Carrier Code Carrier Code Subcode Brochure Number Plan Name Carrier Code Location 10 10-FFS-AA-000 71-005 Blue Cross and Blue Shield Service Benefit Plan Nationwide 10 10-FFS-AZ-000 71-005 Blue Cross and Blue Shield Service Benefit Plan Local Plan - Arizona 10 10-FFS-CA-000 71-005 Blue Cross and Blue Shield Service Benefit Plan Local Plan - California 10 10-FFS-DC-000 71-005 Blue Cross and Blue Shield Service Benefit Plan Local Plan - District of Columbia 10 10-FFS-FL-000 71-005 Blue Cross and Blue Shield Service Benefit Plan Local Plan - Florida 10 10-FFS-IL-000 71-005 Blue Cross and Blue Shield Service Benefit Plan Local Plan - Illinois 10 10-FFS-MD-000 71-005 Blue Cross and Blue Shield Service Benefit Plan Local Plan - Maryland 10 10-FFS-TX-000 71-005 Blue Cross and Blue Shield Service Benefit Plan Local Plan - Texas 10 10-FFS-VA-000 71-005 Blue Cross and Blue Shield Service Benefit Plan Local Plan - Virginia 11 11-FFS-AA-000 71-005 Blue Cross and Blue Shield Service Benefit Plan Nationwide 11 11-FFS-AZ-000 71-005 Blue Cross and Blue Shield Service Benefit Plan Local Plan - Arizona 11 11-FFS-CA-000 71-005 Blue Cross and Blue Shield Service Benefit Plan Local Plan - California 11 11-FFS-DC-000 71-005 Blue Cross and Blue Shield Service Benefit Plan Local Plan - Distric of Columbia 11 11-FFS-FL-000 71-005 Blue Cross and Blue Shield Service Benefit Plan Local Plan - Florida 11 11-FFS-IL-000 71-005 Blue Cross and Blue Shield Service Benefit Plan Local Plan - Illinois 11 11-FFS-MD-000 71-005 Blue Cross and Blue Shield Service Benefit Plan Local Plan - Maryland 11 11-FFS-TX-000 71-005 Blue Cross and Blue Shield Service Benefit Plan Local Plan-Texas 11 11-FFS-VA-000 71-005 Blue Cross and Blue Shield Service Benefit Plan Local Plan - Virginia 17 17-HMO-IL-000 73-029 Unicare HMO Chicagoland Area 17 17-HMO-IN-000 73-029 Unicare HMO Lake/Porter Counties 22 22-HMO-AK-000 73-828 Aetna HealthFund Anchorage and Fairbanks Areas 22 22-HMO-AL-000 73-828 Aetna HealthFund Choctaw/Lamar/Pickens/Sumter Counties 22 22-HMO-AR-000 73-828 Aetna HealthFund Little Rock Area and Eastern Arkansas 22 22-HMO-AZ-000 73-828 Aetna HealthFund Phoenix and Tucson Areas 22 22-HMO-CA-000 73-828 Aetna HealthFund Northern/Central Valley/Southern CA 22 22-HMO-CO-000 73-828 Aetna HealthFund Denver Area 22 22-HMO-CT-000 73-828 Aetna HealthFund All of Connecticut 22 22-HMO-DC-000 73-828 Aetna HealthFund All of Washington DC 22 22-HMO-DE-000 73-828 Aetna HealthFund All of Delaware 22 22-HMO-FL-000 73-828 Aetna HealthFund Most of Florida 22 22-HMO-GA-000 73-828 Aetna HealthFund Atlanta/Augusta/Savannah and NW GA 22 22-HMO-ID-000 73-828 Aetna HealthFund Kootenai County 22 22-HMO-IL-000 73-828 Aetna HealthFund Chicago Area/Eastern/Northern/SW IL 22 22-HMO-IN-000 73-828 Aetna HealthFund Evansville/Ft. Wayne/Indianapolis/SE IN 22 22-HMO-KS-000 73-828 Aetna HealthFund Kansas City Area and Southeastern KS 22 22-HMO-KY-000 73-828 Aetna HealthFund Lexington/Louisville/Eastern/Northern KY 22 22-HMO-LA-000 73-828 Aetna HealthFund BatonRouge/Lafayette/NewOrleans/Shrevept
