pbp_a_hnumber	pbp_a_plan_identifier	segment_id	pbp_a_ben_cov	pbp_a_plan_type	orgtype	bid_id	version	pbp_a_npffs_flag	pbp_a_org_name	pbp_a_org_marketing_name	pbp_a_org_website	pbp_a_contract_number	pbp_a_plan_identifier	pbp_a_contract_period	pbp_a_org_type	pbp_a_plan_type	pbp_a_ben_cov	pbp_a_plan_name	pbp_a_service_area	pbp_a_plan_geog_name	pbp_a_eghp_yn	pbp_a_segment_id	pbp_a_segment_name	pbp_a_special_need_flag	pbp_a_special_need_plan_type	pbp_a_snp_full_dual	pbp_a_snp_part_dual	pbp_a_continue_yn	pbp_a_continue_costshare_yn	pbp_a_ttytdd_curmbr_phone	pbp_a_ttytdd_prombr_phone	pbp_a_curmbr_phone	pbp_a_prombr_phone	pbp_a_est_memb	pbp_a_pd_curmbr_phone	pbp_a_pd_prombr_phone	pbp_a_pd_ttytdd_curmbr_phone	pbp_a_pd_ttytdd_prombr_phone
E5088	801	0	1	40	14	E5088_801_0	3	2	DESERET HEALTHCARE EMPLOYEE BENEFITS TRUST	Deseret Mutual	www.dmba.com	E5088	801	2007	14	40	1	Deseret Secure		National Area	1	0		2				2		(800)-333-9715	(800)-333-9715	(800)-777-3622	(800)-777-3622	9536				
H0104	002	0	1	04	01	H0104_002_0	3		BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross Blue Shield of Alabama	WWW.BCBSAL.COM	H0104	002	2007	01	04	1	Blue Advantage Value		North Alabama, Central Alabama, South Alabama	2	0		2				2		(800)-257-3384	(800)-257-3384	(888)-234-8266	(888)-578-6775	2060	(888)-234-8266	(888)-578-6775	(800)-257-3384	(800)-257-3384
H0104	004	0	1	04	01	H0104_004_0	3		BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross Blue Shield of Alabama	WWW.BCBSAL.COM	H0104	004	2007	01	04	1	Blue Advantage Plus		North Alabama, Central Alabama, South Alabama	2	0		2				2		(800)-257-3384	(800)-257-3384	(888)-234-8266	(888)-578-6775	2000	(888)-234-8266	(888)-578-6775	(800)-257-3384	(800)-257-3384
H0104	006	0	1	04	01	H0104_006_0	4		BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross Blue Shield of Alabama	WWW.BCBSAL.COM	H0104	006	2007	01	04	1	Blue Advantage Special Needs Plan		North Alabama, Central Alabama, South Alabama	2	0		1	3	2	1	2		(800)-257-3384	(800)-257-3384	(888)-234-8266	(888)-578-6775	100	(888)-234-8266	(888)-578-6775	(800)-257-3384	(800)-257-3384
H0104	007	0	1	04	01	H0104_007_0	4		BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross Blue Shield of Alabama	WWW.BCBSAL.COM	H0104	007	2007	01	04	1	Blue Advantage		North Alabama, Central Alabama, South Alabama	2	0		2				2		(800)-257-3384	(800)-257-3384	(888)-234-8266	(888)-578-6775	2060	(888)-234-8266	(888)-578-6775	(800)-257-3384	(800)-257-3384
H0104	008	0	1	04	01	H0104_008_0	3		BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross Blue Shield of Alabama	WWW.BCBSAL.COM	H0104	008	2007	01	04	1	Blue Advantage Preferred		North Alabama, Central Alabama, South Alabama	2	0		2				2		(800)-257-3384	(800)-257-3384	(888)-234-8266	(888)-578-6775	1940	(888)-234-8266	(888)-578-6775	(800)-257-3384	(800)-257-3384
H0104	801	0	1	04	01	H0104_801_0	3		BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross Blue Shield of Alabama	WWW.BCBSAL.COM	H0104	801	2007	01	04	1	Blue Advantage Employee Group Plan 801		North Alabama, Central Alabama, South Alabama	1	0		2				2		(800)-257-3384	(800)-257-3384	(888)-234-8266	(888)-578-6775	333				
H0104	802	0	1	04	01	H0104_802_0	5		BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross Blue Shield of Alabama	WWW.BCBSAL.COM	H0104	802	2007	01	04	1	Blue Advantage Employee Group Plan 802		North Alabama, Central Alabama, South Alabama	1	0		2				2		(800)-257-3384	(800)-257-3384	(888)-234-8266	(888)-578-6775	334	(888)-234-8266	(888)-578-6775	(800)-257-3384	(800)-257-3384
H0104	804	0	1	04	01	H0104_804_0	5		BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross Blue Shield of Alabama	WWW.BCBSAL.COM	H0104	804	2007	01	04	1	Blue Advantage Employee Group Plan 804		North Alabama, Central Alabama, South Alabama	1	0		2				2		(800)-257-3384	(800)-257-3384	(888)-234-8266	(888)-578-6775	333	(888)-234-8266	(888)-578-6775	(800)-257-3384	(800)-257-3384
H0150	001	0	1	01	01	H0150_001_0	9		HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	HEALTHSPRINGOFALABAMA.COM	H0150	001	2007	01	01	1	Seniors First Advantage Plus 1		Alabama	2	0		2				2		(877)-262-9090	(877)-262-9090	(800)-952-1992	(888)-212-5475		(800)-952-1992	(888)-212-5475	(877)-262-9090	(877)-262-9090
H0150	006	0	1	01	01	H0150_006_0	5		HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	HEALTHSPRINGOFALABAMA.COM	H0150	006	2007	01	01	1	Seniors First Advantage Plus 2		Alabama	2	0		2				2		(877)-262-9090	(877)-262-9090	(800)-952-1992	(888)-212-5475		(800)-952-1992	(888)-212-5475	(877)-262-9090	(877)-262-9090
H0150	007	0	1	01	01	H0150_007_0	8		HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	HEALTHSPRINGOFALABAMA.COM	H0150	007	2007	01	01	1	Seniors First Total Care		Alabama	2	0		1	3	2	1	2		(877)-262-9090	(877)-262-9090	(800)-952-1992	(888)-212-5475		(800)-952-1992	(888)-212-5475	(877)-262-9090	(877)-262-9090
H0150	010	0	1	01	01	H0150_010_0	5		HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	HEALTHSPRINGOFALABAMA.COM	H0150	010	2007	01	01	1	Seniors First Advantage Plus 3		Alabama	2	0		2				2		(877)-262-9090	(877)-262-9090	(800)-952-1992	(888)-212-5475		(800)-952-1992	(888)-212-5475	(877)-262-9090	(877)-262-9090
H0150	012	0	1	01	01	H0150_012_0	4		HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	HEALTHSPRINGOFALABAMA.COM	H0150	012	2007	01	01	1	Seniors First Advantage Care		Alabama	2	0		2				2		(877)-262-9090	(877)-262-9090	(800)-952-1992	(888)-212-5475					
H0150	015	0	1	01	01	H0150_015_0	7		HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	HEALTHSPRINGOFALABAMA.COM	H0150	015	2007	01	01	1	Seniors First Special Care		Alabama	2	0		1	1	2	2	2		(877)-262-9090	(877)-262-9090	(800)-952-1992	(888)-212-5475		(800)-952-1992	(888)-212-5475	(877)-262-9090	(877)-262-9090
H0150	017	0	1	01	01	H0150_017_0	7		HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	HEALTHSPRINGOFALABAMA.COM	H0150	017	2007	01	01	1	Seniors First Basic Care		Alabama	2	0		2				2		(877)-262-9090	(877)-262-9090	(800)-952-1992	(888)-212-5475		(800)-952-1992	(888)-212-5475	(877)-262-9090	(877)-262-9090
H0150	018	0	1	01	01	H0150_018_0	5		HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	HEALTHSPRINGOFALABAMA.COM	H0150	018	2007	01	01	1	Seniors First Advantage Plus 4		Walker County	2	0		2				2		(877)-262-9090	(877)-262-9090	(800)-952-1992	(888)-212-5475		(800)-952-1992	(888)-212-5475	(877)-262-9090	(877)-262-9090
H0150	802	0	1	01	01	H0150_802_0	5		HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	HEALTHSPRINGOFALABAMA.COM	H0150	802	2007	01	01	1	Seniors First Retiree Advantage Care		Alabama	1	0		2				2		(877)-262-9090	(877)-262-9090	(888)-212-5475	(888)-212-5475					
H0150	804	0	1	01	01	H0150_804_0	8		HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	HEALTHSPRINGOFALABAMA.COM	H0150	804	2007	01	01	1	Seniors First Retiree Advantage Plus		Alabama	1	0		2				2		(877)-262-9090	(877)-262-9090	(888)-212-5475	(888)-212-5475		(800)-952-1992	(888)-212-5475	(877)-262-9090	(877)-262-9090
H0150	805	0	1	01	01	H0150_805_0	5		HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	HEALTHSPRINGOFALABAMA.COM	H0150	805	2007	01	01	1	Seniors First Retiree Advantage Care1		Alabama	1	0		2				2		(877)-262-9090	(877)-262-9090	(800)-952-1992	(888)-212-5475					
H0150	806	0	1	01	01	H0150_806_0	8		HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	HEALTHSPRINGOFALABAMA.COM	H0150	806	2007	01	01	1	Seniors First Retiree Advantage Plus1		Alabama	1	0		2				2		(877)-262-9090	(877)-262-9090	(800)-952-1992	(888)-212-5475		(800)-952-1992	(888)-212-5475	(877)-262-9090	(877)-262-9090
H0151	001	0	1	01	01	H0151_001_0	5		UNITED HEALTHCARE OF ALABAMA, INC.	SecureHorizons	www.medicarecomplete.com	H0151	001	2007	01	01	1	MedicareComplete		Birmingham & surrounding counties + Baldwin&Mobile	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-945-0150	(800)-555-5757		(800)-945-0150	(800)-555-5757	(888)-685-8480	(888)-685-8480
H0151	013	0	1	01	01	H0151_013_0	6		UNITED HEALTHCARE OF ALABAMA, INC.	SecureHorizons	www.medicarecomplete.com	H0151	013	2007	01	01	1	MedicareComplete Plan 1		Elmore,Lowndes,Macon,Montgomery&Russell Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-945-0150	(800)-555-5757		(800)-945-0150	(800)-555-5757	(888)-685-8480	(888)-685-8480
H0151	015	0	1	01	01	H0151_015_0	6		UNITED HEALTHCARE OF ALABAMA, INC.	SecureHorizons	www.medicarecomplete.com	H0151	015	2007	01	01	1	MedicareComplete Plan 4		Central Alabama and Mobile & Baldwin Counties	2	0		1	3	2	1	2		(888)-685-8480	(888)-685-8480	(800)-945-0150	(800)-555-5757		(800)-945-0150	(800)-555-5757	(888)-685-8480	(888)-685-8480
H0151	017	0	1	01	01	H0151_017_0	5		UNITED HEALTHCARE OF ALABAMA, INC.	SecureHorizons	www.medicarecomplete.com	H0151	017	2007	01	01	1	Evercare Plan IH		Jefferson & Mobile Counties	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(888)-834-3721		(800)-393-0993	(888)-834-3721	(888)-685-8480	(888)-685-8480
H0151	019	0	1	01	01	H0151_019_0	4		UNITED HEALTHCARE OF ALABAMA, INC.	SecureHorizons	www.medicarecomplete.com	H0151	019	2007	01	01	1	MedicareComplete Essential Plan 1		Birmingham & surrounding Counties + Mobile&Baldwin	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-945-0150	(800)-945-0146					
H0151	020	0	1	01	01	H0151_020_0	4		UNITED HEALTHCARE OF ALABAMA, INC.	SecureHorizons	www.medicarecomplete.com	H0151	020	2007	01	01	1	MedicareComplete Essential Plan 1		Montgomery, Elmore, Lowdnes, Macon & Russell Co.	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-945-0150	(800)-945-0146					
H0151	023	0	1	01	01	H0151_023_0	5		UNITED HEALTHCARE OF ALABAMA, INC.	SecureHorizons	www.medicarecomplete.com	H0151	023	2007	01	01	1	MedicareComplete Plan 2		Mobile and Montgomery Areas	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-945-0150	(800)-555-5757		(800)-945-0150	(800)-555-5757	(888)-685-8480	(888)-685-8480
H0151	024	0	1	01	01	H0151_024_0	4		UNITED HEALTHCARE OF ALABAMA, INC.	SecureHorizons	www.medicarecomplete.com	H0151	024	2007	01	01	1	MedicareComplete Essential Plan 2		Mobile and Montgomery Areas	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-945-0150	(800)-945-0146					
H0151	801	0	1	01	01	H0151_801_0	4		UNITED HEALTHCARE OF ALABAMA, INC.	SecureHorizons	www.medicarecomplete.com	H0151	801	2007	01	01	1	MedicareComplete		Select Counties in Alabama	1	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5548	(888)-867-5548		(888)-867-5548	(888)-867-5548	(888)-685-8480	(888)-685-8480
H0154	001	0	1	01	01	H0154_001_0	4		VIVA HEALTH, INC.	VIVA Medicare Plus	www.vivahealth.com	H0154	001	2007	01	01	1	VIVA Medicare Plus Rx		Central Alabama including Birmingham & Montgomery	2	0		2				2		(800)-548-2546	(800)-548-2546	(800)-633-1542	(888)-830-8482	22317	(800)-633-1542	(888)-830-8482	(800)-548-2546	(800)-548-2546
H0154	008	0	1	01	01	H0154_008_0	2		VIVA HEALTH, INC.	VIVA Medicare Plus	www.vivahealth.com	H0154	008	2007	01	01	1	VIVA Medicare Plus Select		Central Alabama including Birmingham & Montgomery	2	0		2				2		(800)-548-2546	(800)-548-2546	(800)-633-1542	(888)-830-8482	1071				
H0154	009	0	1	01	01	H0154_009_0	3		VIVA HEALTH, INC.	VIVA Medicare Plus	www.vivahealth.com	H0154	009	2007	01	01	1	VIVA Medicare Plus Rx Healthy Lifestyles		Central Alabama including Birmingham & Montgomery	2	0		1	4	2	2	2		(800)-548-2546	(800)-548-2546	(800)-633-1542	(888)-830-8482	503	(800)-633-1542	(888)-830-8482	(800)-548-2546	(800)-548-2546
H0154	801	0	1	01	01	H0154_801_0	1		VIVA HEALTH, INC.	VIVA Medicare Plus	www.vivahealth.com	H0154	801	2007	01	01	1	VIVA Medicare Plus Rx Group Plan		State of Alabama	1	0		2				2		(800)-548-2546	(800)-548-2546	(800)-633-1542	(888)-830-8482	128	(800)-633-1542	(888)-830-8482	(800)-548-2546	(800)-548-2546
H0154	802	0	1	01	01	H0154_802_0	1		VIVA HEALTH, INC.	VIVA Medicare Plus	www.vivahealth.com	H0154	802	2007	01	01	1	VIVA Medicare Plus Select Group Plan		State of Alabama	1	0		2				2		(800)-548-2546	(800)-548-2546	(800)-633-1542	(888)-830-8482	105				
H0154	803	0	1	01	01	H0154_803_0	1		VIVA HEALTH, INC.	VIVA Medicare Plus	www.vivahealth.com	H0154	803	2007	01	01	1	VIVA Medicare Plus Rx Group Plan (not CY)		State of Alabama	1	0		2				2		(800)-548-2546	(800)-548-2546	(800)-633-1542	(888)-830-8482	23	(800)-633-1542	(888)-830-8482	(800)-548-2546	(800)-548-2546
H0154	804	0	1	01	01	H0154_804_0	1		VIVA HEALTH, INC.	VIVA Medicare Plus	www.vivahealth.com	H0154	804	2007	01	01	1	VIVA Medicare Plus Select Group (not CY )		State of Alabama	1	0		2				2		(800)-548-2546	(800)-548-2546	(800)-633-1542	(888)-830-8482	45				
H0251	001	0	1	01	01	H0251_001_0	6		UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	UnitedHealthcare Plan of the River Valley, Inc.	www.uhcrivervalley.com	H0251	001	2007	01	01	1	Secure Plus Complete		Tennessee	2	0		1	3	2	2	2		(800)-884-4327	(800)-884-4327	(800)-690-1606	(800)-690-1606	3067	(800)-690-1606	(800)-690-1606	(800)-884-4327	(800)-884-4327
H0302	001	0	1	01	01	H0302_001_0	15		SUN HEALTH MEDISUN, INC.	Sun Health MediSunONE	www.medisun.com	H0302	001	2007	01	01	1	Sun Health MediSunONE		MediSunONE, NW Maricopa  County	2	0		2				2		(623)-974-7440	(623)-974-7440	(800)-446-8331	(800)-446-8331	18000	(800)-446-8331	(800)-446-8331	(623)-974-7440	(623)-974-7440
H0302	004	0	1	01	01	H0302_004_0	14		SUN HEALTH MEDISUN, INC.	Sun Health MediSunONE	www.medisun.com	H0302	004	2007	01	01	1	Sun Health MediSunONE HeartSmart		MediSunONE HeartSmart, NW Maricopa County	2	0		1	4	2	2	2		(623)-974-7440	(623)-974-7440	(800)-446-8331	(800)-446-8331	18000	(800)-446-8331	(800)-446-8331	(623)-974-7440	(623)-974-7440
H0303	013	0	1	01	01	H0303_013_0	5		PACIFICARE OF ARIZONA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0303	013	2007	01	01	1	MedicareComplete Plan 1		Pima	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588		(800)-347-8600	(800)-385-5588	(800)-360-1797	(800)-387-1074
H0303	015	0	1	01	01	H0303_015_0	5		PACIFICARE OF ARIZONA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0303	015	2007	01	01	1	MedicareComplete Plan 1		Maricopa - Apache Junction	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588		(800)-347-8600	(800)-385-5588	(800)-360-1797	(800)-387-1074
H0303	034	0	1	01	01	H0303_034_0	4		PACIFICARE OF ARIZONA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0303	034	2007	01	01	1	Evercare Plan DH		Maricopa, Pima, and Apache Junction	2	0		1	3	2	1	2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588		(800)-347-8600	(800)-385-5588	(800)-360-1797	(800)-387-1074
H0303	035	0	1	01	01	H0303_035_0	4		PACIFICARE OF ARIZONA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0303	035	2007	01	01	1	MedicareComplete Plan 1		Pinal County	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588		(800)-347-8600	(800)-385-5588	(800)-360-1797	(800)-387-1074
H0303	036	0	1	01	01	H0303_036_0	6		PACIFICARE OF ARIZONA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0303	036	2007	01	01	1	MedicareComplete Plan 2		Maricopa - Apache Junction	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588		(800)-347-8600	(800)-385-5588	(800)-360-1797	(800)-387-1074
H0303	037	0	1	01	01	H0303_037_0	6		PACIFICARE OF ARIZONA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0303	037	2007	01	01	1	MedicareComplete Plan 2		Pima County	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588		(800)-347-8600	(800)-385-5588	(800)-360-1797	(800)-387-1074
H0303	038	0	1	01	01	H0303_038_0	6		PACIFICARE OF ARIZONA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0303	038	2007	01	01	1	MedicareComplete Plan 2		Pinal county	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588		(800)-347-8600	(800)-385-5588	(800)-360-1797	(800)-387-1074
H0303	039	0	1	01	01	H0303_039_0	6		PACIFICARE OF ARIZONA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0303	039	2007	01	01	1	MedicareComplete Plan 3		Maricopa - Apache Junction	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588		(800)-347-8600	(800)-385-5588	(800)-360-1797	(800)-387-1074
H0303	040	0	1	01	01	H0303_040_0	2		PACIFICARE OF ARIZONA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0303	040	2007	01	01	1	MedicareComplete Essential		Maricopa - Apache Junction	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588					
H0303	041	0	1	01	01	H0303_041_0	1		PACIFICARE OF ARIZONA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0303	041	2007	01	01	1	MedicareComplete Essential		Pinal County	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588					
H0303	801	0	1	01	01	H0303_801_0	4		PACIFICARE OF ARIZONA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0303	801	2007	01	01	1	MedicareComplete Retiree Plan		AZ Employer Sponsored Plan Service Area	1	0		2				2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588					
H0303	803	0	1	01	01	H0303_803_0	4		PACIFICARE OF ARIZONA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0303	803	2007	01	01	1	MedicareComplete Retiree Plan		AZ Employer Sponsored Plan Service Area	1	0		2				2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588					
H0303	804	0	1	01	01	H0303_804_0	5		PACIFICARE OF ARIZONA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0303	804	2007	01	01	1	MedicareComplete Retiree Plan		AZ Employer Sponsored Plan Service Area	1	0		2				2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588		(800)-347-8600	(800)-385-5588	(800)-360-1797	(800)-387-1074
H0303	805	0	1	01	01	H0303_805_0	5		PACIFICARE OF ARIZONA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0303	805	2007	01	01	1	MedicareComplete Retiree Plan		AZ Employer Sponsored Plan Service Area	1	0		2				2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588		(800)-347-8600	(800)-385-5588	(800)-360-1797	(800)-387-1074
H0307	008	0	1	01	01	H0307_008_0	5		HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	H0307	008	2007	01	01	1	Humana Gold Plus HMO H0307-008		Maricopa and parts of Pinal county	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H0307	801	0	1	01	01	H0307_801_0	2		HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	H0307	801	2007	01	01	1	Humana Employer Sponsored		Maricopa and parts of Pinal	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H0307	802	0	1	01	01	H0307_802_0	2		HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	H0307	802	2007	01	01	1	Humana Employer Sponsored		Maricopa and parts of Pinal	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H0307	803	0	1	01	01	H0307_803_0	2		HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	H0307	803	2007	01	01	1	Humana Employer Sponsored Non-CY		Maricopa and Pinal Counties	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H0307	804	0	1	01	01	H0307_804_0	2		HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	H0307	804	2007	01	01	1	Humana Employer Sponsored Non-CY		Maricopa and Pinal Counties	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H0316	002	0	1	01	01	H0316_002_0	5		UNITEDHEALTHCARE OF ARIZONA INC	SecureHorizons	www.medicarecomplete.com	H0316	002	2007	01	01	1	MedicareComplete Plan 3		Pima County	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-854-4317	(800)-555-5757		(800)-854-4317	(800)-555-5757	(888)-685-8480	(888)-685-8480
H0316	005	0	1	01	01	H0316_005_0	6		UNITEDHEALTHCARE OF ARIZONA INC	SecureHorizons	www.medicarecomplete.com	H0316	005	2007	01	01	1	MedicareComplete		Cochise, Graham and Santa Cruz Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-854-4317	(800)-555-5757		(800)-854-4317	(800)-555-5757	(888)-685-8480	(888)-685-8480
H0316	010	0	1	01	01	H0316_010_0	2		UNITEDHEALTHCARE OF ARIZONA INC	SecureHorizons	www.medicarecomplete.com	H0316	010	2007	01	01	1	MedicareComplete Essential		Pima County	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-854-4317	(888)-702-8400					
H0316	011	0	1	01	01	H0316_011_0	2		UNITEDHEALTHCARE OF ARIZONA INC	SecureHorizons	www.medicarecomplete.com	H0316	011	2007	01	01	1	MedicareComplete Essential		Cochise, Graham and Santa Cruz Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-854-4317	(888)-702-8400					
H0316	012	0	1	01	01	H0316_012_0	4		UNITEDHEALTHCARE OF ARIZONA INC	SecureHorizons	www.medicarecomplete.com	H0316	012	2007	01	01	1	Evercare Plan DH		Cochise, Graham and Santa Cruz Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5110	(888)-834-3721		(877)-702-5110	(888)-834-3721	(888)-685-8480	(888)-685-8480
H0316	801	0	1	01	01	H0316_801_0	3		UNITEDHEALTHCARE OF ARIZONA INC	SecureHorizons	www.medicarecomplete.com	H0316	801	2007	01	01	1	MedicareComplete		Cochise, Graham, Pima and Santa Cruz Counties	1	0		2				2		(888)-685-8480	(888)-685-8480	(800)-854-4317	(888)-702-8400		(800)-854-4317	(888)-702-8400	(888)-685-8480	(888)-685-8480
H0317	001	0	1	04	01	H0317_001_0	5		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H0317	001	2007	01	04	1	HumanaChoicePPO PPO H0317-001		Maricopa county	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H0317	002	0	1	04	01	H0317_002_0	7		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H0317	002	2007	01	04	1	HumanaChoicePPO PPO H0317-002		Maricopa County	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H0317	801	0	1	04	01	H0317_801_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H0317	801	2007	01	04	1	Humana Employer Sponsored		Maricopa county	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H0317	802	0	1	04	01	H0317_802_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H0317	802	2007	01	04	1	Humana Employer Sponsored		Maricopa County	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H0317	803	0	1	04	01	H0317_803_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H0317	803	2007	01	04	1	Humana Employer Sponsored Non-CY		Maricopa, AZ	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H0317	804	0	1	04	01	H0317_804_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H0317	804	2007	01	04	1	Humana Employer Sponsored Non-CY		Maricopa, AZ	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H0318	001	0	1	01	01	H0318_001_0	5		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H0318	001	2007	01	01	1	Aetna Golden Medicare Value Plan		Pinal County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0318	002	0	1	01	01	H0318_002_0	6		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H0318	002	2007	01	01	1	Aetna Golden Medicare Premier Plan		Maricopa County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0318	801	0	1	01	01	H0318_801_0	1		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H0318	801	2007	01	01	1	Aetna Golden Medicare Plan		Maricopa and Pinal Counties	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H0318	802	0	1	01	01	H0318_802_0	1		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H0318	802	2007	01	01	1	Aetna Golden Medicare Plan w/Rx CY		Maricopa and Pinal Counties	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0319	001	0	1	04	01	H0319_001_0	6		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.EvercareHealthPlans.com	H0319	001	2007	01	04	1	Evercare Plan IP		Maricopa, Pima, Pinal and Yuma Counties	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-952-5647		(800)-393-0993	(800)-952-5647	(888)-685-8480	(888)-685-8480
H0319	002	0	1	04	01	H0319_002_0	6		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.EvercareHealthPlans.com	H0319	002	2007	01	04	1	Evercare Plan DP		Maricopa and Pima Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-442-6004	(800)-952-5647		(877)-442-6004	(800)-952-5647	(888)-685-8480	(888)-685-8480
H0319	004	0	1	04	01	H0319_004_0	5		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.EvercareHealthPlans.com	H0319	004	2007	01	04	1	Evercare Plan MP		Maricopa and Pima Counties	2	0		1	4	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-952-5647		(800)-393-0993	(800)-952-5647	(888)-685-8480	(888)-685-8480
H0320	001	0	1	01	01	H0320_001_0	9		ARCADIAN HEALTH PLAN, INC.	Desert Canyon Community Care	www.desertcanyoncommunitycare.com	H0320	001	2007	01	01	1	Plus		Coconino, Mohave and Yavapai Counties	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-657-2193	1943	(866)-301-4107	(800)-657-2193	(800)-231-4403	(866)-573-8591
H0320	002	0	1	01	01	H0320_002_0	6		ARCADIAN HEALTH PLAN, INC.	Desert Canyon Community Care	www.desertcanyoncommunitycare.com	H0320	002	2007	01	01	1	Advantage		Coconino, Mohave and Yavapai Counties	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-657-2193	1707	(866)-301-4107	(800)-657-2193	(800)-231-4403	(866)-573-8591
H0321	002	0	1	01	01	H0321_002_0	2		ARIZONA PHYSICIANS IPA, INC.	APIPA Personal Care Plus	myapipa.com	H0321	002	2007	01	01	1	APIPA Personal Care Plus		Cochise, Maricopa, Mohave and Related Counties	2	0		1	3	1	2	2		(800)-294-6620	(800)-294-6620	(877)-614-0623	(877)-614-0621	12750	(877)-614-0623	(877)-614-0621	(800)-294-6620	(800)-294-6620
H0322	001	0	1	04	01	H0322_001_0	6		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H0322	001	2007	01	04	1	Aetna Golden Choice Value Plan		Maricopa County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0322	002	0	1	04	01	H0322_002_0	5		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H0322	002	2007	01	04	1	Aetna Golden Choice Value Plan		Pinal County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0322	006	0	1	04	01	H0322_006_0	7		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H0322	006	2007	01	04	1	Aetna Golden Choice Premier Plan		Maricopa County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0322	801	0	1	04	01	H0322_801_0	1		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H0322	801	2007	01	04	1	Aetna Golden Choice Plan		Maricopa and Pinal Counties	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H0322	802	0	1	04	01	H0322_802_0	1		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H0322	802	2007	01	04	1	Aetna Golden Choice Plan w/Rx CY		Maricopa and Pinal Counties	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0346	001	0	1	20	08	H0346_001_0	1		PACE VERMONT, INC.	PACE Vermont, Inc	www.pacevt.org	H0346	001	2007	08	20	1	PACE Vermont, Inc		Chittenden and Grand Isle County	2	0		2				2							(888)-655-6708	(888)-655-6708		
H0346	002	0	1	20	08	H0346_002_0	1		PACE VERMONT, INC.	PACE Vermont, Inc	www.pacevt.org	H0346	002	2007	08	20	1	PACE Vermont, Inc		Chittenden and Grand Isle County	2	0		2				2							(888)-655-6708	(888)-655-6708		
H0351	014	0	1	01	01	H0351_014_0	6		HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	H0351	014	2007	01	01	1	Health Net Ruby		Maricopa, Pinal, Pima, Santa Cruz, Cochise	2	0		2				2		(800)-977-6757	(800)-977-6757	(800)-977-7522	(800)-422-7311		(800)-977-7522	(800)-422-7311	(800)-977-6757	(800)-977-6757
H0351	029	0	1	01	01	H0351_029_0	6		HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	H0351	029	2007	01	01	1	Health Net Amber		Maricopa, Pinal, Pima, Santa Cruz, Cochise	2	0		1	3	2	1	2		(800)-977-6757	(800)-977-6757	(800)-977-7522	(800)-422-7311		(800)-977-7522	(800)-422-7311	(800)-977-6757	(800)-977-6757
H0351	030	0	1	01	01	H0351_030_0	4		HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	H0351	030	2007	01	01	1	Health Net Green		Maricopa, Pinal, Pima, Santa Cruz, Cochise	2	0		2				2		(800)-977-6757	(800)-977-6757	(800)-977-7522	(800)-422-7311					
H0351	032	0	1	01	01	H0351_032_0	6		HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	H0351	032	2007	01	01	1	Health Net Sage		Maricopa and Pima Counties	2	0		1	4	2	2	2		(800)-977-6757	(800)-977-6757	(800)-977-7522	(800)-422-7311		(800)-977-7522	(800)-422-7311	(800)-977-6757	(800)-977-6757
H0351	801	0	1	01	01	H0351_801_0	2		HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	H0351	801	2007	01	01	1	Health Net EG		Maricopa, Pima, Pinal, Santa Cruz, Cochise	1	0		2				2		(800)-977-6757	(800)-977-6757	(800)-977-7522	(800)-422-7311		(800)-977-7522	(800)-422-7311	(800)-977-6757	(800)-977-6757
H0351	803	0	1	01	01	H0351_803_0	1		HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	H0351	803	2007	01	01	1	Health Net EG		Maricopa, Pima, Pinal, Santa Cruz, Cochise	1	0		2				2		(800)-977-6757	(800)-977-6757	(800)-977-7522	(800)-422-7311					
H0351	804	0	1	01	01	H0351_804_0	2		HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	H0351	804	2007	01	01	1	Health Net EG		Maricopa, Pima, Pinal, Santa Cruz, Cochise	1	0		2				2		(800)-977-6757	(800)-977-6757	(800)-977-7522	(800)-422-7311		(800)-977-7522	(800)-422-7311	(800)-977-6757	(800)-977-6757
H0351	806	0	1	01	01	H0351_806_0	1		HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	H0351	806	2007	01	01	1	Health Net EG		Maricopa, Pima, Pinal, Santa Cruz, Cochise	1	0		2				2		(800)-977-6757	(800)-977-6757	(800)-977-7522	(800)-422-7311					
H0354	001	0	1	01	01	H0354_001_0	6		CIGNA HEALTHCARE OF ARIZONA, INC.	CIGNA HealthCare for Seniors	www.cignaseniorsaz-rx.com	H0354	001	2007	01	01	1	CIGNA HealthCare for Seniors-Platinum Plan		Maricopa County and City of Apache Junction	2	0		2				2		(800)-987-8816	(800)-987-8816	(800)-627-7534	(800)-592-9231		(800)-627-7534	(800)-592-9231	(800)-987-8816	(800)-987-8816
H0354	012	0	1	01	01	H0354_012_0	3		CIGNA HEALTHCARE OF ARIZONA, INC.	CIGNA HealthCare for Seniors	www.cignaseniorsaz-rx.com	H0354	012	2007	01	01	1	CIGNA HealthCare for Seniors-Platinum Plus		Maricopa County and City of Apache Junction	2	0		1	3	2	1	2		(800)-987-8816	(800)-987-8816	(800)-627-7534	(800)-592-9231		(800)-627-7534	(800)-592-9231	(800)-987-8816	(800)-987-8816
H0354	801	0	1	01	01	H0354_801_0	2		CIGNA HEALTHCARE OF ARIZONA, INC.	CIGNA HealthCare for Seniors	www.cignaseniorsaz-rx.com	H0354	801	2007	01	01	1	MA Only Plan		Maricopa County and City of Apache Junction	1	0		2				2		(800)-987-8816	(800)-987-8816	(800)-627-7534	(800)-592-9231					
H0354	804	0	1	01	01	H0354_804_0	2		CIGNA HEALTHCARE OF ARIZONA, INC.	CIGNA HealthCare for Seniors	www.cignaseniorsaz-rx.com	H0354	804	2007	01	01	1	Employer MAPD Plan-Calendar Yr		Maricopa County and the City of Apache Junction	1	0		2				2		(800)-987-8816	(800)-987-8816	(800)-627-7534	(800)-592-9231		(800)-627-7534	(800)-592-9231	(800)-987-8816	(800)-987-8816
H0354	805	0	1	01	01	H0354_805_0	2		CIGNA HEALTHCARE OF ARIZONA, INC.	CIGNA HealthCare for Seniors	www.cignaseniorsaz-rx.com	H0354	805	2007	01	01	1	Employer MAPD Plan-Non-Calendar Yr		Maricopa County and the City of Apache Junction	1	0		2				2		(800)-987-8816	(800)-987-8816	(800)-627-7534	(800)-592-9231		(800)-627-7534	(800)-592-9231	(800)-987-8816	(800)-987-8816
H0401	002	0	1	02	01	H0401_002_0	9		UNITEDHEALTHCARE OF ARKANSAS, INC.	SecureHorizons	www.medicarecomplete.com	H0401	002	2007	01	02	1	MedicareComplete Plus Plan 1		Benton and Washington Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-540-5917	(800)-555-5757		(866)-540-5917	(800)-555-5757	(888)-685-8480	(888)-685-8480
H0401	003	0	1	02	01	H0401_003_0	8		UNITEDHEALTHCARE OF ARKANSAS, INC.	SecureHorizons	www.medicarecomplete.com	H0401	003	2007	01	02	1	MedicareComplete Plus Plan 2		Benton and Washington Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-540-5917	(800)-332-1946					
H0401	004	0	1	02	01	H0401_004_0	4		UNITEDHEALTHCARE OF ARKANSAS, INC.	SecureHorizons	www.medicarecomplete.com	H0401	004	2007	01	02	1	Evercare Plan DH-POS		Benton and Washington Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5110	(888)-834-3721		(877)-702-5110	(888)-834-3721	(888)-685-8480	(888)-685-8480
H0401	801	0	1	01	01	H0401_801_0	6		UNITEDHEALTHCARE OF ARKANSAS, INC.	SecureHorizons	www.medicarecomplete.com	H0401	801	2007	01	01	1	MedicareComplete		Benton and Washington Counties	1	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5548	(888)-867-5548		(888)-867-5548	(888)-867-5548	(888)-685-8480	(888)-685-8480
H0408	001	0	1	02	01	H0408_001_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.EvercareHealthPlans.com	H0408	001	2007	01	02	1	Evercare Plan IH-POS		Davidson, DeKalb, Hickman and Rutherford Counties	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(888)-834-3715		(800)-393-0993	(888)-834-3715	(888)-685-8480	(888)-685-8480
H0408	002	0	1	02	01	H0408_002_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.EvercareHealthPlans.com	H0408	002	2007	01	02	1	Evercare Plan IH-POS		Anderson, Blount, Knox and Loudon Counties	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(888)-834-3715		(800)-393-0993	(888)-834-3715	(888)-685-8480	(888)-685-8480
H0410	001	0	1	37	05	H0410_001_0	3		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.ericksonadvantage.com	H0410	001	2007	05	37	1	Erickson Advantage Signature with Drugs		Oakland and Wayne Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839		(866)-314-8188	(800)-704-7839	(888)-685-8480	(888)-685-8480
H0410	002	0	1	37	05	H0410_002_0	2		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.EvercareHealthPlans.com	H0410	002	2007	05	37	1	Erickson Advantage Signature without Drugs		Oakland and Wayne Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839					
H0410	003	0	1	37	05	H0410_003_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.ericksonadvantage.com	H0410	003	2007	05	37	1	Erickson Advantage Champion		Oakland and Wayne Counties	2	0		1	4	2	2	2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839		(866)-314-8188	(800)-704-7839	(888)-685-8480	(888)-685-8480
H0410	004	0	1	37	05	H0410_004_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.ericksonadvantage.com	H0410	004	2007	05	37	1	Erickson Advantage Guardian		Wayne Counties	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839		(866)-314-8188	(800)-704-7839	(888)-685-8480	(888)-685-8480
H0504	015	0	1	01	01	H0504_015_0	4		CALIFORNIA PHYSICIANS' SERVICE	Blue Shield of California	www.mylifepath.com	H0504	015	2007	01	01	1	Blue Shield 65 Plus		Los Angeles (Partial) and Orange Counties	2	0		2				2		(800)-794-1099	(800)-794-1099	(800)-776-4466	(800)-488-8000	35255	(888)-239-6469	(800)-488-8000	(888)-239-6482	(800)-794-1099
H0504	017	0	1	01	01	H0504_017_0	5		CALIFORNIA PHYSICIANS' SERVICE	Blue Shield of California	www.mylifepath.com	H0504	017	2007	01	01	1	Blue Shield 65 Plus		Riverside & San Bernardino Counties (Partial)	2	0		2				2		(800)-794-1099	(800)-794-1099	(800)-776-4466	(800)-488-8000	2158	(888)-239-6469	(800)-488-8000	(888)-239-6482	(800)-794-1099
H0504	019	0	2	01	01	H0504_019_0	4		CALIFORNIA PHYSICIANS' SERVICE	Blue Shield of California	www.mylifepath.com	H0504	019	2007	01	01	2	Blue Shield 65 Plus		Los Angeles (Partial)/Orange Counties - Part B	2	0		2				2		(800)-794-1099	(800)-794-1099	(800)-776-4466	(800)-488-8000	3	(888)-239-6469	(800)-488-8000	(888)-239-6482	(800)-794-1099
H0504	021	0	1	01	01	H0504_021_0	4		CALIFORNIA PHYSICIANS' SERVICE	Blue Shield of California	www.mylifepath.com	H0504	021	2007	01	01	1	Blue Shield 65 Plus Choice Plan (Partial)		Los Angeles/Orange County (Partial) Choice Plan	2	0		2				2		(800)-794-1099	(800)-794-1099	(800)-776-4466	(800)-488-8000	7451	(888)-239-6469	(800)-488-8000	(888)-239-6482	(800)-794-1099
H0504	023	0	2	01	01	H0504_023_0	4		CALIFORNIA PHYSICIANS' SERVICE	Blue Shield of California	www.mylifepath.com	H0504	023	2007	01	01	2	Blue Shield 65 Plus Choice Plan (Part B)		Los Angeles/Orange County-Part B Choice Plan	2	0		2				2		(800)-794-1099	(800)-794-1099	(800)-776-4466	(800)-488-8000	3	(888)-239-6469	(800)-488-8000	(888)-239-6482	(800)-794-1099
H0504	025	0	1	01	01	H0504_025_0	4		CALIFORNIA PHYSICIANS' SERVICE	Blue Shield of California	www.mylifepath.com	H0504	025	2007	01	01	1	Blue Shield 65 Plus		San Francisco County	2	0		2				2		(800)-794-1099	(800)-794-1099	(800)-776-4466	(800)-488-8000	373	(888)-239-6469	(800)-488-8000	(888)-239-6482	(800)-794-1099
H0523	002	0	1	01	01	H0523_002_0	5		AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	H0523	002	2007	01	01	1	Aetna Golden Medicare Select Plan		Los Angeles County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0523	022	0	1	01	01	H0523_022_0	5		AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	H0523	022	2007	01	01	1	Aetna Golden Medicare Select Plan		Riverside County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0523	025	0	1	01	01	H0523_025_0	5		AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	H0523	025	2007	01	01	1	Aetna Golden Medicare Select Plan		Orange County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0523	026	0	1	01	01	H0523_026_0	5		AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	H0523	026	2007	01	01	1	Aetna Golden Medicare Select Plan		San Bernardino County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0523	031	0	1	01	01	H0523_031_0	4		AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	H0523	031	2007	01	01	1	Aetna Golden Medicare Value Plan		Kern County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0523	032	0	1	01	01	H0523_032_0	3		AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	H0523	032	2007	01	01	1	Aetna Golden Medicare Value Plan		Fresno County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0523	034	0	1	01	01	H0523_034_0	3		AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	H0523	034	2007	01	01	1	Aetna Golden Medicare Premier Plan		Fresno County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0523	045	0	1	01	01	H0523_045_0	3		AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	H0523	045	2007	01	01	1	Aetna Golden Medicare Value Plan		Ventura County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0523	046	0	1	01	01	H0523_046_0	3		AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	H0523	046	2007	01	01	1	Aetna Golden Medicare Premier Plan		Ventura County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0523	047	0	1	01	01	H0523_047_0	4		AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	H0523	047	2007	01	01	1	Aetna Golden Medicare Premier Plan		Riverside County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0523	048	0	1	01	01	H0523_048_0	4		AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	H0523	048	2007	01	01	1	Aetna Golden Medicare Premier Plan		Los Angeles Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0523	049	0	1	01	01	H0523_049_0	4		AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	H0523	049	2007	01	01	1	Aetna Golden Medicare Premier Plan		San Bernardino County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0523	050	0	1	01	01	H0523_050_0	4		AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	H0523	050	2007	01	01	1	Aetna Golden Medicare Premier Plan		Orange County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0523	051	0	1	01	01	H0523_051_0	4		AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	H0523	051	2007	01	01	1	Aetna Golden Medicare Premier Plan		Kern County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0523	801	0	1	01	01	H0523_801_0	2		AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	H0523	801	2007	01	01	1	Aetna Golden Medicare Plan		Fresno/Kern/LA/Orange/Riverside/San Bern,/Ventura	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H0523	805	0	1	01	01	H0523_805_0	2		AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	H0523	805	2007	01	01	1	Aetna Golden Medicare Plan w/Rx CY		Fresno/Kern/LA/Orange/Riverside/San Bern,/Ventura	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0524	002	0	2	01	01	H0524_002_0	12		KAISER FOUNDATION HP, INC.	Kaiser Permanente	www.KaiserPermanente.org	H0524	002	2007	01	01	2	Kaiser Permanente Senior Advantage		Part B Only Southern California Area	2	0		2				2		(800)-777-1370	(800)-777-1370	(800)-443-0815	(800)-777-1238	106	(800)-443-0815	(877)-473-9147	(800)-777-1370	(800)-777-1370
H0524	003	0	1	01	01	H0524_003_0	5		KAISER FOUNDATION HP, INC.	Kaiser Permanente	www.KaiserPermanente.org	H0524	003	2007	01	01	1	Kaiser Permanente Senior Advantage		Los Angeles, Orange & Ventura Counties Plan	2	0		2				2		(800)-777-1370	(800)-777-1370	(800)-443-0815	(800)-777-1238	89647	(800)-443-0815	(877)-473-9147	(800)-777-1370	(800)-777-1370
H0524	008	0	1	01	01	H0524_008_0	5		KAISER FOUNDATION HP, INC.	Kaiser Permanente	www.KaiserPermanente.org	H0524	008	2007	01	01	1	Kaiser Permanente Senior Advantage		Greater Bay Area & Central Valley Plan	2	0		2				2		(800)-777-1370	(800)-777-1370	(800)-443-0815	(800)-777-1238	128732	(800)-443-0815	(877)-473-9147	(800)-777-1370	(800)-777-1370
H0524	010	0	2	01	01	H0524_010_0	7		KAISER FOUNDATION HP, INC.	Kaiser Permanente	www.KaiserPermanente.org	H0524	010	2007	01	01	2	Kaiser Permanente Senior Advantage		Part B Only Northern California Area	2	0		2				2		(800)-777-1370	(800)-777-1370	(800)-443-0815	(800)-777-1238	254	(800)-443-0815	(877)-473-9147	(800)-777-1370	(800)-777-1370
H0524	013	0	1	01	01	H0524_013_0	5		KAISER FOUNDATION HP, INC.	Kaiser Permanente	www.KaiserPermanente.org	H0524	013	2007	01	01	1	Kaiser Permanente Senior Advantage		Greater Fresno & Sacramento Areas Plan	2	0		2				2		(800)-777-1370	(800)-777-1370	(800)-443-0815	(800)-777-1238	43496	(800)-443-0815	(877)-473-9147	(800)-777-1370	(800)-777-1370
H0524	015	0	1	01	01	H0524_015_0	13		KAISER FOUNDATION HP, INC.	Kaiser Permanente	www.KaiserPermanente.org	H0524	015	2007	01	01	1	Kaiser Permanente Senior Advantage		Inland Empire, San Diego & Kern Counties Plan	2	0		2				2		(800)-777-1370	(800)-777-1370	(800)-443-0815	(800)-777-1238	66512	(800)-443-0815	(877)-473-9147	(800)-777-1370	(800)-777-1370
H0524	029	0	1	01	01	H0524_029_0	10		KAISER FOUNDATION HP, INC.	Kaiser Permanente	www.KaiserPermanente.org	H0524	029	2007	01	01	1	Senior Advantage Medicare Medi-Cal Plan		Southern California Plan	2	0		1	3	1	2	2		(800)-777-1370	(800)-777-1370	(800)-443-0815	(800)-777-1238	32374	(800)-443-0815	(877)-473-9147	(800)-777-1370	(800)-777-1370
H0524	030	0	1	01	01	H0524_030_0	6		KAISER FOUNDATION HP, INC.	Kaiser Permanente	www.KaiserPermanente.org	H0524	030	2007	01	01	1	Senior Advantage Medicare Medi-Cal Plan		Northern California Plan	2	0		1	3	1	2	2		(800)-777-1370	(800)-777-1370	(800)-443-0815	(800)-777-1238	24396	(800)-443-0815	(877)-473-9147	(800)-777-1370	(800)-777-1370
H0524	801	0	1	01	01	H0524_801_0	11		KAISER FOUNDATION HP, INC.	Kaiser Permanente	www.KaiserPermanente.org	H0524	801	2007	01	01	1	Kaiser Permanente Senior Advantage		Southern California Group Part A & B	1	0		2				2		(800)-777-1370	(800)-777-1370	(800)-443-0815	(800)-777-1238	10514				
H0524	802	0	1	01	01	H0524_802_0	3		KAISER FOUNDATION HP, INC.	Kaiser Permanente	www.KaiserPermanente.org	H0524	802	2007	01	01	1	Kaiser Permanente Senior Advantage		Northern California Group Part A & B	1	0		2				2		(800)-777-1370	(800)-777-1370	(800)-443-0815	(800)-777-1238	13371				
H0524	803	0	2	01	01	H0524_803_0	10		KAISER FOUNDATION HP, INC.	Kaiser Permanente	www.KaiserPermanente.org	H0524	803	2007	01	01	2	Kaiser Permanente Senior Advantage		Southern California Group B Only	1	0		2				2		(800)-777-1370	(800)-777-1370	(800)-443-0815	(800)-777-1238	13				
H0524	804	0	2	01	01	H0524_804_0	4		KAISER FOUNDATION HP, INC.	Kaiser Permanente	www.KaiserPermanente.org	H0524	804	2007	01	01	2	Kaiser Permanente Senior Advantage		Northern California Group B Only	1	0		2				2		(800)-777-1370	(800)-777-1370	(800)-443-0815	(800)-777-1238	10				
H0524	805	0	1	01	01	H0524_805_0	13		KAISER FOUNDATION HP, INC.	Kaiser Permanente	www.KaiserPermanente.org	H0524	805	2007	01	01	1	Kaiser Permanente Senior Advantage		Southern California Group Part A & B Part D	1	0		2				2		(800)-777-1370	(800)-777-1370	(800)-443-0815	(800)-777-1238	117008	(800)-443-0815	(877)-473-9147	(800)-777-1370	(800)-777-1370
H0524	806	0	1	01	01	H0524_806_0	6		KAISER FOUNDATION HP, INC.	Kaiser Permanente	www.KaiserPermanente.org	H0524	806	2007	01	01	1	Kaiser Permanente Senior Advantage		Northern California Group Part A & B Part D	1	0		2				2		(800)-777-1370	(800)-777-1370	(800)-443-0815	(800)-777-1238	135604	(800)-443-0815	(877)-473-9147	(800)-777-1370	(800)-777-1370
H0524	807	0	2	01	01	H0524_807_0	13		KAISER FOUNDATION HP, INC.	Kaiser Permanente	www.KaiserPermanente.org	H0524	807	2007	01	01	2	Kaiser Permanente Senior Advantage		Southern California Group Part B only  Part D	1	0		2				2		(800)-777-1370	(800)-777-1370	(800)-443-0815	(800)-777-1238	1058	(800)-443-0815	(877)-473-9147	(800)-777-1370	(800)-777-1370
H0524	808	0	2	01	01	H0524_808_0	7		KAISER FOUNDATION HP, INC.	Kaiser Permanente	www.KaiserPermanente.org	H0524	808	2007	01	01	2	Kaiser Permanente Senior Advantage		Northern California Group Part B only  Part D	1	0		2				2		(800)-777-1370	(800)-777-1370	(800)-443-0815	(800)-777-1238	5614	(800)-443-0815	(877)-473-9147	(800)-777-1370	(800)-777-1370
H0532	001	0	1	01	01	H0532_001_0	2		WESTERN HEALTH ADVANTAGE	Western Health Advantage	www.westernhealth.com	H0532	001	2007	01	01	1	WHA Care+ MA-PD Plan		Placer, Sacramento and Yolo Counties	2	0		2				2		(888)-877-5378	(888)-877-5378	(888)-563-2250	(888)-563-2250	900	(888)-563-2250	(888)-563-2250	(888)-877-5378	(888)-877-5378
H0532	006	0	1	01	01	H0532_006_0	8		WESTERN HEALTH ADVANTAGE	Western Health Advantage	www.westernhealth.com	H0532	006	2007	01	01	1	WHA Care+ Extra Plan		Placer, Sacramento and Yolo Counties	2	0		1	3	1	2	2		(888)-877-5378	(888)-877-5378	(888)-563-2250	(888)-563-2250	500	(888)-563-2250	(888)-563-2250	(888)-877-5378	(888)-877-5378
H0532	801	0	1	01	01	H0532_801_0	2		WESTERN HEALTH ADVANTAGE	Western Health Advantage	www.westernhealth.com	H0532	801	2007	01	01	1	Employer Group MA-PD Plan		Placer, Sacramento and Yolo Counties	1	0		2				2		(888)-877-5378	(888)-877-5378	(888)-563-2250	(888)-563-2250	200	(888)-563-2250	(888)-563-2250	(888)-877-5378	(888)-877-5378
H0532	802	0	1	01	01	H0532_802_0	2		WESTERN HEALTH ADVANTAGE	Western Health Advantage	www.westernhealth.com	H0532	802	2007	01	01	1	Employer Group MA Only Plan		Placer, Sacramento and Yolo Counties MA	1	0		2				2		(888)-877-5378	(888)-877-5378	(888)-563-2250	(888)-563-2250	0				
H0540	001	0	1	09	04	H0540_001_0	2	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	001	2007	04	09	1	SecurityChoice Classic		SecurityChoice - Selected States	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	22305				
H0540	010	0	1	09	04	H0540_010_0	4	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	010	2007	04	09	1	SecurityChoice Enhanced		SecurityChoice - MI Selected counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	4461				
H0540	012	0	1	09	04	H0540_012_0	2	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	012	2007	04	09	1	SecurityChoice Classic		Selected Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	628				
H0540	015	0	1	09	04	H0540_015_0	2	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	015	2007	04	09	1	SmartValue Classic		GA Selected Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	539				
H0540	016	0	1	09	04	H0540_016_0	2	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	016	2007	04	09	1	SmartValue Classic		GA Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	1055				
H0540	017	0	1	09	04	H0540_017_0	2	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	017	2007	04	09	1	SmartValue Classic		WI Selected Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	11377				
H0540	020	0	1	09	04	H0540_020_0	5	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	020	2007	04	09	1	SecurityChoice Plus		SecurityChoice Selected States and Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	13383	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	021	0	1	09	04	H0540_021_0	5	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	021	2007	04	09	1	SecurityChoice Plus		Selected Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	377	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	023	0	1	09	04	H0540_023_0	5	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	023	2007	04	09	1	SmartValue Plus		WI Selected Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	6826	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	024	0	1	09	04	H0540_024_0	5	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	024	2007	04	09	1	SmartValue Plus		GA Selected Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	323	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	025	0	1	09	04	H0540_025_0	5	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	025	2007	04	09	1	SmartValue Plus		GA Selected Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	633	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	028	0	1	09	04	H0540_028_0	5	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	028	2007	04	09	1	SecurityChoice Plus		Nationwide - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	100	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	029	0	1	09	04	H0540_029_0	4	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	029	2007	04	09	1	SecurityChoice Enhanced		Nationwide - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	126				
H0540	032	0	1	09	04	H0540_032_0	7	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	032	2007	04	09	1	SecurityChoice Enhanced Plus		Nationwide - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	4461	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	033	0	1	09	04	H0540_033_0	7	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	033	2007	04	09	1	SecurityChoice Enhanced Plus		Nationwide - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	126	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	036	0	1	09	04	H0540_036_0	2	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	036	2007	04	09	1	SecurityChoice Classic		Kentucky - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	680				
H0540	040	0	1	09	04	H0540_040_0	5	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	040	2007	04	09	1	SecurityChoice Plus		Kentucky - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	680	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	044	0	1	09	04	H0540_044_0	2	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	044	2007	04	09	1	SecurityChoice Classic		Indiana - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	3692				
H0540	045	0	1	09	04	H0540_045_0	2	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	045	2007	04	09	1	SecurityChoice Classic		Indiana - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	174				
H0540	048	0	1	09	04	H0540_048_0	8	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	048	2007	04	09	1	SecurityChoice Plus		Indiana - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	3692	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	049	0	1	09	04	H0540_049_0	5	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	049	2007	04	09	1	SecurityChoice Plus		Indiana - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	174	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	054	0	1	09	04	H0540_054_0	4	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	054	2007	04	09	1	SmartValue Enhanced		Wisconsin - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	2275				
H0540	056	0	1	09	04	H0540_056_0	7	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	056	2007	04	09	1	SmartValue Enhanced Plus		Wisconsin - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	2275	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	060	0	1	09	04	H0540_060_0	7	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	060	2007	04	09	1	SmartValue Enhanced Plus		Georgia - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	108	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	061	0	1	09	04	H0540_061_0	4	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	061	2007	04	09	1	SmartValue Enhanced		Georgia - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	108				
H0540	062	0	1	09	04	H0540_062_0	4	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	062	2007	04	09	1	SmartValue Enhanced		Georgia - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	211				
H0540	064	0	1	09	04	H0540_064_0	7	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	064	2007	04	09	1	SmartValue Enhanced Plus		Georgia - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	211	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	066	0	1	09	04	H0540_066_0	2	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	066	2007	04	09	1	SecurityChoice Classic		Nevada - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	4				
H0540	067	0	1	09	04	H0540_067_0	2	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	067	2007	04	09	1	SecurityChoice Classic		Nevada - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	49				
H0540	069	0	1	09	04	H0540_069_0	5	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	069	2007	04	09	1	SecurityChoice Plus		Nevada - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	3	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	070	0	1	09	04	H0540_070_0	5	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	070	2007	04	09	1	SecurityChoice Plus		Nevada - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	30	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	072	0	1	09	04	H0540_072_0	4	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	072	2007	04	09	1	SecurityChoice Enhanced		Nevada - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	1				
H0540	073	0	1	09	04	H0540_073_0	4	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	073	2007	04	09	1	SecurityChoice Enhanced		Nevada - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	10				
H0540	075	0	1	09	04	H0540_075_0	7	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	075	2007	04	09	1	SecurityChoice Enhanced Plus		Nevada - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	1	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	076	0	1	09	04	H0540_076_0	7	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	076	2007	04	09	1	SecurityChoice Enhanced Plus		Nevada - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	10	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	078	0	1	09	04	H0540_078_0	2	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	078	2007	04	09	1	SecurityChoice Classic		Colorado - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	16				
H0540	079	0	1	09	04	H0540_079_0	2	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	079	2007	04	09	1	SecurityChoice Classic		Colorado - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	221				
H0540	080	0	1	09	04	H0540_080_0	5	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	080	2007	04	09	1	SecurityChoice Plus		Colorado - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	10	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	081	0	1	09	04	H0540_081_0	5	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	081	2007	04	09	1	SecurityChoice Plus		Colorado - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	133	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	082	0	1	09	04	H0540_082_0	4	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	082	2007	04	09	1	SecurityChoice Enhanced		Colorado - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	3				
H0540	083	0	1	09	04	H0540_083_0	4	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	083	2007	04	09	1	SecurityChoice Enhanced		Colorado - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	44				
