HMO/PPODIRECTORY MAINE. Health Insurance Coverage Status and Type of Coverage by Age. All Persons Under 18 years Under 65 years 65 years and over

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1 HMO/PPODIRECTORY MAINE Health Insurance Coverage Status and by Age Category All Persons Under 18 years Under 65 years 65 years and over Number % Number % Number % Number % Total population 1, , Covered by some type of health insurance 1,206 (14) 90.5 (0.8) 253 (4) 96.2 (1.0) 995 (17) 88.8 (1.0) 211 (10) 99.7 (0.2) Covered by private health insurance 864 (21) 64.9 (1.4) 163 (7) 62.1 (2.5) 742 (20) 66.2 (1.5) 123 (9) 58.1 (3.1) Employment based 756 (22) 56.8 (1.5) 158 (7) 59.9 (2.6) 685 (21) 61.2 (1.6) 71 (7) 33.4 (2.7) Own employment based 411 (12) 30.9 (0.8) 1 (1) 0.2 (0.2) 359 (12) 32.1 (0.9) 52 (6) 24.7 (2.5) Direct purchase 124 (12) 9.3 (0.9) 8 (3) 3.1 (1.0) 62 (10) 5.6 (0.9) 62 (6) 29.2 (2.7) Covered by government health insurance 542 (18) 40.7 (1.4) 117 (7) 44.7 (2.8) 339 (16) 30.3 (1.5) 202 (10) 95.7 (1.1) Covered by Medicaid 323 (16) 24.3 (1.2) 113 (7) 42.9 (2.7) 286 (16) 25.5 (1.4) 37 (4) 17.7 (2.0) Also by private insurance 76 (8) 5.7 (0.6) 26 (4) 10.0 (1.6) 66 (7) 5.9 (0.6) 10 (2) 4.5 (1.0) Covered by Medicare 244 (12) 18.3 (0.9) 0 (0) 0.1 (0.1) 43 (5) 3.9 (0.5) 201 (10) 95.0 (1.2) Also by private insurance 118 (9) 8.9 (0.7) 0 (0) 0.0 (0.0) 5 (2) 0.4 (0.1) 114 (9) 53.7 (3.1) Also by Medicaid 68 (6) 5.1 (0.5) 0 (0) 0.1 (0.1) 31 (4) 2.8 (0.4) 36 (4) 17.2 (2.0) Covered by military health care 88 (10) 6.6 (0.8) 10 (3) 3.7 (1.2) 58 (8) 5.2 (0.7) 30 (6) 14.3 (2.9) Not covered at any time during the year 126 (11) 9.5 (0.8) 10 (3) 3.8 (1.0) 126 (11) 11.2 (1.0) 1 (0) 0.3 (0.2) Note: Numbers in thousands; figures cover 2012; standard error appears in parenthesis; (b) base less than 75,000; (x) not applicable Source: U.S. Census Bureau, Current Population Survey, 2013 Annual Social and Economic Supplement. Table HI05. Health Insurance Coverage Status and Type of Coverage by State and Age for All People:

2 HMO/PPO Directory Aetna Health of 151 Farmington Avenue Hartford, CT Toll-Free: Year Founded: 1996 Federally Qualified: Yes Total Enrollment: 22,417 State Enrollment: 22,417 PLAN TYPE: HMO Other Type: POS Model Type: Network Plan Specialty: PBM Benefits Offered: Chiropractic, Home Care, Prescription, Psychiatric, Vision, Wellness Commercial, Individual Employee Only (Self): $73.42 Employee & 1 Family Member: $ President & CEO...Mark T Bertolini SVP, General Counsel...William J Casazza EVP,CFO...Joseph M Zubretsky Head, M&A Integration...KayMooney SVP, Healthcare Mgmt....JeffEmerson SVP, Marketing...Robert E Mead Chief Medical Officer...Lonny Reisman, MD SVP, Human Resources....Elease E Wright SVP,CIO...MegMcCarthy 481 Anthem Blue Cross & Blue Shield of 2 Gannett Dr. S. Portland, ME Toll-Free: Phone: Secondary Address: One Merchants Plaza, Bangor, ME Year Founded: 1985 Number of Affiliated Hospitals: 42 Number of Primary Care Physicians: 971 Number of Referral/Specialty Physicians: 1,604 Total Enrollment: 545,610 State Enrollment: 85,917 Model Type: Staff Plan Specialty: ASO, Behavioral Health, Chiropractic, Disease Management, Lab, PBM, Vision, Radiology, Worker s Compensation, UR Benefits Offered: Behavioral Health, Chiropractic, Dental, Disease Management, Home Care, Inpatient SNF, Physical Therapy, Podiatry, Prescription, Psychiatric, Transplant, Vision, Wellness, Worker s Compensation, Life Commercial, Individual, Supplemental Medicare POS, DFFS, Capitated, FFS CEO...John Cannon CFO...Wayne Deveyolt Pharmacy Director...James Lang Chief Medical Officer....Samuel Nussbaum, MD Member Relations...Karen Andrews Public Relations...Deborah New Sales Executive...James Parker Media Contact....Chris Dugan chris.dugan@anthem.com Green Spring Health Service Education Association, State of Employees Benefits Trust, Sappi Fine Paper, Medical Center, General Health 482 CIGNA HealthCare of 500 Southborough Drive Suite 302, Rtg 596 South Portland, ME Toll-Free: Phone: Fax: Year Founded: 1986 Owned by an Integrated Delivery Network (IDN): Yes Number of Affiliated Hospitals: 39 Number of Primary Care Physicians: 900 Number of Referral/Specialty Physicians: 1,200 Total Enrollment: 6,343 State Enrollment: 6,343 PLAN TYPE: HMO Other Type: POS Model Type: IPA Plan Specialty: Dental, Vision Benefits Offered: Behavioral Health, Chiropractic, Disease Management, Home Care, Inpatient SNF, Long-Term Care, Physical Therapy, Podiatry, Prescription, Transplant, Vision, Wellness Commercial POS, DFFS 224

3 HMO/PPO Directory 2014 serves the counties of Aroostook, Cumberland, Hancock, Kennebec, Knox, Penobscot, Piscataquis, Somerset, Waldo, and York Employee Only (Self): $0 Employee & 1 Family Member: $0 Employee & 2 Family Members: $0 Primary Care Physician: $10.00 Prescription Drugs: $5.00/10.00/20.00 Hospital ER: $25.00 Chairman and CEO...David Cordini CFO...Mark Boxer Chief Medical Officer...Alan Muney Chief Counsel...Nicole Jones Chief Marketing Officer....Robert G Romasco Human Resources...Donald M Levinson Chief Information Officer....Andrea Anania CIGNA Behavioral Health BIW, UNUM 483 ehealthinsurance Services Inc Foundation Place Gold River, CA Toll-Free: webmaster@healthinsurance.com Year Founded: 1997 Benefits Offered: Dental, Life, STD Commercial, Individual, Medicare All 50 states in the USA and District of Columbia Chairman & CEO...Gary L. Lauer EVP/Business & Corp. Dev.....Bruce Telkamp EVP/Chief Technology...Dr.Sheldon X. Wang SVP&CFO...Stuart M. Huizinga Pres. of ehealth Gov. Sys...Samuel C. Gibbs SVP of Sales & Operations...Robert S. Hurley Director Public Relations....Nate Purpura Great-West Healthcare 500 Southborough Drive Suite 302 South Portland, ME Toll-Free: Phone: eliginquiries@cigna.com Secondary Address: 6 Fundy Road, Suite 300, Falmouth, ME Subsidiary of: CIGNA HealthCare Acquired by: CIGNA Total Enrollment: 8,184 State Enrollment: 8,078 Benefits Offered: Disease Management, Prescription, Wellness Commercial POS, FFS URAC Manager...TomGriffin Caremark Rx 485 Harvard Pilgrim Health Care: 1 Market Street Third Floor Portland, ME Toll-Free: Phone: Non-Profit Organization: Yes Year Founded: 1977 Number of Affiliated Hospitals: 135 Number of Primary Care Physicians: 28,000 Total Enrollment: 1,100,000 State Enrollment: 67,000 PLAN TYPE: Multiple Model Type: Network Plan Specialty: ASO, Behavioral Health, Chiropractic, Dental, Disease Management, EPO, Lab, MSO, PBM, Vision, Radiology, Worker s Compensation, UR Benefits Offered: Behavioral Health, Chiropractic, Disease Management, Home Care, Inpatient SNF, Long-Term Care, Physical Therapy, Podiatry, Prescription, Psychiatric, Transplant, Vision, Wellness DMPI Services Offered: Clinical, Specialty On-Line, Case Management, Cybernurse, On-Line A-Z Commercial, Individual, Indemnity, Medicare, Supplemental Medicare, Medicaid POS, Combination FFS & DFFS Mass.: All counties; Rhode Island: All counties; New Hampshire: Sullivan, Belknap, Merrimack, Strafford, Cheshire, Hillsborough, Rockingham counties, parts of Coos, Grafton and Carroll counties; Vermont: Windham, Windsor and Caledonia county 225

