TABLE 1
PLANS LEAVING THE FEHB PROGRAM FOR 2008
Enrollees in these terminating plans who do not change health plans during Open Season will not have health benefits for 2008.
-
State
|
Plan Name
|
3 Digit Codes
|
Colorado
|
United HealthCare of Colorado
|
CH1, CH2
|
Indiana
|
Arnett Health Plan
|
G21, G22
|
Indiana
|
M-Plan
|
IN1, IN2
|
Kansas
|
Preferred Plus of Kansas
|
VA1, VA2
|
Michigan
|
MCARE
|
EG1, EG2
|
Missouri
|
Mercy Health Plan
|
7M1, 7M2
|
New York
|
HMO Blue CNY
|
EB1, EB2
|
New York
|
HMO Blue
|
AH1, AH2
|
Ohio
|
Blue HMO
|
R51, R52
|
Oregon
|
Pacificare of Oregon
|
7Z1, 7Z2
|
South Carolina
|
Carolina Care Plan, Inc.
|
IB1, IB2
|
Texas
|
Mercy Health Plan
|
HM1, HM2
|
Texas
|
HMO Blue Texas
|
YM1, YM2
|
Washington (only Clark County in Washington)
|
Pacificare of Oregon
|
7Z1, 7Z2
|
Wyoming
|
WinHealth Partners
|
PV1, PV2
|
TABLE 2
PLAN REDUCING ITS SERVICE AREA
BY TERMINATING AN ENROLLMENT CODE
Enrollees in this enrollment code who do not change health plans during Open Season will not have health benefits for 2008.
State
|
Plan Name
|
3 Digit Codes
|
Area Dropped
|
Louisiana
|
Humana CoverageFirst Consumer Driven Health Plan
|
9S1, 9S2
|
City of Shreveport
|
TABLE 3
PLAN SPLITTING A SERVICE AREA
Enrollees in the southern California service area who do not change their enrollment code from LB to LP during Open Season will automatically remain enrolled in the northern California LB enrollment code and they will have to travel to the plan’s northern California service area to obtain medical care in order to receive full benefits from the plan in 2008.
State
|
Plan Name
|
General Location
|
2007 Codes
|
2008 Codes
|
California
|
Health Net of California
|
California
|
LB1, LB2
|
LB1, LB2
LB4, LB5
LP1, LP2
LP4, LP5
|
Health Net of California will split its California service area, code LB, into two service areas (northern California and southern California) resulting in two enrollment codes, LB and LP. The plan’s northern California region will retain the current LB enrollment code; however, the plan’s southern California region will receive the new LP enrollment code. Current plan enrollees in the southern California region should make a positive enrollment election into enrollment code LP during Open Season.
If enrollees in the plan’s southern California region do nothing and do not make a positive enrollment election, they will be automatically enrolled in the original High Option LB enrollment code and they will have to travel to the plan’s northern California service area to obtain medical care in order to receive full benefits from the plan in 2008. Also, the 2008 premiums for the LB codes for the northern California region will be higher than the premiums for the LP codes for the southern California region.
In the plan’s 2008 brochure, please check Section 1 (under Service Area) for the plan’s covered counties and zip codes in the northern and southern California regions.
TABLE 4
PLANS DROPPING AN OPTION FOR 2008
Enrollees in these plans will be automatically enrolled in their plans’ High Option if they do not make a positive enrollment change to another plan during Open Season.
State
|
Plan Name
|
Option Deleting
|
3 Digit Codes
|
Michigan
|
Bluecare Network of Michigan
|
Standard
|
K54, K55
LN4, LN5
LX4, LX5
|
New York
|
GHI HMO
|
Standard
|
X44, X45, 6V4, 6V5
|
TABLE 5
PLANS ADDING A NEW OPTION
Enrollees who do not enroll in their plan’s new option will automatically remain enrolled in their current option.