H0540	084	0	1	09	04	H0540_084_0	7	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	084	2007	04	09	1	SecurityChoice Enhanced Plus		Colorado - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	3	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	085	0	1	09	04	H0540_085_0	7	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	085	2007	04	09	1	SecurityChoice Enhanced Plus		Colorado - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	44	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	086	0	1	09	04	H0540_086_0	2	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	086	2007	04	09	1	SecurityChoice Classic		Virginia - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	1563				
H0540	087	0	1	09	04	H0540_087_0	5	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	087	2007	04	09	1	SecurityChoice Plus		Virginia - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	1563	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	807	0	1	09	04	H0540_807_0	7	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	807	2007	04	09	1	SecurityChoice Group Plan I		Nationwide Group Coverage	1	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	10900	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0540	808	0	1	09	04	H0540_808_0	6	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	808	2007	04	09	1	SecurityChoice Group Plan II		Nationwide Group Coverage	1	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	10900				
H0540	813	0	1	09	04	H0540_813_0	6	2	UNICARE LIFE & HEALTH INS. COMPANY	Unicare Life & Health Ins. Company	www.unicare.com	H0540	813	2007	04	09	1	SecurityChoice Group Plan III		Nationwide Group Coverage	1	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	10900	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H0542	001	0	1	20	08	H0542_001_0	1		ALTAMED HEALTH SERVICES CORPORATION	Altamed Senior BuenaCare	www.altamed.org	H0542	001	2007	08	20	1	AltaMed Senior BuenaCare		Los Angeles County	2	0		2				2						300	(323)-728-0411	(323)-728-0411		
H0542	002	0	1	20	08	H0542_002_0	1		ALTAMED HEALTH SERVICES CORPORATION	Altamed Senior BuenaCare	www.altamed.org	H0542	002	2007	08	20	1	AltaMed Senior BuenaCare		Los Angeles County	2	0		2				2						0	(323)-728-0411	(323)-728-0411		
H0543	001	0	1	01	01	H0543_001_0	6		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	001	2007	01	01	1	MedicareComplete Plan 1		Los Angeles County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	004	0	1	01	01	H0543_004_0	6		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	004	2007	01	01	1	MedicareComplete		Orange County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	007	0	1	01	01	H0543_007_0	5		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	007	2007	01	01	1	MedicareComplete Plan 1		Riverside County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	013	0	1	01	01	H0543_013_0	5		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	013	2007	01	01	1	MedicareComplete Plan 1		San Diego County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	019	0	1	01	01	H0543_019_0	4		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	019	2007	01	01	1	MedicareComplete		Kern County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	022	0	1	01	01	H0543_022_0	5		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	022	2007	01	01	1	MedicareComplete		Ventura County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	026	0	2	01	01	H0543_026_0	5		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	026	2007	01	01	2	MedicareComplete Plan 4		California Part B Only	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	028	0	1	01	01	H0543_028_0	6		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	028	2007	01	01	1	MedicareComplete		San Mateo County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	029	0	1	01	01	H0543_029_0	4		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	029	2007	01	01	1	MedicareComplete		Santa Clara County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	032	0	1	01	01	H0543_032_0	4		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	032	2007	01	01	1	MedicareComplete		Santa Barbara County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	035	0	1	01	01	H0543_035_0	6		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	035	2007	01	01	1	MedicareComplete Plan 1		Fresno and Madera Counties	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	036	0	1	01	01	H0543_036_0	5		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	036	2007	01	01	1	MedicareComplete		Stanislaus County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	046	0	1	01	01	H0543_046_0	4		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	046	2007	01	01	1	MedicareComplete		Santa Cruz County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	049	0	1	01	01	H0543_049_0	5		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	049	2007	01	01	1	MedicareComplete		San Luis Obispo County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	050	0	1	01	01	H0543_050_0	7		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	050	2007	01	01	1	MedicareComplete Plan 1		San Bernardino County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	060	0	1	01	01	H0543_060_0	6		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	060	2007	01	01	1	MedicareComplete Plan 3		San Diego County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	065	0	1	01	01	H0543_065_0	5		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	065	2007	01	01	1	MedicareComplete Plan 2		Los Angeles County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	070	0	1	01	01	H0543_070_0	5		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	070	2007	01	01	1	MedicareComplete Plan 1		Alameda County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	071	0	1	01	01	H0543_071_0	5		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	071	2007	01	01	1	MedicareComplete Plan 2		Alameda County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	072	0	1	01	01	H0543_072_0	5		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	072	2007	01	01	1	MedicareComplete		Contra Costa County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	077	0	1	01	01	H0543_077_0	7		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	077	2007	01	01	1	MedicareComplete Value		Los Angeles County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	078	0	1	01	01	H0543_078_0	8		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	078	2007	01	01	1	Evercare Plan DH		Los Angeles County	2	0		1	3	2	2	2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	079	0	1	01	01	H0543_079_0	6		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	079	2007	01	01	1	Evercare Plan DH		Orange County	2	0		1	3	2	2	2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	081	0	1	01	01	H0543_081_0	8		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	081	2007	01	01	1	Evercare Plan DH		Riverside and San Bernardino Counties	2	0		1	3	2	2	2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	082	0	1	01	01	H0543_082_0	5		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	082	2007	01	01	1	MedicareComplete		Nevada County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	083	0	1	01	01	H0543_083_0	6		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	083	2007	01	01	1	MedicareComplete Premier		San Diego County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	084	0	1	01	01	H0543_084_0	6		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	084	2007	01	01	1	MedicareComplete Premier		Orange County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	085	0	1	01	01	H0543_085_0	6		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	085	2007	01	01	1	MedicareComplete		San Francisco County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	086	0	1	01	01	H0543_086_0	4		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	086	2007	01	01	1	MedicareComplete		Sonoma County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	089	0	1	01	01	H0543_089_0	4		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	089	2007	01	01	1	MedicareComplete		Sacramento County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	091	0	1	01	01	H0543_091_0	4		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	091	2007	01	01	1	MedicareComplete		Placer County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	093	0	1	01	01	H0543_093_0	5		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	093	2007	01	01	1	MedicareComplete		Yolo County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	095	0	1	01	01	H0543_095_0	6		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	095	2007	01	01	1	MedicareComplete Value		Orange County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	097	0	1	01	01	H0543_097_0	4		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	097	2007	01	01	1	MedicareComplete Essential		Los Angeles County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588					
H0543	098	0	1	01	01	H0543_098_0	4		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	098	2007	01	01	1	MedicareComplete Essential		Alameda County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588					
H0543	099	0	1	01	01	H0543_099_0	4		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	099	2007	01	01	1	MedicareComplete Essential		Contra Costa County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588					
H0543	105	0	1	01	01	H0543_105_0	4		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	105	2007	01	01	1	MedicareComplete Essential		Orange County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588					
H0543	106	0	1	01	01	H0543_106_0	3		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	106	2007	01	01	1	MedicareComplete Essential		Kern County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588					
H0543	108	0	1	01	01	H0543_108_0	4		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	108	2007	01	01	1	MedicareComplete Essential		San Luis Obispo County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588					
H0543	110	0	1	01	01	H0543_110_0	3		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	110	2007	01	01	1	MedicareComplete Essential		San Mateo County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588					
H0543	114	0	1	01	01	H0543_114_0	4		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	114	2007	01	01	1	MedicareComplete Essential		Stanislaus County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588					
H0543	115	0	1	01	01	H0543_115_0	3		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	115	2007	01	01	1	MedicareComplete Essential		Ventura County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588					
H0543	116	0	1	01	01	H0543_116_0	7		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	116	2007	01	01	1	MedicareComplete Plan 2		Riverside County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	117	0	1	01	01	H0543_117_0	3		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	117	2007	01	01	1	MedicareComplete Essential		Riverside County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588					
H0543	118	0	1	01	01	H0543_118_0	7		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	118	2007	01	01	1	MedicareComplete Plan 2		San Bernardino County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	119	0	1	01	01	H0543_119_0	2		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	119	2007	01	01	1	MedicareComplete Essential		San Bernardino County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588					
H0543	120	0	1	01	01	H0543_120_0	7		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	120	2007	01	01	1	MedicareComplete Plan 2		San Diego County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	121	0	1	01	01	H0543_121_0	3		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	121	2007	01	01	1	MedicareComplete Essential		San Diego County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588					
H0543	122	0	1	01	01	H0543_122_0	5		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	122	2007	01	01	1	MedicareComplete Value		San Diego	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	123	0	1	01	01	H0543_123_0	3		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	123	2007	01	01	1	MedicareComplete Essential		Nevada County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588					
H0543	125	0	1	01	01	H0543_125_0	5		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	125	2007	01	01	1	MedicareComplete Plan 3		Fresno and Madera Counties	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	126	0	1	01	01	H0543_126_0	4		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	126	2007	01	01	1	MedicareComplete		San Joaquin County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	127	0	1	01	01	H0543_127_0	5		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	127	2007	01	01	1	MedicareComplete Plan 3		Riverside County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	128	0	1	01	01	H0543_128_0	5		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	128	2007	01	01	1	MedicareComplete Plan 3		San Bernardino County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	129	0	1	01	01	H0543_129_0	8		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	129	2007	01	01	1	MedicareComplete Plan 3		Los Angeles County	2	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	130	0	1	01	01	H0543_130_0	8		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	130	2007	01	01	1	Evercare Plan DH		San Francisco, Alameda, and Contra Costa Counties	2	0		1	3	2	2	2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	131	0	1	01	01	H0543_131_0	5		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	131	2007	01	01	1	Evercare Plan IH		San Francisco, Alameda, and Contra Costa Counties	2	0		1	1	2	2	2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	802	0	1	01	01	H0543_802_0	5		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	802	2007	01	01	1	MedicareComplete Retiree Plan		CA Employer Sponsored Plan Service Area	1	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588					
H0543	804	0	1	01	01	H0543_804_0	5		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	804	2007	01	01	1	MedicareComplete Retiree Plan		CA Employer Sponsored Plan Service Area	1	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588					
H0543	805	0	1	01	01	H0543_805_0	6		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	805	2007	01	01	1	MedicareComplete Retiree Plan		CA Employer Sponsored Plan Service Area	1	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0543	806	0	1	01	01	H0543_806_0	6		PACIFICARE OF CALIFORNIA/SECURE HORIZONS	Secure Horizons Medicare Advantage Plan	WWW.SECUREHORIZONS.COM	H0543	806	2007	01	01	1	MedicareComplete Retiree Plan		CA Employer Sponsored Plan Service Area	1	0		2				2		(800)-685-9355	(800)-387-1074	(800)-228-2144	(800)-385-5588		(800)-228-2144	(800)-385-5588	(800)-685-9355	(800)-387-1074
H0544	001	0	1	01	01	H0544_001_0	9		CAREMORE HEALTH PLAN	California Health Plan	http://www.californiamedicare.com	H0544	001	2007	01	01	1	California Medicare Advantage		Los Angeles and Orange Counties	2	0		2				2		(800)-577-5586	(800)-577-5586	(888)-494-8280	(888)-494-8280	100	(888)-494-8280	(888)-494-8280	(800)-577-5586	(800)-577-5586
H0544	002	0	1	01	01	H0544_002_0	8		CAREMORE HEALTH PLAN	California Health Plan	http://www.californiamedicare.com	H0544	002	2007	01	01	1	CareMore Value Plus		Los Angeles and Orange Counties	2	0		2				2		(800)-577-5586	(800)-577-5586	(800)-822-6991	(800)-822-6991	100	(800)-822-6991	(800)-822-6991	(800)-577-5586	(800)-577-5586
H0544	003	0	1	01	01	H0544_003_0	10		CAREMORE HEALTH PLAN	California Health Plan	http://www.californiamedicare.com	H0544	003	2007	01	01	1	CareMore Connect		Los Angeles and Orange Counties	2	0		1	3	2	1	2		(800)-577-5586	(800)-577-5586	(800)-589-3146	(800)-589-3146	100	(800)-589-3146	(800)-589-3146	(800)-577-5586	(800)-577-5586
H0544	004	0	1	01	01	H0544_004_0	8		CAREMORE HEALTH PLAN	California Health Plan	http://www.californiamedicare.com	H0544	004	2007	01	01	1	CareMore Reliance		Los Angeles and Orange Counties	2	0		1	4	2	2	2		(800)-577-5586	(800)-577-5586	(800)-589-3145	(800)-589-3145	100	(800)-589-3145	(800)-589-3145	(800)-577-5586	(800)-577-5586
H0544	005	0	1	01	01	H0544_005_0	8		CAREMORE HEALTH PLAN	California Health Plan	http://www.californiamedicare.com	H0544	005	2007	01	01	1	CareMore Touch		Los Angeles and Orange Counties	2	0		1	1	2	2	2		(800)-577-5586	(800)-577-5586	(800)-589-3147	(800)-589-3147	100	(800)-589-3147	(800)-589-3147	(800)-577-5586	(800)-577-5586
H0544	007	0	1	01	01	H0544_007_0	9		CAREMORE HEALTH PLAN	California Health Plan	http://www.californiamedicare.com	H0544	007	2007	01	01	1	California Advantage Plan		Los Angeles and Orange Counties	2	0		2				2		(800)-577-5586	(800)-577-5586	(800)-822-8720	(800)-822-8720	50	(800)-822-8720	(800)-822-8720	(800)-577-5586	(800)-577-5586
H0545	001	0	1	01	01	H0545_001_0	2		INTER VALLEY HEALTH PLAN, INC.	Inter Valley Health Plan	www.ivhp.com	H0545	001	2007	01	01	1	Inter Valley Health Plan		Los Angeles, San Bernardino and Riverside Counties	2	0		2				2		(800)-505-7150	(800)-505-7150	(800)-251-8191	(909)-623-6333	13000	(800)-251-8191	(800)-251-8191	(800)-505-7150	(800)-505-7150
H0562	002	0	1	01	01	H0562_002_0	3		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	002	2007	01	01	1	Health Net Seniority Plus Ruby		L.A., Kern, Orange, Riverside and San Bernardino	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	281074	(800)-275-4737	(800)-935-6565	(800)-929-9955	(800)-929-9955
H0562	009	0	1	01	01	H0562_009_0	5		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	009	2007	01	01	1	Health Net Seniority Plus Ruby		San Francisco County	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	140936	(800)-275-4737	(800)-935-6565	(800)-929-9955	(800)-929-9955
H0562	010	0	1	01	01	H0562_010_0	3		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	010	2007	01	01	1	Health Net Seniority Plus Ruby		Sacramento County	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	102797	(800)-275-4737	(800)-935-6565	(800)-929-9955	(800)-929-9955
H0562	011	0	1	01	01	H0562_011_0	6		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	011	2007	01	01	1	Health Net Seniority Plus Ruby		Contra Costa County	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	110020	(800)-275-4737	(800)-935-6565	(800)-929-9955	(800)-929-9955
H0562	012	0	1	01	01	H0562_012_0	3		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	012	2007	01	01	1	Health Net Seniority Plus Ruby		San Diego county	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	51700	(800)-275-4737	(800)-935-6565	(800)-929-9955	(800)-929-9955
H0562	017	0	1	01	01	H0562_017_0	3		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	017	2007	01	01	1	Health Net Seniority Plus Ruby		Santa Barbara County	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	12760	(800)-275-4737	(800)-935-6565	(800)-929-9955	(800)-929-9955
H0562	036	0	1	01	01	H0562_036_0	3		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	036	2007	01	01	1	Health Net Seniority Plus Ruby		San Mateo county	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	21755	(800)-275-4737	(800)-935-6565	(800)-929-9955	(800)-929-9955
H0562	037	0	1	01	01	H0562_037_0	3		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	037	2007	01	01	1	Health Net Seniority Plus Ruby		Santa Clara county	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	45490	(800)-275-4737	(800)-935-6565	(800)-929-9955	(800)-929-9955
H0562	039	0	1	01	01	H0562_039_0	3		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	039	2007	01	01	1	Health Net Seniority Plus Ruby		Yolo county	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	35549	(800)-275-4737	(800)-935-6565	(800)-929-9955	(800)-929-9955
H0562	040	0	1	01	01	H0562_040_0	3		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	040	2007	01	01	1	Health Net Seniority Plus Ruby		San Diego County	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	17233	(800)-275-4737	(800)-935-6565	(800)-929-9955	(800)-929-9955
H0562	044	0	1	01	01	H0562_044_0	7		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	044	2007	01	01	1	Health Net Seniority Plus Green		L.A., Kern, Orange, Riverside and San Bernardino	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565					
H0562	045	0	1	01	01	H0562_045_0	2		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	045	2007	01	01	1	Health Net Green		Sacramento County	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565					
H0562	046	0	1	01	01	H0562_046_0	5		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	046	2007	01	01	1	Health Net Seniority Plus Green		Contra Costa County	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565					
H0562	047	0	1	01	01	H0562_047_0	2		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	047	2007	01	01	1	Health Net Green		San Diego County	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565					
H0562	048	0	1	01	01	H0562_048_0	5		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	048	2007	01	01	1	Health Net Seniority Plus Green		San Diego County	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565					
H0562	049	0	1	01	01	H0562_049_0	4		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	049	2007	01	01	1	Health Net Seniority Plus Green		San Francisco County	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565					
H0562	050	0	1	01	01	H0562_050_0	2		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	050	2007	01	01	1	Health Net Green		San Mateo County	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565					
H0562	051	0	1	01	01	H0562_051_0	2		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	051	2007	01	01	1	Health Net Green		Santa Clara County	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565					
H0562	052	0	1	01	01	H0562_052_0	2		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	052	2007	01	01	1	Health Net Green		Yolo County	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565					
H0562	053	0	1	01	01	H0562_053_0	2		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	053	2007	01	01	1	Health Net Seniority Plus Ruby		Sonoma County	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	8155	(800)-275-4737	(800)-935-6565	(800)-929-9955	(800)-929-9955
H0562	054	0	1	01	01	H0562_054_0	2		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	054	2007	01	01	1	Health Net Green		Solano and Sonoma Counties	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565					
H0562	055	0	1	01	01	H0562_055_0	4		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	055	2007	01	01	1	Health Net Seniority Plus Amber I		L.A., Kern, Orange, Riverside and San Bernardino	2	0		1	3	2	1	2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	9811	(800)-275-4737	(800)-935-6565	(800)-929-9955	(800)-929-9955
H0562	056	0	1	01	01	H0562_056_0	5		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	056	2007	01	01	1	Health Net Seniority Plus Amber		Riverside and San Bernardino Counties	2	0		1	4	2	2	2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	2882	(800)-275-4737	(800)-935-6565	(800)-929-9955	(800)-929-9955
H0562	057	0	1	01	01	H0562_057_0	2		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	057	2007	01	01	1	Health Net Green		Santa Barbara County	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565					
H0562	058	0	1	01	01	H0562_058_0	3		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	058	2007	01	01	1	Health Net Seniority Plus Ruby		Placer County, CA	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	37500	(800)-275-4737	(800)-935-6565	(800)-929-9955	(800)-929-9955
H0562	059	0	1	01	01	H0562_059_0	2		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	059	2007	01	01	1	Health Net Seniority Plus Ruby		Solano County, CA	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	5869	(800)-275-4737	(800)-935-6565	(800)-929-9955	(800)-929-9955
H0562	060	0	1	01	01	H0562_060_0	2		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	060	2007	01	01	1	Health Net Seniority Plus Ruby		Stanislaus County, CA	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	3894	(800)-275-4737	(800)-935-6565	(800)-929-9955	(800)-929-9955
H0562	061	0	1	01	01	H0562_061_0	3		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	061	2007	01	01	1	Health Net Seniority Plus Ruby		Santa Cruz County, CA	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	1317	(800)-275-4737	(800)-935-6565	(800)-929-9955	(800)-929-9955
H0562	062	0	1	01	01	H0562_062_0	2		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	062	2007	01	01	1	Health Net Seniority Plus Ruby		San Joaquin County, CA	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	3894	(800)-275-4737	(800)-935-6565	(800)-929-9955	(800)-929-9955
H0562	063	0	1	01	01	H0562_063_0	2		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	063	2007	01	01	1	Health Net Green		Placer County, CA	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	64039				
H0562	064	0	1	01	01	H0562_064_0	2		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	064	2007	01	01	1	Health Net Green		Solano County, CA	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565					
H0562	068	0	1	01	01	H0562_068_0	4		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	068	2007	01	01	1	Health Net Seniority Plus Ruby		Alameda County	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	64039	(800)-275-4737	(800)-935-6565	(800)-929-9955	(800)-929-9955
H0562	069	0	1	01	01	H0562_069_0	3		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	069	2007	01	01	1	Health Net Seniority Plus Green		Alameda County	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565					
H0562	070	0	1	01	01	H0562_070_0	4		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	070	2007	01	01	1	Health Net Seniority Plus Amber II		California	2	0		1	3	2	1	2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	49050	(800)-275-4737	(800)-935-6565	(800)-929-9955	(800)-929-9955
H0562	801	0	1	01	01	H0562_801_0	3		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	801	2007	01	01	1	Health Net ER Group		California	1	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	291273	(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
H0562	803	0	1	01	01	H0562_803_0	2		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	803	2007	01	01	1	Health Net ER Group		California	1	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565					
H0562	804	0	1	01	01	H0562_804_0	3		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	804	2007	01	01	1	Health Net ER Group		California	1	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565	32438	(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
H0562	806	0	1	01	01	H0562_806_0	2		HEALTH NET_OF CA	Health Net Of CA	www.healthnet.com	H0562	806	2007	01	01	1	Health Net ER Group		California	1	0		2				2		(800)-929-9955	(800)-929-9955	(800)-275-4737	(800)-935-6565					
H0564	003	0	1	01	01	H0564_003_0	6		BLUE CROSS OF CALIFORNIA	Blue Cross of California	www.bluecrossca.com	H0564	003	2007	01	01	1	Blue Cross Senior Secure		Santa Barbara County	2	0		2				2		(888)-877-5378	(877)-247-1657	(888)-230-7338	(800)-765-2585	323	(888)-230-7338	(800)-765-2585	(888)-877-5378	(877)-247-1657
H0564	004	0	1	01	01	H0564_004_0	7		BLUE CROSS OF CALIFORNIA	Blue Cross of California	www.bluecrossca.com	H0564	004	2007	01	01	1	Blue Cross Senior Secure Plan I		Los Angeles County	2	0		2				2		(888)-877-5378	(877)-247-1657	(888)-230-7338	(800)-765-2585	6260	(888)-230-7338	(800)-765-2585	(888)-877-5378	(877)-247-1657
H0564	005	0	1	01	01	H0564_005_0	7		BLUE CROSS OF CALIFORNIA	Blue Cross of California	www.bluecrossca.com	H0564	005	2007	01	01	1	Blue Cross Senior Secure Plan I		Orange County	2	0		2				2		(888)-877-5378	(877)-247-1657	(888)-230-7338	(800)-765-2585	648	(888)-230-7338	(800)-765-2585	(888)-877-5378	(877)-247-1657
H0564	006	0	1	01	01	H0564_006_0	8		BLUE CROSS OF CALIFORNIA	Blue Cross of California	www.bluecrossca.com	H0564	006	2007	01	01	1	Blue Cross Senior Secure		Riverside and San Bernardino Counties	2	0		2				2		(888)-877-5378	(877)-247-1657	(888)-230-7338	(800)-765-2585	15036	(888)-230-7338	(800)-765-2585	(888)-877-5378	(877)-247-1657
H0564	007	0	1	01	01	H0564_007_0	7		BLUE CROSS OF CALIFORNIA	Blue Cross of California	www.bluecrossca.com	H0564	007	2007	01	01	1	Blue Cross Senior Secure		Kern County	2	0		2				2		(888)-877-5378	(877)-247-1657	(888)-230-7338	(800)-765-2585	4518	(888)-230-7338	(800)-765-2585	(888)-877-5378	(877)-247-1657
H0564	009	0	1	01	01	H0564_009_0	5		BLUE CROSS OF CALIFORNIA	Blue Cross of California	www.bluecrossca.com	H0564	009	2007	01	01	1	Blue Cross Senior Secure Plan I		San Diego County	2	0		2				2		(888)-877-5378	(877)-247-1657	(888)-230-7338	(800)-765-2585	834	(888)-230-7338	(800)-765-2585	(888)-877-5378	(877)-247-1657
H0564	040	0	1	01	01	H0564_040_0	8		BLUE CROSS OF CALIFORNIA	Blue Cross of California	www.bluecrossca.com	H0564	040	2007	01	01	1	Blue Cross Senior Secure Plus		Selected Counties	2	0		1	3	2	1	2		(888)-877-5378	(877)-247-1657	(888)-230-7338	(800)-765-2585	613	(888)-230-7338	(800)-765-2585	(888)-877-5378	(877)-247-1657
H0564	044	0	1	01	01	H0564_044_0	6		BLUE CROSS OF CALIFORNIA	Blue Cross of California	www.bluecrossca.com	H0564	044	2007	01	01	1	Blue Cross Senior Secure - Plan II		Los Angeles County	2	0		2				2		(888)-877-5378	(877)-247-1657	(888)-230-7338	(800)-765-2585	40	(888)-230-7338	(800)-765-2585	(888)-877-5378	(877)-247-1657
H0564	045	0	1	01	01	H0564_045_0	4		BLUE CROSS OF CALIFORNIA	Blue Cross of California	www.bluecrossca.com	H0564	045	2007	01	01	1	Blue Cross Senior Secure - Plan II		Orange County	2	0		2				2		(888)-877-5378	(877)-247-1657	(888)-230-7338	(800)-765-2585	35	(888)-230-7338	(800)-765-2585	(888)-877-5378	(877)-247-1657
H0564	046	0	1	01	01	H0564_046_0	4		BLUE CROSS OF CALIFORNIA	Blue Cross of California	www.bluecrossca.com	H0564	046	2007	01	01	1	Blue Cross Senior Secure - Plan II		San Diego County	2	0		2				2		(888)-877-5378	(877)-247-1657	(888)-230-7338	(800)-765-2585	87	(888)-230-7338	(800)-765-2585	(888)-877-5378	(877)-247-1657
H0564	801	0	1	01	01	H0564_801_0	3		BLUE CROSS OF CALIFORNIA	Blue Cross of California	www.bluecrossca.com	H0564	801	2007	01	01	1	Senior Secure Group Plan I		California, Select Counties	1	0		2				2		(888)-877-5378	(877)-247-1657	(888)-230-7338	(800)-765-2585	370	(888)-230-7338	(800)-765-2585	(888)-877-5378	(877)-247-1657
H0564	810	0	1	01	01	H0564_810_0	2		BLUE CROSS OF CALIFORNIA	Blue Cross of California	www.bluecrossca.com	H0564	810	2007	01	01	1	Senior Secure Group Plan II		California, Select Counties	1	0		2				2		(888)-877-5378	(877)-247-1657	(888)-230-7338	(800)-892-5340	370				
H0571	001	0	1	01	01	H0571_001_0	2		CHINESE COMMUNITY HEALTH PLAN	Chinese Community Health Plan	www.cchphmo.com	H0571	001	2007	01	01	1	CCHP Senior Program		San Francisco County	2	0		2				1	1	(877)-681-8888	(877)-681-8888	(415)-834-2118	(415)-834-2118		(866)-466-2247	(866)-466-2247	(877)-681-8888	(877)-681-8888
H0571	002	0	2	01	01	H0571_002_0	3		CHINESE COMMUNITY HEALTH PLAN	Chinese Community Health Plan	www.cchphmo.com	H0571	002	2007	01	01	2	CCHP Senior Plan B-only Plan		San Francisco County	2	0		2				1	1	(877)-681-8888	(877)-681-8888	(415)-834-2118	(415)-834-2118		(866)-466-2247	(866)-466-2247	(877)-681-8888	(877)-681-8888
H0571	005	0	1	01	01	H0571_005_0	3		CHINESE COMMUNITY HEALTH PLAN	Chinese Community Health Plan	www.cchphmo.com	H0571	005	2007	01	01	1	CCHP Senior Select Program		San Francisco County	2	0		1	3	1	2	1	1	(877)-681-8888	(877)-681-8888	(415)-834-2118	(415)-834-2118		(866)-466-2247	(866)-466-2247	(877)-681-8888	(877)-681-8888
H0571	801	0	1	01	01	H0571_801_0	1		CHINESE COMMUNITY HEALTH PLAN	Chinese Community Health Plan	www.cchphmo.com	H0571	801	2007	01	01	1	CCHP Senior Plan  Employer-Only		San Francisco County	1	0		2				1	1	(877)-681-8888	(877)-681-8888	(415)-834-2118	(415)-834-2118		(866)-466-2247	(866)-466-2247	(877)-681-8888	(877)-681-8888
H0602	001	0	1	18	06	H0602_001_0	2		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	001	2007	06	18	1	RMHP Standard Plan - WS		Western Slope Colorado	2	0		2				2		(800)-704-6370	(800)-704-6370	(800)-346-4643	(800)-346-4643	4000				
H0602	002	0	1	18	06	H0602_002_0	2		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	002	2007	06	18	1	RMHP Gold Plan - FR		Front Range Colorado	2	0		2				2		(800)-704-6370	(800)-704-6370	(800)-346-4643	(800)-346-4643	2000				
H0602	003	0	1	18	06	H0602_003_0	2		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	003	2007	06	18	1	RMHP Plus Plan - WS		Western Slope Colorado	2	0		2				2		(800)-704-6370	(800)-704-6370	(800)-346-4643	(800)-346-4643	2000				
H0602	007	0	1	18	06	H0602_007_0	2		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	007	2007	06	18	1	RMHP Standard Plan - FR		Front Range Colorado	2	0		2				2		(800)-704-6370	(800)-704-6370	(800)-346-4643	(800)-346-4643	4000				
H0602	008	0	1	18	06	H0602_008_0	2		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	008	2007	06	18	1	RMHP Gold Plan - M		Denver Metro area	2	0		2				2		(800)-704-6370	(800)-704-6370	(800)-346-4643	(800)-346-4643	2000				
H0602	009	0	1	18	06	H0602_009_0	2		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	009	2007	06	18	1	RMHP Standard Plan - M		Denver Metro area	2	0		2				2		(800)-704-6370	(800)-704-6370	(800)-346-4643	(800)-346-4643	4000				
H0602	013	0	1	18	06	H0602_013_0	2		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	013	2007	06	18	1	WINhealth Standard Medicare Plan		Selected Wyoming Counties	2	0		2				2		(800)-704-6370	(800)-704-6370	(800)-840-2211	(800)-840-2211	4000				
H0602	014	0	1	18	06	H0602_014_0	2		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	014	2007	06	18	1	WINhealth Plus Medicare Plan		Selected Wyoming Counties	2	0		2				2		(800)-704-6370	(800)-704-6370	(800)-840-2211	(800)-840-2211	100				
H0602	017	0	1	18	06	H0602_017_0	3		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	017	2007	06	18	1	RMHP Standard with Standard Drug Plan - WS		Western Slope Colorado	2	0		2				2		(800)-704-6370	(800)-704-6370	(800)-346-4643	(800)-346-4643	4000	(800)-346-4643	(800)-346-4643	(800)-704-6370	(800)-704-6370
H0602	018	0	1	18	06	H0602_018_0	3		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	018	2007	06	18	1	RMHP Gold with Enhanced Drug Plan - FR		Front Range Colorado	2	0		2				2		(800)-704-6370	(800)-704-6370	(800)-346-4643	(800)-346-4643	2000	(800)-346-4643	(800)-346-4643	(800)-704-6370	(800)-704-6370
H0602	019	0	1	18	06	H0602_019_0	3		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	019	2007	06	18	1	RMHP Plus with Enhanced Drug Plan - WS		Western Slope Colorado	2	0		2				2		(800)-704-6370	(800)-704-6370	(800)-346-4643	(800)-346-4643	2000	(800)-346-4643	(800)-346-4643	(800)-704-6370	(800)-704-6370
H0602	020	0	1	18	06	H0602_020_0	3		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	020	2007	06	18	1	RMHP Standard with Standard Drug Plan - FR		Front Range Colorado	2	0		2				2		(800)-704-6370	(800)-704-6370	(800)-346-4643	(800)-346-4643	4000	(800)-346-4643	(800)-346-4643	(800)-704-6340	(800)-704-6370
H0602	021	0	1	18	06	H0602_021_0	3		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	021	2007	06	18	1	RMHP Gold with Enhanced Drug Plan - M		Denver/Boulder Metro area	2	0		2				2		(800)-704-6370	(800)-704-6370	(800)-346-4643	(800)-346-4643	2000	(800)-346-4643	(800)-346-4643	(800)-704-6370	(800)-704-6370
H0602	022	0	1	18	06	H0602_022_0	3		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	022	2007	06	18	1	RMHP Standard with Standard Drug Plan - M		Denver/Boulder Metro Area	2	0		2				2		(800)-704-6370	(800)-704-6340	(800)-346-4643	(800)-346-4643	4000	(800)-346-4643	(800)-346-4643	(800)-704-6370	(800)-704-6370
H0602	023	0	1	18	06	H0602_023_0	3		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	023	2007	06	18	1	WINhealth Standard with Standard Drug Plan		Select Wyoming Counties	2	0		2				2		(800)-704-6370	(800)-704-6370	(800)-840-2211	(800)-840-2211	4000	(800)-840-2211	(800)-840-2211	(800)-704-6370	(800)-704-6370
H0602	024	0	1	18	06	H0602_024_0	3		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	024	2007	06	18	1	WINhealth Plus with Enhanced Drug Plan		Select Wyoming Counties	2	0		2				2		(800)-704-6370	(800)-704-6370	(800)-840-2211	(800)-840-2211	100	(800)-840-2211	(800)-840-2211	(800)-704-6370	(800)-704-6370
H0602	026	0	1	18	06	H0602_026_0	2		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	026	2007	06	18	1	RMHP AB Basic Plan		Colorado and Select Wyoming Counties	2	0		2				2		(800)-704-6370	(800)-704-6370	(800)-346-4643	(800)-346-4643	2000				
H0602	027	0	1	18	06	H0602_027_0	2		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	027	2007	06	18	1	RMHP Thrifty Plan - WS		Mesa County, Colorado	2	0		2				2		(800)-704-6370	(800)-704-6370	(800)-346-4643	(800)-346-4643	100				
H0602	028	0	1	18	06	H0602_028_0	2		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	028	2007	06	18	1	RMHP Thrifty Plan - FR		Front Range, Colorado	2	0		2				2		(800)-704-6370	(800)-704-6370	(800)-346-4643	(800)-346-4643	100				
H0602	029	0	1	18	06	H0602_029_0	2		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	029	2007	06	18	1	RMHP Thrifty Plan - M		Denver and Boulder Metro Area, Colorado	2	0		2				2		(800)-704-6370	(800)-704-6370	(800)-346-4643	(800)-346-4643	100				
H0602	030	0	1	18	06	H0602_030_0	2		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	030	2007	06	18	1	RMHP Stndrd w Stndrd Drug Plan - FR Select		Front Range Select Counties	2	0		2				2		(800)-704-6370	(800)-704-6340	(800)-346-4643	(800)-346-4643	4000	(800)-346-4643	(800)-346-4643	(800)-704-6370	(800)-704-6370
H0602	031	0	1	18	06	H0602_031_0	2		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	031	2007	06	18	1	RMHP Gold w Enhanced Drug Plan - FR Select		Front Range Select Counties	2	0		2				2		(800)-704-6370	(800)-704-6340	(800)-346-4643	(800)-346-4643	2000	(800)-346-4643	(800)-346-4643	(800)-704-6370	(800)-704-6370
H0602	032	0	1	18	06	H0602_032_0	1		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	032	2007	06	18	1	RMHP Standard Plan - FR Select		Front Range Select Counties	2	0		2				2		(800)-704-6370	(800)-704-6340	(800)-346-4643	(800)-346-4643	4000				
H0602	033	0	1	18	06	H0602_033_0	1		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	033	2007	06	18	1	RMHP Gold Plan - FR Select		Front Range Select Counties	2	0		2				2		(800)-704-6370	(800)-704-6340	(800)-346-4643	(800)-346-4643	2000				
H0602	034	0	1	18	06	H0602_034_0	1		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	034	2007	06	18	1	RMHP Thrifty Plan - FR Select		Front Range Select Counties	2	0		2				2		(800)-704-6370	(800)-704-6340	(800)-346-4643	(800)-346-4643	100				
H0602	035	0	1	18	06	H0602_035_0	1		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	035	2007	06	18	1	WINhealth Thrifty Plan		Select Wyoming Counties	2	0		2				2		(800)-704-6370	(800)-704-6370	(800)-840-2211	(800)-840-2211	100				
H0602	801	0		18	06	H0602_801_0	3		ROCKY MOUNTAIN HEALTH PLANS	Rocky Mountain Health Plans	www.rmhp.org	H0602	801	2007	06	18		RMHP Employer Plan		Colorado	1	0		2						(800)-704-6370	(800)-704-6370	(800)-346-4643	(800)-346-4643		(800)-346-4643	(800)-346-4643	(800)-704-6370	(800)-704-6370
H0609	002	0	1	01	01	H0609_002_0	7		PACIFICARE OF COLORADO, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0609	002	2007	01	01	1	MedicareComplete Plan 1		Colorado Springs	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-771-4347	(800)-385-5588		(800)-771-4347	(800)-385-5588	(800)-360-1797	(800)-387-1074
H0609	003	0	1	01	01	H0609_003_0	5		PACIFICARE OF COLORADO, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0609	003	2007	01	01	1	MedicareComplete		Northern Colorado	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-771-4347	(800)-385-5588		(800)-771-4347	(800)-385-5588	(800)-360-1797	(800)-387-1074
H0609	006	0	1	01	01	H0609_006_0	7		PACIFICARE OF COLORADO, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0609	006	2007	01	01	1	MedicareComplete Plan 2		Denver Metro	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-771-4347	(800)-385-5588		(800)-771-4347	(800)-385-5588	(800)-360-1797	(800)-387-1074
H0609	007	0	1	01	01	H0609_007_0	6		PACIFICARE OF COLORADO, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0609	007	2007	01	01	1	MedicareComplete Plan 1		Denver Metro	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-771-4347	(800)-385-5588		(800)-771-4347	(800)-385-5588	(800)-360-1797	(800)-387-1074
H0609	011	0	1	01	01	H0609_011_0	5		PACIFICARE OF COLORADO, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0609	011	2007	01	01	1	MedicareComplete		Pueblo County	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-771-4347	(800)-385-5588		(800)-771-4347	(800)-385-5588	(800)-360-1797	(800)-387-1074
H0609	012	0	1	01	01	H0609_012_0	7		PACIFICARE OF COLORADO, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0609	012	2007	01	01	1	MedicareComplete Plan 3		Denver Metro	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-771-4347	(800)-385-5588		(800)-771-4347	(800)-385-5588	(800)-360-1797	(800)-387-1074
H0609	013	0	1	01	01	H0609_013_0	5		PACIFICARE OF COLORADO, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0609	013	2007	01	01	1	MedicareComplete		Fremont	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-771-4347	(800)-385-5588		(800)-771-4347	(800)-385-5588	(800)-360-1797	(800)-387-1074
H0609	014	0	1	01	01	H0609_014_0	4		PACIFICARE OF COLORADO, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0609	014	2007	01	01	1	MedicareComplete		Mesa County	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-771-4347	(800)-385-5588		(800)-771-4347	(800)-385-5588	(800)-360-1797	(800)-387-1074
H0609	015	0	1	01	01	H0609_015_0	4		PACIFICARE OF COLORADO, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0609	015	2007	01	01	1	MedicareComplete Essential		Colorado Springs	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-771-4347	(800)-385-5588					
H0609	018	0	1	01	01	H0609_018_0	4		PACIFICARE OF COLORADO, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0609	018	2007	01	01	1	MedicareComplete Essential		Denver Metro	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-771-4347	(800)-385-5588					
H0609	019	0	1	01	01	H0609_019_0	3		PACIFICARE OF COLORADO, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0609	019	2007	01	01	1	MedicareComplete Essential		Mesa County	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-771-4347	(800)-385-5588					
H0609	020	0	1	01	01	H0609_020_0	6		PACIFICARE OF COLORADO, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0609	020	2007	01	01	1	MedicareComplete Plan 3		Colorado Springs	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-771-4347	(800)-385-5588		(800)-771-4347	(800)-385-5588	(800)-360-1797	(800)-387-1074
H0609	801	0	1	01	01	H0609_801_0	3		PACIFICARE OF COLORADO, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0609	801	2007	01	01	1	MedicareComplete Retiree Plan		CO Employer Sponsored Plan Service Area	1	0		2				2		(800)-360-1797	(800)-387-1074	(800)-771-4347	(800)-385-5588					
H0609	803	0	1	01	01	H0609_803_0	3		PACIFICARE OF COLORADO, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0609	803	2007	01	01	1	MedicareComplete Retiree Plan		CO Employer Sponsored Plan Service Area	1	0		2				2		(800)-360-1797	(800)-387-1074	(800)-771-4347	(800)-385-5588					
H0609	804	0	1	01	01	H0609_804_0	4		PACIFICARE OF COLORADO, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0609	804	2007	01	01	1	MedicareComplete Retiree Plan		CO Employer Sponsored Plan Service Area	1	0		2				2		(800)-360-1797	(800)-387-1074	(800)-771-4347	(800)-385-5588		(800)-771-4347	(800)-385-5588	(800)-360-1797	(800)-387-1074
H0609	805	0	1	01	01	H0609_805_0	4		PACIFICARE OF COLORADO, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H0609	805	2007	01	01	1	MedicareComplete Retiree Plan		CO Employer Sponsored Plan Service Area	1	0		2				2		(800)-360-1797	(800)-387-1074	(800)-771-4347	(800)-385-5588		(800)-771-4347	(800)-385-5588	(800)-360-1797	(800)-387-1074
H0613	001	0	1	20	08	H0613_001_0	2		TOTAL LONGTERM CARE, INC.	Total Longterm Care, Inc.	totallongtermcare.org	H0613	001	2007	08	20	1	Total Longterm Care - Dual eligibles		Metropolitan Denver	2	0		2				2						1100	(303)-869-4664	(303)-869-4664		
H0613	003	0	1	20	08	H0613_003_0	3		TOTAL LONGTERM CARE, INC.	Total Longterm Care, Inc.	totallongtermcare.org	H0613	003	2007	08	20	1	Total Longterm Care - Medicare only		Metropolitian Denver	2	0		2				2						100	(303)-869-4664	(303)-869-4664		
H0620	002	0	1	04	01	H0620_002_0	7		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.EvercareHealthPlans.com	H0620	002	2007	01	04	1	Evercare Plan IP		Denver Area	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(888)-795-7975		(800)-393-0993	(888)-795-7975	(888)-685-8480	(888)-685-8480
H0621	001	0	1	01	01	H0621_001_0	7		COLORADO ACCESS	Colorado Access	http://www.coaccess.com/	H0621	001	2007	01	01	1	Access Advantage		Denver Metro area and El Paso County	2	0		1	3	2	1	2		(888)-803-4494	(888)-803-4494	(877)-441-6032	(877)-287-6767	4351	(877)-441-6032	(877)-287-6767	(888)-803-4494	(888)-803-4494
H0623	001	0	1	04	01	H0623_001_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H0623	001	2007	01	04	1	HumanaChoicePPO PPO H0623-001		Denver Metro Area	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H0623	002	0	1	04	01	H0623_002_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H0623	002	2007	01	04	1	HumanaChoicePPO PPO H0623-002		Boulder County	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H0623	003	0	1	04	01	H0623_003_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H0623	003	2007	01	04	1	HumanaChoicePPO PPO H0623-003		El Paso and Teller Counties	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H0623	801	0	1	04	01	H0623_801_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H0623	801	2007	01	04	1	Humana Employer Sponsored		Denver, Boulder and Colorado Springs Metro Areas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H0623	802	0	1	04	01	H0623_802_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H0623	802	2007	01	04	1	Humana Employer Sponsored		Denver, Boulder and Colorado Springs Metro Areas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H0623	803	0	1	04	01	H0623_803_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H0623	803	2007	01	04	1	Humana Employer Sponsored Non-CY		Denver, Boulder and Colorado Springs Metro Areas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H0623	804	0	1	04	01	H0623_804_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H0623	804	2007	01	04	1	Humana Employer Sponsored Non-CY		Denver, Boulder and Colorado Springs Metro Areas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H0624	001	0	1	01	01	H0624_001_0	5		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H0624	001	2007	01	01	1	Evercare Plan DH		Denver Area	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(888)-697-9060	(888)-795-7975		(888)-697-9060	(888)-795-7975	(888)-685-8480	(888)-685-8480
H0624	002	0	1	01	01	H0624_002_0	8		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H0624	002	2007	01	01	1	MedicareComplete		Weld County	2	0		2				2		(888)-685-8480	(888)-685-8480	(888)-697-9060	(888)-795-7975		(800)-393-0993	(888)-795-7975	(888)-685-8480	(888)-685-8480
H0624	003	0	1	01	01	H0624_003_0	5		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H0624	003	2007	01	01	1	MedicareComplete Essential		Weld County	2	0		2				2		(888)-685-8480	(888)-685-8480	(888)-697-9060	(888)-795-7975					
H0624	004	0	1	01	01	H0624_004_0	7		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H0624	004	2007	01	01	1	Evercare Plan IH		Fremont County	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(888)-697-9060	(888)-795-7975		(888)-697-9060	(888)-795-7975	(888)-685-8480	(888)-685-8480
H0630	013	0	1	01	01	H0630_013_0	4		KAISER FOUNDATION HP OF CO	Kaiser Permanente	www.kaiserpermanente.org	H0630	013	2007	01	01	1	Senior Advantage CORE MA-PD		Denver Metropolitan Area	2	0		2				2		(800)-659-2656	(800)-659-2656	(800)-632-9700	(800)-509-7570	4642	(800)-632-9700	(800)-509-7570	(800)-659-2656	(800)-659-2656
H0630	014	0	1	01	01	H0630_014_0	6		KAISER FOUNDATION HP OF CO	Kaiser Permanente	www.kaiserpermanente.org	H0630	014	2007	01	01	1	Senior Advantage Medicare Medicaid Plan		Denver Metropolitan Area	2	0		1	3	2	1	2		(800)-659-2656	(800)-659-2656	(800)-632-9700	(800)-509-7570	1602	(800)-632-9700	(800)-509-7570	(800)-659-2656	(800)-659-2656
H0630	015	0	1	01	01	H0630_015_0	3		KAISER FOUNDATION HP OF CO	Kaiser Permanente	www.kaiserpermanente.org	H0630	015	2007	01	01	1	Senior Advantage Silver MA-PD		Denver Metropolitan Area	2	0		2				2		(800)-659-2656	(800)-659-2656	(800)-632-9700	(800)-509-7570	24916	(800)-632-9700	(800)-509-7570	(800)-659-2656	(800)-659-2656
H0630	016	0	1	01	01	H0630_016_0	3		KAISER FOUNDATION HP OF CO	Kaiser Permanente	www.kaiserpermanente.org	H0630	016	2007	01	01	1	Senior Advantage Gold MA-PD		Denver Metropolitan Area	2	0		2				2		(800)-659-2656	(800)-659-2656	(800)-632-9700	(800)-509-7570	7115	(800)-632-9700	(800)-509-7570	(800)-659-2656	(800)-659-2656
H0630	805	0	2	01	01	H0630_805_0	3		KAISER FOUNDATION HP OF CO	Kaiser Permanente	www.kaiserpermanente.org	H0630	805	2007	01	01	2	Senior Advantage Group MA-PD_Part B only		Denver Metropolitan Area	1	0		2				2		(800)-659-2656	(800)-659-2656	(800)-632-9700	(800)-509-7570	213	(800)-632-9700	(800)-509-7570	(800)-659-2656	(800)-659-2656
H0630	806	0	2	01	01	H0630_806_0	3		KAISER FOUNDATION HP OF CO	Kaiser Permanente	www.kaiserpermanente.org	H0630	806	2007	01	01	2	Senior Advantage Group MA only_Part B only		Denver Metropolitan Area	1	0		2				2		(800)-659-2656	(800)-659-2656	(800)-632-9700	(800)-509-7570	213				
H0630	807	0	1	01	01	H0630_807_0	2		KAISER FOUNDATION HP OF CO	Kaiser Permanente	www.kaiserpermanente.org	H0630	807	2007	01	01	1	Senior Advantage Group MA-PD		Denver Metropolitan Area	1	0		2				2		(800)-659-2656	(800)-659-2656	(800)-632-9700	(800)-509-7570	20669	(800)-632-9700	(800)-509-7570	(800)-659-2656	(800)-659-2656
H0630	808	0	1	01	01	H0630_808_0	3		KAISER FOUNDATION HP OF CO	Kaiser Permanente	www.kaiserpermanente.org	H0630	808	2007	01	01	1	Senior Adv_Group_MA only		Denver Metropolitan Area	1	0		2				2		(800)-659-2656	(800)-659-2656	(800)-632-9700	(800)-509-7570	213				
H0710	001	0	1	04	01	H0710_001_0	3		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.EvercareHealthPlans.com	H0710	001	2007	01	04	1	Evercare Plan IP		Fairfield, Hartford and New Haven Counties	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(888)-697-9058		(800)-393-0993	(888)-697-9058	(888)-685-8480	(888)-685-8480
H0710	002	0	1	04	01	H0710_002_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.EvercareHealthPlans.com	H0710	002	2007	01	04	1	Evercare Plan DP		Hartford, Fairfield and New Haven Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(888)-697-9058		(800)-393-0993	(888)-697-9058	(888)-685-8480	(888)-685-8480
H0710	003	0	1	04	01	H0710_003_0	5		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.EvercareHealthPlans.com	H0710	003	2007	01	04	1	Evercare Plan MP		Hartford County	2	0		1	4	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(888)-697-9058		(800)-393-0993	(888)-697-9058	(888)-685-8480	(888)-685-8480
H0712	001	0	1	01	01	H0712_001_0	7		WELLCARE OF CONNECTICUT, INC.	WellCare	www.wellcare.com	H0712	001	2007	01	01	1	WellCare Choice		Fairfield, Hartford, and New Haven Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4344		(888)-888-9355	(866)-238-4344	(877)-247-6272	(877)-247-6272
H0712	005	0	1	01	01	H0712_005_0	4		WELLCARE OF CONNECTICUT, INC.	WellCare	www.wellcare.com	H0712	005	2007	01	01	1	WellCare Access		Fairfield, Hartford, and New Haven Counties	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4344		(888)-888-9355	(866)-238-4344	(877)-247-6272	(877)-247-6272
H0712	008	0	1	01	01	H0712_008_0	5		WELLCARE OF CONNECTICUT, INC.	WellCare	www.wellcare.com	H0712	008	2007	01	01	1	WellCare Advance		Fairfield, Hartford, and New Haven Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4344					
H0712	011	0	1	01	01	H0712_011_0	3		WELLCARE OF CONNECTICUT, INC.	WellCare	www.wellcare.com	H0712	011	2007	01	01	1	WellCare Select		Fairfield, Hartford, and New Haven Counties	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4344		(888)-888-9355	(866)-238-4344	(877)-247-6272	(877)-247-6272
H0712	017	0	1	01	01	H0712_017_0	6		WELLCARE OF CONNECTICUT, INC.	WellCare	www.wellcare.com	H0712	017	2007	01	01	1	WellCare Premium		Fairfield, Hartford, and New Haven Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4344		(888)-888-9355	(866)-238-4344	(877)-247-6272	(877)-247-6272
H0752	002	0	1	01	01	H0752_002_0	5		OXFORD HEALTH PLANS (CT), INC.	SecureHorizons	www.oxfordmedicare.com	H0752	002	2007	01	01	1	MedicareComplete		New Haven County	2	0		2				2		(800)-201-4874	(800)-201-4874	(800)-234-1228	(800)-303-6720		(800)-234-1228	(800)-303-6720	(800)-201-4874	(800)-201-4874
H0752	801	0	1	01	01	H0752_801_0	4		OXFORD HEALTH PLANS (CT), INC.	SecureHorizons	www.oxfordmedicare.com	H0752	801	2007	01	01	1	MedicareComplete		Fairfield and New Haven Counties	1	0		2				2		(800)-201-4874	(800)-201-4874	(800)-234-1228	(800)-303-6720		(800)-234-1228	(800)-303-6720	(800)-201-4874	(800)-201-4874
H0752	802	0	1	01	01	H0752_802_0	4		OXFORD HEALTH PLANS (CT), INC.	Oxford Medicare Advantage	www.oxfordmedicare.com	H0752	802	2007	01	01	1	MedicareComplete Essential		New Haven County	1	0		2				2		(800)-201-4874	(800)-201-4874	(800)-234-1228	(800)-303-6720					
H0755	001	0	1	01	01	H0755_001_0	5		HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	H0755	001	2007	01	01	1	Health Net Ruby Option 1		Connecticut	2	0		2				2		(888)-747-2424	(888)-747-2424	(800)-547-8734	(800)-949-2516	27000	(800)-547-8734	(800)-949-2516	(888)-747-2424	(888)-747-2424
H0755	020	0	1	02	01	H0755_020_0	6		HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	H0755	020	2007	01	02	1	Health Net Navy		Connecticut	2	0		2				2		(888)-747-2424	(888)-747-2424	(800)-547-8734	(800)-949-2516	2000	(800)-547-8734	(800)-949-2516	(888)-747-2424	(888)-747-2424
H0755	021	0	1	01	01	H0755_021_0	6		HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	H0755	021	2007	01	01	1	Health Net Amber		Connecticut	2	0		1	3	1	2	2		(888)-747-2424	(888)-747-2424	(800)-547-8734	(800)-949-2516	500	(800)-547-8734	(800)-949-2516	(888)-747-2424	(888)-747-2424
H0755	022	0	1	01	01	H0755_022_0	4		HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	H0755	022	2007	01	01	1	Health Net Ruby Option 2		Connecticut	2	0		2				2		(888)-747-2424	(888)-747-2424	(800)-547-8734	(800)-949-2516	2100	(800)-547-8734	(800)-949-2516	(888)-747-2424	(888)-747-2424
H0755	023	0	1	01	01	H0755_023_0	2		HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	H0755	023	2007	01	01	1	Health Net Green		Connecticut	2	0		2				2		(888)-747-2424	(888)-747-2424	(800)-547-8734	(800)-949-2516	600				
