Carriers Offering Health Benefit Plans to Individuals and Small Groups
(1 To 50 Eligible Employees)

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Blue Cross and Blue Shield of Massachusetts, Inc. 401 Park Drive, Landmark Center Boston, MA 02215

Group Sales Individual Sales

(800) 262-BLUE (800) 422-3545

Product Name	Form #	Offered also thru Connector
INSURED PREFERRED PROVIDER PLAN Blue Care Elect Preferred Provider Plan Subscriber Certificate	BCBS PPO (9-25-2010)	No

Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. 401 Park Drive, Boston, MA 02215

Group Sales Individual Sales

(800) 262-BLUE (800) 422-3545

Product Name	Form #	Offered also thru Connector
HEALTH MAINTENANCE ORGANIZATION
Health Maintenance Organization Subscriber Certificate	HMO (9-25-2010)	Yes
INSURED PREFERRED PROVIDER PLAN
Preferred Blue PPO Preferred Provider Plan Subscriber Certificate	HMO-PPO (9-25-2010)	No

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Boston Medical Center Health Plan, Inc. 1, 2 Two Copley Place, Suite 600 Boston, MA 02116 (877) 957-5300

Member Services Department

(877) 492-6967

Product Name	Form #	Offered also thru Connector
HEALTH MAINTENANCE ORGANIZATION BMC HEALTHNET PLAN SELECT NETWORK
Employer Group Product: Employer Choice Gold; Employer Choice Silver Plus; Employer Choice Silver Saver; Employer Choice Bronze Value; Employer Choice Bronze Plus; Employer Choice Bronze Saver	BMCHP-EmpChoice2012ver.1	No
Commonwealth Choice Product: 3 Commonwealth Choice Gold; Commonwealth Choice Silver High; Commonwealth Choice Silver Low; Commonwealth Choice Bronze High; Commonwealth Choice Bronze Medium; Commonwealth Choice Bronze Low	BMCHP-CChoice2012ver.1	Yes

CeltiCare Health Plan of Massachusetts, Inc. 380 Soldiers Field Road, Suite 300 Brighton, MA 02135

Member Services

(877) 264-6520

Product Name	Form #	Offered also thru Connector
HEALTH MAINTENANCE ORGANIZATION CELTICARE DIRECT NETWORK 4
Employer Group Product: CeltiCare Premier; CeltiCare Solution; CeltiCare Solution 500; 5 CeltiCare Solution 1000; CeltiCare Saver 250; CeltiCare Saver 2000; CeltiCare Saver HSA	CHP-GRP-EOC2011.v2	No
Individual Insurance Plan Product: 6 Employer Group Product: CeltiCare Premier; CeltiCare Solution; CeltiCare Solution 500; CeltiCare Solution 1000; CeltiCare Saver 250; CeltiCare Saver 2000; CeltiCare Saver HS	CHP-IND-EOC2011.v2	No
Commonwealth Choice Product: 7 Gold; Silver High; Silver Medium; 4 Silver Low; Bronze High; Bronze Medium & Bronze Low	CHP-CC2011-v2	Yes

ConnectiCare of Massachusetts, Inc. 8  175 Scott Swamp Road, P.O. Box 4050 Farmington, CT 06034-4050

Group Sales Individual Sales

(800) 723-2986 (800) 723-2986

Product Name	Form #	Offered also thru Connector
HEALTH MAINTENANCE ORGANIZATION
CMI HMO Deductible Open Access	CMI/HMO Deductible 01 (1/2010)	No
CMI HMO Open Access	CMI/HMO 01 (1/2010)	No
INSURED PREFERRED PROVIDER PLAN
CMI POS Open Access	CMI/POS 01 (1/2010)	No
Small Group Deductible Option 9	CMI/POS Deductible SG 01 (10/2011)	No

Fallon Community Health Plan, Inc. 10 Chestnut Street Worcester, MA 01608-2810

Merged Market Unit

(888) 797-3247 (800) 333-2535 x79097 (508) 799-2100 x79097

***FALLON OFFERS HEALTH PLANS WITH DIFFERENT PROVIDER NETWORKS. PLEASE CALL FALLON DIRECTLY IF YOU HAVE ANY QUESTIONS ABOUT WHETHER YOUR PROVIDER PARTICIPATES IN EACH NETWORK.***