State
|
Plan Name
|
New Option
|
3 Digit Codes
|
Nationwide
|
Mail Handlers Benefit Plan Value Option
|
Value Option
|
414, 415
|
California
|
Health Net of California (North Region)
|
Standard
|
LB4, LB5
|
Florida
|
Humana Medical Plan
|
Standard
|
EE4, EE5
|
Florida
|
JMH Health Plan
|
Standard
|
J84, J85
|
Idaho
|
Altius Health Plans
|
Standard
|
DK4, DK5
|
Illinois
|
Group Health Plan
|
Standard
|
MU4, MU5
|
Illinois
|
Health Alliance HMO
|
Standard
|
FX4, FX5
|
Indiana
|
Health Alliance HMO
|
Standard
|
FX4, FX5
|
Iowa
|
Health Alliance HMO
|
Standard
|
FX4, FX5
|
Louisiana
|
Vantage Health Plan, Inc.
|
Standard
|
MV4, MV5
|
Missouri
|
Group Health Plan
|
Standard
|
MU4, MU5
|
New Jersey
|
Amerihealth HMO
|
Standard
|
FK4, FK5
|
New York
|
Preferred Care
|
Standard
|
GV4, GV5
|
Pennsylvania
|
UPMC Health Plan
|
Standard
|
UW4, UW5
|
Utah
|
Altius Health Plans
|
Standard
|
DK4, DK5
|
TABLE 6
NEW PLANS ENTERING THE PROGRAM FOR 2008
State
|
Plan Name
|
Plan Type (HMO, POS, HDHP,CDHP)
|
3 Digit Codes
|
General Location
|
Minnesota
|
Medica Health Plans
|
HMO
|
M21, M22
|
Most of Minnesota
|
Michigan
|
Physicians Health Plan of Mid-Michigan
|
HMO
|
9U1, 9U2
9U4, 9U5
|
Mid-Michigan
|
Florida
|
United HealthCare of Florida
|
HMO
|
R31, R32
|
Central and Southwest Florida
|
TABLE 7
EXISTING PLANS OFFERING A HIGH DEDUCTIBLE HEALTH PLAN (HDHP) WITHOUT NEW ENROLLMENT CODES
State
|
Plan Name
|
3 Digit Codes
|
Michigan
|
Health Alliance Plan
|
524, 525
|
Kansas: limited to the counties of Johnson and Wyandott
|
Blue Cross and Blue Shield Service Benefit Plan
(BCBS of Kansas City, Missouri)
|
114,115
|
Missouri: limited to the counties of Andrew, Atchison, Bates, Benton, Buchanan, Caldwell, Carroll, Cass, Clay, Clinton, Daviess, DeKalb, Gentry, Grundy, Harrison, Henry, Holt, Jackson, Johnson, Lafayette, Livingston, Mercer, Nodaway, Pettis, Platte, Ray, St. Clair, Saline, Vernon, and Worth
|
Blue Cross and Blue Shield Service Benefit Plan
(BCBS of Kansas City, Missouri)
|
114, 115
|
Minnesota
|
Blue Cross and Blue Shield Service Benefit Plan
(BCBS of Minnesota)
|
114, 115
|
Tennessee
|
Blue Cross and Blue Shield Service Benefit Plan
(BCBS of Tennessee)
|
114, 115
|
Ohio
|
Blue Cross and Blue Shield Service Benefit Plan
(Anthem BCBS of Ohio)
|
114, 115
|
TABLE 8
EXISTING PLANS OFFERING A HIGH DEDUCTIBLE HEALTH PLAN (HDHP)
WITH NEW ENROLLMENT CODES
State
|
Plan Name
|
3 Digit Codes
|
Guam
|
TakeCare
|
KX1, KX2
|
Iowa
|
Health Alliance HMO
|
FM1, FM2
|
Illinois
|
Health Alliance HMO
|
FM1, FM2
|
Indiana
|
Health Alliance HMO
|
FM1, FM2
|
TABLE 9
SERVICE AREA EXPANSIONS WITH NEW ENROLLMENT CODES
State
|
Plan Name
|
New 3 Digit Codes
|
General Location
|
Florida
|
Humana Medical Plan
|
LL1, LL2, LL4, LL5
|
Tampa city and Entire Counties of Citrus, Hernando, Pasco, Pinellas, Hillsborough, Polk and Manatee
|
TABLE 10
SERVICE AREA EXPANSIONS WITHOUT NEW ENROLLMENT CODES
State
|
Plan Name
|
3 Digit Codes
|
General Location of New Area
|
Alabama
|
Aetna HealthFund
(CDHP/HDHP)
|
221, 222, 224, 225
|
Entire counties of Bullock, Chambers, Crenshaw, Hale, and Macon
|
Alaska
|
Aetna HealthFund
(CDHP/HDHP)
|
221, 222, 224, 225
|
Entire Skagway Hoonah Angoon borough