H0755	024	0	1	01	01	H0755_024_0	4		HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	H0755	024	2007	01	01	1	Health Net Ruby Option 3		Connecticut	2	0		2				2		(888)-747-2424	(888)-747-2424	(800)-547-8734	(800)-949-2516	1200	(800)-547-8734	(800)-949-2516	(888)-747-2424	(888)-747-2424
H0755	801	0	1	01	01	H0755_801_0	1		HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	H0755	801	2007	01	01	1	Health Net EG		Connecticut	1	0		2				2		(888)-747-2424	(888)-747-2424	(800)-547-8734	(800)-949-2516	5200	(800)-547-8734	(800)-949-2516	(888)-747-2424	(888)-747-2424
H0755	803	0	1	01	01	H0755_803_0	1		HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	H0755	803	2007	01	01	1	Health Net EG		Connecticut	1	0		2				2		(888)-747-2424	(888)-747-2424	(800)-547-8734	(800)-949-2516	350				
H0755	804	0	1	01	01	H0755_804_0	1		HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	H0755	804	2007	01	01	1	Health Net EG		Connecticut	1	0		2				2		(888)-747-2424	(888)-747-2424	(800)-547-8734	(800)-949-2516	100	(800)-547-8734	(800)-949-2516	(800)-747-2424	(888)-747-2424
H0755	806	0	1	01	01	H0755_806_0	1		HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	H0755	806	2007	01	01	1	Health Net EG		Connecticut	1	0		2				2		(888)-747-2424	(888)-747-2424	(800)-547-8734	(800)-949-2516	50				
H0838	020	0	1	01	01	H0838_020_0	6		UNIVERSAL CARE	HMO California	www.universalcare.com	H0838	020	2007	01	01	1	Brand New Day - for Seriously Mentally Ill		Counties: LA, OC, SB, Riv, Kern,Ventura	2	0		1	4	2	2	2		(866)-321-5955	(866)-321-5955	(800)-635-6668	(800)-635-6668	1743	(800)-635-6668	(800)-635-6668	(866)-321-5955	(866)-321-5955
H0846	004	0	1	09	04	H0846_004_0	4	2	FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	Advantra Private Fee For Service	www.tbd.com	H0846	004	2007	04	09	1	Advantra Private Fee For Service		Select counties in multiple states	2	0		2				2		(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999	6600				
H0846	005	0	1	09	04	H0846_005_0	3	2	FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	Advantra Private Fee For Service	www.tbd.com	H0846	005	2007	04	09	1	Advantra Private Fee For Service		Select counties in multiple states	2	0		2				2		(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999	8800				
H0846	006	0	1	09	04	H0846_006_0	4	2	FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	Advantra Private Fee For Service	www.tbd.com	H0846	006	2007	04	09	1	Advantra Private Fee For Service		Select counties in multiple states	2	0		2				2		(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999	6600				
H0846	801	0	1	09	04	H0846_801_0	3	2	FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	Advantra Private Fee For Service	www.tbd.com	H0846	801	2007	04	09	1	Advantra PFFS-EGO Ma Only-CY		United States and Territories	1	0		2				2		(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999	1000				
H0846	802	0	1	09	04	H0846_802_0	3	2	FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	Advantra Private Fee For Service	www.tbd.com	H0846	802	2007	04	09	1	Advantra PFFS-EGO-MA Only Non-CY		United States and Territories	1	0		2				2		(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999	1000				
H0901	001	0	1	01	01	H0901_001_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H0901	001	2007	01	01	1	Aetna Golden Medicare Value Plan		District of Columbia	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H0901	002	0	1	01	01	H0901_002_0	5		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H0901	002	2007	01	01	1	Aetna Golden Medicare Premier Plan		District of Columbia	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0901	003	0	1	01	01	H0901_003_0	5		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H0901	003	2007	01	01	1	Aetna Golden Medicare Special Plan		District of Columbia	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0901	004	0	1	01	01	H0901_004_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H0901	004	2007	01	01	1	Aetna Golden Medicare Standard Plan		District of Columbia	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0901	801	0	1	01	01	H0901_801_0	1		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H0901	801	2007	01	01	1	Aetna Golden Medicare Plan		District of Columbia	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H0901	802	0	1	01	01	H0901_802_0	1		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H0901	802	2007	01	01	1	Aetna Golden Medicare Plan w/Rx CY		District of Columbia	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0902	002	0	1	04	01	H0902_002_0	7		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H0902	002	2007	01	04	1	Aetna Golden Choice Premier Plan		District of Columbia	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0902	003	0	1	04	01	H0902_003_0	7		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H0902	003	2007	01	04	1	Aetna Golden Choice Standard Plan		District of Columbia	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0902	801	0	1	04	01	H0902_801_0	1		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H0902	801	2007	01	04	1	Aetna Golden Choice Plan		District of Columbia	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H0902	802	0	1	04	01	H0902_802_0	1		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H0902	802	2007	01	04	1	Aetna Golden Choice Plan w/Rx CY		District of Columbia	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H0974	001	0	1	01	01	H0974_001_0	4		HMO MINNESOTA D/B/A BLUE PLUS	Blue Plus CareBlue	www.bluecrossmn.com	H0974	001	2007	01	01	1	Blue Plus CareBlue		State of Minnesota	2	0		1	3	2	1	2		(888)-878-0137	(888)-878-0137	(888)-740-6013	(866)-477-1584	223	(888)-740-6013	(866)-477-1584	(888)-878-0137	(888)-878-0137
H1013	011	0	1	01	01	H1013_011_0	6		VISTA HEALTHPLAN OF SOUTH FLORIDA, INC.	Vista Healthplan of South Florida, Inc.	www.vistahealthplan.com	H1013	011	2007	01	01	1	Platinum Plan		Miami-Dade County	2	0		2				2		(888)-444-7352	(888)-444-7352	(800)-441-5501	(800)-826-1013	14119	(800)-842-7442	(800)-826-1013	(888)-444-7352	(888)-444-7352
H1013	021	0	1	01	01	H1013_021_0	4		VISTA HEALTHPLAN OF SOUTH FLORIDA, INC.	Vista Healthplan of South Florida, Inc.	www.vistahealthplan.com	H1013	021	2007	01	01	1	Platinum Select Plan		Broward County	2	0		2				2		(888)-444-7352	(888)-444-7352	(800)-441-5501	(800)-826-1013	5612	(800)-842-7442	(800)-826-1013	(888)-444-7352	(888)-444-7352
H1013	022	0	1	01	01	H1013_022_0	4		VISTA HEALTHPLAN OF SOUTH FLORIDA, INC.	Vista Healthplan of South Florida, Inc.	www.vistahealthplan.com	H1013	022	2007	01	01	1	Platinum Plan		Martin County	2	0		2				2		(888)-444-7352	(888)-444-7352	(800)-441-5501	(800)-826-1013	240	(800)-842-7442	(800)-826-1013	(888)-444-7352	(888)-444-7352
H1013	023	0	1	01	01	H1013_023_0	4		VISTA HEALTHPLAN OF SOUTH FLORIDA, INC.	Vista Healthplan of South Florida, Inc.	www.vistahealthplan.com	H1013	023	2007	01	01	1	Platinum Select Plan		St. Lucie County	2	0		2				2		(888)-444-7352	(888)-444-7352	(800)-441-5501	(800)-826-1013	1456	(800)-842-7442	(800)-826-1013	(888)-444-7352	(888)-444-7352
H1013	024	0	1	01	01	H1013_024_0	7		VISTA HEALTHPLAN OF SOUTH FLORIDA, INC.	Vista Healthplan of South Florida, Inc.	www.vistahealthplan.com	H1013	024	2007	01	01	1	Platinum Choice Plan		Dade, Broward, Martin and St. Lucie Counties	2	0		1	3	2	1	2		(888)-444-7352	(888)-444-7352	(800)-441-5501	(800)-826-1013	653	(800)-842-7442	(800)-826-1013	(888)-444-7352	(888)-444-7352
H1013	026	0	1	02	01	H1013_026_0	6		VISTA HEALTHPLAN OF SOUTH FLORIDA, INC.	Vista Healthplan of South Florida, Inc.	www.vistahealthplan.com	H1013	026	2007	01	02	1	Preferred Options		St. Lucie County	2	0		2				2		(888)-444-7352	(888)-444-7352	(800)-441-5501	(800)-826-1013	14119	(800)-842-7442	(800)-826-1013	(888)-444-7352	(888)-444-7352
H1016	001	0	1	01	01	H1016_001_0	7		AVMED, INC	AvMed Medicare Plan	www.avmed.org	H1016	001	2007	01	01	1	AvMed Premier Care		Dade County	2	0		2				2		(877)-442-8633	(877)-442-8633	(800)-782-8633	(800)-250-9243	7347	(800)-782-8633	(800)-250-9243	(877)-442-8633	(877)-442-8633
H1016	002	0	1	01	01	H1016_002_0	9		AVMED, INC	AvMed Medicare Plan	www.avmed.org	H1016	002	2007	01	01	1	AvMed Premier Care		Broward County	2	0		2				2		(877)-442-8633	(877)-442-8633	(800)-782-8633	(800)-250-9243	9225	(800)-782-8633	(800)-250-9243	(877)-442-8633	(877)-442-8633
H1016	017	0	2	01	01	H1016_017_0	8		AVMED, INC	AvMed Medicare Plan	www.avmed.org	H1016	017	2007	01	01	2	AvMed Part B Only Plan		Broward Part B Only	2	0		2				2		(877)-442-8633	(877)-442-8633	(800)-782-8633	(800)-250-9243	2	(800)-782-8633	(800)-250-9243	(877)-442-8633	(877)-442-8633
H1019	001	0	1	01	01	H1019_001_0	3		CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplus-hp.com	H1019	001	2007	01	01	1	CareOne Plan		Broward, FL	2	0		2				2		(877)-245-7930	(877)-245-7930	(800)-794-5907	(800)-794-4105		(800)-794-5907	(800)-794-4105	(877)-245-7930	(877)-245-7930
H1019	002	0	1	01	01	H1019_002_0	3		CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplus-hp.com	H1019	002	2007	01	01	1	CareOne Plan		Miami-Dade, FL	2	0		2				2		(877)-245-7930	(877)-245-7930	(800)-794-5907	(800)-794-4105		(800)-794-5907	(800)-794-4105	(877)-245-7930	(877)-245-7930
H1019	004	0	1	01	01	H1019_004_0	6		CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplus-hp.com	H1019	004	2007	01	01	1	CareFree Plan		Broward, FL	2	0		2				2		(877)-245-7930	(877)-245-7930	(800)-794-5907	(800)-794-4105		(800)-794-5907	(800)-794-4105	(877)-245-7930	(877)-245-7930
H1019	005	0	1	01	01	H1019_005_0	4		CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplus-hp.com	H1019	005	2007	01	01	1	CareFree Plan		Miami-Dade, FL	2	0		2				2		(877)-245-7930	(877)-245-7930	(800)-794-5907	(800)-794-4105		(800)-794-5907	(800)-794-4105	(877)-245-7930	(877)-245-7930
H1019	006	0	1	01	01	H1019_006_0	3		CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplus-hp.com	H1019	006	2007	01	01	1	CareCenters Plan		Miami-Dade, FL	2	0		2				2		(877)-245-7930	(877)-245-7930	(800)-794-5907	(800)-794-4105		(800)-794-5907	(800)-794-4105	(877)-245-7930	(877)-245-7930
H1019	010	0	1	01	01	H1019_010_0	4		CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplus-hp.com	H1019	010	2007	01	01	1	CareOne Plan		Palm Beach	2	0		2				2		(877)-245-7930	(877)-245-7930	(800)-794-5907	(800)-794-4105		(800)-794-5907	(800)-794-4105	(877)-245-7930	(877)-245-7930
H1019	011	0	1	01	01	H1019_011_0	4		CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplus-hp.com	H1019	011	2007	01	01	1	CareFree Plan		Palm Beach	2	0		2				2		(877)-245-7930	(877)-245-7930	(800)-794-5907	(800)-794-4105		(800)-794-5907	(800)-794-4105	(877)-245-7930	(877)-245-7930
H1019	014	0	1	01	01	H1019_014_0	3		CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplus-hp.com	H1019	014	2007	01	01	1	CareOne Plan		Hillsborough and Pinellas County	2	0		2				2		(877)-245-7930	(877)-245-7930	(800)-794-5907	(800)-794-4105		(800)-794-5907	(800)-794-4105	(877)-245-7930	(877)-245-7930
H1019	021	0	1	01	01	H1019_021_0	3		CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplus-hp.com	H1019	021	2007	01	01	1	CareComplete Plan		Palm Beach County	2	0		2				2		(877)-245-7930	(877)-245-7930	(800)-794-5907	(800)-794-4105					
H1019	023	0	1	01	01	H1019_023_0	4		CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplus-hp.com	H1019	023	2007	01	01	1	CareNeeds Plan		Broward County	2	0		1	3	2	1	2		(877)-245-7930	(877)-245-7930	(800)-794-5907	(800)-794-4105		(800)-794-5907	(800)-794-4105	(877)-245-7930	(877)-245-7930
H1019	024	0	1	01	01	H1019_024_0	6		CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplus-hp.com	H1019	024	2007	01	01	1	CareNeeds Plan		Dade County	2	0		1	3	2	1	2		(877)-245-7930	(877)-245-7930	(800)-794-5907	(800)-794-4105		(800)-794-5907	(800)-794-4105	(877)-245-7930	(877)-245-7930
H1019	025	0	1	01	01	H1019_025_0	5		CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplus-hp.com	H1019	025	2007	01	01	1	CareNeeds Plan		Palm Beach County	2	0		1	3	2	1	2		(877)-245-7930	(877)-245-7930	(800)-794-5907	(800)-794-4105		(800)-794-5907	(800)-794-4105	(877)-245-7930	(877)-245-7930
H1019	026	0	1	01	01	H1019_026_0	6		CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplus-hp.com	H1019	026	2007	01	01	1	CareNeeds Plan		Hillsborough and Pinellas Counties	2	0		1	3	2	1	2		(877)-245-7930	(877)-245-7930	(800)-794-5907	(800)-794-4105		(800)-794-5907	(800)-794-4105	(877)-245-7930	(877)-245-7930
H1026	001	0	1	01	01	H1026_001_0	2		HEALTH OPTIONS, INC	Health Options, Inc.\BCBSF	www.bcbsfl.com	H1026	001	2007	01	01	1	MedicareBlue HMO		Broward, Miami-Dade and Palm Beach Counties	2	0		2				2		(800)-955-1339	(800)-955-1339	(877)-352-2583	(800)-876-2227	23000	(877)-352-2583	(800)-876-2227	(800)-955-1339	(800)-955-1339
H1026	801	0	1	01	01	H1026_801_0	5		HEALTH OPTIONS, INC	Health Options, Inc.\BCBSF	www.bcbsfl.com	H1026	801	2007	01	01	1	MedicareBlue Group HMO		State of Florida	1	0		2				2		(800)-955-1339	(800)-955-1339	(877)-352-2583	(800)-876-2227	100	(877)-352-2583	(800)-876-2227	(800)-955-1339	(800)-955-1339
H1026	802	0	1	01	01	H1026_802_0	5		HEALTH OPTIONS, INC	Health Options, Inc.\BCBSF	www.bcbsfl.com	H1026	802	2007	01	01	1	MedicareBlue Group HMO		State of Florida	1	0		2				2		(800)-955-1339	(800)-955-1339	(877)-352-2583	(800)-876-2227	100	(877)-352-2583	(800)-876-2227	(800)-955-1339	(800)-955-1339
H1032	002	0	1	01	01	H1032_002_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	002	2007	01	01	1	WellCare Choice		Orange and Seminole Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	004	0	1	01	01	H1032_004_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	004	2007	01	01	1	WellCare Choice		Osceola County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	008	0	1	01	01	H1032_008_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	008	2007	01	01	1	WellCare Choice		Dade County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	010	0	1	01	01	H1032_010_0	6		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	010	2007	01	01	1	WellCare Choice		Palm Beach and St. Lucie Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	012	0	1	01	01	H1032_012_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	012	2007	01	01	1	WellCare Choice		Hillsborough and Pasco Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	014	0	1	01	01	H1032_014_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	014	2007	01	01	1	WellCare Choice		Pinellas County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	019	0	1	01	01	H1032_019_0	6		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	019	2007	01	01	1	WellCare Choice		Hernando County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	025	0	1	01	01	H1032_025_0	6		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	025	2007	01	01	1	WellCare Choice		Escambia, Santa Rosa, and Okaloosa Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	028	0	1	01	01	H1032_028_0	11		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	028	2007	01	01	1	WellCare Value		Orange and Seminole Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	029	0	1	01	01	H1032_029_0	7		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	029	2007	01	01	1	WellCare Value		Osceola County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	031	0	1	01	01	H1032_031_0	5		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	031	2007	01	01	1	WellCare Dividend		Palm Beach and St. Lucie Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	032	0	1	01	01	H1032_032_0	2		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	032	2007	01	01	1	WellCare Dividend		Hernando County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	033	0	1	01	01	H1032_033_0	6		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	033	2007	01	01	1	WellCare Dividend		Pinellas County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	035	0	1	01	01	H1032_035_0	7		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	035	2007	01	01	1	WellCare Value		Pinellas County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	036	0	1	01	01	H1032_036_0	3		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	036	2007	01	01	1	WellCare Choice		Brevard County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	037	0	1	01	01	H1032_037_0	3		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	037	2007	01	01	1	WellCare Advance		Orange and Seminole Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885					
H1032	038	0	1	01	01	H1032_038_0	3		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	038	2007	01	01	1	WellCare Advance		Osceola County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885					
H1032	040	0	1	01	01	H1032_040_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	040	2007	01	01	1	WellCare Dividend		Dade County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	041	0	1	01	01	H1032_041_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	041	2007	01	01	1	WellCare Value		Hillsborough and Pasco Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	042	0	1	01	01	H1032_042_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	042	2007	01	01	1	WellCare Choice		Broward County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	043	0	1	01	01	H1032_043_0	5		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	043	2007	01	01	1	WellCare Dividend		Broward County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	044	0	1	01	01	H1032_044_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	044	2007	01	01	1	WellCare Value		Broward County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	060	0	1	01	01	H1032_060_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	060	2007	01	01	1	WellCare Select		Palm Beach and St. Lucie Counties	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	061	0	1	01	01	H1032_061_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	061	2007	01	01	1	WellCare Select		Orange County	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	063	0	1	01	01	H1032_063_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	063	2007	01	01	1	WellCare Select		Osceola County	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	064	0	1	01	01	H1032_064_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	064	2007	01	01	1	WellCare Select		Pinellas County	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	065	0	1	01	01	H1032_065_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	065	2007	01	01	1	WellCare Select		Hillsborough County	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	066	0	1	01	01	H1032_066_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	066	2007	01	01	1	WellCare Select		Broward County	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	069	0	1	01	01	H1032_069_0	7		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	069	2007	01	01	1	WellCare Choice		Manatee, Sarasota, and Charlotte Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	070	0	1	01	01	H1032_070_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	070	2007	01	01	1	WellCare Choice		Polk County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	073	0	1	01	01	H1032_073_0	7		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	073	2007	01	01	1	WellCare Choice		Clay and Duval Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	077	0	1	01	01	H1032_077_0	6		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	077	2007	01	01	1	WellCare Advance		Brevard County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885					
H1032	079	0	1	01	01	H1032_079_0	7		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	079	2007	01	01	1	WellCare Prescription Plus		Escambia, Santa Rosa, and Okaloosa Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	085	0	1	01	01	H1032_085_0	5		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	085	2007	01	01	1	WellCare Access		Hillsborough County	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	086	0	1	01	01	H1032_086_0	5		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	086	2007	01	01	1	WellCare Access		Pinellas County	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	088	0	1	01	01	H1032_088_0	5		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	088	2007	01	01	1	WellCare Access		Broward County	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	089	0	1	01	01	H1032_089_0	5		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	089	2007	01	01	1	WellCare Access		Palm Beach and St Lucie Counties	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	091	0	1	01	01	H1032_091_0	5		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	091	2007	01	01	1	WellCare Essential		Orange and Seminole Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	092	0	1	01	01	H1032_092_0	5		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	092	2007	01	01	1	WellCare Essential		Osceola County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	097	0	1	01	01	H1032_097_0	5		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	097	2007	01	01	1	WellCare Dividend		Manatee, Sarasota, and Charlotte Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	098	0	1	01	01	H1032_098_0	5		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	098	2007	01	01	1	WellCare Dividend		Polk County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	101	0	1	01	01	H1032_101_0	3		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	101	2007	01	01	1	WellCare Select		Clay and Duval Counties	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	102	0	1	01	01	H1032_102_0	3		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	102	2007	01	01	1	WellCare Select		Brevard County	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	104	0	1	01	01	H1032_104_0	6		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	104	2007	01	01	1	WellCare Select		Charlotte, Sarasota, and Manatee Counties	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	106	0	1	01	01	H1032_106_0	3		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	106	2007	01	01	1	WellCare Select		Polk County	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	107	0	1	01	01	H1032_107_0	3		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	107	2007	01	01	1	WellCare Select		Miami - Dade County	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	113	0	1	01	01	H1032_113_0	5		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	113	2007	01	01	1	WellCare Value		St. Lucie and Palm Beach Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	122	0	1	01	01	H1032_122_0	5		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	122	2007	01	01	1	Wellcare Access		Brevard County	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	123	0	1	01	01	H1032_123_0	5		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	123	2007	01	01	1	WellCare Access		Clay and Duval Counties	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	124	0	1	01	01	H1032_124_0	5		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	124	2007	01	01	1	WellCare Access		Orange County	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	125	0	1	01	01	H1032_125_0	5		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	125	2007	01	01	1	WellCare Access		Escambia, Santa Rosa, and Okaloosa Counties	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	126	0	1	01	01	H1032_126_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	126	2007	01	01	1	WellCare Select		Escambia, Santa Rosa, and Okaloosa Counties	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	127	0	1	01	01	H1032_127_0	5		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	127	2007	01	01	1	WellCare Access		Hernando County	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	128	0	1	01	01	H1032_128_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	128	2007	01	01	1	WellCare Access		Manatee, Sarasota, and Charlotte Counties	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	129	0	1	01	01	H1032_129_0	5		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	129	2007	01	01	1	WellCare Value		Clay and Duval Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	130	0	1	01	01	H1032_130_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	130	2007	01	01	1	WellCare Access		Polk County	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	131	0	1	01	01	H1032_131_0	6		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	131	2007	01	01	1	WellCare Dividend		Hillsborough and Pasco Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	132	0	1	01	01	H1032_132_0	5		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	132	2007	01	01	1	WellCare Value		Polk County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	133	0	1	01	01	H1032_133_0	5		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	133	2007	01	01	1	WellCare Value		Brevard County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	134	0	1	01	01	H1032_134_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	134	2007	01	01	1	WellCare Access		Osceola County	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	135	0	1	01	01	H1032_135_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	135	2007	01	01	1	WellCare Access		Seminole County	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	136	0	1	01	01	H1032_136_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	136	2007	01	01	1	WellCare Select		Pasco County	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	137	0	1	01	01	H1032_137_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	137	2007	01	01	1	WellCare Select		Seminole County	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1032	138	0	1	01	01	H1032_138_0	4		WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	H1032	138	2007	01	01	1	WellCare Access		Pasco County	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-3885		(888)-888-9355	(866)-238-3885	(877)-247-6272	(877)-247-6272
H1035	002	0	1	02	01	H1035_002_0	7		FLORIDA HEALTH CARE PLAN, INC.	Florida Health Care Plan, Inc.	www.fhcp.com	H1035	002	2007	01	02	1	FHCP Medvantage Rx Plus		Volusia and Flagler Counties, Florida	2	0		2				2		(877)-260-8312	(877)-260-8312	(800)-352-9824	(800)-232-0578	15000	(800)-352-9824	(800)-232-0578	(877)-260-8312	(877)-260-8312
H1035	006	0	1	02	01	H1035_006_0	6		FLORIDA HEALTH CARE PLAN, INC.	Florida Health Care Plan, Inc.	www.fhcp.com	H1035	006	2007	01	02	1	FHCP Medvantage Rx		Volusia and Flagler Counties, FL	2	0		2				2		(877)-260-8312	(877)-260-8312	(800)-352-9824	(800)-232-0578	2000	(800)-352-9824	(800)-232-0578	(877)-260-8312	(877)-260-8312
H1035	007	0	1	02	01	H1035_007_0	2		FLORIDA HEALTH CARE PLAN, INC.	Florida Health Care Plan, Inc.	www.fhcp.com	H1035	007	2007	01	02	1	FHCP Medvantage		Volusia and Flagler Counties, FL	2	0		2				2		(877)-260-8312	(877)-260-8312	(800)-352-9824	(800)-232-0578	500				
H1036	011	0	1	01	01	H1036_011_0	4		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	011	2007	01	01	1	Humana Gold Plus HMO H1036-011A		Broward County	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	025	0	1	01	01	H1036_025_0	3		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	025	2007	01	01	1	Humana Gold Plus HMO H1036-025		Hillsborough County	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	034	0	1	01	01	H1036_034_0	3		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	034	2007	01	01	1	Humana Gold Plus HMO H1036-034A		Dade County	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	035	0	1	01	01	H1036_035_0	4		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	035	2007	01	01	1	Humana Gold Plus HMO H1036-035A		Palm Beach County	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	037	0	1	01	01	H1036_037_0	3		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	037	2007	01	01	1	Humana Gold Plus HMO H1036-037C		Baker, Duval and Nassau Counties	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	040	0	1	01	01	H1036_040_0	5		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	040	2007	01	01	1	Humana Gold Plus HMO H1036-040		Pasco County	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	044	0	1	01	01	H1036_044_0	4		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	044	2007	01	01	1	Humana Gold Plus HMO H1036-044		Flagler, Volusia Counties	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	047	0	1	01	01	H1036_047_0	4		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	047	2007	01	01	1	Humana Gold Plus HMO H1036-047		Orlando Metro Area	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	052	0	1	01	01	H1036_052_0	3		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	052	2007	01	01	1	Humana Gold Plus HMO H1036-052		Pinellas County	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	053	0	1	01	01	H1036_053_0	4		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	053	2007	01	01	1	Humana Gold Plus HMO H1036-053A		Broward County	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H1036	054	0	1	01	01	H1036_054_0	3		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	054	2007	01	01	1	Humana Gold Plus HMO H1036-054C		Dade County	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	056	0	1	01	01	H1036_056_0	4		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	056	2007	01	01	1	Humana Gold Plus HMO H1036-056		Flagler & Volusia Counties	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H1036	062	0	1	01	01	H1036_062_0	3		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	062	2007	01	01	1	Humana Gold Plus HMO H1036-062C		Palm Beach County	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	063	0	1	01	01	H1036_063_0	3		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	063	2007	01	01	1	Humana Gold Plus HMO H1036-063A		Palm Beach County	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H1036	065	0	1	01	01	H1036_065_0	4		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	065	2007	01	01	1	Humana Gold Plus HMO H1036-065C		Broward County	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	067	0	1	01	01	H1036_067_0	5		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	067	2007	01	01	1	Humana Gold Plus HMO H1036-067		Hernando County	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	068	0	1	01	01	H1036_068_0	5		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	068	2007	01	01	1	Humana Gold Plus HMO H1036-068		St Johns, Putnam Counties	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	074	0	1	01	01	H1036_074_0	4		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	074	2007	01	01	1	Humana Gold Plus HMO H1036-074		Manatee County	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	077	0	1	01	01	H1036_077_0	4		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	077	2007	01	01	1	Humana Gold Plus HMO H1036-077A		Dade County	2	0		1	3	2	1	2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	081	0	1	01	01	H1036_081_0	5		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	081	2007	01	01	1	Humana Gold Plus HMO H1036-081D		Baker, Duval, Nassau Counties	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	099	0	1	01	01	H1036_099_0	6		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	099	2007	01	01	1	Humana Gold Plus HMO H1036-099		Flagler & Volusia Counties	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	100	0	1	01	01	H1036_100_0	7		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	100	2007	01	01	1	Humana Gold Plus HMO H1036-100		Orlando Metro Area	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	101	0	1	01	01	H1036_101_0	7		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	101	2007	01	01	1	Humana Gold Plus HMO H1036-101C		Baker, Duval, Nassau Counties	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	102	0	1	01	01	H1036_102_0	5		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	102	2007	01	01	1	Humana Gold Plus HMO H1036-102		Tampa Metro Area	2	0		1	3	2	1	2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	103	0	1	01	01	H1036_103_0	4		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	103	2007	01	01	1	Humana Gold Plus HMO H1036-103A		Broward County	2	0		1	3	2	1	2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	104	0	1	01	01	H1036_104_0	5		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	104	2007	01	01	1	Humana Gold Plus HMO H1036-104A		Palm Beach County	2	0		1	3	2	1	2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	801	0	1	01	01	H1036_801_0	5		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	801	2007	01	01	1	Humana Employer Sponsored		State of Florida (selected counties)	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	806	0	1	01	01	H1036_806_0	6		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	806	2007	01	01	1	Humana Employer Sponsored		State of Florida (selected counties)	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H1036	807	0	1	01	01	H1036_807_0	5		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	807	2007	01	01	1	Humana Employer Sponsored Non-CY		State of Florida (select counties)	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1036	808	0	1	01	01	H1036_808_0	6		HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	H1036	808	2007	01	01	1	Humana Employer Sponsored Non-CY		State of Florida (select counties)	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H1043	001	0	1	20	08	H1043_001_0	2		FLORIDA PACE CENTERS, INC.	Florida Pace Centers, Inc.	www.floridapace.org	H1043	001	2007	08	20	1	Florida PACE Centers, Inc.		Florida PACE Centers, Inc.	2	0		2				2						1440	(305)-262-7842	(305)-262-7842		
H1043	002	0	1	20	08	H1043_002_0	3		FLORIDA PACE CENTERS, INC.	Florida Pace Centers, Inc.	www.floridapace.org	H1043	002	2007	08	20	1	Florida PACE Centers, Inc		Florida PACE Centers, Inc.	2	0		2				2						760	(305)-262-7842	(305)-262-7842		
H1045	001	0	1	05	01	H1045_001_0	3		PREFERRED CARE PARTNERS INC.	Preferred Care Partners, Inc.	www.psohealth.com	H1045	001	2007	01	05	1	PSO Health Plan		Miami-Dade County	2	0		2				2		(800)-406-8076	(800)-406-8076	(866)-231-7201	(866)-473-0218	274835	(866)-231-7201	(866)-473-0218	(800)-406-8076	(800)-406-8076
H1045	005	0	1	05	01	H1045_005_0	3		PREFERRED CARE PARTNERS INC.	Preferred Care Partners, Inc.	www.psohealth.com	H1045	005	2007	01	05	1	PSO Health Plan		Broward County	2	0		2				2		(800)-406-8076	(800)-406-8076	(866)-231-7201	(866)-473-0218	18221	(866)-231-7201	(866)-473-0218	(800)-406-8076	(800)-406-8076
H1045	008	0	1	05	01	H1045_008_0	4		PREFERRED CARE PARTNERS INC.	Preferred Care Partners, Inc.	www.psohealth.com	H1045	008	2007	01	05	1	Senior Health Choice		Miami-Dade County	2	0		2				2		(800)-406-8076	(800)-406-8076	(866)-231-7201	(866)-473-0218	17543	(866)-231-7201	(866)-473-0218	(800)-406-8076	(800)-406-8076
H1045	009	0	2	05	01	H1045_009_0	3		PREFERRED CARE PARTNERS INC.	Preferred Care Partners, Inc.	www.psohealth.com	H1045	009	2007	01	05	2	PCP Medicare Part B		Miami-Dade County	2	0		2				2		(800)-406-8076	(800)-406-8076	(866)-231-7201	(866)-473-0218	84	(866)-231-7201	(866)-473-0218	(800)-406-8076	(800)-406-8076
H1076	003	0	1	01	01	H1076_003_0	4		VISTA HEALTHPLAN, INC.	Vista Healthplan, Inc.	www.vistahealthplan.com	H1076	003	2007	01	01	1	Platinum Select Plan		Broward County	2	0		2				2		(888)-444-7352	(888)-444-7352	(866)-847-8235	(800)-826-1013	1886	(800)-977-7339	(800)-826-1013	(888)-444-7352	(888)-444-7352
H1076	010	0	1	01	01	H1076_010_0	7		VISTA HEALTHPLAN, INC.	Vista Healthplan, Inc.	www.vistahealthplan.com	H1076	010	2007	01	01	1	Platinum Value Plan		Dade, Broward and Palm Beach Counties	2	0		2				2		(888)-444-7352	(888)-444-7352	(866)-847-8235	(800)-826-1013	3593				
H1076	011	0	1	01	01	H1076_011_0	9		VISTA HEALTHPLAN, INC.	Vista Healthplan, Inc.	www.vistahealthplan.com	H1076	011	2007	01	01	1	Platinum Choice Plan		Dade, Broward and Palm Beach Counties	2	0		1	3	2	1	2		(888)-444-7352	(888)-444-7352	(866)-847-8235	(800)-826-1013	3593	(800)-977-7339	(800)-826-1013	(888)-444-7352	(888)-444-7352
H1076	016	0	1	01	01	H1076_016_0	4		VISTA HEALTHPLAN, INC.	Vista Healthplan, Inc.	www.vistahealthplan.com	H1076	016	2007	01	01	1	Platinum Prime Plan		Palm Beach County	2	0		2				2		(888)-444-7352	(888)-444-7352	(866)-847-8235	(800)-826-1013	2637	(800)-977-7339	(800)-826-1013	(888)-444-7352	(888)-444-7352
H1076	020	0	1	02	01	H1076_020_0	6		VISTA HEALTHPLAN, INC.	Vista Healthplan, Inc.	www.vistahealthplan.com	H1076	020	2007	01	02	1	Preferred Options		Dade and Broward Counties	2	0		2				2		(888)-444-7352	(888)-444-7352	(866)-847-8235	(800)-826-1013	73	(800)-977-7339	(800)-826-1013	(888)-444-7352	(888)-444-7352
H1076	022	0	1	02	01	H1076_022_0	6		VISTA HEALTHPLAN, INC.	Vista Healthplan, Inc.	www.vistahealthplan.com	H1076	022	2007	01	02	1	Preferred Options		Palm Beach County	2	0		2				2		(888)-444-7352	(888)-444-7352	(866)-847-8235	(800)-826-1013	300	(800)-977-7339	(800)-826-1013	(888)-444-7352	(888)-444-7352
H1080	004	0	1	01	01	H1080_004_0	11		UNITED HEALTHCARE OF FL, INC.	SecureHorizons	www.medicarecomplete.com	H1080	004	2007	01	01	1	MedicareComplete		Hillsborough,Pinellas,Hernando & Pasco Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-711-6088	(800)-555-5757		(800)-711-6088	(800)-555-5757	(888)-685-8480	(888)-685-8480
H1080	011	0	1	02	01	H1080_011_0	12		UNITED HEALTHCARE OF FL, INC.	SecureHorizons	www.medicarecomplete.com	H1080	011	2007	01	02	1	MedicareComplete Plus Plan 1		Charlotte, Lee, Polk, Sarasota & Manatee Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-711-6088	(800)-555-5757		(800)-711-6088	(800)-555-5757	(888)-685-8480	(888)-685-8480
H1080	036	0	1	01	01	H1080_036_0	3		UNITED HEALTHCARE OF FL, INC.	SecureHorizons	www.medicarecomplete.com	H1080	036	2007	01	01	1	Evercare Plan DH		Tampa area Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5110	(888)-834-3721		(877)-702-5110	(888)-834-3721	(888)-685-8480	(888)-685-8480
H1080	037	0	1	01	01	H1080_037_0	2		UNITED HEALTHCARE OF FL, INC.	SecureHorizons	www.medicarecomplete.com	H1080	037	2007	01	01	1	MedicareComplete Essential		Hillborough, Pinellas, Pasco & Hernando Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-711-6088	(800)-973-6467					
H1080	038	0	1	02	01	H1080_038_0	7		UNITED HEALTHCARE OF FL, INC.	SecureHorizons	www.medicarecomplete.com	H1080	038	2007	01	02	1	MedicareComplete Plus Plan 2		Charlotte, Lee, Polk, Manatee & Sarasota Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-711-6088	(800)-973-6467					
H1080	801	0	1	01	01	H1080_801_0	4		UNITED HEALTHCARE OF FL, INC.	SecureHorizons	www.medicarecomplete.com	H1080	801	2007	01	01	1	MedicareComplete		Select Counties in Florida	1	0		2				2		(888)-685-8480	(888)-685-8480	(800)-711-6088	(800)-973-6467		(800)-711-6088	(800)-973-6467	(888)-685-8480	(888)-685-8480
H1099	001	0	1	01	01	H1099_001_0	5		HEALTH FIRST HEALTH PLANS, INC.	Health First Medicare Plans	www.healthfirsthealthplans.org	H1099	001	2007	01	01	1	The Classic Secure Plan		All Brevard & Indian River Zips 32957/32958/32978	2	0		2				2		(800)-955-8771	(800)-955-8771	(800)-716-7737	(800)-856-8652		(800)-716-7737	(800)-856-8652	(800)-955-8771	(800)-955-8771
H1099	006	0	1	01	01	H1099_006_0	5		HEALTH FIRST HEALTH PLANS, INC.	Health First Medicare Plans	www.healthfirsthealthplans.org	H1099	006	2007	01	01	1	The Value Secure Plan		All Brevard & Indian River Zips 32957/32958/32978	2	0		2				2		(800)-955-8771	(800)-955-8771	(800)-716-7737	(800)-856-8652		(800)-716-7737	(800)-856-8652	(800)-955-8771	(800)-955-8771
H1099	008	0	1	01	01	H1099_008_0	2		HEALTH FIRST HEALTH PLANS, INC.	Health First Medicare Plans	www.healthfirsthealthplans.org	H1099	008	2007	01	01	1	The Sunshine Plan		All Brevard & Indian River Zips 32957/32958/32978	2	0		1	3	2	1	2		(800)-955-8771	(800)-955-8771	(800)-716-7737	(800)-856-8652		(800)-716-7737	(800)-856-8652	(800)-955-8771	(800)-955-8771
H1099	009	0	1	01	01	H1099_009_0	1		HEALTH FIRST HEALTH PLANS, INC.	Health First Medicare Plans	www.healthfirsthealthplans.org	H1099	009	2007	01	01	1	MA Only Plan		All Brevard & Indian River Zips 32957/32958/32978	2	0		2				2		(800)-955-8771	(800)-955-8771	(800)-716-7737	(800)-716-7737					
H1099	802	0	1	01	01	H1099_802_0	1		HEALTH FIRST HEALTH PLANS, INC.	Health First Medicare Plans	www.healthfirsthealthplans.org	H1099	802	2007	01	01	1	Employer Group Plus		All Brevard & Indian River Zips 32957/32958/32978	1	0		2				2		(800)-955-8771	(800)-955-8771	(800)-716-7737	(800)-856-8652		(800)-716-7737	(800)-856-8652	(800)-955-8771	(800)-955-8771
H1099	803	0	1	01	01	H1099_803_0	1		HEALTH FIRST HEALTH PLANS, INC.	Health First Medicare Plans	www.healthfirsthealthplans.org	H1099	803	2007	01	01	1	Employer Group Basic		All Brevard & Indian River Zips 32957/32958/32978	1	0		2				2		(800)-955-8771	(800)-955-8771	(800)-716-7737	(800)-856-8652					
H1108	001	0	1	04	01	H1108_001_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H1108	001	2007	01	04	1	Evercare Plan IP		Atlanta and Macon Metro Areas	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-634-0127		(800)-393-0993	(800)-634-0127	(888)-685-8480	(888)-685-8480
H1108	002	0	1	04	01	H1108_002_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H1108	002	2007	01	04	1	Evercare Plan DP		Atlanta and Macon Metro Areas	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(866)-266-0654	(800)-634-0127		(866)-266-0654	(800)-634-0127	(888)-685-8480	(888)-685-8480
H1108	006	0	1	04	01	H1108_006_0	5		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H1108	006	2007	01	04	1	Evercare Plan MP		DeKalb and Fulton Counties	2	0		1	4	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-634-0127		(800)-393-0993	(800)-634-0127	(888)-685-8480	(888)-685-8480
H1109	001	0	1	01	01	H1109_001_0	4		AETNA HEALTH INC.(GEORGIA)	Aetna Medicare	http://www.aetnamedicare.com	H1109	001	2007	01	01	1	Aetna Golden Medicare Value Plan		Cherokee, Cobb, DeKalb, Forsyth, Fulton Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H1109	002	0	1	01	01	H1109_002_0	4		AETNA HEALTH INC.(GEORGIA)	Aetna Medicare	http://www.aetnamedicare.com	H1109	002	2007	01	01	1	Aetna Golden Medicare Standard Plan		Cherokee, Cobb, DeKalb, Forsyth, Fulton Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H1109	003	0	1	01	01	H1109_003_0	4		AETNA HEALTH INC.(GEORGIA)	Aetna Medicare	http://www.aetnamedicare.com	H1109	003	2007	01	01	1	Aetna Golden Medicare Premier Plan		Cherokee, Cobb, DeKalb, Forsyth, Fulton Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H1109	801	0	1	01	01	H1109_801_0	1		AETNA HEALTH INC.(GEORGIA)	Aetna Medicare	http://www.aetnamedicare.com	H1109	801	2007	01	01	1	Aetna Golden Medicare Plan		Cherokee,Clayton,Cobb,DeKalb,Forsyth,FultonGwinnet	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H1109	802	0	1	01	01	H1109_802_0	1		AETNA HEALTH INC.(GEORGIA)	Aetna Medicare	http://www.aetnamedicare.com	H1109	802	2007	01	01	1	Aetna Golden Medicare Plan w/Rx CY		Cherokee,Clayton,Cobb,DeKalb,Forsyth,FultonGwinnet	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H1110	001	0	1	04	01	H1110_001_0	6		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H1110	001	2007	01	04	1	Aetna Golden Choice Standard Plan		DeKalb County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H1110	801	0	1	04	01	H1110_801_0	1		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H1110	801	2007	01	04	1	Aetna Golden Choice Plan		Cherokee, Cobb,DeKalb,Forsyth and Fulton Counties	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H1110	802	0	1	04	01	H1110_802_0	1		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H1110	802	2007	01	04	1	Aetna Golden Choice Plan w/Rx CY		Cherokee, Cobb,DeKalb,Forsyth and Fulton Counties	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H1111	002	0	1	02	01	H1111_002_0	8		UNITED HEALTHCARE OF GEORGIA, INC.	SecureHorizons	www.SecureHorizons.com	H1111	002	2007	01	02	1	MedicareComplete Plus Plan 1		Columbia, Harris, Muscogee and Richmond Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-202-6370	(800)-555-5757		(866)-202-6370	(800)-555-5757	(888)-685-8480	(888)-685-8480
H1111	003	0	1	02	01	H1111_003_0	8		UNITED HEALTHCARE OF GEORGIA, INC.	SecureHorizons	www.SecureHorizons.com	H1111	003	2007	01	02	1	MedicareComplete Plus Plan 2		Columbia, Harris, Muscogee and Richmond Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-202-6370	(800)-555-5757					
H1111	004	0	1	01	01	H1111_004_0	4		UNITED HEALTHCARE OF GEORGIA, INC.	SecureHorizons	www.medicarecomplete.com	H1111	004	2007	01	01	1	Evercare Plan DH		Columbia, Harris, Muscogee and Richmond Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5110	(888)-834-3721		(877)-702-5110	(888)-834-3721	(888)-685-8480	(888)-685-8480
H1111	801	0	1	01	01	H1111_801_0	3		UNITED HEALTHCARE OF GEORGIA, INC.	SecureHorizons	www.medicarecomplete.com	H1111	801	2007	01	01	1	MedicareComplete		Columbia, Harris, Muscogee and Richmond Counties	1	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5548	(888)-867-5548		(888)-867-5548	(888)-867-5548	(888)-685-8480	(888)-685-8480
H1112	001	0	1	01	01	H1112_001_0	8		WELLCARE OF GEORGIA, INC.	WellCare	www.wellcare.com	H1112	001	2007	01	01	1	WellCare Choice		DeKalb, Fulton and Gwinnett Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-211-1425		(888)-888-9355	(866)-211-1425	(877)-247-6272	(877)-247-6272
H1112	003	0	1	01	01	H1112_003_0	6		WELLCARE OF GEORGIA, INC.	WellCare	www.wellcare.com	H1112	003	2007	01	01	1	WellCare Advance		DeKalb, Fulton and Gwinnett Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-211-1425					
H1112	005	0	1	01	01	H1112_005_0	2		WELLCARE OF GEORGIA, INC.	WellCare	www.wellcare.com	H1112	005	2007	01	01	1	WellCare Select		DeKalb, Fulton and Gwinnett Counties	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-211-1425		(888)-888-9355	(866)-211-1425	(877)-247-6272	(877)-247-6272
H1112	006	0	1	01	01	H1112_006_0	3		WELLCARE OF GEORGIA, INC.	WellCare	www.wellcare.com	H1112	006	2007	01	01	1	WellCare Access		DeKalb, Fulton and Gwinnett Counties	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-211-1425		(888)-888-9355	(866)-211-1425	(877)-247-6272	(877)-247-6272
H1112	011	0	1	01	01	H1112_011_0	4		WELLCARE OF GEORGIA, INC.	WellCare	www.wellcare.com	H1112	011	2007	01	01	1	WellCare Value		DeKalb, Fulton and Gwinnett Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-211-1425		(888)-888-9355	(866)-211-1425	(877)-247-6272	(877)-247-6272
H1170	002	0	1	01	01	H1170_002_0	4		KAISER FOUNDATION HP OF GA, INC.	Kaiser Permanente Senior Advantage	www.kp.org/ga	H1170	002	2007	01	01	1	Kaiser Permanente Senior Advantage		Atlanta Metro Area	2	0		2				2		(800)-255-0056	(800)-255-0056	(800)-232-4404	(800)-232-4404		(800)-232-4404	(800)-232-4404	(800)-255-0056	(800)-255-0056
H1170	008	0	1	01	01	H1170_008_0	5		KAISER FOUNDATION HP OF GA, INC.	Kaiser Permanente Senior Advantage	www.kp.org/ga	H1170	008	2007	01	01	1	Senior Advantage Medicare Medicaid Plan		Atlanta Metro Area	2	0		1	3	2	1	2		(800)-255-0056	(800)-255-0056	(800)-232-4404	(800)-232-4404		(800)-232-4404	(800)-232-4404	(800)-255-0056	(800)-255-0056
H1170	801	0	1	01	01	H1170_801_0	2		KAISER FOUNDATION HP OF GA, INC.	Kaiser Permanente Senior Advantage	www.kp.org/ga	H1170	801	2007	01	01	1	Kaiser Permanente Employer Group Plan		Atlanta Metro Area	1	0		2				2		(800)-255-0056	(800)-255-0056	(800)-232-4404	(800)-232-4404					
H1170	802	0	1	01	01	H1170_802_0	3		KAISER FOUNDATION HP OF GA, INC.	Kaiser Permanente Senior Advantage	www.kp.org/ga	H1170	802	2007	01	01	1	Kaiser Employer Group With Part D		Kaiser Permanente Georgia Group with Part D	1	0		2				2		(800)-255-0056	(800)-255-0056	(800)-232-4404	(800)-232-4404		(800)-232-4404	(800)-232-4404	(800)-255-0056	(800)-255-0056
H1230	001	0	1	01	01	H1230_001_0	8		KAISER FOUNDATION HP, INC.	Kaiser Foundation Health Plan, Inc. (Hawaii)	www.kaiserpermanente.org	H1230	001	2007	01	01	1	Kaiser Permanente Senior Advantage		Islands of Oahu, Maui and Hawaii except for 3 ZIPs	2	0		2				2		(877)-447-5990	(877)-447-5990	(800)-805-2739	(800)-805-2739	8177	(800)-805-2739	(800)-805-2739	(877)-447-5990	(877)-447-5990
H1230	801	0	1	01	01	H1230_801_0	4		KAISER FOUNDATION HP, INC.	Kaiser Foundation Health Plan, Inc. (Hawaii)	www.kaiserpermanente.org	H1230	801	2007	01	01	1	Kaiser Permanente Emp Group MA only		Islands of Oahu, Maui and Hawaii (except 3 zip)	1	0		2				2		(877)-447-5990	(877)-447-5990	(800)-805-2739	(800)-805-2739	10				
H1230	802	0	2	01	01	H1230_802_0	4		KAISER FOUNDATION HP, INC.	Kaiser Foundation Health Plan, Inc. (Hawaii)	www.kaiserpermanente.org	H1230	802	2007	01	01	2	Kaiser Permanente Emp Group MA only Part B		Islands of Oahu, Maui and Hawaii (except 3 zip)	1	0		2				2		(877)-447-5990	(877)-447-5990	(800)-805-2739	(800)-805-2739	3				
H1230	803	0	1	01	01	H1230_803_0	7		KAISER FOUNDATION HP, INC.	Kaiser Foundation Health Plan, Inc. (Hawaii)	www.kaiserpermanente.org	H1230	803	2007	01	01	1	Kaiser Permanente Employer Grp MA-PD		Islands of Oahu, Maui and Hawaii (except 3 zips)	1	0		2				2		(877)-447-5990	(877)-447-5990	(800)-805-2739	(800)-805-2739	13667	(800)-805-2739	(800)-805-2739	(877)-447-5990	(877)-447-5990
H1230	804	0	2	01	01	H1230_804_0	7		KAISER FOUNDATION HP, INC.	Kaiser Foundation Health Plan, Inc. (Hawaii)	www.kaiserpermanente.org	H1230	804	2007	01	01	2	Kaiser Permanente Emp Group MA-PD Part B		Islands of Oahu, Maui and Hawaii (except 3 zips)	1	0		2				2		(877)-447-5990	(877)-447-5990	(800)-805-2739	(800)-805-2739	37	(800)-805-2739	(800)-805-2739	(877)-447-5990	(877)-447-5990
H1251	001	0	1	18	06	H1251_001_0	6		HAWAII MED. SRVC. ASSN.	HMSA's 65C Plus	http://www.hmsa.com	H1251	001	2007	06	18	1	65C Plus Basic Option		State of Hawaii	2	0		2				2		(808)-948-6222	(808)-948-6222	(800)-776-4672	(800)-620-4672	200				
H1251	002	0	1	18	06	H1251_002_0	7		HAWAII MED. SRVC. ASSN.	HMSA's 65C Plus	http://www.hmsa.com	H1251	002	2007	06	18	1	65C Plus High Option		State of Hawaii	2	0		2				2		(808)-948-6222	(808)-948-6222	(800)-776-4672	(800)-620-4672	200				
H1251	003	0	1	18	06	H1251_003_0	7		HAWAII MED. SRVC. ASSN.	HMSA's 65C Plus	http://www.hmsa.com	H1251	003	2007	06	18	1	65C Plus Basic Option SRx		State of Hawaii	2	0		2				2		(808)-948-6222	(808)-948-6222	(808)-948-6000	(808)-948-5555	200	(800)-776-4672	(800)-620-4672	(808)-948-6222	(808)-948-6222
H1251	004	0	1	18	06	H1251_004_0	8		HAWAII MED. SRVC. ASSN.	HMSA's 65C Plus	http://www.hmsa.com	H1251	004	2007	06	18	1	65C Plus High Option SRx		State of Hawaii	2	0		2				2		(808)-948-6222	(808)-948-6222	(808)-948-6000	(808)-948-5555	200	(800)-776-4672	(800)-620-4672	(808)-948-6222	(808)-948-6222
H1251	007	0	1	18	06	H1251_007_0	6		HAWAII MED. SRVC. ASSN.	HMSA's 65C Plus	http://www.hmsa.com	H1251	007	2007	06	18	1	65C Plus Basic Option ERx		State of Hawaii	2	0		2				2		(808)-948-6222	(808)-948-6222	(808)-948-6000	(808)-948-5555	200	(800)-776-4672	(800)-620-4672	(808)-948-6222	(808)-948-6222
H1251	008	0	1	18	06	H1251_008_0	6		HAWAII MED. SRVC. ASSN.	HMSA's 65C Plus	http://www.hmsa.com	H1251	008	2007	06	18	1	65C Plus High Option ERx		State of Hawaii	2	0		2				2		(808)-948-6222	(808)-948-6222	(808)-948-6000	(808)-948-5555	200	(800)-776-4672	(800)-620-4672	(808)-948-6222	(808)-948-6222
H1251	801	0		18	06	H1251_801_0	4		HAWAII MED. SRVC. ASSN.	HMSA's 65C Plus	http://www.hmsa.com	H1251	801	2007	06	18		65C Plus Basic Option CY GRx		State of Hawaii	1	0		2						(808)-948-6222	(808)-948-6222	(808)-948-6000	(808)-948-5555		(800)-776-4672	(800)-620-4672	(808)-948-6222	(808)-948-6222
H1251	802	0		18	06	H1251_802_0	4		HAWAII MED. SRVC. ASSN.	HMSA's 65C Plus	http://www.hmsa.com	H1251	802	2007	06	18		65C Plus High Option CY GRx		State of Hawaii	1	0		2						(808)-948-6222	(808)-948-6222	(808)-948-6000	(808)-948-5555		(800)-776-4672	(800)-620-4672	(808)-948-6222	(808)-948-6222
H1251	803	0		18	06	H1251_803_0	4		HAWAII MED. SRVC. ASSN.	HMSA's 65C Plus	http://www.hmsa.com	H1251	803	2007	06	18		65C Plus Basic Option NCY GRx		State of Hawaii	1	0		2						(808)-948-6222	(808)-948-6222	(808)-948-6000	(808)-948-5555		(800)-776-4672	(800)-620-4672	(808)-948-6222	(808)-948-6222
H1251	804	0		18	06	H1251_804_0	3		HAWAII MED. SRVC. ASSN.	HMSA's 65C Plus	http://www.hmsa.com	H1251	804	2007	06	18		65C Plus High Option NCY GRx		State of Hawaii	1	0		2						(808)-948-6222	(808)-948-6222	(808)-948-6000	(808)-948-5555		(800)-776-4672	(800)-620-4672	(808)-948-6222	(808)-948-6222
H1254	001	0	1	09	04	H1254_001_0	2	1	UPMC HEALTH BENEFITS, INC.	UPMC Health Plan	www.upmchealthplan.com	H1254	001	2007	04	09	1	UPMC for Life PFFS (PA)		Pennsylvania	2	0		2				2		(800)-361-2629	(800)-361-2629	(877)-539-3080	(877)-381-3765					
H1254	002	0	1	09	04	H1254_002_0	2	1	UPMC HEALTH BENEFITS, INC.	UPMC Health Plan	www.upmchealthplan.com	H1254	002	2007	04	09	1	UPMC for Life PFFS (WV)		West Virginia	2	0		2				2		(800)-361-2629	(800)-361-2629	(877)-539-3080	(877)-381-3765					
H1254	003	0	1	09	04	H1254_003_0	2	1	UPMC HEALTH BENEFITS, INC.	UPMC Health Plan	www.upmchealthplan.com	H1254	003	2007	04	09	1	UPMC for Life PFFS (OH)		Ohio	2	0		2				2		(800)-361-2629	(800)-361-2629	(877)-539-3080	(877)-381-3765					
H1254	801	0	1	09	04	H1254_801_0	5	1	UPMC HEALTH BENEFITS, INC.	UPMC Health Plan	www.upmchealthplan.com	H1254	801	2007	04	09	1	UPMC Employer Group		National	1	0		2				2		(800)-361-2629	(800)-361-2629	(877)-539-3080	(877)-381-3765					
H1286	001	0	1	02	01	H1286_001_0	4		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H1286	001	2007	01	02	1	Evercare Plan IH-POS		Marion County	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(866)-480-0073	(800)-718-1259		(866)-480-0073	(800)-718-1259	(888)-685-8480	(888)-685-8480
H1286	002	0	1	02	01	H1286_002_0	6		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H1286	002	2007	01	02	1	MedicareComplete Plus Plan 1		Spokane County	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-480-0073	(866)-289-3831		(866)-480-0073	(866)-289-3831	(888)-685-8480	
H1286	003	0	1	02	01	H1286_003_0	4		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H1286	003	2007	01	02	1	MedicareComplete Plus Plan 2		Spokane County	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-480-0073	(866)-289-3831					
H1286	004	0	1	02	01	H1286_004_0	7		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H1286	004	2007	01	02	1	MedicareComplete Plus Plan 1		Clackamas,Marion,Multnomah and Washington Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-480-0073	(866)-289-3831		(866)-480-0073	(866)-289-3831	(888)-685-8480	
H1286	005	0	1	02	01	H1286_005_0	4		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H1286	005	2007	01	02	1	MedicareComplete Plus Plan 2		Clackamas,Marion,Multnomah and Washington Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-480-0073	(866)-289-3831					
H1286	801	0	1	02	01	H1286_801_0	7		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H1286	801	2007	01	02	1	MedicareComplete Plus		Spokane WA,Multnomah,Washing,Clackamas, Marion,OR	1	0		2				2		(888)-685-8480	(888)-685-8480	(866)-480-0073	(866)-289-3831		(866)-480-0073	(866)-289-3831	(888)-685-8480	
