Medicare Managed Care Plans PR-1 Alabama · CARD PR-1 Medicare Managed Care Plans Alabama A....

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Transcript of Medicare Managed Care Plans PR-1 Alabama · CARD PR-1 Medicare Managed Care Plans Alabama A....

CARD PR-1

Medicare Managed Care Plans Alabama

A. Medicare Complete (SecureHorizons)

F. VIVA Medicare Plus (VIVA Health)

I. Blue Advantage (Blue Cross Blue Shield of Alabama)

J. Human Gold Choice/ HumanaChoice PPO (Humana Insurance Company)

K. SecureHorizons Direct (United Healthcare)

L. Aetna Medicare Open Plan (Aetna)

M. Concert/Duet/Summit (WellCare Health Plans, Inc.)

N. Freedom (Advantra Freedom)

O. Fresenius Medical Care Health Plan (Sterling Life Insurance Company)

P. HealthSpring Advantage/Basic (HealthSpring of Alabama, Inc.)

Q. Save Well (UniCare)

R. SecurityChoice (Unicare Life & Health Insurance Company)

S. Sierra Optima (Sierra Health & Life Insurance Company)

PR-1

Spring 2008

CARD PR-2

Plan Names

Alabama

E. Patient 1st

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Alabama

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Spring 2008

CARD HX-5

Medicare Managed Care Plans Alabama

A. Medicare Complete (SecureHorizons)

F. VIVA Medicare Plus (VIVA Health)

I. Blue Advantage (Blue Cross Blue Shield of Alabama)

J. Human Gold Choice/ HumanaChoice PPO (Humana Insurance Company)

K. SecureHorizons Direct (United Healthcare)

L. Aetna Medicare Open Plan (Aetna)

M. Concert/Duet/Summit (WellCare Health Plans, Inc.)

N. Freedom (Advantra Freedom)

O. Fresenius Medical Care Health Plan (Sterling Life Insurance Company)

P. HealthSpring Advantage/Basic (HealthSpring of Alabama, Inc.)

Q. Save Well (UniCare)

R. SecurityChoice (Unicare Life & Health Insurance Company)

S. Sierra Optima (Sierra Health & Life Insurance Company)

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Spring 2008

CARD HX-6

Plan Names

Alabama

E. Patient 1st

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CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) ALABAMA

C. APWU Health Plan

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

AA. Mail Handlers-Std

HH. GEHA Benefit Plan – Standard

II. GEHA Benefit Plan – High

KK. Blue Cross and Blue Shield Service Benefit Plan - Standard

LL. Blue Cross and Blue Shield Service Benefit Plan – Basic

OO. Mail Handlers High Deductible Plan

PP. Aetna HealthFund CDHP

QQ. Aetna Healthfund HDHP

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Alabama

Family Assistance Program

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Alaska

A. Secure Horizons Direct (United Healthcare)

B. Aetna Medicare Open Plan (Aetna)

C. Humana Gold Choice (Humana Insurance Company)

D. Save Well (UniCare)

E. SecurityChoice (Unicare Life & Health Insurance Company)

PR-1

Spring 2008

CARD PR-2 Plan Names

Alaska

None

PR-2

Spring 2008

CARD HX-3 Sample Medicaid Card

Alaska

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Spring 2008

CARD HX-5

Medicare Managed Care Plans Alaska

A. Secure Horizons Direct (United Healthcare)

B. Aetna Medicare Open Plan (Aetna)

C. Humana Gold Choice (Humana Insurance Company)

D. Save Well (UniCare)

E. SecurityChoice (Unicare Life & Health Insurance Company)

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Spring 2008

CARD HX-6

Plan Names Alaska

None

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CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) ALASKA

C. APWU

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

P. Blue Cross Blue Shield Service Benefit Plan – Standard

Q. Blue Cross Blue Shield Service Benefit Plan – Basic

U. GEHA Benefit Plan – High

V. GEHA Benefit Plan – Standard

W. Mail Handlers – High

AA. Aetna HealthFund CDHP

BB. Aetna HealthFund HDHP

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Alaska

Alaska Temporary Assistance Program (ATAP)

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Arizona

GG. Abrazo Advantage (Abrazo Advantage Health Plan)

HH. Aetna Golden Choice (Aetna)

NN. Sun Health MediSunONE

OO. Today’s Options

PP. ANY, ANY, ANY Plan (Universal HealthCare)

QQ. Concert/Summit (WellCare)

R. CIGNA HealthCare for Seniors (CIGNA HealthCare of Arizona for Seniors)

RR. Freedom (Advantra Freedom)

SS. Health Net Violet/Green/Ruby (Health Net of Arizona, Inc.)

TT. HumanaChoice/Humana Gold Choice (Humana Insurance Company)

UU. PLUS/Advantage (Desert Canyon Community)

VV. Save Well (UniCare)

WW. SecureHorizons MedicareComplete/MedicareDirect (United Healthcare)

Continued on next page

PR-1

Spring 2008

CARD PR-1

Medicare Managed Care Plans Arizona (continued)

XX. SecurityChoice (Unicare Life & Health Insurance Company)

YY. Sierra Optima (Sierra Health & Life Insurance Inc.)

Spring 2008

CARD PR-2 Plan Names

Arizona

F. Cochise Health System

K. Health Choice Arizona

N. Mercy Care Plan

X. Pima Health Plan

Y. University Family Care

AA. Evercare Select

BB. Phoenix Health Plan/Community Connection

CC. APIPA

DD. Care 1st Arizona

EE. PINAL/GILA LTC

HH. YAVAPAI Long Term Care

II. LTC DD DES

JJ. Arizona Department of Health Services

KK. Maricopa Health Plan

OO. BRIDGEWAY HEALTH SOLUTION

PP. SCAN - LTC

PR-2

Spring 2008

CARD HX-3 Sample Medicaid Card

Arizona

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Spring 2008

CARD HX-5

Medicare Managed Care Plans Arizona

GG. Abrazo Advantage (Abrazo Advantage Health Plan)

HH. Aetna Golden Choice (Aetna)

NN. Sun Health MediSunONE

OO. Today’s Options

PP. ANY, ANY, ANY Plan (Universal HealthCare)

QQ. Concert/Summit (WellCare)

R. CIGNA HealthCare for Seniors (CIGNA HealthCare of Arizona for Seniors)

RR. Freedom (Advantra Freedom)

SS. Health Net Violet/Green/Ruby (Health Net of Arizona, Inc.)

TT. HumanaChoice/Humana Gold Choice (Humana Insurance Company)

UU. PLUS/Advantage (Desert Canyon Community)

VV. Save Well (UniCare)

WW. SecureHorizons MedicareComplete/MedicareDirect (United Healthcare)

Continued on next page

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Spring 2008

CARD HX-5

Medicare Managed Care Plans Arizona (continued)

XX. SecurityChoice (Unicare Life & Health Insurance Company)

YY. Sierra Optima (Sierra Health & Life Insurance Inc.)

Spring 2008

CARD HX-6

Plan Names Arizona

F. Cochise Health System

K. Health Choice Arizona

N. Mercy Care Plan

X. Pima Health Plan

Y. University Family Care

AA. Evercare Select

BB. Phoenix Health Plan/Community Connection

CC. APIPA

DD. Care 1st Arizona

EE. PINAL/GILA LTC

HH. YAVAPAI Long Term Care

II. LTC DD DES

JJ. Arizona Department of Health Services

KK. Maricopa Health Plan

OO. BRIDGEWAY HEALTH SOLUTION

PP. SCAN – LTC

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CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) ARIZONA

C. APWU

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

Y. GEHA Benefit Plan – High

Z. GEHA Benefit Plan – Standard

FF. Health Net of Arizona, Inc.

KK. Blue Cross and Blue Shield Service Benefit Plan – Standard

LL. Blue Cross and Blue Shield Service Benefit Plan – Basic

PP. Mail Handlers High Deductible Plan

QQ. Aetna HealthFund CDHP

RR. Aetna HealthFund HDHP

SS. Humana CoverageFirst CDHP

TT. Aetna Open Access

WW. PacifiCare of Arizona

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Arizona

Employing and Moving People Off Welfare and Encouraging Responsibility Program (EMPOWER)

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Arkansas

A. Medipak Advantage (Arkansas Blue Cross)

F. Humana Gold Choice/HumanaChoice PPO (Humana Insurance Company)

G. SecureHorizons Direct (United Healthcare)

H. SecurityChoice (Unicare Life and Health Ins. Company)

J. Concert/Duet/Summit (WellCare Health Plans, Inc.)

K. Freedom (Advantra Freedom)

L. Northwest/Hot Springs/Texarkana Plus or Premier (Arkansas Community Care, Inc.)

M. Save Well (UniCare)

N. Sierra Optima (Sierra Health & Life Insurance Inc.)

O. Today’s Options Value/Premier (Pyramid Life Insurance, Inc.)

P. Windsor Medicare Extra Gold/Platinum/Silver (Windsor Health Group)

PR-1

Spring 2008

CARD PR-2

Plan Names Arkansas

A. Connect Care

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Arkansas

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Spring 2008

CARD HX-5

Medicare Managed Care Plans Arkansas

A. Medipak Advantage (Arkansas Blue Cross)

F. Humana Gold Choice/HumanaChoice PPO (Humana Insurance Company)

G. SecureHorizons Direct (United Healthcare)

H. SecurityChoice (Unicare Life and Health Ins. Company)

J. Concert/Duet/Summit (WellCare Health Plans, Inc.)

K. Freedom (Advantra Freedom)

L. Northwest/Hot Springs/Texarkana Plus or Premier (Arkansas Community Care, Inc.)

M. Save Well (UniCare)

N. Sierra Optima (Sierra Health & Life Insurance Inc.)

O. Today’s Options Value/Premier (Pyramid Life Insurance, Inc.)

P. Windsor Medicare Extra Gold/Platinum/Silver (Windsor Health Group)

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Spring 2008

CARD HX-6

Plan Names Arkansas

A. Connect Care

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CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) ARKANSAS

C. APWU

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

U. Blue Cross and Blue Shield Benefit Plan-Std

W. GEHA Benefit Plan – High

X. GEHA Benefit Plan – Standard

FF. Blue Cross and Blue Shield Service Benefit Plan – Basic

JJ. Mail Handlers High Deductible Plan

KK. Aetna HealthFund CDHP

LL. Aetna HealthFund HDHP

Spring 2003

Spring 2008

CARD IN-2A

State TANF Program Arkansas

Transitional Employment Assistance Program (TEA)

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans California

H. Health Net Seniority Plus (Health Net of California)

K. Kaiser Permanente Senior Advantage (Kaiser Foundation Health Plan, Inc.)

HH. Blue Cross Senior Secure (Blue Cross of California, Inc.)

ZZ. CCHP - Senior Program (Chinese Community Health Plan)

AAA. Blue Shield 65 Plus (Blue Shield of California, Inc.)

BBB. California Medicare Advantage (California Health Plan)

EEE. SCAN Health Plan (Senior Care Action Network)

JJJ. WHA Care + (Western Health Advantage)

MMM. Aetna Golden Medicare Plan (Aetna)

XXX. InterValley Health Plan

ZZZ. Central Health Medicare Plan

AAAA. Citizens Choice Healthplan

BBBB. Freedom Blue (BC Life and Health Insurance Company)

Continued on next page

PR-1

Spring 2008

CARD PR-1 Medicare Managed Care Plans

California (continued)

CCCC. Health Net Options Plus (Health Net Life Insurance Company)

DDDD. Medcore Silver/Gold (OMNI IPA, Inc.)

EEEE. SecureHorizons Direct (United Healthcare)

FFFF. SmartValue (Blue Cross of California)

HHHH. Arta Gold (Arta Medicare Health Plan)

IIII. Care 1st Medicare Advantage Plan (Care 1st Health Plan)

JJJJ. Duet/Concert/Summit (WellCare Health Plans, Inc.)

KKKK. Freedom (Advantra Freedom)

LLLL. Fresenius Medical Care Health Plan (Sterling Life Insurance Company)

MMMM. GEMCare Medicare Plus (Golden Empire Managed Care)

NNNN. Health Net Pearl (Health Net)

OOOO. Humana Gold Choice (Humana Insurance Company)

PPPP. Sierra Optima (Sierra Health & Life Insurance, Inc.)

QQQQ. Today’s Options (Pyramid Life Insurance Company)

Spring 2008

CARD PR-2

Plan Names – California

B. Blue Cross of California

F. Cal Optima

K. Contra Costa Health Plan

P. Health Net

Q. Health Plan of San Mateo

T. Kaiser Foundation HP North

U. Kaiser Foundation HP South KK. Sutter Senior Care

QQ. Alameda Alliance for Health

VV. Community Health Group

AAA. Inland Empire Health Plan

CCC. Kern Family Health Care

DDD. L.A. Care Health Plan

KKK. Partnership Health Plan of California

NNN. San Francisco Health Plan

Continued on next page

PR-2

Spring 2008

CARD PR-2

Plan Names – California (continued)

VVV. Western Health Advantage

ZZZ. Central Coast Alliance for Health

DDDD. Health Plan of San Joaquin

PPPP. Senior Care Action Network

YYYY. Molina Healthcare of California

ZZZZ. Family Mosaic Project

AK. Care 1st

AM. Santa Barbara Regional Health Authority

AV. AIDS Health Care Foundation (Positive HealthCare)

AW. Positive HealthCare (AIDS Health Care Foundation)

Spring 2008

CARD HX-3

Sample Medicaid Card California

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Spring 2008

CARD HX-5

Medicare Managed Care Plans California

H. Health Net Seniority Plus (Health Net of California)

K. Kaiser Permanente Senior Advantage (Kaiser Foundation Health Plan, Inc.)

HH. Blue Cross Senior Secure (Blue Cross of California, Inc.)

ZZ. CCHP - Senior Program (Chinese Community Health Plan)

AAA. Blue Shield 65 Plus (Blue Shield of California, Inc.)

BBB. California Medicare Advantage (California Health Plan)

EEE. SCAN Health Plan (Senior Care Action Network)

JJJ. WHA Care + (Western Health Advantage)

MMM. Aetna Golden Medicare Plan (Aetna)

XXX. InterValley Health Plan

ZZZ. Central Health Medicare Plan

AAAA. Citizens Choice Healthplan

BBBB. Freedom Blue (BC Life and Health Insurance Company)

Continued on next page

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Spring 2008

CARD HX-5

Medicare Managed Care Plans California (continued)

CCCC. Health Net Options Plus (Health Net Life Insurance Company)

DDDD. Medcore Silver/Gold (OMNI IPA, Inc.)

EEEE. SecureHorizons Direct (United Healthcare)

FFFF. SmartValue (Blue Cross of California)

HHHH. Arta Gold (Arta Medicare Health Plan)

IIII. Care 1st Medicare Advantage Plan (Care 1st Health Plan)

JJJJ. Duet/Concert/Summit (WellCare Health Plans, Inc.)

KKKK. Freedom (Advantra Freedom)

LLLL. Fresenius Medical Care Health Plan (Sterling Life Insurance Company)

MMMM. GEMCare Medicare Plus (Golden Empire Managed Care)

NNNN. Health Net Pearl (Health Net)

OOOO. Humana Gold Choice (Humana Insurance Company)

PPPP. Sierra Optima (Sierra Health & Life Insurance, Inc.)

QQQQ. Today’s Options (Pyramid Life Insurance Company)

Spring 2008

CARD HX-6

Plan Names California B. Blue Cross of California

F. Cal Optima

K. Contra Costa Health Plan

P. Health Net

Q. Health Plan of San Mateo

T. Kaiser Foundation HP North

U. Kaiser Foundation HP South

KK. Sutter Senior Care

QQ. Alameda Alliance for Health

VV. Community Health Group

AAA. Inland Empire Health Plan

CCC. Kern Family Health Care

DDD. L.A. Care Health Plan

KKK. Partnership Health Plan of California

NNN. San Francisco Health Plan

Continued on next page

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Spring 2008

CARD HX-6

Plan Names California (continued)

VVV. Western Health Advantage

ZZZ. Central Coast Alliance for Health

DDDD. Health Plan of San Joaquin

PPPP. Senior Care Action Network

YYYY. Molina Healthcare of California

ZZZZ. Family Mosaic Project

AK. Care 1st

AM. Santa Barbara Regional Health Authority

AV. AIDS Health Care Foundation (Positive HealthCare)

AW. Positive HealthCare (AIDS Health Care Foundation)

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) CALIFORNIA

C. APWU

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

X. Health Net of CA

KK. GEHA Benefit Plan – Standard

QQ. Blue Cross – HMO

RR. Blue Shield of CA Access+

SS. Kaiser Permanente-N. CA

TT. Kaiser Permanente-S. CA

ZZ. Blue Cross and Blue Shield Service Benefit Plan – Standard

AAA. Blue Cross and Blue Shield Service Benefit Plan – Basic

EEE. GEHA High Deductible Health Plan

FFF. Mail Handlers High Deductible Plan

LLL. PacifiCare of California

NNN. Aetna HealthFund CDHP

OOO. Aetna HealthFund HDHP

SSS. Aetna Open Access

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program California

CalWORKS (California Work Opportunity and Responsibility to Kids)

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Colorado

Z. Senior Advantage (Kaiser Permanente) DD. RMHP (Rocky Mountain Health Plans) EE. SecureHorizons Direct (United Healthcare) FF. Aetna Medicare Open Plan (Aetna) GG. Denver Health Medicare Select (Denver Health

Medical Plan) HH. Duet/Freedom/Concert/Summit (WellCare Health

Plans, Inc.) II. Freedom (Advantra Freedom) JJ. Humana Choice PPO/Humana Gold (Humana

Insurance Company) KK. Sierra Optima (Sierra Health & Life Insurance,

Inc.) LL. SureValue/SecurityChoice (Anthem Blue Cross

& Blue Shield) MM. Today’s Options Value/Premier (Pyramid Life

Insurance, Inc.)

PR-1

Spring 2008

CARD PR-2

Plan Names Colorado

H. Colorado Access

L. Behavioral Healthcare, Inc.

S. Northeast Behavioral Health

T. Foothills Behavioral Health

V. Denver Health

X. Colorado Health Network

Y. Rocky Mountain Health Plan

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card

Colorado

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Spring 2008

CARD HX-5

Medicare Managed Care Plans Colorado

Z. Senior Advantage (Kaiser Permanente)

DD. RMHP (Rocky Mountain Health Plans)

EE. SecureHorizons Direct (United Healthcare)

FF. Aetna Medicare Open Plan (Aetna)

GG. Denver Health Medicare Select (Denver Health Medical Plan)

HH. Duet/Freedom/Concert/Summit (WellCare Health Plans, Inc.)

II. Freedom (Advantra Freedom)

JJ. Humana Choice PPO/Humana Gold (Humana Insurance Company)

KK. Sierra Optima (Sierra Health & Life Insurance, Inc.)

LL. SureValue/SecurityChoice (Anthem Blue Cross & Blue Shield)

MM. Today’s Options Value/Premier (Pyramid Life Insurance, Inc.)