|
Arkansas
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
Entire counties of Arkansas, Ashley, Baxter, Benton, Boone, Bradley, Calhoun, Carroll, Chicot, Clark, Clay, Cleburne, Cleveland, Columbia, Conway, Craighead, Crawford, Crittenden, Cross, Dallas, Desha, Drew, Faulkner, Franklin, Fulton, Garland, Grant, Greene, Hempstead, Hot Spring, Howard, Independence, Izard, Jackson, Jefferson, Johnson, Lafayette, Lawrence, Lee, Lincoln, Little River, Logan, Lonoke, Madison, Marion, Miller, Monroe, Montgomery, Nevada, Newton, Ouachita, Perry, Phillips, Pike, Poinsett, Polk, Pope, Prairie, Pulaski, Randolph, Saline, Scott, Searcy, Sebastian, Sevier, Sharp, St. Francis, Stone, Union, Van Buren, Washington, White, Woodruff, and Yell
|
Arkansas
|
Aetna HealthFund
(CDHP/HDHP)
|
221, 222, 224, 225
|
Entire counties of Clark, Lincoln, and Montgomery
|
Arizona
|
United HealthCare Definity High Deductible Health Plan
|
E91,E92
|
Entire counties of Apache, Cochise, Coconino, Gila, Graham, Greenlee, La Paz, Maricopa, Mohave, Navajo, Pima, Pinal, Santa Cruz, Yavapai, and Yuma
|
California
|
Aetna HealthFund
(CDHP/HDHP)
|
221, 222, 224, 225
|
Entire Butte county
|
California
|
Kaiser California
|
621,622
|
City of Temecula and the following zip codes in Riverside county: 92589, 92590, 92591, 92592, 92593
|
California
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
Entire counties of Alameda, Alpine, Amador, Calaveras, Contra Costa, El Dorado, Fresno, Imperial, Inyo, Kern, Kings, Los Angeles, Madera, Marin, Mariposa, Merced, Mono, Monterrey, Napa, Orange, Placer, Riverside, Sacramento, San Benito, San Bernardino, San Diego, San Francisco, San Joaquin, San Luis Obispo, San Mateo, Santa Clara, Solano, Sonoma, Santa Barbara, Santa Cruz, Stanislaus, Tulare, Tuolumne, Ventura, and Yellow
|
State
|
Plan Name
|
3 Digit Codes
|
General Location of New Area
|
Delaware
|
Aetna Open Access
|
P31, P32, P34, P35
|
Entire counties of Kent, New Castle, and Sussex
|
Florida
|
Aetna HealthFund
(CDHP/HDHP)
|
221, 222, 224, 225
|
City of Tallahassee and entire counties of
Collier, Gadsden, Jefferson, Leon, and Wakulla
|
Florida
|
Humana Medical Plan
|
EE1, EE2
|
City of Tampa and entire counties of Citrus, Hernando, Pasco, Pinellas, Hillsborough, Polk and Manatee
|
Florida
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
Entire counties of Brevard, Charlotte, Citrus, Collier, Desoto, Duval, Flagler, Glades, Hardee, Hernando, Highlands, Hillsborough, Indian River, Lake, Lee, Levy, Manatee, Okeechobee, Orange, Osceola, Pasco, Pinellas, Polk, Sarasota, Seminole, St. Lucie, Sumter, and Volusia
|
Georgia
|
Aetna HealthFund
(CDHP/HDHP)
|
221, 222, 224, 225
|
Entire counties of Hart and Rabun, and a part of the Greenville/Spartanburg, South Carolina network
|
Georgia
|
United HealthCare of Georgia
|
GN1, GN2
|
City of Macon and entire counties of Monroe, Jones, Bibb, Crawford, Taylor, Macon, Peach, Houston, and Twigg
|
Georgia
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
Cities of Atlanta/Athens and entire counties of Butts, Carroll, Cherokee, Clayton, Cobb, Coweta, Dawson, De Kalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, Haralson, Heard, Henry, Jackson, Jasper, Jones, Morgan, Newton, Oconee, Paulding, Putnam, Rockdale, Spalding, and Walton;