H1302	001	0	1	04	01	H1302_001_0	4		BLUE CROSS OF IDAHO HLTH SERVICES INC	Blue Cross Of Idaho Hlth Services Inc	bcidaho.com	H1302	001	2007	01	04	1	Secure Blue		Southwest and Southeast Idaho	2	0		2				2		(800)-377-1363	(800)-377-1363	(888)-494-2583	(888)-492-2583	191	(888)-494-2583	(888)-492-2583	(800)-377-1363	(800)-377-1363
H1302	002	0	1	04	01	H1302_002_0	3		BLUE CROSS OF IDAHO HLTH SERVICES INC	Blue Cross Of Idaho Hlth Services Inc	bcidaho.com	H1302	002	2007	01	04	1	Secure Blue		Bonner and Kootenai Counties	2	0		2				2		(800)-377-1363	(800)-377-1363	(888)-494-2583	(888)-492-2583	191	(888)-494-2583	(888)-492-2583	(800)-377-1363	(800)-377-1363
H1302	004	0	1	04	01	H1302_004_0	1		BLUE CROSS OF IDAHO HLTH SERVICES INC	Blue Cross Of Idaho Hlth Services Inc	bcidaho.com	H1302	004	2007	01	04	1	Secure Blue		Southwest and Southeast Idaho	2	0		2				2		(800)-377-1363	(800)-377-1363	(888)-494-2583	(888)-492-2583	191				
H1302	005	0	1	04	01	H1302_005_0	1		BLUE CROSS OF IDAHO HLTH SERVICES INC	Blue Cross Of Idaho Hlth Services Inc	bcidaho.com	H1302	005	2007	01	04	1	Secure Blue		Bonner and Kootenai Counties	2	0		2				2		(800)-377-1363	(800)-377-1363	(888)-494-2583	(888)-492-2583	191				
H1303	001	0	1	04	01	H1303_001_0	6		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H1303	001	2007	01	04	1	MedicareComplete Choice Plan 1		Ada and Canyon Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-289-7879	(800)-555-5757		(866)-289-7879	(800)-555-5757	(888)-685-8480	(888)-685-8480
H1303	003	0	1	04	01	H1303_003_0	3		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H1303	003	2007	01	04	1	MedicareComplete Choice Plan 2		Ada and Canyon Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-289-7879	(866)-732-2871					
H1303	004	0	1	04	01	H1303_004_0	4		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H1303	004	2007	01	04	1	Evercare Plan DP		Ada and Canyon Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5110	(888)-834-3721		(877)-702-5110	(888)-834-3721	(888)-685-8480	(888)-685-8480
H1303	801	0	1	04	01	H1303_801_0	5		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H1303	801	2007	01	04	1	MedicareComplete Choice		Ada and Canyon Counties	1	0		2				2		(888)-685-8480	(888)-685-8480	(866)-289-7879	(866)-732-2871		(866)-289-7879	(866)-732-2871	(888)-685-8480	(888)-685-8480
H1304	001	0	1	04	01	H1304_001_0	3		REGENCE BLUE SHIELD OF IDAHO	Regence BlueShield Of Idaho	www.id.regence.com	H1304	001	2007	01	04	1	MedAdvantage		Ada/Bing/Bonn/Cany/Koot/Mad/NezP	2	0		2				2		(800)-382-1003	(208)-798-2074	(800)-541-8981	(800)-632-2022					
H1304	002	0	1	04	01	H1304_002_0	3		REGENCE BLUE SHIELD OF IDAHO	Regence BlueShield Of Idaho	www.id.regence.com	H1304	002	2007	01	04	1	MedAdvantage + Rx		Ada/Bing/Bonn/Cany/Koot/Mad/NezP	2	0		2				2		(800)-382-1003	(208)-798-2074	(800)-541-8981	(800)-632-2022		(800)-541-8981	(800)-632-2022	(800)-382-1003	(208)-798-2074
H1304	004	0	1	04	01	H1304_004_0	3		REGENCE BLUE SHIELD OF IDAHO	Regence BlueShield Of Idaho	www.id.regence.com	H1304	004	2007	01	04	1	MedAdvantage + Enhanced RX		Ada/Bing/Bonn/Cany/Koot/Mad/NezP	2	0		2				2		(800)-382-1003	(208)-798-2074	(800)-541-8981	(800)-632-2022		(800)-541-8981	(800)-632-2022	(800)-382-1003	(208)-798-2074
H1340	002	0	1	09	04	H1340_002_0	2	2	ADVANCE/WELLCARE PFFS INSURANCE, INC.	WellCare	www.wellcare.com	H1340	002	2007	04	09	1	Duet		Multi-State Area 5	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111					
H1340	003	0	1	09	04	H1340_003_0	3	2	ADVANCE/WELLCARE PFFS INSURANCE, INC.	WellCare	www.wellcare.com	H1340	003	2007	04	09	1	Duet		Multi-State Area 6	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111					
H1340	004	0	1	09	04	H1340_004_0	4	2	ADVANCE/WELLCARE PFFS INSURANCE, INC.	WellCare	www.wellcare.com	H1340	004	2007	04	09	1	Duet		Multi-State Area 7	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111					
H1340	005	0	1	09	04	H1340_005_0	3	2	ADVANCE/WELLCARE PFFS INSURANCE, INC.	WellCare	www.wellcare.com	H1340	005	2007	04	09	1	Duet		Multi-State Area 8	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111					
H1340	006	0	1	09	04	H1340_006_0	3	2	ADVANCE/WELLCARE PFFS INSURANCE, INC.	WellCare	www.wellcare.com	H1340	006	2007	04	09	1	Summit		Multi-State Area 1	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H1340	007	0	1	09	04	H1340_007_0	3	2	ADVANCE/WELLCARE PFFS INSURANCE, INC.	WellCare	www.wellcare.com	H1340	007	2007	04	09	1	Summit		Multi-State Area 2	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H1340	008	0	1	09	04	H1340_008_0	5	2	ADVANCE/WELLCARE PFFS INSURANCE, INC.	WellCare	www.wellcare.com	H1340	008	2007	04	09	1	Summit		Multi-State Area 3	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H1340	009	0	1	09	04	H1340_009_0	3	2	ADVANCE/WELLCARE PFFS INSURANCE, INC.	WellCare	www.wellcare.com	H1340	009	2007	04	09	1	Summit		Multi-State Area 4	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H1340	010	0	1	09	04	H1340_010_0	3	2	ADVANCE/WELLCARE PFFS INSURANCE, INC.	WellCare	www.wellcare.com	H1340	010	2007	04	09	1	Summit		Multi-State Area 5	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H1340	011	0	1	09	04	H1340_011_0	3	2	ADVANCE/WELLCARE PFFS INSURANCE, INC.	WellCare	www.wellcare.com	H1340	011	2007	04	09	1	Summit		Multi-State Area 6	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H1340	012	0	1	09	04	H1340_012_0	3	2	ADVANCE/WELLCARE PFFS INSURANCE, INC.	WellCare	www.wellcare.com	H1340	012	2007	04	09	1	Freedom		Multi-State Area 1	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H1340	013	0	1	09	04	H1340_013_0	3	2	ADVANCE/WELLCARE PFFS INSURANCE, INC.	WellCare	www.wellcare.com	H1340	013	2007	04	09	1	Concert		Multi-State Area 1	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H1340	014	0	1	09	04	H1340_014_0	3	2	ADVANCE/WELLCARE PFFS INSURANCE, INC.	WellCare	www.wellcare.com	H1340	014	2007	04	09	1	Concert		Multi-State Area 2	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H1340	015	0	1	09	04	H1340_015_0	5	2	ADVANCE/WELLCARE PFFS INSURANCE, INC.	WellCare	www.wellcare.com	H1340	015	2007	04	09	1	Concert		Multi-State Area 3	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H1340	016	0	1	09	04	H1340_016_0	4	2	ADVANCE/WELLCARE PFFS INSURANCE, INC.	WellCare	www.wellcare.com	H1340	016	2007	04	09	1	Concert		Multi-State Area 4	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H1340	017	0	1	09	04	H1340_017_0	3	2	ADVANCE/WELLCARE PFFS INSURANCE, INC.	WellCare	www.wellcare.com	H1340	017	2007	04	09	1	Concert		Multi-State Area 5	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H1340	801	0	1	09	04	H1340_801_0	4	2	ADVANCE/WELLCARE PFFS INSURANCE, INC.	WellCare	www.wellcare.com	H1340	801	2007	04	09	1	Employer Plan 1		Nationwide	1	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H1340	802	0	1	09	04	H1340_802_0	4	2	ADVANCE/WELLCARE PFFS INSURANCE, INC.	WellCare	www.wellcare.com	H1340	802	2007	04	09	1	Employer Plan 2		Nationwide	1	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H1349	001	0	1	18	06	H1349_001_0	4		REGENCE BLUESHIELD OF IDAHO.	Regence BlueShield of Idaho	www.id.regence.com	H1349	001	2007	06	18	1	HealthSense 65 Basic		North, North Central and Southwest Idaho	2	0		2				2		(208)-798-2074	(208)-798-2074	(800)-856-3734	(800)-856-3734					
H1349	006	0	1	18	06	H1349_006_0	4		REGENCE BLUESHIELD OF IDAHO.	Regence BlueShield of Idaho	www.id.regence.com	H1349	006	2007	06	18	1	HealthSense 65 Plus		North, North Central and Southwest Idaho	2	0		2				2		(208)-798-2074	(208)-798-2074	(800)-856-3734	(800)-856-3734					
H1349	008	0	2	18	06	H1349_008_0	3		REGENCE BLUESHIELD OF IDAHO.	Regence BlueShield of Idaho	www.id.regence.com	H1349	008	2007	06	18	2	HealthSense 65 Part B		North, North Central and Southwest Idaho	2	0		2				2		(208)-798-2074	(208)-798-2074	(800)-856-3734	(800)-856-3734					
H1349	010	0	1	18	06	H1349_010_0	4		REGENCE BLUESHIELD OF IDAHO.	Regence BlueShield of Idaho	www.id.regence.com	H1349	010	2007	06	18	1	HealthSense 65 Classic		North, North Central and Southwest Idaho	2	0		2				2		(208)-798-2074	(208)-798-2074	(800)-856-3734	(800)-856-3734					
H1350	001	0	1	01	01	H1350_001_0	4		BLUE CROSS OF IDAHO HEALTH SERVICES, INC	Blue Cross of Idaho	www.bcidaho.com	H1350	001	2007	01	01	1	True Blue		Select Counties in Idaho	2	0		2				2		(800)-377-1363	(800)-377-1363	(888)-494-2583	(888)-492-2583	11346	(888)-494-2583	(888)-492-2583	(800)-377-1363	(800)-377-1363
H1350	002	0	1	01	01	H1350_002_0	4		BLUE CROSS OF IDAHO HEALTH SERVICES, INC	Blue Cross of Idaho	www.bcidaho.com	H1350	002	2007	01	01	1	True Blue		North Idaho	2	0		2				2		(800)-377-1363	(800)-377-1363	(888)-494-2583	(888)-492-2583	582	(888)-494-2583	(888)-492-2583	(800)-377-1363	(800)-377-1363
H1350	006	0	1	01	01	H1350_006_0	1		BLUE CROSS OF IDAHO HEALTH SERVICES, INC	Blue Cross of Idaho	www.bcidaho.com	H1350	006	2007	01	01	1	True Blue		Select Counties in Idaho	2	0		2				2		(800)-377-1363	(800)-377-1363	(888)-494-2583	(888)-492-2583	11346				
H1350	007	0	1	01	01	H1350_007_0	1		BLUE CROSS OF IDAHO HEALTH SERVICES, INC	Blue Cross of Idaho	www.bcidaho.com	H1350	007	2007	01	01	1	True Blue		North Idaho	2	0		2				2		(800)-377-1363	(800)-377-1363	(888)-494-2583	(888)-492-2583	153				
H1350	802	0	1	01	01	H1350_802_0	2		BLUE CROSS OF IDAHO HEALTH SERVICES, INC	Blue Cross of Idaho	www.bcidaho.com	H1350	802	2007	01	01	1	True Blue		Select Counties in North, SW and SE Idaho	1	0		2				2		(800)-377-1363	(800)-377-1363	(888)-494-2583	(888)-492-2583	115	(888)-494-2583	(888)-492-2583	(800)-377-1363	(800)-377-1363
H1406	006	0	1	01	01	H1406_006_0	4		HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	H1406	006	2007	01	01	1	Humana Gold Plus HMO H1406-006		Cook County	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(800)-833-3301
H1406	013	0	1	01	01	H1406_013_0	5		HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	H1406	013	2007	01	01	1	Humana Gold Plus HMO H1406-013		Cook County	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(800)-833-3301
H1406	014	0	1	01	01	H1406_014_0	4		HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	H1406	014	2007	01	01	1	Humana Gold Plus HMO H1406-014		Partial Kane and Kendall Counties	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(800)-833-3301
H1406	022	0	1	01	01	H1406_022_0	5		HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	H1406	022	2007	01	01	1	Humana Gold Plus HMO H1406-022		Partial Kane and Kendall Counties	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(800)-833-3301
H1406	024	0	1	01	01	H1406_024_0	5		HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	H1406	024	2007	01	01	1	Humana Gold Plus HMO H1406-024F		Cook County	2	0		1	3	2	1	2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(800)-833-3301
H1406	801	0	1	01	01	H1406_801_0	2		HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	H1406	801	2006	01	01	1	Humana Employer Sponsored		Chicago Area	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(800)-833-3301
H1406	802	0	1	01	01	H1406_802_0	2		HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	H1406	802	2007	01	01	1	Humana Employer Sponsored		Chicago Area	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H1406	803	0	1	01	01	H1406_803_0	2		HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	H1406	803	2007	01	01	1	Humana Employer Sponsored Non-CY		Cook, Kendall and Parts of Kane Counties	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(800)-833-3301
H1406	804	0	1	01	01	H1406_804_0	2		HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	H1406	804	2007	01	01	1	Humana Employer Sponsored Non-CY		Cook, Kendall and Parts of Kane Counties	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H1407	001	0	1	09	04	H1407_001_0	7	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1407	001	2007	04	09	1	Humana Gold Choice PFFS H1407-001		DuPage County	2	0		2				2		(800)-833-3301	(800)-833-3301	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1407	003	0	1	09	04	H1407_003_0	7	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1407	003	2007	04	09	1	Humana Gold Choice PFFS H1407-003		DuPage	2	0		2				2		(800)-833-3301	(800)-833-3301	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1415	004	0	1	01	01	H1415_004_0	3		HEALTHSPRING, INC.	HealthSpring, Inc.	www.myhealthspring.com/illinois.php	H1415	004	2007	01	01	1	HealthSpring Advantage PremieRx		DuPage,Kane,Lake,Will	2	0		2				2		(866)-806-5565	(866)-806-5565	(888)-588-4827	(888)-886-1993		(888)-588-4827	(888)-886-1993	(866)-806-5565	(866)-806-5565
H1415	005	0	1	01	01	H1415_005_0	4		HEALTHSPRING, INC.	HealthSpring, Inc.	www.myhealthspring.com/illinois.php	H1415	005	2007	01	01	1	HealthSpring Total Care		Chicago MSA	2	0		1	3	2	1	2		(866)-806-5565	(866)-806-5565	(888)-588-4827	(888)-886-1993		(888)-588-4827	(888)-886-1993	(866)-806-5565	(866)-806-5565
H1415	008	0	1	01	01	H1415_008_0	3		HEALTHSPRING, INC.	HealthSpring, Inc.	www.myhealthspring.com/illinois.php	H1415	008	2007	01	01	1	HealthSpring Advantage PremieRx		Cook County	2	0		2				2		(866)-806-5565	(866)-806-5565	(888)-588-4827	(888)-886-1993		(888)-588-4827	(888)-886-1993	(866)-806-5565	(866)-806-5565
H1415	009	0	1	01	01	H1415_009_0	3		HEALTHSPRING, INC.	HealthSpring, Inc.	www.myhealthspring.com/illinois.php	H1415	009	2007	01	01	1	HealthSpring Advantage		DuPage,Kane,Lake,Will	2	0		2				2		(866)-806-5565	(866)-806-5565	(888)-588-4827	(888)-886-1993					
H1415	010	0	1	01	01	H1415_010_0	3		HEALTHSPRING, INC.	HealthSpring, Inc.	www.myhealthspring.com/illinois.php	H1415	010	2007	01	01	1	HealthSpring Special Care		DuPage,Kane,Lake,Will,Cook	2	0		1	1	2	2	2		(866)-806-5565	(866)-806-5565	(888)-588-4827	(888)-886-1993		(888)-588-4827	(888)-886-1993	(866)-806-5565	(866)-806-5565
H1415	012	0	1	01	01	H1415_012_0	3		HEALTHSPRING, INC.	HealthSpring, Inc.	www.myhealthspring.com/illinois.php	H1415	012	2007	01	01	1	HealthSpring Advantage Basic		Cook County	2	0		2				2		(866)-806-5565	(866)-806-5565	(888)-588-4827	(888)-886-1993		(888)-588-4827	(888)-886-1993	(866)-806-5565	(866)-806-5565
H1415	013	0	1	01	01	H1415_013_0	3		HEALTHSPRING, INC.	HealthSpring, Inc.	www.myhealthspring.com/illinois.php	H1415	013	2007	01	01	1	HealthSpring Advantage		Cook County	2	0		2				2		(866)-806-5565	(866)-806-5565	(888)-588-4827	(888)-886-1993					
H1415	014	0	1	01	01	H1415_014_0	3		HEALTHSPRING, INC.	HealthSpring, Inc.	www.myhealthspring.com/illinois.php	H1415	014	2007	01	01	1	HealthSpring Advantage Basic		DuPage, Kane,Lake,Will	2	0		2				2		(866)-806-5565	(866)-806-5565	(888)-588-4827	(888)-886-1993		(888)-588-4827	(888)-886-1993	(866)-806-5565	(866)-806-5565
H1415	802	0	1	01	01	H1415_802_0	3		HEALTHSPRING, INC.	HealthSpring, Inc.	www.myhealthspring.com/illinois.php	H1415	802	2007	01	01	1	HealthSpring Retiree Advantage		Illinois	1	0		2				2		(866)-806-5565	(866)-806-5565	(888)-588-4827	(888)-886-1993					
H1415	804	0	1	01	01	H1415_804_0	6		HEALTHSPRING, INC.	HealthSpring, Inc.	www.myhealthspring.com/illinois.php	H1415	804	2007	01	01	1	HealthSpring Retiree Advantage Plus		Illinois	1	0		2				2		(866)-806-5565	(866)-806-5565	(888)-588-4827	(888)-886-1993		(888)-588-4827	(888)-886-1993	(866)-806-5565	(866)-806-5565
H1415	805	0	1	01	01	H1415_805_0	3		HEALTHSPRING, INC.	HealthSpring, Inc.	www.myhealthspring.com/illinois.php	H1415	805	2007	01	01	1	HealthSpring Retiree AdvantageOne		Illinois	1	0		2				2		(866)-806-5565	(866)-806-5565	(888)-588-4827	(888)-886-1993					
H1415	806	0	1	01	01	H1415_806_0	6		HEALTHSPRING, INC.	HealthSpring, Inc.	www.myhealthspring.com/illinois.php	H1415	806	2007	01	01	1	HealthSpring Advantage Retiree Plus1		Illinois	1	0		2				2		(866)-806-5565	(866)-806-5565	(888)-588-4827	(888)-886-1993		(888)-588-4827	(888)-886-1993	(866)-806-5565	(866)-806-5565
H1416	001	0	1	01	01	H1416_001_0	7		HARMONY HEALTH PLAN OF ILLINOIS, INC.	WellCare	www.wellcare.com	H1416	001	2007	01	01	1	WellCare Choice		Will County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-7339		(888)-888-9355	(866)-238-7339	(877)-247-6272	(877)-247-6272
H1416	002	0	1	01	01	H1416_002_0	7		HARMONY HEALTH PLAN OF ILLINOIS, INC.	WellCare	www.wellcare.com	H1416	002	2007	01	01	1	WellCare Choice		Cook County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-7339		(888)-888-9355	(866)-238-7339	(877)-247-6272	(877)-247-6272
H1416	003	0	1	01	01	H1416_003_0	3		HARMONY HEALTH PLAN OF ILLINOIS, INC.	WellCare	www.wellcare.com	H1416	003	2007	01	01	1	WellCare Select		Cook and Will Counties	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-7339		(888)-888-9355	(866)-238-7339	(877)-247-6272	(877)-247-6272
H1416	007	0	1	01	01	H1416_007_0	4		HARMONY HEALTH PLAN OF ILLINOIS, INC.	WellCare	www.wellcare.com	H1416	007	2007	01	01	1	WellCare Access		Cook  and Will Counties	2	0		1	3	1	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-7339		(888)-888-9355	(866)-238-7339	(877)-247-6272	(877)-247-6272
H1416	009	0	1	01	01	H1416_009_0	6		HARMONY HEALTH PLAN OF ILLINOIS, INC.	WellCare	www.wellcare.com	H1416	009	2007	01	01	1	WellCare Value		Cook and Will County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-7339		(888)-888-9355	(866)-238-7339	(877)-247-6272	(877)-247-6272
H1417	001	0	1	04	01	H1417_001_0	3		HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	H1417	001	2007	01	04	1	Health Alliance Medicare PPO10		Central Illinois	2	0		2				2		(866)-883-8551	(866)-883-8551	(800)-965-4022	(800)-965-4022	4112				
H1417	002	0	1	04	01	H1417_002_0	5		HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	H1417	002	2007	01	04	1	Health Alliance Medicare PPO10 Rx		Central Illinois	2	0		2				2		(866)-883-8551	(866)-883-8551	(800)-965-4022	(800)-965-4022	6775	(800)-788-2949	(800)-965-4022	(866)-883-8551	(866)-883-8551
H1417	003	0	1	04	01	H1417_003_0	3		HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	H1417	003	2007	01	04	1	Health Alliance Medicare PPO30		Central Illinois	2	0		2				2		(866)-883-8551	(866)-883-8551	(800)-965-4022	(800)-965-4022	2545				
H1417	004	0	1	04	01	H1417_004_0	5		HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	H1417	004	2007	01	04	1	Health Alliance Medicare PPO30 Rx		Central Illinois	2	0		2				2		(866)-883-8551	(866)-883-8551	(800)-965-4022	(800)-965-4022	4605	(800)-788-2949	(800)-965-4022	(866)-883-8551	(866)-883-8551
H1417	005	0	1	04	01	H1417_005_0	5		HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	H1417	005	2007	01	04	1	Health Alliance Medicare PPO10 Rx Plus		Central Illinois	2	0		2				2		(866)-883-8551	(866)-883-8551	(800)-965-4022	(800)-965-4022	2258	(800)-788-2949	(800)-965-4022	(866)-883-8551	(866)-883-8551
H1417	006	0	1	04	01	H1417_006_0	5		HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	H1417	006	2007	01	04	1	Health Alliance Medicare PPO30 Rx Plus		Central Illinois	2	0		2				2		(866)-883-8551	(866)-883-8551	(800)-965-4022	(800)-965-4022	1535	(800)-788-2949	(800)-965-4022	(866)-883-8551	(866)-883-8551
H1417	801	0	1	04	01	H1417_801_0	5		HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	H1417	801	2007	01	04	1	Medicare Employer PPO		Illinois	1	0		2				2		(866)-883-8551	(866)-883-8551	(800)-965-4022	(800)-965-4022	150				
H1417	802	0	1	04	01	H1417_802_0	6		HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	H1417	802	2007	01	04	1	Medicare Employer PPO Rx		Illinois	1	0		2				2		(866)-883-8551	(866)-883-8551	(800)-965-4022	(800)-965-4022	405	(800)-788-2949	(800)-965-4022	(866)-883-8551	(866)-883-8551
H1417	808	0	1	04	01	H1417_808_0	6		HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	H1417	808	2007	01	04	1	Medicare Employer PPO Rx PY		Illinois	1	0		2				2		(866)-883-8551	(866)-883-8551	(800)-965-4022	(800)-965-4022	45	(800)-788-2949	(800)-965-4022	(866)-883-8551	(866)-883-8551
H1418	002	0	1	04	01	H1418_002_0	6		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1418	002	2007	01	04	1	HumanaChoicePPO PPO H1418-002		Chicago Metro Area	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1418	801	0	1	04	01	H1418_801_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1418	801	2007	01	04	1	Humana Employer Sponsored		Chicago Metro Area	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1418	802	0	1	04	01	H1418_802_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1418	802	2007	01	04	1	Humana Employer Sponsored		Chicago Metro Area	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H1418	803	0	1	04	01	H1418_803_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1418	803	2007	01	04	1	Humana Employer Sponsored Non-CY		Chi	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1418	804	0	1	04	01	H1418_804_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1418	804	2007	01	04	1	Humana Employer Sponsored Non-CY		Chicago Metro Area	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H1419	001	0	1	01	01	H1419_001_0	4		AETNA HEALTH OF ILLINOIS, INC.	Aetna Medicare	http://www.aetnamedicare.com	H1419	001	2007	01	01	1	Aetna Golden Medicare Value Plan		Cook County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H1419	002	0	1	01	01	H1419_002_0	3		AETNA HEALTH OF ILLINOIS, INC.	Aetna Medicare	http://www.aetnamedicare.com	H1419	002	2007	01	01	1	Aetna Golden Medicare Standard Plan		Cook County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H1419	003	0	1	01	01	H1419_003_0	3		AETNA HEALTH OF ILLINOIS, INC.	Aetna Medicare	http://www.aetnamedicare.com	H1419	003	2007	01	01	1	Aetna Golden Medicare Premier Plan		Cook County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H1419	004	0	1	01	01	H1419_004_0	5		AETNA HEALTH OF ILLINOIS, INC.	Aetna Medicare	http://www.aetnamedicare.com	H1419	004	2007	01	01	1	Aetna Golden Medicare Special Plan		Cook County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H1419	801	0	1	01	01	H1419_801_0	1		AETNA HEALTH OF ILLINOIS, INC.	Aetna Medicare	http://www.aetnamedicare.com	H1419	801	2007	01	01	1	Aetna Golden Medicare Plan		Cook and Will Counties	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H1419	802	0	1	01	01	H1419_802_0	1		AETNA HEALTH OF ILLINOIS, INC.	Aetna Medicare	http://www.aetnamedicare.com	H1419	802	2007	01	01	1	Aetna Golden Medicare Plan w/Rx CY		Cook and Will Counties	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H1420	001	0	1	04	01	H1420_001_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H1420	001	2007	01	04	1	Aetna Golden Choice Standard Plan		Cook County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H1420	002	0	1	04	01	H1420_002_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H1420	002	2007	01	04	1	Aetna Golden Choice Premier Plan		Cook County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H1420	801	0	1	04	01	H1420_801_0	1		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H1420	801	2007	01	04	1	Aetna Golden Choice Plan		Cook County	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H1420	802	0	1	04	01	H1420_802_0	1		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H1420	802	2007	01	04	1	Aetna Golden Choice Plan w/Rx CY		Cook County	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H1463	001	0	1	01	01	H1463_001_0	3		HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	H1463	001	2007	01	01	1	Health Alliance Medicare HMO20		East Central Illinois	2	0		2				2		(866)-883-8551	(866)-883-8551	(800)-965-4022	(800)-965-4022	39827				
H1463	002	0	1	01	01	H1463_002_0	2		HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	H1463	002	2007	01	01	1	Health Alliance Medicare HMO30		East Central Illinois	2	0		2				2		(866)-883-8551	(866)-883-8551	(800)-965-4022	(800)-965-4022	1292				
H1463	003	0	1	01	01	H1463_003_0	4		HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	H1463	003	2007	01	01	1	Health Alliance Medicare HMO20 Rx		East Central Illinois	2	0		2				2		(866)-883-8551	(866)-883-8551	(800)-965-4022	(800)-965-4022	35819	(800)-788-2949	(800)-965-4022	(866)-883-8551	(866)-883-8551
H1463	004	0	1	01	01	H1463_004_0	4		HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	H1463	004	2007	01	01	1	Health Alliance Medicare HMO30 Rx		East Central Illinois	2	0		2				2		(866)-883-8551	(866)-883-8551	(800)-965-4022	(800)-965-4022	2108	(800)-788-2949	(800)-965-4022	(866)-883-8551	(866)-883-8551
H1463	005	0	1	01	01	H1463_005_0	4		HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	H1463	005	2007	01	01	1	Health Alliance Medicare HMO20 Rx Plus		East Central Illinois	2	0		2				2		(866)-883-8551	(866)-883-8551	(800)-965-4022	(800)-965-4022	11939	(800)-788-2949	(800)-965-4022	(866)-883-8551	(866)-883-8551
H1463	006	0	1	01	01	H1463_006_0	4		HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	H1463	006	2007	01	01	1	Health Alliance Medicare HMO30 Rx Plus		East Central Illinois	2	0		2				2		(866)-883-8551	(866)-883-8551	(800)-965-4022	(800)-965-4022	702	(800)-788-2949	(800)-965-4022	(866)-883-8551	(866)-883-8551
H1463	801	0	1	01	01	H1463_801_0	5		HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	H1463	801	2007	01	01	1	Medicare Employer HMO		Illinois	1	0		2				2		(866)-883-8551	(866)-883-8551	(800)-965-4022	(800)-965-4022	1798				
H1463	802	0	1	01	01	H1463_802_0	5		HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	H1463	802	2007	01	01	1	Medicare Employer HMO Rx		Illinois	1	0		2				2		(866)-883-8551	(866)-883-8551	(800)-965-4022	(800)-965-4022	2754	(800)-788-2949	(800)-965-4022	(866)-883-8551	(866)-883-8551
H1463	808	0	1	01	01	H1463_808_0	5		HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	H1463	808	2007	01	01	1	Medicare Employer HMO Rx PY		Illinois	1	0		2				2		(866)-883-8551	(866)-883-8551	(800)-965-4022	(800)-965-4022	306	(800)-788-2949	(800)-965-4022	(866)-883-8551	(866)-883-8551
H1468	004	0	1	01	01	H1468_004_0	2		OSF HEALTHPLANS, INC.	OSF Care Advantage	www.OSFMedicare.com	H1468	004	2007	01	01	1	OSF Care Advantage Rx		Central Illinois	2	0		2				2		(888)-817-0139	(888)-817-0139	(877)-677-8203	(877)-677-8205	1978	(877)-677-8203	(877)-677-8205	(888)-817-0139	(888)-817-0139
H1468	005	0	1	01	01	H1468_005_0	3		OSF HEALTHPLANS, INC.	OSF Care Advantage	www.OSFMedicare.com	H1468	005	2007	01	01	1	OSF Care Advantage		Central Illinois	2	0		2				2		(888)-817-0139	(888)-817-0139	(877)-677-8203	(877)-677-8205	7				
H1468	006	0	1	01	01	H1468_006_0	2		OSF HEALTHPLANS, INC.	OSF Care Advantage	www.OSFMedicare.com	H1468	006	2007	01	01	1	OSF Care Advantage Rx Plus		Central Illinois	2	0		2				2		(888)-817-0139	(888)-817-0139	(877)-677-8203	(877)-677-8205	52	(877)-677-8203	(877)-677-8205	(888)-817-0139	(888)-817-0139
H1468	007	0	1	01	01	H1468_007_0	4		OSF HEALTHPLANS, INC.	OSF Care Advantage	www.OSFMedicare.com	H1468	007	2007	01	01	1	OSF Care Advantage Basic Rx		Central Illinois	2	0		2				2		(888)-817-0139	(888)-817-0139	(877)-677-8203	(877)-677-8205	851	(877)-677-8203	(877)-677-8205	(888)-817-0139	(888)-817-0139
H1509	001	0	1	04	01	H1509_001_0	5		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H1509	001	2007	01	04	1	MedicareComplete Choice Plan 1		Adams,Allen,Fulton,Kosciusko,St.Joseph&Wells Co.	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-540-5908	(800)-555-5757		(866)-540-5908	(800)-555-5757	(888)-685-8480	(888)-685-8480
H1509	003	0	1	04	01	H1509_003_0	4		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H1509	003	2007	01	04	1	MedicareComplete Choice Plan 2		Adams,Allen, Fulton,Kosciusko, St Joseph& WellsCos	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-540-5908	(800)-450-8590					
H1509	004	0	1	04	01	H1509_004_0	6		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H1509	004	2007	01	04	1	Evercare Plan DP		Adams,Allen,Fulton,Kosciusko, St Joseph, Wells Cos	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5110	(888)-834-3721		(877)-702-5110	(888)-834-3721	(888)-685-8480	(888)-685-8480
H1509	801	0	1	04	01	H1509_801_0	4		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H1509	801	2007	01	04	1	MedicareComplete Choice		Adams,Allen,Fulton,Kosciusko,St Joseph,Wells Cos	1	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5548	(888)-867-5548		(888)-867-5548	(888)-867-5548	(888)-685-8480	(888)-685-8480
H1510	001	0	1	04	01	H1510_001_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1510	001	2007	01	04	1	HumanaChoicePPO PPO H1510-001		Indianapolis Metro Area	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1510	801	0	1	04	01	H1510_801_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1510	801	2007	01	04	1	Humana Employer Sponsored		Hamiliton, Madison, Marion counties	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1510	802	0	1	04	01	H1510_802_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1510	802	2007	01	04	1	Humana Employer Sponsored		Indianapolis Metro Area	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H1510	803	0	1	04	01	H1510_803_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1510	803	2007	01	04	1	Humana Employer Sponsored Non-CY		Indianapolis Metro Area	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1510	804	0	1	04	01	H1510_804_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1510	804	2007	01	04	1	Humana Employer Sponsored Non-CY		Indianapolis Metro Area	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H1511	001	0	1	01	01	H1511_001_0	7		ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	H1511	001	2007	01	01	1	Anthem Senior Advantage Basic		Clark, Floyd, & Harrison Counties	2	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	59	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
H1511	005	0	1	01	01	H1511_005_0	7		ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	H1511	005	2007	01	01	1	Anthem Senior Advantage Enhanced		Clark, Floyd, & Harrison Counties	2	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	28	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
H1511	801	0	1	01	01	H1511_801_0	4		ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	H1511	801	2007	01	01	1	Anthem Senior Advantage Group		Indiana	1	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	80	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
H1511	803	0	1	01	01	H1511_803_0	2		ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	H1511	803	2007	01	01	1	Anthem Senior Advantage Group		Indiana	1	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	9				
H1553	001	0	1	18	06	H1553_001_0	3		THE M PLAN, INC.	The M Plan, Senior Smart Choice	www.mplan.com	H1553	001	2007	06	18	1	Senior Smart Choice Low Option		Indianapolis Metropolitan Area	2	0		2				2		(317)-580-4680	(317)-580-4680	(317)-580-4520	(317)-580-4520	7000				
H1553	002	0	1	18	06	H1553_002_0	3		THE M PLAN, INC.	The M Plan, Senior Smart Choice	www.mplan.com	H1553	002	2007	06	18	1	Senior Smart Choice High Option		Indianapolis Metropolitan Area	2	0		2				2		(317)-580-4680	(317)-580-4680	(317)-580-4520	(317)-580-4520	7000				
H1553	005	0	1	18	06	H1553_005_0	2		THE M PLAN, INC.	The M Plan, Senior Smart Choice	www.mplan.com	H1553	005	2007	06	18	1	Senior Smart Choice Basic Option		Indianapolis Metropolitan Area	2	0		2				2		(317)-580-4680	(317)-580-4680	(317)-580-4520	(317)-580-4520	12				
H1555	001	0	1	18	06	H1555_001_0	2		ARNETT HMO	Arnett HMO	arnettplans.com	H1555	001	2007	06	18	1	Arnett Gold Basic		North Central Indiana	2	0		2				2		(800)-743-3333	(800)-743-3333	(888)-448-7440	(888)-448-7440	5000				
H1555	002	0	1	18	06	H1555_002_0	2		ARNETT HMO	Arnett HMO	arnettplans.com	H1555	002	2007	06	18	1	Arnett Gold Plus		North Central Indiana	2	0		2				2		(800)-743-3333	(800)-743-3333	(888)-448-7440	(888)-448-7440	5000				
H1558	003	0	1	18	06	H1558_003_0	1		WELBORN HEALTH PLAN	Welborn Health Plans	www.welbornhealthplans.com	H1558	003	2007	06	18	1	Medicare  Basic Plan		Gibson,Posey,Spencer,Warrick,Vanderburgh counties	2	0		2				2		(800)-743-3333	(800)-743-3333	(800)-521-0265	(800)-521-0265	50				
H1558	004	0	1	18	06	H1558_004_0	1		WELBORN HEALTH PLAN	Welborn Health Plans	www.welbornhealthplans.com	H1558	004	2007	06	18	1	Medicare Plus Plan		Gibson,Posey,Spencer,Warrick, Vanderburgh counties	2	0		2				2		(800)-743-3333	(800)-743-3333	(800)-521-0265	(800)-521-0265	4500				
H1558	005	0	2	18	06	H1558_005_0	1		WELBORN HEALTH PLAN	Welborn Health Plans	www.welbornhealthplans.com	H1558	005	2007	06	18	2	Medicare Part B Plan		Gibson,Posey,Spencer,Warrick,Vanderburgh counties	2	0		2				2		(800)-743-3333	(800)-743-3333	(800)-521-0265	(800)-521-0265	0				
H1607	001	0	1	04	01	H1607_001_0	6		ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	H1607	001	2007	01	04	1	Anthem Medicare Preferred Standard		Indianapolis, Ft. Wayne, South Bend, Louisville	2	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	630	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
H1607	002	0	1	04	01	H1607_002_0	7		ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	H1607	002	2007	01	04	1	Anthem Medicare Preferred Premier		Indianapolis, Ft. Wayne, South Bend, Louisville	2	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	476	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
H1607	801	0	1	04	01	H1607_801_0	4		ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	H1607	801	2007	01	04	1	Anthem Medicare Preferred Group		Indiana	1	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	8	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
H1608	001	0	1	04	01	H1608_001_0	7		COVENTRY HEALTH AND LIFE INS COMPANY	Coventry Health And Life Insurance Company	www.ia.chcadvantra.com	H1608	001	2007	01	04	1	Coventry Advantra Platinum PPO		Black Hawk, Dallas, Polk, Scott & Warren Counties	2	0		2				2		(877)-231-0573	(877)-231-0573	(866)-901-4692	(866)-363-4692	3243	(866)-901-4692	(866)-363-4692	(877)-231-0573	(877)-231-0573
H1608	801	0	1	04	01	H1608_801_0	7		COVENTRY HEALTH AND LIFE INS COMPANY	Coventry Health And Life Insurance Company	www.ia.chcadvantra.com	H1608	801	2007	01	04	1	PPO-EmGp/No Rx/Cyear		State of Iowa	1	0		2				2		(877)-231-0573	(877)-231-0573	(866)-901-4692	(866)-363-4692	43				
H1608	802	0	1	04	01	H1608_802_0	5		COVENTRY HEALTH AND LIFE INS COMPANY	Coventry Health And Life Insurance Company	www.ia.chcadvantra.com	H1608	802	2007	01	04	1	PPO-EmGp/Comm4/Cyear		State of Iowa	1	0		2				2		(877)-231-0573	(877)-231-0573	(866)-901-4692	(866)-363-4692	43	(866)-901-4692	(866)-363-4692	(877)-231-0573	(877)-231-0573
H1608	803	0	1	04	01	H1608_803_0	5		COVENTRY HEALTH AND LIFE INS COMPANY	Coventry Health And Life Insurance Company	www.ia.chcadvantra.com	H1608	803	2007	01	04	1	PPO-EmGp/Comm4/NonCyear		State of Iowa	1	0		2				2		(877)-231-0573	(877)-231-0573	(866)-901-4692	(866)-363-4692	43	(866)-901-4692	(866)-363-4692	(877)-231-0573	(877)-231-0573
H1608	806	0	1	04	01	H1608_806_0	7		COVENTRY HEALTH AND LIFE INS COMPANY	Coventry Health And Life Insurance Company	www.ia.chcadvantra.com	H1608	806	2007	01	04	1	PPO-EmGp/No Rx/NonCyear		State of Iowa	1	0		2				2		(877)-231-0573	(877)-231-0573	(866)-901-4692	(866)-363-4692	43				
H1609	001	0	1	01	01	H1609_001_0	8		COVENTRY HEALTH CARE OF IOWA, INC.	Coventry Health Care Of Iowa, Inc.	www.ia.chcadvantra.com	H1609	001	2007	01	01	1	Coventry Advantra Silver		Partial State of Iowa	2	0		2				2		(877)-231-0573	(877)-231-0573	(866)-901-4692	(866)-363-4692	12169	(866)-901-4692	(866)-363-4692	(877)-231-0573	(877)-231-0573
H1609	002	0	1	01	01	H1609_002_0	7		COVENTRY HEALTH CARE OF IOWA, INC.	Coventry Health Care Of Iowa, Inc.	www.ia.chcadvantra.com	H1609	002	2007	01	01	1	Coventry Advantra Bronze		Partial State of Iowa	2	0		2				2		(877)-231-0573	(877)-231-0573	(866)-901-4692	(866)-363-4692	582				
H1609	003	0	1	01	01	H1609_003_0	8		COVENTRY HEALTH CARE OF IOWA, INC.	Coventry Health Care Of Iowa, Inc.	www.ia.chcadvantra.com	H1609	003	2007	01	01	1	Coventry Advantra Gold		Partial State of Iowa	2	0		2				2		(877)-231-0573	(877)-231-0573	(866)-901-4692	(866)-363-4692	1806	(866)-901-4692	(866)-363-4692	(877)-231-0573	(877)-231-0573
H1609	801	0	1	01	01	H1609_801_0	6		COVENTRY HEALTH CARE OF IOWA, INC.	Coventry Health Care Of Iowa, Inc.	www.ia.chcadvantra.com	H1609	801	2007	01	01	1	HMO-EmGp/No Rx/Cyear		State of Iowa	1	0		2				2		(877)-231-0573	(877)-231-0573	(866)-901-4692	(866)-363-4692	192				
H1609	802	0	1	01	01	H1609_802_0	4		COVENTRY HEALTH CARE OF IOWA, INC.	Coventry Health Care Of Iowa, Inc.	www.ia.chcadvantra.com	H1609	802	2007	01	01	1	HMO-EmGp/Comm4/Cyear		State of Iowa	1	0		2				2		(877)-231-0573	(877)-231-0573	(866)-901-4692	(866)-363-4692	192	(866)-901-4692	(866)-363-4692	(877)-231-0573	(877)-231-0573
H1609	803	0	1	01	01	H1609_803_0	4		COVENTRY HEALTH CARE OF IOWA, INC.	Coventry Health Care Of Iowa, Inc.	www.ia.chcadvantra.com	H1609	803	2007	01	01	1	HMO-EmGp/Comm4/NonCyear		State of Iowa	1	0		2				2		(877)-231-0573	(877)-231-0573	(866)-901-4692	(866)-363-4692	192	(866)-901-4692	(866)-363-4692	(877)-231-0573	(877)-231-0573
H1609	806	0	1	01	01	H1609_806_0	6		COVENTRY HEALTH CARE OF IOWA, INC.	Coventry Health Care Of Iowa, Inc.	www.ia.chcadvantra.com	H1609	806	2007	01	01	1	HMO-EmGp/No Rx/NonCyear		State of Iowa	1	0		2				2		(877)-231-0573	(877)-231-0573	(866)-901-4692	(866)-363-4692	192				
H1651	001	0	1	18	06	H1651_001_0	1		MEDICAL ASSOCIATES HEALTH PLAN, INC.	Medical Associates Health Plan, Inc.	mahealthcare.com	H1651	001	2007	06	18	1	Medical Associates Advantage Plus Plan		Eastern Iowa	2	0		2				2		(800)-735-2943	(800)-735-2943	(866)-821-1365	(800)-747-8900	4600				
H1651	002	0	1	18	06	H1651_002_0	1		MEDICAL ASSOCIATES HEALTH PLAN, INC.	Medical Associates Health Plan, Inc.	mahealthcare.com	H1651	002	2007	06	18	1	Medical Associates Advantage Plan		Eastern Iowa	2	0		2				2		(800)-735-2943	(800)-735-2943	(866)-821-1365	(800)-747-8900	0				
H1651	003	0	1	18	06	H1651_003_0	1		MEDICAL ASSOCIATES HEALTH PLAN, INC.	Medical Associates Health Plan, Inc.	mahealthcare.com	H1651	003	2007	06	18	1	Medical Associates Advantage Plan		Northwest Illinois	2	0		2				2		(800)-735-2943	(800)-735-2943	(866)-821-1365	(800)-747-8900	950				
H1651	004	0	1	18	06	H1651_004_0	1		MEDICAL ASSOCIATES HEALTH PLAN, INC.	Medical Associates Health Plan, Inc.	mahealthcare.com	H1651	004	2007	06	18	1	MAHP Medicare Community Plan		Northeast Iowa	2	0		2				2		(800)-735-2943	(800)-735-2943	(866)-821-1365	(800)-747-8900	300				
H1651	005	0	1	18	06	H1651_005_0	1		MEDICAL ASSOCIATES HEALTH PLAN, INC.	Medical Associates Health Plan, Inc.	mahealthcare.com	H1651	005	2007	06	18	1	MAHP Medicare Community Plan		Northwest IL	2	0		2				2		(800)-735-2943	(800)-735-2943	(866)-821-1365	(800)-747-8900	100				
H1689	002	0	1	09	04	H1689_002_0	6	2	ANTHEM INSURANCE COMPANIES, INC.	Anthem Insurance Companies, Inc.	www.anthem.com	H1689	002	2007	04	09	1	SmartValue Plus		Larimer County, CO	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	289	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H1689	003	0	1	09	04	H1689_003_0	2	2	ANTHEM INSURANCE COMPANIES, INC.	Anthem Insurance Companies, Inc.	www.wellpoint.com	H1689	003	2007	04	09	1	SmartValue Classic		Middlesex County, CT	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	1157				
H1689	004	0	1	09	04	H1689_004_0	7	2	ANTHEM INSURANCE COMPANIES, INC.	Anthem Insurance Companies, Inc.	www.anthem.com	H1689	004	2007	04	09	1	SmartValue Plus		Middlesex County, CT	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	289	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H1689	006	0	1	09	04	H1689_006_0	7	2	ANTHEM INSURANCE COMPANIES, INC.	Anthem Insurance Companies, Inc.	www.anthem.com	H1689	006	2007	04	09	1	SmartValue Plus		Hall County, GA	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	6	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H1689	007	0	1	09	04	H1689_007_0	3	2	ANTHEM INSURANCE COMPANIES, INC.	Anthem Insurance Companies, Inc.	www.wellpoint.com	H1689	007	2007	04	09	1	SmartValue Classic		Elkhart County, IN	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	10				
H1689	008	0	1	09	04	H1689_008_0	2	2	ANTHEM INSURANCE COMPANIES, INC.	Anthem Insurance Companies, Inc.	www.wellpoint.com	H1689	008	2007	04	09	1	SmartValue Classic		Fayette County, KY	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	10				
H1689	009	0	1	09	04	H1689_009_0	2	2	ANTHEM INSURANCE COMPANIES, INC.	Anthem Insurance Companies, Inc.	www.wellpoint.com	H1689	009	2007	04	09	1	SmartValue Classic		New Hampshire	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	1157				
H1689	010	0	1	09	04	H1689_010_0	7	2	ANTHEM INSURANCE COMPANIES, INC.	Anthem Insurance Companies, Inc.	www.anthem.com	H1689	010	2007	04	09	1	SmartValue Plus		New Hampshire	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	289	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H1689	011	0	1	09	04	H1689_011_0	2	2	ANTHEM INSURANCE COMPANIES, INC.	Anthem Insurance Companies, Inc.	www.wellpoint.com	H1689	011	2007	04	09	1	SmartValue Classic		Butler County, Ohio	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	10				
H1689	012	0	1	09	04	H1689_012_0	3	2	ANTHEM INSURANCE COMPANIES, INC.	Anthem Insurance Companies, Inc.	www.wellpoint.com	H1689	012	2007	04	09	1	SmartValue Classic		Virginia	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	1157				
H1689	013	0	1	09	04	H1689_013_0	8	2	ANTHEM INSURANCE COMPANIES, INC.	Anthem Insurance Companies, Inc.	www.anthem.com	H1689	013	2007	04	09	1	SmartValue Plus		Virginia	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	289	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H1689	015	0	1	09	04	H1689_015_0	7	2	ANTHEM INSURANCE COMPANIES, INC.	Anthem Insurance Companies, Inc.	www.anthem.com	H1689	015	2007	04	09	1	SmartValue Plus		Marathon County, WI	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	50	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H1689	801	0	1	09	04	H1689_801_0	5	2	ANTHEM INSURANCE COMPANIES, INC.	Anthem Insurance Companies, Inc.	www.anthem.com	H1689	801	2007	04	09	1	SmartValue Group Plan I		CO, CT, GA, IN, KY, NH, OH, WI	1	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	34000	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H1689	802	0	1	09	04	H1689_802_0	4	2	ANTHEM INSURANCE COMPANIES, INC.	Anthem Insurance Companies, Inc.	www.wellpoint.com	H1689	802	2007	04	09	1	SmartValue Group Plan II		CO, CT, GA, IN, KY, NH, OH, WI	1	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	34000				
H1689	803	0	1	09	04	H1689_803_0	5	2	ANTHEM INSURANCE COMPANIES, INC.	Anthem Insurance Companies, Inc.	www.anthem.com	H1689	803	2007	04	09	1	SmartValue Group Plan III		CO, CT, GA, IN, KY, NH, OH, WI	1	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	34000	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H1714	001	0	1	20	08	H1714_001_0	3		VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS	Via Christi HOPE	www.viachristihope.com	H1714	001	2007	08	20	1	Via Christi HOPE		Via Christi HOPE	2	0		2				2						215	(800)-999-9999	(800)-999-9999		
H1714	002	0	1	20	08	H1714_002_0	3		VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS	Via Christi HOPE	www.viachristihope.com	H1714	002	2007	08	20	1	Via Christi HOPE		Sedgwick Co, KS	2	0		2				2						5	(800)-999-9999	(800)-999-9999		
H1716	001	0	1	04	01	H1716_001_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1716	001	2007	01	04	1	HumanaChoicePPO PPO H1716-001		Johnson, KS, Jackson, Clay, Platte, Cass, MO	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1716	801	0	1	04	01	H1716_801_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1716	801	2007	01	04	1	Humana Employer Sponsored		Johnson, KS, Jackson, Clay, Platte, Cass, MO	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1716	802	0	1	04	01	H1716_802_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1716	802	2007	01	04	1	Humana Employer Sponsored		Johnson, KS, Cass, Clay, Jackson, Platte, MO	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H1716	803	0	1	04	01	H1716_803_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1716	803	2007	01	04	1	Humana Employer Sponsored Non-CY		Johnson, KS, Cass, Clay, Jackson, Platte, MO	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1716	804	0	1	04	01	H1716_804_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1716	804	2007	01	04	1	Humana Employer Sponsored Non-CY		Johnson, KS, Cass, Clay, Jackson, Platte, MO	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H1717	001	0	1	04	01	H1717_001_0	7		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H1717	001	2007	01	04	1	MedicareComplete Choice Plan 1		Sedgwick County	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-815-5326	(800)-555-5757		(866)-815-5326	(800)-555-5757	(888)-685-8480	(888)-685-8480
H1717	003	0	1	04	01	H1717_003_0	5		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H1717	003	2007	01	04	1	MedicareComplete Choice Plan 2		Sedgwick County	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-815-5326	(316)-291-3646					
H1717	006	0	1	04	01	H1717_006_0	4		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H1717	006	2007	01	04	1	Evercare Plan DP		Sedgwick County	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5110	(888)-834-3721		(877)-702-5110	(888)-834-3721	(888)-685-8480	(888)-685-8480
H1717	801	0	1	04	01	H1717_801_0	8		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H1717	801	2007	01	04	1	MedicareComplete Choice		Sedgwick County	1	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5548	(888)-867-5548		(888)-867-5548	(888)-867-5548	(888)-685-8480	(888)-685-8480
H1804	001	0	1	09	04	H1804_001_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	001	2007	04	09	1	Humana Gold Choice PFFS H1804-001		Select Counties in Wisconsin	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	005	0	1	09	04	H1804_005_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	005	2007	04	09	1	Humana Gold Choice PFFS H1804-005		Select Counties in Arizona	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	006	0	1	09	04	H1804_006_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	006	2007	04	09	1	Humana Gold Choice PFFS H1804-006		Select counties in Georgia	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	007	0	1	09	04	H1804_007_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	007	2007	04	09	1	Humana Gold Choice PFFS H1804-007		Select counties in North Carolina	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	008	0	1	09	04	H1804_008_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	008	2007	04	09	1	Humana Gold Choice PFFS H1804-008		Select counties in South Carolina	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	009	0	1	09	04	H1804_009_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	009	2007	04	09	1	Humana Gold Choice PFFS H1804-009		Select counties in Alabama	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	011	0	1	09	04	H1804_011_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	011	2007	04	09	1	Humana Gold Choice PFFS H1804-011		LaPaz, Mohave & Yuma Counties	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	013	0	1	09	04	H1804_013_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	013	2007	04	09	1	Humana Gold Choice PFFS H1804-013		Select counties in Georgia	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	014	0	1	09	04	H1804_014_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	014	2007	04	09	1	Humana Gold Choice PFFS H1804-014		Select counties in Georgia	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	016	0	1	09	04	H1804_016_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	016	2007	04	09	1	Humana Gold Choice PFFS H1804-016		Select counties in North Carolina	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	018	0	1	09	04	H1804_018_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	018	2007	04	09	1	Humana Gold Choice PFFS H1804-018		Select counties in South Carolina	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	019	0	1	09	04	H1804_019_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	019	2007	04	09	1	Humana Gold Choice PFFS H1804-019		Select counties in Alabama	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	020	0	1	09	04	H1804_020_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	020	2007	04	09	1	Humana Gold Choice PFFS H1804-020		Select counties in Alabama	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	022	0	1	09	04	H1804_022_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	022	2007	04	09	1	Humana Gold Choice PFFS H1804-022		Select counties in Idaho	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	023	0	1	09	04	H1804_023_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	023	2007	04	09	1	Humana Gold Choice PFFS H1804-023		Select Counties in Wisconsin	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	025	0	1	09	04	H1804_025_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	025	2007	04	09	1	Humana Gold Choice PFFS H1804-025		Select Counties in Iowa	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	061	0	1	09	04	H1804_061_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	061	2007	04	09	1	Humana Gold Choice PFFS H1804-061		Select Counties in Colorado	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	063	0	1	09	04	H1804_063_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	063	2007	04	09	1	Humana Gold Choice PFFS H1804-063		Select Counties in Colorado	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	066	0	1	09	04	H1804_066_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	066	2007	04	09	1	Humana Gold Choice PFFS H1804-066		Select Counties in Idaho	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	067	0	1	09	04	H1804_067_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	067	2007	04	09	1	Humana Gold Choice PFFS H1804-067		Select Counties in Indiana	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	068	0	1	09	04	H1804_068_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	068	2007	04	09	1	Humana Gold Choice PFFS H1804-068		Select Counties in Indiana	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	070	0	1	09	04	H1804_070_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	070	2007	04	09	1	Humana Gold Choice PFFS H1804-070		Select Counties in Indiana	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	075	0	1	09	04	H1804_075_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	075	2007	04	09	1	Humana Gold Choice PFFS H1804-075		Select Counties in Michigan	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	077	0	1	09	04	H1804_077_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	077	2007	04	09	1	Humana Gold Choice PFFS H1804-077		Select Counties in Michigan	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	078	0	1	09	04	H1804_078_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	078	2007	04	09	1	Humana Gold Choice PFFS H1804-078		Select Counties in Michigan	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	081	0	1	09	04	H1804_081_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	081	2007	04	09	1	Humana Gold Choice PFFS H1804-081		Select Counties in Nebraska	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	083	0	1	09	04	H1804_083_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	083	2007	04	09	1	Humana Gold Choice PFFS H1804-083		Select Counties in Nevada	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	086	0	1	09	04	H1804_086_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	086	2007	04	09	1	Humana Gold Choice PFFS H1804-086		Select Counties in Ohio	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	087	0	1	09	04	H1804_087_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	087	2007	04	09	1	Humana Gold Choice PFFS H1804-087		Select Counties in Ohio	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	088	0	1	09	04	H1804_088_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	088	2007	04	09	1	Humana Gold Choice PFFS H1804-088		Select Counties in Ohio	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	089	0	1	09	04	H1804_089_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	089	2007	04	09	1	Humana Gold Choice PFFS H1804-089		Select Counties in Oklahoma	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	090	0	1	09	04	H1804_090_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	090	2007	04	09	1	Humana Gold Choice PFFS H1804-090		Select Counties in Oklahoma	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	091	0	1	09	04	H1804_091_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	091	2007	04	09	1	Humana Gold Choice PFFS H1804-091		Select Counties in Pennsylvania	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	093	0	1	09	04	H1804_093_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	093	2007	04	09	1	Humana Gold Choice PFFS H1804-093		Select Counties in Pennsylvania	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	094	0	1	09	04	H1804_094_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	094	2007	04	09	1	Humana Gold Choice PFFS H1804-094		Select Counties in West Virginia	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	095	0	1	09	04	H1804_095_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	095	2007	04	09	1	Humana Gold Choice PFFS H1804-095		Select Counties in West Virginia	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	097	0	1	09	04	H1804_097_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	097	2007	04	09	1	Humana Gold Choice PFFS H1804-097		Select Counties in Arkansas	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	098	0	1	09	04	H1804_098_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	098	2007	04	09	1	Humana Gold Choice PFFS H1804-098		Select Counties in Arkansas	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	099	0	1	09	04	H1804_099_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	099	2007	04	09	1	Humana Gold Choice PFFS H1804-099		Select Counties in Arkansas	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	103	0	1	09	04	H1804_103_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	103	2007	04	09	1	Humana Gold Choice PFFS H1804-103		Select Counties in Virginia	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	122	0	1	09	04	H1804_122_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	122	2007	04	09	1	Humana Gold Choice PFFS H1804-122		Select Counties in Florida	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	123	0	1	09	04	H1804_123_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	123	2007	04	09	1	Humana Gold Choice PFFS H1804-123		Select Counties in Florida	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	125	0	1	09	04	H1804_125_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	125	2007	04	09	1	Humana Gold Choice PFFS H1804-125		Select Counties in Illinois	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	126	0	1	09	04	H1804_126_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	126	2007	04	09	1	Humana Gold Choice PFFS H1804-126		Select Counties in Kansas	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	127	0	1	09	04	H1804_127_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	127	2007	04	09	1	Humana Gold Choice PFFS H1804-127		Select Counties in Kansas	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	128	0	1	09	04	H1804_128_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	128	2007	04	09	1	Humana Gold Choice PFFS H1804-128		Select Counties in Mississippi	