CDHP
MM. Aetna HealthFund HDHP
NN. Coventry Healthcare of Delaware (HDHP)
OO. Coventry Health Care of Delaware
CARD IN-2A
State TANF Program
Delaware
A Better Chance (ABC)
CARD PR-1
Medicare Managed Care Plans
Florida
PP. Florida Health Care Plan, Inc. (Florida Health Care Plan, Inc.)
RR. Humana Gold (Humana Medical Plan, Inc.)
TT. Medicare Advantage (Vista Health Plan, Inc.)
VV. Medicare and More (Health Options, Inc./BC BS FL)
FFF. Capital Health Plan Medicare (Capital Health Plan, Inc.)
HHH. Medicare Masterpiece (Medicare Masterpiece)
III. PSO Health Plan (Preferred Care Partners, Inc.)
LLL. UnitedHealthCare Medicare Complete (United Healthcare Insurance Company, Inc.)
MMM. AvMed Premier Care (AvMed Medicare Plan)
NNN. CareOne Plan (CarePlus Health Plans, Inc.)
OOO. WellCare/Choice Value Plan (WellCare)
PPP. Americas Healthy Rewards Treasure Coast (Americas Health Choice Medical Plans, Inc.)
QQQ. CitrusCare (Citrus Health Care, Inc.)
RRR. Doctorcare Health Advantage (Doctorcare, Inc.)
TTT. Health Options, Inc./BCBSFL
UUU. Humana Choice PPO (Humana Insurance Company)
WWW. AdvantageCare
XXX. Advantage Silver/Gold (Quality Health Plans, Inc.)
YYY. Aetna Golden (Aetna Health, Inc.)
ZZZ. American Spirit Plan (Physicians United)
AAAA. Blue Preferred (Blue Cross/Blue Shield of Florida)
BBBB. Care (CarePlus Health Plans, Inc.)
CCCC. Classic/value Secure (Health First Medicare Plan)
DDDD. FHCP Medvantage (Florida Health Care Plan, Inc.)
EEEE. Humana Choice PPO (Humana Insurance Company)
FFFF. Leon Cares (Leon Medical Centers Health, Inc.)
GGGG. Medicare & More/Actively You (Health Options
HHHH. MedicareMax (Medica HealthCare Plans, Inc.)
IIII. Patriot Plan (Freedom Health, Inc.)
JJJJ. SecureHorizons Direct
KKKK. Summit Ideal Plan (Summit Health Plan, Inc.)
LLLL. SunCoast Physicians Health Plan, Inc.
MMMM. SunPlus Advantage Plan (Healthsun Health Plans, Inc.)
NNNN. The Value/Classic Secure Plan (United Healthcare of Florida, Inc.)
CARD PR-2
Plan Names
Florida
HH. Staywell Health Plan
PP. Humana Family Health Plan
SS. Medipass
UU. Preferred Medical Plan
ZZ. HealthEase
AAA. Citrus Health Care
BBB. United Healthcare of Florida
CCC. Amerigroup Florida, Inc.
DDD. Universal Health Plan
EEE. United/Evercare at Home
FFF. Jackson Memorial Hospital
GGG. Buena Vista
III. Healthy Palm Beaches/Personal
JJJ. Total Health Choice
CARD HX-3
Sample Medicaid Card
Florida
CARD HX-5
Florida Medicare Managed Care Plans
PP. Florida Health Care Plan, Inc. (Florida Health Care Plan, Inc.)
RR. Humana Gold (Humana Medical Plan, Inc.)
TT. Medicare Advantage (Vista Health Plan, Inc.)
VV. Medicare and More (Health Options, Inc./BC BS FL)
FFF. Capital Health Plan Medicare (Capital Health Plan, Inc.)
HHH. Medicare Masterpiece (Medicare Masterpiece)
III. PSO Health Plan (Preferred Care Partners, Inc.)
LLL. UnitedHealthCare Medicare Complete (United Healthcare Insurance Company, Inc.)
MMM. AvMed Premier Care (AvMed Medicare Plan)
NNN. CareOne Plan (CarePlus Health Plans, Inc.)
OOO. WellCare Choice/Value Plan (WellCare)
PPP. Americas Healthy Rewards Treasure Coast (Americas Health Choice Medical Plans, Inc.)
QQQ. CitrusCare (Citrus Health Care, Inc.)
RRR. Doctorcare Health Advantage (Doctorcare, Inc.)
TTT. Health Options, Inc./BCBSFL
UUU. Humana Choice PPO (Humana Insurance Company)
WWW. AdvantageCare
XXX. Advantage Silver/Gold (Quality Health Plans, Inc.)
YYY. Aetna Golden (Aetna Health, Inc.)
ZZZ. American Spirit Plan (Physicians United)
AAAA. Blue Preferred (Blue Cross/Blue Shield of Florida)
BBBB. Care (CarePlus Health Plans, Inc.)
CCCC. Classic/value Secure (Health First Medicare Plan)
DDDD. FHCP Medvantage (Florida Health Care Plan, Inc.)
EEEE. Humana Choice PPO (Humana Insurance Company)
FFFF. Leon Cares (Leon Medical Centers Health, Inc.)
GGGG. Medicare & More/Actively You (Health Options
HHHH. MedicareMax (Medica HealthCare Plans, Inc.)
IIII. Patriot Plan (Freedom Health, Inc.)
JJJJ. SecureHorizons Direct
KKKK. Summit Ideal Plan (Summity Health Plan, Inc.)
LLLL. SunCoast Physicians Health Plan, Inc.
MMMM. SunPlus Advantage Plan (Healthsun Health Plans, Inc.)
NNNN. The Value/Classic Secure Plan (United Healthcare of Florida, Inc.
CARD HX-6
Plan Names
Florida
HH. Staywell Health Plan
PP. Humana Family Health Plan
SS. Medipass DCMM
UU. Preferred Medical Plan
ZZ. HealthEase
AAA. Citrus Health Care
BBB. United Healthcare of Florida
CCC. Amerigroup Florida, Inc.
DDD. Universal Health Plan
EEE. United/Evercare at Home
FFF. Jackson Memorial Hospital
GGG. Buena Vista
III. Health Palm Beaches/Personal
JJJ. Total Health Choice
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
FLORIDA
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
M. Rural Carrier Benefit Plan
R. Capital Health Plan
AA. Humana Medical Plan
LL. GEHA Benefit Plan High
MM. GEHA Benefit Plan Standard
NN. Mail Handlers High
OO. Mail Handlers Standard
PP. PBP Health Plan High
QQ. PBP Health Plan Standard
TT. APWU Health Plan High
UU. APWU Health Plan Consumer Driven
VV. Blue Cross and Blue Shield Service Benefit Plan Standard
WW. Blue Cross and Blue Shield Service Benefit Plan Basic
CCC. SAMBA High
DDD. SAMBA Standard
EEE. GEHA High Deductible Health Plan
FFF. Mail Handlers High Deductible Plan
GGG. Av-Med Health Plan High
HHH. Av-Med Health Plan Std
III. Vista Healthplan South Florida
JJJ. Vista Healthplan Gainesville
KKK. Vista Healthplan Tallahassee
LLL. Vista Healthplan of South Florida
MMM. Aetna HealthFund CDHP Jacksonville/Miami/Orlando/Tampa Areas
NNN. Aetna HealthFund HDHP Jacksonville/Miami/Orlando/Tampa Areas
OOO. Humana CoverageFirst CDHP Tampa
PPP. Humana CoverageFirst CDHP Jacksonville
QQQ. Humana CoverageFirst CDHP South Florida
RRR. Humana CoverageFirst CDHP Orlando
SSS. JMH Health Plan
TTT. Panama Canal Area Benefit Plan
CARD IN-2A
State TANF Program
Florida
Welfare Transition Program
CARD PR-1
Medicare Managed Care Plans
Georgia
M. Kaiser Permanente Senior Advantage (Kaiser Permanente Senior Advantage, Inc.)
N. Humana Gold (Humana Insurance Company)
P. Aetna Golden (Aetna Medicare)
Q. InStil InChoice/InCare (Instil Health Insurance Company)
R. SecureHorizons Direct
S. SmartValue/BlueValue (Blue Cross/Blue Shield Healthcare Plan of GA)
T. United Healthcare Medicare Complete (United Healthcare of GA, Inc.)
U. WellCare
CARD PR-2
Plan Names
Georgia
I. Amerigroup
J. PeachState (Centene)
K. WellCare
CARD HX-3
Sample Medicaid Card
Georgia
CARD HX-5
Medicare Managed Care Plans
Georgia
M. Kaiser Permanente Senior Advantage (Kaiser Permanente Senior Advantage, Inc.)
N. Humana Gold (Humana Insurance Company)
P. Aetna Golden (Aetna Medicare)
Q. InStil InChoice/InCare (Instil Health Insurance Company)
R. SecureHorizons Direct
S. SmartValue/BlueValue (Blue Cross/Blue Shield Healthcare Plan of GA)
T. United Healthcare Medicare Complete (United Healthcare of GA, Inc.)
U. WellCare
CARD HX-6
Plan Names
Georgia
I. Amerigroup
J. PeachState (Centene)
K. WellCare
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
GEORGIA
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
AA. GEHA Benefit Plan High
BB. GEHA Benefit Plan Standard
CC. Mail Handlers High
DD. Mail Handlers Standard
EE. PBP Health Plan High
FF. PBP Health Plan Standard
HH. APWU Health Plan High
II. APWU Health Plan Consumer Driven
KK. Blue Cross and Blue Shield Service Benefit Plan - Standard
LL. Blue Cross and Blue Shield Service Benefit Plan Basic
MM. SAMBA High
NN. SAMBA Standard
OO. GEHA High Deductible Health Plan
PP. Mail Handlers High deductible Plan
QQ. Aetna
TT. Aetna HealthFund CDHP
UU. Aetna HealthFund HDHP
VV. Coventry Health Care of GA HDHP
WW. Kaiser Foundation Health Plan of Georgia, Inc.
XX. Humana CoverageFirst (Consumer Driven Plan)
YY. Kaiser Foundation Health Plan of Georgia, Inc. HDHP
CARD IN-2A
State TANF Program
Georgia
Temporary Assistance for Needy Families
CARD PR-1
Medicare Managed Care Plans
Hawaii
F. Kaiser Permanente Senior Advantage (Kaiser Foundation Health Plan, Inc.)
G. 65C Plus Plan (Hawaii Medical Service Association)
H. AlohaCare Advantage (AlohaCare)
I. SecureHorizons Direct
J. United Healthcare Medicare Complete (United Healthcare Insurance Company)
CARD PR-2
Plan Names
Hawaii
M. Hawaii Quest
CARD HX-3
Sample Medicaid Card
Hawaii
CARD HX-5
Medicare Managed Care Plans
Hawaii
F. Kaiser Permanente Senior Advantage (Kaiser Foundation Health Plan, Inc.)
G. 65C Plus Plan (Hawaii Medical Service Association)
H. AlohaCare Advantage (AlohaCare)
I. SecureHorizons Direct
J. United Healthcare Medicare Complete (United Healthcare Insurance Company)
CARD HX-6
Plan Names
Hawaii
M. Hawaii Quest
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
HAWAII
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
Q. HMSA
S. Kaiser Permanente High
T. Kaiser Permanente Standard
W. GEHA Benefit Plan High
X. GEHA Benefit Plan Standard
Y. Mail Handlers High
Z. Mail Handlers Standard
AA. PBP Health Plan - High
BB. PBP Health Plan Standard
CC. APWU Health Plan High
DD. APWU Health Plan Consumer Driven
EE. Blue Cross and Blue Shield Service Benefit Plan - Standard
FF. Blue Cross and Blue Shield Service Benefit Plan Basic
GG. SAMBA High
HH. SAMBA Standard
II. GEHA High Deductible Health Plan
JJ. Mail Handlers High Deductible Plan
KK. Kaiser Permanente High
LL. Kaiser Permanente Standard
CARD IN-2A
State TANF Program
Hawaii
Temporary Assistance for Needy Families
CARD PR-1
Medicare Managed Care Plans
Idaho
D. True Blue (Blue Cross of Idaho)
E. Humana Gold Choice (Humana Insurance Company)
F. MedAdvantage (Regence Blue Shield of Idaho)
G. Secure Blue (Blue Cross of Idaho Health Services, Inc.)
H. SecureHorizons Direct
I. United Healthcare Medicare Complete (United Healthcare Insurance Company)
CARD PR-2
Plan Names
Idaho
A. Healthy Connections
CARD HX-3
Sample Medicaid Card
Idaho
CARD HX-5
Medicare Managed Care Plans
Idaho
D. True Blue (Blue Cross of Idaho)
E. Humana Gold Choice (Humana Insurance Company)
F. MedAdvantage (Regence Blue Shield of Idaho)
G. Secure Blue (Blue Cross of Idaho Health Services, Inc.)
H. SecureHorizons Direct
I. United Healthcare Medicare Complete (United Healthcare Insurance Company)
CARD HX-6
Plan Names
Idaho
A. Healthy Connections
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
IDAHO
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
U. GEHA Benefit Plan High
V. GEHA Benefit Plan Standard
W. Mail Handlers High
X. Mail Handlers Standard
Y. PBP Health Plan High
Z. PBP Health Plan Standard
BB. APWU Health Plan High
CC. APWU Health Plan Consumer Driven
DD. Blue Cross and Blue Shield Service Benefit Plan Standard
EE. Blue Cross and Blue Shield Service Benefit Plan Basic
FF. SAMBA High
GG. SAMBA Standard
HH. GEHA High Deductible Health Plan
II. Mail Handlers High Deductible Plan
JJ. Group Health Cooperative High
KK. Group Health Cooperative Standard
LL. Aetna HealthFund CDHP
MM. Aetna HealthFund HDHP
CARD IN-2A
State TANF Program
Idaho
Temporary Assistance for Families in Idaho
CARD PR-1
Medicare Managed Care Plans
Illinois
EE. Medical Associates Advantage Plan (Medical Associates Health Plan, Inc.)
FF. OSF Care Advantage/Preferred (OSF Care Advantage/Preferred)
GG. PremierPlus (Mercy Health Plans, Inc.)
II. United Healthcare Medicare Complete (United Healthcare Plans of the Midwest, Inc.)
JJ. Advantra/Gold Advantage (Group Health Plan, Inc.)
MM. Humana Gold Choice (Humana Insurance Company)
NN. Health Alliance Medicare HMO (Health Alliance Medical Plans)
OO. Security Choice (Unicare Life & Health Insurance Company)
PP. Aetna Golden (Aetna Medicare)
QQ. Essence (Essence, Inc.)
RR. Health Spring Advantage (HealthSpring, Inc.)
SS. SecureHorizons Direct
TT. Secure Plus (John Deere Health Plan, Inc.)