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Spring 2008

CARD HX-6

Plan Names Colorado

H. Colorado Access

L. Behavioral Healthcare, Inc.

S. Northeast Behavioral Health

T. Foothills Behavioral Health

V. Denver Health

X. Colorado Health Network

Y. Rocky Mountain Health Plan

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CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) COLORADO

C. APWU E. Mail Handlers F. NALC H. Association Benefit Plan J. Foreign Service Benefit Plan L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA T. Kaiser Permanente BB. GEHA Benefit Plan – Standard MM. Blue Cross and Blue Shield Service Benefit

Plan – Standard

NN. Blue Cross and Blue Shield Service Benefit Plan – Basic

QQ. GEHA High Deductible Health Plan RR. Mail Handlers High Deductible Plan VV. PacifiCare of Colorado WW. Aetna HealthFund CDHP XX. Aetna HealthFund HDHP YY. Humana Coverage First CDHP ZZ. United Healthcare of Colorado AAA. Aetna Open Access

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Colorado

Colorado Works

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Connecticut

Q. SecureHorizons Direct (United Healthcare)

R. Aetna Golden/Aetna Medicare Open Plan (Aetna)

S. Fresenius Medical Care Health Plan (Sterling Life Insurance Company)

T. Health Net (Health Net Of Connecticut)

U. Humana Gold Choice (Humana Insurance Company)

V. MediBlue HMO/SmartValue (Anthem Blue Cross and Blue Shield)

W. Save Well (UniCare)

X. SecurityChoice (Unicare Life & Health Insurance Company)

Y. Today’s Options (Pyramid Life Insurance, Inc.)

Z. WellCare Advance/Choice/Premium (WellCare Health Plans, Inc.)

PR-1

Spring 2008

CARD PR-2

Plan Names Connecticut

D. Community Health Network of Connecticut

M. WellCare of Connecticut

W. Anthem Blue Cross and Blue Shield

X. Health Net of the Northeast

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Connecticut

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Spring 2008

CARD HX-5

Medicare Managed Care Plans Connecticut

Q. SecureHorizons Direct (United Healthcare)

R. Aetna Golden/Aetna Medicare Open Plan (Aetna)

S. Fresenius Medical Care Health Plan (Sterling Life Insurance Company)

T. Health Net (Health Net Of Connecticut)

U. Humana Gold Choice (Humana Insurance Company)

V. MediBlue HMO/SmartValue (Anthem Blue Cross and Blue Shield)

W. Save Well (UniCare)

X. SecurityChoice (Unicare Life & Health Insurance Company)

Y. Today’s Options (Pyramid Life Insurance, Inc.)

Z. WellCare Advance/Choice/Premium (WellCare Health Plans, Inc.)

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Spring 2008

CARD HX-6

Plan Names Connecticut

D. Community Health Network of Connecticut

M. WellCare of Connecticut

W. Anthem Blue Cross and Blue Shield

X. Health Net of the Northeast

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CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) CONNECTICUT

C. APWU D. GEHA E. Mail Handlers F. NALC H. Association Benefit Plan J. Foreign Service L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA Q. ConnectiCare

NN. Blue Cross and Blue Shield Service Benefit Plan – Standard

OO. Blue Cross and Blue Shield Service Benefit Plan – Basic

RR. GEHA High Deductible Health Plan SS. Mail Handlers High Deductible Plan TT. Aetna HealthFund CDHP UU. Aetna HealthFund HDHP VV. Aetna Open Access

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Connecticut

JOBS FIRST

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans District of Columbia

F. Kaiser Permanente Medicare Plus

K. SecureHorizons Direct (United Healthcare)

L. Aetna Golden (Aetna)

M. Bravo (Elder Health)

N. Concert/Duet/Summit (WellCare Health Plans, Inc.)

O. Freedom (Advantra Freedom)

P. Save Well (UniCare)

Q. SecurityChoice (Unicare Life & Health Insurance Company)

R. Sierra Optima (Sierra Life & Health Insurance, Inc.)

PR-1

Spring 2008

CARD PR-2

Plan Names District of Columbia

A. D.C. Chartered Health Plan J. Health Right, Inc. O. Health Services for Children with Special Needs, Inc.

(HSCSN) P. Amerigroup

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card District of Columbia

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Spring 2008

CARD HX-5

Medicare Managed Care Plans District of Columbia

F. Kaiser Permanente Medicare Plus

K. SecureHorizons Direct (United Healthcare)

L. Aetna Golden (Aetna)

M. Bravo (Elder Health)

N. Concert/Duet/Summit (WellCare Health Plans, Inc.)

O. Freedom (Advantra Freedom)

P. Save Well (UniCare)

Q. SecurityChoice (Unicare Life & Health Insurance Company)

R. Sierra Optima (Sierra Life & Health Insurance, Inc.)

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Spring 2008

CARD HX-6

Plan Names District of Columbia

A. D.C. Chartered Health Plan

J. Health Right, Inc.

O. Health Services for Children with Special Needs, Inc. (HSCSN)

P. Amerigroup

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CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) DISTRICT OF COLUMBIA

C. APWU

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

Q. Care First – Blue Choice

AA. Kaiser Permanente

BB. M.D. IPA

EE. Prudential Health Care Plan/Mid-Atl.

JJ. GEHA Benefit Plan – Standard

SS. Blue Cross and Blue Shield Service Benefit Plan – Basic

TT. Blue Cross and Blue Shield Service Benefit Plan - Standard

YY. GEHA High Deductible Health Plan

ZZ. Mail Handlers High Deductible Plan

BBB. Aetna Open Access – Basic

FFF. Aetna HealthFund HDHP

GGG. United HealthCare Definity HDHP

Spring 2008

Spring 2008

CARD PR-1

Medicare Managed Care Plans Delaware

G. Aetna Golden (Aetna)

H. SecureHorizons Direct (United Healthcare)

I. Bravo Liberty (Elder Health)

J. Duet (WellCare Health Plans, Inc.)

K. Freedom (Advantra Freedom)

L. Humana Gold Choice (Humana Insurance Company)

M. Save Well (UniCare)

N. SecurityChoice (Unicare Life & Health Insurance Company)

PR-1

Spring 2008

CARD PR-2

Plan Names Delaware

L. Delaware Physicians Plan Inc.

PR-2

Spring 2008

CARD HX-5

Medicare Managed Care Plans Delaware

G. Aetna Golden (Aetna)

H. SecureHorizons Direct (United Healthcare)

I. Bravo Liberty (Elder Health)

J. Duet (WellCare Health Plans, Inc.)

K. Freedom (Advantra Freedom)

L. Humana Gold Choice (Humana Insurance Company)

M. Save Well (UniCare)

N. SecurityChoice (Unicare Life & Health Insurance Company)

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Spring 2008

CARD HX-6

Plan Names Delaware

L. Delaware Physicians Plan Inc.

HX

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Spring 2008

CARD HX-3

Sample Medicaid Card Delaware

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CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) DELAWARE

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

FF. Blue Cross and Blue Shield Service Benefit Plan – Standard

GG. Blue Cross and Blue Shield Service Benefit Plan – Basic

JJ. GEHA High Deductible Health Plan

KK. Mail Handlers High Deductible Plan

LL. Aetna HealthFund CDHP

MM. Aetna HealthFund HDHP

NN. Coventry Healthcare of Delaware (HDHP)

OO. Coventry Health Care of Delaware

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Delaware

A Better Chance (ABC)

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Florida

C. Capital Health Plan (Capital Group Health Service of Florida)

Y. Medicare Complete (United Healthcare of Florida, Inc.)

II. America’s Health Choice (America’s Health Choice Medical Plan,

JJ. AvMed Medicare Preferred (AvMed Medicare Plan)

TT. Medicare Advantage (Vista Health Plan, Inc.) HHH. Medicare Masterpiece (Medicare Masterpiece) QQQ. CitrusCare (Citrus Health Care, Inc.) RRR. Doctorcare Health Advantage (Doctorcare, Inc.) YYY. Aetna Golden (Aetna Health, Inc.) BBBB. Care (CarePlus Health Plans, Inc.) DDDD. FHCP Medvantage (Florida Health Care Plan, Inc.) FFFF. Leon Cares (Leon Medical Centers Health, Inc.) HHHH. MedicareMax (Medical HealthCare Plans, Inc.) KKKK. Summit Ideal Plan (Summit Health Plan, Inc.) LLLL. SunCoast Physicians Health Plan, Inc.

Continued on next page

PR-1

Spring 2008

CARD PR-1

Medicare Managed Care Plans Florida (continued)

MMMM. SunPlus Advantage Plan (Healthsun Health Plans, Inc.)

NNNN. The Value/Classic Secure Plan (United Healthcare of Florida, Inc.)

OOOO. Advantage (Quality Health Plans, Inc.) PPPP. American Pioneer Health Plans (American Pioneer

Health Plans) QQQQ. American Pioneer Life Insurance Company

(American Pioneer Life Insurance Company) RRRR. ANY, ANY, ANY Plan (Universal Health Care) SSSS. BlueMedicare (Blue Cross and Blue Shield of

Florida/Health Options, Inc) TTTT. Classic/Value/Secure (Health First Medicare Plans) UUUU. Concert/Duet/Freedom/Summit (WellCare) VVVV. Florida Advocate/Premier/Diamond (PartnerCare

Golden Advocate Plan) WWWW. Freedom (Advantra Freedom) XXXX. Freedom (Freedom Health, Inc.) YYYY. Hometown Rewards/Spirit (Physicians United Plan)

Continued on next page

Spring 2008

CARD PR-1

Medicare Managed Care Plans Florida (continued)

ZZZZ. HumanaChoice/Humana Gold Choice (Humana Insurance Company)

AB. Optimum (Optimum HealthCare, Inc.) AC. Orange Blossom/Valencia Plan (AdvantageCare) AD. Platinum Preferred Options/Select/Value (Vista

Healthplan, Inc.) AE. PSO/Senior Health Choice (Preferred Care Partners,

Inc.) AF. Save Well (UniCare) AG. SecurityChoice (Unicare Life & Health Insurance

Company) AH. Today’s Options (Pyramid Life Insurance, Inc.) AI. WellCare (WellCare Health Plans, Inc.)

Spring 2008

CARD PR-2 Plan Names

Florida

HH. Staywell Health Plan QQ. JMH Health Plan SS. Medipass UU. Preferred Medical Plan ZZ. HealthEase AAA. Citrus Health Care BBB. United Healthcare of Florida DDD. Universal Health Plan HHH. Vista South Florida III. Healthy Palm Beaches/Personal JJJ. Total Health Choice KKK. Amerigroup LLL. Children’s Medical Services Network MMM. Humana NNN. South Florida Community Care Network OOO. United EverCare PPP. Buena Vista

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Florida

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Florida

C. Capital Health Plan (Capital Group Health Service

of Florida) Y. Medicare Complete (United Healthcare of Florida,

Inc.) II. America’s Health Choice (America’s Health Choice

Medical Plan, JJ. AvMed Medicare Preferred (AvMed Medicare

Plan) TT. Medicare Advantage (Vista Health Plan, Inc.) HHH. Medicare Masterpiece (Medicare Masterpiece) QQQ. CitrusCare (Citrus Health Care, Inc.) RRR. Doctorcare Health Advantage (Doctorcare, Inc.) YYY. Aetna Golden (Aetna Health, Inc.) BBBB. Care (CarePlus Health Plans, Inc.) DDDD. FHCP Medvantage (Florida Health Care Plan, Inc.) FFFF. Leon Cares (Leon Medical Centers Health, Inc.) HHHH. MedicareMax (Medical HealthCare Plans, Inc.) KKKK. Summit Ideal Plan (Summit Health Plan, Inc.) LLLL. SunCoast Physicians Health Plan, Inc.

Continued on next page

HX

-5

Spring 2008

CARD HX-5

Medicare Managed Care Plans Florida (continued)

MMMM. SunPlus Advantage Plan (Healthsun Health Plans, Inc.)

NNNN. The Value/Classic Secure Plan (United Healthcare of Florida, Inc.)

OOOO. Advantage (Quality Health Plans, Inc.) PPPP. American Pioneer Health Plans (American Pioneer

Health Plans) QQQQ. American Pioneer Life Insurance Company

(American Pioneer Life Insurance Company) RRRR. ANY, ANY, ANY Plan (Universal Health Care) SSSS. BlueMedicare (Blue Cross and Blue Shield of

Florida/Health Options, Inc) TTTT. Classic/Value/Secure (Health First Medicare Plans) UUUU. Concert/Duet/Freedom/Summit (WellCare) VVVV. Florida Advocate/Premier/Diamond (PartnerCare

Golden Advocate Plan) WWWW. Freedom (Advantra Freedom) XXXX. Freedom (Freedom Health, Inc.) YYYY. Hometown Rewards/Spirit (Physicians United Plan)

Continued on next page

Spring 2008

CARD HX-5

Medicare Managed Care Plans Florida (continued)

ZZZZ. HumanaChoice/Humana Gold Choice (Humana Insurance Company)

AB. Optimum (Optimum HealthCare, Inc.) AC. Orange Blossom/Valencia Plan (AdvantageCare) AD. Platinum Preferred Options/Select/Value (Vista

Healthplan, Inc.) AE. PSO/Senior Health Choice (Preferred Care Partners,

Inc.) AF. Save Well (UniCare) AG. SecurityChoice (Unicare Life & Health Insurance

Company) AH. Today’s Options (Pyramid Life Insurance, Inc.) AI. WellCare (WellCare Health Plans, Inc.)

Spring 2008

CARD HX-6

Plan Names Florida

HH. Staywell Health Plan QQ. JMH Health Plan SS. Medipass UU. Preferred Medical Plan ZZ. HealthEase AAA. Citrus Health Care BBB. United Healthcare of Florida DDD. Universal Health Plan HHH. Vista South Florida III. Healthy Palm Beaches/Personal JJJ. Total Health Choice KKK. Amerigroup LL1. Children’s Medical Services Network MMM. Humana NNN. South Florida Community Care Network OOO. United EverCare PPP. Buena Vista

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) FLORIDA

C. APWU E. Mail Handlers F. NALC H. Association Benefit Plan J. Foreign Service Benefit Plan L Panama Canal Area M. Rural Carrier Benefit Plan N. SAMBA P. AV-MED Health Plan R. Capital Health Plan AA. Humana Medical Plan MM. GEHA Benefit Plan – Standard VV. Blue Cross and Blue Shield Service Benefit Plan

– Standard

WW. Blue Cross and Blue Shield Service Benefit Plan – Basic

AAA. JMH Health Plan EEE. GEHA High Deductible Health Plan FFF. Mail Handlers High Deductible Plan III. Vista Healthplan – South Florida MMM. Aetna HealthFund CDHP –

Jacksonville/Miami/Orlando/Tampa Areas NNN. Aetna HealthFund HDHP –

Jacksonville/Miami/Orlando/Tampa Areas PPP. Humana CoverageFirst CDHP – Jacksonville QQQ. Humana CoverageFirst CDHP – South Florida RRR. Humana CoverageFirst CDHP – Orlando

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Florida

Welfare Transition Program

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans

Georgia

M. Kaiser Permanente Senior Advantage (Kaiser Foundation Health Plan, Inc.)

P. Aetna Golden (Aetna Medicare) Q. InStil InChoice/InCare (Instil Health Insurance Company) S. SmartValue/BlueValue (Blue Cross/Blue Shield

Healthcare Plan of GA) U. WellCare V. Advantra Silver/Gold (Advantra) W. ANY, ANY, ANY Plan (Universal Health Care) X. Duet/Concert/Summit (WellCare Health Plans, Inc.) Y. Freedom (Advantra Freedom) Z. Humana Gold Choice/HumanaChoice PPO (Humana

Insurance Company) AA. MedicareComplete/MedicareDirect (United Healthcare) BB. Sierra Optima (Sierra Health & Life Insurance, Inc.) CC. Southeast Community Care (Arcadian Health Plan of

Georgia) DD. Today’s Options (Pyramid Life Insurance, Inc.)

PR-1

Spring 2008

CARD PR-2

Plan Names Georgia

J. PeachState (Centene)

K. WellCare

L. AMERIGROUP Community Care

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Georgia

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Georgia

M. Kaiser Permanente Senior Advantage (Kaiser Foundation Health Plan, Inc.)

P. Aetna Golden (Aetna Medicare)

Q. InStil InChoice/InCare (Instil Health Insurance Company)

S. SmartValue/BlueValue (Blue Cross/Blue Shield Healthcare Plan of GA)

U. WellCare

V. Advantra Silver/Gold (Advantra)

W. ANY, ANY, ANY Plan (Universal Health Care)

X. Duet/Concert/Summit (WellCare Health Plans, Inc.)

Y. Freedom (Advantra Freedom)

Z. Humana Gold Choice/HumanaChoice PPO (Humana Insurance Company)

Continued on next page

HX

-5

Spring 2008

CARD HX-5

Medicare Managed Care Plans Georgia (continued)

AA. MedicareComplete/MedicareDirect (United Healthcare)

BB. Sierra Optima (Sierra Health & Life Insurance, Inc.)

CC. Southeast Community Care (Arcadian Health Plan of Georgia)

DD. Today’s Options (Pyramid Life Insurance, Inc.)

Spring 2008

CARD HX-6

Plan Names Georgia

J. PeachState (Centene)

K. WellCare

L. AMERIGROUP Community Care

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) GEORGIA

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

W. United HealthCare of Georgia

KK. Blue Cross and Blue Shield Service Benefit Plan - Standard

LL. Blue Cross and Blue Shield Service Benefit Plan – Basic

OO. GEHA High Deductible Health Plan

PP. Mail Handlers High deductible Plan

TT. Aetna HealthFund CDHP

UU. Aetna HealthFund HDHP

VV. Coventry Health Care of GA HDHP

Continued on next page

Spring 2008

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) GEORGIA (continued)

WW. Kaiser Foundation Health Plan of Georgia, Inc.