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	129	0	1	09	04	H1804_129_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	129	2007	04	09	1	Humana Gold Choice PFFS H1804-129		Select counties in Mississippi	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	130	0	1	09	04	H1804_130_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	130	2007	04	09	1	Humana Gold Choice PFFS H1804-130		Select Counties in Missouri	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	131	0	1	09	04	H1804_131_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	131	2007	04	09	1	Humana Gold Choice PFFS H1804-131		Select Counties in Missouri	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	132	0	1	09	04	H1804_132_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	132	2007	04	09	1	Humana Gold Choice PFFS H1804-132		Select Counties in Texas	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	133	0	1	09	04	H1804_133_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	133	2007	04	09	1	Humana Gold Choice PFFS H1804-133		Select Counties in Texas	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	137	0	1	09	04	H1804_137_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	137	2007	04	09	1	Humana Gold Choice PFFS H1804-137		Select Counties in Illinois	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	138	0	1	09	04	H1804_138_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	138	2007	04	09	1	Humana Gold Choice PFFS H1804-138		Select Counties in Illinois	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	143	0	1	09	04	H1804_143_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	143	2007	04	09	1	Humana Gold Choice PFFS H1804-143		Select Counties in Kansas	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	144	0	1	09	04	H1804_144_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	144	2007	04	09	1	Humana Gold Choice PFFS H1804-144		Select Counties in Missouri	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	145	0	1	09	04	H1804_145_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	145	2007	04	09	1	Humana Gold Choice PFFS H1804-145		Select Counties in Florida	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	146	0	1	09	04	H1804_146_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	146	2007	04	09	1	Humana Gold Choice PFFS H1804-146		Select Counties in Texas	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	147	0	1	09	04	H1804_147_0	5	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	147	2007	04	09	1	Humana Gold Choice PFFS H1804-147		Maricopa, Pima, Pinal and Yavapai Counties	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	148	0	1	09	04	H1804_148_0	6	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	148	2007	04	09	1	Humana Gold Choice PFFS H1804-148		Select Counties in Colorado	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	149	0	1	09	04	H1804_149_0	7	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	149	2007	04	09	1	Humana Gold Choice PFFS H1804-149		Select Counties in Idaho	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	150	0	1	09	04	H1804_150_0	7	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	150	2007	04	09	1	Humana Gold Choice PFFS H1804-150		Select Counties in Nevada	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	151	0	1	09	04	H1804_151_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	151	2007	04	09	1	Humana Gold Choice PFFS H1804-151		Select Counties in Oklahoma	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	152	0	1	09	04	H1804_152_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	152	2007	04	09	1	Humana Gold Choice PFFS H1804-152		Select Counties in Oklahoma	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	153	0	1	09	04	H1804_153_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	153	2007	04	09	1	Humana Gold Choice PFFS H1804-153		Select Counties In Alabama	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	154	0	1	09	04	H1804_154_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	154	2007	04	09	1	Humana Gold Choice PFFS H1804-154		Select Counties in Alabama	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	155	0	1	09	04	H1804_155_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	155	2007	04	09	1	Humana Gold Choice PFFS H1804-155		Select Counties in Alabama	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	156	0	1	09	04	H1804_156_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	156	2007	04	09	1	Humana Gold Choice PFFS H1804-156		Select counties in AZ	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	157	0	1	09	04	H1804_157_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	157	2007	04	09	1	Humana Gold Choice PFFS H1804-157		Select counties in Arizona	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	158	0	1	09	04	H1804_158_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	158	2007	04	09	1	Humana Gold Choice PFFS H1804-158		Select Counties in Arkansas	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	159	0	1	09	04	H1804_159_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	159	2007	04	09	1	Humana Gold Choice PFFS H1804-159		Select Counties in Arkansas	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	160	0	1	09	04	H1804_160_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	160	2007	04	09	1	Humana Gold Choice PFFS H1804-160		Select Counties in Arkansas	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	161	0	1	09	04	H1804_161_0	5	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	161	2007	04	09	1	Humana Gold Choice PFFS H1804-161		Select counties in Colorado	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	162	0	1	09	04	H1804_162_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	162	2007	04	09	1	Humana Gold Choice PFFS H1804-162		Select counties in Colorado	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	163	0	1	09	04	H1804_163_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	163	2007	04	09	1	Humana Gold Choice PFFS H1804-163		Select Counties in Florida	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	164	0	1	09	04	H1804_164_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	164	2007	04	09	1	Humana Gold Choice PFFS H1804-164		Select Counties in Florida	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	165	0	1	09	04	H1804_165_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	165	2007	04	09	1	Humana Gold Choice PFFS H1804-165		Select Counties in Florida	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	166	0	1	09	04	H1804_166_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	166	2007	04	09	1	Humana Gold Choice PFFS H1804-166		Select Counties in Georgia	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	167	0	1	09	04	H1804_167_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	167	2007	04	09	1	Humana Gold Choice PFFS H1804-167		Select Counties in Georgia	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	168	0	1	09	04	H1804_168_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	168	2007	04	09	1	Humana Gold Choice PFFS H1804-168		Select Counties in Georgia	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	169	0	1	09	04	H1804_169_0	5	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	169	2007	04	09	1	Humana Gold Choice PFFS H1804-169		Minnesota	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	170	0	1	09	04	H1804_170_0	7	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	170	2007	04	09	1	Humana Gold Choice PFFS H1804-170		Minnesota	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	171	0	1	09	04	H1804_171_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	171	2007	04	09	1	Humana Gold Choice PFFS H1804-171		Montana	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	172	0	1	09	04	H1804_172_0	5	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	172	2007	04	09	1	Humana Gold Choice PFFS H1804-172		Montana	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	173	0	1	09	04	H1804_173_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	173	2007	04	09	1	Humana Gold Choice PFFS H1804-173		North Dakota	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	174	0	1	09	04	H1804_174_0	5	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	174	2007	04	09	1	Humana Gold Choice PFFS H1804-174		North Dakota	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	175	0	1	09	04	H1804_175_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	175	2007	04	09	1	Humana Gold Choice PFFS H1804-175		South Dakota	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	176	0	1	09	04	H1804_176_0	5	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	176	2007	04	09	1	Humana Gold Choice PFFS H1804-176		South Dakota	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	177	0	1	09	04	H1804_177_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	177	2007	04	09	1	Humana Gold Choice PFFS H1804-177		Wyoming	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	178	0	1	09	04	H1804_178_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	178	2007	04	09	1	Humana Gold Choice PFFS H1804-178		Wyoming	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	179	0	1	09	04	H1804_179_0	7	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	179	2007	04	09	1	Humana Gold Choice PFFS H1804-179		Wyoming	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	180	0	1	09	04	H1804_180_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	180	2007	04	09	1	Humana Gold Choice PFFS H1804-180		Utah	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	181	0	1	09	04	H1804_181_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	181	2007	04	09	1	Humana Gold Choice PFFS H1804-181		Utah	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	184	0	1	09	04	H1804_184_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	184	2007	04	09	1	Humana Gold Choice PFFS H1804-184		Select Counties in Indiana	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	185	0	1	09	04	H1804_185_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	185	2007	04	09	1	Humana Gold Choice PFFS H1804-185		Select Counties in Indiana	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	186	0	1	09	04	H1804_186_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	186	2007	04	09	1	Humana Gold Choice PFFS H1804-186		Select Counties in Indiana	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	187	0	1	09	04	H1804_187_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	187	2007	04	09	1	Humana Gold Choice PFFS H1804-187		Select Counties in Kansas	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	188	0	1	09	04	H1804_188_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	188	2007	04	09	1	Humana Gold Choice PFFS H1804-188		Select Counties in Kansas	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	189	0	1	09	04	H1804_189_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	189	2007	04	09	1	Humana Gold Choice PFFS H1804-189		Select Counties in Kansas	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	190	0	1	09	04	H1804_190_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	190	2007	04	09	1	Humana Gold Choice PFFS H1804-190		Select Counties in Kentucky	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	191	0	1	09	04	H1804_191_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	191	2007	04	09	1	Humana Gold Choice PFFS H1804-191		Select Counties in Kentucky	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	192	0	1	09	04	H1804_192_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	192	2007	04	09	1	Humana Gold Choice PFFS H1804-192		Select Counties in Kentucky	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	193	0	1	09	04	H1804_193_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	193	2007	04	09	1	Humana Gold Choice PFFS H1804-193		Select Counties in Kentucky	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	194	0	1	09	04	H1804_194_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	194	2007	04	09	1	Humana Gold Choice PFFS H1804-194		Select Counties in Kentucky	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	195	0	1	09	04	H1804_195_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	195	2007	04	09	1	Humana Gold Choice PFFS H1804-195		Select Counties in Kentucky	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	196	0	1	09	04	H1804_196_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	196	2007	04	09	1	Humana Gold Choice PFFS H1804-196		Select counties in Idaho	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	197	0	1	09	04	H1804_197_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	197	2007	04	09	1	Humana Gold Choice PFFS H1804-197		Select counties in Idaho	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	198	0	1	09	04	H1804_198_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	198	2007	04	09	1	Humana Gold Choice PFFS H1804-198		Select counties in Ilinois	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	199	0	1	09	04	H1804_199_0	5	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	199	2007	04	09	1	Humana Gold Choice PFFS H1804-199		Select counties in Illinois	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	200	0	1	09	04	H1804_200_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	200	2007	04	09	1	Humana Gold Choice PFFS H1804-200		Select counties in Illinois	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	201	0	1	09	04	H1804_201_0	6	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	201	2007	04	09	1	Humana Gold Choice PFFS H1804-201		Iowa	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	202	0	1	09	04	H1804_202_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	202	2007	04	09	1	Humana Gold Choice PFFS H1804-202		Select Counties in Mississippi	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	203	0	1	09	04	H1804_203_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	203	2007	04	09	1	Humana Gold Choice PFFS H1804-203		Select Counties in Mississippi	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	204	0	1	09	04	H1804_204_0	5	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	204	2007	04	09	1	Humana Gold Choice PFFS H1804-204		Select Counites in Missouri	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	205	0	1	09	04	H1804_205_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	205	2007	04	09	1	Humana Gold Choice PFFS H1804-205		Select Counties in Missouri	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	206	0	1	09	04	H1804_206_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	206	2007	04	09	1	Humana Gold Choice PFFS H1804-206		Select Counties in Missouri	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	207	0	1	09	04	H1804_207_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	207	2007	04	09	1	Humana Gold Choice PFFS H1804-207		Select counties in Michigan	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	208	0	1	09	04	H1804_208_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	208	2007	04	09	1	Humana Gold Choice PFFS H1804-208		Select counties in Michigan	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	209	0	1	09	04	H1804_209_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	209	2007	04	09	1	Humana Gold Choice PFFS H1804-209		Select counties in Michigan	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	210	0	1	09	04	H1804_210_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	210	2007	04	09	1	Humana Gold Choice PFFS H1804-210		Nebraska	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	211	0	1	09	04	H1804_211_0	5	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	211	2007	04	09	1	Humana Gold Choice PFFS H1804-211		Select counties in New Mexico	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	212	0	1	09	04	H1804_212_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	212	2007	04	09	1	Humana Gold Choice PFFS H1804-212		Select counties in New Mexico	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	213	0	1	09	04	H1804_213_0	6	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	213	2007	04	09	1	Humana Gold Choice PFFS H1804-213		Select counties in New Mexico	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	214	0	1	09	04	H1804_214_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	214	2007	04	09	1	Humana Gold Choice PFFS H1804-214		Select counties in New Mexico	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	215	0	1	09	04	H1804_215_0	7	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	215	2007	04	09	1	Humana Gold Choice PFFS H1804-215		Select counties in New Mexico	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	216	0	1	09	04	H1804_216_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	216	2007	04	09	1	Humana Gold Choice PFFS H1804-216		Select Counties in North Carolina	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	217	0	1	09	04	H1804_217_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	217	2007	04	09	1	Humana Gold Choice PFFS H1804-217		Select Counties in North Carolina	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	218	0	1	09	04	H1804_218_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	218	2007	04	09	1	Humana Gold Choice PFFS H1804-218		Select Counties in Ohio	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	219	0	1	09	04	H1804_219_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	219	2007	04	09	1	Humana Gold Choice PFFS H1804-219		Select Counties in Ohio	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	220	0	1	09	04	H1804_220_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	220	2007	04	09	1	Humana Gold Choice PFFS H1804-220		Select Counties in Ohio	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	221	0	1	09	04	H1804_221_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	221	2007	04	09	1	Humana Gold Choice PFFS H1804-221		Select Counties in Oklahoma	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	222	0	1	09	04	H1804_222_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	222	2007	04	09	1	Humana Gold Choice PFFS H1804-222		Select Counties in Oklahoma	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	223	0	1	09	04	H1804_223_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	223	2007	04	09	1	Humana Gold Choice PFFS H1804-223		Select Counties in Pennsylvania	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	224	0	1	09	04	H1804_224_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	224	2007	04	09	1	Humana Gold Choice PFFS H1804-224		Select Counties in Pennsylvania	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	225	0	1	09	04	H1804_225_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	225	2007	04	09	1	Humana Gold Choice PFFS H1804-225		Select Counties in South Carolina	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	226	0	1	09	04	H1804_226_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	226	2007	04	09	1	Humana Gold Choice PFFS H1804-226		Select Counties in South Carolina	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	227	0	1	09	04	H1804_227_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	227	2007	04	09	1	Humana Gold Choice PFFS H1804-227		Select Counties in Tennessee	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	228	0	1	09	04	H1804_228_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	228	2007	04	09	1	Humana Gold Choice PFFS H1804-228		Select Counties in Tennessee	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	229	0	1	09	04	H1804_229_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	229	2007	04	09	1	Humana Gold Choice PFFS H1804-229		Select Counties in Tennessee	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	230	0	1	09	04	H1804_230_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	230	2007	04	09	1	Humana Gold Choice PFFS H1804-230		Select Counties in Tennessee	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	231	0	1	09	04	H1804_231_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	231	2007	04	09	1	Humana Gold Choice PFFS H1804-231		Select Counties in Tennessee	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	232	0	1	09	04	H1804_232_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	232	2007	04	09	1	Humana Gold Choice PFFS H1804-232		Select Counties in Tennessee	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	233	0	1	09	04	H1804_233_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	233	2007	04	09	1	Humana Gold Choice PFFS H1804-233		Virginia	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	234	0	1	09	04	H1804_234_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	234	2007	04	09	1	Humana Gold Choice PFFS H1804-234		Select Counties in West Virginia	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	235	0	1	09	04	H1804_235_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	235	2007	04	09	1	Humana Gold Choice PFFS H1804-235		Select Counties in West Virginia	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	236	0	1	09	04	H1804_236_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	236	2007	04	09	1	Humana Gold Choice PFFS H1804-236		Select counties in Texas	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	237	0	1	09	04	H1804_237_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	237	2007	04	09	1	Humana Gold Choice PFFS H1804-237		Select counties in Texas	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	238	0	1	09	04	H1804_238_0	7	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	238	2007	04	09	1	Humana Gold Choice PFFS H1804-238		Select counties in Texas	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	239	0	1	09	04	H1804_239_0	6	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	239	2007	04	09	1	Humana Gold Choice PFFS H1804-239		Select counties in Wisconsin	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	240	0	1	09	04	H1804_240_0	6	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	240	2007	04	09	1	Humana Gold Choice PFFS H1804-240		Select counties in Wisconsin	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	241	0	1	09	04	H1804_241_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	241	2007	04	09	1	Humana Gold Choice PFFS H1804-241		Nevada	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	242	0	1	09	04	H1804_242_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	242	2007	04	09	1	Humana Gold Choice PFFS H1804-242		Select Counties in Alaska	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	243	0	1	09	04	H1804_243_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	243	2007	04	09	1	Humana Gold Choice PFFS H1804-243		Select Counties in Alaska	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	244	0	1	09	04	H1804_244_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	244	2007	04	09	1	Humana Gold Choice PFFS H1804-244		Select Counties in Alaska	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	245	0	1	09	04	H1804_245_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	245	2007	04	09	1	Humana Gold Choice PFFS H1804-245		Hawii	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	246	0	1	09	04	H1804_246_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	246	2007	04	09	1	Humana Gold Choice PFFS H1804-246		Hawaii	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	247	0	1	09	04	H1804_247_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	247	2007	04	09	1	Humana Gold Choice PFFS H1804-247		Select  counties in Connecticut	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	248	0	1	09	04	H1804_248_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	248	2007	04	09	1	Humana Gold Choice PFFS H1804-248		Select counties in Connecticut	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	249	0	1	09	04	H1804_249_0	6	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	249	2007	04	09	1	Humana Gold Choice PFFS H1804-249		Select counties in Connecticut	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	250	0	1	09	04	H1804_250_0	7	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	250	2007	04	09	1	Humana Gold Choice PFFS H1804-250		Select county in Delaware, Maryland and New Jersey	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	251	0	1	09	04	H1804_251_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	251	2007	04	09	1	Humana Gold Choice PFFS H1804-251		Maine	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	252	0	1	09	04	H1804_252_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	252	2007	04	09	1	Humana Gold Choice PFFS H1804-252		Maine	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	253	0	1	09	04	H1804_253_0	6	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	253	2007	04	09	1	Humana Gold Choice PFFS H1804-253		Maine	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	254	0	1	09	04	H1804_254_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	254	2007	04	09	1	Humana Gold Choice PFFS H1804-254		Select counties in Massachusetts	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	255	0	1	09	04	H1804_255_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	255	2007	04	09	1	Humana Gold Choice PFFS H1804-255		Select counties in Massachusetts	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	256	0	1	09	04	H1804_256_0	6	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	256	2007	04	09	1	Humana Gold Choice PFFS H1804-256		Select counties in Massachusetts	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	257	0	1	09	04	H1804_257_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	257	2007	04	09	1	Humana Gold Choice PFFS H1804-257		New Hampshire	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	258	0	1	09	04	H1804_258_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	258	2007	04	09	1	Humana Gold Choice PFFS H1804-258		New Hampshire	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	259	0	1	09	04	H1804_259_0	6	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	259	2007	04	09	1	Humana Gold Choice PFFS H1804-259		New Hampshire	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	260	0	1	09	04	H1804_260_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	260	2007	04	09	1	Humana Gold Choice PFFS H1804-260		Select counties in Oregon	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	261	0	1	09	04	H1804_261_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	261	2007	04	09	1	Humana Gold Choice PFFS H1804-261		Select counties in Oregon	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	262	0	1	09	04	H1804_262_0	6	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	262	2007	04	09	1	Humana Gold Choice PFFS H1804-262		Select counties in Oregon	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	263	0	1	09	04	H1804_263_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	263	2007	04	09	1	Humana Gold Choice PFFS H1804-263		Rhode Island	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	264	0	1	09	04	H1804_264_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	264	2007	04	09	1	Humana Gold Choice PFFS H1804-264		Rhode Island	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	265	0	1	09	04	H1804_265_0	6	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	265	2007	04	09	1	Humana Gold Choice PFFS H1804-265		Rhode Island	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	266	0	1	09	04	H1804_266_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	266	2007	04	09	1	Humana Gold Choice PFFS H1804-266		Vermont	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	267	0	1	09	04	H1804_267_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	267	2007	04	09	1	Humana Gold Choice PFFS H1804-267		Vermont	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	268	0	1	09	04	H1804_268_0	6	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	268	2007	04	09	1	Humana Gold Choice PFFS H1804-268		Vermont	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	269	0	1	09	04	H1804_269_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	269	2007	04	09	1	Humana Gold Choice PFFS H1804-269		Select counties in Washington	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	270	0	1	09	04	H1804_270_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	270	2007	04	09	1	Humana Gold Choice PFFS H1804-270		Select counties in Washington	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	271	0	1	09	04	H1804_271_0	6	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	271	2007	04	09	1	Humana Gold Choice PFFS H1804-271		Select counties in Washington	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	272	0	1	09	04	H1804_272_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	272	2007	04	09	1	Humana Gold Choice PFFS H1804-272		Select counties in California	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	273	0	1	09	04	H1804_273_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	273	2007	04	09	1	Humana Gold Choice PFFS H1804-273		Select counties in California	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	274	0	1	09	04	H1804_274_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	274	2007	04	09	1	Humana Gold Choice PFFS H1804-274		Select counties in California	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	275	0	1	09	04	H1804_275_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	275	2007	04	09	1	Humana Gold Choice PFFS H1804-275		Select counties in California	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	276	0	1	09	04	H1804_276_0	6	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	276	2007	04	09	1	Humana Gold Choice PFFS H1804-276		Select counties in California	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	277	0	1	09	04	H1804_277_0	6	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	277	2007	04	09	1	Humana Gold Choice PFFS H1804-277		Select counties in California	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	801	0	1	09	04	H1804_801_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	801	2007	04	09	1	Humana Employer Sponsored		Nationwide	1	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	804	0	1	09	04	H1804_804_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	804	2007	04	09	1	Humana Employer Sponsored		Nationwide	1	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312					
H1804	805	0	1	09	04	H1804_805_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	805	2007	04	09	1	Humana Employer Sponsored Non-CY		Nationwide	1	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1804	806	0	1	09	04	H1804_806_0	2	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1804	806	2007	04	09	1	Humana Employer Sponsored Non-CY		Nationwide	1	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312					
H1806	001	0	1	04	01	H1806_001_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1806	001	2007	01	04	1	HumanaChoicePPO PPO H1806-001		Louisville Metro Area	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1806	002	0	1	04	01	H1806_002_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1806	002	2007	01	04	1	HumanaChoicePPO PPO H1806-002		Fayette and Jessamine Counties	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1806	801	0	1	04	01	H1806_801_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1806	801	2007	01	04	1	Humana Employer Sponsored		Louisville and Lexington Metro Areas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1806	803	0	1	04	01	H1806_803_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1806	803	2007	01	04	1	Humana Employer Sponsored		Louisville and Lexington Metro Areas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H1806	804	0	1	04	01	H1806_804_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1806	804	2007	01	04	1	Humana Employer Sponsored Non-CY		Louisville and Lexington Metro Areas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1806	805	0	1	04	01	H1806_805_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H1806	805	2007	01	04	1	Humana Employer Sponsored Non-CY		Louisville and Lexington Metro Areas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H1807	001	0	1	01	01	H1807_001_0	3		UNIVERSITY HEALTH CARE, INC.	Passport Advantage	www.passporthealthplan.com	H1807	001	2007	01	01	1	Passport Advantage		Louisville Metro Area	2	0		1	3	1	2	2		(888)-857-4816	(888)-857-4816	(800)-578-0603	(800)-578-0603	9689	(800)-578-0603	(800)-578-0603	(888)-857-4816	(888)-857-4816
H1849	005	0	1	01	01	H1849_005_0	8		ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	H1849	005	2007	01	01	1	Anthem Senior Advantage Basic		Louisville/Lexington/Bowling Green/Paducah/N. KY	2	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	7936	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
H1849	014	0	1	01	01	H1849_014_0	7		ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	H1849	014	2007	01	01	1	Anthem Senior Advantage Enhanced		Louisville/Lexington/Bowling Green/Paducah/N. KY	2	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	259	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
H1849	801	0	1	01	01	H1849_801_0	4		ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	H1849	801	2007	01	01	1	Anthem Senior Advantage Group		Kentucky	1	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	2040	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
H1849	803	0	1	01	01	H1849_803_0	2		ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	H1849	803	2007	01	01	1	Anthem Senior Advantage Group		Kentucky	1	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	227				
H1850	001	0	1	09	04	H1850_001_0	3	2	WINDSOR HEALTH PLAN OF TN	Windsor Medicare Extra	www.windsormedicareextra.com	H1850	001	2007	04	09	1	Windsor Medicare Extra Preferred Plan		Tennessee	2	0		2				2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	21				
H1850	002	0	1	09	04	H1850_002_0	6	2	WINDSOR HEALTH PLAN OF TN	Windsor Medicare Extra	www.windsorextra.com	H1850	002	2007	04	09	1	Windsor Tennessee Choice + Rx		Tennessee	2	0		2				2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	21	(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
H1903	001	0	1	01	01	H1903_001_0	5		WELLCARE OF LOUISIANA, INC.	WellCare	www.wellcare.com	H1903	001	2007	01	01	1	WellCare Choice		Greater Baton Rouge Area	2	0		2				2		(877)-247-6272	(877)-247-6272	(866)-804-5926	(866)-238-4526		(866)-804-5926	(866)-238-4526	(877)-247-6272	(877)-247-6272
H1903	005	0	1	01	01	H1903_005_0	3		WELLCARE OF LOUISIANA, INC.	WellCare	www.wellcare.com	H1903	005	2007	01	01	1	WellCare Advance		Greater Baton Rouge Area	2	0		2				2		(877)-247-6272	(877)-247-6272	(866)-804-5926	(866)-238-4526					
H1903	011	0	1	01	01	H1903_011_0	6		WELLCARE OF LOUISIANA, INC.	WellCare	www.wellcare.com	H1903	011	2007	01	01	1	WellCare Access		Greater Baton Rouge Area	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(866)-804-5926	(866)-238-4526		(866)-804-5926	(866)-238-4526	(877)-247-6272	(877)-247-6272
H1903	014	0	1	01	01	H1903_014_0	3		WELLCARE OF LOUISIANA, INC.	WellCare	www.wellcare.com	H1903	014	2007	01	01	1	WellCare Select		Greater Baton Rouge Area	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(866)-804-5926	(866)-238-4526		(866)-804-5926	(866)-238-4526	(877)-247-6272	(877)-247-6272
H1903	018	0	1	01	01	H1903_018_0	4		WELLCARE OF LOUISIANA, INC.	WellCare	www.wellcare.com	H1903	018	2007	01	01	1	WellCare Value		Greater Baton Rouge Area	2	0		2				2		(877)-247-6272	(877)-247-6272	(866)-804-5926	(866)-238-4526		(866)-804-5926	(866)-238-4526	(877)-247-6272	(877)-247-6272
H1904	001	0	1	20	08	H1904_001_0	1		PACE GREATER NEW ORLEANS	Pace Greater New Orleans	www.ccano.org	H1904	001	2007	08	20	1	PACE GREATER NEW ORLEANS		PACE GREATER NEW ORLEANS	2	0		2				2						63	(504)-945-1531	(504)-945-1531		
H1904	002	0	1	20	08	H1904_002_0	1		PACE GREATER NEW ORLEANS	Pace Greater New Orleans	www.ccano.org	H1904	002	2007	08	20	1	PACE GREATER NEW ORLEANS		PACE GREATER NEW ORLEANS	2	0		2				2						2	(504)-945-1531	(504)-945-1531		
H1906	001	0	1	09	04	H1906_001_0	3	2	HUMANA HEALTH BENEFIT PLAN OF LA, INC.	Humana Health Plan of LA, Inc.	www.humana-medicare.com	H1906	001	2007	04	09	1	Humana Gold Choice PFFS H1906-001		Select Counties in Louisiana	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1906	002	0	1	09	04	H1906_002_0	3	2	HUMANA HEALTH BENEFIT PLAN OF LA, INC.	Humana Health Plan of LA, Inc.	www.humana-medicare.com	H1906	002	2007	04	09	1	Humana Gold Choice PFFS H1906-002		Select Counties in Louisiana	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1906	003	0	1	09	04	H1906_003_0	3	2	HUMANA HEALTH BENEFIT PLAN OF LA, INC.	Humana Health Plan of LA, Inc.	www.humana-medicare.com	H1906	003	2007	04	09	1	Humana Gold Choice PFFS H1906-003		Select Counties in Louisiana	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1906	006	0	1	09	04	H1906_006_0	4	2	HUMANA HEALTH BENEFIT PLAN OF LA, INC.	Humana Health Plan of LA, Inc.	www.humana-medicare.com	H1906	006	2007	04	09	1	Humana Gold Choice PFFS H1906-006		Select Counties in Louisiana	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1906	007	0	1	09	04	H1906_007_0	4	2	HUMANA HEALTH BENEFIT PLAN OF LA, INC.	Humana Health Plan of LA, Inc.	www.humana-medicare.com	H1906	007	2007	04	09	1	Humana Gold Choice PFFS H1906-007		Select Counties in Louisiana	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1906	008	0	1	09	04	H1906_008_0	4	2	HUMANA HEALTH BENEFIT PLAN OF LA, INC.	Humana Health Plan of LA, Inc.	www.humana-medicare.com	H1906	008	2007	04	09	1	Humana Gold Choice PFFS H1906-008		Select Counties	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1906	801	0	1	09	04	H1906_801_0	2	2	HUMANA HEALTH BENEFIT PLAN OF LA, INC.	Humana Health Plan of LA, Inc.	www.humana-medicare.com	H1906	801	2007	04	09	1	Humana Employer Sponsored		Nationwide	1	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1906	802	0	1	09	04	H1906_802_0	2	2	HUMANA HEALTH BENEFIT PLAN OF LA, INC.	Humana Health Plan of LA, Inc.	www.humana-medicare.com	H1906	802	2007	04	09	1	Humana Employer Sponsored		Nationwide	1	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312					
H1906	803	0	1	09	04	H1906_803_0	2	2	HUMANA HEALTH BENEFIT PLAN OF LA, INC.	Humana Health Plan of LA, Inc.	www.humana-medicare.com	H1906	803	2007	04	09	1	Humana Employer Sponsored Non-CY		Nationwide	1	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H1906	804	0	1	09	04	H1906_804_0	2	2	HUMANA HEALTH BENEFIT PLAN OF LA, INC.	Humana Health Plan of LA, Inc.	www.humana-medicare.com	H1906	804	2007	04	09	1	Humana Employer Sponsered Non-CY		Nationwide	1	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312					
H1951	001	0	1	01	01	H1951_001_0	5		HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan Of Louisiana Inc	www.humana-medicare.com	H1951	001	2007	01	01	1	Humana Gold Plus HMO H1951-001		New Orleans Area	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1951	005	0	1	01	01	H1951_005_0	5		HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan Of Louisiana Inc	www.humana-medicare.com	H1951	005	2007	01	01	1	Humana Gold Plus HMO H1951-005		Baton Rouge Area	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1951	013	0	1	01	01	H1951_013_0	3		HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan Of Louisiana Inc	www.humana-medicare.com	H1951	013	2007	01	01	1	Humana Gold Plus HMO H1951-013		Shreveport Area	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1951	801	0	1	01	01	H1951_801_0	3		HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan Of Louisiana Inc	www.humana-medicare.com	H1951	801	2006	01	01	1	Humana Employer Sponsored		Louisiana Group	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1951	804	0	1	01	01	H1951_804_0	3		HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan Of Louisiana Inc	www.humana-medicare.com	H1951	804	2007	01	01	1	Humana Employer Sponsored		Louisiana Group	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H1951	805	0	1	01	01	H1951_805_0	3		HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan Of Louisiana Inc	www.humana-medicare.com	H1951	805	2007	01	01	1	Humana Employer Sponsored Non-CY		Select Louisiana Counties	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H1951	806	0	1	01	01	H1951_806_0	3		HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan Of Louisiana Inc	www.humana-medicare.com	H1951	806	2007	01	01	1	Humana Employer Sponsored Non-CY		Select Louisiana Counties	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H1961	001	0	1	01	01	H1961_001_0	2		TENET CHOICES, INC. / PEOPLES HEALTH NETWORK	Tenet Choices 65	www.tenetchoices.com	H1961	001	2007	01	01	1	Tenet Choices 65		Metro New Orleans area	2	0		2				2		(888)-631-9979	(888)-631-9979	(800)-631-8443	(800)-631-8443	37000	(800)-631-8443	(800)-631-8443	(888)-631-9979	(888)-631-9979
H1961	002	0	1	02	01	H1961_002_0	4		TENET CHOICES, INC. / PEOPLES HEALTH NETWORK	Tenet Choices 65	www.tenetchoices.com	H1961	002	2007	01	02	1	Choices Plus		Southeast Louisiana	2	0		2				2		(888)-631-9979	(888)-631-9979	(800)-631-8443	(800)-631-8443	3000	(800)-631-8443	(800)-631-8443	(888)-631-9979	(888)-631-9979
H1961	003	0	1	01	01	H1961_003_0	4		TENET CHOICES, INC. / PEOPLES HEALTH NETWORK	Tenet Choices 65	www.tenetchoices.com	H1961	003	2007	01	01	1	Secure Health		New Orleans and Baton Rouge metro areas	2	0		1	3	2	1	2		(888)-631-9979	(888)-631-9979	(800)-631-8443	(800)-631-8443	1500	(800)-631-8443	(800)-631-8443	(888)-631-9979	(888)-631-9979
H2001	001	0	1	04	01	H2001_001_0	7		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H2001	001	2007	01	04	1	MedicareComplete Choice Plan 1		Cumberland, Kennebec & Sagadahoc Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-540-5937	(800)-555-5757		(866)-540-5937	(800)-555-5757	(888)-685-8480	(888)-685-8480
H2001	003	0	1	04	01	H2001_003_0	6		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H2001	003	2007	01	04	1	MedicareComplete Choice Plan 1		York County	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-540-5937	(800)-555-5757		(866)-540-5937	(800)-555-5757	(888)-685-8480	(888)-685-8480
H2001	005	0	1	04	01	H2001_005_0	5		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H2001	005	2007	01	04	1	MedicareComplete Choice Plan 2		Cumberland, Kennebec & Sagadahoc Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-540-5937	(866)-719-7408					
H2001	006	0	1	04	01	H2001_006_0	5		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H2001	006	2007	01	04	1	MedicareComplete Choice Plan 2		York County	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-540-5937	(866)-719-7408					
H2001	007	0	1	04	01	H2001_007_0	5		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H2001	007	2007	01	04	1	Evercare Plan DP		Cumberland, Kennebec, Sagadahoc & York Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5110	(888)-834-3721		(877)-702-5110	(888)-834-3721	(888)-685-8480	(888)-685-8480
H2001	801	0	1	04	01	H2001_801_0	5		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H2001	801	2007	01	04	1	MedicareComplete Choice		Cumberland, Kennebec, Sagadahoc & York Counties	1	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5548	(888)-867-5548		(888)-867-5548	(888)-867-5548	(888)-685-8480	(888)-685-8480
H2003	001	0	1	04	01	H2003_001_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H2003	001	2007	01	04	1	Evercare Plan IP		Cumberland, Kennebec, Sagadahoc & York Counties	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-393-0395		(800)-393-0993	(800)-393-0395	(888)-685-8480	(888)-685-8480
H2003	002	0	1	04	01	H2003_002_0	5		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H2003	002	2007	01	04	1	Evercare Plan MP		Cumberland County	2	0		1	4	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-393-0395		(800)-393-0993	(800)-393-0395	(888)-685-8480	(888)-685-8480
H2108	001	0	1	01	01	H2108_001_0	8		ELDER HEALTH MID-ATLANTIC, INC.	Elder Health Mid-Atlantic, Inc.	www.elderhealth.com	H2108	001	2007	01	01	1	Elder Health Select		Baltimore and District of Columbia Metro Areas	2	0		1	3	2	1	2		(800)-964-2561	(800)-964-2561	(800)-556-1570	(800)-556-1570		(800)-556-1570	(800)-556-1570	(800)-964-2561	(800)-964-2561
H2108	002	0	1	01	01	H2108_002_0	6		ELDER HEALTH MID-ATLANTIC, INC.	Elder Health Mid-Atlantic, Inc.	www.elderhealth.com	H2108	002	2007	01	01	1	Elder Health Gold		Baltimore and District of Columbia Metro Areas	2	0		2				2		(800)-964-2561	(800)-964-2561	(800)-556-1570	(800)-556-1570		(800)-556-1570	(800)-556-1570	(800)-964-2561	(800)-964-2561
H2108	018	0	1	01	01	H2108_018_0	9		ELDER HEALTH MID-ATLANTIC, INC.	Elder Health Mid-Atlantic, Inc.	www.elderhealth.com	H2108	018	2007	01	01	1	Elder Health Platinum		Baltimore and DC Metro Area Elder Health Platinum	2	0		2				2		(800)-964-2561	(800)-964-2561	(800)-556-1570	(800)-556-1570		(800)-556-1570	(800)-556-1570	(800)-964-2561	(800)-964-2561
H2109	001	0	1	20	08	H2109_001_0	1		JOHNS HOPKINS HEALTH SYSTEM, INC.	Hopkins Elderplus	http://www.jhbmc.jhu.edu/geriat/elder/elder.html	H2109	001	2007	08	20	1	Johns Hopkins Health System Inc.,		Parts of Baltimore City and County, Maryland	2	0		2				2						150	(800)-550-7044	(410)-550-7044		
H2109	002	0	1	20	08	H2109_002_0	1		JOHNS HOPKINS HEALTH SYSTEM, INC.	Hopkins Elderplus	http://www.jhbmc.jhu.edu/geriat/elder/elder.html	H2109	002	2007	08	20	1	Johns Hopkins Health System, Inc		Parts of Baltimore City and County, Maryland	2	0		2				2						150	(800)-550-7044	(800)-550-7044		
H2111	001	0	1	04	01	H2111_001_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H2111	001	2007	01	04	1	Evercare Plan IP		Baltimore, Eastern Shore, and Fairfax VA Areas	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-393-0395		(800)-393-0993	(800)-393-0395	(888)-685-8480	(888)-685-8480
H2111	002	0	1	04	01	H2111_002_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H2111	002	2007	01	04	1	Evercare Plan IP		Washington D.C.	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-393-0395		(800)-393-0993	(800)-393-0395	(888)-685-8480	(888)-685-8480
H2111	003	0	1	04	01	H2111_003_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H2111	003	2007	01	04	1	Evercare Plan IP		Kent, New Castle, Sussex, DE Counties	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-393-0395		(800)-393-0993	(800)-393-0395	(888)-685-8480	(888)-685-8480
H2112	001	0	1	01	01	H2112_001_0	2		AETNA HEALTH INC. (MARYLAND)	Aetna Medicare	http://www.aetnamedicare.com	H2112	001	2007	01	01	1	Aetna Golden Medicare Value Plan		Baltimore and Surrounding Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H2112	002	0	1	01	01	H2112_002_0	3		AETNA HEALTH INC. (MARYLAND)	Aetna Medicare	http://www.aetnamedicare.com	H2112	002	2007	01	01	1	Aetna Golden Medicare Premier Plan		Baltimore and Surrounding Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H2112	003	0	1	01	01	H2112_003_0	5		AETNA HEALTH INC. (MARYLAND)	Aetna Medicare	http://www.aetnamedicare.com	H2112	003	2007	01	01	1	Aetna Golden Medicare Special Plan		Baltimore and Surrounding Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H2112	007	0	1	01	01	H2112_007_0	3		AETNA HEALTH INC. (MARYLAND)	Aetna Medicare	http://www.aetnamedicare.com	H2112	007	2007	01	01	1	Aetna Golden Medicare Standard Plan		Baltimore and Surrounding Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H2112	008	0	1	01	01	H2112_008_0	2		AETNA HEALTH INC. (MARYLAND)	Aetna Medicare	http://www.aetnamedicare.com	H2112	008	2007	01	01	1	Aetna Golden Medicare Value Plan		Baltimore City	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H2112	009	0	1	01	01	H2112_009_0	3		AETNA HEALTH INC. (MARYLAND)	Aetna Medicare	http://www.aetnamedicare.com	H2112	009	2007	01	01	1	Aetna Golden Medicare Premier Plan		Baltimore City	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H2112	011	0	1	01	01	H2112_011_0	3		AETNA HEALTH INC. (MARYLAND)	Aetna Medicare	http://www.aetnamedicare.com	H2112	011	2007	01	01	1	Aetna Golden Medicare Standard Plan		Baltimore City	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H2112	012	0	1	01	01	H2112_012_0	5		AETNA HEALTH INC. (MARYLAND)	Aetna Medicare	http://www.aetnamedicare.com	H2112	012	2007	01	01	1	Aetna Golden Medicare Special Plan		Baltimore City	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H2112	801	0	1	01	01	H2112_801_0	1		AETNA HEALTH INC. (MARYLAND)	Aetna Medicare	http://www.aetnamedicare.com	H2112	801	2007	01	01	1	Aetna Golden Medicare Plan		Maryland	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H2112	802	0	1	01	01	H2112_802_0	1		AETNA HEALTH INC. (MARYLAND)	Aetna Medicare	http://www.aetnamedicare.com	H2112	802	2007	01	01	1	Aetna Golden Medicare Plan w/Rx CY		Maryland	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H2150	002	0	1	18	06	H2150_002_0	4		KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	www.kaiserpermanente.org	H2150	002	2007	06	18	1	Kaiser Permanente Medicare Plus High w/D		DC, MD, VA	2	0		2				2		(301)-879-6380	(301)-879-6380	(800)-777-7902	(800)-777-7902	16000	(800)-777-7902	(800)-777-7902	(301)-879-6380	(301)-879-6380
H2150	009	0	1	18	06	H2150_009_0	4		KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	www.kaiserpermanente.org	H2150	009	2007	06	18	1	Kaiser Permanente Medicare Plus Std w/D		DC, MD, VA	2	0		2				2		(301)-879-6380	(301)-879-6380	(800)-777-7902	(800)-777-7902	400	(800)-777-7902	(800)-777-7902	(301)-879-6380	(301)-879-6380
H2150	017	0	1	18	06	H2150_017_0	1		KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	www.kaiserpermanente.org	H2150	017	2007	06	18	1	Kaiser Permanente Medicare Plus Basic no D		DC, MD, VA	2	0		2				2		(301)-879-6380	(301)-879-6380	(800)-777-7902	(800)-777-7902	60				
H2150	021	0	1	18	06	H2150_021_0	2		KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	www.kaiserpermanente.org	H2150	021	2007	06	18	1	Kaiser Permanente Medicare Plus High w/o D		DC, Maryland, Virginia	2	0		2				2		(301)-879-6380	(301)-879-6380	(800)-777-7902	(800)-777-7902	500				
H2150	022	0	1	18	06	H2150_022_0	2		KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	www.kaiserpermanente.org	H2150	022	2007	06	18	1	Kaiser Permanente Medicare Plus Std w/o D		DC, Maryland, Virginia	2	0		2				2		(301)-879-6380	(301)-879-6380	(800)-777-7902	(800)-777-7902	50				
H2150	801	0		18	06	H2150_801_0	1		KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	www.kaiserpermanente.org	H2150	801	2007	06	18		Kaiser Permanente Medicare Plus		DC, MD, VA	1	0		2						(301)-879-6380	(301)-879-6380	(800)-777-7902	(800)-777-7902		(800)-777-7902	(800)-777-7902	(301)-879-6380	(301)-879-6380
H2174	001	0	1	01	01	H2174_001_0	3		TRILLIUM COMMUNITY HEALTH PLAN	Trillium Advantage	www.trilliumchp.com	H2174	001	2007	01	01	1	Trillium Advantage SNP		Lane	2	0		1	4	2	2	2		(877)-600-5473	(877)-600-5473	(800)-910-3906	(800)-910-3906	2500	(800)-910-3906	(800)-910-3906	(877)-600-5473	(877)-600-5473
H2174	002	0	1	01	01	H2174_002_0	11		TRILLIUM COMMUNITY HEALTH PLAN	Trillium Advantage	www.trilliumchp.com	H2174	002	2007	01	01	1	Trillium Advantage		Lane	2	0		2				2		(877)-600-5473	(877)-600-5473	(800)-910-3906	(800)-910-3906	1000	(800)-910-3906	(800)-910-3906	(877)-600-5473	(877)-600-5473
H2218	001	0	1	20	08	H2218_001_0	1		HARBOR HEALTH SERVICES	Harbor Health Elder Service Plan	lyorra@hhsi.us	H2218	001	2007	08	20	1	Harbor Health ESP, Dual Eligible		Norfolk + Suffolk counties	2	0		2				2						215	(617)-296-5100	(617)-296-5100		
H2218	002	0	1	20	08	H2218_002_0	1		HARBOR HEALTH SERVICES	Harbor Health Elder Service Plan	lyorra@hhsi.us	H2218	002	2007	08	20	1	Harbor Health ESP, Medicare only		Norfolk + Suffolk counties	2	0		2				2						2	(617)-296-5100	(617)-296-5100		
H2219	001	0	1	20	08	H2219_001_0	1		FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan - Summit ElderCare	www.fchp.org	H2219	001	2007	08	20	1	Summit ElderCare		Summit ElderCare -  Worcester, Middlesex Counties	2	0		2				2						376	(800)-698-7566	(800)-698-7566	(800)-889-4106	(800)-889-4106
H2219	002	0	1	20	08	H2219_002_0	1		FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan - Summit ElderCare	www.fchp.org	H2219	002	2007	08	20	1	Summit ElderCare		Summit ElderCare - Worcester, Middlesex Counties	2	0		2				2						39	(800)-698-7566	(800)-698-7566	(800)-889-4106	(800)-889-4106
H2220	001	0	1	20	08	H2220_001_0	1		UPHAMS CORNER HEALTH COMMITTEE, INC.	Uphams Corner Health Committee, Inc.	http://www.uphamscornerhealthctr.com/	H2220	001	2007	08	20	1	Upham's Corner Health Committee		Upham's Elder Service Plan	2	0		2				2						160	(617)-288-0970	(617)-288-0970		
H2220	002	0	1	20	08	H2220_002_0	1		UPHAMS CORNER HEALTH COMMITTEE, INC.	Uphams Corner Health Committee, Inc.	http://www.uphamscornerhealthctr.com/	H2220	002	2007	08	20	1	Upham's Corner Health Committee		Upham's Elder Service Plan	2	0		2				2						3	(617)-288-0970	(617)-288-0970		
H2221	001	0	1	20	08	H2221_001_0	1		ELDER SRVC PLN/CAMBRIDGE HEALTH ALLIANCE	Elder Srvc Pln/Cambridge Health Alliance	Challiance.org	H2221	001	2007	08	20	1	Elder Service Plan of the Cambridge Health		Counties: Middlesex and Suffolk	2	0		2				2						118	(617)-575-5850	(617)-575-5850		
H2221	002	0	1	20	08	H2221_002_0	1		ELDER SRVC PLN/CAMBRIDGE HEALTH ALLIANCE	Elder Srvc Pln/Cambridge Health Alliance	Challiance.org	H2221	002	2007	08	20	1	Elder Service Plan of the Cambridge Health		Counties:  Middlesex and Suffolk	2	0		2				2						20	(617)-575-5850	(617)-575-5850		
H2222	002	0	1	20	08	H2222_002_0	1		ELDER SERVICE PLAN OF THE NORTH SHORE	Elder Service Plan of the North Shore	www.pacenorthshore.org	H2222	002	2007	08	20	1	Elder Service Plan of the Northshore		Essex, Middlesex counties	2	0		2				2						10	(781)-715-6608	(781)-715-6608		
H2222	003	0	1	20	08	H2222_003_0	1		ELDER SERVICE PLAN OF THE NORTH SHORE	Elder Service Plan of the North Shore	www.pacenorthshore.org	H2222	003	2007	08	20	1	Elder Service Plan of the Northshore		Essex, Middlesex counties	2	0		2				2						425	(781)-715-6608	(781)-715-6608		
H2223	001	0	1	20	08	H2223_001_0	1		ELDER SVC PLN/E BOSTON HEALTH CENTER	Elder Svc Pln/E Boston Health Center	www.npaonline.org	H2223	001	2007	08	20	1	ESP of East Boston Pharmacy Plan--Duals		CREW Area	2	0		2				2						335	(617)-569-5800	(617)-569-5800		
H2223	002	0	1	20	08	H2223_002_0	1		ELDER SVC PLN/E BOSTON HEALTH CENTER	Elder Svc Pln/E Boston Health Center	www.npaonline.org	H2223	002	2007	08	20	1	ESP of East Boston Pharmacy Plan--MCR Only		CREW Area	2	0		2				2						10	(617)-569-5800	(617)-569-5800		
H2224	001	0	1	36	05	H2224_001_0	4		SENIOR WHOLE HEALTH, LLC	Senior Whole Health	www.seniorwholehealth.com	H2224	001	2007	05	36	1	Senior Whole Health		Senior Whole Health	2	0		1	3	1	2	2		(888)-749-6455	(888)-749-6455	(888)-794-7268	(888)-566-3526	4800	(888)-794-7268	(888)-566-3526	(888)-749-6455	(888)-749-6455
H2225	001	0	1	36	05	H2225_001_0	4		COMMONWEALTH CARE ALLIANCE, INC.	Commonwealth Care Alliance, Inc.	http://www.commonwealthcare.org	H2225	001	2007	05	36	1	Senior Care Options Program		Greater Boston and Springfield Areas	2	0		1	3	1	2	2		(866)-322-7357	(866)-322-7357	(866)-610-2273	(866)-610-2273	50	(866)-610-2273	(866)-610-2273		