22 22-HMO-MA-000 73-828 Aetna HealthFund Most of Massachusetts 22 22-HMO-MD-000 73-828 Aetna HealthFund All of Maryland 22 22-HMO-ME-000 73-828 Aetna HealthFund All of Maine 22 22-HMO-MI-000 73-828 Aetna HealthFund Detroit Area/Central/Western MI 22 22-HMO-MO-000 73-828 Aetna HealthFund Columbia/Jeff.Cy/Joplin/KC/StLouis/Spfd 22 22-HMO-MS-000 73-828 Aetna HealthFund Gulfport/Jackson/Vicksburg/Northern MS 22 22-HMO-NC-000 73-828 Aetna HealthFund Ralgh/Durhm/Charlot/Win-Sal/Central NC 22 22-HMO-NH-000 73-828 Aetna HealthFund Most of New Hampshire 22 22-HMO-NJ-000 73-828 Aetna HealthFund All of New Jersey 22 22-HMO-NV-000 73-828 Aetna HealthFund Las Vegas/Clark and Nye Counties 22 22-HMO-NY-000 73-828 Aetna HealthFund NY City Area/Upstate NY (Roch. & Syr.) 22 22-HMO-OH-000 73-828 Aetna HealthFund Cincinnati/Cleveland/Columbus/Toledo 22 22-HMO-OK-000 73-828 Aetna HealthFund Oklahoma City and Tulsa Areas 22 22-HMO-PA-000 73-828 Aetna HealthFund Phil/Pitts/Lehigh Vlly/Cent/NE/SE PA 22 22-HMO-SC-000 73-828 Aetna HealthFund Aiken/Barnwell/Edgefield/York Counties 22 22-HMO-TN-000 73-828 Aetna HealthFund Memph/Nash/Chatnooga/Jcksn/Knox/Tri-City 22 22-HMO-TX-000 73-828 Aetna HealthFund Central/Northern/Southern/Western TX 22 22-HMO-VA-000 73-828 Aetna HealthFund Hamptn Rds/Norflk/Rich/Roank/No/Cent/SW 22 22-HMO-WA-000 73-828 Aetna HealthFund Seattle/Puget Sound/Spokane(Eastern WA) 22 22-HMO-WV-000 73-828 Aetna HealthFund Most of West Virginia 26 26-HMO-PA-000 73-255 HealthAmerica Pennsylvania Greater Pittsburgh area 2C 2C-POS-VA-001 73-799 Piedmont Community Healthcare Lynchburg area 2G 2G-HMO-DC-000 73-718 CareFirst BlueChoice Washington, D.C. Metro Area 2G 2G-HMO-MD-000 73-718 CareFirst BlueChoice All of Maryland 2G 2G-HMO-VA-000 73-718 CareFirst BlueChoice Northern Virginia 2J 2J-HMO-DE-000 73-836 Coventry Health Care Most of Delaware 2J 2J-HMO-NJ-000 73-836 Coventry Health Care Southern New Jersey 2L 2L-HMO-NV-000 73-129 Health Plan of Nevada Northern Area 2N 2N-HMO-OK-000 73-827 PacifiCare of Oklahoma Central/Northeastern Oklahoma 2U 2U-HMO-GA-000 73-806 Aetna Open Access Atlanta and Athens Areas 2X 2X-HMO-CA-000 73-806 Aetna Open Access Los Angeles and San Diego Areas 31 31-FFS-AA-000 71-006 GEHA Benefit Plan Nationwide 32 32-FFS-AA-000 71-009 NALC Nationwide 34 34-FFS-AA-000 71-006 GEHA High Deductible Health Plan Nationwide 36 36-FFS-AA-000 71-013 PBP Health Plan nationwide 38 38-FFS-AA-000 72-005 Rural Carrier Benefit Plan XXX 3A 3A-HMO-OH-000 73-699 AultCare HMO Stark/Carroll/Holmes/Tuscarawas/Wayne Co. 3N 3N-HMO-FL-000 73-421 Vista Healthplan South Florida 3U 3U-HMO-KY-000 73-608 United Healthcare of Ohio, Inc. Northern Kentucky 3U 3U-HMO-OH-000 73-608 United Healthcare of Ohio, Inc. Cincinnati/Dayton/Springfield areas