UU. WellCare
CARD PR-2
Plan Names
Illinois
R. Family Health Network
S. Harmony Health Plan
X. Amerigroup Illinois, Inc.
CARD HX-3
Sample Medicaid Card
Illinois
CARD HX-5
Medicare Managed Care Plans
Illinois
EE. Medical Associates Advantage Plan (Medical Associates Health Plan, Inc.)
FF. OSF Care Advantage/Preferred (OSF Care Advantage/Preferred)
GG. PremierPlus (Mercy Health Plans, Inc.)
II. United Healthcare Medicare Complete (United Healthcare Plans of the Midwest, Inc.)
JJ. Advantra/Gold Advantage (Group Health Plan, Inc.)
MM. Humana Gold Choice (Humana Insurance Company)
NN. Health Alliance Medicare HMO (Health Alliance Medical Plans)
OO. Security Choice (Unicare Life & Health Insurance Company)
PP. Aetna Golden (Aetna Medicare)
QQ. Essence (Essence, Inc.)
RR. Health Spring Advantage (HealthSpring, Inc.)
SS. SecureHorizons Direct
TT. Secure Plus (John Deere Health Plan, Inc.)
UU. WellCare
CARD HX-6
Plan Names
Illinois
R. Family Health Network
S. Harmony Health Plan
X. Amerigroup Illinois, Inc.
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
ILLINOIS
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
S. BlueCHOICE
Y. Health Alliance HMO
CC. John Deere Health Plan
HH. Personal Cares HMO
QQ. GEHA Benefit Plan High
RR. GEHA Benefit Plan Standard
SS. Mail Handlers High
TT. Mail Handlers Standard
UU. PBP Health Plan High
VV. PBP Health Plan Standard
WW. Mercy Health Plans/Premier Health Plans
YY. UNICARE HMO
ZZ. Union Health Service
AAA. Humana Health Plan, Inc. - Standard
BBB. APWU Health Plan High
CCC. APWU Health Plan Consumer Driven
DDD. Blue Cross and Blue Shield Service Benefit Plan Standard
EEE. Blue Cross and Blue Shield Service Benefit Plan Basic
FFF. SAMBA High
GGG. SAMBA Standard
HHH. GEHA High Deductible Health Plan
III. Mail Handlers High Deductible Plan
JJJ. Aetna
KKK. Group Health Plan High
LLL. Humana Health Plan, Inc. High
MMM. OSF HealthPlans High
NNN. Aetna HealthFund CDHP
OOO. Aetna HealthFund HDHP
PPP. Group Health Plan, Inc. HDHP
QQQ. Humana CoverageFirst CDHP
RRR. OSF HealthPlans HDHP
SSS. Aetna Open Access
TTT. United Health BBcare of the Midwest
CARD PR-1
Medicare Managed Care Plans
Indiana
K. ADVANTAGE Preferred Plus (Advantage Health Solutions, Inc.)
O. Security Choice (Unicare Life and Health Insurance Company)
P. Welborn Health Plans
Q. Blue Medicare Access/Anthem (Anthem Blue Cross and Blue Shield)
R. Humana Choice PPO/Humana Gold Choice (Humana Insurance Company)
S. SecureHorizons Direct
T. Senior Smart Choice (The M Plan, Senior Smart Choice)
U. United Healthcare Medicare Complete (United Healthcare Insurance Company)
CARD PR-2
Plan Names
Indiana
C. Managed Health Services
E. AmeriChoice
F. Harmony Health Plans
H. Hoosier Healthwise
I. MD Wise
J. PCCM (Primestep)
K. CareSource
L. Molina Healthcare of Indiana, Inc.
M. Medicaid Select
CARD HX-3
Sample Medicaid Card
Indiana
CARD HX-5
Medicare Managed Care Plans
Indiana
K. ADVANTAGE Preferred Plus (Advantage Health Solutions, Inc.)
O. Security Choice (Unicare Life and Health Insurance Company)
P. Welborn Health Plans
Q. Blue Medicare Access/Anthem (Anthem Blue Cross and Blue Shield)
R. Humana Choice PPO/Humana Gold Choice (Humana Insurance Company)
S. SecureHorizons Direct
T. Senior Smart Choice (The M Plan, Senior Smart Choice)
U. United Healthcare Medicare Complete (United Healthcare Insurance Company)
CARD HX-6
Plan Names
Indiana
C. Managed Health Services
E. AmeriChoice
F. Harmony Health Plans
H. Hoosier Healthwise
I. MD Wise
J. PCCM (Primestep)
K. CareSource
L. Molina Healthcare of Indiana, Inc.
M. Medicaid Select
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
INDIANA
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
R. Arnett HMO
U. Health Alliance HMO
Y. Humana Health Plan
FF. Physicians HP of N. Indiana
JJ. The M*Plan
NN. GEHA Benefit Plan High
OO. GEHA Benefit Plan Standard
PP. Mail Handlers High
QQ. Mail Handlers Standard
RR. PBP Health Plan High
SS. PBP Health Plan Standard
WW. UNICARE HMO
XX. APWU Health Plan High
YY. APWU Health Plan Consumer Driven
ZZ. Blue Cross and Blue Shield Service Benefit Plan Standard
AAA. Blue Cross and Blue Shield Service Benefit Plan Basic
CCC. Humana Health Plan, Inc. High
DDD. Human Health Plan, Inc. Standard
EEE. SAMBA High
FFF. SAMBA Standard
GGG. GEHA High Deductible Health Plan
HHH. Mail Handlers High Deductible Plan
III. Advantage Health Solutions, Inc. High
JJJ. Aetna N. Indiana
KKK. Aetna SE Indiana
LLL. Aetna HealthFund CDHP
MMM. Aetna HealthFund HDHP
OOO. Humana CoverageFirst CDHP
CARD PR-1
Medicare Managed Care Plans
Iowa
J. Medical Associates Advantage Plan (Medical Associates Health Plan, Inc.)
N. Security Choice (Unicare Life and Health Insurance Company)
O. Humana Gold Choice (Humana Insurance Company)
P. United HealthCare Medicare Complete (United HealthCare Insurance Company)
Q. Coventry Advantra (Coventry Health and Life Ins. Company)
R. Medicare Blue PPO (Wellmark Blue Cross and Blue Shield of IA)
S. SecureHorizons Direct
T. Secure Plus (John Deere Health Plan, Inc.)
U. Todays Options
CARD PR-2
Plan Names
Iowa
K. Coventry Health Care
L. Iowa Plan for Behavioral Health
N. Medipass
CARD HX-3 A
Sample Medicaid Card
Iowa
CARD HX-5
Medicare Managed Care Plans
Iowa
J. Medical Associates Advantage Plan (Medical Associates Health Plan, Inc.)
N. Security Choice (Unicare Life and Health Insurance Company)
O. Humana Gold Choice (Humana Insurance Company)
P. United HealthCare Medicare Complete (United HealthCare Insurance Company)
Q. Coventry Advantra (Coventry Health and Life Ins. Company)
R. Medicare Blue PPO (Wellmark Blue Cross and Blue Shield of IA)
S. SecureHorizons Direct
T. Secure Plus (John Deere Health Plan, Inc.)
U. Todays Options
CARD HX-6
Plan Names
Iowa
K. Coventry Health Care
L. Iowa Plan for Behavioral Health
N. Medipass
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
IOWA
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
R. John Deere Health Plan
AA. GEHA Benefit Plan High
BB. GEHA Benefit Plan Standard
CC. Mail Handlers High
DD. Mail Handlers Standard
EE. PBP Health Plan High
FF. PBP Health Plan Standard
GG. Avera Health Plan
II. Health Alliance HMO
JJ. APWU Health Plan High
KK. APWU Health Plan Consumer Driven
LL. Blue Cross and Blue Shield Service Benefit Plan - Standard
MM. Blue Cross and Blue Shield Service Benefit Plan Basic
NN. SAMBA High
OO. SAMBA Standard
PP. GEHA High Deductible Health Plan
QQ. Mail Handlers High Deductible Plan
RR. Coventry Health Care of Iowa High
SS. Sioux Valley Health Plan High
TT. Sioux Valley Health Plan Standard
UU. Coventry Health Care of Iowa HDHP
VV. HealthPartners Classic/Open Access Deductible
CARD PR-1
Medicare Managed Care Plans
Kansas
K. Advantra (Coventry Health Care of Kansas, Inc.)
M. Humana Choice PPO/Humana Gold (Humana Insurance Company)
N. SecureHorizons Direct
O. United HealthCare Medicare Complete (United Healthcare Insurance Company)
CARD PR-2
Plan Names
Kansas
G. Health Connect Kansas
I. HealthWave 19
CARD HX-3
Sample Medicaid Card Kansas
CARD HX-5
Medicare Managed Care Plans
Kansas
K. Advantra (Coventry Health Care of Kansas, Inc.)
M. Humana Choice PPO/Humana Gold (Humana Insurance Company)
N. SecureHorizons Direct
O. United HealthCare Medicare Complete (United Healthcare Insurance Company)
CARD HX-6
Plan Names
Kansas
G. Health Connect Kansas
I. HealthWave 19
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
KANSAS
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
U. Preferred Plus of Kansas
AA. GEHA Benefit Plan High
BB. Mail Handlers High
CC. Mail Handlers Standard
DD. PBP Health Plan High
EE. PBP Health Plan Standard
HH. APWU Health Plan High
II. APWU Health Plan Consumer Driven
JJ. GEHA Benefit Plan Standard
LL. Humana Health Plan, Inc. High
MM. Humana Health Plan, Inc. Standard
NN. Blue Cross and Blue Shield Service Benefit Plan - Standard
OO. Blue Cross and Blue Shield Service Benefit Plan Basic
PP. SAMBA High
QQ. SAMBA Standard
RR. GEHA High Deductible Health Plan
SS. Mail Handlers High Deductible Plan
TT. Aetna
UU. Coventry Health Care of Kansas Wichita/Salinas High
VV. Coventry Health Care of Kansas Wichita/Salinas Std.
WW. Coventry Health Care of Kansas Kansas City High
XX. Coventry Health Care of Kansas Kansas City Std.
YY. Aetna HealthFund CDHP
ZZ. Aetna HealthFund HDHP
AAA. Coventry Health Care of Kansas, Inc. HDHP
BBB. Coventry Health Care of Kansas Kansas City HDHP
CCC. Humana CoverageFirst CDHP Plan
DDD. Community Health Plan
EEE. United Health BBcare of the Midwest
CARD PR-1
Medicare Managed Care Plans
Kentucky
G. Security Choice (Unicare Life and Health Insurance Company)
H. Blue Medicare Access/Anthem Sr. Advantage (Anthem Blue Cross and Blue Shield)
I. Humana Choice PPO (Humana Insurance Company)
J. SecureHorizons Direct
CARD PR-2
Plan Names
Kentucky
B. Passport Health Plan
C. Human Service Transportation
E. Kentucky Patient Access and Care (KENPAC)
CARD HX-3 A
Sample Medicaid Card
Kentucky
CARD HX-5
Medicare Managed Care Plans
Kentucky
G. Security Choice (Unicare Life and Health Insurance Company)
H. Blue Medicare Access/Anthem Sr. Advantage (Anthem Blue Cross and Blue Shield)
I. Humana Choice PPO (Humana Insurance Company)
J. SecureHorizons Direct
CARD HX-6
Plan Names
Kentucky
B. Passport Health Plan
C. Human Service Transportation
E. Kentucky Patient Access and Care (KENPAC)
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
KENTUCKY
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
Z. GEHA Benefit Plan High
AA. GEHA Benefit Plan Standard
BB. Mail Handlers High
CC. Mail Handlers Standard
DD. PBP Health Plan High
EE. PBP Health Plan Standard
II. APWU Health Plan High
JJ. APWU Health Plan Consumer Driven
MM. Blue Cross and Blue Shield Service Benefit Plan - Standard
NN. Blue Cross and Blue Shield Service Benefit Plan Basic
PP. SAMBA High
QQ. SAMBA Standard
RR. GEHA High Deductible Health Plan
SS. Mail Handlers High Deductible Plan
TT. Aetna
UU. United Healthcare of Ohio, Inc. High
VV. United Healthcare of Ohio, Inc. Std
WW. Aetna HealthFund CDHP
XX. Aetna HealthFund HDHP
YY. Humana CoverageFirst CDHP Lexington
ZZ. Humana CoverageFirst CDHP Louisville
AAA. Humana CoverageFirst CDHP N. Kentucky
CARD IN-2A
State TANF Program
Kentucky
Kentucky Transitional Assistance Program (KTAP)
CARD PR-1
Medicare Managed Care Plans
Louisiana
M. HealthCare Select (HealthCare Select)
N. Tenet Choices 65 (Tenet Choices 65)
O. Humana Gold Plus (Humana Health Benefit Plan of Louisiana, Inc.)
P. WellCare Choice (WellCare)
Q. Humana Choice PPO (Humana Insurance Company)
R. SecureHorizons Direct
S. Tenet Choices 65
CARD PR-2
Plan Names
Louisiana
A. Community Care Program (PCCM)
CARD HX-3
Sample Medicaid Card
Louisiana
CARD HX-5
Medicare Managed Care Plans
Louisiana
M. HealthCare Select (HealthCare Select)
N. Tenet Choices 65 (Tenet Choices 65)
O. Humana Gold Plus (Humana Health Benefit Plan of Louisiana, Inc.)
P. WellCare Choice (WellCare)
Q. Humana Choice PPO (Humana Insurance Company)
R. SecureHorizons Direct
S. Tenet Choices 65
CARD HX-6
Plan Names
Louisiana
A. Community Care Program (PCCM)
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
LOUISIANA
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
AA. GEHA Benefit Plan High
BB. GEHA Benefit Plan Standard
CC. Mail Handlers High
DD. Mail Handlers Standard
EE. PBP Health Plan High
FF. PBP Health Plan Standard
MM. APWU Health Plan High
NN. APWU Health Plan Consumer Driven
QQ. Blue Cross and Blue Shield Service Benefit Plan - Standard
RR. Blue Cross and Blue Shield Service Benefit Plan Basic
SS. SAMBA High
TT. SAMBA Standard
UU. GEHA High Deductible Health Plan
VV. Mail Handlers High Deductible Plan
WW. Coventry Healthcare Louisiana High New Orleans
XX. Coventry Healthcare Louisiana Baton Rouge
YY. Vantage HealthPlan Monroe/Shreveport/Alexandria
ZZ. Coventry Healthcare Louisiana HDHP New Orleans
AAA. Coventry Healthcare Louisiana HDHP Baton Rouge
BBB. Humana CoverageFirst CDHP New Orleans
CCC. Humana CoverageFirst CDHP Baton Rouge
DDD. Humana CoverageFirst CDHP Shreveport
EEE. Aetna HealthFund
CARD IN-2A
State TANF Program
Louisiana
Family Independence Temporary Assistance Program (FITAP)
Strategies to Empower People (STEP)
CARD PR-1
Medicare Managed Care Plans
Maine
A. SecureHorizons Direct
B. Todays Options
C. United Healthcare Medicare Complete (United Healthcare Insurance Company)
CARD PR-2
Plan Names
Maine
B. Maine Care (PCCM)
CARD HX-3
Sample Medicaid Card Maine
CARD HX-5
Medicare Managed Care Plans
Maine
A. SecureHorizons Direct
B. Todays Options
C. United Healthcare Medicare Complete (United Healthcare Insurance Company)
CARD HX-6
Plan Names
Maine
B. Maine Care (PCCM)
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
MAINE
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
U. GEHA Benefit Plan High
V. GEHA Benefit Plan Standard
W. Mail Handlers High
X. Mail Handlers Standard
Y. PBP Health Plan High
Z. PBP Health Plan Standard
AA. APWU Health Plan High
BB. APWU Health Plan Consumer Driven
CC. Blue Cross and Blue Shield Service Benefit Plan Standard
DD. Blue Cross and Blue Shield Service Benefit Plan Basic
EE. SAMBA High
FF. SAMBA Standard
GG. GEHA High Deductible Health Plan
HH. Mail Handlers High Deductible Plan
II. Aetna HealthFund
CARD IN-2A
State TANF Program
Maine
TANF
ASPIRE (Additional Support for People in Retraining and Employment)