H2226	001	0	1	36	05	H2226_001_0	3		UNITED HEALTHCARE INSURANCE COMPANY	United Health Group	www.EvercareHealthPlans.com	H2226	001	2007	05	36	1	Evercare Mass SCO		Boston, Springfield and Worcester Metro Areas	2	0		1	3	1	2	2		(888)-685-8480	(888)-685-8480	(800)-939-0993	(800)-393-0939		(800)-939-0993	(800)-393-0939	(888)-685-8480	(888)-685-8480
H2228	001	0	1	04	01	H2228_001_0	5		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H2228	001	2007	01	04	1	Evercare Plan IP		Boston, Springfield and Worcester Metro Areas	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-393-0939		(877)-702-3260	(800)-393-0939	(888)-685-8480	(888)-685-8480
H2228	002	0	1	04	01	H2228_002_0	6		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H2228	002	2007	01	04	1	Evercare Plan IP		Bristol, Kent, Providence and Washington Counties	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-393-0939		(877)-702-3260	(800)-393-0939	(888)-685-8480	(888)-685-8480
H2228	004	0	1	04	01	H2228_004_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H2228	004	2007	01	04	1	Evercare Plan DP		Boston, Springfield and Worcester Metro Areas	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-393-0939		(877)-702-3260	(800)-393-0939	(888)-685-8480	(888)-685-8480
H2228	006	0	1	04	01	H2228_006_0	5		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H2228	006	2007	01	04	1	Evercare Plan HP		Boston and Worcester Metro Area	2	0		1	4	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-393-0939		(877)-702-3260	(800)-393-0939	(888)-685-8480	(888)-685-8480
H2228	007	0	1	04	01	H2228_007_0	5		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H2228	007	2007	01	04	1	Evercare Plan BP		Boston and Worcester Metro Area	2	0		1	4	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-393-0939		(877)-702-3260	(800)-393-0939	(888)-685-8480	(888)-685-8480
H2228	008	0	1	04	01	H2228_008_0	5		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H2228	008	2007	01	04	1	Evercare Plan LP		Essex,Middlesex,Norfolk,Suffolk&Worcester Counties	2	0		1	4	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-393-0939		(877)-702-3260	(800)-393-0939	(888)-685-8480	(888)-685-8480
H2229	001	1	1	04	01	H2229_001_1	2		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2229	001	2007	01	04	1	Medicare Preferred PPO		Counties: ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	1	Barns, Ess, Hamp, Mid, Norf, Suff, Worc Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969					
H2229	001	2	1	04	01	H2229_001_2	2		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2229	001	2007	01	04	1	Medicare Preferred PPO		Counties: ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	2	Bristol and Plymouth Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969					
H2229	010	1	1	04	01	H2229_010_1	3		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2229	010	2007	01	04	1	Medicare Preferred PPO Rx		Counties: ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	1	Barns, Ess, Hamp, Mid, Norf, Suff, Worc Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2229	010	2	1	04	01	H2229_010_2	3		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2229	010	2007	01	04	1	Medicare Preferred PPO Rx		Counties: ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	2	Bristol and Plymouth Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2229	011	1	1	04	01	H2229_011_1	3		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2229	011	2007	01	04	1	Medicare Preferred PPO Rx Plus		Counties:ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	1	Barns, Ess, Hamp, Mid, Norf, Suff, Worc Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2229	011	2	1	04	01	H2229_011_2	3		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2229	011	2007	01	04	1	Medicare Preferred PPO Rx Plus		Counties:ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	2	Bristol and Plymouth Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2229	801	0	1	04	01	H2229_801_0	2		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2229	801	2007	01	04	1	Medicare Preferred PPO Rx		Most of Massachusetts	1	0		2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2229	802	0	1	04	01	H2229_802_0	2		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2229	802	2007	01	04	1	Medicare Preferred PPO		Most of Massachusetts	1	0		2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969					
H2229	803	0	1	04	01	H2229_803_0	2		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2229	803	2007	01	04	1	Medicare Preferred PPO Rx		Most of Massachusetts	1	0		2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2229	804	0	1	04	01	H2229_804_0	2		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2229	804	2007	01	04	1	Medicare Preferred PPO		Most of Massachusetts	1	0		2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969					
H2230	002	0	1	04	01	H2230_002_0	5		BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC.	Blue Cross And Blue Shield Of Massachusetts, Inc.	www.bluecrossma.com	H2230	002	2007	01	04	1	Medicare PPO Blue PlusRx		Massachusetts except Berkshire,Dukes and Nantucket	2	0		2				2		(800)-522-1254	(800)-522-1254	(800)-200-4255	(800)-678-2265	283	(800)-200-4255	(800)-678-2265	(800)-522-1254	(800)-522-1254
H2230	006	0	1	04	01	H2230_006_0	5		BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC.	Blue Cross And Blue Shield Of Massachusetts, Inc.	www.bluecrossma.com	H2230	006	2007	01	04	1	Medicare PPO Blue PremierRx		Massachusetts except Berkshire,Dukes and Nantucket	2	0		2				2		(800)-522-1254	(800)-522-1254	(800)-200-4255	(800)-678-2265	15	(800)-200-4255	(800)-678-2265	(800)-522-1254	(800)-522-1254
H2230	010	0	1	04	01	H2230_010_0	2		BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC.	Blue Cross And Blue Shield Of Massachusetts, Inc.	www.bluecrossma.com	H2230	010	2007	01	04	1	Medicare PPO Blue Prime		Massachusetts except Berkshire,Dukes and Nantucket	2	0		2				2		(800)-522-1254	(800)-522-1254	(800)-200-4255	(800)-678-2265	3				
H2230	801	0	1	04	01	H2230_801_0	4		BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC.	Blue Cross And Blue Shield Of Massachusetts, Inc.	www.bluecrossma.com	H2230	801	2007	01	04	1	Medicare PPO Blue		Massachusetts except Berkshire,Dukes and Nantucket	1	0		2				2		(800)-522-1254	(800)-522-1254	(800)-200-4255	(800)-678-2265	900	(800)-200-4255	(800)-678-2265	(800)-522-1254	(800)-522-1254
H2230	809	0	1	04	01	H2230_809_0	2		BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC.	Blue Cross And Blue Shield Of Massachusetts, Inc.	www.bluecrossma.com	H2230	809	2007	01	04	1	Medicare PPO Blue		Massachusetts except Berkshire,Dukes and Nantucket	1	0		2				2		(800)-522-1254	(800)-522-1254	(800)-200-4255	(800)-678-2265	900				
H2237	001	0	1	01	01	H2237_001_0	8		INDEPENDENT CARE HEALTH PLAN, INC.	iCare	www.icare-wi.org	H2237	001	2007	01	01	1	iCare Medicare Plan		iCare Milwaukee County Medicare Plan	2	0		1	3	1	2	2		(800)-947-3529	(800)-947-3529	(800)-777-4376	(800)-777-4376	1900	(800)-777-4376	(800)-777-4376	(800)-947-3529	(800)-947-3529
H2237	002	0	1	01	01	H2237_002_0	8		INDEPENDENT CARE HEALTH PLAN, INC.	iCare	www.icare-wi.org	H2237	002	2007	01	01	1	iCare Medicare Plan		iCare SE Wisconsin Medicare Plan	2	0		1	3	1	2	2		(800)-947-3529	(800)-947-3529	(800)-777-4376	(800)-777-4376	100	(800)-777-4376	(800)-777-4376	(800)-947-3529	(800)-947-3529
H2256	001	1	1	01	01	H2256_001_1	4		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	001	2007	01	01	1	Medicare Preferred HMO Prime Rx Plus		Counties ESS, BAR, BRI, HMD, MID, NOR, PLY,SUF,WOR	2	1	Essex, Suffolk and Worcester Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2256	001	2	1	01	01	H2256_001_2	4		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	001	2007	01	01	1	Medicare Preferred HMO Prime Rx Plus		Counties ESS, BAR, BRI, HMD, MID, NOR, PLY,SUF,WOR	2	2	Plymouth County	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2256	001	3	1	01	01	H2256_001_3	4		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	001	2007	01	01	1	Medicare Preferred HMO Prime Rx Plus		Counties ESS, BAR, BRI, HMD, MID, NOR, PLY,SUF,WOR	2	3	Norfolk and Hampden Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2256	001	4	1	01	01	H2256_001_4	4		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	001	2007	01	01	1	Medicare Preferred HMO Prime Rx Plus		Counties ESS, BAR, BRI, HMD, MID, NOR, PLY,SUF,WOR	2	4	Barnstable County	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2256	001	5	1	01	01	H2256_001_5	4		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	001	2007	01	01	1	Medicare Preferred HMO Prime Rx Plus		Counties ESS, BAR, BRI, HMD, MID, NOR, PLY,SUF,WOR	2	5	Middlesex and Bristol Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2256	015	1	1	01	01	H2256_015_1	4		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	015	2007	01	01	1	Medicare Preferred HMO Prime Rx		Counties: ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	1	Essex, Suffolk and Worcester Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2256	015	2	1	01	01	H2256_015_2	4		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	015	2007	01	01	1	Medicare Preferred HMO Prime Rx		Counties: ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	2	Plymouth County	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2256	015	3	1	01	01	H2256_015_3	4		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	015	2007	01	01	1	Medicare Preferred HMO Prime Rx		Counties: ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	3	Norfolk and Hampden Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2256	015	4	1	01	01	H2256_015_4	4		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	015	2007	01	01	1	Medicare Preferred HMO Prime Rx		Counties: ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	4	Barnstable County	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2256	015	5	1	01	01	H2256_015_5	4		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	015	2007	01	01	1	Medicare Preferred HMO Prime Rx		Counties: ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	5	Middlesex and Bristol Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2256	016	1	1	01	01	H2256_016_1	3		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	016	2007	01	01	1	Medicare Preferred HMO Prime		Counties: ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	1	Essex, Suffolk and Worcester Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969					
H2256	016	2	1	01	01	H2256_016_2	3		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	016	2007	01	01	1	Medicare Preferred HMO Prime		Counties: ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	2	Plymouth County	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969					
H2256	016	3	1	01	01	H2256_016_3	3		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	016	2007	01	01	1	Medicare Preferred HMO Prime		Counties: ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	3	Norfolk and Hampden Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969					
H2256	016	4	1	01	01	H2256_016_4	3		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	016	2007	01	01	1	Medicare Preferred HMO Prime		Counties: ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	4	Barnstable County	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969					
H2256	016	5	1	01	01	H2256_016_5	3		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	016	2007	01	01	1	Medicare Preferred HMO Prime		Counties: ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	5	Middlesex and Bristol Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969					
H2256	017	1	1	01	01	H2256_017_1	4		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	017	2007	01	01	1	Medicare Preferred HMO Value Rx Plus		Counties: ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	1	Essex, Suffolk and Worcester Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2256	017	2	1	01	01	H2256_017_2	4		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	017	2007	01	01	1	Medicare Preferred HMO Value Rx Plus		Counties: ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	2	Plymouth County	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2256	017	3	1	01	01	H2256_017_3	4		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	017	2007	01	01	1	Medicare Preferred HMO Value Rx Plus		Counties: ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	3	Norfolk, Hampden and Barnstable Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2256	017	4	1	01	01	H2256_017_4	4		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	017	2007	01	01	1	Medicare Preferred HMO Value Rx Plus		Counties: ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	4	Middlesex and Bristol Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2256	018	1	1	01	01	H2256_018_1	4		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	018	2007	01	01	1	Medicare Preferred HMO Value Rx		Counties: ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	1	Essex, Suffolk and Worcester Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2256	018	2	1	01	01	H2256_018_2	4		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	018	2007	01	01	1	Medicare Preferred HMO Value Rx		Counties: ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	2	Plymouth County	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2256	018	3	1	01	01	H2256_018_3	4		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	018	2007	01	01	1	Medicare Preferred HMO Value Rx		Counties: ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	3	Norfolk, Hampden and Barnstable Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2256	018	4	1	01	01	H2256_018_4	4		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	018	2007	01	01	1	Medicare Preferred HMO Value Rx		Counties: ESS,BAR,BRI,HMD, MID, NOR, PLY, SUF, WOR	2	4	Middlesex and Bristol Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2256	019	1	1	01	01	H2256_019_1	3		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	019	2007	01	01	1	Medicare Preferred HMO Value		Counties: ESS,BAR,BRI,HMD, MID, NOF, PLY, SUF, WOR	2	1	Essex, Suffolk and Worcester Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969					
H2256	019	2	1	01	01	H2256_019_2	3		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	019	2007	01	01	1	Medicare Preferred HMO Value		Counties: ESS,BAR,BRI,HMD, MID, NOF, PLY, SUF, WOR	2	2	Plymouth County	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969					
H2256	019	3	1	01	01	H2256_019_3	3		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	019	2007	01	01	1	Medicare Preferred HMO Value		Counties: ESS,BAR,BRI,HMD, MID, NOF, PLY, SUF, WOR	2	3	Norfolk, Hampden and Barnstable Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969					
H2256	019	4	1	01	01	H2256_019_4	3		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	019	2007	01	01	1	Medicare Preferred HMO Value		Counties: ESS,BAR,BRI,HMD, MID, NOF, PLY, SUF, WOR	2	4	Middlesex and Bristol Counties	2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969					
H2256	801	0	1	01	01	H2256_801_0	3		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	801	2007	01	01	1	Medicare Preferred HMO Rx		Most of Massachusetts	1	0		2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2256	802	0	1	01	01	H2256_802_0	3		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	802	2007	01	01	1	Medicare Preferred HMO		Most of Massachusetts	1	0		2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969					
H2256	803	0	1	01	01	H2256_803_0	3		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	803	2007	01	01	1	Medicare Preferred HMO Rx		Most of Massachusetts	1	0		2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969		(800)-701-9000	(800)-394-3969	(800)-208-9562	(888)-899-8977
H2256	804	0	1	01	01	H2256_804_0	3		TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	H2256	804	2007	01	01	1	Medicare Preferred HMO		Most of Massachusetts	1	0		2				2		(800)-208-9562	(888)-899-8977	(800)-701-9000	(800)-394-3969					
H2261	005	0	1	01	01	H2261_005_0	6		BLUE CROSS & BLUE SHIELD OF MA HMO BLUE, INC.	Blue Cross and Blue Shield of Massachusetts, Inc.	www.bluecrossma.com	H2261	005	2007	01	01	1	Medicare HMO Blue PlusRx		Massachusetts except Berkshire,Dukes and Nantucket	2	0		2				2		(800)-522-1254	(800)-522-1254	(800)-200-4255	(800)-678-2265	25472	(800)-200-4255	(800)-678-2265	(800)-522-1254	(800)-522-1254
H2261	011	0	1	01	01	H2261_011_0	6		BLUE CROSS & BLUE SHIELD OF MA HMO BLUE, INC.	Blue Cross and Blue Shield of Massachusetts, Inc.	www.bluecrossma.com	H2261	011	2007	01	01	1	Medicare HMO Blue PremierRx		Massachusetts except Berkshire,Dukes and Nantucket	2	0		2				2		(800)-522-1254	(800)-522-1254	(800)-200-4255	(800)-678-2265	1380	(800)-200-4255	(800)-678-2265	(800)-522-1254	(800)-522-1254
H2261	015	0	1	01	01	H2261_015_0	4		BLUE CROSS & BLUE SHIELD OF MA HMO BLUE, INC.	Blue Cross and Blue Shield of Massachusetts, Inc.	www.bluecrossma.com	H2261	015	2007	01	01	1	Medicare HMO Blue Prime		Massachusetts except Berkshire,Dukes and Nantucket	2	0		2				2		(800)-522-1254	(800)-522-1254	(800)-200-4255	(800)-678-2265	256				
H2261	801	0	1	01	01	H2261_801_0	3		BLUE CROSS & BLUE SHIELD OF MA HMO BLUE, INC.	Blue Cross and Blue Shield of Massachusetts, Inc.	www.bluecrossma.com	H2261	801	2007	01	01	1	Medicare HMO Blue		Massachusetts except Berkshire,Dukes and Nantucket	1	0		2				2		(800)-522-1254	(800)-522-1254	(800)-200-4255	(800)-678-2265	3568	(800)-200-4255	(800)-678-2265	(800)-522-1254	(800)-522-1254
H2261	809	0	1	01	01	H2261_809_0	3		BLUE CROSS & BLUE SHIELD OF MA HMO BLUE, INC.	Blue Cross and Blue Shield of Massachusetts, Inc.	www.bluecrossma.com	H2261	809	2007	01	01	1	Medicare HMO Blue		Massachusetts except Berkshire,Dukes and Nantucket	1	0		2				2		(800)-522-1254	(800)-522-1254	(800)-200-4255	(800)-678-2265	40				
H2312	004	0	1	01	01	H2312_004_0	5		HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	H2312	004	2007	01	01	1	HAP Senior Plus - HFHS Network		Southeastern Michigan (3 Counties)	2	0		2				2		(313)-664-8000	(313)-664-8000	(800)-801-1770	(800)-801-1770		(800)-801-1770	(800)-801-1770		
H2312	006	0	1	01	01	H2312_006_0	3		HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	H2312	006	2007	01	01	1	HAP Senior Plus - HFHS Network		Southeastern Michigan (3 Counties)	2	0		2				2		(313)-664-8000	(313)-664-8000	(800)-801-1770	(800)-801-1770					
H2312	007	0	1	01	01	H2312_007_0	5		HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	H2312	007	2007	01	01	1	HAP Senior Plus - Expanded Network		Southeastern Michigan (9 Counties)	2	0		2				2		(313)-664-8000	(313)-664-8000	(800)-801-1770	(800)-801-1770		(800)-801-1770	(800)-801-1770		
H2312	008	0	1	01	01	H2312_008_0	3		HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	H2312	008	2007	01	01	1	HAP Senior Plus - Expanded Network		Southeastern Michigan (9 Counties)	2	0		2				2		(313)-664-8000	(313)-664-8000	(800)-801-1770	(800)-801-1770					
H2312	009	0	1	01	01	H2312_009_0	7		HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	H2312	009	2007	01	01	1	HAP Senior Plus - HFHS Network		Southeastern Michigan (3 Counties)	2	0		2				2		(313)-664-8000	(313)-664-8000	(800)-801-1770	(800)-801-1770		(800)-801-1770	(800)-801-1770		
H2312	010	0	1	01	01	H2312_010_0	7		HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	H2312	010	2007	01	01	1	HAP Senior Plus - Expanded Network		Southeastern Michigan (9 Counties)	2	0		2				2		(313)-664-8000	(313)-664-8000	(800)-801-1770	(800)-801-1770		(800)-801-1770	(800)-801-1770		
H2312	801	0	1	01	01	H2312_801_0	3		HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	H2312	801	2007	01	01	1	HAP Senior Plus - Group Only		Macomb, Oakland and Wayne Counties	1	0		2				2		(313)-664-8000	(313)-664-8000	(800)-801-1770	(800)-801-1770					
H2312	802	0	1	01	01	H2312_802_0	3		HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	H2312	802	2007	01	01	1	HAP Senior Plus - Group Only		Macomb, Oakland and Wayne Counties	1	0		2				2		(313)-664-8000	(313)-664-8000	(800)-801-1770	(800)-801-1770					
H2312	803	0	1	01	01	H2312_803_0	4		HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	H2312	803	2007	01	01	1	HAP Senior Plus - Group Only		Macomb, Oakland and Wayne Counties	1	0		2				2		(313)-664-8000	(313)-664-8000	(800)-801-1770	(800)-801-1770		(800)-801-1770	(800)-801-1770		
H2312	804	0	1	01	01	H2312_804_0	4		HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	H2312	804	2007	01	01	1	HAP Senior Plus - Group Only		Macomb, Oakland and Wayne Counties	1	0		2				2		(313)-664-8000	(313)-664-8000	(800)-801-1770	(800)-801-1770		(800)-801-1770	(800)-801-1770		
H2312	805	0	1	01	01	H2312_805_0	3		HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	H2312	805	2007	01	01	1	HAP Senior Plus - Group Only		Southeastern Michigan (9 Counties)	1	0		2				2		(313)-664-8000	(313)-664-8000	(800)-801-1770	(800)-801-1770					
H2312	806	0	1	01	01	H2312_806_0	3		HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	H2312	806	2007	01	01	1	HAP Senior Plus - Group Only		Southeastern Michigan (9 Counties)	1	0		2				2		(313)-664-8000	(313)-664-8000	(800)-801-1770	(800)-801-1770					
H2312	807	0	1	01	01	H2312_807_0	4		HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	H2312	807	2007	01	01	1	HAP Senior Plus - Group Only		Southeastern Michigan (9 Counties)	1	0		2				2		(313)-664-8000	(313)-664-8000	(800)-801-1770	(800)-801-1770		(800)-801-1770	(800)-801-1770		
H2312	808	0	1	01	01	H2312_808_0	4		HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	H2312	808	2007	01	01	1	HAP Senior Plus - Group Only		Southeastern Michigan (9 Counties)	1	0		2				2		(313)-664-8000	(313)-664-8000	(800)-801-1770	(800)-801-1770		(800)-801-1770	(800)-801-1770		
H2318	001	0	1	20	08	H2318_001_0	1		HENRY FORD HEALTH SYSTEM	Henry Ford Health System	hfhs.org	H2318	001	2007	08	20	1	Center for Senior Independence		Michigan, Wayne County Area	2	0		2				2						230	(313)-653-2230	(313)-653-2230		
H2318	002	0	1	20	08	H2318_002_0	1		HENRY FORD HEALTH SYSTEM	Henry Ford Health System	hfhs.org	H2318	002	2007	08	20	1	Center for Senior Independence		Michigan, Wayne County Area	2	0		2				1	1					230	(313)-653-2230	(313)-653-2230		
H2319	008	3	1	09	04	H2319_008_3	4	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	008	2007	04	09	1	Medicare Plus Blue Option A		State of Michigan	2	3	UP + Charlevoix, Cheboygan, Emmet, Otsego Counties	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	840	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	008	4	1	09	04	H2319_008_4	3	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	008	2007	04	09	1	Medicare Plus Blue Option A		State of Michigan	2	4	Ann Arbor-Jackson-Berrien Area	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	990	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	008	5	1	09	04	H2319_008_5	3	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	008	2007	04	09	1	Medicare Plus Blue Option A		State of Michigan	2	5	Northwest & Central Michigan and Thumb Area	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	1430	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	008	7	1	09	04	H2319_008_7	3	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	008	2007	04	09	1	Medicare Plus Blue Option A		State of Michigan	2	7	Macomb, Monroe, Oakland & Wayne Counties	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	2360	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	008	8	1	09	04	H2319_008_8	3	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	008	2007	04	09	1	Medicare Plus Blue Option A		State of Michigan	2	8	Grand Rapids, Lansing & Kalamazoo Area	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	4470	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	009	1	1	09	04	H2319_009_1	3	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	009	2007	04	09	1	Medicare Plus Blue Option B		State of Michigan	2	1	Allegan, Kent, Newaygo & Ottawa Counties	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	8890	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	009	2	1	09	04	H2319_009_2	3	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	009	2007	04	09	1	Medicare Plus Blue Option B		State of Michigan	2	2	Kalamazoo-Lansing Area	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	2680	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	009	3	1	09	04	H2319_009_3	3	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	009	2007	04	09	1	Medicare Plus Blue Option B		State of Michigan	2	3	UP + Charlevoix, Cheboygan, Emmet, Ostego Counties	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	1820	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	009	4	1	09	04	H2319_009_4	3	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	009	2007	04	09	1	Medicare Plus Blue Option B		State of Michigan	2	4	Ann Arbor-Jackson-Berrien Area	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	2030	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	009	5	1	09	04	H2319_009_5	3	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	009	2007	04	09	1	Medicare Plus Blue Option B		State of Michigan	2	5	Northwest & Central Michigan and Thumb Area	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	2200	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	009	6	1	09	04	H2319_009_6	3	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	009	2007	04	09	1	Medicare Plus Blue Option B		State of Michigan	2	6	Macomb, Monroe, Oakland & Wayne Counties	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	3230	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	010	1	1	09	04	H2319_010_1	3	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	010	2007	04	09	1	Medicare Plus Blue Option C		State of Michigan	2	1	Allegan, Kent, Newaygo & Ottawa Counties	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	2850	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	010	2	1	09	04	H2319_010_2	3	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	010	2007	04	09	1	Medicare Plus Blue Option C		State of Michigan	2	2	Kalamazoo-Lansing Area	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	950	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	010	3	1	09	04	H2319_010_3	3	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	010	2007	04	09	1	Medicare Plus Blue Option C		State of Michigan	2	3	UP + Charlevoix, Cheboygan, Emmet, Ostego Counties	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	640	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	010	4	1	09	04	H2319_010_4	3	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	010	2007	04	09	1	Medicare Plus Blue Option C		State of Michigan	2	4	Ann Arbor-Jackson-Berrien Area	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	740	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	010	5	1	09	04	H2319_010_5	3	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	010	2007	04	09	1	Medicare Plus Blue Option C		State of Michigan	2	5	Northwest & Central Michigan and Thumb Area	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	790	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	010	6	1	09	04	H2319_010_6	3	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	010	2007	04	09	1	Medicare Plus Blue Option C		State of Michigan	2	6	Macomb, Monroe, Oakland & Wayne Counties	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	1230	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	011	1	1	09	04	H2319_011_1	3	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	011	2007	04	09	1	Medicare Plus Blue Option D		State of Michigan	2	1	Allegan, Kent, Newaygo & Ottawa Counties	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	2240	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	011	2	1	09	04	H2319_011_2	3	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	011	2007	04	09	1	Medicare Plus Blue Option D		State of Michigan	2	2	Kalamazoo-Lansing Area	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	810	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	011	3	1	09	04	H2319_011_3	3	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	011	2007	04	09	1	Medicare Plus Blue Option D		State of Michigan	2	3	UP + Charlevoix, Cheboygan, Emmet, Ostego Counties	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	530	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	011	4	1	09	04	H2319_011_4	3	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	011	2007	04	09	1	Medicare Plus Blue Option D		State of Michigan	2	4	Ann Arbor-Jackson-Berrien Area	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	610	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	011	5	1	09	04	H2319_011_5	3	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	011	2007	04	09	1	Medicare Plus Blue Option D		State of Michigan	2	5	Northwest & Central Michigan and Thumb Area	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	650	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	011	6	1	09	04	H2319_011_6	3	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	011	2007	04	09	1	Medicare Plus Blue Option D		State of Michigan	2	6	Macomb, Monroe, Oakland & Wayne Counties	2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	1020	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	801	0	1	09	04	H2319_801_0	4	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	801	2007	04	09	1	Medicare Plus Blue Employer Rx CY		State of Michigan	1	0		2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	151947	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	802	0	1	09	04	H2319_802_0	4	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	802	2007	04	09	1	Medicare Plus Blue Employer CY		State of Michigan	1	0		2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	151947				
H2319	803	0	1	09	04	H2319_803_0	4	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	803	2007	04	09	1	Medicare Plus Blue Employer Rx non-CY		State of Michigan	1	0		2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	151947	(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
H2319	804	0	1	09	04	H2319_804_0	4	2	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	H2319	804	2007	04	09	1	Medicare Plus Blue Employer non-CY		State of Michigan	1	0		2				2		(888)-844-5530	(800)-481-8704	(866)-318-5674	(800)-485-4415	151947				
H2320	004	1	1	02	01	H2320_004_1	3		PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com	H2320	004	2007	01	02	1	PriorityMedicare		Western Michigan Counties	2	1	Allegan, Kent and Ottawa Counties	2				2		(888)-551-6761	(888)-551-6761	(888)-389-6648	(888)-389-6676	2307	(888)-389-6648	(888)-389-6676	(888)-551-6761	(888)-551-6761
H2320	004	2	1	02	01	H2320_004_2	3		PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com	H2320	004	2007	01	02	1	PriorityMedicare		Western Michigan Counties	2	2	Montcalm, Muskegon, Oceana and Osceola Counties	2				2		(888)-551-6761	(888)-551-6761	(888)-389-6648	(888)-389-6676	404	(888)-389-6648	(888)-389-6676	(888)-551-6761	(888)-551-6761
H2320	004	3	1	02	01	H2320_004_3	3		PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com	H2320	004	2007	01	02	1	PriorityMedicare		Western Michigan Counties	2	3	North Western Michigan Counties	2				2		(888)-551-6761	(888)-551-6761	(888)-389-6648	(888)-389-6676	682	(888)-389-6648	(888)-389-6676	(888)-551-6761	(888)-551-6761
H2320	005	1	1	02	01	H2320_005_1	3		PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com	H2320	005	2007	01	02	1	PriorityMedicare Plus		Western Michigan Counties	2	1	Allegan, Kent and Ottawa Counties	2				2		(888)-551-6761	(888)-551-6761	(888)-389-6648	(888)-389-6676	2523	(888)-389-6648	(888)-389-6676	(888)-551-6761	(888)-551-6761
H2320	005	2	1	02	01	H2320_005_2	3		PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com	H2320	005	2007	01	02	1	PriorityMedicare Plus		Western Michigan Counties	2	2	Montcalm, Muskegon, Oceana and Osceola Counties	2				2		(888)-551-6761	(888)-551-6761	(888)-389-6648	(888)-389-6676	404	(888)-389-6648	(888)-389-6676	(888)-551-6761	(888)-551-6761
H2320	005	3	1	02	01	H2320_005_3	3		PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com	H2320	005	2007	01	02	1	PriorityMedicare Plus		Western Michigan Counties	2	3	North Western Michigan Counties	2				2		(888)-551-6761	(888)-551-6761	(888)-389-6648	(888)-389-6676	682	(888)-389-6648	(888)-389-6676	(888)-551-6761	(888)-551-6761
H2320	802	0	1	02	01	H2320_802_0	1		PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com	H2320	802	2007	01	02	1	PriorityMedicare EG Non-Calendar Year		Western and Northern Michigan Counties	1	0		2				2		(888)-551-6761	(888)-551-6761	(888)-389-6648	(888)-389-6676	875	(888)-389-6648	(888)-389-6676	(888)-551-6761	(888)-551-6761
H2320	803	0	1	02	01	H2320_803_0	1		PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com	H2320	803	2007	01	02	1	PriorityMedicare EG Calendar Year		Western and Northern Michigan Counties	1	0		2				2		(888)-551-6761	(888)-551-6761	(888)-389-6648	(888)-389-6676	875	(888)-389-6648	(888)-389-6676	(888)-551-6761	(888)-551-6761
H2320	804	0	1	01	01	H2320_804_0	1		PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com	H2320	804	2007	01	01	1	PriorityMedicare EG HMO w PD Non-Cal Year		Western and Northern Michigan	1	0		2				2		(888)-551-6761	(888)-551-6761	(888)-389-6648	(888)-389-6676	875	(888)-389-6648	(888)-389-6676	(888)-551-6761	(888)-551-6761
H2320	805	0	1	01	01	H2320_805_0	1		PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com	H2320	805	2007	01	01	1	PriorityMedicare EG HMO w PD Cal Year		Western and Northern Michigan	1	0		2				2		(888)-551-6761	(888)-551-6761	(888)-389-6648	(888)-389-6676	875	(888)-389-6648	(888)-389-6676	(888)-551-6761	(888)-551-6761
H2320	806	0	1	02	01	H2320_806_0	1		PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com	H2320	806	2007	01	02	1	PriorityMedicare EG Non-Cal Year (no PD)		Western and Northern Michigan	1	0		2				2		(888)-551-6761	(888)-551-6761	(888)-389-6648	(888)-389-6676	875				
H2320	807	0	1	02	01	H2320_807_0	1		PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com	H2320	807	2007	01	02	1	PriorityMedicare EG Cal Year (no PD)		Western and Northern Michigan	1	0		2				2		(888)-551-6761	(888)-551-6761	(888)-389-6648	(888)-389-6676	875				
H2320	808	0	1	01	01	H2320_808_0	1		PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com	H2320	808	2007	01	01	1	PriorityMedicare EG HMO Non-Cal Yr (no PD)		Western and Northern Michigan	1	0		2				2		(888)-551-6761	(888)-551-6761	(888)-389-6648	(888)-389-6676	875				
H2320	809	0	1	01	01	H2320_809_0	1		PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com	H2320	809	2007	01	01	1	PriorityMedicare EG HMO Cal Year (no PD)		Western and Northern Michigan	1	0		2				2		(888)-551-6761	(888)-551-6761	(888)-389-6648	(888)-389-6676	875				
H2322	001	0	1	04	01	H2322_001_0	6		ALLIANCE HEALTH AND LIFE INSURANCE, CO	Alliance Medicare PPO	www.hap.org	H2322	001	2007	01	04	1	Alliance Medicare PPO		Southeastern Michigan (9 Counties)	2	0		2				2		(313)-664-8000	(313)-664-8000	(888)-658-2536	(888)-658-2536		(888)-658-2536	(888)-658-2536	(313)-664-8000	(313)-664-8000
H2322	003	0	1	04	01	H2322_003_0	4		ALLIANCE HEALTH AND LIFE INSURANCE, CO	Alliance Medicare PPO	www.hap.org	H2322	003	2007	01	04	1	Alliance Medicare PPO		Southeastern Michigan (9 Counties)	2	0		2				2		(313)-664-8000	(313)-664-8000	(888)-658-2536	(888)-658-2536					
H2322	004	0	1	04	01	H2322_004_0	8		ALLIANCE HEALTH AND LIFE INSURANCE, CO	Alliance Medicare PPO	www.hap.org	H2322	004	2007	01	04	1	Alliance Medicare PPO		Southeastern Michigan (9 Counties)	2	0		2				2		(313)-664-8000	(313)-664-8000	(888)-658-2536	(888)-658-2536		(888)-658-2536	(888)-658-2536	(313)-664-8000	(313)-664-8000
H2322	005	0	1	04	01	H2322_005_0	4		ALLIANCE HEALTH AND LIFE INSURANCE, CO	Alliance Medicare PPO	www.hap.org	H2322	005	2007	01	04	1	Alliance Medicare PPO 002		Southeastern Michigan (9 Counties)	2	0		2				2		(313)-664-8000	(313)-664-8000	(888)-658-2536	(888)-658-2536					
H2322	006	0	1	04	01	H2322_006_0	6		ALLIANCE HEALTH AND LIFE INSURANCE, CO	Alliance Medicare PPO	www.hap.org	H2322	006	2007	01	04	1	Alliance Medicare PPO 002		Southeastern Michigan (9 Counties)	2	0		2				2		(313)-664-8000	(313)-664-8000	(888)-658-2536	(888)-658-2536		(888)-658-2536	(888)-658-2536	(313)-664-8000	(313)-664-8000
H2322	007	0	1	04	01	H2322_007_0	8		ALLIANCE HEALTH AND LIFE INSURANCE, CO	Alliance Medicare PPO	www.hap.org	H2322	007	2007	01	04	1	Alliance Medicare PPO 002		Southeastern Michigan (9 Counties)	2	0		2				2		(313)-664-8000	(313)-664-8000	(888)-658-2536	(888)-658-2536		(888)-658-2536	(888)-658-2536	(313)-664-8000	(313)-664-8000
H2322	801	0	1	04	01	H2322_801_0	4		ALLIANCE HEALTH AND LIFE INSURANCE, CO	Alliance Medicare PPO	www.hap.org	H2322	801	2007	01	04	1	Alliance Medicare PPO - Group Only		Southeastern Michigan (9 Counties)	1	0		2				2		(313)-664-8000	(313)-664-8000	(888)-658-2536	(888)-658-2536					
H2322	802	0	1	04	01	H2322_802_0	4		ALLIANCE HEALTH AND LIFE INSURANCE, CO	Alliance Medicare PPO	www.hap.org	H2322	802	2007	01	04	1	Alliance Medicare PPO - Group Only		Southeastern Michigan (9 Counties)	1	0		2				2		(313)-664-8000	(313)-664-8000	(888)-658-2536	(888)-658-2536					
H2322	803	0	1	04	01	H2322_803_0	6		ALLIANCE HEALTH AND LIFE INSURANCE, CO	Alliance Medicare PPO	www.hap.org	H2322	803	2007	01	04	1	Alliance Medicare PPO - Group Only		Southeastern Michigan (9 Counties)	1	0		2				2		(313)-664-8000	(313)-664-8000	(888)-658-2536	(888)-658-2536		(888)-658-2536	(888)-658-2536	(313)-664-8000	(313)-664-8000
H2322	804	0	1	04	01	H2322_804_0	6		ALLIANCE HEALTH AND LIFE INSURANCE, CO	Alliance Medicare PPO	www.hap.org	H2322	804	2007	01	04	1	Alliance Medicare PPO - Group Only		Southeastern Michigan (9 Counties)	1	0		2				2		(313)-664-8000	(313)-664-8000	(888)-658-2536	(888)-658-2536		(888)-658-2536	(888)-658-2536	(313)-664-8000	(313)-664-8000
H2323	001	0	1	01	01	H2323_001_0	21		FIDELIS SECURECARE OF MICHIGAN	Fidelis SecureCare Of Michigan	www.fidelissc.com	H2323	001	2007	01	01	1	Fidelis Medicare Plus		Detroit Area	2	0		1	1	2	2	2		(888)-844-5530	(888)-844-5530	(866)-795-7773	(800)-931-7212	90	(866)-795-7773	(800)-931-7212	(888)-844-5530	(888)-844-5530
H2323	002	0	1	01	01	H2323_002_0	22		FIDELIS SECURECARE OF MICHIGAN	Fidelis SecureCare Of Michigan	www.fidelissc.com	H2323	002	2007	01	01	1	Fidelis SecureCare of Michigan		Detroit Area	2	0		1	1	2	2	2		(888)-844-5530	(888)-844-5530	(866)-795-7773	(800)-931-7212	10	(866)-795-7773	(800)-931-7212	(888)-844-5530	(888)-844-5530
H2354	001	0	1	01	01	H2354_001_0	6		HEALTHPLUS OF MICHIGAN	HealthPlus of Michigan	www.healthplus.org	H2354	001	2007	01	01	1	HealthPlus Senior - Option 1		Greater Flint Region	2	0		2				2		(800)-992-5070	(800)-992-5070	(800)-332-9161	(800)-332-9161	465	(800)-332-9161	(800)-332-9161	(800)-992-5070	(800)-992-5070
H2354	013	0	1	01	01	H2354_013_0	6		HEALTHPLUS OF MICHIGAN	HealthPlus of Michigan	www.healthplus.org	H2354	013	2007	01	01	1	HealthPlus Senior - Option 2		Greater Flint Region	2	0		2				2		(800)-992-5070	(800)-992-5070	(800)-332-9161	(800)-332-9161	930	(800)-332-9161	(800)-332-9161	(800)-992-5070	(800)-992-5070
H2354	014	0	1	01	01	H2354_014_0	8		HEALTHPLUS OF MICHIGAN	HealthPlus of Michigan	www.healthplus.org	H2354	014	2007	01	01	1	HealthPlus Senior - Option 3		Greater Flint Region	2	0		2				2		(800)-992-5070	(800)-992-5070	(800)-332-9161	(800)-332-9161	465	(800)-332-9161	(800)-332-9161	(800)-992-5070	(800)-992-5070
H2354	801	0	1	01	01	H2354_801_0	1		HEALTHPLUS OF MICHIGAN	HealthPlus of Michigan	www.healthplus.org	H2354	801	2007	01	01	1	HealthPlus E.G. MA-medical only plan		Greater Flint Region	1	0		2				2		(800)-992-5070	(800)-992-5070	(800)-332-9161	(800)-332-9161	1925				
H2354	802	0	1	01	01	H2354_802_0	2		HEALTHPLUS OF MICHIGAN	HealthPlus of Michigan	www.healthplus.org	H2354	802	2007	01	01	1	HealthPlus E.G. MA-PD Cal		Greater Flint Region	1	0		2				2		(800)-992-5070	(800)-992-5070	(800)-332-9161	(800)-332-9161	25	(800)-332-9161	(800)-332-9161	(800)-992-5070	(800)-992-5070
H2406	001	0	1	04	01	H2406_001_0	6		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.EvercareHealthPlans.com	H2406	001	2007	01	04	1	Evercare Plan IP		Cleveland, Cincinnati and Columbus Areas	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(877)-838-7523		(800)-393-0993	(877)-838-7523	(888)-685-8480	(888)-685-8480
H2407	001	0	1	33	05	H2407_001_0	6		UCARE MINNESOTA	UCare Minnesota	www.ucare.org	H2407	001	2007	05	33	1	UCare Complete		Minneapolis, St. Paul, and Surrounding Metro	2	0		1	3	1	2	2		(800)-688-2534	(800)-688-2534	(800)-203-7225	(877)-523-1518		(877)-523-1515	(877)-523-1515		
H2408	001	0	1	09	04	H2408_001_0	4	2	UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H2408	001	2007	04	09	1	SecureHorizons MedicareDirect Rx Plan 50		Select Counties in IA, NE, NM, SD and WI	2	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5585	(800)-555-5757		(888)-867-5585	(800)-555-5757	(888)-685-8480	(888)-685-8480
H2408	011	0	1	09	04	H2408_011_0	4	2	UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H2408	011	2007	04	09	1	SecureHorizons MedicareDirect Rx Plan 51		Select counties in ID, IL, KY, MI, OR, WA and WI	2	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5585	(800)-555-5757		(888)-867-5585	(800)-555-5757	(888)-685-8480	(888)-685-8480
H2408	013	0	1	09	04	H2408_013_0	8	2	UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H2408	013	2007	04	09	1	SecureHorizons MedicareDirect Rx Plan 52		SelectAR,IN, IA, NE, NC, PA, TN, and UT	2	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5585	(800)-555-5757		(888)-867-5585	(800)-555-5757	(888)-685-8480	(888)-685-8480
H2408	015	0	1	09	04	H2408_015_0	5	2	UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H2408	015	2007	04	09	1	SecureHorizons MedicareDirect Rx Plan 53		Select counties in Pennsylvania and Virginia	2	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5585	(800)-555-5757		(888)-867-5585	(800)-555-5757	(888)-685-8480	(888)-685-8480
H2408	801	0	1	09	04	H2408_801_0	2	2	UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.medicarecomplete.com	H2408	801	2007	04	09	1	UnitedHealthcare MedicareComp Essential Rx		Select Counties Nationwide	1	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5585	(888)-288-9947		(888)-867-5585	(888)-288-9947	(888)-685-8480	(888)-685-8480
H2408	802	0	1	09	04	H2408_802_0	1	2	UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.medicarecomplete.com	H2408	802	2007	04	09	1	UnitedHealthcare Medicare Comp Essential		Select Counties Nationwide	1	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5585	(888)-288-9947					
H2409	003	0	1	09	04	H2409_003_0	4	2	MEDICA HEALTH PLAN S OF WISCONSIN	Medica Health Plans of Wisconsin	www.medica.com	H2409	003	2007	04	09	1	Medica Advantage Solution Non-Metro Std		WI Non-Metro Standard	2	0		2				2		(800)-234-8819	(800)-234-8819	(800)-234-8755	(800)-906-5432	142				
H2409	006	0	1	09	04	H2409_006_0	3	2	MEDICA HEALTH PLAN S OF WISCONSIN	Medica Health Plans of Wisconsin	www.medica.com	H2409	006	2007	04	09	1	Medica Advantage Sol. Non-Metro Std w/Rx		WI Non-Metro Standard	2	0		2				2		(800)-234-8819	(800)-234-8819	(800)-234-8755	(800)-906-5432	14	(800)-234-8755	(800)-906-5432	(800)-234-8819	(800)-234-8819
H2409	801	0	1	09	04	H2409_801_0	4	2	MEDICA HEALTH PLAN S OF WISCONSIN	Medica Health Plans of Wisconsin	www.medica.com	H2409	801	2007	04	09	1	Medica Grp Advantage Sol.-Calendar Rx		National Grp PFFS- Calendar Rx	1	0		2				2		(800)-234-8819	(800)-234-8819	(800)-575-2330	(800)-575-2330	44	(800)-575-2330	(800)-575-2330	(800)-234-8819	(800)-234-8819
H2409	802	0	1	09	04	H2409_802_0	4	2	MEDICA HEALTH PLAN S OF WISCONSIN	Medica Health Plans of Wisconsin	www.medica.com	H2409	802	2007	04	09	1	Medica Grp Advantage Sol.-Contract Rx		National Grp PFFS- Contract Rx	1	0		2				2		(800)-234-8819	(800)-234-8819	(800)-575-2330	(800)-575-2330	22	(800)-575-2330	(800)-575-2330	(800)-234-8819	(800)-234-8819
H2409	803	0	1	09	04	H2409_803_0	3	2	MEDICA HEALTH PLAN S OF WISCONSIN	Medica Health Plans of Wisconsin	www.medica.com	H2409	803	2007	04	09	1	Medica Grp Advantage Sol.-Calendar No Rx		National Grp PFFS- NO Rx	1	0		2				2		(800)-234-8819	(800)-234-8819	(800)-575-2330	(800)-575-2330	22				
H2410	001	0	1	09	04	H2410_001_0	3	2	MEDICA HEALTH PLANS	Medica Health Plans	www.medica.com	H2410	001	2007	04	09	1	Medica Advantage Solution Standard		Select Counties In MN & ND	2	0		2				2		(800)-234-8819	(800)-234-8819	(800)-234-8755	(800)-906-5432	496				
H2410	009	0	1	09	04	H2410_009_0	4	2	MEDICA HEALTH PLANS	Medica Health Plans	www.medica.com	H2410	009	2007	04	09	1	Medica Advantage Solution Choice		Select MN and  ND  counties	2	0		2				2		(800)-234-8819	(800)-234-8819	(800)-373-8335	(800)-906-5432	1802	(800)-373-8335	(800)-906-5432	(800)-234-8819	(800)-234-8819
H2410	015	0	1	09	04	H2410_015_0	4	2	MEDICA HEALTH PLANS	Medica Health Plans	www.medica.com	H2410	015	2007	04	09	1	Medica Advantage Solution Standard with Rx		Select Counties in MN and ND	2	0		2				2		(800)-234-8819	(800)-234-8819	(800)-234-8755	(800)-906-5432	57	(800)-234-8755	(800)-906-5432	(800)-234-8819	(800)-234-8819
H2410	801	0	1	09	04	H2410_801_0	3	2	MEDICA HEALTH PLANS	Medica Health Plans	www.medica.com	H2410	801	2007	04	09	1	Medica Grp Advantage Sol.-Calendar Rx		National Grp PFFS- Calendar Rx	1	0		2				2		(800)-234-8819	(800)-234-8819	(800)-575-2330	(800)-575-2330	213	(800)-575-2330	(800)-575-2330	(800)-234-8819	(800)-234-8819
H2410	802	0	1	09	04	H2410_802_0	3	2	MEDICA HEALTH PLANS	Medica Health Plans	www.medica.com	H2410	802	2007	04	09	1	Medica Grp Advantage Sol.-Contract Rx		National Grp PFFS- Contract Rx	1	0		2				2		(800)-234-8819	(800)-234-8819	(800)-575-2330	(800)-575-2330	98	(800)-575-2330	(800)-575-2330	(800)-234-8819	(800)-234-8819
H2410	803	0	1	09	04	H2410_803_0	2	2	MEDICA HEALTH PLANS	Medica Health Plans	www.medica.com	H2410	803	2007	04	09	1	Medica Grp Advantage Sol.-Calendar No Rx		National Grp PFFS- Calendar NO Rx	1	0		2				2		(800)-234-8819	(800)-234-8819	(800)-575-2330	(800)-575-2330	44				
H2411	002	0	1	04	01	H2411_002_0	5		FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	H2411	002	2007	01	04	1	Fallon Senior Plan Preferred Enhanced Rx		Counties: WORC, MSEX, FRK, HMD, HPS, NOF	2	0		2				2		(877)-608-7677	(877)-608-7677	(800)-868-5200	(888)-377-1980	80	(800)-868-5200	(888)-377-1980	(877)-608-7677	(877)-608-7677
H2411	801	0	1	04	01	H2411_801_0	3		FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	H2411	801	2007	01	04	1	PPO MA Only		Full Service Area - Employer Groups	1	0		2				2		(877)-608-7677	(877)-608-7677	(800)-868-5200	(888)-377-1980	54				
H2411	802	0	1	04	01	H2411_802_0	4		FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	H2411	802	2007	01	04	1	PPO MA  RX Coinsurance - Non Calendar Year		Full Service Area - Employer Groups	1	0		2				2		(877)-608-7677	(877)-608-7677	(800)-868-5200	(888)-377-1980	108	(800)-868-5200	(888)-377-1980	(877)-608-7677	(877)-608-7677
H2411	803	0	1	04	01	H2411_803_0	4		FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	H2411	803	2007	01	04	1	PPO MA RX Coinsurance - Calendar Year		Full Service Area - Employer Groups	1	0		2				2		(877)-608-7677	(877)-608-7677	(800)-868-5200	(888)-377-1980	46	(800)-868-5200	(888)-377-1980	(877)-608-7677	(877)-608-7677
H2416	001	0	1	34	05	H2416_001_0	6		PRIMEWEST HEALTH SYSTEM	Primewest Health System	http://www.primewest.org	H2416	001	2007	05	34	1	PrimeWest Senior Health Complete		West Central and Southwest Minnesota	2	0		1	3	1	2	2		(800)-627-3529	(800)-627-3529	(888)-588-4420	(888)-588-4420	2103	(888)-588-4420	(888)-588-4420	(800)-627-3529	(800)-627-3529
H2417	001	0	1	34	05	H2417_001_0	4		ITASCA MEDICAL CARE	Itasca Medical Care	http://www.co.itasca.mn.us/hhs/imcare/	H2417	001	2007	05	34	1	IMCare Classic		Itasca, N. Aitkin and S. Koochiching Counties	2	0		1	3	1	2	2		(218)-327-5549	(218)-327-5549	(800)-843-9536	(800)-843-9536	454	(800)-843-9536	(800)-843-9536	(218)-327-5549	(218)-327-5549
H2419	001	0	1	34	05	H2419_001_0	1		SOUTH COUNTRY HEALTH ALLIANCE	South Country Health Alliance	www.mnscha.org	H2419	001	2007	05	34	1	SeniorCare Complete		Select Counties in Minnesota	2	0		1	3	1	2	2		(888)-878-0137	(888)-878-0137	(866)-477-1601	(866)-477-1601		(866)-477-1601	(866)-477-1601	(888)-878-0137	(888)-878-0137
H2422	002	0	1	34	05	H2422_002_0	8		HEALTHPARTNERS	HealthPartners Classic MN Senior Health Options	www.healthpartners.com/medicare	H2422	002	2007	05	34	1	Classic for Minnesota Senior Health Option		Twin Cities Metropolitian Area	2	0		1	3	1	2	2		(800)-443-0156	(800)-443-0156	(888)-820-4285	(888)-820-4285		(888)-820-4285	(888)-820-4285	(800)-443-0156	(800)-443-0156
H2424	001	0	1	34	05	H2424_001_0	6		FIRST PLAN OF MINNESOTA	First Plan Blue	www.firstplan.org	H2424	001	2007	05	34	1	First Plan Blue - MSHO		Northeastern Minnesota	2	0		1	3	1	2	2		(218)-727-9870	(218)-727-9870	(800)-635-4159	(800)-635-4159	736	(800)-635-4159	(800)-635-4159	(218)-727-9870	(218)-727-9870
H2425	001	0	1	34	05	H2425_001_0	5		BLUE PLUS	Blue Plus SecureBlue	www.bluecrossmn.com	H2425	001	2007	05	34	1	Blue Plus SecureBlue		State of Minnesota	2	0		1	3	1	2	2		(888)-878-0137	(888)-878-0137	(888)-740-6013	(866)-477-1584	8918	(888)-740-6013	(866)-477-1584	(888)-878-0137	(888)-878-0137
H2450	001	0	1	18	06	H2450_001_0	3		MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	H2450	001	2007	06	18	1	Medica Prime Solution Basic		Select Counties in MN,ND,SD and WI	2	0		2				2		(800)-234-8819	(800)-234-8819	(800)-234-8755	(800)-906-5432	4053	(800)-234-8755	(800)-906-5432	(800)-234-8819	(800)-234-8819
H2450	002	0	1	18	06	H2450_002_0	3		MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	H2450	002	2007	06	18	1	Medica Prime Solution Enhanced		Select Counties in MN,ND, SD and WI	2	0		2				2		(800)-234-8819	(800)-234-8819	(800)-234-8755	(800)-906-5432	13782	(800)-234-8755	(800)-906-5432	(800)-234-8819	(800)-234-8819
H2450	005	0	1	18	06	H2450_005_0	3		MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	H2450	005	2007	06	18	1	Medica Prime Sol. Basic w/ Enhanced Rx		Select Counties in MN, ND, SD and WI	2	0		2				2		(800)-234-8819	(800)-234-8819	(800)-234-8755	(800)-906-5432	428	(800)-234-8755	(800)-906-5432	(800)-234-8819	(800)-234-8819
H2450	006	0	1	18	06	H2450_006_0	3		MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	H2450	006	2007	06	18	1	Medica Prime Sol. Enhanced w/Enhanced Rx		Select Counties in MN, ND, SD and WI	2	0		2				2		(800)-234-8819	(800)-234-8819	(800)-234-8755	(800)-906-5432	1531	(800)-234-8755	(800)-906-5432	(800)-234-8819	(800)-234-8819
H2450	007	0	1	18	06	H2450_007_0	3		MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	H2450	007	2007	06	18	1	Medica Prime Solution Value		Slelect counties in MN, SD, ND and WI	2	0		2				2		(800)-234-8819	(800)-234-8819	(800)-234-8755	(800)-906-5432	23	(800)-234-8755	(800)-906-5432	(800)-234-8819	(800)-234-8819
H2450	801	0		18	06	H2450_801_0	1		MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	H2450	801	2007	06	18		Medica Group Prime Solution-Calendar Rx		Select MN, ND , SD and Wisconsin counties	1	0		2						(800)-234-8819	(800)-234-8819	(800)-575-2330	(800)-575-2330		(800)-575-2330	(800)-575-2330	(800)-234-8819	(800)-234-8819
H2450	802	0		18	06	H2450_802_0	1		MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	H2450	802	2007	06	18		Medica Group Prime Solution-Contract Rx		Select MN, ND , SD and WI counties	1	0		2						(800)-234-8819	(800)-234-8819	(800)-575-2330	(800)-575-2330		(800)-575-2330	(800)-575-2330	(800)-234-8819	(800)-234-8819
H2456	002	0	1	34	05	H2456_002_0	7		UCARE MINNESOTA	UCare Minnesota	www.ucare.org	H2456	002	2007	05	34	1	Minnesota Senior Health Options		Minneapolis, St. Paul and Greater MN Area	2	0		1	3	1	2	2		(800)-688-2534	(800)-688-2534	(800)-203-7225	(800)-707-1711		(877)-523-1515	(877)-523-1515		
H2457	002	0	1	34	05	H2457_002_0	3		METROPOLITAN HEALTH PLAN	Metropolitan Health Plan MSHO	www/MHP4life.org	H2457	002	2007	05	34	1	MHP-MSHO		Minnesota	2	0		1	3	1	2	2		(800)-627-3529	(800)-627-3529	(800)-647-0550	(800)-647-0550	1125	(800)-647-0550	(800)-647-0550	(800)-627-3529	(800)-627-3529
H2458	002	0	1	34	05	H2458_002_0	3		MEDICA HEALTH PLANS	Medica Dual Solution	www.medica.com	H2458	002	2007	05	34	1	Medica Dual Solution		Specific Minnesota Counties	2	0		1	3	1	2	2		(800)-234-8819	(800)-234-8819	(800)-234-8755	(800)-266-2157	10274	(800)-234-8755	(800)-266-2157	(800)-234-8819	(800)-234-8819
H2459	001	0	1	02	01	H2459_001_0	3		UCARE MINNESOTA	UCare Minnesota	www.ucare.org	H2459	001	2007	01	02	1	UCare for Seniors Value		Minneapolis, St. Paul and Surrounding Area	2	0		2				2		(800)-688-2534	(800)-688-2534	(877)-523-1515	(877)-523-1518					
H2459	002	0	1	02	01	H2459_002_0	4		UCARE MINNESOTA	UCare Minnesota	www.ucare.org	H2459	002	2007	01	02	1	UCare for Seniors Classic		Minneapolis, St. Paul and Surrounding area	2	0		2				2		(800)-688-2534	(800)-688-2534	(877)-523-1515	(877)-523-1518		(877)-523-1515	(877)-523-1515	(800)-676-6810	(800)-676-6810
H2459	005	0	1	02	01	H2459_005_0	3		UCARE MINNESOTA	UCare Minnesota	www.ucare.org	H2459	005	2007	01	02	1	UCare for Seniors Value		Greater MN Area	2	0		2				2		(800)-688-2534	(800)-688-2534	(877)-523-1515	(877)-523-1518					
H2459	006	0	1	02	01	H2459_006_0	6		UCARE MINNESOTA	UCare Minnesota	www.ucare.org	H2459	006	2007	01	02	1	UCare for Seniors Classic		Greater MN Area	2	0		2				2		(800)-688-2534	(800)-688-2534	(877)-523-1515	(877)-523-1518		(877)-523-1515	(877)-523-1515	(800)-676-6810	(800)-676-6810
H2459	013	0	1	02	01	H2459_013_0	4		UCARE MINNESOTA	UCare Minnesota	www.ucare.org	H2459	013	2007	01	02	1	UCare for Seniors Value Plus		Minneapolis, St. Paul and Surrounding MN Area	2	0		2				2		(800)-688-2534	(800)-688-2534	(877)-523-1515	(877)-523-1518		(877)-523-1515	(877)-523-1515	(800)-676-6810	(800)-676-6810
H2459	014	0	1	02	01	H2459_014_0	6		UCARE MINNESOTA	UCare Minnesota	www.ucare.org	H2459	014	2007	01	02	1	UCare for Seniors Value Plus		Greater MN Area	2	0		2				2		(800)-688-2534	(800)-688-2534	(877)-523-1515	(877)-523-1518		(877)-523-1515	(877)-523-1515	(800)-676-6810	(800)-676-6810
H2459	016	0	1	02	01	H2459_016_0	6		UCARE MINNESOTA	UCare Minnesota	www.ucare.org	H2459	016	2007	01	02	1	UCare Disability Options		Greater MN Area	2	0		1	3	1	2	2		(800)-688-2534	(800)-688-2534	(877)-523-1515	(877)-523-1518		(877)-523-1515	(877)-523-1515	(800)-676-6810	(800)-676-6810
H2459	801	0	1	02	01	H2459_801_0	1		UCARE MINNESOTA	UCare Minnesota	www.ucare.org	H2459	801	2007	01	02	1	UCare for Seniors Employer and Union Plans		Minneapolis, St. Paul and Greater MN Areas	1	0		2				2		(800)-688-2534	(800)-688-2534	(877)-523-1515	(877)-523-1518		(877)-523-1515	(877)-523-1515	(800)-676-6810	(800)-676-6810
H2459	802	0	1	02	01	H2459_802_0	1		UCARE MINNESOTA	UCare Minnesota	www.ucare.org	H2459	802	2007	01	02	1	UCare for Seniors Employer MA Only Plan		Minneapolis, St. Paul, and Greater MN Area	1	0		2				2		(800)-688-2534	(800)-688-2534	(877)-523-1515	(877)-523-1518					