XX. Humana CoverageFirst (Consumer Driven Plan)

YY. Kaiser Foundation Health Plan of Georgia, Inc. – HDHP

ZZ. Aetna Open Access

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Georgia

Temporary Assistance for Needy Families

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Hawaii

E. 65C Plus Plan (Hawaii Medicare Services Association)

F. Kaiser Permanente Senior Advantage (Kaiser Foundation Health Plan, Inc.)

H. AlohaCare Advantage (AlohaCare)

K. Aetna Medicare Open Plan (Aetna)

L. Concert/Duet/Summit (WellCare)

M. Health Net Pearl Option (Health Net)

N. Humana Gold Choice (Humana Insurance Company)

O. MedicareComplete Choice/Medicare Direct (United Healthcare)

P. Save Well (UniCare)

Q. SecurityChoice (Unicare Life & Health Insurance Company)

PR-1

Spring 2008

CARD PR-2

Plan Names Hawaii

C. HMSA (Hawaii Medical Services Association)

Q. Aloha Care

R. Kaiser (QUEST)

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Hawaii

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Hawaii

E. 65C Plus Plan (Hawaii Medicare Services Association)

F. Kaiser Permanente Senior Advantage (Kaiser Foundation Health Plan, Inc.)

H. AlohaCare Advantage (AlohaCare)

K. Aetna Medicare Open Plan (Aetna)

L. Concert/Duet/Summit (WellCare)

M. Health Net Pearl Option (Health Net)

N. Humana Gold Choice (Humana Insurance Company)

O. MedicareComplete Choice/Medicare Direct (United Healthcare)

P. Save Well (UniCare)

Q. SecurityChoice (Unicare Life & Health Insurance Company)

HX

-5

Spring 2008

CARD HX-6

Plan Names Hawaii

C. HMSA (Hawaii Medical Services Association)

Q. Aloha Care

R. Kaiser (QUEST)

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) HAWAII

C. APWU D. GEHA E. Mail Handlers F. NALC H. Association Benefit Plan J. Foreign Service Benefit Plan L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan

N. SAMBA Q. HMSA EE. Blue Cross and Blue Shield Service Benefit

Plan - Standard FF. Blue Cross and Blue Shield Service Benefit

Plan – Basic II. GEHA High Deductible Health Plan JJ. Mail Handlers High Deductible Plan MM. Kaiser Foundation Health Plan of Hawaii

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Hawaii

Temporary Assistance for Needy Families

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Idaho

E. Humana Gold Choice (Humana Insurance Company)

F. MedAdvantage (Regence Blue Shield of Idaho)

G. Secure Blue (Blue Cross of Idaho Health Services, Inc.)

J. Duet/Freedom/Concert/Summit (WellCare Health Plans, Inc.)

K. Freedom (Advantra Freedom)

L. Save Well (UniCare)

M. SecurityChoice (Unicare Life & Health Insurance, Company)

N. Sierra Optima (Sierra Health & Life Insurance, Inc.)

O. MedicareComplete Choice/MedicareDirect (United Healthcare)

PR-1

Spring 2008

CARD PR-2

Plan Names Idaho

A. Healthy Connections

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Idaho

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Idaho

E. Humana Gold Choice (Humana Insurance Company)

F. MedAdvantage (Regence Blue Shield of Idaho)

G. Secure Blue (Blue Cross of Idaho Health Services, Inc.)

J. Duet/Freedom/Concert/Summit (WellCare Health Plans, Inc.)

K. Freedom (Advantra Freedom)

L. Save Well (UniCare)

M. SecurityChoice (Unicare Life & Health Insurance, Company)

N. Sierra Optima (Sierra Health & Life Insurance, Inc.)

O. MedicareComplete Choice/MedicareDirect (United Healthcare)

HX

-5

Spring 2008

CARD HX-6

Plan Names Idaho

A. Healthy Connections

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) IDAHO

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

AA. Group Health Cooperative

DD. Blue Cross and Blue Shield Service Benefit Plan – Standard

EE. Blue Cross and Blue Shield Service Benefit Plan – Basic

HH. GEHA High Deductible Health Plan

II. Mail Handlers High Deductible Plan

LL. Aetna HealthFund CDHP

MM. Aetna HealthFund HDHP

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Idaho

Temporary Assistance for Families in Idaho

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Illinois

T. Medicare Complete (United Healthcare Plan of the River Valley, Inc.)

EE. Medical Associates Advantage Plan (Medical Associates Health Plan, Inc.)

FF. OSF Care Advantage/Preferred (Order of St. Francis - OSF Health Care)

GG. PremierPlus (Mercy Health Plans, Inc.)

JJ. Advantra/Gold Advantage (Group Health Plan, Inc.)

LL. Security Choice (Unicare Life & Health Insurance Company)

MM. Humana Gold Choice (Humana Insurance Company)

NN. Health Alliance Medicare HMO (Health Alliance Medical Plans)

PP. Aetna Golden (Aetna)

RR. Health Spring Advantage (New Quest.)

Continued on next page

PR-1

Spring 2008

CARD PR-1

Medicare Managed Care Plans Illinois (continued)

VV. Duet/Concert/Summit (WellCare Health Plans, Inc.)

WW. Erickson Advantage (United HealthCare Insurance Company)

XX. Essence (Essence Healthcare, Inc.)

YY. Freedom (Advantra Freedom)

ZZ. MedicareComplete/MedicareDirect (United Healthcare)

AAA. Save Well (UniCare)

BBB. Sierra Optima (Sierra Health & Life Insurance, Inc.)

CCC. Today’s Options (Pyramid Life Insurance, Inc.)

DDD. WellCare (WellCare Health Plans, Inc.)

Spring 2008

CARD PR-2

Plan Names Illinois

R. Family Health Network

S. Harmony Health Plan

Z. Illinois Health Connect

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Illinois

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Illinois

T. Medicare Complete (United Healthcare Plan of the River Valley, Inc.)

EE. Medical Associates Advantage Plan (Medical Associates Health Plan, Inc.)

FF. OSF Care Advantage/Preferred (Order of St. Francis - OSF Health Care)

GG. PremierPlus (Mercy Health Plans, Inc.)

JJ. Advantra/Gold Advantage (Group Health Plan, Inc.)

LL. Security Choice (Unicare Life & Health Insurance Company)

MM. Humana Gold Choice (Humana Insurance Company)

NN. Health Alliance Medicare HMO (Health Alliance Medical Plans)

PP. Aetna Golden (Aetna)

RR. Health Spring Advantage (New Quest.)

Continued on next page

HX

-5

Spring 2008

CARD HX-5

Medicare Managed Care Plans Illinois (continued)

VV. Duet/Concert/Summit (WellCare Health Plans, Inc.)

WW. Erickson Advantage (United HealthCare Insurance Company)

XX. Essence (Essence Healthcare, Inc.)

YY. Freedom (Advantra Freedom)

ZZ. MedicareComplete/MedicareDirect (United Healthcare)

AAA. Save Well (UniCare)

BBB. Sierra Optima (Sierra Health & Life Insurance, Inc.)

CCC. Today’s Options (Pyramid Life Insurance, Inc.)

DDD. WellCare (WellCare Health Plans, Inc.)

Spring 2008

CARD HX-6

Plan Names Illinois

R. Family Health Network

S. Harmony Health Plan

Z. Illinois Health Connect

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) ILLINOIS

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

S. BlueCHOICE

X. Group Health Plan

Y. Health Alliance HMO

AA. Humana Health Plan, Inc.

HH. Personal Care’s HMO

NN. Union Health Service

XX. OSF HealthPlans

YY. UNICARE HMO

DDD. Blue Cross and Blue Shield Service Benefit Plan – Standard

EEE. Blue Cross and Blue Shield Service Benefit Plan – Basic

Continued on next page

Spring 2008

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES)

ILLINOIS (continued)

HHH. GEHA High Deductible Health Plan

III. Mail Handlers High Deductible Plan

NNN. Aetna HealthFund CDHP

OOO. Aetna HealthFund HDHP

QQQ. Humana CoverageFirst CDHP

RRR. OSF HealthPlans HDHP

SSS. Aetna Open Access

TTT. United Health BBcare of the Midwest

UUU. UnitedHealthcare Plan of the River Valley Inc.

Spring 2008

Spring 2008

CARD PR-1

Medicare Managed Care Plans Indiana

K. ADVANTAGE Preferred Plus (Advantage Health Solutions, Inc.)

M. Senior Smart Choice (The M Plan, Senior Smart Choice)

O. Security Choice (Unicare Life and Health Insurance Company)

Q. Blue Medicare Access/Anthem (Anthem Blue Cross and Blue Shield)

R. Humana Choice PPO/Humana Gold Choice (Humana Insurance Company)

V. Aetna Medicare Open Standard/Premier Plan (Aetna)

W. Arnett Gold (Arnett Health System)

X. Duet/Concert/Freedom/Summit (WellCare Health Plans, Inc.)

Y. Freedom (Advantra Freedom)

Z. MedicareComplete Choice/MedicareDirect (United Healthcare)

AA. Sierra Optima (Sierra Health & Life Insurance, Inc.)

BB. Today’s Options (Pyramid Life Insurance, Inc.)

PR-1

Spring 2008

CARD PR-2

Plan Names Indiana

C. Managed Health Services

I. MD Wise

N. Anthem

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Indiana

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Indiana

K. ADVANTAGE Preferred Plus (Advantage Health Solutions, Inc.)

M. Senior Smart Choice (The M Plan, Senior Smart Choice)

O. Security Choice (Unicare Life and Health Insurance Company)

Q. Blue Medicare Access/Anthem (Anthem Blue Cross and Blue Shield)

R. Humana Choice PPO/Humana Gold Choice (Humana Insurance Company)

V. Aetna Medicare Open Standard/Premier Plan (Aetna)

W. Arnett Gold (Arnett Health System)

X. Duet/Concert/Freedom/Summit (WellCare Health Plans, Inc.)

Y. Freedom (Advantra Freedom)

Z. MedicareComplete Choice/MedicareDirect (United Healthcare)

AA. Sierra Optima (Sierra Health & Life Insurance, Inc.)

BB. Today’s Options (Pyramid Life Insurance, Inc.)

HX

-5

Spring 2008

CARD HX-6

Plan Names Indiana

C. Managed Health Services

I. MD Wise

N. Anthem

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) INDIANA

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

R. Arnett HMO

U. Health Alliance HMO

X. Humana Health Plan, Inc.

FF. Physicians HP of N. Indiana

JJ. The M*Plan

WW. UNICARE HMO

ZZ. Blue Cross and Blue Shield Service Benefit Plan – Standard

AAA. Blue Cross and Blue Shield Service Benefit Plan – Basic

GGG. GEHA High Deductible Health Plan

HHH. Mail Handlers High Deductible Plan

LLL. Aetna HealthFund CDHP

MMM. Aetna HealthFund HDHP

OOO. Humana CoverageFirst CDHP

QQQ. Advantage Health Solutions

RRR. Aetna Open Access

SSS. Humana CoverageFirst

TTT. Bluegrass Family Health, Inc

Spring 2008

Spring 2008

CARD PR-1

Medicare Managed Care Plans Iowa

J. Medical Associates Advantage Plan (Medical Associates Health Plan, Inc.)

N. Security Choice (Unicare Life and Health Insurance Company)

O. Humana Gold Choice (Humana Insurance Company)

Q. Coventry Advantra (Coventry Health and Life Ins. Company)

U. Today’s Options (Pyramid Life Insurance)

V. Aetna Medicare Open Plan (Aetna)

W. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

X. Freedom (Advantra Freedom)

Y. MedicareBlue PPO (Wellmark Blue Cross and Blue Shield of Iowa)

Z. MedicareComplete (United Healthcare Plan of the River Valley, Inc.)

AA. Save Well (UniCare)

BB. SecureHorizons MedicareDirect (United Healthcare)

CC. Sierra Optima (Sierra Health & Life Insurance, Inc.)

PR-1

Spring 2008

CARD PR-2

Plan Names Iowa

K. Coventry Health Care

O. Iowa Plan

P. Med.PASS

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Iowa

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Iowa

J. Medical Associates Advantage Plan (Medical Associates Health Plan, Inc.)

N. Security Choice (Unicare Life and Health Insurance Company)

O. Humana Gold Choice (Humana Insurance Company)

Q. Coventry Advantra (Coventry Health and Life Ins. Company)

U. Today’s Options (Pyramid Life Insurance)

V. Aetna Medicare Open Plan (Aetna)

W. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

X. Freedom (Advantra Freedom)

Y. MedicareBlue PPO (Wellmark Blue Cross and Blue Shield of Iowa)

Z. MedicareComplete (United Healthcare Plan of the River Valley, Inc.)

AA. Save Well (UniCare)

BB. SecureHorizons MedicareDirect (United Healthcare)

CC. Sierra Optima (Sierra Health & Life Insurance, Inc.)

HX

-5

Spring 2008

CARD HX-6

Plan Names Iowa

K. Coventry Health Care

O. Iowa Plan

P. Med.PASS

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) IOWA

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

GG. Avera Health Plan

HH. Coventry Health Care of Iowa

II. Health Alliance HMO

LL. Blue Cross and Blue Shield Service Benefit Plan - Standard

MM. Blue Cross and Blue Shield Service Benefit Plan – Basic

PP. GEHA High Deductible Health Plan

QQ. Mail Handlers High Deductible Plan

TT. Sioux Valley Health Plan – Standard

VV. HealthPartners Classic/Open Access Deductible

WW. UnitedHealthcare Plan of the River Valley, Inc.

Spring 2008

Spring 2008

CARD PR-1

Medicare Managed Care Plans Kansas

K. Advantra (Coventry Health Care of Kansas, Inc.)

N. SecureHorizons Direct

P. Aetna Medicare Open Plan (Aetna)

Q. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

R. Freedom (Advantra Freedom)

S. Humana Choice/Humana Gold (Humana Insurance Company)

T. Save Well (UniCare)

U. SecurityChoice (Unicare Life & Health Insurance Company)

V. Sierra Optima (Sierra Health & Life Insurance, Inc.)

W. Today’s Options (Pyramid Life Insurance, Inc.)

PR-1

Spring 2008

CARD PR-2

Plan Names Kansas

G. Health Connect Kansas

I. HealthWave 19

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Kansas

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Kansas

K. Advantra (Coventry Health Care of Kansas, Inc.)

N. SecureHorizons Direct

P. Aetna Medicare Open Plan (Aetna)

Q. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

R. Freedom (Advantra Freedom)

S. Humana Choice/Humana Gold (Humana Insurance Company)

T. Save Well (UniCare)

U. SecurityChoice (Unicare Life & Health Insurance Company)

V. Sierra Optima (Sierra Health & Life Insurance, Inc.)

W. Today’s Options (Pyramid Life Insurance, Inc.)

HX

-5

Spring 2008

CARD HX-6

Plan Names Kansas

G. Health Connect Kansas

I. HealthWave 19

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) KANSAS

C. APWU D. GEHA E. Mail Handlers F. NALC H. Association Benefit Plan J. Foreign Service Benefit Plan L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA U. Preferred Plus of Kansas GG. Coventry Health Care of Kansas KK. Coventry Health Care of Kansas-Kansas

City MM. Humana Health Plan, Inc. – Standard

NN. Blue Cross and Blue Shield Service Benefit Plan - Standard

OO. Blue Cross and Blue Shield Service Benefit Plan – Basic

RR. GEHA High Deductible Health Plan SS. Mail Handlers High Deductible Plan UU. Coventry Health Care of Kansas –

Wichita/Salinas – High YY. Aetna HealthFund CDHP ZZ. Aetna HealthFund HDHP CCC. Humana CoverageFirst CDHP Plan DDD. Community Health Plan EEE. United Health BBcare of the Midwest FFF. Aetna Open Access

Spring 2008

Spring 2008

CARD PR-1

Medicare Managed Care Plans Kentucky

G. Security Choice (Unicare Life and Health Insurance Company)

H. Blue Medicare Access/Anthem Sr. Advantage (Anthem Blue Cross and Blue Shield)

J. SecureHorizons Direct

K. Aetna Medicare Open Plan (Aetna)

L. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

M. Freedom (Advantra Freedom)

N. Humana Choice/Gold Choice (Humana Insurance Company)

O. Sierra Optima (Sierra Health & Life Insurance, Inc.)

P. Today’s Options (Pyramid Life Insurance, Inc.)

PR-1

Spring 2008

CARD PR-2

Plan Names Kentucky

B. Passport Health Plan

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Kentucky

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Kentucky

G. Security Choice (Unicare Life and Health Insurance Company)

H. Blue Medicare Access/Anthem Sr. Advantage (Anthem Blue Cross and Blue Shield)

J. SecureHorizons Direct

K. Aetna Medicare Open Plan (Aetna)

L. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

M. Freedom (Advantra Freedom)

N. Humana Choice/Gold Choice (Humana Insurance Company)

O. Sierra Optima (Sierra Health & Life Insurance, Inc.)

P. Today’s Options (Pyramid Life Insurance, Inc.)

HX

-5

Spring 2008

CARD HX-6

Plan Names Kentucky

B. Passport Health Plan

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) KENTUCKY

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

Q. Bluegrass Family Health

MM. Blue Cross and Blue Shield Service Benefit Plan - Standard

NN. Blue Cross and Blue Shield Service Benefit Plan – Basic

RR. GEHA High Deductible Health Plan

SS. Mail Handlers High Deductible Plan

WW. Aetna HealthFund CDHP

XX. Aetna HealthFund HDHP

YY. Humana CoverageFirst CDHP – Lexington

AAA. Humana CoverageFirst CDHP – N. Kentucky

BBB. Aetna Open Access

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Kentucky

Kentucky Transitional Assistance Program (KTAP)

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Louisiana

Q. Humana Choice PPO (Humana Insurance Company)

R. SecureHorizons Direct

T. Aetna Medicare Open Plan (Aetna)

U. ANY, ANY, ANY Plan (Universal Health Care)

V. Choices/HealthCare Select (Peoples Health)

W. Freedom (Advantra Freedom)

X. Humana Gold Choice (Humana Health Plan of LA, Inc.)

Y. Save Well (UniCare)

Z. SecurityChoice (Unicare Life & Health Insurance Company)

AA. Sierra Optima (Sierra Health & Life Insurance, Inc.)

BB. Summit/Concert/Duet (WellCare Health Plans, Inc.)

CC. Today’s Options (Pyramid Life Insurance, Inc.)

DD. Vantage Gold (Vantage Health Plan, Inc.)

EE. WellCare (WellCare Health Plans, Inc.)

PR-1

Spring 2008

CARD PR-2

Plan Names Louisiana

A. Community Care Program (PCCM) PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Louisiana

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Louisiana

Q. Humana Choice PPO (Humana Insurance Company)

R. SecureHorizons Direct

T. Aetna Medicare Open Plan (Aetna)

U. ANY, ANY, ANY Plan (Universal Health Care)

V. Choices/HealthCare Select (Peoples Health)

W. Freedom (Advantra Freedom)

X. Humana Gold Choice (Humana Health Plan of LA, Inc.)

Y. Save Well (UniCare)

Z. SecurityChoice (Unicare Life & Health Insurance Company)

AA. Sierra Optima (Sierra Health & Life Insurance, Inc.)

BB. Summit/Concert/Duet (WellCare Health Plans, Inc.)

CC. Today’s Options (Pyramid Life Insurance, Inc.)

DD. Vantage Gold (Vantage Health Plan, Inc.)

EE. WellCare (WellCare Health Plans, Inc.)