City of Macon and counties of:
Bibb, Crawford, Crisp, Dodge, Dooly, Houston, Jones, Laurens, Macon, Monroe, Peach, Pulaski, Taylor, Telfair, Treutlen, Twiggs, Wheeler, Wilcox, and Wilkinson
|
Idaho
|
Altius Health Plans
|
9K1, 9K2, 9K4, 9K5, DK4, DK5
|
Entire Ada County
|
Illinois
|
Aetna HealthFund
(CDHP/HDHP)
|
221, 222, 224, 225
|
Entire counties of Alexander, De Kalb, Greene, Johnson, Pulaski, and Scott
|
Illinois
|
PersonalCare Insurance of Illinois
|
GE1, GE2
|
Entire counties of Edgar, Knox, McHenry, McLean, and Warren
|
State
|
Plan Name
|
3 Digit Codes
|
General Location of New Area
|
Illinois
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
Entire counties (St. Louis area) of Bond, Calhoun, Clinton, Greene, Jackson, Jefferson, Jersey, Macoupin, Madison, Marion, Monroe, Randolph, and Williamson
|
Illinois
|
Unitedhealthcare Plan of The River Valley Inc
|
YH1, YH2
|
Entire counties of Knox, Stark, Peoria, and Tazewell
|
Indiana
|
Aetna Open Access
|
IK1, IK2
|
Entire Porter county
|
Indiana
|
Aetna HealthFund
(CDHP/HDHP)
|
221, 222, 224, 225
|
Entire Ripley county
|
Iowa
|
Coventry Health Care of Iowa
|
SV1, SV2
|
Entire counties of Buchanan, Buena Vista, Fayette, Floyd, Ida, Johnson, Marshall, Muscatine, Tama, and Washington
|
Iowa
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
Entire Counties of Adair, Appanoose, Audubon, Boone, Buena Vista, Calhoun, Carroll, Cerro Gordo, Chickasaw, Clarke, Clay, Dallas, Decatur, Dickinson, Emmet, Floyd, Franklin, Greene, Grundy, Guthrie, Hamilton, Hancock, Hardin, Howard, Humboldt, Jasper, Kossuth, Lucas, Madison, Mahaska, Marion, Marshall, Mitchell, Monroe, Palo Alto, Pocahontas, Polk, Ringgold, Sac, Story, Tama, Taylor, Union, Warren, Wayne, Webster, Winnebago, Worth, and Wright
|
Iowa
|
HealthPartners Open Access Deductible
|
534, 535
|
Entire counties of Bremer, Buchanan, Buena Vista, Cerro Gordo, Cherokee, Chickasaw, Clayton, Delaware, Fayette, Floyd, Hancock, Kossuth, Pocahontas, and Woodbury
|
Iowa
|
Unitedhealthcare Plan of The River Valley Inc
|
YH1, YH2
|
Entire counties of Blackhawk, Story, Polk, and Marion
|
Kansas
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
Entire counties of Anderson, Atchison, Dickinson, Douglas, Franklin, Johnson, Leavenworth, Linn, Miami, Montgomery, Morris, and Wyandotte
|
Louisiana
|
Aetna HealthFund
(CDHP/HDHP)
|
221, 222, 224, 225
|
Cities of Alexandria, Houma/Thibodaux,
and Lake Charles, and entire parishes of
Catahoula, Franklin, Grant, and West Carroll
|
State
|
Plan Name
|
3 Digit Codes
|
General Location of New Area
|
Louisiana
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
Entire counties of Acadia, Allen, Ascension, Assumption, Avoyelles, Beauregard, Bienville, Bossier, Caddo, Calcasieu, Caldwell, Cameron, Catahoula, Claiborne, Concordia, De Soto, East Baton Rouge, East Carroll, East Feliciana, Evangeline, Franklin, Grant, Iberia, Iberville, Jackson, Jefferson, Jefferson Davis, La Salle, Lafayette, Lafourche, Lincoln, Livingston, Madison, Morehouse, Natchitoches, Orleans, Ouachita, Plaquemines, Pointe Coupee, Rapides, Red River, Richland, Sabine, St. Bernard, St. Charles, St. Helena, St. James, St. John the Baptist, St. Landry, St. Martin, St. Mary, St. Tammany, Tangipahoa, Tensas, Terrebonne, Union, Vermilion, Vernon, Washington, Webster, West Baton Rouge, West Carroll, West Feliciana, and Winn