CARD PR-1
Medicare Managed Care Plans
Maryland
T. Aetna Golden Choice Plan (Aetna Health, Inc.)
U. Kaiser Permanente Medicare Plus (Kaiser Permanente Medicare Plus)
W. Elder Health (Elder Health Maryland HMO, Inc.)
Y. Erickson Advantage (United Healthcare Insurance Company)
Z. SecureHorizons Direct
CARD PR-2
Plan Names
Maryland
H. Helix Family Choice, Inc.
I. JAI Medical Systems, Inc.
J. Maryland Physicians Care
R. Amerigroup Maryland, Inc.
S. HealthChoice
V. UnitedHealthcare
W. Priority Partners
X. Diamond Plan
CARD HX-3
Sample Medicaid Card
Maryland
CARD HX-5
Medicare Managed Care Plans
Maryland
T. Aetna Golden Choice Plan (Aetna Health, Inc.)
U. Kaiser Permanente Medicare Plus (Kaiser Permanente Medicare Plus)
W. Elder Health (Elder Health Maryland HMO, Inc.)
Y. Erickson Advantage (United Healthcare Insurance Company)
Z. SecureHorizons Direct
CARD HX-6
Plan Names
Maryland
H. Helix Family Choice, Inc.
I. JAI Medical Systems, Inc.
J. Maryland Physicians Care
R. Amerigroup Maryland, Inc.
S. HealthChoice
V. UnitedHealthcare
W. Priority Partners
X. Diamond Plan
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
MARYLAND
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
DD. M.D. IPA
MM. GEHA Benefit Plan High
NN. GEHA Benefit Plan Standard
OO. Mail Handlers High
PP. Mail Handlers Standard
QQ. PBP Health Plan High
RR. PBP Health Plan Standard
UU. APWU Health Plan High
VV. APWU Health Plan Consumer Driven
WW. Blue Cross and Blue Shield Service Benefit Plan Standard
XX. Blue Cross and Blue Shield Service Benefit Plan Basic
YY. CareFirst BlueChoice
BBB. SAMBA High
CCC. SAMBA Standard
DDD. GEHA High Deductible Health Plan
EEE. Mail Handlers High Deductible Plan
FFF. Aetna Open Access High
GGG. Aetna Open Access Basic
HHH. Coventry Health Care of Delaware High
III. Kaiser Permanente High
JJJ. Kaiser Permanente Standard
KKK. Aetna HealthFund CDHP
LLL. Aetna HealthFund HDHP
MMM. Coventry Health Care of Delaware HDHP
CARD IN-2A
State TANF Program
Maryland
Family Investment Program (FIP)
CARD PR-1
Medicare Managed Care Plans
Massachusetts
V. Fallon Senior Plan (Fallon Community Health Plan)
W. Secure Horizons (Secure Horizons, Tufts Health Plan)
Y. First Seniority (Harvard Pilgrim Health Care)
Z. Erickson Advantage
AA. Fresenius Medical Care Health Plan, Inc.
BB. Medicare PPO/HMO (Blue Cross/Blue Shield of Massachusetts, Inc.)
CC. Medicare Preferred PPO/HMO (Tufts Health Plan)
CARD PR-2
Plan Names
Massachusetts
J. Fallon Community Health Plan
N. Neighborhood Health Plan
R. Massachusetts Behavioral Health Partnership
S. Boston Medical Center Healthnet Plan
X. Mass Health
Z. Network Health
AA. Primary Care Clinician Plan
BB. Program of All-Inclusive Care/Elderly (PACE)
CARD HX-3
Sample Medicaid Card
Massachusetts
CARD HX-5
Medicare Managed Care Plans
Massachusetts
V. Fallon Senior Plan (Fallon Community Health Plan)
W. Secure Horizons (Secure Horizons, Tufts Health Plan)
Y. First Seniority (Harvard Pilgrim Health Care)
Z. Erickson Advantage
AA. Fresenius Medical Care Health Plan, Inc.
BB. Medicare PPO/HMO (Blue Cross/Blue Shield of Massachusetts, Inc.)
CC. Medicare Preferred PPO/HMO (Tufts Health Plan)
CARD HX-6
Plan Names
Massachusetts
J. Fallon Community Health Plan
N. Neighborhood Health Plan
R. Massachusetts Behavioral Health Partnership
S. Boston Medical Center Healthnet Plan
X. Mass Health
Z. Network Health
AA. Primary Care Clinician Plan
BB. Program of All-Inclusive Care/Elderly (PACE)
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
MASSACHUSETTS
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
GG. GEHA Benefit Plan High
HH. GEHA Benefit Plan Standard
II. Mail Handlers High
JJ. Mail Handlers Standard
KK. PBP Health Plan High
LL. PBP Health Plan Standard
MM. Blue Chip, Coord Health Partners, Inc.
NN. ConnectiCare
OO. APWU Health Plan High
PP. APWU Health Plan Consumer Driven
QQ. Blue Cross and Blue Shield Service Benefit Plan Standard
RR. Blue Cross and Blue Shield Service Benefit Plan Basic
SS. SAMBA High
TT. SAMBA Standard
UU. GEHA High Deductible Health Plan
VV. Mail Handlers High Deductible Plan
WW. Fallon Community Health Plan High
XX. Fallon Community Health Plan Std
YY. Aetna HealthFund CDHP
ZZ. Aetna HealthFund HDHP
CARD IN-2A
State TANF Program
Massachusetts
Transitional Aid to Families with Dependent Children (TAFDC)
Employment Services Program (ESP)
CARD PR-1
Medicare Managed Care Plans
Michigan
O. HAP Senior Plus (Health Alliance Plan of Michigan)
S. Security Choice (Unicare Life & Health Ins. Company)
T. HealthPlus Senior (HealthPlus of Michigan)
U. Alliance Medicare PPO (Alliance Medicare HMO)
V. BCN Advantage (Blue Care Network)
W. Humana Gold Choice/Humana Choice PPO (Humana Insurance Company)
X. Medicare Plus Blue (Blue Cross Blue Shield of Michigan)
Y. Paramount Elite
Z. Priority Medicare
AA. SecureHorizons Direct
CARD PR-2
Plan Names
Michigan
K. Midwest Health Plan
M. OmniCare Health Plan
U. Community Choice Michigan
EE. McLaren Health Plan
MM. Pro-Care Health Plan
RR. Cape Health Plan, Inc.
UU. Great Lakes Health Plan
VV. M-CAID
WW. Molina Healthcare of Michigan
AAA. Health Plan of Michigan, Inc
CCC. Health Plus Partners, Inc.
DDD. PHP-mm Family Care
EEE. PHP of Southwest Michigan
FFF. Priority Health Government Programs, Inc.
GGG. UP Health Plan
HHH. Total Health Care
CARD HX-3
Sample Medicaid Card
Michigan
CARD HX-5
Medicare Managed Care Plans
Michigan
O. HAP Senior Plus (Health Alliance Plan of Michigan)
S. Security Choice (Unicare Life & Health Ins. Company)
T. HealthPlus Senior (HealthPlus of Michigan)
U. Alliance Medicare PPO (Alliance Medicare HMO)
V. BCN Advantage (Blue Care Network)
W. Humana Gold Choice/Humana Choice PPO (Humana Insurance Company)
X. Medicare Plus Blue (Blue Cross Blue Shield of Michigan)
Y. Paramount Elite
Z. Priority Medicare
AA. SecureHorizons Direct
CARD HX-6
Plan Names
Michigan
K. Midwest Health Plan
M. OmniCare Health Plan
U. Community Choice Michigan
EE. McLaren Health Plan
MM. Pro-Care Health Plan
RR. Cape Health Plan, Inc.
UU. Great Lakes Health Plan
VV. M-CAID
WW. Molina Healthcare of Michigan
AAA. Health Plan of Michigan, Inc
CCC. Health Plus Partners, Inc.
DDD. PHP-mm Family Care
EEE. PHP of Southwest Michigan
FFF. Priority Health Government Programs, Inc.
GGG. UP Health Plan
HHH. Total Health Care
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
MICHIGAN
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
V. Grand Valley Health Plan
X. HealthPlus of MI
Y. M-CARE
II. GEHA Benefit Plan High
JJ. GEHA Benefit Plan Standard
KK. Mail Handlers High
LL. Mail Handlers Standard
MM. PBP Health Plan High
NN. PBP Health Plan Standard
PP. Bluecare Network of MI Midland County
SS. Bluecare Network of MI Kent County
TT. Bluecare Network of MI Mid Michigan
UU. Health Alliance S.E. MI
WW. APWU Health Plan High
XX. APWU Health Plan Consumer Driven
YY. Blue Cross Blue Shield Service Benefit Plan Standard
ZZ. Blue Cross Blue Shield Service Befit Plan Basic
AAA. Bluecare Network of MI Southeast Michigan
BBB. SAMBA High
CCC. SAMBA Standard
DDD. GEHA High Deductible Health Plan
EEE. Mail Handlers High Deductible Plan
FFF. Aetna HealthFund CDHP
GGG. Aetna HealthFund HDHP
HHH. Humana CoverageFirst (Consumer Driven Plan)
CARD IN-2A
State TANF Program
Michigan
Family Independence Program (FIP)
CARD PR-1
Medicare Managed Care Plans
Minnesota
T. Security Choice (Unicare Life and Health Insurance Company)
U. UCare for Seniors (UCare Minnesota)
W. Humana Gold Choice (Humana Insurance Company)
X. Prime Solution Basic/Enhanced (Medica Insurance Company)
Y. Advantage/Prime Solution (Medica Insurance Company)
Z. HealthPartners Freedom Plan (HealthPartners)
AA. Medicare/Medica Advantage Solution (Medica Health Plans)
BB. MedicareBlue PPO (Blue Cross/Blue Shield of Minnesota)
CC. North Star Advantage
DD. SecureHorizons Direct
EE. Todays Options
CARD PR-2
Plan Names
Minnesota
A. Blue Plus
E. Metropolitan Health Plan (MHP)
L. Itasca Medical Care
M. Medica
N. First Plan Blue
O. HealthPartners
Q. UCare
R. UCare Minnesota
S. South Country Health Alliance
T. Prime West Health System
CARD HX-3
Sample Medicaid Card
Minnesota
CARD HX-5
Medicare Managed Care Plans Minnesota
T. Security Choice (Unicare Life and Health Insurance Company)
U. UCare for Seniors (UCare Minnesota)
W. Humana Gold Choice (Humana Insurance Company)
X. Prime Solution Basic/Enhanced (Medica Insurance Company)
Y. Advantage/Prime Solution (Medica Insurance Company)
Z. HealthPartners Freedom Plan (HealthPartners)
AA. Medicare/Medica Advantage Solution (Medica Health Plans)
BB. MedicareBlue PPO (Blue Cross/Blue Shield of Minnesota)
CC. North Star Advantage
DD. SecureHorizons Direct
EE. Todays Options
CARD HX-6
Plan Names
Minnesota
A. Blue Plus
E. Metropolitan Health Plan (MHP)
L. Itasca Medical Care
M. Medica
N. First Plan Blue
O. HealthPartners
Q. UCare
R. UCare Minnesota
S. South Country Health Alliance
T. Prime West Health System
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
MINNESOTA
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
W. GEHA Benefit Plan High
X. GEHA Benefit Plan Standard
Y. Mail Handlers High
Z. Mail Handlers Standard
AA. PBP Health Plan High
BB. PBP Health Plan Standard
CC. Health Partners Classic - High
EE. Health Partners Primary Clinic Plan
FF. APWU Health Plan High
GG. APWU Health Plan Consumer Driven
HH. Blue Cross and Blue Shield Service Benefit Plan Standard
II. Blue Cross and Blue Shield Service Benefit Plan Basic
JJ. Avera Health Plans
KK. SAMBA High
LL. SAMBA Standard
MM. GEHA High Deductible Health Plan
NN. Mail Handlers High Deductible Plan
OO. Health Partners Open Access Deductible
CARD IN-2A
State TANF Program
Minnesota
Minnesota Family Investment Program (MFIP)
CARD PR-1
Medicare Managed Care Plans
Mississippi
D. HealthSpring (HealthSpring, Inc.)
E. Humana Gold/Humana Choice PPO (Humana Insurance Company)
F. SecureHorizons Direct
CARD PR-2
Plan Names
Mississippi
None Available
CARD HX-3
Sample Medicaid Card
Mississippi
CARD HX-5
Medicare Managed Care Plans
Mississippi
D. HealthSpring (HealthSpring, Inc.)
E. Humana Gold/Humana Choice PPO (Humana Insurance Company)
F. SecureHorizons Direct
CARD HX-6
Plan Names
Mississippi
None Available
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
MISSISSIPPI
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
S. GEHA Benefit Plan High
T. GEHA Benefit Plan Standard
U. Mail Handlers High
V. Mail Handlers Standard
W. PBP Health Plan High
X. PBP Health Plan Standard
Y APWU Health Plan High
Z. APWU Health Plan Consumer Driven
AA. Blue Cross and Blue Shield Service Benefit Plan Standard
BB. Blue Cross and Blue Shield Service Benefit Plan Basic
CC. SAMBA High
DD. SAMBA Standard
EE. GEHA High Deductible Health Plan
FF. Mail Handlers High Deductible Plan
GG. Aetna HealthFund CDHP
HH. Aetna HealthFund HDHP
CARD PR-1
Medicare Managed Care Plans
Missouri
V. Advantra (Coventry Health Care of Kansas, Inc.)
AA. St. Johns Premier Plus (Mercy Health Plans, Inc.)
BB. United Healthcare Medicare Complete (United Healthcare of the Midwest, Inc.)