HX

-5

Spring 2008

CARD HX-6

Plan Names Louisiana

A. Community Care Program (PCCM)

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) LOUISIANA

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

PP. Coventry Healthcare Louisiana-Baton Rouge

QQ. Blue Cross and Blue Shield Service Benefit Plan - Standard

RR. Blue Cross and Blue Shield Service Benefit Plan – Basic

UU. GEHA High Deductible Health Plan

VV. Mail Handlers High Deductible Plan

WW. Coventry Healthcare Louisiana – High – New Orleans

YY. Vantage HealthPlan – Monroe/Shreveport/Alexandria

ZZ. Coventry Healthcare Louisiana HDHP – New Orleans

AAA. Coventry Healthcare Louisiana HDHP – Baton Rouge

CCC. Humana CoverageFirst CDHP – Baton Rouge

DDD. Humana CoverageFirst CDHP – Shreveport

EEE. Aetna HealthFund

FFF. Humana CoverageFirst

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Louisiana

Family Independence Temporary Assistance Program (FITAP)

Strategies to Empower People

(STEP)

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans

Maine

A. SecureHorizons Direct

B. Today’s Options

D. Aetna Medicare Open Plan (Aetna)

E. Freedom (Advantra Freedom)

F. Humana Gold Choice (Humana Insurance Company)

G. Martin’s Point Generations Advantage (Martin’s Point Health Care)

H. Northeast Community Care (Arcadian Health Plan)

I. SecurityChoice (Unicare Life & Health Insurance Company)

PR-1

Spring 2008

CARD PR-2

Plan Names Maine

B. Maine Care (PCCM)

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Maine

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Maine

A. SecureHorizons Direct

B. Today’s Options

D. Aetna Medicare Open Plan (Aetna)

E. Freedom (Advantra Freedom)

F. Humana Gold Choice (Humana Insurance Company)

G. Martin’s Point Generations Advantage (Martin’s Point Health Care)

H. Northeast Community Care (Arcadian Health Plan)

I. SecurityChoice (Unicare Life & Health Insurance Company)

HX

-5

Spring 2008

CARD HX-6

Plan Names Maine

B. Maine Care (PCCM)

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) MAINE

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

CC. Blue Cross and Blue Shield Service Benefit Plan – Standard

DD. Blue Cross and Blue Shield Service Benefit Plan – Basic

GG. GEHA High Deductible Health Plan

HH. Mail Handlers High Deductible Plan

II. Aetna HealthFund

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Maine

TANF

ASPIRE (Additional Support for People in Retraining and

Employment)

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Maryland

P. Kaiser Permanente Medicare Plus (Kaiser Foundation Health Plan, Inc.)

T. Aetna Golden Choice Plan (Aetna)

Y. Erickson Advantage (United Healthcare Insurance Company)

Z. SecureHorizons Direct

AA. Bravo (Elder Health)

BB. Duet/Concert/Summit (WellCare Health Plans, Inc.)

CC. Freedom (Advantra Freedom)

DD. Humana Gold Choice (Humana Insurance Company)

EE. Save Well (UniCare)

FF. SecurityChoice (Unicare Life & Health Insurance Company)

GG. Today’s Options (Pyramid Life Insurance, Inc.)

PR-1

Spring 2008

CARD PR-2

Plan Names Maryland

H. Helix Family Choice, Inc.

I. JAI Medical Systems, Inc.

J. Maryland Physicians Care

R. Amerigroup Maryland, Inc.

W. Priority Partners

Y. Americhoice (United Healthcare)

Z. UnitedHealthcare (Americhoice)

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Maryland

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Maryland

P. Kaiser Permanente Medicare Plus (Kaiser Foundation Health Plan, Inc.)

T. Aetna Golden Choice Plan (Aetna)

Y. Erickson Advantage (United Healthcare Insurance Company)

Z. SecureHorizons Direct

AA. Bravo (Elder Health)

BB. Duet/Concert/Summit (WellCare Health Plans, Inc.)

CC. Freedom (Advantra Freedom)

DD. Humana Gold Choice (Humana Insurance Company)

EE. Save Well (UniCare)

FF. SecurityChoice (Unicare Life & Health Insurance Company)

GG. Today’s Options (Pyramid Life Insurance, Inc.)

HX

-5

Spring 2008

CARD HX-6

Plan Names Maryland

H. Helix Family Choice, Inc.

I. JAI Medical Systems, Inc.

J. Maryland Physicians Care

R. Amerigroup Maryland, Inc.

W. Priority Partners

Y. Americhoice (United Healthcare)

Z. UnitedHealthcare (Americhoice)

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) MARYLAND

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

CC. Kaiser Permanente

DD. M.D. IPA

WW. Blue Cross and Blue Shield Service Benefit Plan – Standard

XX. Blue Cross and Blue Shield Service Benefit Plan – Basic

YY. CareFirst BlueChoice

DDD. GEHA High Deductible Health Plan

EEE. Mail Handlers High Deductible Plan

GGG. Aetna Open Access – Basic

KKK. Aetna HealthFund CDHP

LLL. Aetna HealthFund HDHP

MMM. Coventry Health Care of Delaware – HDHP

NNN. United HealthCare Definity HDHP

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Maryland

Family Investment Program (FIP)

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Massachusetts

O. First Seniority (Harvard Pilgrim Health Plan)

V. Fallon Senior Plan (Fallon Community Health Plan)

Z. Erickson Advantage (United HealthCare Insurance Company)

AA. Fresenius Medical Care Health Plan, Inc. (Sterling Life Insurance Company)

BB. Medicare PPO/HMO (Blue Cross/Blue Shield of Massachusetts, Inc.)

CC. Medicare Preferred PPO/HMO (Tufts Health Plan)

DD. Aetna Medicare Open Plan (Aetna)

EE. Freedom (Advantra Freedom)

FF. Humana Gold Choice (Humana Insurance Company)

GG. Save Well (UniCare)

HH. SecureHorizons MedicareDirect (United Healthcare)

II. SecurityChoice (Unicare Life & Health Insurance Company)

PR-1

Spring 2008

CARD PR-2

Plan Names Massachusetts

J. Fallon Community Health Plan

N. Neighborhood Health Plan

S. Boston Medical Center Healthnet Plan

Z. Network Health

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Massachusetts

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Massachusetts

O. First Seniority (Harvard Pilgrim Health Plan)

V. Fallon Senior Plan (Fallon Community Health Plan)

Z. Erickson Advantage (United HealthCare Insurance Company)

AA. Fresenius Medical Care Health Plan, Inc. (Sterling Life Insurance Company)

BB. Medicare PPO/HMO (Blue Cross/Blue Shield of Massachusetts, Inc.)

CC. Medicare Preferred PPO/HMO (Tufts Health Plan)

DD. Aetna Medicare Open Plan (Aetna)

EE. Freedom (Advantra Freedom)

FF. Humana Gold Choice (Humana Insurance Company)

GG. Save Well (UniCare)

HH. SecureHorizons MedicareDirect (United Healthcare)

II. SecurityChoice (Unicare Life & Health Insurance Company)

HX

-5

Spring 2008

CARD HX-6

Plan Names Massachusetts

J. Fallon Community Health Plan

N. Neighborhood Health Plan

S. Boston Medical Center Healthnet Plan

Z. Network Health

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) MASSACHUSETTS

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

NN. ConnectiCare

QQ. Blue Cross and Blue Shield Service Benefit Plan – Standard

RR. Blue Cross and Blue Shield Service Benefit Plan – Basic

UU. GEHA High Deductible Health Plan

VV. Mail Handlers High Deductible Plan

WW. Fallon Community Health Plan – High

XX. Fallon Community Health Plan – Std

YY. Aetna HealthFund CDHP

ZZ. Aetna HealthFund HDHP

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Massachusetts

Transitional Aid to Families with Dependent Children

(TAFDC)

Employment Services Program (ESP)

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Michigan

H. Health Plus Senior (Health Plus of Michigan)

S. Security Choice (Unicare Life & Health Ins. Company)

U. Alliance Medicare PPO/HAP Senior Plus (Health Alliance Plan of Michigan)

V. BCN Advantage (Blue Care Network)

W. Humana Gold Choice/Humana Choice PPO (Humana Insurance Company)

X. Medicare Plus Blue (Blue Cross Blue Shield of Michigan)

Y. Paramount Elite (Paramount Health Care)

Z. Priority Medicare (PriorityHealth)

AA. SecureHorizons Direct (United Healthcare)

BB. Aetna Medicare Open Plan (Aetna)

CC. Concert/Summit/Duet/Freedom (WellCare Health Plans, Inc.)

Continued on next page

PR-1

Spring 2008

CARD PR-1

Medicare Managed Care Plans Michigan (continued)

DD. Erickson Advantage Signature (United HealthCare Insurance Company)

EE. Freedom (Advantra Freedom)

FF. Save Well (UniCare)

GG. Today’s Options (Pyramid Life Insurance, Inc.)

Spring 2008

CARD PR-2

Plan Names Michigan

K. Midwest Health Plan

M. OmniCare Health Plan

U. Community Choice Michigan

DD. Great Lakes Health Plan, Inc.

EE. McLaren Health Plan

MM. Pro-Care Health Plan

OO. Upper Peninsula Health Plan

VV. M-CAID

WW. Molina Healthcare of Michigan

AAA. Health Plan of Michigan, Inc

CCC. Health Plus Partners, Inc.

DDD. PHP-mm Family Care

FFF. Priority Health Government Programs, Inc.

HHH. Total Health Care

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Michigan

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Michigan

H. Health Plus Senior (Health Plus of Michigan)

S. Security Choice (Unicare Life & Health Ins. Company)

U. Alliance Medicare PPO/HAP Senior Plus (Health Alliance Plan of Michigan)

V. BCN Advantage (Blue Care Network)

W. Humana Gold Choice/Humana Choice PPO (Humana Insurance Company)

X. Medicare Plus Blue (Blue Cross Blue Shield of Michigan)

Y. Paramount Elite (Paramount Health Care)

Z. Priority Medicare (PriorityHealth)

AA. SecureHorizons Direct (United Healthcare)

BB. Aetna Medicare Open Plan (Aetna)

CC. Concert/Summit/Duet/Freedom (WellCare Health Plans, Inc.)

DD. Erickson Advantage Signature (United HealthCare Insurance Company)

Continued on next page

HX

-5

Spring 2008

CARD HX-5

Medicare Managed Care Plans Michigan (continued)

EE. Freedom (Advantra Freedom)

FF. Save Well (UniCare)

GG. Today’s Options (Pyramid Life Insurance, Inc.)

CARD HX-6

Plan Names Michigan

K. Midwest Health Plan

M. OmniCare Health Plan

U. Community Choice Michigan

DD. Great Lakes Health Plan, Inc.

EE. McLaren Health Plan

MM. Pro-Care Health Plan

OO. Upper Peninsula Health Plan

VV. M-CAID

WW. Molina Healthcare of Michigan

AAA. Health Plan of Michigan, Inc

CCC. Health Plus Partners, Inc.

DDD. PHP-mm Family Care

FFF. Priority Health Government Programs, Inc.

HHH. Total Health Care

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) MICHIGAN

C. APWU D. GEHA E. Mail Handlers H. Association Benefit Plan J. Foreign Service Benefit Plan L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA V. Grand Valley Health Plan W. Health Alliance Plan of MI X. HealthPlus of MI Y. M-CARE

PP. Bluecare Network of MI – Midland County TT. Bluecare Network of MI – Mid Michigan YY. Blue Cross Blue Shield Service Benefit Plan

– Standard ZZ. Blue Cross Blue Shield Service Befit Plan –

Basic DDD. GEHA High Deductible Health Plan EEE. Mail Handlers High Deductible Plan FFF. Aetna HealthFund CDHP GGG. Aetna HealthFund HDHP HHH. Humana CoverageFirst (Consumer Driven

Plan)

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Michigan

Family Independence Program (FIP)

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Minnesota

T. Security Choice (Unicare Life and Health Insurance Company)

U. UCare for Seniors (UCare Minnesota)

W. Humana Gold Choice (Humana Insurance Company)

Z. HealthPartners Freedom Plan (HealthPartners)

BB. MedicareBlue PPO (Blue Cross/Blue Shield of Minnesota)

CC. North Star Advantage (Metropolitan Health Plan)

DD. SecureHorizons Direct (United Healthcare)

EE. Today’s Options (Pyramid Life Insurance, Inc.)

FF. Aetna Medicare Open Plan (Aetna)

GG. Duet/Freedom/Concert/Summit (WellCare Health Plans, Inc.)

HH. Freedom (Advantra Freedom)

II. Medica Advantage/Prime Solution (Medica Health Plans)

JJ. MHP North Star (Metropolitan Health Plan)

KK. Save Well (UniCare)

PR-1

Spring 2008

CARD PR-2

Plan Names Minnesota

A. Blue Plus

E. Metropolitan Health Plan (MHP)

J. First Plan of Minnesota

K. Health Partners

L. Itasca Medical Care

M. Medica

R. UCare Minnesota

S. South Country Health Alliance

T. Prime West Health System

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Minnesota

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Minnesota

T. Security Choice (Unicare Life and Health Insurance Company)

U. UCare for Seniors (UCare Minnesota)

W. Humana Gold Choice (Humana Insurance Company)

Z. HealthPartners Freedom Plan (HealthPartners)

BB. MedicareBlue PPO (Blue Cross/Blue Shield of Minnesota)

CC. North Star Advantage (Metropolitan Health Plan)

DD. SecureHorizons Direct (United Healthcare)

EE. Today’s Options (Pyramid Life Insurance, Inc.)

FF. Aetna Medicare Open Plan (Aetna)

GG. Duet/Freedom/Concert/Summit (WellCare Health Plans, Inc.)

HH. Freedom (Advantra Freedom)

II. Medica Advantage/Prime Solution (Medica Health Plans)

JJ. MHP North Star (Metropolitan Health Plan)

KK. Save Well (UniCare)

HX

-5

Spring 2008

CARD HX-6

Plan Names Minnesota

A. Blue Plus

E. Metropolitan Health Plan (MHP)

J. First Plan of Minnesota

K. Health Partners

L. Itasca Medical Care

M. Medica

R. UCare Minnesota

S. South Country Health Alliance

T. Prime West Health System

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) MINNESOTA

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

EE. Health Partners Primary Clinic Plan

HH. Blue Cross and Blue Shield Service Benefit Plan – Standard

II. Blue Cross and Blue Shield Service Benefit Plan – Basic

MM. GEHA High Deductible Health Plan

NN. Mail Handlers High Deductible Plan

OO. Health Partners Open Access Deductible

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Minnesota

Minnesota Family Investment Program (MFIP)

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Mississippi

D. HealthSpring (HealthSpring, Inc.)

E. Humana Gold/Humana Choice PPO (Humana Insurance Company)

F. SecureHorizons Direct (United Healthcare)

G. Aetna Medicare Open Plan (Aetna)

H. Duet/Freedom/Concert/Summit (WellCare Health Plans, Inc.)

I. Freedom(Advantra Freedom)

J. Save Well (UniCare)

K. SecurityChoice (Unicare Life & Health Insurance Company)

L. Sierra Optima (Sierra Health & Life Insurance, Inc.)

M. Today’s Options (Pyramid Life Insurance, Inc.)

N. Windsor Medicare Extra (Windsor Health Group)

PR-1

Spring 2008

CARD PR-2

Plan Names Mississippi

None Available

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Mississippi

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Mississippi

D. HealthSpring (HealthSpring, Inc.)

E. Humana Gold/Humana Choice PPO (Humana Insurance Company)

F. SecureHorizons Direct (United Healthcare)

G. Aetna Medicare Open Plan (Aetna)

H. Duet/Freedom/Concert/Summit (WellCare Health Plans, Inc.)

I. Freedom(Advantra Freedom)

J. Save Well (UniCare)

K. SecurityChoice (Unicare Life & Health Insurance Company)

L. Sierra Optima (Sierra Health & Life Insurance, Inc.)

M. Today’s Options (Pyramid Life Insurance, Inc.)

N. Windsor Medicare Extra (Windsor Health Group)

HX

-5

Spring 2008

CARD HX-6

Plan Names Mississippi

None Available

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) MISSISSIPPI

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

AA. Blue Cross and Blue Shield Service Benefit Plan – Standard

BB. Blue Cross and Blue Shield Service Benefit Plan – Basic

EE. GEHA High Deductible Health Plan

FF. Mail Handlers High Deductible Plan

GG. Aetna HealthFund CDHP

HH. Aetna HealthFund HDHP

Spring 2008

Spring 2008

CARD PR-1

Medicare Managed Care Plans Missouri

AA. St. Johns Premier Plus (Mercy Health Plans, Inc.)

DD. Essence (Essence Healthcare)

EE. Advantra Advantage (Coventry Health Care of Kansas, Inc.)

FF. Aetna Medicare Open Plan (Aetna)

GG. Duet/Concert/Freedom/Summit (WellCare Health Plans, Inc.)

HH. Freedom (Advantra Freedom)

II. Gold Advantage/Advantra (Group Health Plan, Inc.)

JJ. HumanaChoice PPO/Humana Gold Choice (Humana Insurance Company)

KK. SecureHorizons MedicareComplete/Medicare Direct (United Healthcare)

LL. Sierra Optima (Sierra Health & Life Insurance, Inc.)

MM. SmartValue (Blue Cross Blue Shield of Missouri)

NN. Today’s Options (Pyramid Life Insurance, Inc.)

PR-1

Spring 2008

CARD PR-2

Plan Names Missouri

D. HealthCare USA

L. Blue Advantage Plus

T. Missouri Care

BB. Children’s Mercy Family Health Partners

CC. Harmony Health Plan of Missouri

DD. Mercy CarePlus

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Missouri

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Missouri

AA. St. Johns Premier Plus (Mercy Health Plans, Inc.)

DD. Essence (Essence Healthcare)

EE. Advantra Advantage (Coventry Health Care Of Kansas, Inc.)

FF. Aetna Medicare Open Plan (Aetna)

GG. Duet/Concert/Freedom/Summit (WellCare Health Plans, Inc.)

HH. Freedom (Advantra Freedom)

II. Gold Advantage/Advantra (Group Health Plan, Inc.)

JJ. HumanaChoice PPO/Humana Gold Choice (Humana Insurance Company)

KK. SecureHorizons MedicareComplete/Medicare Direct (United Healthcare)

LL. Sierra Optima (Sierra Health & Life Insurance, Inc.)

MM. SmartValue (Blue Cross Blue Shield of Missouri)

NN. Today’s Options (Pyramid Life Insurance, Inc.)

HX

-5

Spring 2008

CARD HX-6

Plan Names Missouri

D. HealthCare USA

L. Blue Advantage Plus

T. Missouri Care

BB. Children’s Mercy Family Health Partners

CC. Harmony Health Plan of Missouri

DD. Mercy CarePlus

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) MISSOURI

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

P. BlueCHOICE

OO. Blue Cross and Blue Shield Service Benefit Plan – Standard

PP. Blue Cross and Blue Shield Service Benefit Plan - Basic

SS. Humana Health Plan, Inc. – Standard

VV. GEHA High Deductible Health Plan

WW. Mail Handlers High Deductible Plan

AAA. Coventry Health Care of Kansas – Kansas City – Std.

CCC. Aetna HealthFund CDHP

DDD. Aetna HealthFund HDHP

EEE. Coventry Health Care of Kansas – Kansas City – HDHP

FFF. Group Health Plan, Inc.