|
Louisiana
|
Vantage Health Plan, Inc
|
MV1, MV2, MV4, MV5
|
Entire parishes of Acadia, Calcasieu, Iberia, Iberville, Jefferson, Orleans, and St. Landry
|
Massachusetts
|
Fallon Community Health Plan
|
JV1, JV2, JV4, JV5, DV1, DV2
|
Entire Western Massachusetts counties of Franklin, Hampshire, and Hampden
|
Michigan
|
HealthPlus of Michigan
|
X51, X52
|
Entire counties of Clare, Gladwin, Gratiot, Isabella, Midland, Montcalm, and Sanilac
|
Michigan
|
Aetna HealthFund
(CDHP/HDHP)
|
221, 222, 224, 225
|
Southwest part of the state, and entire counties of Berrien and Cass
|
Minnesota
|
HealthPartners Primary Clinic
|
HQ1, HQ2
|
Entire counties of Faribault, Freeborn, and Mower
|
Minnesota
|
HealthPartners Classic
|
531, 532
|
Entire counties of Aitkin, Grant, LeSueur, Pine, Pope, Sibley, Wabasha, and Wadena
|
Minnesota
|
HealthPartners Open Access Deductible
|
534, 535
|
Entire counties of Carlton, Cook, Koochiching, Lake, Lincoln, St. Louis, and Wadena
|
Mississippi
|
Aetna HealthFund
(CDHP/HDHP)
|
221, 222, 224, 225
|
Entire Pearl River county
|
Mississippi
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
Entire State of Mississippi
|
State
|
Plan Name
|
3 Digit Codes
|
General Location of New Area
|
Missouri
|
Aetna HealthFund
(CDHP/HDHP)
|
221, 222, 224, 225
|
Entire counties of Andrew, Barry, Benton, Clark, Daviess, De Kalb, Douglas, Hickory, Holt, Laclede, Madison, Schuyler, Shannon, Texas, and Wright
|
Missouri
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
Entire counties of Barry, Bates, Bollinger, Boone, Buchanan, Butler, Caldwell, Calloway, Camden, Cape Girardeau, Carroll, Cass, Chariton, Christian, Clay, Clinton, Cole, Cooper, Crawford, Dade, Dallas, Daviess, DeKalb, Dent, Douglas, Dunklin, Franklin, Gasconade, Greene, Grundy, Henry, Howard, Howell, Iron, Jackson, Jasper, Jefferson, Johnson, Laclede, Lafayette, Lawrence, Lewis, Lincoln, Livingston, Macon, Madison, Maries, McDonald, Mercer, Miller, Mississippi, Moniteau, Monroe, Montgomery, Morgan, New Madrid, Newton, Oregon, Pemiscot, Perry, Petis, Phelps, Pike, Platte, Polk, Pulaski, Ralls, Randolph, Ray, Reynolds, Ripley, Saline, Scott, St. Clair, St. Charles, St. Francis, St. Louis, St. Louis City, Ste. Genevieve, Stoddard, Stone, Taney, Texas, Vernon, Warren, Washington, Wayne, Webster, and Wright
|
Montana
|
New West Health Services
|
NV1, NV2
|
Cities of Anaconda, Choteau, Harlowton, Philipsburg, Polson, Shelby, Townsend, and Whitefish
|
Nevada
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
Entire counties of Carson City, Church Hill, Clark, Douglas, Elko, Esmeralda, Eureka, Humboldt, Lander, Lincoln, Lyon, Mineral, Nye, Pershing, Storey, Washoe, and White Pine
|
New Mexico
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
