MEDICAL
Insured Preferred Provider Plans
Product NameForm Number
ACE Property and Casualty Insurance CompanyStudent Accident & Sickness PolicyAH-29564-MA
Aetna Life Insurance CompanyOpen ChoiceGR-9
Aetna Life Insurance CompanyManaged ChoiceGR-9
Aetna Life Insurance CompanyStudent Blanket PolicyGR96134
Aetna Life Insurance CompanyStudent Sports Accident InsuranceGR-96487-1 ED. 10-07 et al.
AXIS Insurance CompanyStudent Blanket PolicyBSAS-002-0211-MA
Blue Cross and Blue Shield of Massachusetts, Inc.Blue Care ElectBLUE CARE ELECT (01-01-06 Rev.)
BCBSMA HMO Blue, Inc.
 
Preferred Blue PPO
 
PRF BLUE PPO (1-1-08)
 
CIGNA Health and Life Insurance CompanyPoint of ServiceHC-CER1, et al.
CIGNA Health and Life Insurance CompanyPoint of Service Open AccessHC-CER1, et al.
CIGNA Health and Life Insurance CompanyCareLink/Open Access PlusHC-CER1, et al.
CIGNA Health and Life Insurance CompanyPPOHC-CER1, et al.
CIGNA Health and Life Insurance CompanyOpen Access PlusHC-CER1, et al.
ConnectiCare of Massachusetts, Inc.Point of Service Open Access PlanCMI/POS 01 (1/2010)
ConnectiCare of Massachusetts, Inc.Open Access Deductible OptionCMI/POS Deductible LG 01 (10/2011)
ConnectiCare of Massachusetts, Inc.Open Access Deductible OptionCMI/POS Deductible SG 01 (10/2011)
ConnectiCare of Massachusetts, Inc.Point of Service Personal Care PlanCMI/POSPCP 01 (1/2010)
Connecticut General Life Insurance CompanyPPOGM6000 SC19 et al.
Connecticut General Life Insurance CompanyFlexcare IIGM6000 FLX138
Connecticut General Life Insurance CompanyPPOGM6000 SC19 et al.
Connecticut General Life Insurance CompanyCare Link/Open Access PPOGM6000 SC19 et al.
Connecticut General Life Insurance CompanyOpen Access PlusGM6000, et al.
Fallon Health & Life Assurance CompanyFallon Preferred Care11-670-345 Rev. 00 12/11
Fallon Health & Life Assurance CompanyFallon Preferred Care11-670-345 Rev. 00 12/11
Harvard Pilgrim Health Care, Inc.Premium PPO 10MAPPO0701
Harvard Pilgrim Health Care, Inc.Value PPO 15 $250 admissionMAPPO0701
Harvard Pilgrim Health Care, Inc.Best Buy PPO 500; 1000, 2000MAPPO0701
Health New England, Inc.HNE Advantage PlusHNE/POSPLUS-06
Health New England, Inc.HNE Premier PPOHNE/PHCS-PPO-06
Health New England, Inc.HNE PPO SaverHNE/PHCS-PPOSaver-06
Health New England, Inc.HNE Wise PPOHNE/PHCS-PPOSaver-06
Health New England, Inc.HNE MedPlus PPOHNE/PHCS/PPO-07-Medicare-Grp
HPHC Insurance Company, Inc.The PPO Plan MassachusettsMAG1PPOHBREV
HPHC Insurance Company, Inc.Best Buy HSA PPO310
HPHC Insurance Company, Inc.HPHC Qualifying Student Health PlanHPHC 06-BR-MA-PPO
HPHC Insurance Company, IncHospital PreferSM Best Buy PPO1456 (Grp)/1459 (Ind) & SOB1455
Monumental Life Insurance Company 1Student Acc. & Sickness Ins. ProgramNHG-MP-400.MA
Nationwide Life Insurance CompanyStudent Acc. & Sickness Ins. ProgramNW PHCS 101 10/26/04
Nationwide Life Insurance CompanyStudent Acc. & Sickness Ins. ProgramNW CERT 101 5/19/03
Nationwide Life Insurance CompanyStudent Acc. & Sickness Ins. ProgramNW CIGNA 101
Tufts Associated Health Maintenance Organization, Inc.POS OptionCC-MAPOS-001 Ed. 1-2008
Tufts Associated Health Maintenance Organization, Inc.PPOMA-PPO-001 Ed.1-2008
Tufts Insurance CompanyAdvantage PPOMA-TICOPPO-001 Ed.1-2008
Tufts Insurance CompanyCareLink
 
MA-TICOPPO-002 Ed. 1-2008
 
UniCARE Life and Health Insurance Company Unicare Classic PPOGCR100 et al.
United HealthCare Insurance CompanySelect PlusSELECTP.I.01.MA
United HealthCare Insurance Company Choice PlusCHOICEP.I.01.MA
United HealthCare Insurance CompanyOptions PPO OPTIONSPPO.I.01.MA
United HealthCare Insurance CompanyOptions PPO 80/80OPTIONS80/80.I.01.MA
United HealthCare Insurance CompanyQualifying Student Health Plan12-BR-MA-PPO


1Effective October 1, 2007, Peoples Benefit Life Insurance Company merged into Monumental Life Insurance Company

*  Please note that the following companies or product(s) do not appear above due to their decision to discontinue the offer of the plan(s) in Massachusetts - (The) Chesapeake Life Insurance Company, Combined Insurance Company of America, (The) Guardian Life Insurance Company of America, Affordable PPO 20 - 80%/20%), Harvard Pilgrim Health Care, Inc. (Value PPO 15 - 90%/10%), John Alden Life Insurance Company, (The) MEGA Life and Health Insurance Company, Mid-West National Life Insurance Company of Tennessee, Time Insurance Company, Unicare Life and Health Insurance Company (Form #s BCR 100.1 MA 10/04  and BCR 105.1-MA 11/04), Union Security Insurance Company and United HealthCare Insurance Company (Form# CPCEMA497).