Product Name	Form #	Offered also thru Connector
HEALTH MAINTENANCE ORGANIZATION
SELECT CARE NETWORK
FCHP Select Care Premium Saver I	05-670-148	No
FCHP Select Care Premium Saver II	05-670-148	No
FCHP Select Care Premium Saver Value I	05-670-148	No
FCHP Select Care Premium Saver Basic I	05-670-148	No
FCHP Select Care Premium Saver Basic II	05-670-148	No
FCHP Select Care Premium Saver 500	05-670-148	Yes
FCHP Select Care Premium Saver 1000	05-670-148	No
FCHP Select Care Premium Saver 1500	05-670-148	No
FCHP Select Care Premium Saver 2000	05-670-148	No
FCHP Select Care Premium Saver 2000 with $500 inpatient copayment	05-670-148	No
FCHP Select Care Choice 1250	05-670-148	No
FCHP Select Care Choice 1500	05-670-148	No
FCHP Select Care Choice 2000	05-670-148	No
FCHP Select Care 65/35	05-670-148	No
DIRECT CARE NETWORK 10
FCHP Direct Care Premium Saver I	05-670-151	No
FCHP Direct Care Premium Saver II	05-670-151	No
FCHP Direct Care Premium Saver Value I	05-670-151	No
FCHP Direct Care Premium Saver Basic	05-670-151	No
FCHP Direct Care Premium Saver Basic II	05-670-151	No
FCHP Direct Care Premium Saver 500	05-670-151	Yes
FCHP Direct Care Premium Saver 1000	05-670-151	No
FCHP Direct Care Premium Saver 1500	05-670-151	No
FCHP Direct Care Premium Saver 2000	05-670-151	No
FCHP Direct Care Premium Saver 2000 with $500 inpatient copayment	05-670-151	Yes
FCHP Direct Care Choice 1250	05-670-151	No
FCHP Direct Care Choice 1500	05-670-151	No
FCHP Direct Care Choice 2000	05-670-151	No
FCHP Direct Care 65/35	05-670-151	No
FCHP STEWARD COMUNITY CARE NETWORK 11
FCHP Steward Community Care	11-670-389	No
FCHP TIERED CHOICE NETWORK 12
FCHP Tiered Choice	11-670-196	No

Fallon Health & Life Assurance Company, Inc. 10 Chestnut Street Worcester, MA 01608-2810

Merged Market Unit

(888) 797-3247 (800) 333-2535 x79097 (508) 799-2100 x79097

Product Name	Form #	Offered also thru Connector
INSURED PREFERRED PROVIDER PLAN
Preferred Care 500 90/70	05-670-155	No
Preferred Care 1000 80/60	05-670-155	No
Preferred Care Premium Saver I	05-670-155	No
Preferred Care Premium Saver II	05-670-155	No
Preferred Care Premium Saver Value I	05-670-155	No
Preferred Care Premium Saver Basic I	05-670-155	No
Preferred Care Premium Saver Basic II	05-670-155	No
Preferred Care Premium Saver 500	05-670-155	No
Preferred Care Premium Saver 1000	05-670-155	No
Preferred Care Premium Saver 1500	05-670-155	No
Preferred Care Premium Saver 2000	05-670-155	No
Preferred Care Premium Saver 2000 w/ $500 copay	05-670-155	No
Preferred Care Choice 1250	05-670-155	No
Preferred Care Choice 1500	05-670-155	No
Preferred Care Choice 2000	05-670-155	No

Harvard Pilgrim Health Care, Inc 13 93 Worcester Street Wellesley, MA 02481-9181

Group Sales Individual Sales

(800) 848-9995 (800) 848-9995

***HARVARD PILGRIM OFFERS HEALTH PLANS WITH  DIFFERENT PROVIDER NETWORKS. PLEASE CALL HARVARD PILGRIM DIRECTLY IF YOU HAVE ANY QUESTIONS ABOUT WHETHER YOUR PROVIDER PARTICIPATES IN EACH NETWORK.***