H2459	803	0	1	02	01	H2459_803_0	1		UCARE MINNESOTA	UCare Minnesota	www.ucare.org	H2459	803	2007	01	02	1	UCare for Seniors Employers Non Calendar		Metro and Greater MN Areas	1	0		2				2		(800)-688-2534	(800)-688-2534	(877)-523-1515	(877)-523-1518		(877)-523-1515	(877)-523-1515	(800)-676-6810	(800)-676-6810
H2462	004	0	1	18	06	H2462_004_0	7		HEALTHPARTNERS	HealthPartners	www.healthpartners.com/medicare	H2462	004	2007	06	18	1	HealthPartners Freedom Plan I		State of Minnesota	2	0		2				2		(800)-443-0156	(800)-443-0156	(800)-233-9645	(800)-247-7015	4				
H2462	005	0	1	18	06	H2462_005_0	6		HEALTHPARTNERS	HealthPartners	www.healthpartners.com/medicare	H2462	005	2007	06	18	1	HealthPartners Freedom Plan I Standard Rx		State of Minnesota	2	0		2				2		(800)-443-0156	(800)-443-0156	(800)-233-9645	(800)-247-7015		(800)-233-9645	(800)-247-7015	(800)-443-0156	(800)-443-0156
H2462	006	0	1	18	06	H2462_006_0	7		HEALTHPARTNERS	HealthPartners	www.healthpartners.com/medicare	H2462	006	2007	06	18	1	HealthPartners Freedom Plan I Enhanced Rx		State of Minnesota	2	0		2				2		(800)-443-0156	(800)-443-0156	(800)-233-9645	(800)-247-7015		(800)-233-9645	(800)-247-7015	(800)-443-0156	(800)-443-0156
H2462	007	0	1	18	06	H2462_007_0	6		HEALTHPARTNERS	HealthPartners	www.healthpartners.com/medicare	H2462	007	2007	06	18	1	HealthPartners Freedom Plan II		State of Minnesota	2	0		2				2		(800)-443-0156	(800)-443-0156	(800)-233-9645	(800)-247-7015	89				
H2462	008	0	1	18	06	H2462_008_0	5		HEALTHPARTNERS	HealthPartners	www.healthpartners.com/medicare	H2462	008	2007	06	18	1	HealthPartners Freedom Plan II Standard Rx		State of Minnesota	2	0		2				2		(800)-443-0156	(800)-443-0156	(800)-233-9645	(800)-247-7015		(800)-233-9645	(800)-247-7015	(800)-443-0156	(800)-443-0156
H2462	009	0	1	18	06	H2462_009_0	4		HEALTHPARTNERS	HealthPartners	www.healthpartners.com/medicare	H2462	009	2007	06	18	1	HealthPartners Freedom Plan II Enhanced Rx		State of Minnesota	2	0		2				2		(800)-443-0156	(800)-443-0156	(800)-233-9645	(800)-247-7015		(800)-233-9645	(800)-247-7015	(800)-443-0156	(800)-443-0156
H2462	010	0	1	18	06	H2462_010_0	7		HEALTHPARTNERS	HealthPartners	www.healthpartners.com/medicare	H2462	010	2007	06	18	1	HealthPartners Freedom Plan III		State of Minnesota	2	0		2				2		(800)-443-0156	(800)-443-0156	(800)-233-9645	(800)-247-7015	365				
H2462	011	0	1	18	06	H2462_011_0	5		HEALTHPARTNERS	HealthPartners	www.healthpartners.com/medicare	H2462	011	2007	06	18	1	HealthPartners Freedom Plan III StandardRx		State of Minnesota	2	0		2				2		(800)-443-0156	(800)-443-0156	(800)-233-9645	(800)-247-7015		(800)-233-9645	(800)-247-7015	(800)-443-0156	(800)-443-0156
H2462	012	0	1	18	06	H2462_012_0	4		HEALTHPARTNERS	HealthPartners	www.healthpartners.com/medicare	H2462	012	2007	06	18	1	HealthPartners Freedom Plan III EnhancedRx		State of Minnesota	2	0		2				2		(800)-443-0156	(800)-443-0156	(800)-233-9645	(800)-247-7015		(800)-233-9645	(800)-247-7015	(800)-443-0156	(800)-443-0156
H2462	801	0		18	06	H2462_801_0	4		HEALTHPARTNERS	HealthPartners	www.healthpartners.com/medicare	H2462	801	2007	06	18		HealthPartners Freedom Calendar Year		State of MN	1	0		2						(800)-443-0156	(800)-443-0156	(800)-233-9645	(800)-247-7015		(800)-233-9645	(800)-247-7015	(800)-443-0156	(800)-443-0156
H2462	802	0		18	06	H2462_802_0	4		HEALTHPARTNERS	HealthPartners	www.healthpartners.com/medicare	H2462	802	2007	06	18		HealthPartners Freedom Non-Calendar Year		State of MN	1	0		2						(800)-443-0156	(800)-443-0156	(800)-233-9645	(800)-247-7015		(800)-233-9645	(800)-247-7015	(800)-443-0156	(800)-443-0156
H2609	001	0	1	20	08	H2609_001_0	1		ALEXIAN BROTHERS COMMUNITY SERVICES	Alexian Brothers Community Services	dfabbre@alexianbrothers.net	H2609	001	2007	08	20	1	Dual Eligibles		St. Louis City & St. Louis County	2	0		2				1	1					1844	(314)-771-5800	(314)-771-5800		
H2609	002	0	1	20	08	H2609_002_0	1		ALEXIAN BROTHERS COMMUNITY SERVICES	Alexian Brothers Community Services	dfabbre@alexianbrothers.net	H2609	002	2007	08	20	1	Medicare Only		St. Louis City & St. Louis County	2	0		2				1	1					12	(314)-771-5800	(314)-771-5800		
H2610	005	0	1	01	01	H2610_005_0	6		ESSENCE INC.	Essence Inc.	www.essencehealthcare.com	H2610	005	2007	01	01	1	Essence Standard Plan		St. Louis Metropolitan Area	2	0		2				2		(866)-597-9561	(866)-597-9561	(866)-597-9560	(866)-597-9560	2031	(866)-597-9560	(866)-597-9560	(866)-597-9561	(866)-597-9561
H2610	006	0	1	01	01	H2610_006_0	6		ESSENCE INC.	Essence Inc.	www.essencehealthcare.com	H2610	006	2007	01	01	1	Essence Enhanced		St. Louis Metropolitan Area	2	0		2				2		(866)-597-9561	(866)-597-9561	(866)-597-9560	(866)-597-9560	4124	(866)-597-9560	(866)-597-9560	(866)-597-9561	(866)-597-9561
H2610	803	0	1	01	01	H2610_803_0	3		ESSENCE INC.	Essence Inc.	www.essencehealthcare.com	H2610	803	2007	01	01	1	Essence Employer Group Plan		St. Louis Metropolitan Area	1	0		2				2		(866)-597-9561	(866)-597-9561	(866)-597-9560	(866)-597-9560	475	(866)-597-9560	(866)-597-9560	(866)-597-9561	(866)-597-9561
H2611	001	0	1	04	01	H2611_001_0	9		PREMIER HEALTH INSURANCE COMPANY, INC.	Premier Health Insurance Company, Inc.	www.mercyhealthplans.com	H2611	001	2007	01	04	1	PremierPlus Options		St. Louis Metro	2	0		2				2		(800)-468-4418	(800)-468-4418	(800)-919-6459	(800)-919-6459		(800)-919-6459	(800)-919-6459	(800)-468-4418	(800)-468-4418
H2611	002	0	1	04	01	H2611_002_0	9		PREMIER HEALTH INSURANCE COMPANY, INC.	Premier Health Insurance Company, Inc.	www.mercyhealthplans.com	H2611	002	2007	01	04	1	St. John's PremierPlus Options		Southwest Missouri	2	0		2				2		(800)-446-1468	(800)-446-1468	(866)-875-0189	(800)-330-8449		(866)-875-0189	(800)-330-8449	(800)-446-1468	(800)-446-1468
H2611	003	0	1	04	01	H2611_003_0	9		PREMIER HEALTH INSURANCE COMPANY, INC.	Premier Health Insurance Company, Inc.	www.mercyhealthplans.com	H2611	003	2007	01	04	1	PremierPlus Options Southwest		Southwest Missouri - Joplin	2	0		2				2		(800)-446-1468	(800)-446-1468	(866)-875-0189	(800)-481-4466		(866)-875-0189	(800)-481-4466	(800)-446-1468	(800)-446-1468
H2611	004	0	1	04	01	H2611_004_0	7		PREMIER HEALTH INSURANCE COMPANY, INC.	Premier Health Insurance Company, Inc.	www.mercyhealthplans.com	H2611	004	2007	01	04	1	PremierPlus Options (no RX)		St. Louis Metro (no RX)	2	0		2				2		(800)-468-4418	(800)-468-4418	(800)-919-6459	(800)-919-6459					
H2611	005	0	1	04	01	H2611_005_0	6		PREMIER HEALTH INSURANCE COMPANY, INC.	Premier Health Insurance Company, Inc.	www.mercyhealthplans.com	H2611	005	2007	01	04	1	St. John's PremierPlus Options (no drug)		Southwest Missouri	2	0		2				2		(800)-446-1468	(800)-446-1468	(866)-875-0189	(800)-330-8449					
H2611	006	0	1	04	01	H2611_006_0	6		PREMIER HEALTH INSURANCE COMPANY, INC.	Premier Health Insurance Company, Inc.	www.mercyhealthplans.com	H2611	006	2007	01	04	1	PremierPlus Options Southwest (no Rx)		Southwest Missouri - Joplin (no drug)	2	0		2				2		(800)-446-1468	(800)-446-1468	(866)-875-0189	(800)-330-8449					
H2611	007	0	1	04	01	H2611_007_0	9		PREMIER HEALTH INSURANCE COMPANY, INC.	Premier Health Insurance Company, Inc.	www.mercyhealthplans.com	H2611	007	2007	01	04	1	St. John's PremierPlus Options Enhanced RX		Southwest Missouri	2	0		2				2		(800)-446-1468	(800)-446-1468	(866)-875-0189	(800)-330-8449		(866)-875-0189	(800)-330-8449	(800)-446-1468	(800)-446-1468
H2611	801	0	1	04	01	H2611_801_0	1		PREMIER HEALTH INSURANCE COMPANY, INC.	Premier Health Insurance Company, Inc.	www.mercyhealthplans.com	H2611	801	2007	01	04	1	PremierPlus Options for Employers		St. Louis Metro	1	0		2				2		(800)-468-4418	(800)-468-4418	(800)-919-6459	(800)-919-6459		(800)-919-6459	(800)-919-6459	(800)-468-4418	(800)-468-4418
H2611	802	0	1	04	01	H2611_802_0	2		PREMIER HEALTH INSURANCE COMPANY, INC.	Premier Health Insurance Company, Inc.	www.mercyhealthplans.com	H2611	802	2007	01	04	1	St. John's PremierPlus Options - Employers		Southwest Missouri	1	0		2				2		(800)-446-1468	(800)-446-1468	(866)-875-0189	(800)-330-8449		(866)-875-0189	(800)-330-8449	(800)-446-1468	(800)-446-1468
H2611	803	0	1	04	01	H2611_803_0	1		PREMIER HEALTH INSURANCE COMPANY, INC.	Premier Health Insurance Company, Inc.	www.mercyhealthplans.com	H2611	803	2007	01	04	1	PremierPlus Options Southwest-Empl		Southwest Missouri - Joplin	1	0		2				2		(800)-446-1468	(800)-446-1468	(866)-875-0189	(800)-330-8449		(866)-875-0189	(800)-330-8449	(800)-446-1468	(800)-446-1468
H2611	804	0	1	04	01	H2611_804_0	1		PREMIER HEALTH INSURANCE COMPANY, INC.	Premier Health Insurance Company, Inc.	www.mercyhealthplans.com	H2611	804	2007	01	04	1	PremierPlus Options for Employers (no Rx)		St. Louis Metro	1	0		2				2		(800)-468-4418	(800)-468-4418	(800)-919-6459	(800)-919-6459					
H2611	805	0	1	04	01	H2611_805_0	1		PREMIER HEALTH INSURANCE COMPANY, INC.	Premier Health Insurance Company, Inc.	www.mercyhealthplans.com	H2611	805	2007	01	04	1	St Johns PremierPlus Options for ER (no Rx		Southwest Missouri	1	0		2				2		(800)-446-1468	(800)-446-1468	(866)-875-0189	(800)-330-8449					
H2611	806	0	1	04	01	H2611_806_0	1		PREMIER HEALTH INSURANCE COMPANY, INC.	Premier Health Insurance Company, Inc.	www.mercyhealthplans.com	H2611	806	2007	01	04	1	PremierPlus Options Southwest ER (no Rx)		Southwest Missouri - Joplin	1	0		2				2		(800)-446-1468	(800)-446-1468	(866)-875-0189	(800)-330-8449					
H2611	807	0	1	04	01	H2611_807_0	1		PREMIER HEALTH INSURANCE COMPANY, INC.	Premier Health Insurance Company, Inc.	www.mercyhealthplans.com	H2611	807	2007	01	04	1	PremierPlus Options Emp w Rx CY		PremierPlus Options for Empl (St. L Metro) Rx CY	1	0		2				2		(800)-468-4418	(800)-468-4418	(800)-919-6459	(800)-919-6459		(800)-919-6459	(800)-919-6459	(800)-468-4418	(800)-468-4418
H2611	808	0	1	04	01	H2611_808_0	1		PREMIER HEALTH INSURANCE COMPANY, INC.	Premier Health Insurance Company, Inc.	www.mercyhealthplans.com	H2611	808	2007	01	04	1	PremierPlus Options for Emp CY no RX		PremierPlus Options for Emp CY no RX (Metro STL)	1	0		2				2		(800)-468-4418	(800)-468-4418	(800)-919-6459	(800)-919-6459					
H2611	809	0	1	04	01	H2611_809_0	2		PREMIER HEALTH INSURANCE COMPANY, INC.	Premier Health Insurance Company, Inc.	www.mercyhealthplans.com	H2611	809	2007	01	04	1	SJ PremierPlus Options for Emp RX CY		Southwest Missouri	1	0		2				2		(800)-446-1468	(800)-446-1468	(866)-875-0189	(800)-330-8449		(866)-875-0189	(800)-330-8449	(800)-446-1468	(800)-446-1468
H2611	810	0	1	04	01	H2611_810_0	1		PREMIER HEALTH INSURANCE COMPANY, INC.	Premier Health Insurance Company, Inc.	www.mercyhealthplans.com	H2611	810	2007	01	04	1	SJ PremierPlus Options for ER no RX CY		Southwest Missouri	1	0		2				2		(800)-446-1468	(800)-446-1468	(866)-875-0189	(800)-330-8449					
H2611	811	0	1	04	01	H2611_811_0	1		PREMIER HEALTH INSURANCE COMPANY, INC.	Premier Health Insurance Company, Inc.	www.mercyhealthplans.com	H2611	811	2007	01	04	1	PremierPlus Options Southwest ER w RX CY		Southwest Missouri - Joplin	1	0		2				2		(800)-446-1468	(800)-446-1468	(866)-875-0189	(800)-330-8449		(866)-875-0189	(800)-330-8449	(800)-446-1468	(800)-446-1468
H2611	812	0	1	04	01	H2611_812_0	1		PREMIER HEALTH INSURANCE COMPANY, INC.	Premier Health Insurance Company, Inc.	www.mercyhealthplans.com	H2611	812	2007	01	04	1	PremierPlus Options Southwest  ER no Rx CY		Southwest Missouri - Joplin	1	0		2				2		(800)-446-1468	(800)-446-1468	(866)-875-0189	(800)-330-8449					
H2613	001	0	1	09	04	H2613_001_0	2	2	HEALTHY ALLIANCE LIFE INSURANCE COMPANY	Blue Cross Blue Shield of Missouri	http://www.bcbsmo.com	H2613	001	2007	04	09	1	SmartValue Classic		MO Selected Counties	2	0		2				2		(800)-822-1215	(800)-822-1215	(800)-652-6387	(800)-652-6387	1486				
H2613	004	0	1	09	04	H2613_004_0	7	2	HEALTHY ALLIANCE LIFE INSURANCE COMPANY	Blue Cross Blue Shield of Missouri	http://www.bcbsmo.com	H2613	004	2007	04	09	1	SmartValue Plus		MO Selected Counties	2	0		2				2		(800)-822-1215	(800)-822-1215	(800)-652-6387	(800)-652-6387	495	(800)-652-6387	(800)-652-6387	(800)-822-1215	(800)-822-1215
H2613	803	0	1	09	04	H2613_803_0	6	2	HEALTHY ALLIANCE LIFE INSURANCE COMPANY	Blue Cross Blue Shield of Missouri	http://www.bcbsmo.com	H2613	803	2007	04	09	1	SmartValue Group Plan I		MO with Nationwide Group Coverage	1	0		2				2		(800)-822-1215	(800)-822-1215	(800)-652-6387	(800)-652-6387	1000	(800)-652-6387	(800)-652-6387	(800)-822-1215	(800)-822-1215
H2613	804	0	1	09	04	H2613_804_0	2	2	HEALTHY ALLIANCE LIFE INSURANCE COMPANY	Blue Cross Blue Shield of Missouri	http://www.bcbsmo.com	H2613	804	2007	04	09	1	SmartValue Group Plan II		MO with Nationwide Group Coverage	1	0		2				2		(800)-822-1215	(800)-822-1215	(800)-652-6387	(800)-652-6387	1000				
H2613	805	0	1	09	04	H2613_805_0	6	2	HEALTHY ALLIANCE LIFE INSURANCE COMPANY	Blue Cross Blue Shield of Missouri	http://www.bcbsmo.com	H2613	805	2007	04	09	1	SmartValue Group Plan III		MO - Nationwide Group	1	0		2				2		(800)-822-1215	(800)-822-1215	(800)-652-6387	(800)-652-6387	1000	(800)-652-6387	(800)-652-6387	(800)-822-1215	(800)-822-1215
H2649	004	0	1	01	01	H2649_004_0	4		HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	H2649	004	2007	01	01	1	Humana Gold Plus HMO H2649-004		Kansas City Metro Area	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H2649	011	0	1	01	01	H2649_011_0	4		HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	H2649	011	2007	01	01	1	Humana Gold Plus HMO H2649-011		Wyandotte County	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H2649	012	0	1	01	01	H2649_012_0	7		HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	H2649	012	2007	01	01	1	Humana Gold Plus HMO H2649-012		Kansas City Metro Area	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H2649	801	0	1	01	01	H2649_801_0	3		HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	H2649	801	2006	01	01	1	Humana Employer Sponsored		Kansas City Area	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H2649	802	0	1	01	01	H2649_802_0	3		HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	H2649	802	2007	01	01	1	Humana Employer Sponsored		Kansas City Area	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H2649	803	0	1	01	01	H2649_803_0	3		HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	H2649	803	2007	01	01	1	Humana Employer Sponsored Non-CY		Kansas City Metro Area	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H2649	804	0	1	01	01	H2649_804_0	3		HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	H2649	804	2007	01	01	1	Humana Employer Sponsored Non-CY		Kansas City Metro Area	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H2654	004	0	1	01	01	H2654_004_0	12		UNITED HEALTHCARE OF THE MIDWEST, INC.	SecureHorizons	www.medicarecomplete.com	H2654	004	2007	01	01	1	MedicareComplete		St. Louis Area	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-656-0065	(800)-555-5757		(800)-656-0065	(800)-555-5757	(888)-685-8480	(888)-685-8480
H2654	010	0	1	01	01	H2654_010_0	9		UNITED HEALTHCARE OF THE MIDWEST, INC.	SecureHorizons	www.medicarecomplete.com	H2654	010	2007	01	01	1	MedicareComplete		Springfield, Missouri area	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-656-0065	(800)-555-5757		(800)-656-0065	(800)-555-5757	(888)-685-8480	(888)-685-8480
H2654	013	0	1	02	01	H2654_013_0	11		UNITED HEALTHCARE OF THE MIDWEST, INC.	SecureHorizons	www.medicarecomplete.com	H2654	013	2007	01	02	1	MedicareComplete Plus Plan 1		St. Louis area	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-656-0065	(800)-555-5757		(800)-656-0065	(800)-555-5757	(888)-685-8480	(888)-685-8480
H2654	020	0	1	01	01	H2654_020_0	7		UNITED HEALTHCARE OF THE MIDWEST, INC.	SecureHorizons	www.medicarecomplete.com	H2654	020	2007	01	01	1	MedicareComplete Essential		St. Louis Area	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-656-0065	(800)-480-6065					
H2654	021	0	1	01	01	H2654_021_0	7		UNITED HEALTHCARE OF THE MIDWEST, INC.	SecureHorizons	www.medicarecomplete.com	H2654	021	2007	01	01	1	MedicareComplete Essential		Springfield Area	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-656-0065	(800)-480-6065					
H2654	022	0	1	02	01	H2654_022_0	8		UNITED HEALTHCARE OF THE MIDWEST, INC.	SecureHorizons	www.medicarecomplete.com	H2654	022	2007	01	02	1	MedicareComplete Plus Plan 2		St Louis Area	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-656-0065	(800)-480-6065					
H2654	023	0	1	01	01	H2654_023_0	4		UNITED HEALTHCARE OF THE MIDWEST, INC.	SecureHorizons	www.medicarecomplete.com	H2654	023	2007	01	01	1	Evercare Plan DH		Springfield Area	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5110	(888)-834-3721		(877)-702-5110	(888)-834-3721	(888)-685-8480	(888)-685-8480
H2654	024	0	1	01	01	H2654_024_0	6		UNITED HEALTHCARE OF THE MIDWEST, INC.	SecureHorizons	www.SecureHorizons.com	H2654	024	2007	01	01	1	Evercare Plan DH		St Louis Area	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5110	(888)-834-3721		(877)-702-5110	(888)-834-3721	(888)-685-8480	(888)-685-8480
H2654	025	0	1	01	01	H2654_025_0	7		UNITED HEALTHCARE OF THE MIDWEST, INC.	SecureHorizons	www.SecureHorizons.com	H2654	025	2007	01	01	1	Evercare Plan DH		Gascone & Washington Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5110	(888)-834-3721		(877)-702-5110	(888)-834-3721	(888)-685-8480	(888)-685-8480
H2654	801	0	1	01	01	H2654_801_0	3		UNITED HEALTHCARE OF THE MIDWEST, INC.	SecureHorizons	www.medicarecomplete.com	H2654	801	2007	01	01	1	MedicareComplete		St Louis Area	1	0		2				2		(888)-685-8480	(888)-685-8480	(800)-656-0065	(800)-480-6065		(800)-656-0065	(800)-480-6065	(888)-685-8480	(888)-685-8480
H2654	802	0	1	01	01	H2654_802_0	2		UNITED HEALTHCARE OF THE MIDWEST, INC.	SecureHorizons	www.medicarecomplete.com	H2654	802	2007	01	01	1	MedicareComplete Essential		St Louis Area Counties	1	0		2				2		(888)-685-8480	(888)-685-8480	(800)-656-0065	(800)-480-6065					
H2654	803	0	1	01	01	H2654_803_0	3		UNITED HEALTHCARE OF THE MIDWEST, INC.	SecureHorizons	www.medicarecomplete.com	H2654	803	2007	01	01	1	MedicareComplete		Springfield Area	1	0		2				2		(888)-685-8480	(888)-685-8480	(800)-656-0065	(800)-480-6065		(800)-656-0065	(800)-480-6065	(888)-685-8480	(888)-685-8480
H2654	804	0	1	01	01	H2654_804_0	2		UNITED HEALTHCARE OF THE MIDWEST, INC.	SecureHorizons	www.medicarecomplete.com	H2654	804	2007	01	01	1	MedicareComplete Essential		Springfield Area	1	0		2				2		(888)-685-8480	(888)-685-8480	(800)-656-0065	(800)-480-6065					
H2663	002	0	1	01	01	H2663_002_0	3		GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.ghpmedicare.com	H2663	002	2007	01	01	1	Advantra Option 2		St. Louis MO Metro Area	2	0		2				2		(877)-231-0573	(877)-231-0573	(800)-533-0367	(800)-533-0362	7855	(866)-291-8628	(800)-533-0362	(877)-231-0573	(877)-231-0573
H2663	005	0	1	01	01	H2663_005_0	5		GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.ghpmedicare.com	H2663	005	2007	01	01	1	Gold Advantage Option 1		St. Louis MO Metro Area	2	0		2				2		(877)-231-0573	(877)-231-0573	(800)-533-0367	(800)-533-0362	5998	(866)-291-8628	(800)-533-0362	(877)-231-0573	(877)-231-0573
H2663	006	0	1	01	01	H2663_006_0	4		GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.ghpmedicare.com	H2663	006	2007	01	01	1	Advantra Option 1		St. Louis MO Metro Area	2	0		2				2		(877)-231-0573	(877)-231-0573	(800)-533-0367	(800)-533-0362	791	(866)-291-8628	(800)-533-0362	(877)-231-0573	(877)-231-0573
H2663	007	0	1	01	01	H2663_007_0	4		GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.ghpmedicare.com	H2663	007	2007	01	01	1	Gold Advantage Option 2		St. Louis MO Metro Area	2	0		2				2		(877)-231-0573	(877)-231-0573	(800)-533-0367	(800)-533-0362	1736	(866)-291-8628	(800)-533-0362	(877)-231-0573	(877)-231-0573
H2663	008	0	1	01	01	H2663_008_0	5		GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.ghpmedicare.com	H2663	008	2007	01	01	1	Advantra Extra 1		St. Louis MO Metro Area	2	0		1	4	2	2	2		(877)-231-0573	(877)-231-0573	(800)-533-0367	(800)-533-0362	262	(866)-291-8628	(800)-533-0362	(877)-231-0573	(877)-231-0573
H2663	009	0	1	01	01	H2663_009_0	4		GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.ghpmedicare.com	H2663	009	2007	01	01	1	Advantra Extra 2		St. Louis MO Metro Area	2	0		1	4	2	2	2		(877)-231-0573	(877)-231-0573	(800)-533-0367	(800)-533-0362	271	(866)-291-8628	(800)-533-0362	(877)-231-0573	(877)-231-0573
H2663	801	0	1	01	01	H2663_801_0	2		GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.ghpmedicare.com	H2663	801	2007	01	01	1	Employer Group Calendar Rx Value		St. Louis MO Metro Area - Employer Group	1	0		2				2		(877)-231-0573	(877)-231-0573	(800)-533-0367	(800)-533-0362	1673	(866)-291-8628	(800)-533-0362	(877)-231-0573	(877)-231-0573
H2663	802	0	1	01	01	H2663_802_0	1		GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.ghpmedicare.com	H2663	802	2007	01	01	1	Employer Group Calendar Rx Premier		St. Louis MO Metro Area - Employer Group	1	0		2				2		(877)-231-0573	(877)-231-0573	(800)-533-0367	(800)-533-0362	1680	(866)-291-8628	(800)-533-0362	(877)-231-0573	(877)-231-0573
H2663	803	0	1	01	01	H2663_803_0	1		GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.ghpmedicare.com	H2663	803	2007	01	01	1	Employer Group Non Calendar Rx Value		St. Louis MO Metro Area - Employer Group	1	0		2				2		(877)-231-0573	(877)-231-0573	(800)-533-0367	(800)-533-0362	109	(866)-291-8628	(800)-533-0362	(877)-231-0573	(877)-231-0573
H2663	804	0	1	01	01	H2663_804_0	1		GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.ghpmedicare.com	H2663	804	2007	01	01	1	Employer Group Non Calendar Rx Premier		St. Louis MO Metro Area - Employer Group	1	0		2				2		(877)-231-0573	(877)-231-0573	(800)-533-0367	(800)-533-0362	109	(866)-291-8628	(800)-533-0362	(877)-231-0573	(877)-231-0573
H2663	805	0	1	01	01	H2663_805_0	1		GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.ghpmedicare.com	H2663	805	2007	01	01	1	Employer Group Calendar No Rx		St. Louis MO Metro Area - Employer Group	1	0		2				2		(877)-231-0573	(877)-231-0573	(800)-533-0367	(800)-533-0362	53				
H2663	806	0	1	01	01	H2663_806_0	1		GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.ghpmedicare.com	H2663	806	2007	01	01	1	Employer Group Non Calendar No Rx		St. Louis MO Metro Area - Employer Group	1	0		2				2		(877)-231-0573	(877)-231-0573	(800)-533-0367	(800)-533-0362	17				
H2667	001	0	1	01	01	H2667_001_0	8		MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans, Inc.	www.mercyhealthplans.com	H2667	001	2007	01	01	1	St. Johns PremierPlus		Southwest MO	2	0		2				2		(800)-446-1468	(800)-446-1468	(800)-481-4466	(800)-330-8449		(800)-280-1602	(800)-330-8449	(800)-468-4418	(800)-446-1468
H2667	003	0	1	01	01	H2667_003_0	7		MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans, Inc.	www.mercyhealthplans.com	H2667	003	2007	01	01	1	PremierPlus - Missouri		St. Louis Metro	2	0		2				2		(800)-468-4418	(800)-468-4418	(800)-280-1602	(800)-280-1602		(800)-280-1602	(800)-280-1602	(800)-468-4418	(800)-468-4418
H2667	005	0	1	01	01	H2667_005_0	6		MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans, Inc.	www.mercyhealthplans.com	H2667	005	2007	01	01	1	PremierPlus - Illinois		St. Louis Metro - Illinois	2	0		2				2		(800)-468-4418	(800)-468-4418	(800)-280-1602	(800)-280-1602		(800)-280-1602	(800)-280-1602	(800)-468-4418	(800)-468-4418
H2667	012	0	1	01	01	H2667_012_0	6		MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans, Inc.	www.mercyhealthplans.com	H2667	012	2007	01	01	1	St. John's PremierPlus (no drug)		Southwest Missouri	2	0		2				2		(800)-446-1468	(800)-446-1468	(800)-481-4466	(800)-330-8449					
H2667	013	0	1	01	01	H2667_013_0	4		MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans, Inc.	www.mercyhealthplans.com	H2667	013	2007	01	01	1	PremierPlus - Missouri (no RX)		St. Louis Metro	2	0		2				2		(800)-468-4418	(800)-468-4418	(800)-280-1602	(800)-280-1602					
H2667	014	0	1	01	01	H2667_014_0	4		MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans, Inc.	www.mercyhealthplans.com	H2667	014	2007	01	01	1	PremierPlus - Illinois (no RX)		Metro St. Louis - Illinois	2	0		2				2		(800)-468-4418	(800)-468-4418	(800)-280-1602	(800)-280-1602					
H2667	015	0	1	01	01	H2667_015_0	7		MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans, Inc.	www.mercyhealthplans.com	H2667	015	2007	01	01	1	St. John's PremierPlus Enhanced Drug		Southwest Missouri	2	0		2				2		(800)-446-1468	(800)-446-1468	(800)-481-4466	(800)-330-8449		(800)-481-4466	(800)-330-8449	(800)-446-1468	(800)-446-1468
H2667	803	0	1	01	01	H2667_803_0	3		MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans, Inc.	www.mercyhealthplans.com	H2667	803	2007	01	01	1	St. John's PremierPlus for Employers		Southwest Missouri	1	0		2				2		(800)-446-1468	(800)-446-1468	(800)-481-4466	(800)-330-8449		(800)-280-1602	(800)-330-8449	(800)-468-4418	(800)-446-1468
H2667	804	0	1	01	01	H2667_804_0	4		MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans, Inc.	www.mercyhealthplans.com	H2667	804	2007	01	01	1	PremierPlus for Employers		St. Louis Metro	1	0		2				2		(800)-468-4418	(800)-468-4418	(800)-280-1602	(800)-280-1602		(800)-280-1602	(800)-280-1602	(800)-468-4418	(800)-468-4418
H2667	805	0	1	01	01	H2667_805_0	3		MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans, Inc.	www.mercyhealthplans.com	H2667	805	2007	01	01	1	St. John's PremierPlus for Empl (no drug)		Southwest Missouri	1	0		2				2		(800)-446-1468	(800)-446-1468	(800)-481-4466	(800)-330-8449					
H2667	806	0	1	01	01	H2667_806_0	3		MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans, Inc.	www.mercyhealthplans.com	H2667	806	2007	01	01	1	PremierPlus for Employers (no RX)		St. Louis Metro	1	0		2				2		(800)-468-4418	(800)-468-4418	(800)-280-1602	(800)-280-1602					
H2667	807	0	1	01	01	H2667_807_0	4		MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans, Inc.	www.mercyhealthplans.com	H2667	807	2007	01	01	1	St. John's PremierPlus for Employers RX CY		Southwest Missouri	1	0		2				2		(800)-446-1468	(800)-446-1468	(800)-481-4466	(800)-330-8449		(800)-481-4466	(800)-330-8449	(800)-446-1468	(800)-446-1468
H2667	808	0	1	01	01	H2667_808_0	4		MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans, Inc.	www.mercyhealthplans.com	H2667	808	2007	01	01	1	St. John's PremierPlus for Emp no RX CY		Southwest Missouri	1	0		2				2		(800)-446-1468	(800)-446-1468	(800)-481-4466	(800)-330-8449					
H2667	809	0	1	01	01	H2667_809_0	4		MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans, Inc.	www.mercyhealthplans.com	H2667	809	2007	01	01	1	PremierPlus for Employers RX CY		St. Louis Metro	1	0		2				2		(800)-468-4418	(800)-468-4418	(800)-280-1602	(800)-280-1602		(800)-280-1602	(800)-280-1602	(800)-468-4418	(800)-468-4418
H2667	810	0	1	01	01	H2667_810_0	3		MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans, Inc.	www.mercyhealthplans.com	H2667	810	2007	01	01	1	PremierPlus for Employers no RX CY		St. Louis Metro	1	0		2				2		(800)-468-4418	(800)-468-4418	(800)-280-1602	(800)-280-1602					
H2672	001	0	1	01	01	H2672_001_0	6		COVENTRY HEALTH CARE OF KANSAS, INC.	Coventry Health Care of Kansas, Inc.	www.kc.chcadvantra.com	H2672	001	2007	01	01	1	Advantra Advantage		Kansas City Metro Area	2	0		2				2		(866)-347-2459	(866)-347-2459	(800)-727-9712	(866)-533-5160	7731	(866)-505-6162	(866)-533-5160	(866)-236-1069	(866)-347-2459
H2672	003	0	1	01	01	H2672_003_0	5		COVENTRY HEALTH CARE OF KANSAS, INC.	Coventry Health Care of Kansas, Inc.	www.kc.chcadvantra.com	H2672	003	2007	01	01	1	Advantra		Wichita Metro Area	2	0		2				2		(866)-347-2459	(866)-347-2459	(800)-727-9712	(866)-533-5160	56	(866)-505-6162	(866)-533-5160	(866)-236-1069	(866)-347-2459
H2672	007	0	1	01	01	H2672_007_0	8		COVENTRY HEALTH CARE OF KANSAS, INC.	Coventry Health Care of Kansas, Inc.	www.kc.chcadvantra.com	H2672	007	2007	01	01	1	Advantra Advantage		Wyandotte County	2	0		2				2		(866)-347-2459	(866)-347-2459	(800)-727-9712	(866)-533-5160	243	(866)-505-6162	(866)-533-5160	(866)-236-1069	(866)-347-2459
H2672	801	0	1	01	01	H2672_801_0	3		COVENTRY HEALTH CARE OF KANSAS, INC.	Coventry Health Care of Kansas, Inc.	www.kc.chcadvantra.com	H2672	801	2007	01	01	1	Advantra - Employer		Coventry Healthcare of Kansas, Inc	1	0		2				2		(866)-347-2459	(866)-347-2459	(800)-727-9712	(866)-533-5160	942	(866)-505-6162	(866)-533-5160	(866)-236-1069	(866)-347-2459
H2672	802	0	1	01	01	H2672_802_0	4		COVENTRY HEALTH CARE OF KANSAS, INC.	Coventry Health Care of Kansas, Inc.	www.kc.chcadvantra.com	H2672	802	2007	01	01	1	Advantra Employer Group		Coventry Health Care of Kansas, Inc	1	0		2				2		(866)-347-2459	(866)-347-2459	(800)-727-9712	(866)-533-5160	47	(866)-505-6162	(866)-533-5160	(866)-236-1069	(866)-347-2459
H2672	803	0	1	01	01	H2672_803_0	2		COVENTRY HEALTH CARE OF KANSAS, INC.	Coventry Health Care of Kansas, Inc.	www.kc.chcadvantra.com	H2672	803	2007	01	01	1	Advantra		Coventry Health Care of Kansas, Inc.	1	0		2				2		(866)-347-2459	(866)-347-2459	(800)-727-9712	(866)-533-5160	47				
H2672	804	0	1	01	01	H2672_804_0	2		COVENTRY HEALTH CARE OF KANSAS, INC.	Coventry Health Care of Kansas, Inc.	www.kc.chcadvantra.com	H2672	804	2007	01	01	1	Advantra		Coventry Health Care of Kansas, Inc.	1	0		2				2		(866)-347-2459	(866)-347-2459	(800)-727-9712	(866)-533-5160	47				
H2672	805	0	1	01	01	H2672_805_0	3		COVENTRY HEALTH CARE OF KANSAS, INC.	Coventry Health Care of Kansas, Inc.	www.kc.chcadvantra.com	H2672	805	2007	01	01	1	Advantra Employer Group		Advantra	1	0		2				2		(866)-347-2459	(866)-347-2459	(800)-727-9712	(866)-533-5160	47	(866)-505-6162	(866)-533-5160	(866)-236-1069	(866)-347-2459
H2672	806	0	1	01	01	H2672_806_0	3		COVENTRY HEALTH CARE OF KANSAS, INC.	Coventry Health Care of Kansas, Inc.	www.kc.chcadvantra.com	H2672	806	2007	01	01	1	Advantra Employer Group		Advantra	1	0		2				2		(866)-347-2459	(866)-347-2459	(800)-727-9712	(866)-533-5160	47	(866)-505-6162	(866)-533-5160	(866)-236-1069	(866)-347-2459
H2699	001	0	1	20	08	H2699_001_0	1		LIFE AT HOME, LLC	Life at Home, LLC	www.genesishcc.com	H2699	001	2007	08	20	1	Life at Home LLC		Chester and Delaware Counties, PA	2	0		2				2						60	(866)-745-2273	(866)-745-2273		
H2699	002	0	1	20	08	H2699_002_0	1		LIFE AT HOME, LLC	Life at Home, LLC	www.genesishcc.com	H2699	002	2007	08	20	1	Life at Home LLC		Delaware and Chester Counties, PA	2	0		2				2						10	(866)-745-2273	(866)-745-2273		
H2701	001	0	1	04	01	H2701_001_0	6		NEW WEST HEALTH SERVICES	New West Medicare	newwesthealth.com	H2701	001	2007	01	04	1	New West Medicare		Montana	2	0		2				2		(888)-290-3658	(888)-290-3658	(888)-873-8049	(888)-873-8049	1000	(888)-873-8049	(888)-873-8049	(888)-290-3658	(888)-290-3658
H2701	003	0	1	04	01	H2701_003_0	8		NEW WEST HEALTH SERVICES	New West Medicare	newwesthealth.com	H2701	003	2007	01	04	1	New West Medicare Basic		Montana	2	0		2				2		(888)-290-3658	(888)-290-3658	(888)-873-8049	(888)-873-8049	475	(888)-873-8049	(888)-873-8049	(888)-290-3658	(888)-290-3658
H2701	805	0	1	04	01	H2701_805_0	1		NEW WEST HEALTH SERVICES	New West Medicare	newwesthealth.com	H2701	805	2007	01	04	1	New West Medicare Group		Montana	1	0		2				2		(888)-290-3658	(888)-290-3658	(888)-873-8049	(888)-873-8049	100				
H2701	806	0	1	04	01	H2701_806_0	1		NEW WEST HEALTH SERVICES	New West Medicare	newwesthealth.com	H2701	806	2007	01	04	1	New West Medicare Group Plus		Montana	1	0		2				2		(888)-290-3658	(888)-290-3658	(888)-873-8049	(888)-873-8049	100	(888)-873-8049	(888)-873-8049	(888)-290-3658	(888)-290-3658
H2802	001	0	1	01	01	H2802_001_0	13		UNITED HEALTHCARE OF THE MIDLANDS, INC.	SecureHorizons	www.medicarecomplete.com	H2802	001	2007	01	01	1	MedicareComplete Plan 1		Douglas and Pottawattamie Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-669-1812	(800)-555-5757		(800)-669-1812	(800)-555-5757	(888)-685-8480	(888)-685-8480
H2802	004	0	1	01	01	H2802_004_0	8		UNITED HEALTHCARE OF THE MIDLANDS, INC.	SecureHorizons	www.medicarecomplete.com	H2802	004	2007	01	01	1	MedicareComplete Essential Plan 1		Douglas and Pottawattamie Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-669-1812	(800)-641-1998					
H2802	005	0	1	01	01	H2802_005_0	3		UNITED HEALTHCARE OF THE MIDLANDS, INC.	SecureHorizons	www.medicarecomplete.com	H2802	005	2007	01	01	1	Evercare Plan IH		Pottawattamie and Douglas Counties	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(888)-834-3721		(800)-393-0993	(888)-834-3721	(888)-685-8480	(888)-685-8480
H2803	001	0	1	02	01	H2803_001_0	9		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H2803	001	2007	01	02	1	MedicareComplete Plus Plan 1		Douglas and Pottawattamie Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5570	(800)-555-5757		(888)-867-5570	(800)-555-5757	(888)-685-8480	(888)-685-8480
H2803	002	0	1	02	01	H2803_002_0	12		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H2803	002	2007	01	02	1	MedicareComplete Plus Plan 1		Select rural counties in Nebraska and Iowa	2	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5570	(800)-555-5757		(888)-867-5570	(800)-555-5757	(888)-685-8480	(888)-685-8480
H2803	005	0	1	02	01	H2803_005_0	6		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H2803	005	2007	01	02	1	MedicareComplete Plus Plan 2		Douglas and Pottawattamie Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5570	(800)-641-1998					
H2803	006	0	1	02	01	H2803_006_0	9		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H2803	006	2007	01	02	1	MedicareComplete Plus Plan 2		Select Rural Iowa & Nebraska Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5570	(800)-641-1998					
H2803	010	0	1	02	01	H2803_010_0	4		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H2803	010	2007	01	02	1	Evercare Plan DH-POS		Select Iowa and Nebraska Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5110	(888)-834-3721		(877)-702-5110	(888)-834-3721	(888)-685-8480	(888)-685-8480
H2803	011	0	1	02	01	H2803_011_0	4		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H2803	011	2007	01	02	1	Evercare Plan IH-POS		Polk County	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(888)-834-3721		(800)-393-0993	(888)-834-3721	(888)-685-8480	(888)-685-8480
H2803	012	0	1	02	01	H2803_012_0	4		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H2803	012	2007	01	02	1	Evercare Plan DH-POS		Polk County	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5110	(888)-834-3721		(877)-702-5110	(888)-834-3721	(888)-685-8480	(888)-685-8480
H2803	801	0	1	02	01	H2803_801_0	5		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H2803	801	2007	01	02	1	MedicareComplete Plus		Select Counties in Nebraska and Iowa	1	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5548	(888)-867-5548		(888)-867-5548	(888)-867-5548	(888)-685-8480	(888)-685-8480
H2905	001	0	1	04	01	H2905_001_0	6		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Spectrum	http://www.sierraspectrumppo.com	H2905	001	2007	01	04	1	Sierra Spectrum		All NV counties and select counties in AZ and UT	2	0		2				2		(800)-349-3538	(800)-349-3538	(877)-559-4512	(800)-274-6648		(877)-559-4512	(800)-274-6648	(800)-349-3538	(800)-349-3538
H2905	801	0	1	04	01	H2905_801_0	3		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Spectrum	http://www.sierraspectrumppo.com	H2905	801	2007	01	04	1	Basic Group (with Drug) Coverage		All of Nevada and select counties in AZ and UT	1	0		2				2		(800)-349-3538	(800)-349-3538	(877)-559-4512	(800)-274-6648		(877)-559-4512	(800)-274-6648	(800)-349-3538	(800)-349-3538
H2905	802	0	1	04	01	H2905_802_0	3		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Spectrum	http://www.sierraspectrumppo.com	H2905	802	2007	01	04	1	Basic Group (without Drug) Coverage		All of Nevada and select counties in AZ and UT	1	0		2				2		(800)-349-3538	(800)-349-3538	(877)-559-4512	(800)-274-6648					
H2905	803	0	1	04	01	H2905_803_0	3		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Spectrum	http://www.sierraspectrumppo.com	H2905	803	2007	01	04	1	(NCY) Basic Group (With Drug) Coverage		All of Nevada and select counties in AZ and UT	1	0		2				2		(800)-349-3538	(800)-349-3538	(877)-559-4512	(800)-274-6648		(877)-559-4512	(800)-274-6648	(800)-349-3538	(800)-349-3538
H2905	804	0	1	04	01	H2905_804_0	3		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Spectrum	http://www.sierraspectrumppo.com	H2905	804	2007	01	04	1	(NCY) Basic Group (Without Drug) Coverage		All of Nevada and select counties in AZ and UT	1	0		2				2		(800)-349-3538	(800)-349-3538	(877)-559-4512	(800)-274-6648					
H2906	003	0	1	04	01	H2906_003_0	5		HOMETOWN HEALTH PLAN	Senior Care Plus	SeniorCarePlus.com	H2906	003	2007	01	04	1	Senior Care Plus: Freedom Rx+ Plan		Washoe County	2	0		2				2		(775)-982-3240	(775)-982-3240	(800)-336-0123	(800)-336-0123	100	(800)-261-6634	(800)-336-0123	(800)-899-2114	(775)-982-3240
H2931	002	0	1	02	01	H2931_002_0	3		HEALTH PLAN OF NEVADA, INC.	Senior Dimensions	www.seniordimensions.com	H2931	002	2007	01	02	1	Senior Dimensions Southern Nevada Plan		Clark, Esmeralda and Nye counties	2	0		2				2		(800)-349-3538	(800)-349-3538	(800)-650-6232	(800)-274-6648		(800)-650-6232	(800)-274-6648	(800)-349-3538	(800)-349-3538
H2931	004	0	1	01	01	H2931_004_0	4		HEALTH PLAN OF NEVADA, INC.	Senior Dimensions	www.seniordimensions.com	H2931	004	2007	01	01	1	Senior Dimensions Greater Nevada  Plan		Lyon and Mineral counties	2	0		2				2		(800)-349-3538	(800)-349-3538	(800)-650-6232	(800)-274-6648		(800)-650-6232	(800)-274-6648	(800)-349-3538	(800)-349-3538
H2931	006	0	1	02	01	H2931_006_0	3		HEALTH PLAN OF NEVADA, INC.	Senior Dimensions	www.seniordimensions.com	H2931	006	2007	01	02	1	Senior Dimensions Northern Nevada Plan		Portions of  Washoe county	2	0		2				2		(800)-349-3538	(800)-349-3538	(800)-650-6232	(800)-274-6648		(800)-650-6232	(800)-274-6648	(800)-349-3538	(800)-349-3538
H2931	014	0	1	01	01	H2931_014_0	4		HEALTH PLAN OF NEVADA, INC.	Senior Dimensions	www.seniordimensions.com	H2931	014	2007	01	01	1	Senior Dimensions (For Dually Eligible)		Clark County and Portions of Washoe County	2	0		1	3	1	2	2		(800)-349-3538	(800)-349-3538	(800)-650-6232	(800)-274-6648		(800)-650-6232	(800)-274-6648	(800)-349-3538	(800)-349-3538
H2931	015	0	1	01	01	H2931_015_0	4		HEALTH PLAN OF NEVADA, INC.	Senior Dimensions	www.seniordimensions.com	H2931	015	2007	01	01	1	Sierra VillageHealth		Clark, Nye and Portions of Washoe County	2	0		1	4	2	2	2		(866)-525-7833	(866)-525-7833	(877)-586-1648	(877)-586-1648		(877)-586-1648	(877)-586-1648	(866)-525-7833	(866)-525-7833
H2931	801	0	1	01	01	H2931_801_0	4		HEALTH PLAN OF NEVADA, INC.	Senior Dimensions	www.seniordimensions.com	H2931	801	2007	01	01	1	Basic Group (with Drug) Coverage		Clark,Esmeralda,Nye,Lyon,Mineral & parts of Washoe	1	0		2				2		(800)-349-3538	(800)-349-3538	(800)-650-6232	(800)-274-6648		(800)-650-6232	(800)-274-6648	(800)-349-3538	(800)-349-3538
H2931	803	0	1	01	01	H2931_803_0	4		HEALTH PLAN OF NEVADA, INC.	Senior Dimensions	www.seniordimensions.com	H2931	803	2007	01	01	1	Basic Group (without Drug) Coverage		Clark,Esmeralda,Nye,Lyon,Mineral & parts of Washo	1	0		2				2		(800)-349-3538	(800)-349-3538	(800)-650-6232	(800)-274-6648					
H2931	804	0	1	01	01	H2931_804_0	5		HEALTH PLAN OF NEVADA, INC.	Senior Dimensions	www.seniordimensions.com	H2931	804	2007	01	01	1	(NCY) Basic Group (With Drug) Coverage		Clark,Esmeralda,Nye,Lyon,Mineral & parts of Washoe	1	0		2				2		(800)-349-3538	(800)-349-3538	(800)-650-6232	(800)-274-6648		(800)-650-6232	(800)-274-6648	(800)-349-3538	(800)-349-3538
H2931	805	0	1	01	01	H2931_805_0	4		HEALTH PLAN OF NEVADA, INC.	Senior Dimensions	www.seniordimensions.com	H2931	805	2007	01	01	1	(NCY) Basic Group (Without Drug) Coverage		Clark,Esmeralda,Lyon,Mineral,Nye & parts of Washoe	1	0		2				2		(800)-349-3538	(800)-349-3538	(800)-650-6232	(800)-274-6648					
H2941	001	0	1	20	08	H2941_001_0	1		SENTARA LIFE CARE CORPORATION, INC	Sentara Senior Community Care	www.sentara.com	H2941	001	2007	08	20	1	Sentara Senior Community Care Dual		Chesapeake, Norfolk, Portsmouth and Virginia Beach	2	0		2				2						131	(800)-736-8272	(800)-736-8272		
H2941	002	0	1	20	08	H2941_002_0	1		SENTARA LIFE CARE CORPORATION, INC	Sentara Senior Community Care	www.sentara.com	H2941	002	2007	08	20	1	Sentara Senior Community Care Private		Chesapeake, Norfolk, Portsmouth and Virginia Beach	2	0		2				2						5	(800)-736-8272	(800)-736-8272		
H2949	002	0	1	01	01	H2949_002_0	5		PACIFICARE OF NEVADA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H2949	002	2007	01	01	1	MedicareComplete		Las Vegas	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588		(800)-347-8600	(800)-385-5588	(800)-360-1797	(800)-387-1074
H2949	007	0	1	01	01	H2949_007_0	4		PACIFICARE OF NEVADA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H2949	007	2007	01	01	1	MedicareComplete		Nye County	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588		(800)-347-8600	(800)-385-5588	(800)-360-1797	(800)-387-1074
H2949	009	0	1	01	01	H2949_009_0	3		PACIFICARE OF NEVADA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H2949	009	2007	01	01	1	MedicareComplete Essential		Las Vegas	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588					
H2949	011	0	1	01	01	H2949_011_0	2		PACIFICARE OF NEVADA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H2949	011	2007	01	01	1	MedicareComplete Essential		Nye County	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588					
H2949	012	0	1	01	01	H2949_012_0	5		PACIFICARE OF NEVADA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H2949	012	2007	01	01	1	MedicareComplete Value		Las Vegas	2	0		2				2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588		(800)-347-8600	(800)-385-5588	(800)-360-1797	(800)-387-1074
H2949	801	0	1	01	01	H2949_801_0	2		PACIFICARE OF NEVADA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H2949	801	2007	01	01	1	MedicareComplete Retiree Plan		NV Employer Sponsored Plan Service Area	1	0		2				2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588					
H2949	802	0	1	01	01	H2949_802_0	2		PACIFICARE OF NEVADA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H2949	802	2007	01	01	1	MedicareComplete Retiree Plan		NV Employer Sponsored Plan Service Area	1	0		2				2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588					
H2949	803	0	1	01	01	H2949_803_0	3		PACIFICARE OF NEVADA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H2949	803	2007	01	01	1	MedicareComplete Retiree Plan		NV Employer Sponsored Plan Service Area	1	0		2				2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588		(800)-347-8600	(800)-385-5588	(800)-360-1797	(800)-387-1074
H2949	804	0	1	01	01	H2949_804_0	3		PACIFICARE OF NEVADA, INC	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H2949	804	2007	01	01	1	MedicareComplete Retiree Plan		NV Employer Sponsored Plan Service Area	1	0		2				2		(800)-360-1797	(800)-387-1074	(800)-347-8600	(800)-385-5588		(800)-347-8600	(800)-385-5588	(800)-360-1797	(800)-387-1074
H2960	004	0	1	01	01	H2960_004_0	9		HOMETOWN HEALTH PLAN	Senior Care Plus	www.SeniorCarePlus.com	H2960	004	2007	01	01	1	Senior Care Plus: Value Rx Plan		Washoe County	2	0		2				2		(775)-982-3240	(775)-982-3240	(800)-336-0123	(800)-336-0123	2600	(800)-261-6634	(800)-336-0123	(800)-899-2114	(775)-982-3240
H2960	009	0	1	01	01	H2960_009_0	4		HOMETOWN HEALTH PLAN	Senior Care Plus	www.SeniorCarePlus.com	H2960	009	2007	01	01	1	Senior Care Plus: Value Plan		Washoe County	2	0		2				2		(775)-982-3240	(775)-982-3240	(800)-336-0123	(800)-336-0123	650				
H2960	010	0	1	01	01	H2960_010_0	9		HOMETOWN HEALTH PLAN	Senior Care Plus	www.SeniorCarePlus.com	H2960	010	2007	01	01	1	Senior Care Plus: Value Rx+ Plan		Washoe County	2	0		2				2		(775)-982-3240	(775)-982-3240	(800)-336-0123	(800)-336-0123	1600	(800)-261-6634	(800)-336-0123	(800)-899-2114	(775)-982-3240
H2961	002	0	1	10	05	H2961_002_0	6		HEALTH PLAN OF NEVADA, INC.	Senior Dimensions	www.seniordimensions.com	H2961	002	2007	05	10	1	Senior Dimensions Southern Nevada Plan		Portions of Clark and Nye counties	2	0		2				2		(800)-349-3538	(800)-349-3538	(800)-650-6232	(800)-274-6648		(800)-650-6232	(800)-274-6648	(800)-349-3538	(800)-349-3538
H2961	011	0	1	10	05	H2961_011_0	5		HEALTH PLAN OF NEVADA, INC.	Senior Dimensions	www.seniordimensions.com	H2961	011	2007	05	10	1	Senior Dimensions Northern Nevada Plan		Portions of Washoe county	2	0		2				2		(800)-349-3538	(800)-349-3538	(800)-650-6232	(800)-274-6648		(800)-650-6232	(800)-274-6648	(800)-349-3538	(800)-349-3538
H2961	801	0	1	10	05	H2961_801_0	9		HEALTH PLAN OF NEVADA, INC.	Senior Dimensions	www.seniordimensions.com	H2961	801	2007	05	10	1	Basic Group (with Drug) Coverage		Portions of Clark, Nye & Washoe counties	1	0		2				2		(800)-349-3538	(800)-349-3538	(800)-650-6232	(800)-274-6648		(800)-650-6232	(800)-274-6648	(800)-349-3538	(800)-349-3538
H2961	805	0	1	10	05	H2961_805_0	7		HEALTH PLAN OF NEVADA, INC.	Senior Dimensions	www.seniordimensions.com	H2961	805	2007	05	10	1	Basic Group (without Drug) Coverage		Portions of Clark, Nye & Washoe counties	1	0		2				2		(800)-349-3538	(800)-349-3538	(800)-650-6232	(800)-274-6648					
H2961	806	0	1	10	05	H2961_806_0	7		HEALTH PLAN OF NEVADA, INC.	Senior Dimensions	www.seniordimensions.com	H2961	806	2007	05	10	1	(NCY) Basic Group (With Drug) Coverage		Clark, Nye and Washoe counties	1	0		2				2		(800)-349-3538	(800)-349-3538	(800)-650-6232	(800)-274-6648		(800)-650-6232	(800)-274-6648	(800)-349-3538	(800)-349-3538
H2961	807	0	1	10	05	H2961_807_0	7		HEALTH PLAN OF NEVADA, INC.	Senior Dimensions	www.seniordimensions.com	H2961	807	2007	05	10	1	(NCY) Basic Group (Without Drug) Coverage		Clark, Nye and Washoe counties	1	0		2				2		(800)-349-3538	(800)-349-3538	(800)-650-6232	(800)-274-6648					
H3107	004	0	1	01	01	H3107_004_0	5		OXFORD HEALTH PLANS (NJ), INC.	SecureHorizons	www.oxfordhealth.com	H3107	004	2007	01	01	1	MedicareComplete		Northern and Central New Jersey	2	0		2				2		(800)-201-4874	(800)-201-4874	(800)-234-1228	(800)-303-6720		(800)-234-1228	(800)-303-6720	(800)-201-4874	(800)-201-4874
H3107	005	0	1	01	01	H3107_005_0	5		OXFORD HEALTH PLANS (NJ), INC.	SecureHorizons	www.oxfordhealth.com	H3107	005	2007	01	01	1	MedicareComplete Balance		Northern and Central New Jersey	2	0		2				2		(800)-201-4874	(800)-201-4874	(800)-234-1228	(800)-303-6720		(800)-234-1228	(800)-303-6720	(800)-201-4874	(800)-201-4874
H3107	006	0	1	01	01	H3107_006_0	6		OXFORD HEALTH PLANS (NJ), INC.	SecureHorizons	www.oxfordhealth.com	H3107	006	2007	01	01	1	MedicareComplete Balance		Northern and Central New Jersey	2	0		2				2		(800)-201-4874	(800)-201-4874	(800)-234-1228	(800)-303-6720		(800)-234-1228	(800)-303-6720	(800)-201-4874	(800)-201-4874
H3107	008	0	1	01	01	H3107_008_0	4		OXFORD HEALTH PLANS (NJ), INC.	SecureHorizons	www.oxfordhealth.com	H3107	008	2007	01	01	1	MedicareComplete Essential		Northern and Central New Jersey	2	0		2				2		(800)-201-4874	(800)-201-4874	(800)-234-1228	(800)-303-6720					
H3107	009	0	1	01	01	H3107_009_0	5		OXFORD HEALTH PLANS (NJ), INC.	SecureHorizons	www.oxfordhealth.com	H3107	009	2007	01	01	1	MedicareComplete		Northern and Central New Jersey	2	0		2				2		(800)-201-4874	(800)-201-4874	(800)-234-1228	(800)-303-6720		(800)-234-1228	(800)-303-6720	(800)-201-4874	(800)-201-4874
H3107	801	0	1	01	01	H3107_801_0	6		OXFORD HEALTH PLANS (NJ), INC.	SecureHorizons	www.oxfordhealth.com	H3107	801	2007	01	01	1	MedicareComplete		State of New Jersey	1	0		2				2		(800)-201-4874	(800)-201-4874	(800)-234-1228	(800)-303-6720		(800)-234-1228	(800)-303-6720	(800)-201-4874	(800)-201-4874
H3107	803	0	1	01	01	H3107_803_0	5		OXFORD HEALTH PLANS (NJ), INC.	SecureHorizons	www.oxfordhealth.com	H3107	803	2007	01	01	1	MedicareComplete Essential		State of New Jersey	1	0		2				2		(800)-201-4874	(800)-201-4874	(800)-234-1228	(800)-303-6720					
H3112	001	0	1	01	01	H3112_001_0	6		AMERIHEALTH HMO_INC	AmeriHealth 65	www.amerihealth65.com/pa	H3112	001	2007	01	01	1	AmeriHealth 65 Basic		Berks,Lancaster,Lehigh, Northampton,York Counties	2	0		1	3	2	1	2		(888)-857-4816	(877)-219-5457	(800)-645-3965	(866)-282-3235	6000	(800)-645-3965	(866)-456-1694	(888)-857-4816	(866)-456-1693
H3113	001	0	1	01	01	H3113_001_0	5		OXFORD HEALTH PLANS OF NEW JERSEY, INC	Evercare Plan H	www.uhc.com	H3113	001	2007	01	01	1	Evercare Plan IH		Northern and Central New Jersey	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-842-2478		(800)-393-0993	(800)-842-2478	(888)-685-8480	(888)-685-8480
H3152	022	0	1	01	01	H3152_022_0	4		AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	H3152	022	2007	01	01	1	Aetna Golden Medicare Standard Plan		Burlington, Camden, Gloucester and Mercer Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3152	041	0	1	01	01	H3152_041_0	4		AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	H3152	041	2007	01	01	1	Aetna Golden Medicare Value Plan		Burlington, Camden, Gloucester and Mercer Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H3152	044	0	1	01	01	H3152_044_0	6		AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	H3152	044	2007	01	01	1	Aetna Golden Medicare Special Plan		Burlington, Camden, Gloucester and Mercer Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3152	045	0	1	01	01	H3152_045_0	4		AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	H3152	045	2007	01	01	1	Aetna Golden Medicare Basic Plan		BergenEssexHudsonMorrisOceanPassaicSussexUnion	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H3152	046	0	1	01	01	H3152_046_0	4		AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	H3152	046	2007	01	01	1	Aetna Golden Medicare Value Plan		BergenEssexHudsonMorrisOceanPassaicSussexUnion	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3152	047	0	1	01	01	H3152_047_0	5		AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	H3152	047	2007	01	01	1	Aetna Golden Medicare Standard Plan		EssexHudsonOceanPassaicUnionBergenMorrisSussex	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3152	048	0	1	01	01	H3152_048_0	4		AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	H3152	048	2007	01	01	1	Aetna Golden Medicare Premier Plan		EssexHudsonOceanPassaicUnionBergenMorrisSussex	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3152	053	0	1	01	01	H3152_053_0	4		AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	H3152	053	2007	01	01	1	Aetna Golden Medicare Premier Plan		Burlington, Camden, Gloucester and Mercer Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3152	801	0	1	01	01	H3152_801_0	1		AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	H3152	801	2007	01	01	1	Aetna Golden Medicare Plan		New Jersey	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H3152	804	0	1	01	01	H3152_804_0	1		AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	H3152	804	2007	01	01	1	Aetna Golden Medicare Plan w/Rx CY		New Jersey	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3154	004	0	1	01	01	H3154_004_0	12		HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Healthcare of New Jersey, Inc.	www.horizonblue.com	H3154	004	2007	01	01	1	Horizon Medicare Value Plus		New Jersey	2	0		2				2		(800)-855-2881	(800)-852-7899	(800)-365-2223	(800)-224-1234	10850	(866)-236-7376	(800)-224-1234	(866)-236-1069	(800)-852-7899
H3154	005	0	1	02	01	H3154_005_0	10		HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Healthcare of New Jersey, Inc.	www.horizonblue.com	H3154	005	2007	01	02	1	Horizon Medicare Blue		New Jersey	2	0		2				2		(800)-855-2881	(800)-852-7899	(800)-365-2223	(800)-224-1234	5000				
H3154	006	0	1	02	01	H3154_006_0	10		HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Healthcare of New Jersey, Inc.	www.horizonblue.com	H3154	006	2007	01	02	1	Horizon Medicare Blue Plus		New Jersey	2	0		2				2		(800)-855-2881	(800)-852-7899	(800)-365-2223	(800)-224-1234		(866)-236-7376	(800)-224-1234	(866)-236-1069	(800)-852-7899
H3154	801	0	1	02	01	H3154_801_0	9		HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Healthcare of New Jersey, Inc.	www.horizonblue.com	H3154	801	2007	01	02	1	Horizon Medicare Blue Group		State of New Jersey	1	0		2				2		(800)-855-2881	(800)-852-7899	(800)-365-2223	(800)-224-1234	9055				
H3154	802	0	1	02	01	H3154_802_0	10		HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Healthcare of New Jersey, Inc.	www.horizonblue.com	H3154	802	2007	01	02	1	Horizon Medicare Blue Group Plus		State of New Jersey	1	0		2				2		(800)-855-2881	(800)-852-7899	(800)-365-2223	(800)-224-1234	9055	(866)-236-7376	(800)-224-1234	(866)-236-1069	(800)-852-7899
H3154	805	0	1	02	01	H3154_805_0	10		HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Healthcare of New Jersey, Inc.	www.horizonblue.com	H3154	805	2007	01	02	1	Horizon Medicare Blue Group Plus Non-CY		New Jersey	1	0		2				2		(800)-855-2881	(800)-852-7899	(800)-365-2223	(800)-224-1234	9055	(866)-236-7376	(800)-224-1234	(866)-236-1069	(800)-852-7899
H3156	021	0	1	02	01	H3156_021_0	8		AMERIHEALTH HMO_INC	AmeriHealth 65	www.amerihealth65.com	H3156	021	2007	01	02	1	AmeriHealth 65 Plus Rx Option II		Salem, Burlington, Camden, Cumberland, Gloucester	2	0		2				2		(888)-857-4816	(877)-219-5457	(800)-645-3965	(800)-898-3492	287	(800)-645-3965	(800)-898-3492	(888)-857-4816	(877)-219-5457
H3156	024	0	1	02	01	H3156_024_0	5		AMERIHEALTH HMO_INC	AmeriHealth 65	www.amerihealth65.com	H3156	024	2007	01	02	1	AmeriHealth 65 Plus Medical Only		Burlington,Camden,Cumberland, Gloucester, Salem	2	0		2				2		(888)-857-4816	(877)-219-5457	(800)-645-3965	(800)-898-3492	17				
H3156	801	0	1	01	01	H3156_801_0	3		AMERIHEALTH HMO_INC	AmeriHealth 65	www.amerihealth65.com	H3156	801	2007	01	01	1	AmeriHealth 65 Group Medical Only		State of New Jersey	1	0		2				2		(888)-857-4816	(877)-219-5457	(800)-645-3965	(800)-898-3492	547				
H3156	802	0	1	01	01	H3156_802_0	6		AMERIHEALTH HMO_INC	AmeriHealth 65	www.amerihealth65.com	H3156	802	2007	01	01	1	AmeriHealth 65 Rx Option I		State of New Jersey	1	0		2				2		(888)-857-4816	(877)-219-5457	(800)-645-3965	(800)-898-3492	393	(800)-645-3965	(800)-898-3492	(888)-857-4816	(877)-219-5457
H3164	003	0	1	01	01	H3164_003_0	5		AMERICHOICE OF NEW JERSEY, INC	AmeriChoice Personal Care Plus	www.AmeriChoice.com	H3164	003	2007	01	01	1	AmeriChoice Personal Care Plus		Hudson, Essex, Passaic and Union Counties	2	0		1	3	2	1	2		(800)-421-1220	(800)-421-1220	(800)-514-4911	(877)-289-1915	2329	(800)-514-4911	(800)-421-1220	(800)-421-1220	(800)-421-1220
H3204	001	0	1	01	01	H3204_001_0	4		PRESBYTERIAN HEALTH PLAN	Presbyterian Senior Care	www.phs.org	H3204	001	2007	01	01	1	Presbyterian Senior Care Plan 2 with Rx		Greater Albuquerque Area	2	0		2				2		(888)-625-8818	(888)-625-6429	(800)-797-5343	(800)-347-4766	17000	(800)-797-5343	(800)-347-4766	(888)-625-8818	(888)-625-6429
H3204	007	0	1	01	01	H3204_007_0	4		PRESBYTERIAN HEALTH PLAN	Presbyterian Senior Care	www.phs.org	H3204	007	2007	01	01	1	Presbyterian Senior Care Plan 3 with Rx		Greater Albuquerque Area	2	0		2				2		(888)-625-8818	(888)-625-6429	(800)-797-5343	(800)-347-4766	17000	(800)-797-5343	(800)-347-4766	(888)-625-8818	(888)-625-6429