CC. Advantra/Gold Advantage (Group Health Plan, Inc.)
DD. Essence (Essence, Inc.)
CARD PR-2
Plan Names
Missouri
D. HealthCare USA
M. Family Health Partners
N. First Guard
T. Missouri Care
V. Blue Advantage +
X. Community Care Plus
Y. Managed Care Plus (MC+)
Z. Mercy Health Plans
AA. Program of All-Inclusive Care/Elderly (PACE)
CARD HX-3
Sample Medicaid Card
Missouri
CARD HX-5
Medicare Managed Care Plans
Missouri
V. Advantra (Coventry Health Care of Kansas, Inc.)
AA. St. Johns Premier Plus (Mercy Health Plans, Inc.)
BB. United Healthcare Medicare Complete (United Healthcare of the Midwest, Inc.)
CC. Advantra/Gold Advantage (Group Health Plan, Inc.)
DD. Essence (Essence, Inc.)
CARD HX-6
Plan Names
Missouri
D. HealthCare USA
M. Family Health Partners
N. First Guard
T. Missouri Care
V. Blue Advantage +
X. Community Care Plus
Y. Managed Care Plus (MC+)
Z. Mercy Health Plans
AA. Program of All-Inclusive Care/Elderly (PACE)
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
MISSOURI
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
P. BlueCHOICE
EE. GEHA Benefit Plan High
FF. GEHA Benefit Plan Standard
GG. Mail Handlers High
HH. Mail Handlers Standard
II. PBP Health Plan High
JJ. PBP Health Plan Standard
LL. Mercy Health Plans/Premier Health Plans
MM. APWU Health Plan High
NN. APWU Health Plan Consumer Driven
OO. Blue Cross and Blue Shield Service Benefit Plan Standard
PP. Blue Cross and Blue Shield Service Benefit Plan - Basic
RR. Humana Health Plan, Inc. High
SS. Humana Health Plan, Inc. Standard
TT. SAMBA High
UU. SAMBA Standard
VV. GEHA High Deductible Health Plan
WW. Mail Handlers High Deductible Plan
XX. Aetna
YY. Community Health Plan
ZZ. Coventry Health Care of Kansas Kansas City High
AAA. Coventry Health Care of Kansas Kansas City Std.
BBB. Group Health Plan High
CCC. Aetna HealthFund CDHP
DDD. Aetna HealthFund HDHP
EEE. Coventry Health Care of Kansas Kansas City HDHP
FFF. Group Health Plan, Inc.
GGG. Humana CoverageFirst CDHP
HHH. United Health BBcare of the Midwest
III. United Healthcare of the Midwest
CARD IN-2A
State TANF Program
Missouri
Beyond Welfare
CARD PR-1
Medicare Managed Care Plans
Montana
B. Humana Gold Choice (Humana Insurance Company)
C. MedicareBlue PPO (Blue Cross/Blue Shield of Montana)
D. New West Medicare
E. SecureHorizons Direct
F. Sterling Partners - Montana
CARD PR-2
Plan Names
Montana
D. Passport to Health
CARD HX-3 (front)
Sample Medicaid Card - Montana
CARD HX-5
Medicare Managed Care Plans
Montana
B. Humana Gold Choice (Humana Insurance Company)
C. MedicareBlue PPO (Blue Cross/Blue Shield of Montana)
D. New West Medicare
E. SecureHorizons Direct
F. Sterling Partners - Montana
CARD HX-6
Plan Names
Montana
D. Passport to Health
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
MONTANA
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
R. GEHA Benefit Plan High
S. GEHA Benefit Plan Standard
T. Mail Handlers High
U. Mail Handlers Standard
V. PBP Health Plan High
W. PBP Health Plan Standard
X. APWU Health Plan - High
Y. APWU Health Plan Consumer Driven
AA. Blue Cross and Blue Shield Service Benefit Plan Standard
BB. Blue Cross and Blue Shield Service Benefit Plan - Basic
CC. New West Health Plan Services
DD. SAMBA High
EE. SAMBA Standard
FF. GEHA High Deductible Health Plan
GG. Mail Handlers High Deductible Plan
CARD IN-2A
State TANF Program
Montana
Families Achieving Independence in Montana (FAIM)
CARD PR-1
Medicare Managed Care Plans
North Carolina
J. PARTNERS Medicare Choice (PARTNERS National Health Plans - NC, Inc.)
K. United Healthcare Medicare Complete (United Healthcare of North Carolina, Inc.)
L. Humana Gold Choice (Humana Insurance Company)
M. Security Choice (United Life & Health Ins. Company)
N. SecureHorizons Direct
O. Todays Options
CARD PR-2
Plan Names
North Carolina
D. Carolina Access
P. HEALTHCARE CONNECTION
R. South Care
U. Carolina Access II
V. Community Care of North Carolina (CCNC)
W. WellPath Select Inc.
CARD HX-3
Sample Medicaid Card
North Carolina
CARD HX-5
Medicare Managed Care Plans
North Carolina
J. PARTNERS Medicare Choice (PARTNERS National Health Plans - NC, Inc.)
K. United Healthcare Medicare Complete (United Healthcare of North Carolina, Inc.)
L. Humana Gold Choice (Humana Insurance Company)
M. Security Choice (United Life & Health Ins. Company)
N. SecureHorizons Direct
O. Todays Options
CARD HX-6
Plan Names
North Carolina
D. Carolina Access
P. HEALTHCARE CONNECTION
R. South Care
U. Carolina Access II
V. Community Care of North Carolina (CCNC)
W. WellPath Select Inc.
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
NORTH CAROLINA
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
Z. GEHA Benefit Plan High
AA. GEHA Benefit Plan Standard
BB. Mail Handlers High
CC. Mail Handlers Standard
DD. PBP Health Plan High
EE. PBP Health Plan Standard
FF. APWU Health Plan High
GG. APWU Health Plan Consumer Driven
HH. Blue Cross and Blue Shield Service Benefit Plan Standard
II. Blue Cross and Blue Shield Service Benefit Plan Basic
JJ. SAMBA High
KK. SAMBA Standard
LL. GEHA High Deductible Health Plan
MM. Mail Handlers High Deductible Plan
NN. Aetna HealthFund CDHP
OO. Aetna HealthFund HDHP
CARD IN-2A
State TANF Program
North Carolina
Work First
CARD PR-1
Medicare Managed Care Plans
North Dakota
F. Humana Gold Choice (Humana Insurance Company)
H. MedicareBlue PPO (Blue Cross/Blue Shield of North Dakota)
I. Prime Solution/Medicare Advantage Solution (Medica Insurance Company/Medica Health Plans)
J. SecureHorizons Direct
CARD PR-2
Plan Names
North Dakota
B. AltruCare
C. Primary Care Provider Program
CARD HX-3
Sample Medicaid Card - North Dakota
CARD HX-5
Medicare Managed Care Plans
North Dakota
F. Humana Gold Choice (Humana Insurance Company)
H. MedicareBlue PPO (Blue Cross/Blue Shield of North Dakota)
I. Prime Solution/Medicare Advantage Solution (Medica Insurance Company/Medica Health Plans)
J. SecureHorizons Direct
CARD HX-6
Plan Names
North Dakota
B. AltruCare
C. Primary Care Provider Program
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
NORTH DAKOTA
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
T. GEHA Benefit Plan High
U. GEHA Benefit Plan Standard
V. Mail Handlers High
W. Mail Handlers Standard
X. PBP Health Plan High
Y. PBP Health Plan Standard
Z. APWU Health Plan - High
AA. APWU Health Plan Consumer Driven
BB. Blue Cross and Blue Shield Service Benefit Plan Standard
CC. Blue Cross and Blue Shield Service Benefit Plan Basic
DD. SAMBA High
EE. SAMBA Standard
FF. GEHA High Deductible Health Plan
GG. Mail Handlers High Deductible Plan
HH. Heart of America Health Plan
II. HealthPartners Classic/Open Access Deductible
CARD IN-2A
State TANF Program
North Dakota
Training, Employment, Education Management (TEEM)
CARD PR-1
Medicare Managed Care Plans
Nebraska
D. United Healthcare Medicare Complete (United Healthcare of the Midlands, Inc.)
E. Security Choice (Unicare Life and Health Insurance Company)
F. Humana Gold Choice (Humana Insurance Company)
G. MedicareBlue PPO (Blue Cross and Blue Shield of Nebraska)
H. SecureHorizons Direct
CARD PR-2
Plan Names
Nebraska
F. Magellan Behavioral Health
G. Primary Care Plus
H. Share Advantage
CARD HX-3
Sample Medicaid Card Nebraska
CARD HX-5
Medicare Managed Care Plans
Nebraska
D. United Healthcare Medicare Complete (United Healthcare of the Midlands, Inc.)
E. Security Choice (Unicare Life and Health Insurance Company)
F. Humana Gold Choice (Humana Insurance Company)
G. MedicareBlue PPO (Blue Cross and Blue Shield of Nebraska)
H. SecureHorizons Direct
CARD HX-6
Plan Names
Nebraska
F. Magellan Behavioral Health
G. Primary Care Plus
H. Share Advantage
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
NEBRASKA
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
V. GEHA Benefit Plan High
W. GEHA Benefit Plan Standard
X. Mail Handlers High
Y. Mail Handlers Standard
Z. PBP Health Plan High
AA. PBP Health Plan Standard
BB. APWU Health Plan - High
CC. APWU Health Plan Consumer Driven
DD. Blue Cross and Blue Shield Service Benefit Plan Standard
EE. Blue Cross and Blue Shield Service Benefit Plan Basic
FF. SAMBA High
GG. SAMBA Standard
HH. GEHA High Deductible Health Plan
II. Mail Handlers High Deductible Plan
JJ. Coventry Health Care of Nebraska
KK. Avera Health Plans
CARD PR-1
Medicare Managed Care Plans
Nevada
H. Senior Care Plus
I. Senior Dimensions
K. Secure Horizons Medicare POS/Classic Plan (Secure Horizons Medicare POS/Advantage Plan)
L. Humana Gold Choice (Humana Insurance Company)
M. SecureHorizons Direct
N. Sierra Nevada Spectrum
O. Sierra Spectrum
CARD PR-2
Plan Names
Nevada
F. Health Plan of Nevada
I. NevadaCare DBA Nevada Health Solutions
CARD HX-3
Sample Medicaid Card
Nevada
CARD HX-5
Medicare Managed Care Plans
Nevada
H. Senior Care Plus
I. Senior Dimensions
K. Secure Horizons Medicare POS/Classic Plan (Secure Horizons Medicare POS/Advantage Plan)
L. Humana Gold Choice (Humana Insurance Company)
M. SecureHorizons Direct
N. Sierra Nevada Spectrum
O. Sierra Spectrum
CARD HX-6
Plan Names
Nevada
F. Health Plan of Nevada
I. NevadaCare DBA Nevada Health Solutions
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
NEVADA
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
W. GEHA Benefit Plan High
X. GEHA Benefit Plan Standard
Y. Mail Handlers High
Z. Mail Handlers Standard
AA. PBP Health Plan High
BB. PBP Health Plan Standard
EE. APWU Health Plan High
FF. APWU Health Plan Consumer Driven
GG. Blue Cross and Blue Shield Service Benefit Plan Standard
HH. Blue Cross and Blue Shield Service Benefit Plan Basic
II. SAMBA High
JJ. SAMBA Standard
KK. GEHA High Deductible Health Plan
LL. Mail Handlers High Deductible Plan
MM. Aetna
NN. Health Plan of Nevada Northern area
OO. Health Plan of Nevada Las Vegas area
PP. NevadaCare
RR. Aetna HealthFund CDHP
SS. Aetna Health Fund HDHP
TT. PacifiCare Desert Region (NV)
CARD PR-1
Medicare Managed Care Plans
New Hampshire
F. First Seniority (Harvard Pilgrim Health Care of New England)
G. SecureHorizons Direct
H. Todays Option
CARD PR-2
Plan Names
New Hampshire
None Available
CARD HX-3
Sample Medicaid Card
New Hampshire
CARD HX-5
Medicare Managed Care Plans
New Hampshire
F. First Seniority (Harvard Pilgrim Health Care of New England)
G. SecureHorizons Direct
H. Todays Option
CARD HX-6
Plan Names
New Hampshire
None Available
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
NEW HAMPSHIRE
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
X. GEHA Benefit Plan High
Y. GEHA Benefit Plan Standard
Z. Mail Handlers High
AA. Mail Handlers Standard
BB. PBP Health Plan High
CC. PBP Health Plan Standard
DD. APWU Health Plan High
EE. APWU Health Plan Consumer Driven
FF. Blue Cross and Blue Shield Service Benefit Plan Standard
GG. Blue Cross and Blue Shield Service Benefit Plan Basic
HH. SAMBA High
II. SAMBA Standard
JJ. GEHA High Deductible Health Plan
KK. Mail Handlers High Deductible Plan
LL. Aetna HealthFund CDHP
MM. Aetna HealthFund HDHP
CARD IN-2A
State TANF Program
New Hampshire
New Hampshire Employment Program (NHEP)
Family Assistance Program (FAP)