III. United Healthcare of the Midwest

JJJ. Aetna Open Access

KKK. Humana CoverageFirst

LLL. Mercy Health Plans

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Missouri

Beyond Welfare

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Montana

B. Humana Gold Choice (Humana Insurance Company)

C. MedicareBlue PPO (Blue Cross/Blue Shield of Montana)

D. New West Medicare

E. SecureHorizons Direct (United Healthcare)

G. Aetna Medicare Open Plan (Aetna)

H. Clear Choice Value/Traditional (Clear Choice Health Plans)

I. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

J. Freedom (Advantra Freedom)

K. Save Well (UniCare)

L. SecurityChoice (Unicare Life & Health Insurance Company)

PR-1

Spring 2008

CARD PR-2

Plan Names Montana

D. Passport to Health

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Montana

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Montana

B. Humana Gold Choice (Humana Insurance Company)

C. MedicareBlue PPO (Blue Cross/Blue Shield of Montana)

D. New West Medicare

E. SecureHorizons Direct (United Healthcare)

G. Aetna Medicare Open Plan (Aetna)

H. Clear Choice Value/Traditional (Clear Choice Health Plans)

I. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

J. Freedom (Advantra Freedom)

K. Save Well (UniCare)

L. SecurityChoice (Unicare Life & Health Insurance Company)

HX

-5

Spring 2008

CARD HX-6

Plan Names Montana

D. Passport to Health

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) MONTANA

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

Z. New West Health Services

AA. Blue Cross and Blue Shield Service Benefit Plan – Standard

BB. Blue Cross and Blue Shield Service Benefit Plan - Basic

FF. GEHA High Deductible Health Plan

GG. Mail Handlers High Deductible Plan

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Montana

Families Achieving Independence in Montana (FAIM)

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans North Carolina

J. PARTNERS Medicare Choice (PARTNERS National Health Plans of NC, Inc.)

K. United Healthcare Medicare Complete (United Healthcare of North Carolina, Inc.)

L. Humana Gold Choice (Humana Insurance Company)

M. Security Choice (United Life & Health Ins. Company)

N. SecureHorizons Direct (United Healthcare)

O. Today’s Options (Pyramid Life Insurance, Inc.)

P. Aetna Medicare Open Plan (Aetna)

Q. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

R. Freedom (Advantra Freedom)

S. Save Well (UniCare)

PR-1

Spring 2008

CARD PR-2

Plan Names North Carolina

N. Access II/III

V. Community Care of North Carolina (CCNC)

X. ACCESS II Care of Western North Carolina

Y. ACCESS III of Lower Cape Fear

Z. ACCESSCare, Inc.

AA. Carolina Collaborative Community Care

BB. Carolina Community Health Partnership

CC. Central Piedmont ACCESS II

DD. Community Care Plan of Eastern Carolina

EE. Community Health Partners

FF. Partnership for Health Management

GG. Sandhills Community Care Network

HH. Southern Piedmont Community Care Plan

II. Community Care of Wake County

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card North Carolina

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans North Carolina

J. PARTNERS Medicare Choice (PARTNERS National Health Plans of NC, Inc.)

K. United Healthcare Medicare Complete (United Healthcare of North Carolina, Inc.)

L. Humana Gold Choice (Humana Insurance Company)

M. Security Choice (United Life & Health Ins. Company)

N. SecureHorizons Direct (United Healthcare)

O. Today’s Options (Pyramid Life Insurance, Inc.)

P. Aetna Medicare Open Plan (Aetna)

Q. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

R. Freedom (Advantra Freedom)

S. Save Well (UniCare)

HX

-5

Spring 2008

CARD HX-6

Plan Names North Carolina

N. Access II/III

V. Community Care of North Carolina (CCNC)

X. ACCESS II Care of Western North Carolina

Y. ACCESS III of Lower Cape Fear

Z. ACCESSCare, Inc.

AA. Carolina Collaborative Community Care

BB. Carolina Community Health Partnership

CC. Central Piedmont ACCESS II

DD. Community Care Plan of Eastern Carolina

EE. Community Health Partners

FF. Partnership for Health Management

GG. Sandhills Community Care Network

HH. Southern Piedmont Community Care Plan

II. Community Care of Wake County

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) NORTH CAROLINA

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

HH. Blue Cross and Blue Shield Service Benefit Plan – Standard

II. Blue Cross and Blue Shield Service Benefit Plan – Basic

LL. GEHA High Deductible Health Plan

MM. Mail Handlers High Deductible Plan

NN. Aetna HealthFund CDHP

OO. Aetna HealthFund HDHP

PP. Aetna Open Access

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program North Carolina

Work First

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans North Dakota

G. Humana Gold Choice (Humana Insurance Company)

H. MedicareBlue PPO (Blue Cross/Blue Shield of North Dakota)

J. SecureHorizons Direct (United Healthcare)

K. Aetna Medicare Open Plan (Aetna)

L. Freedom (Advantra Freedom)

M. Medica Advantage/Prime (Medica Health Plans)

N. Save Well (UniCare)

O. SecurityChoice (Unicare Life & Health Insurance Company)

PR-1

Spring 2008

CARD PR-2

Plan Names North Dakota

C. Primary Care Provider Program

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card North Dakota

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans

North Dakota

G. Humana Gold Choice (Humana Insurance Company)

H. MedicareBlue PPO (Blue Cross/Blue Shield of North Dakota)

J. SecureHorizons Direct (United Healthcare)

K. Aetna Medicare Open Plan (Aetna)

L. Freedom (Advantra Freedom)

M. Medica Advantage/Prime (Medica Health Plans)

N. Save Well (UniCare)

O. SecurityChoice (Unicare Life & Health Insurance Company)

HX

-5

Spring 2008

CARD HX-6

Plan Names North Dakota

C. Primary Care Provider Program

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) NORTH DAKOTA

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

BB. Blue Cross and Blue Shield Service Benefit Plan – Standard

CC. Blue Cross and Blue Shield Service Benefit Plan – Basic

FF. GEHA High Deductible Health Plan

GG. Mail Handlers High Deductible Plan

HH. Heart of America Health Plan

II. HealthPartners Classic/Open Access Deductible

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program North Dakota

Training, Employment, Education Management (TEEM)

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Nebraska

E. Security Choice (Unicare Life and Health Insurance Company)

F. Humana Gold Choice (Humana Insurance Company)

G. MedicareBlue PPO (Blue Cross and Blue Shield of Nebraska)

H. SecureHorizons Direct

I. Aetna Medicare Open Plan (Aetna)

J. Freedom (Advantra Freedom)

K. Save Well (UniCare)

PR-1

Spring 2008

CARD PR-2

Plan Names Nebraska

F. Magellan Behavioral Health

G. Primary Care Plus

H. Share Advantage

PR-2

Spring 2008

CARD HX-3 Sample Medicaid Card – Nebraska

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Nebraska

E. Security Choice (Unicare Life and Health Insurance Company)

F. Humana Gold Choice (Humana Insurance Company)

G. MedicareBlue PPO (Blue Cross and Blue Shield of Nebraska)

H. SecureHorizons Direct

I. Aetna Medicare Open Plan (Aetna)

J. Freedom (Advantra Freedom)

K. Save Well (UniCare)

HX

-5

Spring 2008

CARD HX-6

Plan Names Nebraska

F. Magellan Behavioral Health

G. Primary Care Plus

H. Share Advantage

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) NEBRASKA

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

DD. Blue Cross and Blue Shield Service Benefit Plan – Standard

EE. Blue Cross and Blue Shield Service Benefit Plan – Basic

HH. GEHA High Deductible Health Plan

II. Mail Handlers High Deductible Plan

JJ. Coventry Health Care of Nebraska

Spring 2008

Spring 2008

CARD PR-1

Medicare Managed Care Plans Nevada

D. Senior Dimensions (Health Plan of Nevada, Inc.)

H. Senior Care Plus (Hometown Health Plan, Inc.)

L. Humana Gold Choice (Humana Insurance Company)

N. Sierra Nevada Spectrum (Sierra Health & Life Insurance, Inc.)

P. Aetna Medicare Open Plan (Aetna)

Q. ANY, ANY, ANY Plan (Universal Health Care)

R. Freedom (Advantra Freedom)

S. SecureHorizons MedicareComplete/MedicareDirect (United Healthcare)

T. SecurityChoice (Unicare Life & Health Insurance Company)

U. Summit/Concert/Duet/Freedom (WellCare Health Plans, Inc.)

PR-1

Spring 2008

CARD PR-2

Plan Names Nevada

F. Health Plan of Nevada

J. Anthem Blue Cross Blue Shield Partnership Plan

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Nevada

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Nevada

D. Senior Dimensions (Health Plan of Nevada, Inc.)

H. Senior Care Plus (Hometown Health Plan, Inc.)

L. Humana Gold Choice (Humana Insurance Company)

N. Sierra Nevada Spectrum (Sierra Health & Life Insurance, Inc.)

P. Aetna Medicare Open Plan (Aetna)

Q. ANY, ANY, ANY Plan (Universal Health Care)

R. Freedom (Advantra Freedom)

S. SecureHorizons MedicareComplete/MedicareDirect (United Healthcare)

T. SecurityChoice (Unicare Life & Health Insurance Company)

U. Summit/Concert/Duet/Freedom (WellCare Health Plans, Inc.)

HX

-5

Spring 2008

CARD HX-6

Plan Names Nevada

F. Health Plan of Nevada

J. Anthem Blue Cross Blue Shield Partnership Plan

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) NEVADA

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

Q. Health Plan of Nevada

GG. Blue Cross and Blue Shield Service Benefit Plan – Standard

HH. Blue Cross and Blue Shield Service Benefit Plan – Basic

KK. GEHA High Deductible Health Plan

LL. Mail Handlers High Deductible Plan

QQ. PacifiCare of Nevada

RR. Aetna HealthFund CDHP

SS. Aetna Health Fund HDHP

UU. Aetna Open Access

Spring 2008

Spring 2008

CARD PR-1

Medicare Managed Care Plans New Hampshire

F. First Seniority (Harvard Pilgrim Health Care of New England)

G. SecureHorizons Direct

H. Today’s Option (Pyramid Life Insurance, Inc.)

I. Aetna Medicare Open Plan (Aetna)

J. Freedom (Advantra Freedom)

K. Humana Gold Choice (Humana Insurance Company)

L. SecurityChoice (Unicare Life & Health Insurance Company)

M. SmartValue (Anthem Blue Cross and Blue Shield)

PR-1

Spring 2008

CARD PR-2

Plan Names New Hampshire

G. Enhanced Care Coordination

H. The New Hampshire Health Management Program

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card New Hampshire

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans New Hampshire

F. First Seniority (Harvard Pilgrim Health Care of New England)

G. SecureHorizons Direct

H. Today’s Option (Pyramid Life Insurance, Inc.)

I. Aetna Medicare Open Plan (Aetna)

J. Freedom (Advantra Freedom)

K. Humana Gold Choice (Humana Insurance Company)

L. SecurityChoice (Unicare Life & Health Insurance Company)

M. SmartValue (Anthem Blue Cross and Blue Shield)

HX

-5

Spring 2008

CARD HX-6

Plan Names New Hampshire

G. Enhanced Care Coordination

H. The New Hampshire Health Management Program

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) NEW HAMPSHIRE

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

FF. Blue Cross and Blue Shield Service Benefit Plan – Standard

GG. Blue Cross and Blue Shield Service Benefit Plan – Basic

JJ. GEHA High Deductible Health Plan

KK. Mail Handlers High Deductible Plan

LL. Aetna HealthFund CDHP

MM. Aetna HealthFund HDHP

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program New Hampshire

New Hampshire Employment Program (NHEP)

Family Assistance Program (FAP)

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans New Jersey

G. AmeriHealth 65 (AmeriHealth)

K. Medicare Complete (SecureHorizons)

V. Horizon Medicare Blue (Horizon Blue Cross Blue Shield of New Jersey, Inc.)

Z. Erickson Advantage (United Health Care Insurance Company)

AA. SecureHorizons Direct (United Healthcare)

BB. Aetna Golden/Aetna Medicare Open Plan (Aetna)

CC. Duet (WellCare Health Plans, Inc.)

DD. Humana Gold Choice (Humana Insurance Company)

EE. Save Well (UniCare)

FF. SecurityChoice (Unicare Life & Health Insurance Company)

GG. Today’s Options (Pyramid Life Insurance, Inc.)

HH. Unison Advantage (Unison Advantage)

PR-1

Spring 2008

CARD PR-2

Plan Names New Jersey

T. University Health Plans, Inc

X. AmeriChoice of New Jersey, Inc.

Y. AmeriGroup New Jersey, Inc.

Z. Health Net of New Jersey, Inc.

CC. Horizon Healthcare Of New Jersey, Inc.

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card New Jersey

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans New Jersey

G. AmeriHealth 65 (AmeriHealth)

K. Medicare Complete (SecureHorizons)

V. Horizon Medicare Blue (Horizon Blue Cross Blue Shield of New Jersey, Inc.)

Z. Erickson Advantage (United Health Care Insurance Company)

AA. SecureHorizons Direct (United Healthcare)

BB. Aetna Golden/Aetna Medicare Open Plan (Aetna)

CC. Duet (WellCare Health Plans, Inc.)

DD. Humana Gold Choice (Humana Insurance Company)

EE. Save Well (UniCare)

FF. SecurityChoice (Unicare Life & Health Insurance Company)

GG. Today’s Options (Pyramid Life Insurance, Inc.)

HH. Unison Advantage (Unison Advantage)

HX

-5

Spring 2008

CARD HX-6

Plan Names New Jersey

T. University Health Plans, Inc

X. AmeriChoice of New Jersey, Inc.

Y. AmeriGroup New Jersey, Inc.

Z. Health Net of New Jersey, Inc.

CC. Horizon Healthcare Of New Jersey, Inc.

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) NEW JERSEY

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

Q. AmeriHealth HMO, Inc.

T. GHI Health Plan

PP. Blue Cross and Blue Shield Service Benefit Plan – Standard

QQ. Blue Cross and Blue Shield Service Benefit Plan – Basic

TT. GEHU High Deductible Health Plan

UU. Mail Handlers High Deductible Plan

YY. Aetna HealthFund CDHP

ZZ. Aetna HealthFund HDHP

AAA. Coventry Health Care of Delaware – HDHP

BBB. Aetna Open Access

CCC. Coventry Health Care

Spring 2008

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program New Jersey

Work First New Jersey (WFNJ)

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans New Mexico

B. Lovelace Senior Plan (Lovelace Health Plan and Lovelace Insurance Company.)

K. Blue Medicare PPO (HISC-Blue Cross Blue Shield of New Mexico)

L. Human Gold Choice (Humana Insurance Company)

M. Presbyterian Medicare PPO (Presbyterian Medi-Care Health Plan)

N. SecureHorizons Direct (United Healthcare)

P. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

Q. Freedom (Advantra Freedom)

R. Health Net Pearl (Health Net)

S. Save Well (UniCare)

T. SecurityChoice (Unicare Life & Health Insurance Company)

U. Sierra Optima (Sierra Health & Life Insurance, Inc.)

PR-1

Spring 2008

CARD PR-2

Plan Names New Mexico

I. Salud! Lovelace Community Health and Plan

J. Salud! Molina Healthcare of New Mexico

K. Salud! Presbyterian Health Plan

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card New Mexico

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans New Mexico

B. Lovelace Senior Plan (Lovelace Health Plan and Lovelace Insurance Company.)

K. Blue Medicare PPO (HISC-Blue Cross Blue Shield of New Mexico)

L. Human Gold Choice (Humana Insurance Company)

M. Presbyterian Medicare PPO (Presbyterian Medi-Care Health Plan)

N. SecureHorizons Direct (United Healthcare)

P. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

Q. Freedom (Advantra Freedom)

R. Health Net Pearl (Health Net)

S. Save Well (UniCare)

T. SecurityChoice (Unicare Life & Health Insurance Company)

U. Sierra Optima (Sierra Health & Life Insurance, Inc.)

HX

-5

Spring 2008

CARD HX-6

Plan Names New Mexico

I. Salud! Lovelace Community Health and Plan

J. Salud! Molina Healthcare of New Mexico

K. Salud! Presbyterian Health Plan

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) NEW MEXICO

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

R. Lovelace Health Plan

S. Presbyterian Health Plan

FF. Blue Cross and Blue Shield Service Benefit Plan – Standard

GG. Blue Cross and Blue Shield Service Benefit Plan – Basic

JJ. GEHA High Deductible Health Plan

KK. Mail Handlers High Deductible Plan

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program New Mexico

New Mexico Works

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans New York

G. HIP VIP/HIP of Greater NY (Health Insurance Plan of Greater

N. Preferred Care Gold (Rochester Area HMO, Inc.)

TT. Medicare Complete (United Healthcare of New York, Inc.)

FFF. CDPHP Medicare Choice (Capital District Physicians’ HP, Medicare Choice)

HHH. Encompass 65 (Independent Health)

RRR. Senior Blue (Senior Blue)

XXX. Fidelis Medicare Advantage (New York State Catholic Health Plan, Inc.)

YYY. HealthFirst (Health First PPO/Medicare Plan)

CCCC. Traditional Blue Medicare PPO (Traditional Blue Medicare PPO)

HHHH. GHI Medicare PPO (GHI Medicare Choice PPO)

IIII. Univera Medicare/Medicare Blue/Senior Choice (Excellus Health Plan, Inc.)

Continued on next page

PR-1

Spring 2008

CARD PR-1

Medicare Managed Care Plans New York (continued)

JJJJ. WellCare (WellCare)

KKKK. Today’s Options (American Progressive Life/Health Ins.)

MMMM. Liberty Health Advantage

OOOO. Neighborhood Medicare (Neighborhood Health Providers)

RRRR. Aetna Medicare Open Golden Value/Standard/Premier (Aetna)

SSSS. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

TTTT. Freedom (Advantra Freedom)

UUUU. Health Net (Health Net of NY)

VVVV. Health Net Pearl Option (Health Net)

WWWW. Humana Gold Choice (Humana Insurance Company of New York)

XXXX. MediBlue HMO/PPO (Empire Blue Cross Blue Shield)

Continued on next page

Spring 2008

CARD PR-1

Medicare Managed Care Plans New York (continued)

YYYY. MPower Health (MPower Health)

ZZZZ. MVP Gold

AB. Save Well (UniCare)

AC. SecurityChoice (Unicare Life & Health Insurance Company)

AD. Touchstone Health Medicare (Touchstone Health)

Spring 2008

CARD PR-2

Plan Names New York

G. Centercare, Inc.

K. Community Choice Health Plan of Westchester, Inc.

S. Fidelis (Catholic Services Health Plan)

U. Health Care Plus (Health Plus Prepaid Health Services

X. Health Insurance Plan of Greater New York

FF. Independent Living for Seniors

JJJ. Capital District Physicians Health Plan

MMM. Community Choice Health Plan

CCCC. Suffolk Health Plan (Suffolk County Department of Health Services)

EEEE. United Healthcare of Upstate NY, Inc.

HHHH. Well Care of New York, Inc.

