Dallas - Region VI
1200 Main Tower Building
Dallas,TX 75202
Contractor Operation Branch: (215) 767-6441
States in Region VI: Arkansas, Louisiana, New Mexico, Oklahoma, Texas,
ARKANSAS
Firm Name: HealthSource
Arkansas,
Inc.
Medicare Name: HealthSource
Address: 333
Executive
Court
Little
Rock, AR 72205
Telephone: 1-800-301-0303
or (501) 227-7222
Counties: Pulaski
Key: ARR (H0249)
Firm Name: HMO Partners
(d.b.a.
Health Advantage)
Medicare Name: Medipak Advantage
Address: 26
Corporate Hill
Drive
P.O.
Box
8069
Little
Rock, AR 72203-8069
Telephone: 1-800-225-1891
Counties: Garland, Hot Spring,
Pulaski,
Saline
Key: ARR (H0451)
Firm Name: Advantage
Health Plan,
Inc.
Medicare Name: Advantage 65
Address: 829 St.
Charles
Avenue
New
Orleans, LA 70130
Telephone: 1-800-880-4465
Counties: Ascension, Assumption,
East
Baton Rouge, East Feliciana,
Iberville,
Jefferson, LaFourche, Livingston, Orleans, Plaquemines,
Pointe
Coupee, Saint Bernard, Saint Charles, Saint Helena,
Saint
James, Saint Tammany, St. John the Baptist, Tangipahoa,
West
Baton Rouge, West Feliciana
Key: LAR (H1956)
Firm Name: Aetna
Health Plans
of Louisiana
Medicare Name: Senior Choice
Address: 3900
North
Causeway Blvd.
Suite
410
Metaire,
LA 70002-7283
Telephone: 1-800-519-4542
Counties: Ascension, East Baton
Rouge,
Jefferson, Livingston, Orleans,
Plaquemines,
Saint Bernard, Saint Charles, Saint Tammany,
St.
John
the Baptist, West Baton Rouge
Key: LAR (H1962)
Firm Name: Community
Health
Network of Louisiana
Medicare Name: Community 65
Address: 2431 S.
Acadian
Thruway
P.O.
Box
80159
Baton
Rouge, LA 70898-0159
Telephone: (504)
923-0550
Counties: Ascension, Assumption,
East
Baton Rouge, East Feliciana,
Iberville,
Jefferson, Lafourche, Livingston, Orleans, Plaquemines,
Pointe
Coupee, St. Bernard, St. Charles, St. Helena, St. James,
St.
John
the Baptist, St. Tammany, Tangipahoa, Terrebonne,
Washington,
West Baton Rouge, West Feliciana
Key: LAR (H1954)
Firm Name: Gulf South
Preferred
Health Plan, Inc.
Medicare Name: Gulf South Health
Plan
Address: 5615
Corporate
Boulevard, Suite 3
Baton
Rouge, LA 70808
Telephone: 1-800-237-3583
or (504) 523-1700
Counties: Ascension,Assumption,
East Baton
Rouge, East Feliciana
Iberville,
Jefferson, Livingston, Orleans, Pointe Coupee,
St.
Bernard, St. Charles, St. Helena, St. James, St. Tammany,
St.
John
the Baptist, West Baton Rouge, West Feliciana
Key: LAR (H1955)
Firm Name: Ochsner
Health Plan -
New Orleans
Medicare Name: Total Health 65
Address: 1
Galleria
Boulevard, Suite 1224
Metairie,
LA 70001
Telephone: (504)
836-6600
Counties: Ascension, East Baton
Rouge,
East Feliciana, Iberville, Jefferson,
LaFourche,
Livingston, Orleans, Plaquemines, Pointe Coupee,
Saint
Bernard, Saint Charles, Saint James, Saint Tammany,
St.
John
The Baptist, Tangipahoa, Terrebonne, West Baton Rouge,
West
Feliciana
Key: LAR (H1951) (Converted
from H1949)
Firm Name: SMA HMO,
Inc.
Medicare Name: Smartplan 65
Address: 111
Veterans
Boulevard, Suite 500
Metairie,
LA 70005
Telephone: 1-800-259-7370
or 1-800-772-6937
Counties: Assumption, Jefferson,
LaFourche, Orleans, Plaquemines, St. Bernard, St. Charles, St.
James, St.
John the Baptist, St. Tammany, Tangipahoa,
Terrebonne, Washington
Key: LAR (H1958)
NEW MEXICO
Firm Name: FHP of
New Mexico,
Inc.
Medicare Name: FHP Senior Plan
Address: 4300
San Mateo
Blvd., NE
Albuquerque,
NM 87110
Telephone: (505)
881-7900
or (505) 889-8500
Counties: Bernalillo,
Cibola, Los Alamos, Rio Arriba, Sandoval,
Santa
Fe,
Valencia
Key: NMR (H3204)
Firm Name: Health Plus
of New
Mexico, Inc.
Medicare Name: Presbyterian Senior
Health Plan
Address: 7500
Jefferson
Street, N.E.
P.O.
Box
27489
Albuquerque,
NM 87125-7489
Telephone: 1-800-356-2884
or (505) 260-6300
Counties: Bernalillo,
Sandoval, Valencia
Key: NMR (H3250)
Firm Name: Lovelace
Health
Plan, Inc.
Medicare Name: Lovelace Senior Plan
Address: 5400
Gibson
Boulevard S.E.
Albuquerque,
NM 87108
Telephone: 1-800-808-7363
or (505) 262-7510
Counties: Bernalillo,
Los
Alamos, Rio Arriba, San Miguel,
Sandoval,
Santa Fe, Socorro, Torrance, Valencia
Key: NMR (H3251)
Firm Name: Lovelace
Health Plan,
Inc.
Medicare Name: Lovelace Senior Plan
Address: 5400
Gibson
Boulevard S.E.
Albuquerque,
NM 87108
Telephone: 1-800-808-7363
or (505) 262-7510
Counties: Dona Ana,
Otero,
Sierra
Key: NMR (H3253)
Firm Name: Qual-Med
Plans for
Health, Inc. - New Mexico
Medicare Name: Senior Security Health
Plan
Address: 6100
Uptown Blvd
NE, Suite 400
Albuquerque,
NM 87110
Telephone: 1-800-335-2929
or (505) 889-4949
Counties: Bernalillo, Los
Alamos,
Sandoval, Santa Fe, Valencia
Key: NMR
(H3249)
Firm Name: BlueLincs
HMO, Inc.
Medicare Name: BlueLincs Senior
Address: 1400
South Boston
Avenue
Tulsa,
OK
74119
Telephone: (918)
561-9988
or (918) 592-9394
Counties: Canadian, Cleveland,
Creek,
Lincoln, Oklahoma, Osage,
Payne,
Rogers, Tulsa, Wagoner
Key: OKR
(H3757)
Firm Name: Community
Care HMO,
Inc.
Medicare Name: Community Care HMO Senior
Health
Plan
Address: 4720 S.
Harvard,
Suite 202
Tulsa,
OK
74135
Telephone: 1-800-642-8065
Counties: Creek, Lincoln,
Oklahoma,
Tulsa
Key: OKR
(H3755)
Firm
Name: HealthCare
Oklahoma, Inc.
Medicare Name: Perfect Harmony
Address: 3030
Northwest
Expressway, Suite 1500
Oklahoma
City, OK 73112-4481
Telephone: (405)
951-4700
Counties: Canadian, Cleveland,
Grady,
Mclain, Oklahoma
Key: OKR
(H3756)
Firm Name: PacifiCare of
Oklahoma,
Inc.
Medicare Name: Secure Horizons
Address: 7666 E.
61st
Street, Suite 500
Tulsa,
OK
74133
Telephone: (918)
459-1165
Counties: Canadian, Cleveland,
Creek,
McClain, Oklahoma,
Osage,
Rogers, Tulsa, Wagoner
Key: OKR
(H3749) (Converted from H3753)
Firm Name: PacifiCare of
Oklahoma,
Inc.