CARD PR-1
Medicare Managed Care Plans
New Jersey
M. Oxford Medicare Advantage (Oxford Health Plans (New Jersey), Inc.)
T. AmeriHealth 65 Standard (AmeriHealth 65)
V. Horizon Medicare Blue (Horizon Healthcare of NJ, Inc.)
X. Aetna Golden Choice/Medicare (Aetna Health, Inc.)
Z. Erickson Advantage (United Health Care Insurance Company)
AA. SecureHorizons Direct
CARD PR-2
Plan Names
New Jersey
T. University Health Plans, Inc
X. AmeriChoice of New Jersey, Inc.
Y. AmeriGroup New Jersey, Inc.
Z. Health Net of New Jersey, Inc.
BB. Horizon NJ Health
CARD HX-3 A
Sample Medicaid Card
New Jersey
CARD HX-5
Medicare Managed Care Plans
New Jersey
M. Oxford Medicare Advantage (Oxford Health Plans (New Jersey), Inc.)
T. AmeriHealth 65 Standard (AmeriHealth 65)
V. Horizon Medicare Blue (Horizon Healthcare of NJ, Inc.)
X. Aetna Golden Choice/Medicare (Aetna Health, Inc.)
Z. Erickson Advantage (United Health Care Insurance Company)
AA. SecureHorizons Direct
CARD HX-6
Plan Names
New Jersey
T. University Health Plans, Inc
X. AmeriChoice of New Jersey, Inc.
Y. AmeriGroup New Jersey, Inc.
Z. Health Net of New Jersey, Inc.
BB. Horizon NJ Health
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
NEW JERSEY
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
Q. AmeriHealth HMO, Inc.
FF. GEHA Benefit Plan High
GG. GEHA Benefit Plan Standard
HH. Mail Handlers High
II. Mail Handlers Standard
JJ. PBP Health Plan High
KK. PBP Health Plan Standard
NN. APWU Health Plan High
OO. APWU Health Plan Consumer Driven
PP. Blue Cross and Blue Shield Service Benefit Plan Standard
QQ. Blue Cross and Blue Shield Service Benefit Plan Basic
RR. SAMBA High
SS. SAMBA Standard
TT. GEHU High Deductible Health Plan
UU. Mail Handlers High Deductible Plan
VV. Aetna
WW. Coventry Health Care of Delaware High
XX. GHI Health Plan High
YY. Aetna HealthFund CDHP
ZZ. Aetna HealthFund HDHP
AAA. Coventry Health Care of Delaware HDHP
CARD IN-2A
State TANF Program
New Jersey
Work First New Jersey (WFNJ)
CARD PR-1
Medicare Managed Care Plans
New Mexico
H. Lovelace Senior Plan (Lovelace Senior Plan)
J. Presbyterian Senior Care (Presbyterian Health Plan, Inc.)
K. Blue Medicare PPO (HISC-Blue Cross Blue Shield of New Mexico)
L. Human Gold Choice (Humana Insurance Company)
M. Presbyterian Medicare PPO
N. SecureHorizons Direct
O. United Healthcare Medicare Complete (United Healthcare Insurance Company)
CARD PR-2
Plan Names
New Mexico
E. Lovelace Community Health Plan
F. Presbyterian Salud!
G. Salud!
H. Molina Healthcare of New Mexico
CARD HX-3
Sample Medicaid Card New Mexico
CARD HX-5
Medicare Managed Care Plans
New Mexico
H. Lovelace Senior Plan (Lovelace Senior Plan)
J. Presbyterian Senior Care (Presbyterian Health Plan, Inc.)
K. Blue Medicare PPO (HISC-Blue Cross Blue Shield of New Mexico)
L. Human Gold Choice (Humana Insurance Company)
M. Presbyterian Medicare PPO
N. SecureHorizons Direct
O. United Healthcare Medicare Complete (United Healthcare Insurance Company)
CARD HX-6
Plan Names
New Mexico
E. Lovelace Community Health Plan
F. Presbyterian Salud!
G. Salud!
H. Molina Healthcare of New Mexico
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
NEW MEXICO
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
R. Lovelace Health Plan
S. Presbyterian Health Plan
W. GEHA Benefit Plan High
X. GEHA Benefit Plan Standard
Y. Mail Handlers High
Z. Mail Handlers Standard
AA. PBP Health Plan High
BB. PBP Health Plan Standard
DD. APWU Health Plan High
EE. APWU Health Plan Consumer Driven
FF. Blue Cross and Blue Shield Service Benefit Plan Standard
GG. Blue Cross and Blue Shield Service Benefit Plan Basic
HH. SAMBA High
II. SAMBA Standard
JJ. GEHA High Deductible Health Plan
KK. Mail Handlers High Deductible Plan
CARD IN-2A
State TANF Program
New Mexico
New Mexico Works
CARD PR-1
Medicare Managed Care Plans
New York
GGG. Elderplan (Elderplan, Inc.)
HHH. Encompass 65 (Independent Health)
NNN. Health Net SmartChoice (Health Net of NY)
PPP. Oxford Medicare Advantage (Oxford Health Plans (NY), Inc.)
RRR. Senior Blue (Senior Blue)
WWW. Aetna Golden Medicare/Choice Plan (Aetna Health, Inc.)
XXX. Fidelis Medicare Advantage (New York State Catholic Health Plan, Inc.)
YYY. HealthFirst (Health First PPO/Medicare Plan)
ZZZ. Preferred Care (Preferred Care)
AAAA. Senior Plan Direct (Empire BlueCross and BlueShield HMO)
CCCC. Traditional Blue Medicare PPO (Traditional Blue Medicare PPO)
DDDD. United Healthcare Medicare Complete (United Healthcare of New York, Inc.)
HHHH. GHI Medicare PPO (GHI Medicare Choice PPO)
IIII. Univera Medicare/Medicare Blue/Senior Choice (Excellus Health Plan, Inc.)
JJJJ. WellCare (WellCare)
KKKK. Todays Options (American Progressive Life/Health Ins.)
LLLL. CDPHP Medicare Choice (CDPHP Medicare Choice)
MMMM. Liberty Health Advantage
NNNN. Medicare (TouchStone Health)
OOOO. Neighborhood Medicare (Neighborhood Health Providers)
PPPP. Open Access/Standard Co. (HIP Health Plan of Greater NY/HIP Insurance)
QQQQ. Preferred Care Gold (Preferred Care Gold/Gold Anywhere)
CARD PR-2
Plan Names New York
S. Fidelis (Catholic Services Health Plan)
JJJ. Capital District Physicians Health Plan
KKKK. Affinity Health Plan
LLLL. AmeriChoice
OOOO. Center Care
QQQQ. Community Premier Plus
UUUU. HealthFirst (PHSP)
VVVV. Health Now
YYYY. MetroPlus Health Plan
AG. Suffolk Health Plan
AJ. United Healthcare of New York
AM. WellCare
AP. Community Choice Health Plan of Westchester, Inc.
AQ. New York Presbyterian System Select Health LLC
AR. PCMP II-A Gold Choice
AT. Rochester Area HMO/Preferred Care
AU. SCHC Total Care, Inc.
AV. Southern Tier Priority Healthcare, Inc.
AX. Univera Community Health, Inc.
AY. VidaCare, Inc.
AZ. New York State Catholic Health Plan, Inc.
BA. MVP Health Plan, Inc.
BD. Managed Health, Inc.
BE. Independent Health Association, Inc.
BF. Hudson Health Plan, Inc.
BH. HealthPlus, Inc.
BI. HealthNow New York, Inc.
BJ. HealthNet of New York, Inc.
BK. Health Insurance Plan of Greater New York, Inc.
BL. GHI HMO Select, Inc.
BM. Excellus Health Plan, Inc.
BR. Broome MAX
BS. CarePlus, LLC
BW. CarePlus Connections
BX. Comprehensive Care Management
BY. CO-OP Care Plan
BZ. Eddy Seniorcare
CA. Elant Choice
CB. GHI PPO
CD. Guildnet
CE. Health Partners of NY
CF. Homefirst
CG. Independent Care Systems Inc.
CH. Independent Living for Seniors
CI. Liberty Health Advantage
CJ. Neighborhood Health Plan
CK. NY Presbyterian System Select Health
CL. Oxford Medicare Advantage
CM. Pace CNY
CN. Partners in Community Care
CO. Senior Health Partners, Inc.
CP. Senior Health Network
CQ. Southern Tier Pediatrics
CR. St. Barnabas Community Health (Partners in Health)
CS. NY Presbyterian Community Health Plan
CT. Total Aging In Place
CU. VNS Choice (PHSP)
CARD HX-3
Sample Medicaid Card
New York
CARD HX-5
Medicare Managed Care Plans
New York
GGG. Elderplan (Elderplan, Inc.)
HHH. Encompass 65 (Independent Health)
NNN. Health Net SmartChoice (Health Net of NY)
PPP. Oxford Medicare Advantage (Oxford Health Plans (NY), Inc.)
RRR. Senior Blue (Senior Blue)
WWW. Aetna Golden Medicare/Choice Plan (Aetna Health, Inc.)
XXX. Fidelis Medicare Advantage (New York State Catholic Health Plan, Inc.)
YYY. HealthFirst (Health First PPO/Medicare Plan)
ZZZ. Preferred Care (Preferred Care)
AAAA. Senior Plan Direct (Empire BlueCross and BlueShield HMO)
CCCC. Traditional Blue Medicare PPO (Traditional Blue Medicare PPO)
DDDD. United Healthcare Medicare Complete (United Healthcare of New York, Inc.)
HHHH. GHI Medicare PPO (GHI Medicare Choice PPO)
IIII. Univera Medicare/Medicare Blue/Senior Choice (Excellus Health Plan, Inc.)
JJJJ. WellCare (WellCare)
KKKK. Todays Options (American Progressive Life/Health Ins.)
LLLL. CDPHP Medicare Choice (CDPHP Medicare Choice)
MMMM. Liberty Health Advantage
NNNN. Medicare (TouchStone Health)
OOOO. Neighborhood Medicare (Neighborhood Health Providers)
PPPP. Open Access/Standard Co. (HIP Health Plan of Greater NY/HIP Insurance)
QQQQ. Preferred Care Gold (Preferred Care Gold/Gold Anywhere)
CARD HX-6
Plan Names New York
S. Fidelis (Catholic Services Health Plan)
JJJ. Capital District Physicians Health Plan
KKKK. Affinity Health Plan
LLLL. AmeriChoice
OOOO. Center Care
QQQQ. Community Premier Plus
UUUU. HealthFirst (PHSP)
VVVV. Health Now
YYYY. MetroPlus Health Plan
AG. Suffolk Health Plan
AJ. United Healthcare of New York
AM. WellCare
AP. Community Choice Health Plan of Westchester, Inc.
AQ. New York Presbyterian System Select Health LLC
AR. PCMP II-A Gold Choice
AT. Rochester Area HMO/Preferred Care
AU. SCHC Total Care, Inc.
AV. Southern Tier Priority Healthcare, Inc.
AX. Univera Community Health, Inc.
AY. VidaCare, Inc.
AZ. New York State Catholic Health Plan, Inc.
BA. MVP Health Plan, Inc.
BD. Managed Health, Inc.
BE. Independent Health Association, Inc.
BF. Hudson Health Plan, Inc.
BH. HealthPlus, Inc.
BI. HealthNow New York, Inc.
BJ. HealthNet of New York, Inc.
BK. Health Insurance Plan of Greater New York, Inc.
BL. GHI HMO Select, Inc.
BM. Excellus Health Plan, Inc.
BR. Broome MAX
BS. CarePlus, LLC
BW. CarePlus Connections
BX. Comprehensive Care Management
BY. CO-OP Care Plan
BZ. Eddy Seniorcare
CA. Elant Choice
CB. GHI PPO
CD. Guildnet
CE. Health Partners of NY
CF. Homefirst
CG. Independent Care Systems Inc.
CH. Independent Living for Seniors
CI. Liberty Health Advantage
CJ. Neighborhood Health Plan
CK. NY Presbyterian System Select Health
CL. Oxford Medicare Advantage
CM. Pace CNY
CN. Partners in Community Care
CO. Senior Health Partners, Inc.
CP. Senior Health Network
CQ. Southern Tier Pediatrics
CR. St. Barnabas Community Health (Partners in Health)
CS. NY Presbyterian Community Health Plan
CT. Total Aging In Place
CU. VNS Choice (PHSP)
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
NEW YORK
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
P. Blue Choice
EE. Independent Health Association
MM. Preferred Care
UU. GEHA Benefit Plan - High
VV. GEHA Benefit Plan - Standard
WW. Mail Handlers High
XX. Mail Handlers Standard
YY. PBP Health Plan High
ZZ. PBP Health Plan Standard
III. HMO Blue
KKK. MVP Health Plan- Eastern
LLL. MVP Health Plan Central
MMM. MVP Health Plan Mid Hudson
PPP. Univera Healthcare Western New York (N. Counties)
QQQ. Vytra Health Plans
RRR. APWU Health Plan High
SSS. APWU Health Plan Consumer Driven
TTT. HIP of Greater New York High
UUU. HIP of Greater New York Standard
XXX. Univera Healthcare Western NY (S. Counties)
ZZZ. Blue Cross Blue Shield Service Benefit Plan - Standard
AAAA. Blue Cross Blue Shield Service Benefit Plan Basic
CCCC. SAMBA High
DDDD. SAMBA Standard
EEEE. GEHA High Deductible Health Plan
FFFF. Mail Handlers High Deductible Plan
GGGG. Aetna
IIII. GHI HealthPlan High
JJJJ. GHI HealthPlan Standard
KKKK. GHI HMO Select High Brnx/Brklyn/Manhat/Queen/Richmon/Westche
LLLL. GHI HMO Select Std Brnx/Brklyn/Manhat/Queen/Richmon/Westche
MMMM. GHI HMO Select High Capital/Hudson Valley
NNNN. GHI HMO Select Std Capital/Hudson Valley
OOOO. HMOBlue CNY
PPPP. Aetna HealthFund CDHP
QQQQ. Aetna HealthFund HDHP
RRRR. Capital District Physicians Health Plan
CARD IN-2A
State TANF Program
New York
Family Assistance Program (FA)
CARD PR-1
Medicare Managed Care Plans
Ohio
T. Hometown Securecare (Hometown Health Plan)
GG. Advantra PPO (Advantra PPO)
MM. MediGold (MediGold)
NN. Prime Time Health Plan (Prime Time Health Plan)
SS. United Healthcare Medicare Complete (United Healthcare of Ohio, Inc.)
UU. Medicare Plus (Kaiser Foundation HP of Ohio)
BBB. QualChoice Medicare Prime (QualChoice Health Plan, Inc.)
CCC. Health Plan SecureCare (The Health Plan)
DDD. Humana Choice PPO (Humana Insurance Company)
EEE. Paramount Elite (Paramount Elite)
FFF. SummaCare Secure (SummaCare Health Plan)
GGG. Aetna Golden (Aetna Medicare
HHH. Blue Medicare Access/Anthem Sr Advantage (Anthem Blue Cross and Blue Shield)
III. SecureHorizons Direct
CARD PR-2
Plan Names
Ohio
S. Paramount Care, Inc.
T. QualChoice Health Plan
V. Care Source
Z. Buckeye Community Health Plan
AB. Amerigroup Ohio Inc.
AC. Amerigroup Community Care
AD. Gateway Health Plan of Ohio
AE. McKinley Life Insurance Company
AF. Moline Healthcare of Ohio
AG. Unison
CARD HX-3 A
Sample Medicaid Card Ohio
CARD HX-5
Medicare Managed Care Plans
Ohio
T. Hometown Securecare (Hometown Health Plan)
GG. Advantra PPO (Advantra PPO)
MM. MediGold (MediGold)
NN. Prime Time Health Plan (Prime Time Health Plan)
SS. United Healthcare Medicare Complete (United Healthcare of Ohio, Inc.)
UU. Medicare Plus (Kaiser Foundation HP of Ohio)
BBB. QualChoice Medicare Prime (QualChoice Health Plan, Inc.)
CCC. Health Plan SecureCare (The Health Plan)
DDD. Humana Choice PPO (Humana Insurance Company)
EEE. Paramount Elite (Paramount Elite)
FFF. SummaCare Secure (SummaCare Health Plan)
GGG. Aetna Golden (Aetna Medicare
HHH. Blue Medicare Access/Anthem Sr Advantage (Anthem Blue Cross and Blue Shield)
III. SecureHorizons Direct
CARD HX-6
Plan Names
Ohio
S. Paramount Care, Inc.
T. QualChoice Health Plan
V. Care Source
Z. Buckeye Community Health Plan
AB. Amerigroup Ohio Inc.