KKKK. Affinity Health Plan

LLLL. AmeriChoice

QQQQ. Community Premier Plus

RRRR. Excellus

UUUU. HealthFirst (PHSP)

Continued on next page

PR-2

Spring 2008

CARD PR-2

Plan Names New York (continued)

XXXX. Independent Health

YYYY. MetroPlus Health Plan

ZZZZ. Neighborhood Health Providers

AE. Preferred Care

AO. Vytra Health Plans Long Island, Inc.

AU. SCHC Total Care, Inc.

AX. Univera Community Health, Inc.

AY. VidaCare, Inc.

BD. Managed Health, Inc.

BF. Hudson Health Plan, Inc.

BH. HealthPlus, Inc.

BI. HealthNow New York, Inc.

BL. GHI HMO Select, Inc.

BX. Comprehensive Care Management

BY. CO-OP Care Plan

BZ. Eddy Seniorcare

CB. GHI PPO

CD. Guildnet

Continued on next page

PR-2

Spring 2008

CARD PR-2

Plan Names New York (continued)

CF. Homefirst

CG. Independent Care Systems Inc.

CI. Liberty Health Advantage

CK. NY Presbyterian System Select Health

CN. Partners in Community Care

CO. Senior Health Partners, Inc.

CS. NY Presbyterian Community Health Plan

CT. Total Aging In Place

CU. VNS Choice (PHSP)

CV. AMERIGROUP

CW. CCM Select

CX. Comprehensive Care PHSP

CY. Group Health Inc.

CZ. Health Advantage

DA. HIP Health Plan of NY

DB. Long Island Health Partners

DC. Loretto HMO

DE. Managed Health Inc/A+ Health Plan

Continued on next page

Spring 2008

CARD PR-2

Plan Names New York (continued )

DF. NYS Catholic Health Plan Inc.

DG. Senior Network Health

DH. The New York Presbyterian Health Plan

Spring 2008

CARD HX-3

Sample Medicaid Card New York

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans New York

G. HIP VIP/HIP of Greater NY (Health Insurance Plan of Greater

N. Preferred Care Gold (Rochester Area HMO, Inc.)

TT. Medicare Complete (United Healthcare of New York, Inc.)

FFF. CDPHP Medicare Choice (Capital District Physicians’ HP, Medicare Choice)

HHH. Encompass 65 (Independent Health)

RRR. Senior Blue (Senior Blue)

XXX. Fidelis Medicare Advantage (New York State Catholic Health Plan, Inc.)

YYY. HealthFirst (Health First PPO/Medicare Plan)

CCCC. Traditional Blue Medicare PPO (Traditional Blue Medicare PPO)

HHHH. GHI Medicare PPO (GHI Medicare Choice PPO)

IIII. Univera Medicare/Medicare Blue/Senior Choice (Excellus Health Plan, Inc.)

JJJJ. WellCare (WellCare)

KKKK. Today’s Options (American Progressive Life/Health Ins.)

HX

-5

Spring 2008

CARD HX-5

Medicare Managed Care Plans New York (continued)

MMMM. Liberty Health Advantage

OOOO. Neighborhood Medicare (Neighborhood Health Providers)

RRRR. Aetna Medicare Open Golden Value/Standard/Premier (Aetna)

SSSS. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

TTTT. Freedom (Advantra Freedom)

UUUU. Health SecurityChoice (Unicare Life & Health Insurance CompanNet (Health Net of NY)

VVVV. Health Net Pearl Option (Health Net)

WWWW. Humana Gold Choice (Humana Insurance Company of New York)

XXXX. MediBlue HMO/PPO (Empire Blue Cross Blue Shield)

YYYY. MPower Health (MPower Health)

ZZZZ. MVP Gold

AB. Save Well (UniCare)

AC. SecurityChoice (Unicare Life & Health Insurance Company)

AD. Touchstone Health Medicare (Touchstone Health)

Spring 2008

CARD HX-6 Plan Names New York

G. Centercare, Inc.

K. Community Choice Health Plan of Westchester, Inc.

S. Fidelis (Catholic Services Health Plan)

U. Health Care Plus (Health Plus Prepaid Health Services

X. Health Insurance Plan of Greater New York

FF. Independent Living for Seniors

JJJ. Capital District Physicians Health Plan

MMM. Community Choice Health Plan

CCCC. Suffolk Health Plan (Suffolk County Department of Health Services)

EEEE. United Healthcare of Upstate NY, Inc.

HHHH. Well Care of New York, Inc.

KKKK. Affinity Health Plan

LLLL. AmeriChoice

QQQQ. Community Premier Plus

RRRR. Excellus

UUUU. HealthFirst (PHSP)

XXXX. Independent Health

YYYY. MetroPlus Health Plan

ZZZZ. Neighborhood Health Providers

Continued on next page

HX

-6

Spring 2008

CARD HX-6 Plan Names New York (continued)

AE. Preferred Care

AO. Vytra Health Plans Long Island, Inc.

AU. SCHC Total Care, Inc.

AX. Univera Community Health, Inc.

AY. VidaCare, Inc.

BD. Managed Health, Inc.

BF. Hudson Health Plan, Inc.

BH. HealthPlus, Inc.

BI. HealthNow New York, Inc.

BL. GHI HMO Select, Inc.

BX. Comprehensive Care Management

BY. CO-OP Care Plan

BZ. Eddy Seniorcare

CB. GHI PPO

CD. Guildnet

CF. Homefirst

CG. Independent Care Systems Inc.

CI. Liberty Health Advantage

CK. NY Presbyterian System Select Health

Continued on next page

Spring 2008

CARD HX-6 Plan Names New York (continued)

CN. Partners in Community Care

CO. Senior Health Partners, Inc.

CS. NY Presbyterian Community Health Plan

CT. Total Aging In Place

CU. VNS Choice (PHSP)

CV. AMERIGROUP

CW. CCM Select

CX. Comprehensive Care PHSP

CY. Group Health Inc.

CZ. Health Advantage

DA. HIP Health Plan of NY

DB. Long Island Health Partners

DC. Loretto HMO

DE. Managed Health Inc/A+ Health Plan

DF. NYS Catholic Health Plan Inc.

DG. Senior Network Health

DH. The New York Presbyterian Health Plan

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) NEW YORK

C. APWU D. GEHA E. Mail Handlers F. NALC H. Association Benefit Plan J. Foreign Service Benefit Plan L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA P. Blue Choice DD. HIP of Greater New York EE. Independent Health Association MM. Preferred Care III. HMO Blue MMM. MVP Health Plan – Mid Hudson PPP. Univera Healthcare – Western New York (N.

Counties) WWW. MVP Health Care-Central XXX. Univera Healthcare – Western NY (S. Counties)

ZZZ. Blue Cross Blue Shield Service Benefit Plan - Standard

AAAA. Blue Cross Blue Shield Service Benefit Plan – Basic

EEEE. GEHA High Deductible Health Plan FFFF. Mail Handlers High Deductible Plan HHHH. CDHP Universal Benefits, Inc. IIII. GHI HealthPlan – High MMMM. GHI HMO Select – High – Capital/Hudson

Valley OOOO. HMOBlue – CNY PPPP. Aetna HealthFund CDHP QQQQ. Aetna HealthFund HDHP SSSS. Aetna Open Access TTTT. CDPHP Universal Benefits HDHP UUUU. GHI HMO Select High VVVV. GHI HMO Select Standard WWW. MVP Health Care

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program New York

Family Assistance Program (FA)

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Ohio

D. Medicare Plus (Kaiser Foundation Health Plan of Ohio)

E. Paramount Elite (Paramount Healthcare)

M. SummaCare Secure (SummaCare, Inc.)

GG. Advantra PPO (Advantra PPO)

MM. MediGold (MediGold)

NN. Prime Time Health Plan (Prime Time Health Plan)

CCC. Health Plan SecureCare (The Health Plan)

DDD. Humana Choice PPO (Humana Insurance Company)

GGG. Aetna Golden (Aetna Medicare)

HHH. Blue Medicare Access/Anthem Sr Advantage (Anthem Blue Cross and Blue Shield)

III. SecureHorizons Direct (United Healthcare)

JJJ. Advantage Plan (Advantage Plans from Medical Mutual of Ohio)

Continued on next page

PR-1

Spring 2008

CARD PR-1

Medicare Managed Care Plans Ohio (continued)

KKK. Concert/Duet/Summit (WellCare Health Plans, Inc.)

LLL. Freedom (Advantra Freedom)

MMM. Sierra Optima (Sierra Health & Life Insurance, Inc.)

NNN. Today’s Options (Pyramid Life Insurance, Inc.)

OOO. UPMC for Life (UPMC Health Plan)

PPP. SecurityChoice (Unicare Life & Health Insurance Company)

Spring 2008

CARD PR-2

Plan Names Ohio

S. Paramount Care, Inc.

V. Care Source

Z. Buckeye Community Health Plan

BB. Amerigroup Ohio Inc.

DD. Gateway Health Plan of Ohio

FF. Molina Healthcare of Ohio

GG. Unison

HH. Well Care

II. Well Point

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Ohio

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Ohio

D. Medicare Plus (Kaiser Foundation Health Plan of Ohio)

E. Paramount Elite (Paramount Healthcare)

M. SummaCare Secure (SummaCare, Inc.)

GG. Advantra PPO (Advantra PPO)

MM. MediGold (MediGold)

NN. Prime Time Health Plan (Prime Time Health Plan)

CCC. Health Plan SecureCare (The Health Plan)

DDD. Humana Choice PPO (Humana Insurance Company)

GGG. Aetna Golden (Aetna Medicare)

HHH. Blue Medicare Access/Anthem Sr Advantage (Anthem Blue Cross and Blue Shield)

III. SecureHorizons Direct (United Healthcare)

Continued on next page

HX

-5

Spring 2008

CARD HX-5

Medicare Managed Care Plans Ohio (continued)

JJJ. Advantage Plan (Advantage Plans from Medical Mutual of Ohio)

KKK. Concert/Duet/Summit (WellCare Health Plans, Inc.)

LLL. Freedom (Advantra Freedom)

MMM. Sierra Optima (Sierra Health & Life Insurance, Inc.)

NNN. Today’s Options (Pyramid Life Insurance, Inc.)

OOO. UPMC for Life (UPMC Health Plan)

PPP. SecurityChoice (Unicare Life & Health Insurance Company)

Spring 2008

CARD HX-6

Plan Names Ohio

S. Paramount Care, Inc.

V. Care Source

Z. Buckeye Community Health Plan

BB. Amerigroup Ohio Inc.

DD. Gateway Health Plan of Ohio

FF. Molina Healthcare of Ohio

GG. Unison

HH. Well Care

II. Well Point

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) OHIO

C. APWU D. GEHA E. Mail Handlers F. NALC H. Association Benefit Plan J. Foreign Service Benefit Plan L. Panama Canal Area Benefit Plan M. Rural Carrier Benefit Plan N. SAMBA BB. HMO Health Ohio DD. Kaiser Permanente GG. Paramount Health Care ZZ. SummaCare Health Plan

AAA. SuperMed HMO BBB. United Health Care of Ohio, Inc. EEE. Blue Cross Blue Shield Service Benefit Plan –

Standard FFF. Blue Cross Blue Shield Service Benefit Plan –

Basic LLL. Mail Handlers High Deductible Plan QQQ. Blue HMO SSS. The Health Plan of the Upper Ohio Valley VVV. Aetna HealthFund CDHP WWW. Aetna HealthFund HDHP ZZZ. Aetna Open Access AAAA. AultCare HMO BBBB. Humana CoverageFirst

Spring 2008

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Ohio

Ohio Works First (OWF)

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Oklahoma

A. SecureHorizons

G. Senior Health Plan (CommunityCare Senior Health Plan)

H. Generations Healthcare (Generations Healthcare)

J. Humana Gold Choice/Humana Choice PPO (Humana Insurance Company)

L. Medicare Blue PPO (Blue Cross/Blue Shield of Oklahoma)

N. Aetna Golden/Aetna Medicare Open Plan (Aetna)

O. Fort Smith/Texarkana (Arkansas Community Care, Inc.)

P. Freedom (Advantra Freedom)

Q. Save Well (UniCare)

R. SecurityChoice (Unicare Life & Health Insurance Company)

S. Sierra Optima (Sierra Health & Life Insurance, Inc.)

T. Today’s Options (Pyramid Life Insurance, Inc.)

PR-1

Spring 2008

CARD PR-2

Plan Names Oklahoma

J. SoonerCare (PCCM)

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Oklahoma

HX

-3

Spring 2008

CARD HX-5 Medicare Managed Care Plans

Oklahoma

A. SecureHorizons

G. Senior Health Plan (CommunityCare Senior Health Plan)

H. Generations Healthcare (Generations Healthcare)

J. Humana Gold Choice/Humana Choice PPO (Humana Insurance Company)

L. Medicare Blue PPO (Blue Cross/Blue Shield of Oklahoma)

N. Aetna Golden/Aetna Medicare Open Plan (Aetna)

O. Fort Smith/Texarkana (Arkansas Community Care, Inc.)

P. Freedom (Advantra Freedom)

Q. Save Well (UniCare)

R. SecurityChoice (Unicare Life & Health Insurance Company)

S. Sierra Optima (Sierra Health & Life Insurance, Inc.)

T. Today’s Options (Pyramid Life Insurance, Inc.)

HX

-5

Spring 2008

CARD HX-6

Plan Names Oklahoma

J. SoonerCare (PCCM)

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) OKLAHOMA

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

FF. Blue Cross and Blue Shield Service Benefit Plan – Standard

GG. Blue Cross and Blue Shield Service Benefit Plan – Basic

JJ. GEHA High Deductible Health Plan

KK. Mail Handlers High Deductible Plan

MM. Globalhealth, Inc.

NN. PacifiCare Southwest Region (OK & TX)

OO. Aetna HealthFund CDHP

PP. Aetna HealthFund HDHP

QQ. Aetna Open Access

Spring 2008

Spring 2008

CARD PR-1

Medicare Managed Care Plans Oregon

M. Clear Choice Health Plans

U. Senior Advantage (Kaiser Foundation Health Plan of the Northwest)

Y. CareSource

AA. ODS Advantage PPO (ODS Advantage)

BB. Preferred Choice Sixty-Five (Regence Blue Cross/Blue Shield of Oregon)

CC. Premier Care (Familycare Health Plans, Inc.)

DD. SecureHorizons Direct (United Healthcare)

EE. The Conventional /Premier Plan (Samaritan Advantage Health Plan)

FF. Today’s Options (Pyramid Life Insurance, Inc.)

HH. Aetna Medicare Open Plan (Aetna)

II. ATRIO MyAdvantage (ATRIO Health Plans)

JJ. Concert/Duet/Summit (WellCare Health Plans, Inc.)

KK. Freedom (Advantra Freedom)

LL. Health Net Medicare Advantage (Health Net)

Continued on next page

PR-1

Spring 2008

CARD PR-1

Medicare Managed Care Plans Oregon (continued)

MM. Humana Gold Choice (Humana Insurance Company)

NN. Providence Medicare (Providence Health Plan)

OO. Save Well (UniCare)

PP. SecurityChoice (Unicare Life & Health Insurance Company)

QQ. Sierra Optima (Sierra Health & Life Insurance, Inc.)

RR. Trillium Advantage (Trillium Advantage)

Spring 2008

CARD PR-2

Plan Names Oregon

B. CareOregon

E. FamilyCare, Inc.

J. InterCommunity Health Network

K. Kaiser Permanente

X. Tuality Health Alliance

EE. Mid-Rogue IPA

GG. Oregon Health Management Services

LL. Cascade Comprehensive Care, Inc.

OO. Douglas County IPA

HHH. Lane Individual Practice Association (LIPA)

III. Marion Polk Community Health Plan

SSS. Doctors of the Oregon Coast South

UUU. Central Oregon Individual Health Solutions (COIHS)

WWW. Providence Health Assurance

XXX. ODS Community Health, Inc.

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Oregon

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Oregon

M. Clear Choice Health Plans

U. Senior Advantage (Kaiser Foundation Health Plan of the Northwest)

Y. CareSource

AA. ODS Advantage PPO (ODS Advantage)

BB. Preferred Choice Sixty-Five (Regence Blue Cross/Blue Shield of Oregon)

CC. Premier Care (Familycare Health Plans, Inc.)

DD. SecureHorizons Direct (United Healthcare)

EE. The Conventional /Premier Plan (Samaritan Advantage Health Plan)

FF. Today’s Options (Pyramid Life Insurance, Inc.)

HH. Aetna Medicare Open Plan (Aetna)

II. ATRIO MyAdvantage (ATRIO Health Plans)

JJ. Concert/Duet/Summit (WellCare Health Plans, Inc.)

KK. Freedom (Advantra Freedom)

LL. Health Net Medicare Advantage (Health Net)

Continued on next page

HX

-5

Spring 2008

CARD HX-5

Medicare Managed Care Plans Oregon (continued)

MM. Humana Gold Choice (Humana Insurance Company)

NN. Providence Medicare (Providence Health Plan)

OO. Save Well (UniCare)

PP. SecurityChoice (Unicare Life & Health Insurance Company)

QQ. Sierra Optima (Sierra Health & Life Insurance, Inc.)

RR. Trillium Advantage (Trillium Advantage)

Spring 2008

CARD HX-6

Plan Names Oregon

B. CareOregon

E. FamilyCare, Inc.

J. InterCommunity Health Network

K. Kaiser Permanente

X. Tuality Health Alliance

EE. Mid-Rogue IPA

GG. Oregon Health Management Services

LL. Cascade Comprehensive Care, Inc.

OO. Douglas County IPA

HHH. Lane Individual Practice Association (LIPA)

III. Marion Polk Community Health Plan

SSS. Doctors of the Oregon Coast South

UUU. Central Oregon Individual Health Solutions (COIHS)

WWW. Providence Health Assurance

XXX. ODS Community Health, Inc.

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) OREGON

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

Q. Kaiser Permanente – Standard

GG. Blue Cross and Blue Shield Service Benefit Plan – Standard

HH. Blue Cross and Blue Shield Service Benefit Plan – Basic

KK. GEHA High Deductible Health Plan

LL. Mail Handlers High Deductible Plan

NN. PacifiCare of Oregon

Spring 2008

Spring 2008

CARD PR-1

Medicare Managed Care Plans Pennsylvania

C. Keystone 65 (Keystone 65.)

G. Security Blue (Keystone Health Plan West, Inc.)

U. Personal Choice 65 (Independence Blue Cross)

EE. Aetna Golden Choice Plan (Aetna Health, Inc.)

GG. Geisinger Health Plan Gold (Geisinger Health Plan GoldChoice)

PP. UPMC for Life (University of Pittsburgh Medical Center)

SS. FreedomBlue PPO (Highmark, Inc.)

VV. Senior Partners Gold/Silver (Senior Partners)

EEE. Today’s Options (Pyramid Life Insurance, Inc.)