Medicare Name: Secure Horizons
Address: 7666 E.
61st
Street, Suite 500
Tulsa,
OK
74133
Telephone: (918)
459-1165
Counties: Canadian, Cleveland,
McClain,
Oklahoma
Key: OKR
(H3754)
Firm Name: Cigna
HealthCare of
Texas, Inc. - Houston
Medicare Name: Cigna HealthCare for
Seniors
Address: Two
Riverway,
Suite 1300
Houston,
TX 77056
Telephone: 1-800-592-9221
Or (713) 552-7600
Counties: Brazoria, Chambers,
Fort Bend,
Galveston, Hardin, Harris, Jefferson, Liberty, Montgomery, Orange
Key: TXR (H4569)
Firm Name: FHP of Texas,
Inc.
Medicare Name: FHP Senior Plan/Senior Plus
Address: 12
Greenway
Plaza, Suite 500
Houston,
TX 77046
Telephone: (713)
621-9595
Counties: Brazoria, Chambers,
Fort Bend,
Galveston, Harris, Montgomery, Waller
Key: TXR (H4562)
Firm Name: Harris
Health Plan,
Inc.
Medicare Name: Harris Methodist Senior
Address: 611
Ryan Plaza
Drive, Suite 900
Arlington,
TX 76011
Telephone: 1-800-633-8598
or (817) 462-7171
Counties: Tarrant
Key: TXR (H4559)
Firm Name: HMO Texas,
L.C.
Medicare Name: Golden Choice
Address: 21011
Richmond
Avenue, Suite 900
Houston,
TX 77042
Telephone: 1-800-466-8397
Counties: Brazoria, Chambers,
Fort Bend,
Galveston, Hardin,
Harris,
Jefferson, Liberty, Matagorda, Montgomery,
Orange,
San Jacinto, Waller, Wharton
Key: TXR (H4565)
Firm Name: Humana Health
Plan of
Texas - Corpus Christi
Medicare Name: Humana Gold Plus Plan
Address: 802 N.
Carancahua, Suite 1700
Corpus
Christi, TX 78470
Telephone: (512)
866-2200
or (512) 866-2220
Counties: Nueces, San
Particio
Key: TXR (H4504)
Firm Name: Humana Health
Plan of
Texas - San Antonio
Medicare Name: Humana Gold Plus Plan
Address: 8431
Fredericksburg Rd., Suite 540
San
Antonio, TX 78229
Telephone: (210)
617-1000
or (210) 617-1010
Counties: Austin, Bexar, Bosque,
Brazoria,
Caldwell, Chambers, Colorado, Dallas, Denton, Falls, Fayette, Fort
Bend,
Galveston, Harris, Hays, Hood,
Johnson, Limestone, McLennan, Milam, Montgomery, Somervell, Tarrant,
Travis, Waller,
Williamson
Key: TXR (H4510)
Firm Name: NYLCare
Health
Plans, Inc.
Medicare Name: NYLCare 65
Address: 4500
Fuller
Drive
Irving,
TX 75038
Telephone: 1-800-435-2113
or (214) 791-3900
Counties: Collin, Dallas,
Denton, Ellis,
Johnson, Parker,
Rockwall,
Tarrant
Key: TXR (H4507)
Firm Name: Pacificare of
Texas,
Inc. - San Antonio
Medicare Name: Secure Horizons
Address: 8200
IH-10 West,
Suite 1000
San
Antonio, TX 78230
Telephone: 1-800-950-9355
or (210) 524-9600
Counties: Atascosa, Bandera,
Bexar,
Brazos, Collin, Colorado, Comal, Dallas,
Denton,
Ellis, Fort Bend, Freestone, Galveston, Gonzales, Grimes,
Guadalupe,
Harris, Hood, Hunt, Johnson, Kaufman, Kendall, Lavaca,
Leon,
Madison, Medina, Montgomery, Navarro, Rockwall, Tarrant,
Wharton,
Wilson, Wise
Key: TXR (H4590)
Firm Name: PCA Health
Plans of
Texas, Inc. - Austin
Medicare Name: PCA QualiCare
Address: 8303
Mopac, Suite
450
Austin,
TX 78759
Telephone: 1-800-234-7912
Counties: Aransas,
Atascoca,
Bee, Bexar, Brazoria, Brazos, Burleson,
Chambers,
Comal, Fort Bend, Galveston, Harris, Hays, Jim Wells,
Karnes,
Kleberg, Lee, Montgomery, Nueces, Refugio, San Patricio,
Travis,
Waller, Washington
Key: TXR (H4557)
Firm Name: Prudential
Health Care
Plan, Inc. - Houston
Medicare Name: Prudential SeniorCare
Address: One
Prudential
Circle
Sugar
Land, TX 77478
Telephone: 1-800-992-2273
Counties: Brazoria,
Fort Bend,
Galveston, Harris, Montgomery, Waller
Key: TXR (H4563)
Firm
Name: Prudential Health
Care Plan, Inc. - San Antonio
Medicare Name: Prudential SeniorCare
Address: 40 N.E.
Loop 410,
Suite 600
San
Antonio, TX 78216
Telephone: 1-800-657-5959
or (210) 366-1921
Counties: Bexar
Key: TXR (H4560)
Firm Name: Santa Fe
Employees
Hospital Association
Medicare Name: Santa Fe Hospital
Association
Address: 4912
Midway
Drive
P.O.
Box
6130
Temple,
TX 76503
Telephone: 1-800-334-1330
or (817) 773-1330
Counties: None
Key: TXH (H4556)
Firm Name: Scott and
White Health
Plan
Medicare Name: Seniorcare
Address: 2401
South 31st
Street
Temple,
TX 76508
Telephone: 1-800-321-7947
Counties: Bastrop, Bell, Bosque,
Brazos,
Burleson, Burnet, Coryell, Falls,
Fayette,
Grimes, Lampasas, Lee, Leon, Madison, McLennan,
Milam,
Robertson, Travis, Williamson
Key: TXC (H4564) (Converted
from H4555)
Firm Name: Principal
Health
Care of Iowa, Inc.
Medicare Name: Principal Health of Iowa,
Inc.
Address: Regency
Six,
Suite 301
4600
Westown Parkway
West
Des
Moines, IA 50266
Telephone: (515)
225-1234
Counties: Polk, Warren
Key: IAH (H1649)
Firm Name: United
HealthCare of
the Midlands
Medicare Name: Share Seniorcare
Address: 405
Regency
Parkway, Suite 100
Omaha,
NE
68114
Telephone: (402)
255-5500
or (402) 225-5600
Counties: Pottawattamie
Key: IAR
(H2802)
Firm Name: Good
Health HMO,
Inc.
Medicare Name: Blue Advantage 65
Address: 2301
Main, 2nd
Floor
One
Pershing Square
Kansas
City, MO 64141-6169
Telephone: (816)
395-3777
Counties: Johnson,
Wyandotte
Key: KSR (H2656)
Firm Name: HealthNet
Medicare Name: HealthNet Excel Prime
Address: Two
Pershing
Square
2300
Main
Street, Suite 700
Kansas
City, MO 64108
Telephone: (816)
221-8400
Counties: Johnson,
Wyandotte
Key: KSR (H2666)
Firm Name: Humana of
Kansas City,
Inc.
Medicare Name: Humana Gold Plus Plan
Address: 10450
Holmes
Road, Suite 200
Kansas
City, MO 64131-3471
Telephone: (816)
943-1050
Counties: Johnson,
Wyandotte
Key: KSR (H2649)
Firm Name: Kaiser
Foundation
Health Plan of Kansas City, Inc.
Medicare Name: Kaiser Permanente Senior
Advantage
Address: 10561
Barkley,
Suite 200
Overland
Park, KS 66212
Telephone: 913-469-5607
Counties: Johnson, Wyandotte
Key: KSR
(H1751)
Firm Name: Kaiser
Foundation
Health Plan of Kansas City, Inc.