4 HMO/PPO Directory 2014 Employee Only (Self): $5.50 Employee Only (Self): $ Employee & 1 Family Member: $ Employee & 2 Family Members: $ Primary Care Physician: $20.00 Non-Network Physician: 20% Prescription Drugs: $10.00 Hospital ER: $ Home Health Care: $0 Home Health Care Max. Days/Visits Covered: Subject to review Nursing Home: $0 Nursing Home Max. Days/Visits Covered: 60 days President & CEO...Eric Schultz Chief Operating Officer...Robert Herman Chief Medical Officer....Michael Sherman Chief Financial Officer...Charles Goheen SVP, Provider Network...Rick Weisblatt, PhD VP, Marketing & Comm...Dana Rashti VP, Customer Service...LynnBowman Chief Information Officer...Deborah Norton SVP, Sales & Cust Service...Vincent Capozzi Dir, Media Relations....Sharon Torgerson sharon_torgerson@hphc.org Average Claim Compensation Physician s Fees Charged: 51% Hospital s Fees Charged: 40% Mass General, Brigham And Women Hospital, Boston Medical, Value Options, MedImpact Enters into Contracts with Regional Business Coalitions: No Commonwealth of Massachusetts, City of Boston, Harvard University 486 Martin s Point HealthCare 331 Veranda Street PO Box 9746 Portland, ME Toll-Free: Phone: gainfo@martinspoint.org Non-Profit Organization: Yes Year Founded: 1981 Total Enrollment: 85,000 PLAN TYPE: Multiple Benefits Offered: Disease Management, Prescription, Wellness, No co-pay for: routine physical exams/hearing tests/eye exams/mammograms/prostrate & pap exams/bone mass/flu vaccines. Commercial, Medicare, Military, New Hampshire, Vermont, northeastern New York Employee Only (Self): Varies Medicare: Varies Employee Only (Self): Varies Medicare: Varies Primary Care Physician: Varies Prescription Drugs: Varies Hospital ER: Varies President/CEO...David Howes, MD Chief Financial Officer...Dale Bradford Chief Operating Officer....Larry Henry Chief Organizer...Sandra Monfiletto General Manager...Richard White, CPA Chief Marketing Officer...JayMenario Interim Chief Medical...Jonathan Harvey, MD VP, Corporate Affairs...Andrea Cianchette Maker andrea.maker@martinspoint.org 487 Northeast Community Care 49 Atlantic Place South Portland, ME Toll-Free: Phone: Fax: Subsidiary of: Arcadian Health Plans PLAN TYPE: Medicare Medicare 488 UnitedHealthCare of 9700 Health Care Lane Minnetonka, MN Toll-Free: Subsidiary of: UnitedHealth Group Year Founded: 1977 Number of Affiliated Hospitals: 4,200 Number of Primary Care Physicians: 460,000 Total Enrollment: 75,000,000 Model Type: IPA, Group, Network Plan Specialty: Lab, Radiology Benefits Offered: Chiropractic, Dental, Physical Therapy, Prescription, Wellness, AD&D, Life, LTD, STD Commercial, Individual, Indemnity, Medicare 226

5 HMO/PPO Directory 2014 TJC, Enters into Contracts with Regional Business Coalitions: Yes 227