FFF. Advantra Silver/Gold (HealthAmerica Advantra)

GGG. Advantra PPO

III. Fresenius Medical Care Health Plan, Inc. (Sterling Life Insurance Company)

Continued on next page

PR-1

Spring 2008

CARD PR-1

Medicare Managed Care Plans Pennsylvania (continued)

JJJ. Humana Gold Choice/Humana Choice PPO (Humana Insurance Company)

KKK. SecureHorizons Direct (United Healthcare)

LLL. SeniorBlue (Keystone Health Plan Central, Inc.

NNN. Unison Advantage (Unison Advantage)

PPP. Bravo (Elder Health)

QQQ. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

RRR. Erickson Advantage (United HealthCare Insurance Company)

SSS. Freedom (Advantra Freedom)

TTT. MPower Health (MPower Health)

UUU. Save Well (UniCare)

VVV. SecurityChoice (Unicare Life & Health Insurance Company)

WWW. Sierra Optima (Sierra Health & Life Insurance, Inc.)

Spring 2008

CARD PR-2

Plan Names Pennsylvania

Y. Keystone Mercy Health Plan

DD. AmeriChoice of Pennsylvania

EE. AmeriHealth HMO, Inc./AmeriHealth Mercy Health Plan

II. Gateway Health Plan, Inc.

JJ. Health Partners of Philadelphia, Inc.

OO. UPMC Health Plan, Inc./UPMC For You

SS. Unison Health Plan/MedPLUS+

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Pennsylvania

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Pennsylvania

C. Keystone 65 (Keystone 65.)

G. Security Blue (Keystone Health Plan West, Inc.)

U. Personal Choice 65 (Independence Blue Cross)

EE. Aetna Golden Choice Plan (Aetna Health, Inc.)

GG. Geisinger Health Plan Gold (Geisinger Health Plan GoldChoice)

PP. UPMC for Life (University of Pittsburgh Medical Center)

SS. FreedomBlue PPO (Highmark, Inc.)

VV. Senior Partners Gold/Silver (Senior Partners)

EEE. Today’s Options (Pyramid Life Insurance, Inc..)

FFF. Advantra Silver/Gold (HealthAmerica Advantra)

GGG. Advantra PPO

III. Fresenius Medical Care Health Plan, Inc. (Sterling Life Insurance Company)

Continued on next page

HX

-5

Spring 2008

CARD HX-5

Medicare Managed Care Plans Pennsylvania (continued)

JJJ. Humana Gold Choice/Humana Choice PPO (Humana Insurance Company)

KKK. SecureHorizons Direct (United Healthcare)

LLL. SeniorBlue (Keystone Health Plan Central, Inc.

MMM. Sterling Partners (Sterling Partners – Pennsylvania)

NNN. Unison Advantage (Unison Advantage)

PPP. Bravo (Elder Health)

QQQ. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

RRR. Erickson Advantage (United HealthCare Insurance Company)

SSS. Freedom (Advantra Freedom)

TTT. MPower Health (MPower Health)

UUU. Save Well (UniCare)

VVV. SecurityChoice (Unicare Life & Health Insurance Company)

WWW. Sierra Optima (Sierra Health & Life Insurance, Inc.)

Spring 2008

CARD HX-6

Plan Names Pennsylvania

Y. Keystone Mercy Health Plan

DD. AmeriChoice of Pennsylvania

EE. AmeriHealth HMO, Inc./AmeriHealth Mercy Health Plan

II. Gateway Health Plan, Inc.

JJ. Health Partners of Philadelphia, Inc.

OO. UPMC Health Plan, Inc./UPMC For You

SS. Unison Health Plan/MedPLUS+

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) PENNSYLVANIA

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

W. Geisinger Health Plan

Y. HealthAmerica Pennsylvania

CC. Keystone Health Plan Central

YY. UPMC Health Plan

BBB. Blue Cross and Blue Shield Service Benefit Plan – Standard

CCC. Blue Cross and Blue Shield Service Benefit Plan – Basic

HHH. GEHA High Deductible Health Plan

III. Mail Handlers High Deductible Plan

UUU. Aetna HealthFund CDHP

VVV. Aetna HealthFund HDHP

BBBB. Aetna Open Access

CCCC. HealthAmerica Pennsylvania HDHP

Spring 2008

Spring 2008

CARD PR-1

Medicare Managed Care Plans Rhode Island

K. BlueCHIP for Medicare (BlueCross and Blue Shield of Rhode Island)

M. SecureHorizons Direct (United Healthcare)

N. AARP Medicare Complete (United Healthcare of New England, Inc.)

O. Aetna Medicare Open Plan (Aetna)

P. Freedom (Advantra Freedom)

Q. Humana Gold Choice (Humana Insurance Company)

R. Save Well (UniCare)

S. SecurityChoice (Unicare Life & Health Insurance Company)

PR-1

Spring 2008

CARD PR-2

Plan Names Rhode Island

C. Neighborhood Health Plan of Rhode Island

H. United Healthcare of New England

K. Blue Cross and Blue Shield of RI

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Rhode Island

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Rhode Island

K. BlueCHIP for Medicare (BlueCross and Blue Shield of Rhode Island)

M. SecureHorizons Direct (United Healthcare)

N. AARP Medicare Complete (United Healthcare of New England, Inc.)

O. Aetna Medicare Open Plan (Aetna)

P. Freedom (Advantra Freedom)

Q. Humana Gold Choice (Humana Insurance Company)

R. Save Well (UniCare)

S. SecurityChoice (Unicare Life & Health Insurance Company)

HX

-5

Spring 2008

CARD HX-6

Plan Names Rhode Island

C. Neighborhood Health Plan of Rhode Island

H. United Healthcare of New England

K. Blue Cross and Blue Shield of RI

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) RHODE ISLAND

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

CC. Blue Chip, Coord Health Partners, Inc.

FF. Blue Cross and Blue Shield Service Benefit Plan - Standard

GG. Blue Cross and Blue Shield Service Benefit Plan – Basic

JJ. GEHA High Deductible Health Plan

KK. Mail Handlers High Deductible Plan

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Rhode Island

Family Independence Program (FIP)

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans South Carolina

C. Humana Gold Choice (Humana Insurance Company)

D. Carolina Medicare Prime

E. InStil InCare/InChoice (InStil Health Insurance Company)

F. Medicare Blue (Blue Cross and Blue Shield of SC)

G. Platinum Advantage (BlueChoice Health Plan)

H. SecureHorizons Direct

I. Today’s Options (Pyramid Life Insurance, Inc.)

J. Aetna Medicare Open Plan (Aetna)

K. ANY, ANY, ANY Plan (Universal Health Care)

L. Concert/Duet/Summit (WellCare Health Plans, Inc.)

M. Freedom (Advantra Freedom)

Continued on next page

PR-1

Spring 2008

CARD PR-1

Medicare Managed Care Plans South Carolina (continued)

N. Plus/Premier (Arcadian Health Plan)

O. Save Well (UniCare)

P. SecurityChoice (Unicare Life & Health Insurance Company)

Q. Sierra Optima (Sierra Health & Life Insurance, Inc.)

R. Southeast Community Care (Arcadian Health Plan of Georgia)

Spring 2008

CARD PR-2

Plan Names South Carolina

B. Select Health

H. Unison Health Plan of South Carolina

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card South Carolina

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans South Carolina

C. Humana Gold Choice (Humana Insurance Company)

D. Carolina Medicare Prime

E. InStil InCare/InChoice (InStil Health Insurance Company)

F. Medicare Blue (Blue Cross and Blue Shield of SC)

G. Platinum Advantage (BlueChoice Health Plan)

H. SecureHorizons Direct

I. Today’s Options (Pyramid Life Insurance, Inc.)

J. Aetna Medicare Open Plan (Aetna)

K. ANY, ANY, ANY Plan (Universal Health Care)

L. Concert/Duet/Summit (WellCare Health Plans, Inc.)

M. Freedom (Advantra Freedom)

Continued on next page

HX

-5

Spring 2008

CARD HX-5

Medicare Managed Care Plans South Carolina (continued)

N. Plus/Premier (Arcadian Health Plan)

O. Save Well (UniCare)

P. SecurityChoice (Unicare Life & Health Insurance Company)

Q. Sierra Optima (Sierra Health & Life Insurance, Inc.)

R. Southeast Community Care (Arcadian Health Plan of Georgia)

Spring 2008

CARD HX-6

Plan Names South Carolina

B. Select Health

H. Unison Health Plan of South Carolina

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) SOUTH CAROLINA

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

FF. Blue Cross and Blue Shield Service Benefit Plan – Standard

GG. Blue Cross and Blue Shield Service Benefit Plan – Basic

JJ. GEHA High Deductible Health Plan

KK. Mail Handlers High Deductible Plan

LL. Carolina Care

MM. Aetna HealthFund CDHP

NN. Aetna HealthFund HDHP

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program South Carolina

Family Independence

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans South Dakota

B. Humana Gold Choice (Humana Insurance Company)

C. Prime Solution (Medica Insurance Company)

E. MedicareBlue PPO (Wellmark Blue Cross Blue Shield of SD)

F. SecureHorizons Direct (United Healthcare)

G. Freedom (Advantra Freedom)

H. Save Well (UniCare)

I. SecurityChoice (Unicare Life & Health Insurance Company)

PR-1

Spring 2008

CARD PR-2

Plan Names South Dakota

D. Managed Care

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card South Dakota

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans South Dakota

B. Humana Gold Choice (Humana Insurance Company)

C. Prime Solution (Medica Insurance Company)

E. MedicareBlue PPO (Wellmark Blue Cross Blue Shield of SD)

F. SecureHorizons Direct (United Healthcare)

G. Freedom (Advantra Freedom)

H. Save Well (UniCare)

I. SecurityChoice (Unicare Life & Health Insurance Company)

HX

-5

Spring 2008

CARD HX-6

Plan Names South Dakota

D. Managed Care

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) SOUTH DAKOTA

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

Z. Sioux Valley Health Plan

CC. Blue Cross and Blue Shield Service Benefit Plan - Standard

DD. Blue Cross and Blue Shield Service Benefit Plan – Basic

GG. GEHA High Deductible Health Plan

HH. Mail Handlers High Deductible Plan

KK. HealthPartners Classic/Open Access Deductible

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program South Dakota

TANF

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Tennessee

C. Cariten Senior Health (Cariten Senior Health)

F. Medicare Complete (United Healthcare Plan of the River Valley, Inc.)

P. HealthSpring (Healthspring, of Tennessee)

U. BlueAdvantage (Blue Cross Blue Shield of Tennessee)

V. HumanaChoice PPO/Humana Gold Choice (Humana Insurance Company)

W. SecureHorizons Direct (United Healthcare)

X. Windson Medicare Extra (Windsor Health Group, Inc.)

Y. Aetna Medicare Open Plan/Aetna Golden (Aetna)

Z. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

AA. Freedom (Advantra Freedom)

Continued on next page

PR-1

Spring 2008

CARD PR-1

Medicare Managed Care Plans Tennessee (continued)

BB. Fresenius Medical Care Health Plan (Sterling Life Insurance, Inc.)

CC. Save Well (UniCare)

DD. SecurityChoice (Unicare Life & Health Insurance Company)

EE. Sierra Optima (Sierra Health & Life Insurance, Inc.)

FF. Today’s Options (Pyramid Life Insurance, Inc.)

GG. Unison Advantage (Unison Advantage)

Spring 2008

CARD PR-2

Plan Names Tennessee

N. BlueCare (Volunteer State Health Plan, Inc.)

W. Preferred Health Partnership/PHP

AA. TLC (Memphis Managed Care)

EE. TennCare Select

HH. UAHC (Omnicare)

JJ. AmeriChoice East

KK. AmeriChoice Middle

LL. AmeriGroup

MM. Unison

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Tennessee

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Tennessee

C. Cariten Senior Health (Cariten Senior Health)

F. Medicare Complete (United Healthcare Plan of the River Valley, Inc.)

P. HealthSpring (Healthspring, of Tennessee)

U. BlueAdvantage (Blue Cross Blue Shield of Tennessee)

V. HumanaChoice PPO/Humana Gold Choice (Humana Insurance Company)

W. SecureHorizons Direct (United Healthcare)

X. Windson Medicare Extra (Windsor Health Group, Inc.)

Y. Aetna Medicare Open Plan/Aetna Golden (Aetna)

Z. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

AA. Freedom (Advantra Freedom)

Continued on next page

HX

-5

Spring 2008

CARD HX-5

Medicare Managed Care Plans Tennessee (continued)

BB. Fresenius Medical Care Health Plan (Sterling Life Insurance, Inc.)

CC. Save Well (UniCare)

DD. SecurityChoice (Unicare Life & Health Insurance Company)

EE. Sierra Optima (Sierra Health & Life Insurance, Inc.)

FF. Today’s Options (Pyramid Life Insurance, Inc.)

GG. Unison Advantage (Unison Advantage)

Spring 2008

CARD HX-6

Plan Names Tennessee

N. BlueCare (Volunteer State Health Plan, Inc.)

W. Preferred Health Partnership/PHP

AA. TLC (Memphis Managed Care)

EE. TennCare Select

HH. UAHC (Omnicare)

JJ. AmeriChoice East

KK. AmeriChoice Middle

LL. AmeriGroup

MM. Unison

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) TENNESSEE

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

NN. Blue Cross and Blue Shield Service Benefit Plan – Standard

OO. Blue Cross and Blue Shield Service Benefit Plan – Basic

RR. GEHA High Deductible Health Plan

SS. Mail Handlers High Deductible Plan

VV. Aetna HealthFund CDHP

WW. Aetna HealthFund HDHP

YY. Humana CoverageFirst (Consumer Driven Plan)

ZZ. Aetna Open Access

Spring 2008

Spring 2008

IN-2A

CARD IN-2A

State TANF Program Tennessee

Families First

Spring 2008

CARD PR-1

Medicare Managed Care Plans Texas

KK. SeniorCare Senior (Scott and White Health Plan)

QQ. Texas HealthSpring (Texas Healthspring, LLC)

RR. Humana Choice PPO (Humana Insurance Company)

SS. Aetna Golden (Aetna)

TT. Blue Medicare PPO (HISC – Blue Cross Blue Shield of Texas)

VV. FIRSTCARE Advantage (FirstCare Health Plans)

WW. Fresenius Medical Care Health Plan, Inc. (Sterling Life Insurance, Inc.)

XX. Physicians Health Choice

ZZ. SecureHorizons Direct

BBB. Valley Advantage (Valley Baptist Health Plans)

DDD. ANY, ANY, ANY Plan (Universal Health Care)

EEE. Bravo (Elder Health)

Continued on next page

PR-1

Spring 2008

CARD PR-1

Medicare Managed Care Plans Texas (continued)

FFF. Concert/Summit/Duet/Freedom (WellCare Health Plans, Inc.)

GGG. Erickson Advantage (United Healthcare Insurance Company)

HHH. Freedom (Advantra Freedom)

III. Health Net (Health Net, Inc.)

JJJ. PLUS/Premier (Texas Community Care)

KKK. Save Well (UniCare)

LLL. SecurityChoice (Unicare Life & Health Insurance Company)

MMM. SelectCare of Texas (SelectCare of Texas, LLC)

NNN. Sierra Optima (Sierra Health & Life Insurance, Inc.)

OOO. Texarkana (Arkansas Community Care, Inc.)

PPP. TexasFirst Health Plans (TexasFirst Health Plans)

QQQ. Today’s Options (Pyramid Life Insurance, Inc.)

Spring 2008

CARD PR-2

Plan Names Texas

F. Firstcare

U. Community First

Z. JPS STAR Plan

BB. Parkland Community Health Plan

DD. Superior Health Plan

II. El Paso First Premier Plan

KK. Evercare

LL. Aetna

MM. Community Health Choice

OO. Molina

RR. Texas Children’s Health Plan

SS. Unicare

WW. Cook Children’s Health Plan

XX. Driscoll Children’s Health Plan

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Texas

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Texas

KK. SeniorCare Senior (Scott and White Health Plan)

QQ. Texas HealthSpring (Texas Healthspring, LLC)

RR. Humana Choice PPO (Humana Insurance Company)

SS. Aetna Golden (Aetna)

TT. Blue Medicare PPO (HISC – Blue Cross Blue Shield of Texas)

VV. FIRSTCARE Advantage (FirstCare Health Plans)

WW. Fresenius Medical Care Health Plan, Inc. (Sterling Life Insurance, Inc.)

XX. Physicians Health Choice

ZZ. SecureHorizons Direct

BBB. Valley Advantage (Valley Baptist Health Plans)

DDD. ANY, ANY, ANY Plan (Universal Health Care)

Continued on next page

HX

-5

Spring 2008

CARD HX-5

Medicare Managed Care Plans Texas (continued)

EEE. Bravo (Elder Health)

FFF. Concert/Summit/Duet/Freedom (WellCare Health Plans, Inc.)

GGG. Erickson Advantage (United Healthcare Insurance Company)

HHH. Freedom (Advantra Freedom)

III. Health Net (Health Net, Inc.)

JJJ. PLUS/Premier (Texas Community Care)

KKK. Save Well (UniCare)

LLL. SecurityChoice (Unicare Life & Health Insurance Company)

MMM. SelectCare of Texas (SelectCare of Texas, LLC)

NNN. Sierra Optima (Sierra Health & Life Insurance, Inc.)

OOO. Texarkana (Arkansas Community Care, Inc.)

PPP. TexasFirst Health Plans (TexasFirst Health Plans)

QQQ. Today’s Options (Pyramid Life Insurance, Inc.)