Medicare Name: Kaiser Fndn HP of Kansas
City
Address: 10561
Barkley,
Suite 200
Overland
Park, KS 66212
Telephone: (913)
469-5607
Counties: Jackson,
Johnson, Leavenworth, Wyandotte
Key: KSH (H1703)
Firm Name: Preferred
Plus of
Kansas, Inc.
Medicare Name: Preferred Senior Care
Address: 345
Riverview,
Suite 103
P.O.
Box
49288
Wichita,
KS 67201-9288
Telephone: 1-800-660-8114
or (316) 268-0345
Counties: Sedgwick
Key: KSR (H1750)
Firm Name: Total
Health
Care
Medicare Name: Total Health Care 65
Address: 2301
Main, 2nd
Floor
One
Pershing Square
Kansas
City, MO 64141-6169
Telephone: (816)
395-3777
Counties: Johnson,
Wyandotte
Key: KSR (H2652)
Firm Name: Alliance Blue
Cross and
Blue Shield
Medicare Name: BlueChoice Senior
Address: 1831
Chestnut
Street
P.O.
Box
66859
St.
Louis, MO 63166-9713
Telephone: 1-800-652-6387
or (314) 923-4444
Counties: Saint Charles, Saint
Louis
Key: MOR (H2659)
Firm Name: Gencare
Health
Systems
Medicare Name: Gencare CARUS
Address: 77 West
Port Plaza,
Suite 500
St.
Louis, MO 63146
Telephone: 1-800-627-0607
or (314) 434-6114
Counties: Saint
Charles, Saint
Louis
Key: MOR (H2658)
Firm Name: Good Health
HMO,
Inc.
Medicare Name: Blue Advantage 65
Address: 2301
Main, 2nd
Floor
One
Pershing Square
Kansas
City, MO 64141-6169
Telephone: (816)
395-3777
Counties: Cass,
Clay, Jackson,
Platte
Key: MOR
(H2656)
Firm Name: Group Health
Plan,
Inc.
Medicare Name: GHP Senior Plan
Address: 940
West Port
Plaza Drive, Suite 300
St.
Louis, MO 63146
Telephone: (314)
453-1700
Counties: Franklin, Jefferson,
Saint
Charles, Saint Louis,
Saint
Louis City
Key: MOH (H2601)
Firm Name: Group Health
Plan,
Inc.
Medicare Name: Advantra
Address: 940
West Port
Plaza Drive, Suite 300
St.
Louis, MO 63146
Telephone: (314)
453-1700
Counties: Franklin, Jefferson,
Saint
Charles, Saint Louis,
Saint
Louis City, Warren
Key: MOR (H2663)
Firm Name: HealthNet
Medicare Name: HealthNet Excel Prime
Address: Two
Pershing
Square
2300
Main
Street, Suite 700
Kansas
City, MO 64108
Telephone: (816)
221-8400
Counties: Clay, Jackson,
Platte
Key: MOR (H2666)
Firm Name: Humana Kansas
City,
Inc.
Medicare Name: Humana Gold Plus Plan
Address: 10450
Holmes
Road, Suite 200
Kansas
City, MO 64131-3471
Telephone: (816)
943-1050
Counties: Cass, Clay, Jackson,
Platte
Key: MOR (H2649)
Firm Name: Kaiser
Foundation
Health Plan of Kansas City, Inc.
Medicare Name: Kaiser Permanente Senior
Advantage
Address: 10561
Barkley,
Suite 200
Overland
Park, KS 66212
Telephone: (913)
469-5607
Counties: Cass, Clay, Jackson,
Platte
Key: MOR
(H1751)
Firm Name: Kaiser
Foundation
Health Plan of Kansas City, Inc.
Medicare Name: Kaiser Fndn HP of Kansas
City
Address: 10561
Barkley,
Suite 200
Overland
Park, KS 66212
Telephone: (913)
469-5607
Counties: Cass,
Clay,
Johnson, Platte, Ray
Key: MOH (H1703)
Firm Name: Physicians HP
of
Greater St. Louis, Inc.
Medicare Name: CARUS
Address: 77 West
Port
Plaza, Suite 500
St.
Louis, MO 63146
Telephone: (314)
275-7000
Counties: Franklin,
Jefferson, Saint Charles, Saint Louis
Key: MOR (H2654)
Firm Name: St. Louis
Labor
Health Institute
Medicare Name: Labor Health Institute
Address: 300
South Grand
Boulevard
St.
Louis, MO 63103
Telephone: (314)
658-5613
Counties: None
Key: MOH (H6261)
Firm Name: Total Health
Care
Medicare Name: Total Health Care 65
Address: 2301
Main, 2nd
Floor
One
Pershing Square
Kansas
City, MO 64141-6169
Telephone: (816)
395-3777
Counties: Cass, Clay, Jackson,
Platte
Key: MOR (H2652)
Firm Name: Exclusive
HealthCare,
Inc.
Medicare Name: Medicare Preferred
Address: 10250
Regency
Circle, Suite 250 (Managed Health Care Programs)
Omaha,
NE
68114-3767
Telephone: 1-800-364-6371
or (402) 351-7984
Counties: Douglas, Sarpy
Key: NER (H2849)
Firm Name: United Health
Care of
the Midlands
Medicare Name: Share Seniorcare
Address: 450
Regency
Parkway, Suite 100
Omaha,
NE
68114
Telephone: (402)
255-5500
or (402) 255-5600
Counties: Douglas
Key: NER (H2802)
Firm Name: CIGNA
HealthCare of
Colorado, Inc.
Medicare Name: CIGNA HealthCare for
Seniors
Address: 3900 East
Mexico
Avenue, Suite 1100
Denver,
CO 80210-3946
Telephone: 1-800-245-2471
or
(303) 782-1565
Counties: Adams,
Arapahoe,
Denver, Douglas, Jefferson
Key: COR (H0659)
Firm Name: FHP of
Colorado,
Inc.
Medicare Name: Senior Plan
Address: 6455 South
Yosemite
Englewood,
CO 80111
Telephone: 1-800-877-9777
or (303) 220-5800
Counties: Adams, Arapahoe,
Boulder,
Crowley, Denver, Douglas, El Paso,
Fremont,
Huerfano, Jefferson, Otero, Pueblo, Teller
Key: COR (H0609)
Firm Name:
HMO
Colorado, Inc. - Denver
Medicare Name: BlueAdvantage for Seniors
Address: 700
Broadway, Suite
612
Denver,
CO 80273
Telephone: (303)
831-7046
Counties: Adams, Arapahoe,
Boulder,
Denver, Douglas, Jefferson
Key: COR (H0603)
Firm Name: HMO Health
Plans,
Inc.