Product Name	Form #	Offered also thru Connector
HEALTH MAINTENANCE ORGANIZATION (HARVARD PILGRIM NETWORK - STANDARD NETWORK)
Value HMO 15 (Plan Name 05)	610/MAHMO2001; 113	No
Affordable HMO 20 (Plan Name W5)	610/MAHMO2001; 113	No
Affordable HMO 25 (Plan Name W6)	610/MAHMO2001; 113	No
Tiered Copayment HMO 20 (Plan Name 0C)	610/MAHMO2001; 115	No
Tiered Copayment HMO 30 (Plan Name 8-LC)	610/MAHMO2001; 115	Yes
Best Buy HMO 500 (Plan Name RW-V)	610/MAHMO2001; 114	No
Best Buy HMO 1000 Plan Name RW-Y)	610/MAHMO2001; 114	No
Best Buy HMO 1500 Plan Name RW-W)	610/MAHMO2001; 114	No
Best Buy HMO 2000 (Plan Name RW-X)	610/MAHMO2001; 114	No
Core Coverage HMO (Plan Name 0H)	610/MAHMO2001; 591	Yes
Core Coverage 1750 HMO (Plan Name 6-LC)	610/MAHMO2001; 776	Yes
Gold 20 HMO (Plan Name RW-D)	610/MAHMO2001; 115	Yes
Silver 25 HMO (Plan Name RW-E)	610/MAHMO2001; 113	Yes
Silver 500 HMO (Plan Name RW-F)	610/MAHMO2001; 114	Yes
Silver 1000 HMO (Plan Name RW-G)	610/MAHMO2001; 114	Yes
Bronze 250 HMO (Plan Name RW-H)	610; 1000	Yes
Bronze 2000 HMO (Plan Name RW-I)	610; 1001	Yes
THE HARVARD PILGRIM FOCUS NETWORK 14		No
The Harvard Pilgrim Focus Network℠ HMO Massachusetts and The Harvard Pilgrim Focus Network℠ HMO for Individuals Massachusetts Optional Schedule of Benefit Pages Affordable HMO 25 SOB (Plan Name - O-RB) Best Buy HMO 1000 SOB (Plan Name - RB-Y) Best Buy HMO 1500 SOB (Plan Name - RB-X) Best Buy HMO 2000 SOB (Plan Name - RB-Z)	1268 /1269; 1304 1269 /1269; 1305	No
INSURED PREFERRED PROVIDER PLAN
Value PPO 15 (Plan Name 07)	611/MAPPO0701; 100	No
Affordable PPO 20 (Plan Name V8)	611/MAPPO0701; 100	No
Affordable PPO 25 (Plan Name AQ)	611/MAPPO0701; 100	No
Best Buy PPO 500 (Plan Name RW-U)	611/ MAPPO0701; 1054	No
Best Buy PPO 1000 (Plan Name RW-Z)	611/MAPPO0701; 1055	No
Best Buy PPO 1500 (Plan Name RB-1)	611/MAPPO0701; 1056	No
Best Buy PPO 2000 (Plan Name RB-0)	611/MAPPO0701; 1057	No

Health New England, Inc 15 One Monarch Place Springfield MA 01144

Group Sales Individual Sales

(800) 842-4464 (800) 842-4464

***HEALTH NEW ENGLAND OFFERS HEALTH PLANS WITH DIFFERENT PROVIDER NETWORKS. PLEASE CALL HEALTH NEW ENGLAND DIRECTLY IF YOU HAVE ANY QUESTIONS ABOUT WHETHER YOUR PROVIDER PARTICIPATES IN EACH NETWORK.***