40 40-FFS-AA-000 72-001 Foreign Service Benefit Plan XXX 42 42-FFS-AA-000 72-007 Association Benefit Plan XXX 42 42-FFS-AA-000 72-007 Association Benefit Plan XXX 43 43-FFS-AA-000 72-004 Panama Canal Area Benefit Plan XXX 44 44-FFS-AA-000 72-006 SAMBA Nationwide 45 45-FFS-AA-000 71-007 Mail Handlers Benefit Plan Nationwide 47 47-FFS-AA-000 71-004 APWU Health Plan Nationwide 48 48-FFS-AA-000 71-007 Mailhandlers Benefit Plan Consumer Option Nationwide 4N 4N-HMO-PA-000 73-255 HealthAmerica Pennsylvania Northeast Pennsylvania 51 51-HMO-NY-000 73-001 HIP of Greater New York New York City area 52 52-HMO-MI-000 73-015 Health Alliance Plan Southeastern Michigan/Flint area 53 53-HMO-IA-000 73-009 HealthPartners Classic/Open Access Deductible Iowa 53 53-HMO-MN-000 73-009 HealthPartners Classic/Open Access Deductible Minnesota 53 53-HMO-ND-000 73-009 HealthPartners Classic/Open Access Deductible North Dakota 53 53-HMO-SD-000 73-009 HealthPartners Classic/Open Access Deductible South Dakota 53 53-HMO-WI-000 73-009 HealthPartners Classic/Open Access Deductible Wisconsin 54 54-HMO-WA-000 73-012 Group Health Cooperative Most of Western Washington 57 57-HMO-OR-000 73-004 Kaiser Foundation Health Plan of Northwest Portland/Salem areas 57 57-HMO-WA-000 73-004 Kaiser Foundation Health Plan of Northwest Vancouver/Longview 59 59-HMO-CA-000 73-003 Kaiser Foundation Health Plan of California Northern California 5E 5E-HMO-FL-000 73-683 Vista Healthplan of South Florida Southern Florida 5M 5M-HMO-OH-000 73-656 SuperMed HMO Northeast Ohio 5W 5W-HMO-OH-000 73-768 SummaCare Health Plan Cleveland, Akron and Canton areas 62 62-HMO-CA-000 73-003 Kaiser Foundation Health Plan of California Southern California 63 63-HMO-HI-000 73-005 Kaiser Foundation Health Plan of Hawaii Islands of Hawaii/Kauai/Maui/Oahu 64 64-HMO-OH-000 73-017 Kaiser Foundation Health Plan of Ohio Cleveland/Akron areas 65 65-HMO-CO-000 73-019 Kaiser Foundation Health Plan of Colorado Denver/Colorado Springs areas 6J 6J-HMO-TN-000 73-806 Aetna Open Access Nashville Area 6N 6N-HMO-KY-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Lexington 6Q 6Q-HMO-CA-000 73-796 Universal Care Southern California 6U 6U-HMO-TX-000 73-496 Firstcare Waco area 6V 6V-HMO-NY-000 73-591 GHI HMO Select Brnx/Brklyn/Manhat/Queen/Richmon/Westche 6Y 6Y-HMO-IN-000 73-803 Advantage Health Solutions, Inc. Most of Indiana 72 72-HMO-IL-000 73-029 Unicare HMO Chicagoland Area 72 72-HMO-IN-000 73-029 Unicare HMO Lake/Porter Counties 75 75-HMO-IL-000 73-025 Humana Health Plan Inc. Chicago area 75 75-HMO-IN-000 73-025 Humana Health Plan Inc. Lake/Porter/LaPorte Counties 76 76-HMO-IL-000 73-026 Union Health Service Chicago area 7D 7D-HMO-OH-000 73-806 Aetna Open Access Cleveland and Toledo Areas 7G 7G-HMO-KS-000 73-275 Coventry Health Care of Kansas, Inc. (HDHP) Wichita/Salina areas 7M 7M-POS-IL-001 73-756 Mercy Health Plans Southwest Illinois