AC. Amerigroup Community Care
AD. Gateway Health Plan of Ohio
AE. McKinley Life Insurance Company
AF. Moline Healthcare of Ohio
AG. Unison
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
OHIO
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
BB. HMO Health Ohio
DD. Kaiser Permanente
GG. Paramount Health Care
RR. GEHA Benefit Plan High
SS. GEHA Benefit Plan Standard
TT. Mail Handlers High
UU. Mail Handlers Standard
VV. PBP Health Plan High
WW. PBP Health Plan Standard
ZZ. SummaCare Health Plan
AAA. SuperMed HMO
CCC. APWU Health Plan High
DDD. APWU Health Plan Consumer Driven
EEE. Blue Cross Blue Shield Service Benefit Plan Standard
FFF. Blue Cross Blue Shield Service Benefit Plan Basic
III. SAMBA High
JJJ. SAMBA Standard
KKK. GEHA High Deductible Health Plan
LLL. Mail Handlers High Deductible Plan
MMM. Aetna Cleveland and Toledo Areas
NNN. Aetna Columbus Area
OOO. Aetna Greater Cincinnati Area
PPP. AultCare HMO High
QQQ. Blue HMO
RRR. Hometown Health Plan
SSS. The Health Plan of the Upper Ohio Valley
TTT. United Healthcare of Ohio, Inc. High
UUU. United Healthcare of Ohio, Inc. Std
VVV. Aetna HealthFund CDHP
WWW. Aetna HealthFund HDHP
XXX. AultCare HMO HDHP
YYY. Humana CDHP
CARD IN-2A
State TANF Program
Ohio
Ohio Works First (OWF)
CARD PR-1
Medicare Managed Care Plans
Oklahoma
G. Senior Health Plan (Community Care HMO, Inc.)
H. Generations Healthcare (Generations Healthcare)
I. Secure Horizons Standard Plan (Secure Horizons Medicare Advantage Plan)
J. Humana Gold Choice/Humana Choice PPO (Humana Insurance Company)
L. Medicare Blue PPO (Blue Cross/Blue Shield of Oklahoma)
M. SecureHorizons Direct
CARD PR-2
Plan Names
Oklahoma
J. SoonerCare (PCCM)
CARD HX-3
Sample Medicaid Card
Oklahoma
CARD HX-5
Medicare Managed Care Plans
Oklahoma
G. Senior Health Plan (Community Care HMO, Inc.)
H. Generations Healthcare (Generations Healthcare)
I. Secure Horizons Standard Plan (Secure Horizons Medicare Advantage Plan)
J. Humana Gold Choice/Humana Choice PPO (Humana Insurance Company)
L. Medicare Blue PPO (Blue Cross/Blue Shield of Oklahoma)
M. SecureHorizons Direct
CARD HX-6
Plan Names
Oklahoma
J. SoonerCare (PCCM)
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
OKLAHOMA
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
V. GEHA Benefit Plan High
W. GEHA Benefit Plan Standard
X. Mail Handlers High
Y. Mail Handlers Standard
Z. PBP Health Plan High
AA. PBP Health Plan Standard
DD. APWU Health Plan High
EE. APWU Health Plan Consumer Driven
FF. Blue Cross and Blue Shield Service Benefit Plan Standard
GG. Blue Cross and Blue Shield Service Benefit Plan Basic
HH. SAMBA High
II. SAMBA Standard
JJ. GEHA High Deductible Health Plan
KK. Mail Handlers High Deductible Plan
LL. Aetna
MM. Globalhealth, Inc.
NN. PacifiCare Southwest Region (OK & TX)
OO. Aetna HealthFund CDHP
PP. Aetna HealthFund HDHP
CARD PR-1
Medicare Managed Care Plans Oregon
L. Providence Medicare Extra (Providence Health Plan)
P. Clear Choice (Clear Choice Health Plan)
U. Senior Advantage (Kaiser Foundation Health Plan of the Northwest)
V. First Choice/Preferred Choice Sixty-Five (Regence Blue Cross Blue Shield of Oregon)
W. Health Net Options Plus (Health Net Options Plus)
X. Secure Horizons (Secure Horizons Medicare Advantage Plan)
Y. CareSource
Z. MyAdvantage PPO (ATRIO Health Plans)
AA. ODS Advantage PPO (ODS Advantage)
BB. Preferred Choice Sixty-Five (Regence Blue Cross/Blue Shield of Oregon)
CC. Premier Care (Familycare Health Plans, Inc.)
DD. SecureHorizons Direct
EE. The Conventional /Premier Plan (Samaritan Advantage Health Plan)
FF. Todays Options
GG. United Healthcare Medicare Complete (United Healthcare Insurance Company)
CARD PR-2
Plan Names
Oregon
J. InterCommunity Health Network
EE. Mid-Rogue IPA
GG. Oregon Health Management Services
OO. Douglas County IPA
YY. CareOregon
ZZ. Cascade Comprehensive Care
DDD. FamilyCare
HHH. Lane Individual Practice Association (LIPA)
III. Marion Polk Community Health Plan
OOO. Quality Health Alliance (Mental Health)
SSS. Doctors of the Oregon Coast South
UUU. Central Oregon Individual Health Solutions (COIHS)
WWW. Providence Health Assurance
XXX. ODS Community Health, Inc.
YYY. Kaiser Permanente Oregon Plus, LLC
CARD HX-3
Sample Medicaid Card Oregon
CARD HX-5
Medicare Managed Care Plans
Oregon
L. Providence Medicare Extra (Providence Health Plan)
P. Clear Choice (Clear Choice Health Plan)
U. Senior Advantage (Kaiser Foundation Health Plan of the Northwest)
V. First Choice/Preferred Choice Sixty-Five (Regence Blue Cross Blue Shield of Oregon)
W. Health Net Options Plus (Health Net Options Plus)
X. Secure Horizons (Secure Horizons Medicare Advantage Plan)
Y. CareSource
Z. MyAdvantage PPO (ATRIO Health Plans)
AA. ODS Advantage PPO (ODS Advantage)
BB. Preferred Choice Sixty-Five (Regence Blue Cross/Blue Shield of Oregon)
CC. Premier Care (Familycare Health Plans, Inc.)
DD. SecureHorizons Direct
FF. The Conventional /Premier Plan (Samaritan Advantage Health Plan)
FG. Todays Options
GG. United Healthcare Medicare Complete (United Healthcare Insurance Company)
CARD HX-6
Plan Names
Oregon
J. InterCommunity Health Network
EE. Mid-Rogue IPA
GG. Oregon Health Management Services
OO. Douglas County IPA
YY. CareOregon
ZZ. Cascade Comprehensive Care
DDD. FamilyCare
HHH. Lane Individual Practice Association (LIPA)
III. Marion Polk Community Health Plan
OOO. Quality Health Alliance (Mental Health)
SSS. Doctors of the Oregon Coast South
UUU. Central Oregon Individual Health Solutions (COIHS)
WWW. Providence Health Assurance
XXX. ODS Community Health, Inc.
YYY. Kaiser Permanente Oregon Plus, LLC
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
OREGON
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
P. Kaiser Permanente High
Q. Kaiser Permanente Standard
X. GEHA Benefit Plan High
Y. GEHA Benefit Plan Standard
Z. Mail Handlers High
AA. Mail Handlers Standard
BB. PBP Health Plan High
CC. PBP Health Plan Standard
EE. APWU Health Plan High
FF. APWU Health Plan Consumer Driven
GG. Blue Cross and Blue Shield Service Benefit Plan Standard
HH. Blue Cross and Blue Shield Service Benefit Plan Basic
II. SAMBA High
JJ. SAMBA Standard
KK. GEHA High Deductible Health Plan
LL. Mail Handlers High Deductible Plan
MM. PacifiCare Northwest Region (Oregon/Washington)
NN. PacifiCare of Oregon
CARD PR-1
Medicare Managed Care Plans
Pennsylvania
G. Security Blue (Keystone Health Plan West, Inc.)
N. Senior Blue (Keystone Health Plan Central, Inc.)
GG. Geisinger Health Plan Gold (Geisinger Health Plan Gold)
LL. Keystone 65 (Keystone 65)
SS. FreedomBlue PPO (Highmark, Inc.)
TT. Health Assurance Advantra PPO (Health Assurance Pennsylvania, Inc.)
UU. Personal Choice 65 (Personal Choice 65)
VV. Senior Partners Gold/Silver (Health Partners)
WW. Smart Choice (Elder Health of PA, Inc.)
XX. UPMC For Life (UMPC For Life)
ZZ. AmeriChoice Personal Care Plus (AmeriChoice Personal Care Plus)
BBB. AmeriHealth 65 (Amerihealth 65)
CCC. Elder Health (Elder Health of PA, Inc.)
EEE. Todays Options (American Progressive Life/Hlth Ins.)
FFF. Advantra Silver/Gold (HealthAmerica Advantra)
GGG. Advantra PPO
HHH. Aetna Golden (Aetna Medicare)
III. Fresenius Medical Care Health Plan, Inc.
JJJ. Humana Gold Choice/Humana Choice PPO (Humana Insurance Company)
KKK. SecureHorizons Direct
MMM. Sterling Partners (Sterling Partners Pennsylvania)
NNN. Unison Advantage (Unison Health Plan)
OOO. United HealthCare Medicare Complete (Erickson Advantage, United Healthcare Insurance)
CARD PR-2
Plan Names
Pennsylvania
DD. AmeriChoice of Pennsylvania
EE. AmeriHealth HMO, Inc./AmeriHealth Mercy Health Plan
HH. Community Care Behavioral Health Care Organization
II. Gateway Health Plan, Inc.
JJ. Health Partners of Philadelphia, Inc.
KK. Magellan Behavioral Health
MM. Value Behavioral Health of PA
NN. Community Behavioral Healthcare Network of Pennsylvania (CBHNP)
OO. UPMC Health Plan, Inc./UPMC For You
PP. Southwest Behavioral Health Management, Inc.
SS. Unison Health Plan/MedPLUS+
TT. Bucks County Behavioral Health System
UU. Behavioral Health collaborative, Inc.
CARD HX-3
Sample Medicaid Card
Pennsylvania
CARD HX-5
Medicare Managed Care Plans
Pennsylvania
G. Security Blue (Keystone Health Plan West, Inc.)
N. Senior Blue (Keystone Health Plan Central, Inc.)
GG. Geisinger Health Plan Gold (Geisinger Health Plan Gold)
LL. Keystone 65 (Keystone 65)
SS. FreedomBlue PPO (Highmark, Inc.)
TT. Health Assurance Advantra PPO (Health Assurance Pennsylvania, Inc.)
UU. Personal Choice 65 (Personal Choice 65)
VV. Senior Partners Gold/Silver (Health Partners)
WW. Smart Choice (Elder Health of PA, Inc.)
XX. UPMC For Life (UMPC For Life)
ZZ. AmeriChoice Personal Care Plus (AmeriChoice Personal Care Plus)
BBB. AmeriHealth 65 (Amerihealth 65)
CCC. Elder Health (Elder Health of PA, Inc.)
EEE. Todays Options (American Progressive Life/Health Ins.)
FFF. Advantra Silver/Gold (HealthAmerica Advantra)
GGG. Advantra PPO
HHH. Aetna Golden (Aetna Medicare)
III. Fresenius Medical Care Health Plan, Inc.
JJJ. Humana Gold Choice/Humana Choice PPO (Humana Insurance Company)
KKK. SecureHorizons Direct
MMM. Sterling Partners (Sterling Partners Pennsylvania)
NNN. Unison Advantage (Unison Health Plan)
OOO. United HealthCare Medicare Complete (Erickson Advantage, United Healthcare Insurance)
CARD HX-6
Pennsylvania
Plan Names
DD. AmeriChoice of Pennsylvania
EE. AmeriHealth HMO, Inc./AmeriHealth Mercy Health Plan
HH. Community Care Behavioral Health Care Organization
II. Gateway Health Plan, Inc.
JJ. Health Partners of Philadelphia, Inc.
KK. Magellan Behavioral Health
MM. Value Behavioral Health of PA
NN. Community Behavioral Healthcare Network of Pennsylvania (CBHNP)
OO. UPMC Health Plan, Inc./UPMC For You
PP. Southwest Behavioral Health Management, Inc.
SS. Unison Health Plan/MedPLUS+
TT. Bucks County Behavioral Health System
UU. Behavioral Health collaborative, Inc.