Medicare Name: Medicare Plan
Address: 95 West
First
Avenue
Monte
Vista, CO 81144
Telephone: (719)
852-4055
Counties: Alamosa,
Conejos, Costilla, Mineral, Rio Grande, Saguache
Key: COC (H0657)
Firm Name: Kaiser
Foundation
Health Plan of CO
Medicare Name: Kaiser Colorado
Address: 10350
East Dakota
Avenue
Denver,
CO 80231-1314
Telephone: 1-800-632-9700
Counties: Adams,
Arapahoe,
Boulder, Denver, Douglas, Jefferson, Weld
Key: COH (H0600)
Firm Name: Kaiser
Foundation
Health Plan of CO
Medicare Name: Kaiser Permanente Senior
Advantage
Address: 10350
East Dakota
Avenue
Denver,
CO 80231-1314
Telephone: 1-800-632-9700
Counties: Adams,
Arapahoe,
Boulder, Clear Creek, Denver, Douglas,
Elbert,
Gilpin, Jefferson, Larimer, Park, Weld
Key: COR (H0630)
Firm Name: Mutual of
Omaha of
Colorado & Primera
Medicare Name: Medicare Preffered
Address: 600
Grant Street,
Suite 310
Denver,
CO 80203
Telephone: 1-800-706-8747
or 1-800-522-7132
Counties: Adams,
Arapahoe,
Denver, Jefferson
Key: COR (H0660)
Firm Name: Qual-Med
Plans for
Health of Colorado, Inc. - Colorado Springs
Medicare Name: Senior Security
Address: 5575
Tech Center
Drive, Suite 120
Colorado
Springs, CO 80919
Telephone: 1-800-847-3990
or
(719) 594-4949
Counties: El Paso,
Teller
Key: COC (H0656)
Firm Name: Qual-Med
Plans for
Health of Colorado, Inc. - Denver
Medicare Name: Senior Security
Address: 14001
East Illiff
Avenue, Suite 118
Aurora,
CO
80014
Telephone: 1-800-847-3990
or
(303) 750-4949
Counties: Adams,
Arapahoe,
Boulder, Clear Creek, Denver, Douglas, Jefferson
Key: COR (H0615)
Firm Name:
Qual-Med Plans
for Health of Colorado, Inc. - Pueblo
Medicare Name: Senior Security
Address: 225 North
Main
Pueblo,
CO 80014
Telephone: 1-800-628-2287
or (719) 544-4949
Counties: Custer, Fremont,
Huerfano,
Pueblo
Key: COC (H0655)
Firm Name:
Rocky
Mountain HMO
Medicare Name: Rocky Mountain Medicare
Plan
Address: 2775
Crossroads
Blvd., P.O. Box 10600
Grand
Junction, CO 81502
Telephone: (303)
243-7050
Counties: Adams,
Arapahoe,
Archuleta, Boulder, Clear Creek, Delta,
Denver,
Douglas, Dolores, Eagle, Garfield, Gilpin, Gunnison,
Jefferson,
LaPlata, Mesa, Moffat, Montezuma, Montrose, Ouray,
Pitkin,
Rio Blanco, San Juan, San Miguel, Summit
Key: COC (H0602)
Firm Name: Rocky
Mountain HMO
- Denver (Terminated 01/96)
Medicare Name: Rocky Mountain Medicare
Plan
Address: 2775
Crossroads
Blvd., P.O. Box 10600
Grand
Junction, CO 81502
Telephone: (303)
243-7050
Counties: Adams,
Arapahoe,
Boulder, Denver, Douglas, Jefferson
Key: COC (H0653) (Converted
to H0602)
Firm Name: Heart of
America
HMO
Medicare Name: Heart of America
Address: Human
Service
Center
802
South
Main
Rugby,
ND
58368
Telephone: 1-800-525-5661
or (701) 776-5848
Counties: Benson, Bottineau,
McHenry,
Pierce, Rolette,
Towner,
Wells
Key: NDC (H3503)
Firm Name: Deseret
Healthcare
Trust
Medicare Name: Deseret Healthcare Senior
Choice
Health Plan
Address: 60 East
South
Temple
Salt
Lake
City, UT 84145
Telephone: 1-800-777-3622
or (801) 578-5600
Counties: Box Elder,
Cache,
Davis, Juab, Salt Lake,
Summit,
Utah, Wasatch, Weber
Key: UTH (H4650)
Firm Name: FHP, Inc.
-
Utah
Medicare Name: Senior Plan
Address: 35 West
Broadway
Salt
Lake
City, UT 84101
Telephone: 1-800-377-4161
or (801) 323-6200
Counties: Box
Elder,
Cache, Davis, Morgan, Salt Lake,
Summit,
Tooele, Utah, Wasatch, Weber
Key: UTR (H4653) (Converted
from H4600)
Firm Name: IHC Care,
Inc.
Medicare Name: IHC Senior Care
Address: 36
South State
Street, Suite 1400
Salt
Lake
City, UT 84111
Telephone: 1-800-442-4467
Counties: Davis,
Morgan, Salt
Lake, Utah, Weber
Key: UTR (H4651)
Firm Name: Union
Pacific RR
Employee Health System
Medicare Name: Union Pacific RR Employee
Health
System
Address: 795
North 400
West
Salt
Lake
City, UT 84103
Telephone: 1-800-547-0421
or (801) 595-4300
Counties: None
Key: UTH (H4652)
Firm Name: Blue
Cross/Shield of
Arizona
Medicare Name: Medicare Blue
Address: 2444 W. Las
Palmaritas
Phoeniz,
AZ 85021
Telephone: 1-800-359-9060
Counties: Maricopa,
Pima,
Pinal
Key: AZR (H0355)
Firm Name: Cigna
HealthCare of
Arizona, Inc.
Medicare Name: Cigna Health Plan for
Seniors
Address: 11001 N.
Black Canyon
Highway, Suite 400
Phoenix,
AZ 85029
Telephone: 1-800-572-9990
or 1-800-552-4462
Counties: Maricopa,
Pima,
Pinal
Key: AZR (H0354)
Firm Name: FHP, Inc. -
Arizona
Medicare Name: Senior Plan
Address: 410
North 44th
Street
P.O.
Box
52078
Phoenix,
AZ 85072-2078
Telephone: 1-800-347-8600
or (602) 244-2707 or (602) 748-2500
Counties: Maricopa,
Pima,
Pinal
Key: AZR (H0303)
Firm Name: Health Plan
of Nevada,
Inc.
Medicare Name: Senior Dimensions
Address: P.O.
Box
15645
Las
Vegas, NV 89114-5645
Telephone: 1-800-650-6232
or (702) 242-7301
Counties:
Mohave
Key: NVR (H2931)
Firm Name:
Humana Health
Care Plans
Medicare Name: Humana Gold Plus Plan
Address: 2231 East
Camelback
Road, Suite 208
Phoenix,
AZ 85016-3453
Telephone: 1-800-852-8260
or (602) 381-4333 / (520) 745-1348
Counties: Maricopa, Pima,
Pinal
Key: AZR (H0307)
Firm
Name: Intergroup Prepaid
Health Service of Arizona, Inc.
Medicare Name: Senior Care
Address: 2800 N.
44th, Suite
900
Phoenix,
AZ 85008-1502
Telephone: 1-800-289-2818
or (602) 721-1122
Counties Cochise,
Gila,
Graham, Greenlee, Maricopa,
Pinal,
Pima, Santa Cruz
Key: AZR (H0351)
Firm Name: Maricopa
County
Health Plan
Medicare Name: Maricopa Senior Select
Address: 2516 E.
University
Drive
Phoenix,
AZ 85034
Telephone: 1-800-582-8686
or (602) 681-8700
Counties: Maricopa
Key: AZR (H0350)
Firm Name: Partners
Health
Plan of Arizona
Medicare Name: Senior Choice
Address: 333 East
Wetmore
Road, Suite 125
Tucson,
AZ 85705
Telephone: 1-800-696-8151
Counties: Cochise,
Graham,
Greenlee, Pima, Pinal,
Santa
Cruz
Key: AZR (H0352)
Firm Name: Premier
HealthCare,
Inc.
Medicare Name: Premier for Seniors
Address: 100 W.