7M 7M-POS-MO-001 73-756 Mercy Health Plans East/Central/Southwest Missouri 7T 7T-HMO-CO-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Denver 7W 7W-HMO-KS-000 73-275 Coventry Health Care of Kansas-Wichita/Salinas Wichita/Salina areas 7Z 7Z-HMO-OR-000 73-826 PacifiCare Northwest Region (Oregon/Washington) Metro Portland/Salem/Corvalis/Eugene 7Z 7Z-HMO-WA-000 73-826 PacifiCare Northwest Region (Oregon/Washington) Clark County 80 80-POS-NJ-001 73-007 GHI Health Plan Northern New Jersey 80 80-POS-NY-001 73-007 GHI Health Plan All of New York 87 87-POS-HI-001 73-010 HMSA All of Hawaii 89 89-POS-PR-001 73-016 Triple-S All of Puerto Rico 8G 8G-HMO-TX-000 73-806 Aetna Open Access Houston Area 8J 8J-HMO-WA-000 73-806 Aetna Open Access Seattle/Puget Sound Areas 8W 8W-HMO-PA-000 73-797 UPMC Health Plan Western Pennsylvania area 9E 9E-HMO-CO-000 73-806 Aetna Open Access Denver Area 9F 9F-HMO-IL-000 73-762 OSF Health Plans, Inc. Central/Central-Northwestern Illinois 9G 9G-HMO-IL-000 73-516 BlueCHOICE Madison and St. Clair counties 9G 9G-HMO-MO-000 73-516 BlueCHOICE StLouis/Central/SW areas 9H 9H-HMO-KS-000 73-128 Coventry Health Care of Kansas (Kansas City)-HDHP Kansas City Area 9H 9H-HMO-MO-000 73-128 Coventry Health Care of Kansas (Kansas City)-HDHP Kansas City Area 9J 9J-HMO-LA-000 73-829 Humana CoverageFirst (Consumer Driven Plan) New Orleans 9K 9K-HMO-UT-000 73-564 Altius Health Plans Wasatch Front 9L 9L-HMO-LA-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Baton Rouge 9N 9N-HMO-PA-000 73-839 Health America Pennsylvania-HDHP Southeastern Pennsylvania 9R 9R-HMO-VA-000 73-253 Optima Health Plan Hampton Roads and Richmond areas 9S 9S-HMO-LA-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Shreveport A3 A3-HMO-AZ-000 73-825 PacifiCare of Arizona Maricopa, Pima County & Apache Junction A7 A7-HMO-AZ-000 73-283 Health Net of Arizona, Inc. Maricopa/Pima/Other AZ counties AD AD-HMO-GA-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Atlanta AH AH-HMO-NY-000 73-460 HMO Blue Utica/Rome/Central New York areas AK AK-HMO-OH-000 73-608 United Healthcare of Ohio, Inc. CLEVELAND AU AU-POS-IA-001 73-814 Sioux Valley Health Plan Northwestern Iowa AU AU-POS-SD-001 73-814 Sioux Valley Health Plan Eastern/Central/Rapid City Areas AV AV-HMO-IA-000 73-811 Avera Health Plans Northwestern Iowa AV AV-HMO-NE-000 73-811 Avera Health Plans North Central Nebraska AV AV-HMO-SD-000 73-811 Avera Health Plans Eastern and Central South Dakota B9 B9-HMO-IL-000 73-844 UnitedHealthcare of the Midwest Southwest llinois B9 B9-HMO-MO-000 73-844 UnitedHealthcare of the Midwest St. Louis Area BJ BJ-HMO-LA-000 73-244 Coventry Health Care of Louisiana New Orleans area BM BM-HMO-IN-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Southern Indiana BM BM-HMO-KY-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Louisville BP BP-HMO-FL-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Pensacola BT BT-HMO-TN-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Nashville BW BW-HMO-MI-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Detroit