Spring 2008

CARD HX-6

Plan Names Texas

F. Firstcare

U. Community First

Z. JPS STAR Plan

BB. Parkland Community Health Plan

DD. Superior Health Plan

II. El Paso First Premier Plan

KK. Evercare

LL. Aetna

MM. Community Health Choice

OO. Molina

RR. Texas Children’s Health Plan

SS. Unicare

WW. Cook Children’s Health Plan

XX. Driscoll Children’s Health Plan

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) TEXAS

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

S. FIRSTCARE

Z. PacifiCare of Texas

XX. Mercy Health Plans/Premier Health Plans

BBB. Blue Cross and Blue Shield Service Benefit Plan - Standard

CCC. Blue Cross and Blue Shield Service Benefit Plan – Basic

GGG. Humana Health Plan of Texas – Standard

JJJ. GEHA High Deductible Health Plan

OOO. HMO Blue Texas

Continued on next page

Spring 2008

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) TEXAS (continued)

QQQ. Aetna HealthFund CDHP

RRR. Aetna HealthFund HDHP

SSS. Humana CoverageFirst CDHP – Houston

TTT. Humana CoverageFirst CDHP – Dallas/Ft. Worth

UUU. Humana CoverageFirst CDHP – Corpus Christi

VVV. Humana CoverageFirst CDHP – San Antonio

WWW. Humana CoverageFirst CDHP – Austin

XXX. Aetna Open Access

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Texas

Texas Works

Choices

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Utah

J. Security Choice (Unicare Life & Health Ins. Company)

L. HumanaChoice PPO/Humana Gold Choice (Humana Insurance Company)

M. MedAvantage (Regence Blue Cross Blue Shield of Utah)

N. SecureHorizons Direct

P. Today’s Options (Pyramid Life Insurance, Inc.)

R. Aetna Medicare Open Plan (Aetna)

S. ANY, ANY, ANY Plan (Universal Health Care)

T. Freedom (Advantra Freedom)

U. Save Well (UniCare)

V. Sierra Optima/Spectrum (Sierra Health & Life Insurance, Inc.)

W. Summit/Concert/Duet/Freedom (WellCare Health Plans, Inc.)

PR-1

Spring 2008

CARD PR-2

Plan Names Utah

Q. Healthy U

S. Molina Healthcare of Utah PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Utah

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Utah

J. Security Choice (Unicare Life & Health Ins. Company)

L. HumanaChoice PPO/Humana Gold Choice (Humana Insurance Company)

M. MedAvantage (Regence Blue Cross Blue Shield of Utah)

N. SecureHorizons Direct

P. Today’s Options (Pyramid Life Insurance, Inc.)

R. Aetna Medicare Open Plan (Aetna)

S. ANY, ANY, ANY Plan (Universal Health Care)

T. Freedom (Advantra Freedom)

U. Save Well (UniCare)

V. Sierra Optima/Spectrum (Sierra Health & Life Insurance, Inc.)

W. Summit/Concert/Duet/Freedom (WellCare Health Plans, Inc.)

HX

-5

Spring 2008

CARD HX-6

Plan Names Utah

Q. Healthy U

S. Molina Healthcare of Utah

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) UTAH

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

BB. Altius Health Plans

EE. Blue Cross and Blue Shield Service Benefit Plan – Standard

FF. Blue Cross and Blue Shield Service Benefit Plan – Basic

II. GEHA High Deductible Health Plan

JJ. Mail Handlers High Deductible Plan

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Utah

Family Employment Program (FEP)

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Vermont

C. SecureHorizons Direct (United Healthcare)

D. Today’s Options (Pyramid Life Insurance, Inc.)

E. Aetna Medicare Open Plan (Aetna)

F. Freedom (Advantra Freedom)

G. Humana Gold Choice (Humana Insurance Company)

H. Save Well (UniCare)

I. SecurityChoice (Unicare Life & Health Insurance Company)

PR-1

Spring 2008

CARD PR-2

Plan Names Vermont

F. Vermont Health Access PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Vermont

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Vermont

C. SecureHorizons Direct (United Healthcare)

D. Today’s Options (Pyramid Life Insurance, Inc.)

E. Aetna Medicare Open Plan (Aetna)

F. Freedom (Advantra Freedom)

G. Humana Gold Choice (Humana Insurance Company)

H. Save Well (UniCare)

I. SecurityChoice (Unicare Life & Health Insurance Company)

HX

-5

Spring 2008

CARD HX-6

Plan Names Vermont

F. Vermont Health Access

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) VERMONT

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

DD. MVP Health Care

EE. Blue Cross and Blue Shield Service Benefit Plan – Standard

FF. Blue Cross and Blue Shield Service Benefit Plan – Basic

II. GEHA High Deductible Health Plan

JJ. Mail Handlers High Deductible Plan

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Vermont

Aid to Needy Families with Children (ANFC)

Reach Up

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Virginia

I. Kaiser Permanente Medicare Plus (Kaiser Foundation Health Plan, Inc.)

L. Security Choice (Unicare Life and Health Insurance Company)

M. Aetna Golden (Aetna)

N. Anthem Medicare Preferred (Anthem Blue Cross and Blue Shield)

O. Humana Gold choice/Humana Choice PPO (Humana Insurance Company)

P. Optima Medicare Preferred (Optima Health)

Q. SecureHorizons Direct (United Healthcare)

R. Today’s Options (Pyramid Life Insurance, Inc.)

T. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

U. Erickson Advantage (United HealthCare Insurance Company)

Continued on next page

PR-1

Spring 2008

CARD PR-1

Medicare Managed Care Plans Virginia (continued)

V. Freedom (Advantra Freedom)

W. MedicareComplete (United Healthcare of the River Valley, Inc.

X. Sierra Optima (Sierra Health & Life Insurance, Inc.)

Spring 2008

CARD PR-2

Plan Names Virginia

P. Virginia Premier Health Plan

T. AMERIGROUP Community Care

U. Anthem HealthKeepers Plus by HealthKeepers

V. Anthem HealthKeepers Plus by Peninsula Health Care

W. Anthem HealthKeepers Plus by Priority Health Care

X. Optim Family Care

Y. Southern Health CareNet

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Virginia

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Virginia

I. Kaiser Permanente Medicare Plus (Kaiser Foundation Health Plan, Inc.)

L. Security Choice (Unicare Life and Health Insurance Company)

M. Aetna Golden (Aetna)

N. Anthem Medicare Preferred (Anthem Blue Cross and Blue Shield)

O. Humana Gold choice/Humana Choice PPO (Humana Insurance Company)

P. Optima Medicare Preferred (Optima Health)

Q. SecureHorizons Direct (United Healthcare)

R. Today’s Options (Pyramid Life Insurance, Inc.)

T. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

U. Erickson Advantage (United HealthCare Insurance Company)

Continued on next page

HX

-5

Spring 2008

CARD HX-5

Medicare Managed Care Plans Virginia (continued)

V. Freedom (Advantra Freedom)

W. MedicareComplete (United Healthcare of the River Valley, Inc.

X. Sierra Optima (Sierra Health & Life Insurance, Inc.)

Spring 2008

CARD HX-6

Plan Names Virginia

P. Virginia Premier Health Plan

T. AMERIGROUP Community Care

U. Anthem HealthKeepers Plus by HealthKeepers

V. Anthem HealthKeepers Plus by Peninsula Health Care

W. Anthem HealthKeepers Plus by Priority Health Care

X. Optim Family Care

Y. Southern Health CareNet

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) VIRGINIA

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

AA. Kaiser Permanente

BB. M.D. IPA

PP. Mail Handlers – High

VV. CareFirst Blue Choice

WW. Piedmont Community Healthcare

ZZ. Blue Cross Blue Shield Service Benefit Plan – Standard

AAA. Blue Cross Blue Shield Service Benefit Plan – Basic

FFF. GEHA High Deductible Health Plan

GGG. Mail Handlers High Deductible Plan

LLL. Optima Health Plan

MMM. Aetna HealthFund CDHP

NNN. Aetna HealthFund HDHP

OOO. Aetna Open Access

PPP. United HealthCare Definity HDHP

Spring 2008

Spring 2008

CARD PR-1

Medicare Managed Care Plans Washington

W. GHC Medicare Plan (Group Health Cooperative)

Z. Senior Advantage (Kaiser Foundation Health Plan of the Northwest)

FF. Columbia Community Care (Spokane Community Care)

GG. MedAvantage (Asuris Northwest Health)

HH. MedAdvantage/First Choice Sixty-Five (Regence Blue Shield/Blue Cross Blue Shield of OR)

II. Providence Medicare Extra (Providence Health Plan)

JJ. SecureHorizons Direct (United Healthcare)

LL. Aetna Medicare Open Plan (Aetna)

MM. Community HealthFirst (Community HealthFirst Plans)

NN. Freedom (Advantra Freedom)

OO. Health Net (Health Net, Inc.)

Continued on next page

PR-1

Spring 2008

CARD PR-1

Medicare Managed Care Plans Washington (continued)

PP. Humana Gold Choice (Humana Insurance Company)

QQ. Save Well (UniCare)

RR. SecurityChoice (Unicare Life & Health Insurance Company)

SS. Sierra Optima (Sierra Health & Life Insurance, Inc.)

TT. Summit/Freedom/Concert/Duet (WellCare Health Plans, Inc.)

Spring 2008

CARD PR-2

Plan Names Washington

H. Group Health Cooperative

L. Kaiser Permanente

HH. Community Health Plans of Washington

II. Regence Blue Shield

LL. Columbia United Providers

OO. Molina Healthcare of Washington

UU. ASURIS NORTH HEALTH

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Washington

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Washington

W. GHC Medicare Plan (Group Health Cooperative)

Z. Senior Advantage (Kaiser Foundation Health Plan of the Northwest)

FF. Columbia Community Care (Spokane Community Care)

GG. MedAvantage (Asuris Northwest Health)

HH. MedAdvantage/First Choice Sixty-Five (Regence Blue Shield/Blue Cross Blue Shield of OR)

II. Providence Medicare Extra (Providence Health Plan)

JJ. SecureHorizons Direct (United Healthcare)

LL. Aetna Medicare Open Plan (Aetna)

MM. Community HealthFirst (Community HealthFirst Plans)

NN. Freedom (Advantra Freedom)

OO. Health Net (Health Net, Inc.)

Continued on next page

HX

-5

Spring 2008

CARD HX-5

Medicare Managed Care Plans Washington (continued)

PP. Humana Gold Choice (Humana Insurance Company)

QQ. Save Well (UniCare)

RR. SecurityChoice (Unicare Life & Health Insurance Company)

SS. Sierra Optima (Sierra Health & Life Insurance, Inc.)

TT. Summit/Freedom/Concert/Duet (WellCare Health Plans, Inc.)

Spring 2008

CARD HX-6

Plan Names Washington

H. Group Health Cooperative

L. Kaiser Permanente

HH. Community Health Plans of Washington

II. Regence Blue Shield

LL. Columbia United Providers

OO. Molina Healthcare of Washington

UU. ASURIS NORTH HEALTH

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) WASHINGTON

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

Q. Group Health Cooperative-Std

T. Kaiser Permanente – Std

Y. PacifiCare of Washington

SS. Blue Cross and Blue Shield Service Benefit Plan – Basic

VV. KPS Health Plans – Std

YY. GEHA High Deductible Health Plan

ZZ. Mail Handlers High Deductible Plan

HHH. Aetna HealthFund CDHP

III. Aetna HealthFund HDHP

JJJ. PacifiCare of Oregon

KKK. Aetna Open Access

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Washington

WorkFirst

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans West Virginia

H. Advantra PPO (CareLink Advantra PPO)

J. Health Plan SecureCare (The Health Plan)

M. Humana Gold Choice/Humana Choice PPO (Humana Insurance Company)

N. SecureHorizons Direct

O. 2007 FREEDOMBLUE (Mountain State Blue Cross Blue Shield)

P. Aetna Medicare Open Plan (Aetna)

Q. Freedom (Advantra Freedom)

R. Save Well (UniCare)

S. SecurityChoice (Unicare Life & Health Insurance Company)

T. Sierra Optima (Sierra Health & Life Insurance, Inc.)

Continued on next page

PR-1

Spring 2008

CARD PR-1

Medicare Managed Care Plans West Virginia (continued)

U. Today’s Options (Pyramid Life Insurance, Inc.)

V. UPMC for Life (UPMC Health Plan)

W. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

Spring 2008

CARD PR-2

Plan Names West Virginia

A. CareLink

C. The Health Plan of the Upper Ohio Valley

F. Unicare

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card West Virginia

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans West Virginia

H. Advantra PPO (CareLink Advantra PPO)

J. Health Plan SecureCare (The Health Plan)

M. Humana Gold Choice/Humana Choice PPO (Humana Insurance Company)

N. SecureHorizons Direct

O. 2007 FREEDOMBLUE (Mountain State Blue Cross Blue Shield)

P. Aetna Medicare Open Plan (Aetna)

Q. Freedom (Advantra Freedom)

R. Save Well (UniCare)

S. SecurityChoice (Unicare Life & Health Insurance Company)

T. Sierra Optima (Sierra Health & Life Insurance, Inc.)

Continued on next page

HX

-5

Spring 2008

CARD HX-5

Medicare Managed Care Plans West Virginia (continued)

U. Today’s Options (Pyramid Life Insurance, Inc.)

V. UPMC for Life (UPMC Health Plan)

W. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

Spring 2008

CARD HX-6

Plan Names West Virginia

A. CareLink

C. The Health Plan of the Upper Ohio Valley

F. Unicare

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) WEST VIRGINIA

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

GG. Blue Cross and Blue Shield Service Benefit Plan – Strd

HH. Blue Cross and Blue Shield Service Benefit Plan – Basic

KK. GEHA High Deductible Health Plan

LL. Mail Handlers High Deductible Plan

MM. The Health Plan of the Upper Ohio Valley

NN. Aetna HealthFund CDHP

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program West Virginia

West Virginia Works

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Wisconsin

E. Network Senior Plus (Network Health Plan of Wisconsin, Inc.)

N. DeanCare Gold (Dean Health Plan, Inc.)

O. Gundersen Lutheran Senior Preferred (Gundersen Lutheran Health Plan, Inc.)

P. Medical Associates Advantage Plan (Medical Associates Clinic Health Plan of Wisconsin)

V. Advocare (Security Health Plan of Wisconsin, Inc.)

X. Network PlatinumPlus (Network Health Insurance Corporation)

Y. Humana Choice PPO/Humana Gold choice (Humana Insurance Plan)

Z. Medica Advantage Solution/Prime Solution (Medica Health Plans of Wisconsin)

AA. Secure Horizons Direct

BB. SmartValue (Blue Cross Blue Shield of Wisconsin)

Continued on next page

PR-1

Spring 2008

CARD PR-1

Medicare Managed Care Plans Wisconsin (continued)

CC. Today’s Options

DD. Aetna Medicare Open Plan (Aetna)

EE. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

FF. Freedom (Advantra Freedom)

GG. Today’s Health (Today’s Health)

Spring 2008

CARD PR-2

Plan Names Wisconsin

C. Compcare Health Services, Inc.

F. Group Health Cooperative of Eau Claire

G. Group Health Cooperative, South Central Wisconsin

I. I Care (Independent Care)

J. Managed Health Services

Q. Dean Health Plan, Inc.

S. Network Health Plan

V. Security Health Plan of Wisconsin, Inc.

BB. Health Tradition Health Plan

MM. Abri Health Plan, Inc.

NN. Children’s Community Health Plan, Inc.

OO. Community Care Health Plan

PP. Elder Care Health Plan

QQ. Health Plan for Community Living

RR. MercyCare Insurance Company

SS. Partnership Health Plan

TT. UnitedHealthcare of Wisconsin, Inc.

UU. Unity Health Plans Insurance Corporation

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Wisconsin

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Wisconsin

E. Network Senior Plus (Network Health Plan of Wisconsin, Inc.)

N. DeanCare Gold (Dean Health Plan, Inc.)

O. Gundersen Lutheran Senior Preferred (Gundersen Lutheran Health Plan, Inc.)

P. Medical Associates Advantage Plan (Medical Associates Clinic Health Plan of Wisconsin)

V. Advocare (Security Health Plan of Wisconsin, Inc.)

X. Network PlatinumPlus (Network Health Insurance Corporation)

Y. Humana Choice PPO/Humana Gold choice (Humana Insurance Plan)

Z. Medica Advantage Solution/Prime Solution (Medica Health Plans of Wisconsin)

AA. Secure Horizons Direct

BB. SmartValue (Blue Cross Blue Shield of Wisconsin)

Continued on next page

HX

-5

Spring 2008

CARD HX-5

Medicare Managed Care Plans Wisconsin (continued)

CC. Today’s Options

DD. Aetna Medicare Open Plan (Aetna)

EE. Concert/Duet/Freedom/Summit (WellCare Health Plans, Inc.)

FF. Freedom (Advantra Freedom)

GG. Today’s Health (Today’s Health)

Spring 2008

CARD HX-6

Plan Names Wisconsin

C. Compcare Health Services, Inc.

F. Group Health Cooperative of Eau Claire

G. Group Health Cooperative, South Central Wisconsin

I. I Care (Independent Care)

J. Managed Health Services

Q. Dean Health Plan, Inc.

S. Network Health Plan

V. Security Health Plan of Wisconsin, Inc.

BB. Health Tradition Health Plan

MM. Abri Health Plan, Inc.

NN. Children’s Community Health Plan, Inc.

OO. Community Care Health Plan

PP. Elder Care Health Plan

QQ. Health Plan for Community Living

RR. MercyCare Insurance Company

SS. Partnership Health Plan

TT. UnitedHealthcare of Wisconsin, Inc.

UU. Unity Health Plans Insurance Corporation

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) WISCONSIN

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

RR. Dean Health Plan

XX. Blue Cross Blue Shield Service Benefit Plan – Standard

YY. Blue Cross Blue Shield Service Benefit Plan – Basic

BBB. HealthPartners Primary Clinic Plan

FFF. GEHA High Deductible Health Plan

GGG. Mail Handlers High Deductible Plan

LLL. Humana CoverageFirst CDHP

MMM. Group Health Cooperative

NNN. Aetna HealthFund

OOO. HealthPartners

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Wisconsin

Wisconsin Works (W-2)

IN-2A

Spring 2008

CARD PR-1

Medicare Managed Care Plans Wyoming

A. Humana Gold Choice (Humana Insurance Company)

B. MedicareBlue PPO (BlueCross Blue Shield Of Wyoming)

C. RMHP AB Basic/WINHEALTH (WINHealth Partners)

D. SecureHorizons Direct (United Healthcare)

E. Aetna Medicare Open Plan (Aetna)

F. Concert/Freedom/Summit (WellCare Health Plans, Inc.)

G. Freedom (Advantra Freedom)

H. Save Well (UniCare)

I. SecurityChoice (Unicare Life & Health Insurance Company)

PR-1

Spring 2008

CARD PR-2

Plan Names Wyoming

None Available

PR-2

Spring 2008

CARD HX-3

Sample Medicaid Card Wyoming

HX

-3

Spring 2008

CARD HX-5

Medicare Managed Care Plans Wyoming

A. Humana Gold Choice (Humana Insurance Company)

B. MedicareBlue PPO (BlueCross Blue Shield Of Wyoming)

C. RMHP AB Basic/WINHEALTH (WINHealth Partners)

D. SecureHorizons Direct (United Healthcare)

E. Aetna Medicare Open Plan (Aetna)

F. Concert/Freedom/Summit (WellCare Health Plans, Inc.)

G. Freedom (Advantra Freedom)

H. Save Well (UniCare)

I. SecurityChoice (Unicare Life & Health Insurance Company)

HX

-5

Spring 2008

CARD HX-6

Plan Names Wyoming

None Available

HX

-6

CARD HX-8

PLAN NAMES (FOR FEDERAL CIVILIAN EMPLOYEES) WYOMING

C. APWU

D. GEHA

E. Mail Handlers

F. NALC

H. Association Benefit Plan

J. Foreign Service Benefit Plan

L. Panama Canal Area Benefit Plan

M. Rural Carrier Benefit Plan

N. SAMBA

X. WINhealth Partners

AA. Blue Cross and Blue Shield Service Benefit Plan – Standard

BB. Blue Cross and Blue Shield Service Benefit Plan – Basic

EE. GEHA High Deductible Health Plan

FF. Mail Handlers High Deductible Plan

Spring 2008

Spring 2008

CARD IN-2A

State TANF Program Wyoming

Personal Opportunities with Employment Responsibility

(POWER)

IN-2A