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
PENNSYLVANIA
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
CC. Keystone Health Plan Central
DD. Keystone Health Plan East
LL. GEHA Benefit Plan High
MM. GEHA Benefit Plan Standard
NN. Mail Handlers High
OO. Mail Handlers Standard
PP. PBP Health Plan High
QQ. PBP Health Plan Standard
YY. UPMC Health Plan
ZZ. APWU Health Plan High
AAA. APWU Health Plan Consumer Driven
BBB. Blue Cross and Blue Shield Service Benefit Plan Standard
CCC. Blue Cross and Blue Shield Service Benefit Plan Basic
FFF. SAMBA High
GGG. SAMBA Standard
HHH. GEHA High Deductible Health Plan
III. Mail Handlers High Deductible Plan
JJJ. Aetna Philadelphia and Southeastern PA
KKK. Aetna Pittsburgh Area
MMM. HealthAmerica Pennsylvania High Greater Pittsburgh area
NNN. HealthAmerica Pennsylvania Std Greater Pittsburgh area
OOO. HealthAmerica Pennsylvania High Northeast Pennsylvania
PPP. HealthAmerica Pennsylvania Std Northeast Pennsylvania
SSS. HealthAmerica Pennsylvania High Central Pennsylvania
TTT. HealthAmerica Pennsylvania Std Central Pennsylvania
UUU. Aetna HealthFund CDHP
VVV. Aetna HealthFund HDHP
WWW. Coventry Health Care of Delaware HDHP
XXX. HealthAmerica Pennsylvania HDHP Southeastern Pennsylvania
YYY. HealthAmerica Pennsylvania HDHP Greater Pittsburgh Area
ZZZ. HealthAmerica Pennsylvania HDHP Northeast Pennsylvania
AAAA. HealthAmerica Pennsylvania HDHP Central Pennsylvania
CARD PR-1
Medicare Managed Care Plans
Rhode Island
J. United Healthcare Medicare Complete (United Healthcare of New England, Inc.)
K. BlueCHIP for Medicare (BlueCross and Blue Shield of Rhode Island)
M. SecureHorizons Direct
CARD PR-2
Plan Names
Rhode Island
C. Neighborhood Health Plan of Rhode Island
H. United Healthcare of New England
J. Rite Care
K. Blue Cross and Blue Shield of RI
CARD HX-3
Sample Medicaid Card
Rhode Island
CARD HX-5
Medicare Managed Care Plans
Rhode Island
J. United Healthcare Medicare Complete (United Healthcare of New England, Inc.)
K. BlueCHIP for Medicare (BlueCross and Blue Shield of Rhode Island)
M. SecureHorizons Direct
CARD HX-6
Plan Names
Rhode Island
C. Neighborhood Health Plan of Rhode Island
H. United Healthcare of New England
J. Rite Care
K. Blue Cross and Blue Shield of RI
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
RHODE ISLAND
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
W. GEHA Benefit Plan High
X. GEHA Benefit Plan Standard
Y. Mail Handlers High
Z. Mail Handlers Standard
AA. PBP Health Plan High
BB. PBP Health Plan Standard
CC. Blue Chip, Coord Health Partners, Inc.
DD. APWU Health Plan High
EE. APWU Health Plan - Consumer Driven
FF. Blue Cross and Blue Shield Service Benefit Plan - Standard
GG. Blue Cross and Blue Shield Service Benefit Plan Basic
HH. SAMBA High
II. SAMBA Standard
JJ. GEHA High Deductible Health Plan
KK. Mail Handlers High Deductible Plan
CARD IN-2A
State TANF Program
Rhode Island
Family Independence Program (FIP)
CARD PR-1
Medicare Managed Care Plans
South Carolina
A. Humana Gold Choice (Humana Insurance Company)
D. Carolina Medicare Prime
E. InStil InCare/InChoice (InStil Health Insurance Company)
F. Medicare Blue (Blue Cross and Blue Shield of SC)
G. Platinum Advantage (BlueChoice Health Plan)
H. SecureHorizons Direct
I. Todays Options
CARD PR-2
Plan Names
South Carolina
G. Select Health of South Carolina, Inc.
H. Unison Health Plan of South Carolina
I. First Choice/Select Health
J. Upstate Carolina Best Care
K. PhysTrust of SCF
L. Community Health Solutions SC Solutions
CARD HX-3
Sample Medicaid Card - South Carolina
CARD HX-5
Medicare Managed Care Plans
South Carolina
A. Humana Gold Choice (Humana Insurance Company)
D. Carolina Medicare Prime
E. InStil InCare/InChoice (InStil Health Insurance Company)
F. Medicare Blue (Blue Cross and Blue Shield of SC)
G. Platinum Advantage (BlueChoice Health Plan)
H. SecureHorizons Direct
I. Todays Options
CARD HX-6
Plan Names
South Carolina
G. Select Health of South Carolina, Inc.
H. Unison Health Plan of South Carolina
I. First Choice/Select Health
J. Upstate Carolina Best Care
K. PhysTrust of SCF
L. Community Health Solutions SC Solutions
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
SOUTH CAROLINA
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
Z. Mail Handlers High
AA. Mail Handlers Standard
BB. PBP Health Plan High
CC. PBP Health Plan Standard
DD. APWU Health Plan High
EE. APWU Health Plan Consumer Driven
FF. Blue Cross and Blue Shield Service Benefit Plan Standard
GG. Blue Cross and Blue Shield Service Benefit Plan Basic
HH. GEHA Benefit Plan High
II. GEHA Benefit Plan Std
JJ. GEHA High Deductible Health Plan
KK. Mail Handlers High Deductible Plan
LL. Carolina Care
MM. Aetna HealthFund CDHP
NN. Aetna HealthFund HDHP
OO. SAMBA High
PP. SAMBA Standard
CARD IN-2A
State TANF Program
South Carolina
Family Independence
CARD PR-1
Medicare Managed Care Plans
South Dakota
B. Humana Gold Choice (Humana Insurance Company)
C. Prime Solution (Medica Insurance Company)
D. United Healthcare Medicare Complete Essential (United Healthcare Insurance Company)
E. MedicareBlue PPO (Wellmark Blue Cross Blue Shield of SD)
F. SecureHorizons Direct
CARD PR-2
Plan Names
South Dakota
C. Primary Care Case Management Program
CARD HX-3
Sample Medicaid Card
South Dakota
CARD HX-5
Medicare Managed Care Plans
South Dakota
B. Humana Gold Choice (Humana Insurance Company)
C. Prime Solution (Medica Insurance Company)
D. United Healthcare Medicare Complete Essential (United Healthcare Insurance Company)
E. MedicareBlue PPO (Wellmark Blue Cross Blue Shield of SD)
F. SecureHorizons Direct
CARD HX-6
Plan Names
South Dakota
C. Primary Care Case Management Program
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
SOUTH DAKOTA
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
S. GEHA Benefit Plan High
T. GEHA Benefit Plan Standard
U. Mail Handlers High
V. Mail Handlers Standard
W. PBP Health Plan High
X. PBP Health Plan Standard
Y. Avera Health Plan
AA. APWU Health Plan High
BB. APWU Health Plan Consumer Driven
CC. Blue Cross and Blue Shield Service Benefit Plan - Standard
DD. Blue Cross and Blue Shield Service Benefit Plan Basic
EE. SAMBA High
FF. SAMBA Standard
GG. GEHA High Deductible Health Plan
HH. Mail Handlers High Deductible Plan
II. Sioux Valley Health Plan High
JJ. Sioux Valley Health Plan Standard
KK. HealthPartners Classic/Open Access Deductible
CARD IN-2A
State TANF Program
South Dakota
TANF
CARD PR-1
Medicare Managed Care Plans
Tennessee
N. Secure Plus (John Deere Health Plan, Inc.)
Q. Cariten Senior Health [Cariten Senior Health/(PPO)]
R. HealthSpring (HealthSpring, Inc.)
T. United Healthcare Medicare Complete (United Healthcare of Tennessee, Inc.)
U. BlueAdvantage (Blue Cross Blue Shield of Tennessee)
V. HumanaChoice PPO/Humana Gold Choice (Humana Insurance Company)
W. SecureHorizons Direct
X. Windson Medicare Extra
CARD PR-2
Plan Names
Tennessee
U. Better Health Plans, Inc.
V. Bluecare (Volunteer State Health Plan)
W. Preferred Health Partnership/PHP
DD. TLC Family Care (Memphis Managed Care)
EE. TennCare Select
GG. John Deere Health Care
HH. UAHC (Omnicare)
II. Windsor Health Plan of TN, Inc.
CARD HX-3
Sample Medicaid Card
Tennessee
CARD HX-5
Medicare Managed Care Plans
Tennessee
N. Secure Plus (John Deere Health Plan, Inc.)
Q. Cariten Senior Health [Cariten Senior Health/(PPO)]
R. HealthSpring (HealthSpring, Inc.)
T. United Healthcare Medicare Complete (United Healthcare of Tennessee, Inc.)
U. BlueAdvantage (Blue Cross Blue Shield of Tennessee)
V. HumanaChoice PPO/Humana Gold Choice (Humana Insurance Company)
W. SecureHorizons Direct
X. Windson Medicare Extra
CARD HX-6
Plan Names
Tennessee
U. Better Health Plans, Inc.
V. Bluecare (Volunteer State Health Plan)
W. Preferred Health Partnership/PHP
DD. TLC Family Care (Memphis Managed Care)
EE. TennCare Select
GG. John Deere Health Care
HH. UAHC (Omnicare)
II. Windsor Health Plan of TN, Inc.
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
TENNESSEE
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
Y. GEHA Benefit Plan High
Z. GEHA Benefit Plan Standard
AA. Mail Handlers High
BB. Mail Handlers Standard
CC. PBP Health Plan High
DD. PBP Health Plan Standard
HH. APWU Health Plan High
II. APWU Health Plan Consumer Driven
NN. Blue Cross and Blue Shield Service Benefit Plan Standard
OO. Blue Cross and Blue Shield Service Benefit Plan Basic
PP. SAMBA High
QQ. SAMBA Standard
RR. GEHA High Deductible Health Plan
SS. Mail Handlers High Deductible Plan
TT. Aetna Nashville Area
UU. Aetna Memphis Area
VV. Aetna HealthFund CDHP
WW. Aetna HealthFund HDHP
XX. Humana CDHP
CARD IN-2A
State TANF Program
Tennessee
Families First
CARD PR-1
Medicare Managed Care Plans
Texas
KK. SeniorCare Senior (Scott and White Health Plan)
NN. Secure Horizons (Secure Horizons Medicare Advantage Plan)
PP. Texan (SelectCare of Texas, LLC)
QQ. Texas HealthSpring (Texas Healthspring, LLC)
RR. Humana Choice PPO (Humana Insurance Company)
SS. Aetna Golden (Aetna Medicare)
TT. Blue Medicare PPO (HISC Blue Cross Blue Shield of Texas)
UU. Elder Health (Elder Health Texas, Inc.)
VV. FIRSTCARE Advantage
WW. Fresenius Medical Care Health Plan, Inc.
XX. Physicians Health Choice
YY. Premier Advantage
ZZ. SecureHorizons Direct
AAA. Texas Community Care
BBB. Valley Advantage (Valley Baptist Health Plan, Inc.)
CCC. United HealthCare Medicare Complete (United HealthCare Insurance Company)
CARD PR-2
Plan Names
Texas
U. Community First
X. First Care
JJ. AMERIGROUP STAR+PLUS
KK. Evercare
LL. Aetna
MM. Community Health Choice
NN. Cook Childrens Hospital
OO. Molina
PP. Parkland Health First
QQ. Mercy, Superior Health Plan
RR. Texas Childrens Health Plan
SS. Unicare
TT. NorthSTAR
UU. STAR+PLUS
VV. Primary Care Case Management
CARD HX-3 A
Sample Medicaid Card Texas
CARD HX-5
Medicare Managed Care Plans
Texas
KK. SeniorCare Senior (Scott and White Health Plan)
NN. Secure Horizons (Secure Horizons Medicare Advantage Plan)
PP. Texan (SelectCare of Texas, LLC)
QQ. Texas HealthSpring (Texas Healthspring, LLC)
RR. Humana Choice PPO (Humana Insurance Company)
SS. Aetna Golden (Aetna Medicare)
TT. Blue Medicare PPO (HISC Blue Cross Blue Shield of Texas)
UU. Elder Health (Elder Health Texas, Inc.)
VV. FIRSTCARE Advantage
WW. Fresenius Medical Care Health Plan, Inc.
XX. Physicians Health Choice
YY. Premier Advantage
ZZ. SecureHorizons Direct
AAA. Texas Community Care
BBB. Valley Advantage (Valley Baptist Health Plan, Inc.)
CCC. United HealthCare Medicare Complete (United HealthCare Insurance Company)
CARD HX-6
Plan Names
Texas
U. Community First
X. First Care
JJ. AMERIGROUP STAR+PLUS
KK. Evercare
LL. Aetna
MM. Community Health Choice
NN. Cook Childrens Hospital
OO. Molina
PP. Parkland Health First
QQ. Mercy, Superior Health Plan
RR. Texas Childrens Health Plan
SS. Unicare
TT. NorthSTAR
UU. STAR+PLUS
VV. Primary Care Case Management
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
TEXAS
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
LL. GEHA Benefit Plan High
MM. GEHA Benefit Plan Standard
NN. Mail Handlers High
OO. Mail Handlers Standard
PP. PBP Health Plan High
QQ. PBP Health Plan Standard
TT. FIRSTCARE - Waco
UU. FIRSTCARE West Texas
XX. Mercy Health Plans/Premier Health Plans
ZZ. APWU Health Plan High
AAA. APWU Health Plan Consumer Driven
BBB. Blue Cross and Blue Shield Service Benefit Plan - Standard
CCC. Blue Cross and Blue Shield Service Benefit Plan Basic
FFF. Humana Health Plan of Texas - High
GGG. Humana Health Plan of Texas Standard
HHH. SAMBA High
III. SAMBA Standard
JJJ. GEHA High Deductible Health Plan
KKK. Mail Handlers High Deductible Plan
LLL. Aetna Houston Area
MMM. Aetna Austin/San Antonio Areas
NNN. Aetna Dallas/Ft. Worth Areas
OOO. HMO Blue Texas
PPP. PacifiCare Southwest Region (OK & TX)