CA CA-HMO-OH-000 73-608 United Healthcare of Ohio, Inc. COLUMBUS CH CH-HMO-CO-000 73-841 UnitedHealthcare of Colorado Colorado CK CK-HMO-TX-000 73-496 Firstcare West Texas CY CY-HMO-CA-000 73-105 PacifiCare of California Most of California D6 D6-HMO-CO-000 73-049 PacifiCare of Colorado Metro Denver/Boulder/Colorado Springs DA DA-POS-MA-001 73-489 Blue CHiP Coordinated Health Plan - BCBS of RI Southeastern Massachusetts DA DA-POS-RI-001 73-489 Blue CHiP Coordinated Health Plan - BCBS of RI All of Rhode Island DB DB-HMO-AZ-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Phoenix DL DL-HMO-FL-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Daytona DQ DQ-HMO-IN-000 73-583 Physicians Health Plan of Northern Indiana Northeast Indiana DV DV-HMO-MA-000 73-090 Fallon Community Health Plan HDHP Central/Eastern Massachusetts E3 E3-HMO-DC-000 73-047 Kaiser Foundation Health Plan Mid-Atlantic States Washington, DC area E3 E3-HMO-MD-000 73-047 Kaiser Foundation Health Plan Mid-Atlantic States Baltimore/Washington, DC areas E3 E3-HMO-VA-000 73-047 Kaiser Foundation Health Plan Mid-Atlantic States Washington, DC area EA EA-HMO-FL-000 73-197 Capital Health Plan Tallahassee area EB EB-HMO-NY-000 73-461 HMOBlue-CNY Syracuse/Binghamton/Elmira areas ED ED-HMO-PA-000 73-483 Keystone Health Plan East Philadelphia area EE EE-HMO-FL-000 73-278 Humana Medical Plan, Inc. South Florida EG EG-HMO-MI-000 73-445 M-Care Southeastern Michigan and Flint area F8 F8-HMO-GA-000 73-321 Kaiser Foundation Health Plan Of Geogria, Inc. Atlanta Area FB FB-HMO-WI-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Milwaukee FC FC-HMO-CO-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Colorado Springs FK FK-HMO-NJ-000 73-065 AmeriHealth HMO All of New Jersey FT FT-HMO-MI-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Most of Michigan FX FX-HMO-IA-000 73-168 Health Alliance HMO Central Iowa FX FX-HMO-IL-000 73-168 Health Alliance HMO Central/E.Central/N.West/South/West IL FX FX-HMO-IN-000 73-168 Health Alliance HMO Western Indiana G2 G2-HMO-IN-000 73-288 Arnett HMO Lafayette area GA GA-HMO-NY-000 73-465 MVP Health Care Eastern Region GE GE-HMO-IL-000 73-257 PersonalCares HMO Central Illinois GF GF-HMO-TX-000 73-840 Pacificare of Texas San Antonio, Dallas/Ft. Worth GT GT-HMO-MI-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Grand Rapids GV GV-HMO-NY-000 73-467 Preferred Care Rochester area GW GW-HMO-GA-000 73-321 Kaiser Foundation Health Plan of Georgia Inc. HDHP Atlanta Area GX GX-HMO-KS-000 73-844 UnitedHealthcare of the Midwest Kansas City Area GX GX-HMO-MO-000 73-844 UnitedHealthcare of the Midwest Kansas City Area GZ GZ-HMO-MD-000 73-836 Coventry Health Care HDHP Most of Maryland HA HA-HMO-KS-000 73-128 Coventry Health Care of Kansas-Kansas City Kansas City area HA HA-HMO-MO-000 73-128 Coventry Health Care of Kansas-Kansas City Kansas City area HB HB-HMO-LA-000 73-244 Coventry Health Care of Louisiana HDHP New Orleans area HM HM-POS-TX-001 73-756 Mercy Health Plans Webb/Zapata/Duval/Jim Hogg Counties HQ HQ-HMO-MN-000 73-584 HealthPartners Primary Clinic Plan Minneapolis/St. Paul/St. Cloud