Claredon,
Suite 400
Phoenix,
AZ 85013
Telephone: 1-800-914-4474
Counties: Coconino,
La Paz,
Maricopa, Mohave, Pima, Pinal,
Yavapai,
Yuma
Key: AZR (H0356)
CALIFORNIA
Firm Name: Aetna
Health Plans
of California
Medicare Name: Senior Choice
Address: 1111
Bayhill
Drive, Suite 300
San
Bruno, CA 94066
Telephone: 1-800-345-8883
Counties: Alameda,
Contra
Costa, Marin, San Francisco,
San
Mateo, Santa Clara
Key: CAR (H0547)
Firm Name: Aetna
Health Plans
of California
Medicare Name: Senior Choice
Address: 303
East
Vanderbilt Way, Suite 400
San
Bernardino, CA 92408
Telephone: 1-800-776-0360
Counties: Kern,
Los
Angeles, Orange, Riverside, San Bernardino, Ventura
Key: CAR (H0523)
Firm
Name: California
Physicians' Services Corp. - Los Angeles
Medicare Name: Shield 65
Address: Two
North
Point
San
Francisco, CA 94133
Telephone: 1-800-653-5775
Counties: Los
Angeles,
Orange, Riverside, San Bernardino
Key: CAR (H0504)
Firm Name: California
Physicians'
Services Corp. - San Francisco
Medicare Name: Shield 65
Address: Two
North
Point
San
Francisco, CA 94133
Telephone: 1-800-653-5775
Counties: Alameda,
Contra
Costa, Sacramento, San Francisco,
San
Mateo, Santa Clara
Key: CAR (H0599)
Firm
Name: CaliforniaCare
Health Plans
Medicare Name: Senior CaliforniaCare
Address: 200
Corporate Center
Drive
Newbury
Park, CA 91320
Telephone: 1-800-333-3883
or 1-800-765-2585
Counties: Kern,
Los
Angeles, Orange, Riverside, San Bernardino,
San
Diego, San Luis Obispo, Santa Barbara, Ventura
Key: CAR (H0564)
Firm
Name: CaliforniaCare
Health
Plans
Medicare Name: Senior
CaliforniaCare-Fresno/Madera
Address: 200
Corporate Center
Drive
Newbury
Park, CA 91320
Telephone: 1-800-333-3883
or 1-800-765-2585
Counties: Fresno,
Madera
Key: CAR (H0590)
Firm
Name: CaliforniaCare
Health
Plans
Medicare Name: Senior
CaliforniaCare-Northern
California
Address: 200
Corporate Center
Drive
Newbury,
CA 91320
Telephone: 1-800-333-3883
or 1-800-765-2585
Counties: Alameda,
Contra
Costa, Placer, Sacramento,
San
Francisco, Santa Clara
Key: CAR (H0591)
Firm Name: CareAmerica
Health
Plans
Medicare Name: CareAmerica 65 Plus
Address: 6300 Canoga
Ave.
Woodland
Hills, CA 91367
Telephone: 1-800-776-4466
Counties: Los
Angeles,
Orange, Riverside, San Bernardino
Key: CAR (H0554)
Firm Name: CareAmerica
Health
Plans
Medicare Name: Golden Outlook
Address: 1230 S.
Paramount
Boulevard
Downey,
CA 90242
Telephone: (310)
904-6014
Counties: Downey
Key: CAR (H0554)
Firm Name: Chinese
Community
Health Plan
Medicare Name: CCHP Medicare
Address: 170
Columbus
Ave., Suite 210
San
Francisco, CA 94133
Telephone: (415)
397-3190
Counties: San
Francisco
Key: CAR
(H0571)
Firm Name: Cigna Health
Care of
California, Inc.
Medicare Name: Cigna Healthcare for
Seniors
Address: 505 N.
Brand
Boulevard
P.O.
Box
2125
Glendale,
CA 91203
Telephone: 1-800-747-8686
Counties: Inyo,
Los
Angeles, Mono, Orange, Riverside,
San
Bernardino, San Diego, Ventura
Key: CAR
(H0581) CAH (H6054/H6055/H0656
-
CLOSED)
Firm Name: Cigna Health
Care of
California, Inc.
Medicare Name: Cigna Healthcare for
Seniors
Address: 505 N.
Brand
Boulevard
P.O.
Box
2125
Glendale,
CA 91203
Telephone: 1-800-747-8686
Counties: Alameda,
Contra
Costa, San Francisco, San Mateo, Santa Clara
Key: CAR
(H0588)
Firm Name: Contra Costa
Health
Plan
Medicare Name: Senior Health Plus 50
(High
Option) Senior Health (Basic)
Address: 595 Center
Avenue,
Suite 100
Martinez,
CA 94553
Telephone: (510)
313-6070
or (510) 313-6060
Counties: Contra Costa
Key:
CAC (H0502)
Firm Name: FHP, Inc.
-
Northern California
Medicare Name: Senior Plan, Senior Plan
Plus
Address: 2300
Clayton Road,
Suite 1000
Concord,
CA 94520-2100
Telephone: 1-800-635-2273
or 1-800-381-3813
Counties: Alameda,
Contra
Costa, El Dorado, Marin, Sacramento, San Francisco,
San
Joaquin, San Mateo, Santa Clara, Solano, Sonoma, Stanislaus
Key: CAR (H0580)
Firm
Name: Foundation Health,
A California Plan
Medicare Name: Senior Value
Address: P.O. Box
254707
Sacramento,
CA 95865-4707
Telephone: 1-800-543-7589
Counties: Los
Angeles,
Orange, Riverside, San Bernardino, San Diego, Ventura
Key: CAR (H0557)
Firm
Name: Foundation Health,
A California Plan
Medicare Name: Senior Value
Address: P.O. Box
254707
Sacramento,
CA 95865-4707
Telephone: 1-800-543-7589
Counties: El Dorado,
Placer,
Sacramento, San Joaquin, Stanislaus, Yolo
Key: CAR
(H0586)
Firm Name: Health Net
Medicare Name: Seniority Plus - Northern
California
Address: P.O. Box
9103
Van
Nuys,
CA 91409-9103
Telephone: 1-800-522-0088
or 1-800-935-6565
Counties:
Alameda,
Butte, Colusa, Contra Costa, El Dorado, Glenn,
Marin,
Napa, Placer, Plumas, Sacramento, San Francisco,
San
Mateo, Santa Clara, Sierra, Solano, Sutter, Yolo, Yuba
Key: CAR (H0562)
Firm Name: Health
Net
Medicare Name: Seniority Plus -
Southern
California
Address: P.O. Box
10198
Van
Nuys,
CA 91410-0198
Telephone: 1-800-522-0088
or 1-800-935-6565
Counties: Kern,
Los
Angeles, Orange, Riverside, San Bernardino,
San
Diego, San Luis Obispo, Santa Barbara, Ventura
Key: CAR (H0563)
Firm Name: Health
Net
Medicare Name: Seniority Plus - Central
Valley
Address: P.O. Box
10198
Van
Nuys,
CA 91410-0198
Telephone: 1-800-522-0088
or 1-800-935-6565
Counties: Fresno,
Madera,
Mariposa, Tulare
Key: CAR (H0570)
Firm Name: Health Plan
of the
Redwoods
Medicare Name: Mediprime
Address: 3033
Cleveland
Avenue
Santa
Rosa, CA 95403-2170
Telephone: 1-800-248-2070
or
(707) 525-4300
Counties: Sonoma
Key: CAR (H0566)
Firm Name:
Inter
Valley Health Plan
Medicare Name: Service to Seniors
Address: 300 S. Park
Avenue,
Suite 300
Pomona,
CA 91766
Telephone: (909)
623-5958
or 1-800-251-8191
Counties: Los Angeles, Orange,
Riverside,
San Bernardino, Ventura
Key: CAR (H0545)
Firm Name: Kaiser
Foundation
Health Plan, Inc. - Oakland
Medicare Name: Senior Advantage
Address: 1950
Franklin
P.O.
Box
12916
Oakland,
CA 94604
Telephone: 1-800-814-0888
Counties: Alameda, Amador, Contra
Costa, El
Dorado, Marin,
Napa,
Placer, Sacramento, San Francisco, San Joaquin,
San
Mateo, Santa Clara, Solano, Sonoma, Sutter, Yolo, Yuba
Key: CAR
(H0583)
CAH (H6052 - CLOSED)
Firm Name: Kaiser
Foundation
Health Plan, Inc. - Oakland
Medicare Name: Senior Advantage
Address: 1950
Franklin
P.O.
Box
12916
Oakland,
CA 94604
Telephone: 1-800-814-0888
Counties: Fresno, Kings, Madera,
Mariposa,
Tulare
Key: CAR (H0584)
CAH (H6052 - CLOSED)
Firm Name:
Kaiser
Foundation Health Plan, Inc. - Los
Angeles
Medicare Name: Senior Advantage
Address: 393 East
Walnut
Street
Pasadena,
CA 91188
Telephone: 1-800-443-0815
or 1-800-464-4000
Counties: Los
Angeles,
Orange, Riverside, San Bernardino,
San
Diego, Ventura
Key: CAR (H0524) CAH (H6050
- CLOSED)
Firm Name:
Kaiser
Foundation Health Plan, Inc. -
Bakersfield
Medicare Name: Senior Advantage
Address: 393 East
Walnut
Street
Pasadena,
CA 91188
Telephone: 1-800-443-0815
or 1-800-464-4000
Counties:
Kern
Key: CAR (H0526)
Firm Name:
Lifeguard,
Inc.