Entire counties of Bernalillo, Catron, Chaves, Cibola, Colfax, Curry, DeBaca, Dona Ana, Eddy, Grant, Guadalupe, Harding, Hidalgo, Lea, Lincoln, Los Alamos, Luna, McKinley, Mora, Otero, Quay, Rio Arriba, Roosevelt, San Juan, San Miguel, Sandoval, Santa Fe, Sierra, Socorro, Taos, Torrance, Union, and Valencia
|
North Carolina
|
Aetna HealthFund
(CDHP/HDHP)
|
221, 222, 224, 225
|
Western North Carolina; and entire counties of Cherokee, Clay, Graham, Haywood, Hoke, Jackson, Macon, Scotland, and Swain
|
State
|
Plan Name
|
3 Digit Codes
|
General Location of New Area
|
North Carolina
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
Entire counties of Alamance, Alexander, Alleghany, Anson, Ashe, Avery, Beaufort, Bertie, Bladen, Brunswick, Buncombe, Burke, Cabarrus, Caldwell, Carteret, Caswell, Catawba, Chatham, Cherokee, Chowan, Clay, Cleveland, Columbus, Craven, Cumberland, Currituck, Dare, Davidson, Davie, Duplin, Durham, Edgecombe, Forsyth, Gaston, Gates, Graham, Granville, Greene, Guilford, Halifax, Harnett, Haywood, Henderson, Hertford, Hoke, Iredell, Jackson, Johnston, Jones, Lee, Lenoir, Lincoln, Macon, Madison, Martin, McDowell, Mecklenburg, Mitchell, Montgomery, Moore, Nash, New Hanover, Northampton, Onslow, Orange, Pasquotank, Pender, Perquimans, Person, Pitt, Polk, Randolph, Richmond, Robeson, Rockingham, Rowan, Rutherford, Sampson, Scotland, Stanly, Stokes, Surry, Swain, Transylvania, Tyrrell, Union, Vance, Wake, Warren, Washington, Watauga, Wayne, Wilkes, Wilson, Yadkin, and Yancey
|
North Dakota
|
HealthPartners Open Access Deductible
|
534, 535
|
Entire counties of Benson, Cavalier, Dickey, Eddy, Griggs, Kidder, Logan, Nelson, Ramsey, Towner, and Walsh
|
Ohio
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
Entire counties of Allen, Ashland, Ashtabula, Athens, Auglaize, Belmont, Carroll, Columbiana, Coshocton, Crawford, Cuyahoga, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Gallia, Geauga, Guernsey, Hancock, Hardin, Harrison, Henry, Hocking, Holmes, Huron, Jackson, Jefferson, Knox, Lake, Lawrence, Licking, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Meigs, Mercer, Monroe, Morgan, Morrow, Muskingum, Nobel, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Putnam, Richland, Ross, Sandusky, Scioto, Seneca, Stark, Summitt, Trumbull, Tuscarawas, Union, Van Wert, Vinton, Warren, Washington., Wayne, Williams, Wood, and Wyandot
|
Oklahoma
|
Aetna HealthFund
(CDHP/HDHP)
|
221, 222, 224, 225
|
Entire Okfuskee county
|
State
|
Plan Name
|
3 Digit Codes
|
General Location of New Area
|
Oklahoma
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
Entire counties of Adair, Alfalfa, Atoka, Beaver, Beckham, Blaine, Bryan, Caddo, Canadian, Carter, Cherokee, Choctaw, Cimarron, Cleveland, Coal, Comanche, Cotton, Craig, Creek, Custer, Delaware, Dewey, Garfield, Garvin, Grady, Grant, Harmon, Haskell, Hughes, Jackson, Jefferson, Johnston, Kay, Kingfisher, Kiowa, Latimer, LeFlore, Lincoln, Logan, Love, Major, Marshall, Mayes, McClain, McCurtain, McIntosh, Murray, Muskogee, Noble, Nowata, Okfuskee, Oklahoma, Okmulgee, Osage, Ottawa, Pawnee, Payne, Pittsburgh, Pontotoc, Pottawatomie, Pushmataha, Roger Mills, Rogers, Seminole, Sequoyah, Stephens, Texas, Tillman, Tulsa, Wagoner, Washington, Washita, and Woodward