HQ HQ-HMO-WI-000 73-584 HealthPartners Primary Clinic Plan West Central Wisconsin HS HS-HMO-LA-000 73-244 Coventry Health Care of Louisiana Shreveport area HZ HZ-HMO-IN-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Indianapolis IB IB-HMO-SC-000 73-833 Carolina Care South Carolina IC IC-HMO-KS-000 73-831 Community Health Plan New Comparison Guide Location IC IC-HMO-MO-000 73-831 Community Health Plan Northwest Missouri IE IE-HMO-NE-000 73-838 Coventry Health Care of Nebraska Omaha and Lincoln Metropolitan areas IG IG-HMO-MD-000 73-836 Coventry Health Care Most of Maryland IK IK-HMO-IL-000 73-806 Aetna Open Access Chicago Area IK IK-HMO-IN-000 73-806 Aetna Open Access Northern Indiana IM IM-HMO-OK-000 73-834 Globalhealth, Inc. Oklahoma IN IN-HMO-IN-000 73-578 M*Plan Indiana Metropolitan Area J6 J6-HMO-NY-000 73-294 Vytra Health Plans Queens/Nassau/Suffolk Counties J8 J8-HMO-FL-000 73-818 JMH Health Plan Broward-Dade counties JA JA-HMO-LA-000 73-244 Coventry Health Care of Louisiana Baton Rouge area JC JC-HMO-CT-000 73-806 Aetna Open Access All of Connecticut JC JC-HMO-NY-000 73-806 Aetna Open Access NYC Area and Dutchess/Sullivan/Ulster JK JK-HMO-GU-000 73-776 TakeCare Guam/N.Mariana Islands/Belau JK JK-HMO-GU-000 73-776 TakeCare Guam/N.Mariana Islands/Belau JN JN-HMO-DC-000 73-052 Aetna Open Access Washington, DC Area JN JN-HMO-MD-000 73-052 Aetna Open Access Northern/Central/Southern Maryland JN JN-HMO-VA-000 73-052 Aetna Open Access Northern/Central/Richmond Virginia Area JP JP-HMO-DC-000 73-100 M.D. IPA Washington, DC area JP JP-HMO-MD-000 73-100 M.D. IPA All of Maryland JP JP-HMO-VA-000 73-100 M.D. IPA N.VA/Cntrl VA/Richmond/Tidewater/Roanoke JR JR-HMO-NJ-000 73-806 Aetna Open Access Northern New Jersey JV JV-HMO-MA-000 73-090 Fallon Community Health Plan Central/Eastern Massachusetts K5 K5-HMO-MI-000 73-153 Bluecare Network of MI Midland County Area K9 K9-HMO-NV-000 73-832 PacifiCare of Nevada Las Vegas/Clark County KQ KQ-HMO-NY-000 73-071 Univera Healthcare Western New York (Southern Counties) KR KR-HMO-MI-000 73-153 Bluecare Network of MI Kent County Area KS KS-HMO-KS-000 73-806 Aetna Open Access Kansas City Area KS KS-HMO-MO-000 73-806 Aetna Open Access Kansas City Area L1 L1-HMO-WA-000 73-051 KPS Health Plans All of Washington L3 L3-HMO-LA-000 73-244 Coventry Health Care of Louisiana HDHP Shreveport area L4 L4-HMO-OH-000 73-157 HMO Health Ohio Northeast Ohio L5 L5-HMO-GA-000 73-837 Coventry Health Care of Georgia HDHP Atlanta Greater Metropolitan Area L6 L6-HMO-TN-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Memphis L8 L8-HMO-IN-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Indiana L8 L8-HMO-KY-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Northern Kentucky L8 L8-HMO-OH-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Cincinnati