Medicare Name: Lifeguard for Seniors
Address: 1851
McCarthy
Boulevard
Milpitas,
CA 95035
Telephone: 1-800-585-4633
or 1-800-540-3922
Counties: Merced
Key: CAR (H0528)
Firm Name:
Lifeguard,
Inc.
Medicare Name: Lifeguard SeniorPlan
Address: 1851
McCarthy
Boulevard
Milpitas,
CA 95035
Telephone: 1-800-540-3922
or (408) 943-9400
Counties: Alameda, Contra Costa,
San
Francisco, San Mateo, Santa Clara,
Stanislaus
Key: CAR (H0594)
Firm Name:
Lifeguard,
Inc.
Medicare Name: Lifeguard SeniorPlan
Address: 1851
McCarthy
Boulevard
Milpitas,
CA 95035
Telephone: 1-800-540-3922
or (408) 383-4318
Counties: San Luis Obispo, Santa
Barbara
Key: CAR (H0595)
Firm Name:
Maxicare, A
California Corporation
Medicare Name: MAX65
Address: 1149 S.
Broadway
Street
Los
Angeles, CA 90015
Telephone: 1-800-392-6565
or (213) 742-9955
Counties: Los Angeles, Orange,
Riverside,
San Bernardino
Key: CAR (H0558)
Firm Name: National
Medical
Enterprises, Inc.
Medicare Name: SecurityCare
Address: 1005 West
Orangeburg
Avenue, Suite B
Modesto,
CA 95350
Telephone: 1-800-468-8600
or (209) 527-3350
Counties: Alameda,
Calaveras,
Contra Costa, Merced,
San
Joaquin, Stanislaus, Tuolumne
Key: CAR (H0568)
Firm Name: National
Medical
Enterprises, Inc.
Medicare Name: SecurityCare/Southern
California
Address: 1005 West
Orangeburg
Avenue, Suite B
Modesto,
CA 95350
Telephone: 1-800-468-8600
or (209) 527-3350
Counties: Los
Angeles, Orange
Key: CAR (H0592)
Firm Name: National
Medical
Enterprises, Inc.
Medicare Name: SecurityCare/Northern
California
Address: 1005 West
Orangeburg
Avenue, Suite B
Modesto,
CA 95350
Telephone: 1-800-468-8600
or (209) 527-3350
Counties: Lassen,
Modoc,
Shasta, Siskiyou
Key: CAR (H0593)
Firm Name:
Pacificare of
California, Inc. - Northern California
Medicare Name: Secure Horizons
Address: 5995 Plaza
Drive
Cypress,
CA 90630
Telephone: 1-800-228-2144
Counties: Alameda,
Contra
Costa, Fresno, Kings, Madera, Mariposa,
Merced,
Monterey, Napa, Placer, Sacramento, San Francisco,
San
Joaquin, San Luis Obispo, San Mateo, Santa Barbara, Santa Clara,
Santa Cruz, Solano, Sonoma, Stanislaus, Tulare
Key: CAR (H0559)
Firm Name:
Pacificare
of California, Inc. - Butte
Medicare Name: Secure Horizons
Address: 5995 Plaza
Drive
Cypress,
CA 90630
Telephone: 1-800-228-2144
Counties: Butte
Key: CAR (H0598)
Firm Name:
Pacificare
of California, Inc. - Southern California
Medicare Name: Secure Horizons
Address: 5995 Plaza
Drive
Cypress,
CA 90630
Telephone: 1-800-228-2144
Counties: Kern, Los Angeles,
Orange,
Riverside, San Bernardino,
San
Diego, San Luis Obispo, Santa Barbara,
Ventura
Key: CAR (H0543) CAC (H0513
- CLOSED)
Firm Name:
Pacificare of
California, Inc. (Formerly, Central Valley HP, Inc. )
Medicare Name: Secure
Horizons
(Terminated 01/96)
Address: 5995 Plaza
Drive
Cypress,
CA 90630
Telephone: 1-800-228-2144
Counties: Fresno,
Madera
Key: CAR (H0582)
Firm Name: Prudential
Health Care
Plan of CA
Medicare Name: Prucare One (Southern)
Address: 21261
Burbank Blvd.,
3rd Floor
Woodland
Hills, CA 91367
Telephone: 1-800-286-4778
Counties: Kern, Los
Angeles,
Orange, Riverside, San Bernardino
San
Diego, San Luis Obispo, Ventura
Key: CAR (H0576)
Firm
Name: Prudential Health
Care Plan of CA
Medicare Name: Prucare One
(Northern)
Address: 21261
Burbank Blvd.,
3rd Floor
Woodland
Hills, CA 91367
Telephone: 1-800-286-4778
or (818) 712-5015
Counties: Alameda,
Contra
Costa, Sacramento, San Francisco,
San
Joaquin, San Mateo, Santa Clara
Key: CAR (H0577)
Firm Name:
Santa Fe
Employees Hospital
Association
Medicare Name: Santa Fe Employees
Hospital
Association
Address: 551 E. San
Bernadino
Road
Covina,
CA 91723
Telephone: (818) 967-3550
Counties:
None
Key: CAH (H6053)
Firm Name: Watts
Foundation
Health, Inc./United Health
Plan
Medicare Name: United Health Plan for
Seniors
Address: 3405 W.
Imperial
Highway
Inglewood,
CA 90303
Telephone: 1-800-544-0088
or (310) 671-3465
Counties: Los Angeles, Orange,
San
Bernardino
Key: CAR (H9016)
Firm Name: Hawaii
Medical
Service Association
Medicare Name: 65C Plus
Address: 818
Keeaumoku
Street
P.O.
Box
860
Honolulu,
HI 96808-0860
Telephone: (808)
948-6265
Counties: Kauai, Maui, Hawaii,
Honolulu,
Molokai, Lanai
Key: HIC (H1203)
Firm Name: Kaiser
Foundation
Health Plan
Medicare Name: Senior Plan
Address: 711
Kapiolani
Blvd.
Honolulu,
HI 96813
Telephone: (808)
243-6000
or (808) 243-6695
Counties: Honolulu, Maui
Key: HIR (H1230)
Firm Name: Kaiser
Foundation
Health Plan
Medicare Name: Kaiser FHP
Address: 711
Kapiolani
Blvd.
Honolulu,
HI 96813
Telephone: (808)
243-6000
or (808) 243-6695
Counties: Honolulu,
Maui
Key: HIH (H1200)
Firm Name: FHP, Inc. -
Nevada
Medicare Name: Senior Plan
Address: 2300 W.
Sahara
Avenue, Suite 700
P.O.
Box
14
Las
Vegas, NV 89102-4354
Telephone: 1-800-501-9933
or (702) 222-4646
Counties: Clark,
Mohave
(Arizona)
Key: NVR (H2949)
Firm Name: Health Plan
of Nevada,
Inc.
Medicare Name: Senior Dimensions
Address: P.O.
Box
15645
Las
Vegas, NV 89114-5645
Telephone: 1-800-650-6232
or (702) 242-7301
Counties:
Clark,
Esmeralda, Lyon, Mineral, Nye, Washoe
Key: NVR (H2931)
Firm Name: Hometown
Health
Plan
Medicare Name: Senior Care Plus Health Plan
Address: 400
South Wells
Avenue
Reno,
NV
89502
Telephone: 1-800-336-0123
or 1-800-323-0049
Counties:
Washoe
Key: NVR (H2960) (Converted
from H2957)
Firm Name: Humana
Health Plan,
Inc.