|
Oregon
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
Entire counties of Benton, Clackamas, Clatsop, Columbia, Crook, Curry, Deschutes, Douglas, Hood River, Jackson, Jefferson, Josephine, Lane, Lincoln, Linn, Malheur, Marion, Morrow, Multnomah, Polk, Sherman, Tillamook, Umatilla, Wasco, Washington, and Yamhill
|
Pennsylvania
|
Geisinger Health Plan
|
GG1, GG2
|
Entire counties of Adams, Potter, and Somerset
|
Rhode Island
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
Entire counties of Bristol, Kent, Newport, Providence, and Washington
|
South Carolina
|
Aetna HealthFund
(CDHP/HDHP)
|
221, 222, 224, 225
|
Entire counties of Abbeville, Beaufort, McCormick, Oconee, and Saluda
|
South Dakota
|
HealthPartners Open Access Deductible
|
534, 535
|
Entire counties of Aurora, Beadle, Brown, Campbell, Clark, Davison, Edmunds, Faulk, Hand, Hyde, Jerauld, Lyman, Marshall, McPherson, Miner, Potter, Sanborn, Spink, and Walworth
|
Tennessee
|
Aetna Open Access
|
6J1, 6J2
|
Partial county of Maury as defined by the town of Spring Hill
|
Tennessee
|
Aetna HealthFund
(CDHP/HDHP)
|
221, 222, 224, 225
|
Entire Claiborne county
|
State
|
Plan Name
|
3 Digit Codes
|
General Location of New Area
|
Tennessee
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
Entire State of Tennessee
|
Texas
|
Aetna Open Access
|
PU1, PU2, PU4, PU5
|
Cities of El Paso and Corpus Christi;
Entire counties of Aransas, Bee, El Paso, Jim Wells, Kleberg, and San Patricio;
Portions of the following counties as defined by the towns listed below:
Duval county: Benavides, Concepcion, and San Diego;
Live Oak county: George West, Three Rivers and Dinero, and
Nueces county: Agua Dulce, Banquete, Bishop, Chapman Ranch, Driscoll, Port Aransas, and Robstown
|
Texas
|
Aetna HealthFund
(CDHP/HDHP)
|
221, 222, 224, 225
|
Entire counties of Clay, Hardeman, Tom Green, Wichita, and Wilbarger
|
Utah
|
Altius Health Plans
|
9K1, 9K2, 9K4, 9K5, DK4, DK5
|
Entire counties of Beaver, Daggett, Duchesne, Garfield, Kane, Millard, Piute, Rich, San Juan, Sevier, Wayne and portions of the following counties in these zip codes: Emery – 84513, 84516, 84518, 84521, 84522, 84523, 84528, 84537; Grand – 84515, 84532
|
Vermont
|
Aetna HealthFund
(CDHP/HDHP)
|
221, 222, 224, 225
|
Entire counties of Bennington and Windham
|
Washington
|
Aetna Open Access
|
8J1, 8J2
|
Entire Mason county
|
Washington
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
Entire counties of Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, and Yakima
|
State
|
Plan Name
|
3 Digit Codes
|
General Location of New Area
|
Wisconsin
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
Entire counties of Adams, Ashland, Barron, Bayfield, Brown, Buffalo, Burnett, Calumet, Chippewa, Clark, Columbia, Crawford, Dane, Dodge, Door, Douglas, Dunn, Eau Claire, Florence, Fond Du Lac, Forest, Grant, Green, Green Lake, Iowa, Iron, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, LaCrosse, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Mariette, Marquette, Menominee, Milwaukee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Pepin, Pierce, Polk, Portage, Price, Racine, Richland, Rock, Rusk, Sauk, Sawyer, Shawano, Sheboygan, St. Croix, Taylor, Trempealeau, Vernon, Vilas, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago, and Wood