QQQ. Aetna HealthFund CDHP
RRR. Aetna HealthFund HDHP
SSS. Humana CoverageFirst CDHP Houston
TTT. Humana CoverageFirst CDHP Dallas/Ft. Worth
UUU. Humana CoverageFirst CDHP Corpus Christi
VVV. Humana CoverageFirst CDHP San Antonio
WWW. Humana CoverageFirst CDHP Austin
CARD IN-2A
State TANF Program
Texas
Texas Works
Choices
CARD PR-1
Medicare Managed Care Plans
Utah
A. Humana Gold Choice (Humana Insurance Company)
B. Security Choice (Unicare Life & Health Ins. Company)
C. UnitedHealthcare Medicare Complete (UnitedHealthcare of Utah, Inc.)
L. HumanaChoice PPO/Humana Gold Choice (Humana Insurance Company)
M. MedAvantage (Regence Blue Cross Blue Shield of Utah)
N. SecureHorizons Direct
O. Sierra Spectrum
P. Todays Options
Q. United Healthcare Medicare Complete (United Healthcare of Utah, Inc.)
CARD PR-2
Plan Names
Utah
H. IHC Health Plans
M. Bear River Mental Health
P. Four Corners Mental Health
Q. Healthy U
S. Molina Healthcare of Utah
U. Valley Mental Health
V. Wasatch Mental Health
W. Weber Mental Health
X. Molina Plus
Y. Davis Behavioral Health
Z. Central Utah Counseling
AA. Northeastern Counseling
BB. Southwest Center
CARD HX-3
Sample Medicaid Card
Utah
CARD HX-5
Medicare Managed Care Plans
Utah
A. Humana Gold Choice (Humana Insurance Company)
B. Security Choice (Unicare Life & Health Ins. Company)
C. UnitedHealthcare Medicare Complete (UnitedHealthcare of Utah, Inc.)
L. HumanaChoice PPO/Humana Gold Choice (Humana Insurance Company)
M. MedAvantage (Regence Blue Cross Blue Shield of Utah)
N. SecureHorizons Direct
O. Sierra Spectrum
P. Todays Options
Q. United Healthcare Medicare Complete (United Healthcare of Utah, Inc.)
CARD HX-6
Plan Names
Utah
H. IHC Health Plans
M. Bear River Mental Health
P. Four Corners Mental Health
Q. Healthy U
S. Molina Healthcare of Utah
U. Valley Mental Health
V. Wasatch Mental Health
W. Weber Mental Health
X. Molina Plus
Y. Davis Behavioral Health
Z. Central Utah Counseling
AA. Northeastern Counseling
BB. Southwest Center
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
UTAH
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
V. GEHA Benefit Plan High
W. GEHA Benefit Plan Standard
X. Mail Handlers High
Y. Mail Handlers Standard
Z. PBP Health Plan High
AA. PBP Health Plan Standard
BB. Altius Health Plans
CC. APWU Health Plan - High
DD. APWU Health Plan Consumer Driven
EE. Blue Cross and Blue Shield Service Benefit Plan Standard
FF. Blue Cross and Blue Shield Service Benefit Plan Basic
GG. SAMBA High
HH. SAMBA Standard
II. GEHA High Deductible Health Plan
JJ. Mail Handlers High Deductible Plan
CARD IN-2A
State TANF Program
Utah
Family Employment Program (FEP)
CARD PR-1
Medicare Managed Care Plans
Vermont
C. SecureHorizons Direct
D. Todays Options
CARD PR-2
Plan Names
Vermont
F. Vermont Health Access
CARD HX-3
Sample Medicaid Card
Vermont
CARD HX-5
Medicare Managed Care Plans
Vermont
C. SecureHorizons Direct
D. Todays Options
CARD HX-6
Plan Names
Vermont
F. Vermont Health Access
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
VERMONT
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
S. MVP Health Plan
V. GEHA Benefit Plan High
W. GEHA Benefit Plan Standard
X. Mail Handlers High
Y. Mail Handlers Standard
Z. PBP Health Plan High
AA. PBP Health Plan Standard
BB. APWU Health Plan - High
CC. APWU Health Plan Consumer Driven
EE. Blue Cross and Blue Shield Service Benefit Plan Standard
FF. Blue Cross and Blue Shield Service Benefit Plan Basic
GG. SAMBA High
HH. SAMBA Standard
II. GEHA High Deductible Health Plan
JJ. Mail Handlers High Deductible Plan
CARD IN-2A
State TANF Program
Vermont
Aid to Needy Families with Children (ANFC)
Reach Up
CARD PR-1
Medicare Managed Care Plans Virginia
J. Secure Plus (John Deere Health Plan, Inc.)
K. Kaiser Permanente Medicare Plus (Kaiser Permanente Medicare Plus)
L. Security Choice (Unicare Life and Health Insurance Company)
M. Aetna Golden (Aetna Medicare)
N. Anthem Medicare Preferred (Anthem Blue Cross and Blue Shield)
O. Humana Gold choice/Humana Choice PPO (Humana Insurance Company)
P. Optima Medicare Preferred
Q. SecureHorizons Direct
R. Todays Options
S. United HealthCare Medicare Complete (Erickcson Advantage, United Healthcare Insurance Co.)
CARD PR-2
Plan Names
Virginia
L. CareNet by Southern Health Services, Inc.
P. Virginia Premier Health Plan
Q. UNICARE Health Plan of Virginia
R. Anthem HealthKeepers Plus
S. Amerigroup Virginia
CARD HX-3
Sample Medicaid Card
Virginia
CARD HX-5
Medicare Managed Care Plans Virginia
J. Secure Plus (John Deere Health Plan, Inc.)
K. Kaiser Permanente Medicare Plus (Kaiser Permanente Medicare Plus)
L. Security Choice (Unicare Life and Health Insurance Company)
M. Aetna Golden (Aetna Medicare)
N. Anthem Medicare Preferred (Anthem Blue Cross and Blue Shield)
O. Humana Gold choice/Humana Choice PPO (Humana Insurance Company)
P. Optima Medicare Preferred
Q. SecureHorizons Direct
R. Todays Options
S. United HealthCare Medicare Complete (Erickcson Advantage, United Healthcare Insurance Co.)
CARD HX-6
Plan Names
Virginia
L. CareNet by Southern Health Services, Inc.
P. Virginia Premier Health Plan
Q. UNICARE Health Plan of Virginia
R. Anthem HealthKeepers Plus
S. Amerigroup Virginia
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
VIRGINIA
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
BB. M.D. IPA
NN. GEHA Benefit Plan High
OO. GEHA Benefit Plan Standard
PP. Mail Handlers High
QQ. Mail Handlers Standard
RR. PBP Health Plan High
SS. PBP Health Plan Standard
VV. CareFirst Blue Choice
WW. Piedmont Community Healthcare
XX. APWU Health Plan High
YY. APWU Health Plan Consumer Driven
ZZ. Blue Cross and Blue Shield Service Benefit Plan Standard
AAA. Blue Cross and Blue Shield Service Benefit Plan Basic
DDD. SAMBA High
EEE. SAMBA Standard
FFF. GEHA High Deductible Health Plan
GGG. Mail Handlers High Deductible Plan
HHH. Aetna Open Access High
III. Aetna Open Access Basic
JJJ. Kaiser Permanente High
KKK. Kaiser Permanente Standard
LLL. Optima Health Plan
MMM. Aetna HealthFund CDHP
NNN. Aetna HealthFund HDHP
CARD PR-1
Medicare Managed Care Plans
Washington
W. GHC Medicare Plan (Group Health Cooperative)
Z. Senior Advantage (Kaiser Foundation Health Plan of the Northwest)
BB. Health Net Options Plus (Health Net Options Plus)
DD. Secure Horizons (Secure Horizons Medicare Advantage Plan)
FF. Columbia Community Care (Spokane Community Care)
GG. MedAvantage (Asuris Northwest Health)
HH. MedAdvantage/First Choice Sixty-Five (Regence Blue Shield/Blue Cross Blue Shield of OR)
II. Providence Medicare Extra (Providence Health Plan)
JJ. SecureHorizons Direct
KK. United Healthcare Medicare Complete (United Healthcare Insurance Company)
CARD PR-2
Plan Names
Washington
KK. BHP Plus
SS. WA Medicaid Integration Partnership (WMIP)
TT. Medicaid Medicare Integration Program (MMIP)
CARD HX-3
Sample Medicaid Card
Washington
CARD HX-5
Medicare Managed Care Plans
Washington
W. GHC Medicare Plan (Group Health Cooperative)
Z. Senior Advantage (Kaiser Foundation Health Plan of the Northwest)
BB. Health Net Options Plus (Health Net Options Plus)
DD. Secure Horizons (Secure Horizons Medicare Advantage Plan)
FF. Columbia Community Care (Spokane Community Care)
GG. MedAvantage (Asuris Northwest Health)
HH. MedAdvantage/First Choice Sixty-Five (Regence Blue Shield/Blue Cross Blue Shield of OR)
II. Providence Medicare Extra (Providence Health Plan)
JJ. SecureHorizons Direct
KK. United Healthcare Medicare Complete (United Healthcare Insurance Company)
CARD HX-6
Plan Names
Washington
KK. BHP Plus
SS. WA Medicaid Integration Partnership (WMIP)
TT. Medicaid Medicare Integration Program (MMIP)
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
WASHINGTON
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
S. Kaiser Permanente High
T. Kaiser Permanente Standard
EE. GEHA Benefit Plan High
FF. GEHA Benefit Plan Standard
GG. Mail Handlers High
HH. Mail Handlers Standard
II. PBP Health Plan High
JJ. PBP Health Plan Standard
PP. APWU Health Plan High
QQ. APWU Health Plan Consumer Driven
RR. Blue Cross and Blue Shield Service Benefit Plan Standard
SS. Blue Cross and Blue Shield Service Benefit Plan Basic
UU. KPS Health Plans High
VV. KPS Health Plans Standard
WW. SAMBA High XX. SAMBA Standard
YY. GEHA High Deductible Health Plan
ZZ. Mail Handlers High Deductible Plan
AAA. Aetna
BBB. Group Health Cooperative High Western WA
CCC. Group Health Cooperative Std Western WA
DDD. Group Health Cooperative High Central WA/Spokane/Pullman
EEE. Group Health Cooperative Std Central WA/Spokane/Pullman
GGG. PacifiCare Northwest Region (Oregon/Washington) Washington
HHH. Aetna HealthFund CDHP
III. Aetna HealthFund HDHP
JJJ. PacifiCare of Oregon
CARD IN-2A
State TANF Program
Washington
WorkFirst
CARD PR-1
Medicare Managed Care Plans
West Virginia
H. Advantra PPO
J. Health Plan SecureCare (The Health Plan)
L. 2006 FreedomBlue (Mountain State Blue Cross Blue Shield)
M. Humana Gold Choice/Humana Choice PPO (Humana Insurance Company)
N. SecureHorizons Direct
CARD PR-2
Plan Names
West Virginia
A. CareLink
C. The Health Plan of the Upper Ohio Valley
D. Mountain Health Trust
E. Physician Assured Access System (PAAS)
F. Unicare
CARD HX-3
Sample Medicaid Card
West Virginia
CARD HX-5
Medicare Managed Care Plans
West Virginia
H. Advantra PPO
J. Health Plan SecureCare (The Health Plan)
L. 2006 FreedomBlue (Mountain State Blue Cross Blue Shield)
M. Humana Gold Choice/Humana Choice PPO (Humana Insurance Company)
N. SecureHorizons Direct
CARD HX-6
Plan Names
West Virginia
A. CareLink
C. The Health Plan of the Upper Ohio Valley
D. Mountain Health Trust
E. Physician Assured Access System (PAAS)
F. Unicare
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
WEST VIRGINIA
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
W. GEHA Benefit Plan High
X. GEHA Benefit Plan Standard
Y. Mail Handlers High
Z. Mail Handlers Standard
AA. PBP Health Plan High
BB. PBP Health Plan Standard
CC. APWU Health Plan High
DD APWU Health Plan Consumer Driven
GG. Blue Cross and Blue Shield Service Benefit Plan Standard
HH. Blue Cross and Blue Shield Service Benefit Plan Basic
II. SAMBA High
JJ. SAMBA Standard
KK. GEHA High Deductible Health Plan
LL. Mail Handlers High Deductible Plan
MM. The Health Plan of the Upper Ohio Valley
NN. Aetna HealthFund CDHP
OO. Aetna HealthFund HDHP
CARD IN-2A
State TANF Program
West Virginia
West Virginia Works
CARD PR-1
Medicare Managed Care Plans Wisconsin
N. DeanCare Gold (Dean Health Plan, Inc.)
O. Gundersen Lutheran Senior Preferred (Gundersen Lutheran Health Plan, Inc.)
P. Medical Associates Advantage Plan (Medical Associates Clinic Health Plan of Wisconsin)
R. United Healthcare Medicare Complete (United Healthcare of Wisconsin, Inc.)
T. Network Senior Plus (Network Senior Plus)
U. Security Choice (Unicare Life and Health Insurance Company)
V. Advocare (Security Health Plan of Wisconsin, Inc.)
W. Humana Gold Choice (Humana Insurance Company)
X. Network PlatinumPlus (Network Health Insurance Corporation)
Y. Humana Choice PPO/Humana Gold choice (Humana Insurance Plan)
Z. Medica Advantage Solution/Prime Solution (Medica Health Plans of Wisconsin)
AA. Secure Horizons Direct
BB. SmartValue (Blue Cross Blue Shield of Wisconsin)
CC. Todays Options
CARD PR-2
Plan Names
Wisconsin
AA. Badger Care
HH. WrapAround Milwaukee
II. Children Come First
JJ. Wisconsin Partnership Plan
KK. Program of All Inclusive Care/Elderly (PACE)
LL. Family Care
CARD HX-3
Sample Medicaid Card Wisconsin
CARD HX-5
Medicare Managed Care Plans Wisconsin
N. DeanCare Gold (Dean Health Plan, Inc.)
O. Gundersen Lutheran Senior Preferred (Gundersen Lutheran Health Plan, Inc.)
P. Medical Associates Advantage Plan (Medical Associates Clinic Health Plan of Wisconsin)
R. United Healthcare Medicare Complete (United Healthcare of Wisconsin, Inc.)
T. Network Senior Plus (Network Senior Plus)
U. Security Choice (Unicare Life and Health Insurance Company)
V. Advocare (Security Health Plan of Wisconsin, Inc.)
W. Humana Gold Choice (Humana Insurance Company)
X. Network PlatinumPlus (Network Health Insurance Corporation)
Y. Humana Choice PPO/Humana Gold choice (Humana Insurance Plan)
Z. Medica Advantage Solution/Prime Solution (Medica Health Plans of Wisconsin)
AA. Secure Horizons Direct
BB. SmartValue (Blue Cross Blue Shield of Wisconsin)
CC. Todays Options
CARD HX-6
Plan Names
Wisconsin
AA. Badger Care
HH. WrapAround Milwaukee
II. Children Come First
JJ. Wisconsin Partnership Plan
KK. Program of All Inclusive Care/Elderly (PACE)
LL. Family Care
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
WISCONSIN
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
LL. GEHA Benefit Plan High
MM. GEHA Benefit Plan Standard
NN. Mail Handlers High
OO. Mail Handlers Standard
PP. PBP Health Plan High
QQ. PBP Health Plan Standard
RR. Dean Health Plan
VV. APWU Health Plan - High
WW. APWU Health Plan Consumer Driven
XX. Blue Cross Blue Shield Service Benefit Plan Standard
YY. Blue Cross Blue Shield Service Benefit Plan Basic
AAA. Group Health Cooperative S. Central WI
DDD. SAMBA High
EEE. SAMBA Standard
FFF. GEHA High Deductible Health Plan
GGG. Mail Handlers High Deductible Plan
HHH. HealthPartners Classic High
JJJ. HealthPartners Primary Clinic Plan
LLL. Humana CoverageFirst CDHP
MMM. Group Health Cooperative
CARD IN-2A
State TANF Program
Wisconsin
Wisconsin Works (W-2)
CARD PR-1
Medicare Managed Care Plans
Wyoming
A. Humana Gold Choice (Humana Insurance Company)
B. MedicareBlue PPO (BlueCross Blue Shield Of Wyoming)
C. RMHP AB Basic/WINHEALTH (WINHealth Partners)
D. SecureHorizons Direct
CARD PR-2
Plan Names
Wyoming
None Available
CARD HX-3
Sample Medicaid Card Wyoming
CARD HX-5
Medicare Managed Care Plans
Wyoming
A. Humana Gold Choice (Humana Insurance Company)
B. MedicareBlue PPO (BlueCross Blue Shield Of Wyoming)
C. RMHP AB Basic/WINHEALTH (WINHealth Partners)
D. SecureHorizons Direct
CARD HX-6
Plan Names
Wyoming
None Available
CARD HX-8
PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)
WYOMING
F. NALC
H. Association Benefit Plan
J. Foreign Service Benefit Plan
L. Panama Canal Area Benefit Plan
M. Rural Carrier Benefit Plan
R. GEHA Benefit Plan High
S. GEHA Benefit Plan Standard
T. Mail Handlers High
U. Mail Handlers Standard
V. PBP Health Plan High
W. PBP Health Plan Standard
X. WINhealth Partners
Y. APWU Health Plan High
Z. APWU Health Plan Consumer Driven
AA. Blue Cross and Blue Shield Service Benefit Plan Standard
BB. Blue Cross and Blue Shield Service Benefit Plan Basic
CC. SAMBA High DD. SAMBA Standard
EE. GEHA High Deductible Health Plan
FF. Mail Handlers High Deductible Plan
CARD IN-2A
State TANF Program
Wyoming
Personal Opportunities with Employment Responsibility (POWER) Spring 2007