Kentucky Health Cooperative

Transcription

1 Plans offered on kynect in 2015 Individual Medical Number of Plans offered in the Individual Market by issuer and metal level Please see attachment 1 for a list of the issuers and products offered in each county. Maps of the service area for each issuer are located after attachment 1. Individual Catastrophic Bronze Silver Gold Platinum Total Health Plans Plans (with embedded pediatric dental benefits) Health Plans HMO Plans (with embedded pediatric dental benefits) A CareSource B Kentucky Health Cooperative HUMANA C Health Plans Multi-State Plans Kentucky Health Cooperative Multi-State Plans WellCare (with embedded pediatric dental benefits) Total A submitted forms and rates to offer 12 different plans. However, this actually represents 3 different plans in each of 4 service areas and not 12 unique plans. These 12 plans equate to 3 plans to cover 32 counties within Kentucky. B CareSource submitted forms and rates to offer 12 different plans. However, this actually represents 4 different plans in each of 3 service areas and not 12 unique plans. These 12 plans equate to 3 plans to cover 16 counties within Kentucky. C HUMANA submitted forms and rates to offer 20 different plans. This represents the following: 5 plans offered in the Lexington area, 5 plans offered in the Cincinnati/Northern Kentucky area, 5 plans offered in the Louisville area that utilize the Louisville HMOx network, and 5 plans offered in the Louisville area that utilize the Norton + Just4Kids network. 1

2 Attachment 1- List of Issuers that Offer QHPs to Individuals in 2015 in Each County County List of Issuers that Offer QHPs to Individuals in 2015 in Each County Rating Area HMO 2 Care Source Humana 4 X X X X 4 X X X X Anderson 5 X X X X X 1 X X X X X Barren 4 X X X X Bath 7 X X X X Bell 8 X X X X 6 X X X X X X X X 5 X X X X X X X 7 X X X X Boyle 5 X X X X 7 X X X X 8 X X X X 3 X X X X Bullitt 3 X X X X X X X X Butler 4 X X X X 1 X X X X 1 X X X X 6 X X X X X X X X Carlisle 1 X X X X Carroll 3 X X X X 7 X X X X Casey 4 X X X X Christian 2 X X X X Clark 5 X X X X X X X Clay 8 X X X X X Clinton 4 X X X X 1 X X X X 4 X X X X 2 X X X X 4 X X X X 7 X X X X 5 X X X X X Fayette 5 X X X X X X X X 7 X X X X WellCare

3 County List of Issuers that Offer QHPs to Individuals in 2015 in Each County Rating Area HMO Care Source Humana 8 X X X X Franklin 5 X X X X X 1 X X X X 6 X X X X X Garrard 5 X X X X X 6 X X X X X X Graves 1 X X X X Grayson 3 X X X X 4 X X X X up 7 X X X X Hancock 2 X X X X 3 X X X X X Harlan 8 X X X X X 5 X X X X 4 X X X X Henderson 2 X X X X 3 X X X X X Hickman 1 X X X X 2 X X X X Jackson 5 X X X X X 3 X X X X X X X X 5 X X X X X X X X 8 X X X X 6 X X X X X X X X 8 X X X X Knox 8 X X X X 3 X X X X X Laurel 8 X X X X X 7 X X X X 8 X X X X Leslie 8 X X X X X Letcher 8 X X X X Lewis 7 X X X X 5 X X X X 1 X X X X Logan 4 X X X X WellCare 3

4 County List of Issuers that Offer QHPs to Individuals in 2015 in Each County Rating Area HMO Care Source Humana 1 X X X X 5 X X X X X X 8 X X X X 3 X X X X Marshall 1 X X X X 8 X X X X 7 X X X X 1 X X X X X 4 X X X X McLean 2 X X X X Meade 3 X X X X Menifee 7 X X X X Mercer 5 X X X X X Metcalfe 4 X X X X Monroe 4 X X X X Montgomery 5 X X X X X Morgan 7 X X X X Muhlenburg 2 X X X X Nelson 3 X X X X X Nichols 5 X X X X X Ohio 2 X X X X 3 X X X X X X X 5 X X X X Owsley 8 X X X X 6 X X X X X X 8 X X X X 8 X X X X 5 X X X X 4 X X X X 7 X X X X Rockcastle 5 X X X X X Rowan 7 X X X X Russell 4 X X X X 5 X X X X X X X Shelby 3 X X X X X X 4 X X X X WellCare 4

5 County List of Issuers that Offer QHPs to Individuals in 2015 in Each County Rating Area HMO Care Source Humana 3 X X X X X 4 X X X X Todd 2 X X X X 2 X X X X Trimble 3 X X X X X 2 X X X X 4 X X X X X 3 X X X X X 4 X X X X Webster 2 X X X X Whitley 8 X X X X 8 X X X X 5 X X X X X X X WellCare 5

6 - and Multi-State Plans Offers and Multi-State Plans in the Individual Market with a Statewide Service Area Bath Rowan Henderson Hancock

7 - HMO Plans Offers HMO Plans in the Individual Market in the Following Counties Service Areas Health Plans of KY ( BCBS) 01 Health Plans of KY ( BCBS) 03 Health Plans of KY ( BCBS) 05 Health Plans of KY ( BCBS) 06 Bath Rowan Henderson Hancock

8 CareSource CareSource Offers HMO Plans in the Individual Market in the Following Counties Service Area Utilizes Louisville Network Lexington Network Northern Kentucky Network Bath Rowan Henderson Hancock

9 Wellcare Wellcare Offers HMO Plans in the Individual Market in the Following Counties Bath Rowan Henderson Hancock

10 HUMANA HUMANA Offers HMO Plans in the Individual Market in the Following Counties Service Area Utilizes Lexington UK Healthcare HMOx Network Louisville HMOx Network or Norton + Just 4 Kids HMOx Network Bath Rowan Henderson Hancock Cincinnati / Northern Kentucky HMOx Network

11 Kentucky Health Cooperative - and Multi-State Plans Kentucky Health Cooperative Offers and Multi-State Plans in the Individual Market with a Statewide Service Area Bath Rowan Henderson Hancock