|
Wisconsin
|
HealthPartners Open Access Deductible
|
534, 535
|
Entire counties of Adams, Ashland, Bayfield, Clark, Grant, Iron, Juneau, Marathon, Portage, Price, Richland, Rusk, Sauk, Sawyer, Taylor, Vilas, and Wood
|
TABLE 11
PLAN NAME CHANGES
State
|
Plan Name (Old)
|
3 Digit Codes
|
Plan Name (New)
|
Nationwide
|
Government Employees Hospital Association, Inc.
|
311, 312, 314, 315, 341, 342
|
Government Employees Health Association, Inc.
|
Arkansas
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
Arizona
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
California
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
District of Columbia
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
Florida
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
Georgia
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
Illinois
|
BlueCHOICE
|
9G1, 9G2
|
Blue Preferred HMO
|
Illinois
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
Iowa
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
Iowa
|
Sioux Valley Health Plan
|
AU1, AU2
AU4, AU5
|
Sanford Health Plan
|
Kansas
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
Louisiana
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
State
|
Plan Name (Old)
|
3 Digit Codes
|
Plan Name (New)
|
Maryland
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
Mississippi
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
Missouri
|
BlueCHOICE
|
9G1, 9G2
|
Blue Preferred HMO
|
Missouri
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
Nevada
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
New Mexico
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
North Carolina
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
Ohio
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
Oklahoma
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
Oregon
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
Rhode Island
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
South Dakota
|
Sioux Valley Health Plan
|
AU1, AU2,
AU4, AU5
|
Sanford Health Plan
|
Tennessee
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
State
|
Plan Name (Old)
|
3 Digit Codes
|
Plan Name (New)
|
Washington
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
Wisconsin
|
United HealthCare Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
Virginia
|
UHC Definity High Deductible Health Plan
|
E91, E92
|
UnitedHealthcare Insurance Company, Inc.
|
TABLE 12
CODE MERGERS
The payroll office will automatically move enrollees into their plan’s surviving code unless the enrollees select another health plan during Open Season.
State
|
Plan Name
|
3 Digit Codes (2007)
|
3 Digit Codes (2008)
|
Nationwide
|
Mail Handlers Benefit Plan
|
451, 452
|
454, 455
|
Kansas
|
Coventry Health Care of Kansas
|
7W1, 7W2, 7W4, 7W5, 7G1, 7G2
|
HA1, HA2, HA4, HA5, 9H1, 9H2
|
Illinois
|
United Healthcare of the Midwest
|
GX1, GX2
|
B91, B92
|
Missouri
|
United Healthcare of the Midwest
|
GX1, GX2
|
B91, B92
|
|
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