LB LB-HMO-CA-000 73-159 Health Net of California Most of California LK LK-HMO-DE-000 73-836 Coventry Health Care HDHP Most of Delaware LK LK-HMO-NJ-000 73-836 Coventry Health Care HDHP Southern New Jersey LM LM-HMO-GA-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Macon LN LN-HMO-MI-000 73-153 Bluecare Network of MI Mid Michigan LT LT-HMO-LA-000 73-244 Coventry Health Care of Louisiana HDHP Baton Rouge area LX LX-HMO-MI-000 73-153 Bluecare Network of MI Southeast MI M5 M5-HMO-CA-000 73-517 Blue Cross- HMO Most of California M9 M9-HMO-NY-000 73-465 MVP Health Care Central Region MJ MJ-HMO-FL-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Tampa MK MK-HMO-NY-000 73-510 Blue Choice Rochester area ML ML-HMO-FL-000 73-815 Av-Med Health Plan Broward, Dade and Palm Beach MM MM-HMO-IL-000 73-104 Group Health Plan, Inc. Southern/Central MM MM-HMO-MO-000 73-104 Group Health Plan, Inc. St. Louis Area MQ MQ-HMO-FL-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Jacksonville MS MS-HMO-KS-000 73-054 Humana Health Plan, Inc. Kansas City area MS MS-HMO-MO-000 73-054 Humana Health Plan, Inc. Kansas City area MV MV-HMO-LA-000 73-808 Vantage Health Plan, Inc. Monroe/Shreveport/Alexandria Areas MW MW-HMO-IL-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Chicago MW MW-HMO-IN-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Lake/Porter/LaPorte Counties MX MX-HMO-NY-000 73-465 MVP Health Care Mid-Hudson Region MZ MZ-HMO-OH-000 73-824 Hometown Health Plan Massillon ND ND-HMO-OH-000 73-806 Aetna Open Access Columbus Area NM NM-HMO-NV-000 73-129 Health Plan of Nevada Las Vegas area NV NV-HMO-MT-000 73-821 New West Health Services Most of Montana P1 P1-HMO-TX-000 73-806 Aetna Open Access Austin/San Antonio Areas P2 P2-HMO-NM-000 73-563 Presbyterian Health Plan All NM counties except Otero & S. Eddy P3 P3-HMO-NJ-000 73-806 Aetna Open Access Southern New Jersey P3 P3-HMO-PA-000 73-806 Aetna Open Access Philadelphia and Southeastern PA PH PH-HMO-KS-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Kansas City PH PH-HMO-MO-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Kansas City PN PN-HMO-PA-000 73-255 HealthAmerica Pennsylvania Southeastern Pennsylvania PU PU-HMO-TX-000 73-806 Aetna Open Access Dallas/Ft Worth Areas PV PV-HMO-WY-000 73-809 WINhealth Partners Wyoming Q1 Q1-HMO-NM-000 73-079 Lovelace Health Plan All of New Mexico Q8 Q8-HMO-NY-000 73-071 Univera Healthcare Western New York (Northern Counties) QA QA-HMO-NY-000 73-103 Independent Health Assoc Western New York QP QP-HMO-FL-000 73-829 Humana CoverageFirst (Consumer Driven Plan) South Florida R5 R5-HMO-OH-000 73-031 Blue HMO Most of Ohio RD RD-HMO-IN-000 73-806 Aetna Open Access Southeastern Indiana RD RD-HMO-KY-000 73-806 Aetna Open Access Northern Kentucky RD RD-HMO-OH-000 73-806 Aetna Open Access Greater Cincinnati Area