Product Name	Form #	Offered also thru Connector
HEALTH MAINTENANCE ORGANIZATION
HEALTH NEW ENGLAND NETWORK (STANDARD NETWORK)
HNE Health Max	HNEHMO-06	Yes
HNE Health Plus	HNEHMO-06	No
HNE Principle	HNEHMO-06	No
HNE Complete Max	HNEHMO-06	No
HNE Complete	HNEHMO-06	No
HNE Complete Plus	HNEHMO-06	No
HNE Choice Plus	HNEHMO-06	No
HNE Choice	HNEHMO-06	No
HNE Focus	HNEHMO-06	No
HNE Essential Max	HNEHMO with DED-06	Yes
HNE Essential Plus	HNEHMO with DED-06	No
HNE Wise Max	HNEHMO with HIGHDED-06	No
HNE Wise Plus	HNEHMO with HIGHDED-06	Yes
HNE ALLIANCE NETWORK 16, 17
HNE Principle Alliance	HPNHMO-17 18
INSURED PREFERRED PROVIDER PLAN
HNE Premier PPO-Premium Plan	HNE/PHCS-PPO-06	No
HNE Premier PPO-Value Plan	HNE/PHCS-PPO-06	No
HNE Premier PPO-Basic Plan	HNE/PHCS-PPO-06	No
HNE Premier PPO- Mid Option	HNE/PHCS-PPO-06	No
HNE Premier PPO- Low Option	HNE/PHCS-PPO-06	No
HNE Wise PPO	HNE/PHCS-PPO Saver-06	No
HNE Premier PPO-Complete National	PHCS-PPO-06	No
HNE Premier PPO-Focus National	PHCS-PPO-06	No
HNE Premier PPO Complete	HNEPPO-06	No
HNE Premier PPO Focus	HNEPPO-06	No

HPHC Insurance Company, Inc 19 93 Worcester Street Wellesley, MA 02481-9181

Group Sales Individual Sales

(800) 848-9995 (800) 848-9995

Product Name	Form #	Offered also thru Connector
INSURED PREFERRED PROVIDER PLAN
Best Buy HSA PPO 1500 (Plan Name GJ)	612/310; 311	No
Best Buy HSA PPO 1500 w/in-network coins. (Plan Name GM)	612/310; 311	No
Best Buy HSA PPO 2000 (Plan Name GK)	612/310; 311	No
Best Buy HSA PPO 2000 w/in-network coins. (Plan Name GN)	612/ 310; 311	No
Best Buy HSA PPO 3000 (Plan Name GL)	612/310; 311	No
Best Buy HSA PPO 3000 w/in-network coins. (Plan Name GO)	612/310; 311	No
Bronze HSA PPO 2000 (Plan Name RW-J)	612; 311	Yes

Neighborhood Health Plan, Inc. 20 253 Summer Street Boston, MA 02210-1120

Group Sales Individual Sales

(617) 772-5663 (800) 462-5449

***NEIGHBORHOOD HEALTH PLAN OFFERS HEALTH PLANS WITH TWO DIFFERENT PROVIDER NETWORKS. PLEASE CALL NEIGHBORHOOD HEALTH PLAN DIRECTLY IF YOU HAVE ANY QUESTIONS ABOUT WHETHER YOUR PROVIDER PARTICIPATES IN EACH NETWORK.***

Product Name	Form #	Offered also thru Connector
HEALTH MAINTENANCE ORGANIZATION NEIGHBORHOOD HEALTH PLAN NETWORK (STANDARD NETWORK)
NHP Care One- Version 2008	BCEOC-0701.1, NHPBC08	No
NHP Choice Plus	BCEOC-07-1.1, NHPBC09 BCEOC-07-1.1, NHPBC10	Yes
NHP Choice Extra	BCEOC-07-1.1, NHPBC10	Yes
NHP Choice Extra 500	BCEOC-07-1.1, NHPBC11	No
NHP Choice Extra 1000	BCEOC-07-1.1, NHPBC12	Yes
NHP Choice Optimum 250	BCEOC-07-1.1, NHPBC13	Yes
NHP Choice Optimum 2000/4000	BCEOC-07-1.1, NHPBC14	Yes
NHP Choice Optimum 2000	BCEOC-07-1.1, NHPBC15	Yes

Tufts Associated Health Maintenance Organization, Inc. 21 (d/b/a) Tufts Health Plan) 705 Mount Auburn Street Watertown, MA 02472-1508

Group Sales Individual Sales

(800) 208-8013 (800) 957-6596

***TUFTS HEALTH PLAN OFFERS HEALTH PLANS WITH TWO DIFFERENT PROVIDER NETWORKS. PLEASE CALL TUFTS HEALTH PLAN DIRECTLY IF YOU HAVE ANY QUESTIONS ABOUT WHETHER YOUR PROVIDER PARTICIPATES IN EACH NETWORK.***