Medicare Name: Humana Gold Plus Plan
Address: 9900
Covington
Cross Drive
Las
Vegas, NV 89134
Telephone: (702)
735-7275
Counties:
Clark,
Nye
Key: NVR (H2959)
Firm Name: Group Health
Northwest
- Washington
Medicare Name: Group Health
Address: West
5615 Sunset
Highway
Spokane,
WA 99204
Telephone: 1-800-497-2210
or (509) 838-9100
Counties: Bonner,
Kootenai, Latah
Key: IDC (H5002)
Firm Name: Medical
Services
Bureau of Idaho, Inc. (MSB-Idaho)
Medicare Name: HealthSense 65
Address: 1602
21st
Avenue
Lewiston,
ID 83501
Telephone: (208)
798-2203
Counties: Ada,
Adams,
Benewah, Boise, Bonner, Boundary, Canyon, Clearwater,
Elmore,
Gem, Idaho, Kootenai, Lateh, Lewis, Nez Perce, Owyhee,
Payette, Soshone, Valley,, Walley, Washington
Key: IDC (H1349)
Firm Name: HMO
Oregon
Medicare Name: Preferred Choice 65
Address: 201
High Street,
SE
Salem,
OR
97301
Telephone: 1-800-541-8981
or (503) 391-4585
Counties: Benton,
Clatsop,
Curry, Douglas, Jackson, Josephine,
Lane,
Linn, Marion, Polk, Tillamook, Yamhill
Key: ORC (H3851) (Converted
from H3853)
Firm Name: HMO
Oregon
Medicare Name: First Choice 65
Address: 100 SW.
Market
Street
Portland,
OR 97201
Telephone: 1-800-541-8981
Counties: Clackamas,
Columbia,
Multnomah, Washington
Key: ORR (H3856) (Converted
from H9049)
Firm Name: Kaiser
Foundation
Health Plan of the NW
Medicare Name: Kaiser Medicare Plus
Address: 2701
NW. Vaughn,
Suite 300
Portland,
OR 97210
Telephone: (503)
813-2000
Counties: Benton, Clackamas,
Columbia,
Linn, Marion,
Multnomah,
Polk, Washington, Yamhill
K
Key: ORR
(H9003) ORC
(H3803)
Firm Name: PACC
Medicare Name: PACC Medicare HMO Plan
Address: P.O.
Box 286
Clackamas,
OR 97015-0286
Telephone: 1-800-568-5625
Counties: Benton,
Clackamas, Clatsop, Columbia, Hood
River,
Lane, Lincoln, Linn, Marion, Multnomah,
Polk,
Tillamook, Wasco, Washington, Yamhill
Key: ORC
(H3801)
Firm Name: PACC
Medicare Name: PACC Medicare HMO Plan
Address: P.O.
Box 286
Clackamas,
OR 97015-0286
Telephone: 1-800-568-5625
Counties: Curry,
Jackson,
Josephine
Key: ORC
(H3860)
Firm Name: Pacificare of
Oregon
Medicare Name: Secure Horizons
Address: 5
Centerpointe
Drive, Suite 600
Lake
Oswego, OR 97035-8650
Telephone: 1-800-624-6050
or (503) 598-4546
Counties: Benton, Clackamas,
Columbia,
Douglas, Lane, Linn, Jackson,
Josephine,
Marion, Multnomah, Polk, Washington, Yamhill
Key: ORR
(H3805)
Firm
Name: Providence Health
Plans - Southern Oregon
Medicare Name: Good Health Plan of
Oregon
Address: 1235
NE. 47th
Avenue, Suite 220
Portland,
OR 97213
Telephone: 1-800-878-4445
or (503) 215-7500
Counties: Jackson, Josephine
Key: ORR
(H3855)
Firm
Name: SelectCare Health
Plans
Medicare Name: SelectCare Senior Plus
Address: 600
Country Club
Road
Eugene,
OR 97401
Telephone: 1-800-248-2330
or (541) 485-1850
Counties: Clatsop,
Columbia
Key: ORR (H3857)
Firm Name: SelectCare
Health
Plans
Medicare Name: SelectCare Senior Plus
Address: 600
Country Club
Road
Eugene,
OR 97401
Telephone: 1-800-248-2330
or (541) 485-1850
Counties: Benton,
Douglas,
Lane, Linn, Marion, Polk
Key: ORR (H3858)
Firm Name: Group Health
Cooperative of Puget Sound
Medicare Name: Securehealth
Address: 521
Wall
Street
Seattle,
WA 98121
Telephone: (206)
287-2000
Counties: Clallam, Grays Harbor,
Island,
King, Kitsap, Lewis, Mason,
Pierce,
San Juan, Skagit, Snohomish, Thurston, Whatcom
Key: WAR (H5050)
Firm Name: Group
Health
Northwest - Washington
Medicare Name: GHNW Standard Option
Address: West
5615 Sunset
Highway
P.O.
Box
204
Spokane,
WA 99204
Telephone: 1-800-497-2210
or
(509) 838-9100
Counties: Adams, Benton, Chelan,
Columbia,
Douglas, Ferry, Franklin, Grant, Kittitas, Klickitat, Lincoln,
Okanogan, Pend
Oreille, Stevens, Walla Walla,
Whitman, Yakima
Key: WAC (H5002)
Firm Name: Group Health
Northwest
- Washington
Medicare Name: GHNW Standard Option
Address: West
5615 Sunset
Highway
P.O.
Box
204
Spokane,
WA 99204
Telephone: 1-800-497-2210
or
(509) 838-9100
Counties: Lincoln, Spokane,
Stevens
Key: WAC (H5068)
Firm Name: Group Health
Northwest
- Washington
Medicare Name: GHNW Standard Option
Address: West
5615 Sunset
Highway
P.O.
Box
204
Spokane,
WA 99204
Telephone: 1-800-497-2210
or
(509) 838-9100
Counties: Spokane
Key: WAR (H5069)
Firm Name: Health
Maintenance
of Oregon, Inc.
Medicare Name: First Choice 65
Address: 201
High
Street
Salem,
OR
97309
Telephone: 1-800-541-8981
Counties: Clark
Key: WAR (H9049)
Firm
Name: HealthPlus
Medicare Name: Senior Partners
Address: P.O.
Box
34168
Seattle,
WA 98124-1168
Telephone: 1-888-220-5151
or 1-800-551-9903
Counties: King,
Kitsap,
Lewis, Pierce, Snohomish, Thurston
Key: WAR (H5071)
Firm Name: Kaiser
Foundation
Health Plan of the NW
Medicare Name: Kaiser Medicare Plus I
Address: 2701 NW
Vaughn,
Suite 300
Portland,
OR 97210
Telephone: (503)
813-2000
Counties: Clark,
Cowlitz,
Lewis, Wahkiakum
Key: WAR (H9003)
Firm Name: Medical
Service
Corporation
Medicare Name: MSC Classic Care
Address: 3900
East
Sprague
P.O.
Box
3048
Spokane,
WA 99220-3048
Telephone: (509)
536-4700
Counties: Spokane
Key: WAR (H5066)
Firm Name: Options
Health
Care, Inc.
Medicare Name: Options Health Care
Address: P.O.
Box 930
1730
Minor Avenue
Seattle,
WA 98111-0930
Telephone: 1-800-552-4711
or (206) 287-2000
Counties: Grays
Harbor,
Island, King, Kitsap, Lewis, Mason, Pierce,
San
Juan,
Skagit, Snohomish, Thurston, Whatcom
Key: WAR (H5063)
Firm
Name: PACC
Medicare Name: PACC Medicare HMO Plan
Address: P.O.
Box 286
Clackamas,
OR 97015-0286
Telephone: 1-800-568-5625
Counties: Clark,
Cowlitz,
Klickitat, Pacific, Skamania
Key: WAC
(H3801)
Firm Name: PacifiCare of
Washington, Inc.
Medicare Name: Secure Horizons
Address: 7525
S.E. 24th
P.O.