RL RL-HMO-MI-000 73-567 Grand Valley Health Plan Grand Rapids area RU RU-HMO-ND-000 73-543 Heart of America Health Plan Northcentral North Dakota S4 S4-HMO-PA-000 73-241 Keystone Health Plan Central Harrisburg/Northern Region/Lehigh Valley SA SA-HMO-WA-000 73-826 PacifiCare Northwest Region (Oregon/Washington) Washington SG SG-HMO-NY-000 73-549 CDPHP Universal Benefits, Inc. Capital District area SJ SJ-HMO-CA-000 73-574 Blue Shield of CA Access+HMO Most of California SL SL-HMO-OK-000 73-806 Aetna Open Access Oklahoma City/Tulsa Areas SV SV-HMO-IA-000 73-186 Coventry Health Care of Iowa Central & Eastern Iowa/Sioux City SW SW-HMO-PA-000 73-255 HealthAmerica Pennsylvania Central Pennsylvania T2 T2-HMO-TX-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Houston T8 T8-HMO-TX-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Dallas/Ft. Worth TE TE-HMO-CT-000 73-599 ConnectiCare All of Connecticut TE TE-HMO-MA-000 73-599 ConnectiCare Counties Hampden, Hampshire, Franklin TP TP-HMO-TX-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Corpus Christi TU TU-HMO-TX-000 73-829 Humana CoverageFirst (Consumer Driven Plan) San Antonio TV TV-HMO-TX-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Austin U2 U2-HMO-OH-000 73-609 Paramount Health Care Northwest/North Central Ohio U4 U4-HMO-OH-000 73-553 The Health Plan of the Upper Ohio Valley Eastern Ohio U4 U4-HMO-WV-000 73-553 The Health Plan of the Upper Ohio Valley Northern/Central West Virginia UB UB-HMO-TN-000 73-806 Aetna Open Access Memphis Area UL UL-HMO-FL-000 73-421 Vista Healthplan Gainesville UR UR-HMO-TX-000 73-070 Humana Health Plan of Texas San Antonio area VA VA-HMO-KS-000 73-604 Preferred Plus of Kansas S. Central Area VR VR-HMO-ID-000 73-012 Group Health Cooperative Kootenai and Latah VR VR-HMO-WA-000 73-012 Group Health Cooperative Central WA/Spokane/Pullman VT VT-HMO-WA-000 73-051 KPS Health Plans All of Washington VW VW-HMO-VT-000 73-465 MVP Health Care All of Vermont WD WD-HMO-WI-000 73-189 Dean Health Plan South Central Wisconsin WJ WJ-HMO-WI-000 73-061 Group Health Cooperative South Central Wisconsin WQ WQ-HMO-AZ-000 73-806 Aetna Open Access Phoenix/Tucson Areas X4 X4-HMO-NY-000 73-591 GHI HMO Select Capital/Hudson Valley Regions X5 X5-HMO-MI-000 73-648 HealthPlus MI Flint/Saginaw areas Y1 Y1-HMO-NV-000 73-806 Aetna Open Access Las Vegas Area Y6 Y6-HMO-PA-000 73-839 Health America Pennsylvania-HDHP Greater Pittsburgh Area Y9 Y9-HMO-FL-000 73-421 Vista Healthplan Tallahassee YE YE-HMO-PA-000 73-806 Aetna Open Access Pittsburgh Area YG YG-HMO-FL-000 73-829 Humana CoverageFirst (Consumer Driven Plan) Orlando YH YH-HMO-IA-000 73-661 John Deere Health Plan Eastern Iowa YH YH-HMO-IL-000 73-661 John Deere Health Plan West Central Illinois YM YM-HMO-TX-000 73-264 HMO Blue Texas Houston YN YN-HMO-PA-000 73-839 Health America Pennsylvania-HDHP Northeast Pennsylvania YW YW-HMO-PA-000 73-839 Health America Pennsylvania-HDHP Central Pennsylvania
ZJ ZJ-HMO-PR-000 73-820 Humana Health Plans of Puerto Rico, Inc. Puerto Rico