Product Name	Form #	Offered also thru Connector
HEALTH MAINTENANCE ORGANIZTION
HMO Premium Plan 22	EC-MASSHMO-001 Ed. 1-2011
HMO Value Plan	EC-MASSHMO-002 Ed. 1-2011
HMO Basic Plan	EC-MASSHMO-003 Ed. 1-2011
TUFTS HEALTH PLAN SELECT NETWORK 23
HMO Premium Plan HMO Select 10 Option	EC-MASSHMO-001 Ed. 1-2011	Yes
HMO Value Plan Advantage HMO Select 750 option	EC-MASSHMO-002 Ed. 1-2011	Yes
HMO Basic Plan Advantage HMO Select 2000 Option	EC-MASSHMO-003 Ed. 1-2011	Yes
INSURED PREFERRED PROVIDER PLAN
PPO Plan Option	MA-PPO-001 Ed. 1-2011	No
Point of Service Option 22	CC-MAPOS-001 Ed. 1-2011	No
STEWARD COMMUNITY CHOICE NETWORK 24
Steward Community Choice	EC-MASSHMO-002 ED.09-2011	No

Tufts Insurance Company  25 (d/b/a) Tufts Health Plan) 705 Mount Auburn Street Watertown, MA 02472-1508

Group Sales Individual Sales

(800) 208-8013 (800) 957-6596

Product Name	Form #	Offered also thru Connector
INSURED PREFERRED PROVIDER PLAN
Advantage PPO	MA-TICOPPO-001 Ed. 1-2011	No

United HealthCare Insurance Company 475 Kilvert Street Warwick, RI 02886-1392

Group Sales Individual Sales

(888) 735-5842 Option 4 (888) 735-5842 Option 4

Product Name	Form #	Offered also thru Connector
INSURED PREFERRED PROVIDER PLAN
Choice Plus	CHOICEP.I.01.MA & COC.CER.I.07.MA.SB	No
Options PPO	OPTIONSPPO.I.01.MA & COC.CER.I.07.MA.SB	No
Options PPO 80/80	OPTIONS80/80.I.01.MA & COC.CER.I.07.MA.SB	No

 

YOUNG ADULT PLAN INFORMATION
 

In addition to the above-noted plans, The Commonwealth Health Insurance Connector ("Connector") will also offer Young Adult Plans. These plans are available to those 18-26 year olds who are uninsured. For further information regarding these plans, please contact the Connector directly at (617) 1-877-MA-ENROLL (1-877-623-6765) or visit their website at http://www.mass.gov/connector