Box
9005
Mercer
Island, WA 98040-9004
Telephone: 1-800-255-6673
or (206) 236-1700
Counties: Chelan, Clark,
Cowlitz, Douglas,
Ferry, Island, King, Lewis,
Okanogan,
Pend Oreille, Pierce, Skagit, Snohomish, Spokane,
Stevens,
Thurston, Walla Walla, Whitman
Key: WAR (H5005)
(Converted from H5051 - H5060 - H5065)
Firm
Name: Providence Good
Health Plan of Washington
Medicare Name: Sound Choice - Medicare
Extra
Address: 1501
4th Ave.,
Suite 500
Seattle,
WA 98101
Telephone: 1-800-443-0996
or (206) 622-6111
Counties: Adams,
Chelan,
Douglas, Grant, King, Lincoln,
Okanogan,
Pierce, Snohomish, Spokane
Key: WAR (H5052)
Firm Name: Qual-Med
Washington
Health Plan, Inc. - Inland Northwest Division
Medicare Name: Senior Security
Address: Qual-Med
Plaza
201
W.
North River Drive, Suite 300
P.O.
Box
2470
Spokane,
WA 99201-2470
Telephone: 1-800-845-7881
or (509) 459-6690
Counties: Spokane
Key: WAR (H5053)
Firm Name: Qual-Med
Washington
Health Plan, Inc. - Puget Sound Region
Medicare Name: Senior Security
Address: 2331
130th
Avenue, NE, Suite 200
Bellevue,
WA 98005
Telephone: 1-800-869-7175
or (206) 869-3500
Counties: King,
Kitsap,
Pierce, Snohomish, Thurston
Key: WAR (H5055)
Firm Name: Virginia
Mason
Health Plan
Medicare Name: Medicare Choice
Address: Metropolitan
Park
West
1100
Olive Way, Suite 1580
Seattle,
WA 98101-1828
Telephone: 1-800-624-4083
or (206) 223-8844
Counties: King,
Kitsap,
Pierce, Snohomish
Key: WAC (H5067) (Converted
from H5059)
The social health maintenance organization (SHMO) is an innovative
prepaid
program that integrates medical, social and long term care. The SHMO
merges the
HMO concepts of
capitation financing and provider risk sharing with the case management
and
support services
concepts of providers of long term care. The demonstration sites are
financed
through capitation
payments from Medicare and Medicaid, and member premiums and
copayments.
In March of 1984, four plans initiated service delivery:
Elderplan, Inc., Brooklyn, NY; Group Health, Inc. and Ebenezer Society,
Minneapolis, MN;
Kaiser-Permanente Center for Health Research, Portland, OR; and Senior
Care
Action Network
(SCAN), Long Beach, CA.
Section 4207 of Public Law 101-508 (Omnibus Budget Reconciliation Act
of 1990)
authorized
the approval of up to four additional SHMO targeting and financing
methodologies
and benefit
design.
Currently, there are sixteen operational SHMOs which are listed
below:
Plan
Name: ElderPlan,
Inc.
Marketing
Name: ElderPlan
Address: 6323 7th
Avenue
Brooklyn,
NY 11220
Bene Inquiries: (718) 921-7898
Service Area: Kings
Key: NYR (H9101)
Plan
Name: EverCare
Marketing
Name: EverCare-Georgia
Address: 3390
Peachtree N.E.,
Suite 800
Atlanta,
GA 30326
Bene Inquiries: (404) 364-8992
Service Area: Cobb, DeKalb, Fulton
Key: GAR (H1151)
Plan
Name: EverCare
Marketing
Name: EverCare-Maryland
Address: 849
International
Drive, Suite 125
Linthicum,
MD 21090
Bene Inquiries: (404) 850-5555
Service Area: Baltimore, Howard,
Montgomery
Key: MDR (H2155)
Intermediaries/Carriers Use:
Route
2913 (EverCare Claims)
P.O.
Box
169065
Duluth,
MN 55816-8351
Bene Inquiries: 1-800-393-0993
Service Area: Maricopa
Key: AZR (H0357)
Plan
Name: EverCare
Marketing
Name: EverCare-Massachusetts
Address: 1 Research
Drive,
Suite 300B
Westborough,
MA 01581
Bene Inquiries: (508) 366-3125
Service Area: Essex, Middlesex, Norfolk,
Suffolk
Key: MAR (H2259)
Plan
Name: EverCare
Marketing
Name: EverCare-Tampa
Address: 3507
Frontage Road,
Suite
180
Tampa,
FL
33607
Intermediaries/Carriers Use:
Route
2913 (EverCare Claims)
P.O.
Box
169065
Duluth,
MN 55816-8351
Bene Inquiries: 1-800-393-0993
Service Area: Hillsborough, Pinellas
Key: FLR (H1083)
Plan Name: Florida
Hospital
HealthCare System
Marketing Name: Premier Health
Address: 2809
North Orange
Avenue
Orlando,
FL 32804
Bene Inquiries: 1-888-893-9602 or
(407)
893-9602
Service Area: Orange, Osceola,
Seminole
Key: FLR (H1096)
Plan Name: Health
Partners of
Philadelphia, Inc.
Marketing Name: Senior Partners
Address: 4700
Wissahickon,
#118
Philadelphia,
PA 19144-4283
Bene Inquiries: 1-888-476-9466
Service Area: Philadelphia
Key: PAR (H3964)
Plan Name: Health Plans
of PA,
Inc.
Marketing Name: MedCare Plus
Address: Rose
Tree
Corporate Center I
1400
N.
Providence Rd, Suite 212
Media,
PA
19063-2050
Bene Inquiries: 1-800-858-9296
Service Area: Delaware
Key: PAR (H3966)
Plan Name: Health Plan
of
Nevada
Marketing Name: Health Plan of
Nevada
Address: P.O.
Box
15645
Las
Vegas, NV 89114-5645
Bene Inquiries: 1-800-650-6232
Service Area: Clark, Lyon, Mineral, Nye,
Washoe
Key: NVR (H2961)
Plan Name: Independence
Blue
Cross
Marketing Name: Personal Choice 65
Address: 1901
Market
Street
Philadelphia,
PA 19103-1480
Bene Inquiries: (215) 241-6663
Service Area: Bucks, Chester, Delaware,
Montgomery, Philadelphia
Key: PAR (H3963)
Plan Name: Kaiser
Foundation
Health Plan of the NW
Marketing Name: Kaiser Medicare Plus
II
Address: 500
N.E.
Multnomah Street, Suite 100
Portland,
OR 97232-2099
Bene Inquiries: (503) 813-2800
Service Area: Clackamas, Multnomah,
Washington
Key: ORR (H9103)
Plan Name: Memorial
Sisters of
Charity HMO, LLC
Marketing Name: Choice 65
Address: 9494
Southwest
Freeway, Suite 300
Houston,
TX 77074
Bene Inquiries: (713) 430-1401
Service Area: Brazoria, Chambers, Fort
Bend,
Galveston, Harris, Jackson,
Jasper,
Jefferson, Liberty, Matagorda, Montgomery, Orange,
Victoria,
Waller, Wharton
Key: TXR (H4572)
Plan Name: Metropolitan
Health
Plan
Marketing Name: Minnesota Senior Health
Option
(MSHO)
Address: 822
South 3rd
Street, Suite 140
Minneapolis,
MN 55415-1260
Bene Inquiries: (612) 347-6194
Service Area: Hennepin
Key: MNR (H2457)
Plan Name: UCare
Minnesota
Marketing Name: Minnesota Senior Health
Option
Address: 2550
University
Avenue, West
St.
Paul,
MN 55114
Bene Inquiries: 1-800-203-7225 or
(612)
603-5348
Service Area: Hennepin, Ramsey
Key: MNR (H2456)
Plan Name: Senior Care
Action Plan
(SCAN)
Marketing Name: SCAN
Address: 521 East
4th
Street
Long
Beach, CA 90802
Bene Inquiries: (310) 435-0380
Service Area: Los Angeles, Orange
Key: CAR
(H9104)
The Health Care Financing Administration hopes that the information
provided
in this directory proves to be a valuable tool for our customers.
Please forward
any corrections to:
Attn: Margie Sharif
Office of Managed Care
Health Care Financing Administration
7500 Security Boulevard, Rm S2-05-24
Baltimore, Maryland 21244-1850