¹ Please call the carrier directly if you have any questions about whether the BMC HealthNet Plan Select Network is specifically available in your area and whether your primary care provider, specialist or acute care facility participates in the network.
² As permitted by law, Boston Medical Center Health Plan, Inc. requires individuals and groups with five or fewer eligible employees to enroll through the Massachusetts Health Connector (“Connector”) in the Commonwealth Choice Products.
³ This form is to be offered to individuals and eligible small groups through the Massachusetts Health Connector (“Connector”) but the benefit structure is exactly the same as what is offered to eligible small groups outside of the Connector.
⁴ Please call the carrier directly if you have any questions about whether the CeltiCare Direct Network is specifically available in your area and whether your primary care provider, specialist or acute care facility participates in the
CeltiCare Direct Network.
⁵ Carrier notified the Division that it intends to discontinue to offer the filed plan as of July 1, 2011 and nonrenew enrollees after June 30, 2012.
⁶ This form is to be offered to individuals only for administrative ease but the benefit structure is exactly the same as
what is offered to eligible small groups.
⁷ This form is to be offered to individuals and groups through the Massachusetts Health Connector ("Connector) only for administrative ease but the benefit structure is exactly the same as what is offered to eligible small groups and
eligible individual outside of the Connector.
⁸ Service area includes Hampden, Hampshire and Franklin, parts of Berkshire and Worcester counties.
⁹ This option is to be offered to individuals and groups beginning October 2011.
¹⁰ The Direct Care Network is different than Select Care Network. Please call the carrier directly if you have any questions about whether the Direct Care Network is specifically available in your area and whether your primary care provider, specialist or acute care facility participates in the Direct Care Network
¹¹ FCHP Steward Community Care Network provides access to a network that is smaller than Fallon’s Select and Direct Provider networks.  Members have access to network benefits only from the Providers in the Steward Community Care Network.  Please call the carrier directly if you have any questions about whether the Steward Community Care Network is specifically available in your area as well as the participation of your primary care provider, specialist or acute care facility.
 ¹²  FCHP Tiered Choice Plan providers and hospitals fall into different tiers; members pay different levels of copayments, coinsurance and deductibles depending on the tier of the provider delivering a covered service or supply.  Please call the carrier directly if you have any questions about whether the FCHP Tiered Choice Network is specifically available in your area as well as the participation of your primary care provider, specialist or acute care facility within the network.
¹³ As allowed by law, Harvard Pilgrim Health Care, Inc. requires groups with five or fewer eligible employees to enroll through the following intermediaries: Massachusetts Business Association (781) 848-4950 and Small Business Service Bureau (508) 756-3513.
¹⁴ The Harvard Pilgrim Focus Network is different than Harvard Pilgrim Standard Network. Please call the carrier directly if you have any questions about whether the Harvard Pilgrim Focus Network is specifically available in your area and whether your primary care provider, specialist or acute care facility participates in the Harvard Pilgrim Focus Network
¹⁵ As allowed by law, HNE requires groups with five or fewer eligible employees as well as individuals to enroll through the following intermediaries: Massachusetts Business Association (781) 848-4950 and Small Business Service Bureau (800) 222-5678
¹⁶ The HNE Alliance Network is different than the HMO primary care provider network. Please call the carrier directly if you have any questions about whether the HNE Alliance Network is specifically available in your area and whether your primary care provider participates within the HNE Alliance network
|¹⁷Carrier notified the Division that it intends to discontinue offering the filed plan as of November 1, 2011 and nonrenewing enrollees beginning February 1, 2012.
¹⁸Form# HPNHMO-17 replaces the previously approved Form# HNEHMO-06.
¹⁹ As allowed by law, HPHC Insurance Company, Inc. requires groups with five or fewer eligible employees to enroll through the following intermediaries: Massachusetts Business Association (781) 848-4950 and Small Business Service Bureau (800) 222-5678
²⁰ As allowed by law, Neighborhood Health Plan, Inc. requires groups with five or fewer eligible employees to enroll through the following intermediaries: Massachusetts Business Association (800) 696-8167, Small Business Service Bureau (800) 548-6900, U.S. Federation of Small Business, Inc. (800) 637-3331 and National Association of Socially Responsible Organizations (781) 893-4343
²¹ As allowed by law, Tufts Associated Health Maintenance Organization, Inc. requires groups with five or fewer eligible employees to enroll through the following intermediaries: Massachusetts Business Association (800) 696-8167, North Central Massachusetts Chamber of Commerce (978) 353-7600, Small Business Service Bureau (800) 222-5678 or through the Connector if applicable. Individuals are not required to enroll through either an intermediary or the Connector.
²² The Tufts HMO Premium Plan and the Tufts Point of Service Option are closed to new business.
²³ The Tufts Health Plan Select Network is different than the Tufts Associated Health Maintenance Organization Network. Please call the carrier directly if you have any questions about whether the Tufts Health Plan Select Network is specifically available in your area and whether your primary care provider, specialist or acute care facility participates within the Tufts Health Plan Select Network.
²⁴ Tufts Steward Community Choice Network provides access to a network that is smaller than Tufts Health Plan General Provider network.  Members have access to network benefits only from the Providers in the Steward Community Choice Network.  Please call Tufts directly if you have any questions about whether the Steward Community Choice Network is specifically available in your area as well as the participation of your primary care provider, specialist or acute care facility.
²⁵ As allowed by law, Tufts Insurance Company requires groups with five or fewer eligible employees to enroll through the following intermediaries: Massachusetts Business Association (800) 696-8167, North Central Massachusetts Chamber of Commerce (978) 353-7600, Small Business Service Bureau (800) 222-5678.