H3204	008	0	1	01	01	H3204_008_0	2		PRESBYTERIAN HEALTH PLAN	Presbyterian Senior Care	www.phs.org	H3204	008	2007	01	01	1	Presbyterian Senior Care Plan 1		Greater Albuquerque Area	2	0		2				2		(888)-625-8818	(888)-625-6429	(800)-797-5343	(800)-347-4766	17000				
H3204	801	0	1	01	01	H3204_801_0	3		PRESBYTERIAN HEALTH PLAN	Presbyterian Senior Care	www.phs.org	H3204	801	2007	01	01	1	Pres Senior Care Emp Group Plan 2 with Rx		Greater Albuquerque Area	1	0		2				2		(888)-625-8818	(888)-625-6429	(800)-797-5343	(800)-347-4766	300	(800)-797-5343	(800)-347-4766	(888)-625-8818	(888)-625-6429
H3204	802	0	1	01	01	H3204_802_0	2		PRESBYTERIAN HEALTH PLAN	Presbyterian Senior Care	www.phs.org	H3204	802	2007	01	01	1	Pres Senior Care Emp Group Plan 1		Greater Albuquerque Area	1	0		2				2		(888)-625-8818	(888)-625-6429	(800)-797-5343	(800)-347-4766	400				
H3204	803	0	1	01	01	H3204_803_0	3		PRESBYTERIAN HEALTH PLAN	Presbyterian Senior Care	www.phs.org	H3204	803	2007	01	01	1	Pres Senior Care Emp Group Plan 2 w/ Rx NC		Greater Albuquerque Area	1	0		2				2		(888)-625-8818	(888)-625-6429	(800)-797-5343	(800)-347-4766	400	(800)-797-5343	(800)-347-4766	(888)-625-8818	(888)-625-6429
H3204	804	0	1	01	01	H3204_804_0	2		PRESBYTERIAN HEALTH PLAN	Presbyterian Senior Care	www.phs.org	H3204	804	2007	01	01	1	Pres Senior Care Emp Group Plan 1 NC		Greater Albuquerque Area	1	0		2				2		(888)-625-8818	(888)-625-6429	(800)-797-5343	(800)-347-4766	400				
H3206	001	0	1	04	01	H3206_001_0	4		PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian MediCare PPO	www.phs.org	H3206	001	2007	01	04	1	Presbyterian MediCare PPO Plan 2 with Rx		New Mexico	2	0		2				2		(888)-625-8818	(888)-625-6429	(505)-923-6060	(505)-923-5565	4200	(800)-797-5343	(800)-347-4766	(888)-625-8818	
H3206	002	0	1	04	01	H3206_002_0	4		PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian MediCare PPO	www.phs.org	H3206	002	2007	01	04	1	Presbyterian MediCare PPO Plan 3 with Rx		New Mexico	2	0		2				2		(888)-625-8818	(888)-625-6429	(505)-923-6060	(505)-923-5565	4200	(800)-797-5343	(800)-347-4766	(888)-625-8818	
H3206	003	0	1	04	01	H3206_003_0	2		PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian MediCare PPO	www.phs.org	H3206	003	2007	01	04	1	Presbyterian MediCare PPO Plan 1		New Mexico	2	0		2				2		(888)-625-8818	(888)-625-6429	(505)-923-6060	(505)-923-5565	4200				
H3206	801	0	1	04	01	H3206_801_0	3		PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian MediCare PPO	www.phs.org	H3206	801	2007	01	04	1	Pres MediCare PPO Emp Group Plan 2 with Rx		New Mexico	1	0		2				2		(888)-625-8818	(888)-625-6429	(505)-923-6060	(505)-923-5565	150	(800)-797-5343	(800)-347-4766	(888)-625-8818	
H3206	802	0	1	04	01	H3206_802_0	2		PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian MediCare PPO	www.phs.org	H3206	802	2007	01	04	1	Pres Medicare PPO Employer Group Plan 1		New Mexico	1	0		2				2		(888)-625-8818	(888)-625-6429	(505)-923-6060	(505)-923-5565	100				
H3206	803	0	1	04	01	H3206_803_0	3		PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian MediCare PPO	www.phs.org	H3206	803	2007	01	04	1	Pres MediCare PPO Empl Group Plan 2 +Rx NC		New Mexico	1	0		2				2		(888)-625-8818	(888)-625-6429	(505)-923-6060	(505)-923-5565	100	(800)-797-5343	(800)-347-4766	(888)-625-8818	
H3206	804	0	1	04	01	H3206_804_0	2		PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian MediCare PPO	www.phs.org	H3206	804	2007	01	04	1	Pres MediCare PPO Employer Group Plan 1 NC		New Mexico	1	0		2				2		(888)-625-8818	(888)-625-6429	(505)-923-6060	(505)-923-5565	100				
H3207	001	0	1	04	01	H3207_001_0	6		LOVELACE INSURANCE COMPANY	Lovelace Insurance Company	www.lovelaceseniorplan.com	H3207	001	2007	01	04	1	Premier Choice		Central NM	2	0		2				2		(800)-288-5605	(800)-288-5605	(800)-808-7363	(888)-665-5404	280	(800)-808-7363	(888)-665-5404	(800)-288-5605	(800)-288-5605
H3207	002	0	1	04	01	H3207_002_0	6		LOVELACE INSURANCE COMPANY	Lovelace Insurance Company	www.lovelaceseniorplan.com	H3207	002	2007	01	04	1	Premier Choice		Northern and Southern NM	2	0		2				2		(800)-288-5605	(800)-288-5605	(800)-808-7363	(888)-665-5404	375	(800)-808-7363	(888)-665-5404	(800)-288-5605	(800)-288-5605
H3207	003	0	1	04	01	H3207_003_0	7		LOVELACE INSURANCE COMPANY	Lovelace Insurance Company	www.lovelaceseniorplan.com	H3207	003	2007	01	04	1	Premier Choice		Northern and Southern  NM	2	0		2				2		(800)-288-5605	(800)-288-5605	(800)-808-7363	(888)-665-5404	250	(800)-808-7363	(888)-665-5404	(800)-288-5605	(800)-288-5605
H3207	004	0	1	04	01	H3207_004_0	7		LOVELACE INSURANCE COMPANY	Lovelace Insurance Company	www.lovelaceseniorplan.com	H3207	004	2007	01	04	1	Premier Choice		Central NM	2	0		2				2		(800)-288-5605	(800)-288-5605	(800)-808-7363	(888)-665-5404	140	(800)-808-7363	(888)-665-5404	(800)-288-5605	(800)-288-5605
H3208	001	0	1	04	01	H3208_001_0	5		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of New Mexico	www.bcbsnm.com	H3208	001	2007	01	04	1	Blue Medicare PPO		State of New Mexico; all counties	2	0		2				2		(888)-844-5530	(800)-538-0380	(800)-718-2031	(866)-308-4781		(888)-285-2254	(888)-285-2254	(888)-844-3757	(888)-844-3757
H3208	801	0	1	04	01	H3208_801_0	2		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of New Mexico	www.bcbsnm.com	H3208	801	2007	01	04	1	Blue Medicare PPO		State of New Mexico; all counties	1	0		2				2		(888)-844-5530	(800)-538-0380	(800)-718-2031	(866)-308-4781		(800)-718-2031	(866)-308-4781		
H3208	802	0	1	04	01	H3208_802_0	2		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of New Mexico	www.bcbsnm.com	H3208	802	2007	01	04	1	Blue Medicare PPO		State of New Mexico	1	0		2				2		(888)-844-5530	(800)-538-0380	(800)-718-2031	(866)-308-4781		(800)-718-2031	(866)-308-4781		
H3208	803	0	1	04	01	H3208_803_0	2		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of New Mexico	www.bcbsnm.com	H3208	803	2007	01	04	1	Blue Medicare PPO		State of New Mexico	1	0		2				2		(888)-844-5530	(800)-538-0380	(800)-718-2031	(866)-308-4781					
H3208	804	0	1	04	01	H3208_804_0	2		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of New Mexico	www.bcbsnm.com	H3208	804	2007	01	04	1	Blue Medicare PPO		State of New Mexico	1	0		2				2		(888)-844-5530	(800)-538-0380	(800)-718-2031	(866)-308-4781					
H3209	001	0	1	04	01	H3209_001_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H3209	001	2007	01	04	1	Evercare Plan IP		Bernalillo County	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(866)-968-7582		(800)-393-0993	(866)-968-7582	(888)-685-8480	(888)-685-8480
H3209	002	0	1	04	01	H3209_002_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H3209	002	2007	01	04	1	Evercare Plan DP		Bernalillo, Sandoval, Santa Fe & Valencia Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(888)-702-8418	(866)-968-7582		(888)-702-8418	(866)-968-7582	(888)-685-8480	(888)-685-8480
H3251	002	0	1	01	01	H3251_002_0	3		LOVELACE HEALTH PLAN, INC.	Lovelace Senior Plan	www.lovelaceseniorplan.com	H3251	002	2007	01	01	1	Lovelace Senior Plan		Bernalillo, Sandoval, Torrance & Valencia Counties	2	0		2				2		(800)-288-5605	(800)-288-5605	(800)-808-7363	(800)-262-3757	12640	(800)-808-7363	(800)-262-3757	(800)-288-5605	(800)-288-5605
H3251	018	0	1	01	01	H3251_018_0	2		LOVELACE HEALTH PLAN, INC.	Lovelace Senior Plan	www.lovelaceseniorplan.com	H3251	018	2007	01	01	1	Lovelace Senior Plan		Santa Fe County	2	0		2				2		(800)-288-5605	(800)-288-5605	(800)-808-7363	(800)-262-3757	1756	(800)-808-7363	(800)-262-3757	(800)-288-5605	(800)-288-5605
H3251	021	0	1	01	01	H3251_021_0	3		LOVELACE HEALTH PLAN, INC.	Lovelace Senior Plan	www.lovelaceseniorplan.com	H3251	021	2007	01	01	1	Lovelace Senior Plan		Bernalillo, Sandoval, Valencia & Torrance Counties	2	0		2				2		(800)-288-5605	(800)-288-5605	(800)-808-7363	(800)-262-3757	5986	(800)-808-7363	(800)-262-3757	(800)-288-5605	(800)-288-5605
H3251	022	0	1	01	01	H3251_022_0	2		LOVELACE HEALTH PLAN, INC.	Lovelace Senior Plan	www.lovelaceseniorplan.com	H3251	022	2007	01	01	1	Lovelace Senior Plan		Santa Fe County	2	0		2				2		(800)-288-5605	(800)-288-5605	(800)-808-7363	(800)-262-3757	501	(800)-808-7363	(800)-262-3757	(800)-288-5605	(800)-288-5605
H3251	801	0	1	01	01	H3251_801_0	4		LOVELACE HEALTH PLAN, INC.	Lovelace Senior Plan	www.lovelaceseniorplan.com	H3251	801	2007	01	01	1	Lovelace Employer Group - Medicare		Albuquerque/Santa Fe Metro Area	1	0		2				1	1	(800)-288-5605	(800)-288-5605	(800)-808-7363	(800)-262-3757	100				
H3251	804	0	1	01	01	H3251_804_0	3		LOVELACE HEALTH PLAN, INC.	Lovelace Senior Plan	www.lovelaceseniorplan.com	H3251	804	2007	01	01	1	Lovelace Employer Group Senior Plan		New Mexico Statewide	1	0		2				1	1	(800)-288-5605	(800)-288-5605	(800)-808-7363	(800)-262-3757	5920	(800)-808-7363	(800)-262-3757	(800)-288-5605	(800)-288-5605
H3305	007	0	1	01	01	H3305_007_0	6		ROCHESTER AREA HMO/ DBA PREFERRED CARE	Preferred Care Gold	www.preferredcare.org	H3305	007	2007	01	01	1	Preferred Care Gold		Greater Rochester Area	2	0		2				2		(585)-325-2629	(585)-325-2629	(800)-655-7924	(888)-280-6205	13700				
H3305	011	0	1	01	01	H3305_011_0	6		ROCHESTER AREA HMO/ DBA PREFERRED CARE	Preferred Care Gold	www.preferredcare.org	H3305	011	2007	01	01	1	Preferred Care GoldRx		Greater Rochester Area	2	0		2				2		(585)-325-2629	(585)-325-2629	(585)-327-2480	(888)-280-6205	11500	(800)-950-3224	(888)-280-6205	(585)-325-2629	(585)-325-2629
H3305	801	0	1	01	01	H3305_801_0	6		ROCHESTER AREA HMO/ DBA PREFERRED CARE	Preferred Care Gold	www.preferredcare.org	H3305	801	2007	01	01	1	Preferred Care Gold - employer group only		Greater Rochester area	1	0		2				2		(585)-325-2629	(585)-325-2629	(800)-655-7924	(888)-280-6205	21000				
H3305	803	0	1	01	01	H3305_803_0	6		ROCHESTER AREA HMO/ DBA PREFERRED CARE	Preferred Care Gold	www.preferredcare.org	H3305	803	2007	01	01	1	Preferred Care Gold - employer group only		Rochester Area	1	0		2				2		(585)-325-2629	(585)-325-2629	(800)-655-7924	(888)-280-6205	14200	(800)-950-3224	(888)-280-6205	(585)-325-2629	(585)-325-2629
H3307	002	0	1	01	01	H3307_002_0	6		OXFORD HEALTH PLANS (NY) INC.	SecureHorizons	www.oxfordmedicare.com	H3307	002	2007	01	01	1	MedicareComplete Plan 1		New York Metropolitan Area	2	0		2				2		(800)-201-4874	(800)-201-4874	(800)-234-1228	(800)-303-6720		(800)-234-1228	(800)-303-6720	(800)-201-4874	(800)-201-4874
H3307	011	0	1	01	01	H3307_011_0	5		OXFORD HEALTH PLANS (NY) INC.	SecureHorizons	www.oxfordmedicare.com	H3307	011	2007	01	01	1	MedicareComplete Balance		Kings, New York, Queens, and Richmond Counties	2	0		2				2		(800)-201-4874	(800)-201-4874	(800)-234-1228	(800)-303-6720		(800)-234-1228	(800)-303-6720	(800)-201-4874	(800)-201-4874
H3307	012	0	1	01	01	H3307_012_0	5		OXFORD HEALTH PLANS (NY) INC.	SecureHorizons	www.oxfordmedicare.com	H3307	012	2007	01	01	1	MedicareComplete		Westchester, Orange and Rockland Counties	2	0		2				2		(800)-201-4874	(800)-201-4874	(800)-234-1228	(800)-303-6720		(800)-234-1228	(800)-303-6720	(800)-201-4874	(800)-201-4874
H3307	013	0	1	01	01	H3307_013_0	5		OXFORD HEALTH PLANS (NY) INC.	SecureHorizons	www.oxfordmedicare.com	H3307	013	2007	01	01	1	MedicareComplete Balance		Westchester, Orange and Rockland Counties	2	0		2				2		(800)-201-4874	(800)-201-4874	(800)-234-1228	(800)-303-6720		(800)-234-1228	(800)-303-6720	(800)-201-4874	(800)-201-4874
H3307	015	0	1	01	01	H3307_015_0	4		OXFORD HEALTH PLANS (NY) INC.	SecureHorizons	www.oxfordmedicare.com	H3307	015	2007	01	01	1	MedicareComplete Mosaic		New York Metropolitan Area	2	0		2				2		(800)-201-4874	(800)-201-4874	(800)-234-1228	(800)-303-6720		(800)-234-1228	(800)-303-6720	(800)-201-4874	(800)-201-4874
H3307	018	0	1	01	01	H3307_018_0	5		OXFORD HEALTH PLANS (NY) INC.	SecureHorizons	www.oxfordmedicare.com	H3307	018	2007	01	01	1	MedicareComplete Essential		New York City Metro Area	2	0		2				2		(800)-201-4874	(800)-201-4874	(800)-234-1228	(800)-303-6720					
H3307	019	0	1	01	01	H3307_019_0	4		OXFORD HEALTH PLANS (NY) INC.	SecureHorizons	www.oxfordmedicare.com	H3307	019	2007	01	01	1	MedicareComplete Essential		Westchester, Orange and Rockland Counties	2	0		2				2		(800)-201-4874	(800)-201-4874	(800)-234-1228	(800)-303-6720					
H3307	020	0	1	01	01	H3307_020_0	4		OXFORD HEALTH PLANS (NY) INC.	SecureHorizons	www.oxfordmedicare.com	H3307	020	2007	01	01	1	Evercare Plan DH		New York City Metro Area	2	0		1	3	2	2	2		(800)-201-4874	(800)-201-4874	(800)-234-1228	(800)-303-6720		(800)-234-1228	(800)-303-6720	(800)-201-4874	(800)-201-4874
H3307	802	0	1	01	01	H3307_802_0	6		OXFORD HEALTH PLANS (NY) INC.	SecureHorizons	www.oxfordmedicare.com	H3307	802	2007	01	01	1	MedicareComplete		New York Metropolitan Area	1	0		2				2		(800)-201-4874	(800)-201-4874	(800)-234-1228	(800)-303-6720		(800)-234-1228	(800)-303-6720	(800)-201-4874	(800)-201-4874
H3307	804	0	1	01	01	H3307_804_0	4		OXFORD HEALTH PLANS (NY) INC.	SecureHorizons	www.oxfordmedicare.com	H3307	804	2007	01	01	1	MedicareComplete Essential		New York Metropolitan Area	1	0		2				2		(800)-201-4874	(800)-201-4874	(800)-234-1228	(800)-303-6720					
H3312	002	0	1	01	01	H3312_002_0	5		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H3312	002	2007	01	01	1	Aetna Golden Medicare Value Plan		Bronx and Kings Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3312	018	0	1	01	01	H3312_018_0	5		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H3312	018	2007	01	01	1	Aetna Golden Medicare Value Plan		Rockland and Westchester Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3312	025	0	1	01	01	H3312_025_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H3312	025	2007	01	01	1	Aetna Golden Medicare Standard Plan		New York,  Queens and Richmond Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3312	028	0	1	01	01	H3312_028_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H3312	028	2007	01	01	1	Aetna Golden Medicare Premier Plan		Bronx and Kings Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3312	036	0	1	01	01	H3312_036_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H3312	036	2007	01	01	1	Aetna Golden Medicare Basic Plan		Bronx and Kings Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H3312	037	0	1	01	01	H3312_037_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H3312	037	2007	01	01	1	Aetna Golden Medicare Standard Plan		Bronx and Kings Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3312	040	0	1	01	01	H3312_040_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H3312	040	2007	01	01	1	Aetna Golden Medicare Basic Plan		Rockland and Westchester Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H3312	043	0	1	01	01	H3312_043_0	5		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H3312	043	2007	01	01	1	Aetna Golden Medicare Value Plan		New York, Queens and Richmond Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3312	044	0	1	01	01	H3312_044_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H3312	044	2007	01	01	1	Aetna Golden Medicare Premier Plan		New York, Queens and Richmond Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3312	045	0	1	01	01	H3312_045_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H3312	045	2007	01	01	1	Aetna Golden Medicare Value Plan		Broome and Tioga Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3312	046	0	1	01	01	H3312_046_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H3312	046	2007	01	01	1	Aetna Golden Medicare Standard Plan		Broome and Tioga Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3312	047	0	1	01	01	H3312_047_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H3312	047	2007	01	01	1	Aetna Golden Medicare Premier Plan		Broome and Tioga Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3312	048	0	1	01	01	H3312_048_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H3312	048	2007	01	01	1	Aetna Golden Medicare Value Plan		Oswego, Cayuga, Onondaga Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3312	049	0	1	01	01	H3312_049_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H3312	049	2007	01	01	1	Aetna Golden Medicare Standard Plan		Oswego, Cayuga, Onondaga Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3312	050	0	1	01	01	H3312_050_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H3312	050	2007	01	01	1	Aetna Golden Medicare Premier Plan		Oswego, Cayuga, Onondaga Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3312	052	0	1	01	01	H3312_052_0	5		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H3312	052	2007	01	01	1	Aetna Golden Medicare Premier Plan		Rockland and Westchester Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3312	801	0	1	01	01	H3312_801_0	1		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H3312	801	2007	01	01	1	Aetna Golden Medicare Plan		New York	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H3312	804	0	1	01	01	H3312_804_0	1		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H3312	804	2007	01	01	1	Aetna Golden Medicare Plan w/Rx CY		New York	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3321	001	0	1	20	08	H3321_001_0	1		INDEPENDENT LIVING SRVCS OF CENTRAL NY	Independent Living Srvcs Of Central Ny	www.loretto-cny.org	H3321	001	2007	08	20	1	Loretto Independent Living Services, Inc		Onondaga County	2	0		2				1	1						(877)-208-5284	(877)-208-5284		
H3321	003	0	1	20	08	H3321_003_0	1		INDEPENDENT LIVING SRVCS OF CENTRAL NY	Independent Living Srvcs Of Central Ny	www.loretto-cny.org	H3321	003	2007	08	20	1	Loretto Independent Living Services, Inc		Onondaga county	2	0		2				1	1						(877)-208-5284	(877)-208-5284		
H3322	001	0	1	20	08	H3322_001_0	3		SENIOR CARE CONNECTION, INC.	Senior Care Connection, Inc.	www.nehealth.com	H3322	001	2007	08	20	1	Senior Care Connection dba Eddy SeniorCare		Schenectady County, Albany County, NY	2	0		2				2						80	(518)-382-3290	(518)-382-3290		
H3322	002	0	1	20	08	H3322_002_0	3		SENIOR CARE CONNECTION, INC.	Senior Care Connection, Inc.	www.nehealth.com	H3322	002	2007	08	20	1	Senior Care Connection		Schenectady County, Albany County	2	0		2				2						5	(518)-382-3290	(518)-382-3290		
H3327	001	0	1	06	01	H3327_001_0	7		TOUCHSTONE HEALTH PARTNERSHIP	Touchstone Health	www.touchstone-health.com	H3327	001	2007	01	06	1	Touchstone Health Medicare Value		New York City - PSO	2	0		2				2		(888)-777-0301	(888)-777-0368	(888)-777-0204	(888)-777-0370		(888)-777-0204	(888)-777-0204	(888)-777-0301	(888)-777-0301
H3327	002	0	1	06	01	H3327_002_0	7		TOUCHSTONE HEALTH PARTNERSHIP	Touchstone Health	www.touchstone-health.com	H3327	002	2007	01	06	1	Touchstone Health Medicare Total Advantage		New York City  - PSO	2	0		2				2		(888)-777-0301	(888)-777-0368	(888)-777-0204	(888)-777-0370		(888)-777-0204	(888)-777-0204	(888)-777-0301	(888)-777-0301
H3327	003	0	1	06	01	H3327_003_0	7		TOUCHSTONE HEALTH PARTNERSHIP	Touchstone Health	www.touchstone-health.com	H3327	003	2007	01	06	1	Touchstone Health Medicare Freedom		New York City  - PSO	2	0		2				2		(888)-777-0301	(888)-777-0368	(888)-777-0204	(888)-777-0370		(888)-777-0204	(888)-777-0204	(888)-777-0301	(888)-777-0301
H3327	014	0	1	06	01	H3327_014_0	5		TOUCHSTONE HEALTH PARTNERSHIP	Touchstone Health	www.touchstone-health.com	H3327	014	2007	01	06	1	Touchstone Health Medicare Enhanced		New York City - PSO	2	0		2				2		(888)-777-0301	(888)-777-0368	(888)-777-0204	(888)-777-0370					
H3327	015	0	1	06	01	H3327_015_0	7		TOUCHSTONE HEALTH PARTNERSHIP	Touchstone Health	www.touchstone-health.com	H3327	015	2007	01	06	1	Touchstone Health Medicare Value		Hudson Valley NY - PSO	2	0		2				2		(888)-777-0301	(888)-777-0368	(888)-777-0204	(888)-777-0370		(888)-777-0204	(888)-777-0204	(888)-777-0301	(888)-777-0301
H3327	021	0	1	06	01	H3327_021_0	6		TOUCHSTONE HEALTH PARTNERSHIP	Touchstone Health	www.touchstone-health.com	H3327	021	2007	01	06	1	Touchstone Health Medicare Value		Central NY - PSO	2	0		2				2		(888)-777-0301	(888)-777-0368	(888)-777-0204	(888)-777-0370		(888)-777-0204	(888)-777-0204	(888)-777-0301	(888)-777-0301
H3327	022	0	1	06	01	H3327_022_0	4		TOUCHSTONE HEALTH PARTNERSHIP	Touchstone Health	www.touchstone-health.com	H3327	022	2007	01	06	1	Touchstone Health Medicare Enhanced		Central NY - PSO	2	0		2				2		(888)-777-0301	(888)-777-0368	(888)-777-0204	(888)-777-0370					
H3327	023	0	1	06	01	H3327_023_0	6		TOUCHSTONE HEALTH PARTNERSHIP	Touchstone Health	www.touchstone-health.com	H3327	023	2007	01	06	1	Touchstone Health Medicare Freedom		Central NY - PSO	2	0		2				2		(888)-777-0301	(888)-777-0368	(888)-777-0204	(888)-777-0370		(888)-777-0204	(888)-777-0204	(888)-777-0301	(888)-777-0301
H3327	024	0	1	06	01	H3327_024_0	6		TOUCHSTONE HEALTH PARTNERSHIP	Touchstone Health	www.touchstone-health.com	H3327	024	2007	01	06	1	Touchstone Health Medicare Total Advantage		Central NY - PSO	2	0		2				2		(888)-777-0301	(888)-777-0368	(888)-777-0204	(888)-777-0370		(888)-777-0204	(888)-777-0204	(888)-777-0301	(888)-777-0301
H3327	026	0	1	06	01	H3327_026_0	8		TOUCHSTONE HEALTH PARTNERSHIP	Touchstone Health	www.touchstone-health.com	H3327	026	2007	01	06	1	Touchstone Health Medicare Prestige		SNP - NYC	2	0		1	3	1	2	2		(888)-777-0301	(888)-777-0368	(888)-777-0204	(888)-777-0370		(888)-777-0204	(888)-777-0204	(888)-777-0301	(888)-777-0301
H3327	027	0	1	06	01	H3327_027_0	7		TOUCHSTONE HEALTH PARTNERSHIP	Touchstone Health	www.touchstone-health.com	H3327	027	2007	01	06	1	Touchstone Health Medicare Prestige		SNP - Upstate	2	0		1	3	1	2	2		(888)-777-0301	(888)-777-0368	(888)-777-0204	(888)-777-0370		(888)-777-0204	(888)-777-0204	(888)-777-0301	(888)-777-0301
H3327	028	0	1	06	01	H3327_028_0	7		TOUCHSTONE HEALTH PARTNERSHIP	Touchstone Health	www.touchstone-health.com	H3327	028	2007	01	06	1	Touchstone Health Medicare Lunar Plan 1		New York City - PSO	2	0		2				2		(888)-777-0301	(888)-777-0368	(888)-777-0204	(888)-777-0370		(888)-777-0204	(888)-777-0204	(888)-777-0301	(888)-777-0301
H3327	029	0	1	06	01	H3327_029_0	7		TOUCHSTONE HEALTH PARTNERSHIP	Touchstone Health	www.touchstone-health.com	H3327	029	2007	01	06	1	Touchstone Health Medicare Lunar Plan 2		SNP - NYC	2	0		1	3	1	2	2		(888)-777-0301	(888)-777-0368	(888)-777-0204	(888)-777-0370		(888)-777-0204	(888)-777-0204	(888)-777-0301	(888)-777-0301
H3327	030	0	1	06	01	H3327_030_0	7		TOUCHSTONE HEALTH PARTNERSHIP	Touchstone Health	www.touchstone-health.com	H3327	030	2007	01	06	1	Touchstone Health Medicare Prestige		SNP - Northern Metro	2	0		1	3	1	2	2		(888)-777-0301	(888)-777-0368	(888)-777-0204	(888)-777-0370		(888)-777-0204	(888)-777-0204	(888)-777-0301	(888)-777-0301
H3327	801	0	1	06	01	H3327_801_0	7		TOUCHSTONE HEALTH PARTNERSHIP	Touchstone Health	www.touchstone-health.com	H3327	801	2007	01	06	1	Touchstone Health Medicare Value		Employer - New York City	1	0		2				2		(888)-777-0301	(888)-777-0368	(888)-777-0204	(888)-777-0370		(888)-777-0204	(888)-777-0204	(888)-777-0301	(888)-777-0301
H3327	802	0	1	06	01	H3327_802_0	4		TOUCHSTONE HEALTH PARTNERSHIP	Touchstone Health	www.touchstone-health.com	H3327	802	2007	01	06	1	Touchstone Health Medicare Enhanced		Employer - New York City	1	0		2				2		(888)-777-0301	(888)-777-0368	(888)-777-0204	(888)-777-0370					
H3327	803	0	1	06	01	H3327_803_0	7		TOUCHSTONE HEALTH PARTNERSHIP	Touchstone Health	www.touchstone-health.com	H3327	803	2007	01	06	1	Touchstone Health Medicare Freedom		Employer - New York City	1	0		2				2		(888)-777-0301	(888)-777-0368	(888)-777-0204	(888)-777-0370		(888)-777-0204	(888)-777-0204	(888)-777-0301	(888)-777-0301
H3327	804	0	1	06	01	H3327_804_0	5		TOUCHSTONE HEALTH PARTNERSHIP	Touchstone Health	www.touchstone-health.com	H3327	804	2007	01	06	1	Touchstone Health Medicare Freedom MA Only		Employer - New York City	1	0		2				2		(888)-777-0301	(888)-777-0368	(888)-777-0204	(888)-777-0370					
H3327	805	0	1	06	01	H3327_805_0	7		TOUCHSTONE HEALTH PARTNERSHIP	Touchstone Health	www.touchstone-health.com	H3327	805	2007	01	06	1	Touchstone Health Medicare Value		Employer - Upstate New York	1	0		2				2		(888)-777-0301	(888)-777-0368	(888)-777-0204	(888)-777-0370		(888)-777-0204	(888)-777-0204	(888)-777-0301	(888)-777-0301
H3327	806	0	1	06	01	H3327_806_0	4		TOUCHSTONE HEALTH PARTNERSHIP	Touchstone Health	www.touchstone-health.com	H3327	806	2007	01	06	1	Touchstone Health Medicare Enhanced		Employer - Upstate New York	1	0		2				2		(888)-777-0301	(888)-777-0368	(888)-777-0204	(888)-777-0370					
H3327	807	0	1	06	01	H3327_807_0	7		TOUCHSTONE HEALTH PARTNERSHIP	Touchstone Health	www.touchstone-health.com	H3327	807	2007	01	06	1	Touchstone Health Medicare Freedom		Employer - Upstate New York	1	0		2				2		(888)-777-0301	(888)-777-0368	(888)-777-0204	(888)-777-0370		(888)-777-0204	(888)-777-0204	(888)-777-0301	(888)-777-0301
H3327	808	0	1	06	01	H3327_808_0	5		TOUCHSTONE HEALTH PARTNERSHIP	Touchstone Health	www.touchstone-health.com	H3327	808	2007	01	06	1	Touchstone Health Medicare Freedom MA Only		Employer - Upstate New York	1	0		2				2		(888)-777-0301	(888)-777-0368	(888)-777-0204	(888)-777-0370					
H3328	001	0	1	02	01	H3328_001_0	2		NEW YORK STATE CATHOLIC HLTH PLAN INC	New York State Catholic Hlth Plan Inc	www.fideliscare.org	H3328	001	2007	01	02	1	Fidelis Medicare Advantage Upstate		Upstate NY Counties	2	0		2				2		(800)-695-8544	(800)-558-1125	(800)-247-1447	(800)-860-8707	1149				
H3328	002	0	1	01	01	H3328_002_0	3		NEW YORK STATE CATHOLIC HLTH PLAN INC	New York State Catholic Hlth Plan Inc	www.fideliscare.org	H3328	002	2007	01	01	1	Fidelis Dual Advantage Upstate		Upstate NY Counties	2	0		1	3	2	1	2		(800)-695-8544	(800)-558-1125	(800)-247-1447	(800)-860-8707	528	(800)-247-1447	(800)-860-8707	(800)-695-8544	(800)-558-1125
H3328	003	0	1	02	01	H3328_003_0	4		NEW YORK STATE CATHOLIC HLTH PLAN INC	New York State Catholic Hlth Plan Inc	www.fideliscare.org	H3328	003	2007	01	02	1	Fidelis Medicare Advantage with PD Upstate		Upstate NY Counties	2	0		2				2		(800)-695-8544	(800)-558-1125	(800)-247-1447	(800)-860-8707	574	(800)-247-1447	(800)-860-8707	(800)-695-8544	(800)-558-1125
H3328	006	0	1	02	01	H3328_006_0	2		NEW YORK STATE CATHOLIC HLTH PLAN INC	New York State Catholic Hlth Plan Inc	www.fideliscare.org	H3328	006	2007	01	02	1	Fidelis Medicare Advantage NYC		New York City Counties	2	0		2				2		(800)-695-8544	(800)-558-1125	(800)-247-1447	(800)-860-8707	297				
H3328	007	0	1	01	01	H3328_007_0	3		NEW YORK STATE CATHOLIC HLTH PLAN INC	New York State Catholic Hlth Plan Inc	www.fideliscare.org	H3328	007	2007	01	01	1	Fidelis Dual Advantage NYC		New York City Counties	2	0		1	3	2	1	2		(800)-695-8544	(800)-558-1125	(800)-247-1447	(800)-860-8707	528	(800)-247-1447	(800)-860-8707	(800)-695-8544	(800)-558-1125
H3328	008	0	1	02	01	H3328_008_0	4		NEW YORK STATE CATHOLIC HLTH PLAN INC	New York State Catholic Hlth Plan Inc	www.fideliscare.org	H3328	008	2007	01	02	1	Fidelis Medicare Advantage with PD NYC		New York City Counties	2	0		2				2		(800)-695-8544	(800)-558-1125	(800)-247-1447	(800)-860-8707	148	(800)-247-1447	(800)-860-8707	(800)-695-8544	(800)-558-1125
H3328	009	0	1	02	01	H3328_009_0	3		NEW YORK STATE CATHOLIC HLTH PLAN INC	New York State Catholic Hlth Plan Inc	www.fideliscare.org	H3328	009	2007	01	02	1	Fidelis Medicare Advantage Hudson LI		Westchester, Rockland, Orange and LI Counties	2	0		2				2		(800)-695-8544	(800)-558-1125	(800)-247-1447	(800)-860-8707	253				
H3328	010	0	1	01	01	H3328_010_0	3		NEW YORK STATE CATHOLIC HLTH PLAN INC	New York State Catholic Hlth Plan Inc	www.fideliscare.org	H3328	010	2007	01	01	1	Fidelis Dual Advantage Hudson LI		Westchester, Rockland, Orange and LI Counties	2	0		1	3	2	1	2		(800)-695-8544	(800)-558-1125	(800)-247-1447	(800)-860-8707	528	(800)-247-1447	(800)-860-8707	(800)-695-8544	(800)-558-1125
H3328	011	0	1	02	01	H3328_011_0	4		NEW YORK STATE CATHOLIC HLTH PLAN INC	New York State Catholic Hlth Plan Inc	www.fideliscare.org	H3328	011	2007	01	02	1	Fidelis Medicare Advantage with PD Hud LI		Westchester, Rockland, Orange and LI Counties	2	0		2				2		(800)-695-8544	(800)-558-1125	(800)-247-1447	(800)-860-8707	127	(800)-247-1447	(800)-860-8707	(800)-695-8544	(800)-558-1125
H3329	001	0	1	20	08	H3329_001_0	4		COMPREHENSIVE CARE MANAGEMENT CORP.	Comprehensive Care Management Corp.	www.ccmny.org	H3329	001	2007	08	20	1	CCMC PACE Dual Eligible		NYC & Westchester Counties	2	0		2				2						1800	(877)-226-8500	(877)-226-8500		
H3329	002	0	1	20	08	H3329_002_0	4		COMPREHENSIVE CARE MANAGEMENT CORP.	Comprehensive Care Management Corp.	www.ccmny.org	H3329	002	2007	08	20	1	CCMC - PACE - Medicare only		NYC & Westchester Counties	2	0		2				2						100	(877)-226-8500	(877)-226-8500		
H3330	021	1	1	01	01	H3330_021_1	9		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	021	2007	01	01	1	HIP VIP Medicare		Greater New York Metropolitan Area	2	1	New York City	2				2		(888)-447-4833	(888)-447-4833	(800)-447-8255	(800)-447-9169	40147	(800)-447-8255	(800)-447-9169	(888)-447-4833	(888)-447-4833
H3330	021	2	1	01	01	H3330_021_2	9		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	021	2007	01	01	1	HIP VIP Medicare		Greater New York Metropolitan Area	2	2	Nassau County	2				2		(888)-447-4833	(888)-447-4833	(800)-447-8255	(800)-447-9169	16070	(800)-447-8255	(800)-447-9169	(888)-447-4833	(888)-447-4833
H3330	021	3	1	01	01	H3330_021_3	9		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	021	2007	01	01	1	HIP VIP Medicare		Greater New York Metropolitan Area	2	3	Suffolk and Westchester Counties	2				2		(888)-447-4833	(888)-447-4833	(800)-447-8255	(800)-447-9169	5419	(800)-447-8255	(800)-447-9169	(888)-447-4833	(888)-447-4833
H3330	023	1	1	01	01	H3330_023_1	11		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	023	2007	01	01	1	HIP VIP Plus		Greater New York Metropolitan Area	2	1	New York City	2				2		(888)-447-4833	(888)-447-4833	(800)-447-8255	(646)-447-9169	224	(800)-447-8255	(800)-447-9169	(888)-447-4833	(888)-447-4833
H3330	023	2	1	01	01	H3330_023_2	11		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	023	2007	01	01	1	HIP VIP Plus		Greater New York Metropolitan Area	2	2	Nassau County	2				2		(888)-447-4833	(888)-447-4833	(800)-447-8255	(646)-447-9169	420	(800)-447-8255	(800)-447-9169	(888)-447-4833	(888)-447-4833
H3330	023	3	1	01	01	H3330_023_3	11		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	023	2007	01	01	1	HIP VIP Plus		Greater New York Metropolitan Area	2	3	Suffolk and Westchester Counties	2				2		(888)-447-4833	(888)-447-4833	(800)-447-8255	(646)-447-9169	54	(800)-447-8255	(800)-447-9169	(888)-447-4833	(888)-447-4833
H3330	025	1	1	01	01	H3330_025_1	6		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	025	2007	01	01	1	HIP VIP Rx Carveout		Greater New York Metropolitan Area	2	1	New York City	2				2		(888)-447-4833	(888)-447-4833	(646)-447-8255	(646)-447-9169	88				
H3330	025	2	1	01	01	H3330_025_2	6		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	025	2007	01	01	1	HIP VIP Rx Carveout		Greater New York Metropolitan Area	2	2	Nassau County	2				2		(888)-447-4833	(888)-447-4833	(646)-447-8255	(646)-447-9169	30				
H3330	025	3	1	01	01	H3330_025_3	5		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	025	2007	01	01	1	HIP VIP Rx Carveout		Greater New York Metropolitan Area	2	3	Suffolk and Westchester Counties	2				2		(888)-447-4833	(888)-447-4833	(646)-447-8255	(646)-447-9169	281				
H3330	026	0	2	01	01	H3330_026_0	9		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	026	2007	01	01	2	HIP Part A Payers		Greater New York Metropolitan Area	2	0		2				2		(888)-447-4833	(888)-447-4833	(646)-447-5000	(646)-447-5000	3	(800)-447-8255	(800)-447-8255	(888)-447-4833	(888)-447-4833
H3330	029	0	1	01	01	H3330_029_0	12		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	029	2007	01	01	1	HIP VIP Dual Eligible		Greater New York Metropolitan Area	2	0		1	3	2	1	2		(888)-447-4833	(888)-447-4833	(800)-447-8255	(800)-447-9169	2050	(800)-447-8255	(800)-447-9169	(888)-447-4833	(888)-447-4833
H3330	030	1	1	01	01	H3330_030_1	10		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	030	2007	01	01	1	HIP VIP Chronic Care		Greater New York Metropolitan Area	2	1	New York City	1	4	2	2	2		(888)-447-4833	(888)-447-4833	(800)-447-8255	(800)-447-9169	1820	(800)-447-8255	(800)-447-9169	(888)-447-4833	(888)-447-4833
H3330	030	2	1	01	01	H3330_030_2	10		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	030	2007	01	01	1	HIP VIP Chronic Care		Greater New York Metropolitan Area	2	2	Nassau County	1	4	2	2	2		(888)-447-4833	(888)-447-4833	(800)-447-8255	(800)-447-9169	470	(800)-447-8255	(800)-447-9169	(888)-447-4833	(888)-447-4833
H3330	030	3	1	01	01	H3330_030_3	12		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	030	2007	01	01	1	HIP VIP Chronic Care		Greater New York Metropolitan Area	2	3	Suffolk and Westchester Counties	1	4	2	2	2		(888)-447-4833	(888)-447-4833	(800)-447-8255	(800)-447-9169	212	(800)-447-8255	(800)-447-9169	(888)-447-4833	(888)-447-4833
H3330	802	1	1	01	01	H3330_802_1	8		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	802	2007	01	01	1	HIP VIP Premier Medicare Calendar Employer		Greater New York Metropolitain Area	1	1	New York City	2				2		(888)-447-4833	(888)-447-4833	(646)-447-5000	(646)-447-5000	45270	(800)-447-8255	(800)-447-8255	(888)-447-4833	(888)-447-4833
H3330	802	2	1	01	01	H3330_802_2	9		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	802	2007	01	01	1	HIP VIP Premier Medicare Calendar Employer		Greater New York Metropolitain Area	1	2	Nassau County	2				2		(888)-447-4833	(888)-447-4833	(646)-447-5000	(646)-447-5000	6160	(800)-447-8255	(800)-447-8255	(888)-447-4833	(888)-447-4833
H3330	802	3	1	01	01	H3330_802_3	9		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	802	2007	01	01	1	HIP VIP Premier Medicare Calendar Employer		Greater New York Metropolitain Area	1	3	Suffolk and Westchester Counties	2				2		(888)-447-4833	(888)-447-4833	(646)-447-5000	(646)-447-5000	5028	(800)-447-8255	(800)-447-8255	(888)-447-4833	(888)-447-4833
H3330	804	1	1	01	01	H3330_804_1	9		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	804	2007	01	01	1	HIP VIP Plus Calendar Employer		Greater New York Metropolitan Area	1	1	New York City	2				2		(888)-447-4833	(888)-447-4833	(646)-447-5000	(646)-447-5000	1015	(800)-447-8255	(800)-447-8255	(888)-447-4833	(888)-447-4833
H3330	804	2	1	01	01	H3330_804_2	9		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	804	2007	01	01	1	HIP VIP Plus Calendar Employer		Greater New York Metropolitan Area	1	2	Nassau County	2				2		(888)-447-4833	(888)-447-4833	(646)-447-5000	(646)-447-5000	511	(800)-447-8255	(800)-447-8255	(888)-447-4833	(888)-447-4833
H3330	804	3	1	01	01	H3330_804_3	9		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	804	2007	01	01	1	HIP VIP Plus Calendar Employer		Greater New York Metropolitan Area	1	3	Suffolk and Westchester Counties	2				2		(888)-447-4833	(888)-447-4833	(646)-447-5000	(646)-447-5000	401	(800)-447-8255	(800)-447-8255	(888)-447-4833	(888)-447-4833
H3330	806	1	1	01	01	H3330_806_1	6		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	806	2007	01	01	1	HIP VIP Rx Carveout Calendar Employer		Greater New York Metropolitan Area	1	1	New York City	2				2		(888)-447-4833	(888)-447-4833	(646)-447-5000	(646)-447-5000	200				
H3330	806	2	1	01	01	H3330_806_2	6		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	806	2007	01	01	1	HIP VIP Rx Carveout Calendar Employer		Greater New York Metropolitan Area	1	2	Nassau County	2				2		(888)-447-4833	(888)-447-4833	(646)-447-5000	(646)-447-5000	40				
H3330	806	3	1	01	01	H3330_806_3	5		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	806	2007	01	01	1	HIP VIP Rx Carveout Calendar Employer		Greater New York Metropolitan Area	1	3	Suffolk and Westchester Counties	2				2		(888)-447-4833	(888)-447-4833	(646)-447-5000	(646)-447-5000	25				
H3330	808	0	2	01	01	H3330_808_0	9		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	808	2007	01	01	2	HIP Part A Payers Calendar Employer		Greater New York Metropolitan Area	1	0		2				2		(888)-447-4833	(888)-447-4833	(646)-447-5000	(646)-447-5000	2	(800)-447-8255	(800)-447-8255	(888)-447-4833	(888)-447-4833
H3330	809	1	1	01	01	H3330_809_1	10		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	809	2007	01	01	1	HIP VIP Medicaid Advantage		Greater New York Metropolitan Area	1	1	New York City	2				2		(888)-447-4833	(888)-447-4833	(800)-447-8255	(800)-447-9169	2073	(800)-447-8255	(800)-447-9169	(888)-447-4833	(888)-447-4833
H3330	809	2	1	01	01	H3330_809_2	9		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	809	2007	01	01	1	HIP VIP Medicaid Advantage		Greater New York Metropolitan Area	1	2	Nassau and Suffolk Counties	2				2		(888)-447-4833	(888)-447-4833	(800)-447-8255	(800)-447-9169	132	(800)-447-8255	(800)-447-9169	(888)-447-4833	(888)-447-4833
H3330	809	3	1	01	01	H3330_809_3	9		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	809	2007	01	01	1	HIP VIP Medicaid Advantage		Greater New York Metropolitan Area	1	3	Westchester County	2				2		(888)-447-4833	(888)-447-4833	(800)-447-8255	(800)-447-9169	32	(800)-447-8255	(800)-447-9169	(888)-447-4833	(888)-447-4833
H3330	810	0	1	01	01	H3330_810_0	6		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	810	2007	01	01	1	HIP VIP Dual Eligible Employer		Greater New York Metropolitan Area	1	0		1	3	2	1	2		(888)-447-4833	(888)-447-4833	(800)-447-8255	(800)-447-9169	2050	(800)-447-8255	(800)-447-9169	(888)-447-4833	(888)-447-4833
H3330	811	1	1	01	01	H3330_811_1	9		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	811	2007	01	01	1	HIP VIP Chronic Care Employer		Greater New York Metropolitan Area	1	1	New York City	1	4	2	2	2		(888)-447-4833	(888)-447-4833	(800)-447-8255	(800)-447-9169	1820	(800)-447-8255	(800)-447-9169	(888)-447-4833	(888)-447-4833
H3330	811	2	1	01	01	H3330_811_2	9		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	811	2007	01	01	1	HIP VIP Chronic Care Employer		Greater New York Metropolitan Area	1	2	Nassau County	1	4	2	2	2		(888)-447-4833	(888)-447-4833	(800)-447-8255	(800)-447-9169	470	(800)-447-8255	(800)-447-9169	(888)-447-4833	(888)-447-4833
H3330	811	3	1	01	01	H3330_811_3	9		HIP OF GREATER NEW YORK	HIP Health Plan of Greater New York	HIPUSA.com	H3330	811	2007	01	01	1	HIP VIP Chronic Care Employer		Greater New York Metropolitan Area	1	3	Suffolk and Westchester Counties	1	4	2	2	2		(888)-447-4833	(888)-447-4833	(800)-447-8255	(800)-447-9169	212	(800)-447-8255	(800)-447-9169	(888)-447-4833	(888)-447-4833
H3331	001	0	1	20	08	H3331_001_0	4		INDEPENDENT LIVING FOR SENIORS, INC.	Independent Living For Seniors, Inc.	www.independentlivingforseniors.org	H3331	001	2007	08	20	1	Living for Seniors Dually Eligible		Monroe County	2	0		2				2						330	(585)-922-2800	(585)-922-2800		
H3331	002	0	1	20	08	H3331_002_0	4		INDEPENDENT LIVING FOR SENIORS, INC.	Independent Living For Seniors, Inc.	www.independentlivingforseniors.org	H3331	002	2007	08	20	1	Independent Living for Seniors Care only		Monroe County	2	0		2				2						10	(585)-922-2800	(585)-922-2800		
H3333	023	0	1	09	04	H3333_023_0	5	2	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Today's Option	www.amerprog.com	H3333	023	2007	04	09	1	Today's Options Value		Northeast 2	2	0		2				2		(888)-844-5530	(800)-955-8771	(888)-445-8699	(800)-332-3377					
H3333	024	0	1	09	04	H3333_024_0	4	2	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Today's Option	www.amerprog.com	H3333	024	2007	04	09	1	Today's Options Premier		Northeast 2	2	0		2				2		(888)-844-5530	(800)-955-8771	(888)-445-8699	(800)-332-3377					
H3333	025	0	1	09	04	H3333_025_0	7	2	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Today's Option	www.amerprog.com	H3333	025	2007	04	09	1	Today's Options Value Plus		Northeast 1	2	0		2				2		(888)-844-5530	(800)-955-8771	(888)-445-8699	(800)-332-3377		(888)-445-8699	(800)-332-3377	(888)-844-5530	(800)-955-8771
H3333	026	0	1	09	04	H3333_026_0	7	2	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Today's Option	www.amerprog.com	H3333	026	2007	04	09	1	Today's Options Value Plus		Northeast 2	2	0		2				2		(888)-844-5530	(800)-955-8771	(888)-445-8699	(800)-332-3377		(888)-445-8699	(800)-332-3377	(888)-844-5530	(800)-955-8771
H3333	027	0	1	09	04	H3333_027_0	6	2	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Today's Option	www.amerprog.com	H3333	027	2007	04	09	1	Today's Options Premier Plus		Northeast 1	2	0		2				2		(888)-844-5530	(800)-955-8771	(888)-445-8699	(800)-332-3377		(888)-445-8699	(800)-332-3377	(888)-844-5530	(800)-955-8771
H3333	028	0	1	09	04	H3333_028_0	7	2	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Today's Option	www.amerprog.com	H3333	028	2007	04	09	1	Today's Options Premier Plus		Northeast 2	2	0		2				2		(888)-844-5530	(800)-955-8771	(888)-445-8699	(800)-332-3377		(888)-445-8699	(800)-332-3377	(888)-844-5530	(800)-955-8771
H3333	029	0	1	09	04	H3333_029_0	4	2	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Today's Option	www.amerprog.com	H3333	029	2007	04	09	1	Today's Options Value		Northeast 1	2	0		2				2		(888)-844-5530	(800)-955-8771	(888)-445-8699	(800)-332-3377					
H3333	030	0	1	09	04	H3333_030_0	4	2	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Today's Option	www.amerprog.com	H3333	030	2007	04	09	1	Today's Options Premier		Northeast 1	2	0		2				2		(888)-844-5530	(800)-955-8771	(888)-445-8699	(800)-332-3377					
H3333	801	0	1	09	04	H3333_801_0	4	2	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Today's Option	www.amerprog.com	H3333	801	2007	04	09	1	Today's Options Value - Group		National	1	0		2				2		(888)-844-5530	(800)-955-8771	(888)-445-8699	(800)-332-3377					
H3333	805	0	1	09	04	H3333_805_0	6	2	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Today's Option	www.amerprog.com	H3333	805	2007	04	09	1	Today's Options Value Plus - Group		National	1	0		2				2		(888)-844-5530	(800)-955-8771	(888)-445-8699	(800)-332-3377		(888)-445-8699	(800)-332-3377	(888)-844-5530	(800)-955-8771
H3333	806	0	1	09	04	H3333_806_0	6	2	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Today's Option	www.amerprog.com	H3333	806	2007	04	09	1	Today's Options Value Plus 2 - Group		National	1	0		2				2		(888)-844-5530	(800)-955-8771	(888)-445-8699	(800)-332-3377		(888)-445-8699	(800)-332-3377	(888)-844-5530	(800)-955-8771
H3335	002	0	1	04	01	H3335_002_0	3		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	002	2007	01	04	1	Univera Medicare PPO 102		Western New York	2	0		2				2		(800)-421-1220	(800)-421-1220	(800)-558-4320	(800)-659-1986		(800)-558-4320	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3335	003	0	1	04	01	H3335_003_0	4		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	003	2007	01	04	1	Univera Medicare PPO 103		Western New York	2	0		2				2		(800)-421-1220	(800)-421-1220	(800)-558-4320	(800)-659-1986					
H3335	004	0	1	04	01	H3335_004_0	2		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	004	2007	01	04	1	Medicare Blue PPO - ONE		Utica-Rome Metro	2	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986					
H3335	005	0	1	04	01	H3335_005_0	3		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	005	2007	01	04	1	Medicare Blue PPO - TWO		Utica-Rome Metro	2	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986		(866)-846-8643	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3335	006	0	1	04	01	H3335_006_0	3		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	006	2007	01	04	1	Medicare Blue PPO - THREE		Utica-Rome Metro	2	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986		(866)-846-8643	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3335	007	0	1	04	01	H3335_007_0	2		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	007	2007	01	04	1	Medicare Blue PPO - ONE		Southern Tier of NY State	2	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986					
H3335	008	0	1	04	01	H3335_008_0	3		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	008	2007	01	04	1	Medicare Blue PPO - TWO		Southern Tier of NY State	2	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986		(866)-846-8643	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3335	009	0	1	04	01	H3335_009_0	3		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	009	2007	01	04	1	Medicare Blue PPO - THREE		Southern Tier of NY State	2	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986		(866)-846-8643	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3335	013	0	1	04	01	H3335_013_0	2		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	013	2007	01	04	1	Medicare Blue PPO - ONE		Metro Syracuse	2	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986					
H3335	014	0	1	04	01	H3335_014_0	3		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	014	2007	01	04	1	Medicare Blue PPO - TWO		Metro Syracuse	2	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986		(866)-846-8643	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3335	015	0	1	04	01	H3335_015_0	3		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	015	2007	01	04	1	Medicare Blue PPO - THREE		Metro Syracuse	2	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986		(800)-659-1986	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3335	016	0	1	04	01	H3335_016_0	2		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	016	2007	01	04	1	Medicare Blue PPO - ONE		Central Leatherstocking	2	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986					
H3335	017	0	1	04	01	H3335_017_0	4		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	017	2007	01	04	1	Medicare Blue PPO - TWO		Central Leatherstocking	2	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986		(866)-846-8643	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3335	018	0	1	04	01	H3335_018_0	4		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	018	2007	01	04	1	Medicare Blue PPO - THREE		Central Leatherstocking	2	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986		(866)-846-8643	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3335	019	0	1	04	01	H3335_019_0	3		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	019	2007	01	04	1	Medicare Blue PPO - ONE		North Country	2	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986					
H3335	020	0	1	04	01	H3335_020_0	3		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	020	2007	01	04	1	Medicare Blue PPO - TWO		North Country	2	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986		(866)-846-8643	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3335	021	0	1	04	01	H3335_021_0	3		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	021	2007	01	04	1	Medicare Blue PPO - THREE		North Country	2	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986		(866)-846-8643	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3335	031	0	1	04	01	H3335_031_0	2		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	031	2007	01	04	1	Medicare Blue PPO - Plan 101		Metro Rochester Area	2	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986					
H3335	032	0	1	04	01	H3335_032_0	3		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	032	2007	01	04	1	Medicare Blue PPO - Plan 201		Rochester Metro Area	2	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986		(866)-846-8643	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3335	801	0	1	04	01	H3335_801_0	2		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	801	2007	01	04	1	Univera Medicare PPO Group		Western New York	1	0		2				2		(800)-421-1220	(800)-421-1220	(800)-558-4320	(800)-659-1986		(800)-558-4320	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3335	802	0	1	04	01	H3335_802_0	2		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	802	2007	01	04	1	Medicare Blue PPO - Group		Utica-Rome Metro	1	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986		(866)-846-8643	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3335	803	0	1	04	01	H3335_803_0	2		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	803	2007	01	04	1	Medicare Blue PPO - Group		Utica-Rome Metro	1	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986		(800)-509-6350	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3335	805	0	1	04	01	H3335_805_0	2		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	805	2007	01	04	1	Medicare Blue PPO - Group		Metro Syracuse	1	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986		(800)-509-6350	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3335	806	0	1	04	01	H3335_806_0	2		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	806	2007	01	04	1	Medicare Blue PPO - Group		Central Leatherstocking	1	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986		(800)-509-6350	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3335	807	0	1	04	01	H3335_807_0	2		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	807	2007	01	04	1	Medicare Blue PPO - Group		North Country	1	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986		(800)-509-6350	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3335	811	0	1	04	01	H3335_811_0	2		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	811	2007	01	04	1	Medicare Blue PPO - Group		Rochester Metro Area	1	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986		(800)-509-6350	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3335	813	0	1	04	01	H3335_813_0	1		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	813	2007	01	04	1	Univera Medicare PPO - Group		Western New York	1	0		2				2		(800)-421-1220	(800)-421-1220	(800)-558-4320	(800)-659-1986					
H3335	814	0	1	04	01	H3335_814_0	1		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	814	2007	01	04	1	Medicare Blue PPO - Group		Utica-Rome Metro	1	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986					
H3335	815	0	1	04	01	H3335_815_0	1		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	815	2007	01	04	1	Medicare Blue PPO - Group		Southern Tier of New York State	1	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986					
H3335	816	0	1	04	01	H3335_816_0	1		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	816	2007	01	04	1	Medicare Blue PPO - Group		Metro Syracuse	1	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986					
H3335	817	0	1	04	01	H3335_817_0	2		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	817	2007	01	04	1	Medicare Blue PPO - Group		Central Leatherstocking	1	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986					
H3335	818	0	1	04	01	H3335_818_0	2		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	818	2007	01	04	1	Medicare Blue PPO - Group		North Country	1	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986					
H3335	819	0	1	04	01	H3335_819_0	2		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3335	819	2007	01	04	1	Medicare Blue PPO - Group		Rochester Metro	1	0		2				2		(800)-421-1220	(800)-421-1220	(866)-846-8643	(800)-659-1986					
H3336	001	0	1	01	01	H3336_001_0	13		NEIGHBORHOOD HEALTH PROVIDERS LLC	Neighborhood Health Providers	www.getnhp.com	H3336	001	2007	01	01	1	Neighborhood Medicare Plus Rx		Bronx, Kings, New York, Queens	2	0		2				2		(800)-662-1220	(800)-662-1220	(866)-345-0013	(866)-345-0013	1073	(866)-345-0013	(866)-345-0013	(800)-662-1220	(800)-662-1220
H3336	003	0	1	01	01	H3336_003_0	10		NEIGHBORHOOD HEALTH PROVIDERS LLC	Neighborhood Health Providers	www.getnhp.com	H3336	003	2007	01	01	1	Neighborhood Medicare Supreme		Bronx, Kings, New York, Queens	2	0		1	3	2	2	2		(800)-662-1220	(800)-662-1220	(866)-345-0013	(866)-345-0013	997	(866)-345-0013	(866)-345-0013	(800)-662-1220	(800)-662-1220
H3336	004	0	1	01	01	H3336_004_0	4		NEIGHBORHOOD HEALTH PROVIDERS LLC	Neighborhood Health Providers	www.getnhp.com	H3336	004	2007	01	01	1	Neighborhood Medicare Plus		Bronx, Kings, New York, Queens	2	0		2				2		(800)-662-1220	(800)-662-1220	(866)-345-0013	(866)-345-0013	1073				
H3336	006	0	1	01	01	H3336_006_0	8		NEIGHBORHOOD HEALTH PROVIDERS LLC	Neighborhood Health Providers	www.getnhp.com	H3336	006	2007	01	01	1	Neighborhood Medicare Platinum with Rx		Bronx, Kings, New York, Queens	2	0		2				2		(800)-662-1220	(800)-662-1220	(866)-345-0013	(866)-345-0013	288	(866)-345-0013	(866)-345-0013	(800)-662-1220	(800)-662-1220
H3336	007	0	1	01	01	H3336_007_0	5		NEIGHBORHOOD HEALTH PROVIDERS LLC	Neighborhood Health Providers	www.getnhp.com	H3336	007	2007	01	01	1	Neighborhood Medicare Platinum		Bronx, Kings, New York, Queens	2	0		2				2		(800)-662-1220	(800)-662-1220	(866)-345-0013	(866)-345-0013	288				
H3337	001	0	1	01	01	H3337_001_0	3		LIBERTY HEALTH ADVANTAGE, INC.	Liberty Health Advantage, Inc.	www.libertyhealthadvantage.com	H3337	001	2007	01	01	1	Liberty Health Advantage Preferred Choice		Bronx, Kings, New York, Queens, Richmond, Nassau	2	0		2				2		(800)-662-1220	(800)-662-1220	(866)-542-4269	(866)-542-4269	3751	(800)-546-5677	(866)-542-4269		(800)-662-1220
H3337	002	0	1	01	01	H3337_002_0	5		LIBERTY HEALTH ADVANTAGE, INC.	Liberty Health Advantage, Inc.	www.libertyhealthadvantage.com	H3337	002	2007	01	01	1	Liberty Health Advantage Dual Power-Nassau		Nassau	2	0		1	3	2	1	2		(800)-662-1220	(800)-662-1220	(866)-542-4269	(866)-542-4269	631	(800)-546-5677	(866)-542-4269		(800)-662-1220
H3337	003	0	1	01	01	H3337_003_0	5		LIBERTY HEALTH ADVANTAGE, INC.	Liberty Health Advantage, Inc.	www.libertyhealthadvantage.com	H3337	003	2007	01	01	1	Liberty Health Advantage Dual Power - NYC		New York City	2	0		1	3	2	1	2		(800)-662-1220	(800)-662-1220	(866)-542-4269	(866)-542-4269	1892	(800)-546-5677	(866)-542-4269		(800)-662-1220
H3337	004	0	1	01	01	H3337_004_0	4		LIBERTY HEALTH ADVANTAGE, INC.	Liberty Health Advantage, Inc.	www.libertyhealthadvantage.com	H3337	004	2007	01	01	1	Liberty Health Advantage Secure Choice		Bronx, Kings, New York, Queens, Richmond, Nassau	2	0		1	1	2	2	2		(800)-662-1220	(800)-662-1220	(866)-542-4269	(866)-542-4269	325	(800)-546-5677	(866)-542-4269		(800)-662-1220
H3340	001	0	1	04	01	H3340_001_0	7		GROUP HEALTH INCORPORATED	GHI Medicare Choice PPO	www.ghi.com	H3340	001	2007	01	04	1	GHI Medicare PPO Value		Counties of New York City	2	0		1	3	2	1	2		(877)-208-7920	(877)-208-7920	(866)-557-7300	(800)-611-8454		(866)-557-7300	(800)-611-8454	(877)-208-7920	(877)-208-7920
H3340	002	0	1	04	01	H3340_002_0	6		GROUP HEALTH INCORPORATED	GHI Medicare Choice PPO	www.ghi.com	H3340	002	2007	01	04	1	GHI Medicare PPO Value		Rockland and Westchester Counties	2	0		1	3	2	1	2		(877)-208-7920	(877)-208-7920	(866)-557-7300	(800)-611-8454		(866)-557-7300	(800)-611-8454	(877)-208-7920	(877)-208-7920
H3342	001	0	1	04	01	H3342_001_0	5		EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	H3342	001	2007	01	04	1	MediBlue PPO Plus		New York City	2	0		2				2		(800)-241-6894	(800)-241-6894	(866)-395-5175	(800)-809-7328	765	(866)-395-5175	(800)-809-7328	(800)-241-6894	(800)-241-6894
H3342	002	0	1	04	01	H3342_002_0	4		EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	H3342	002	2007	01	04	1	MediBlue PPO Plus		Rockland and Westchester Counties	2	0		2				2		(800)-241-6894	(800)-241-6894	(866)-395-5175	(800)-809-7328	281	(866)-395-5175	(800)-809-7328	(800)-241-6894	(800)-241-6894
H3342	003	0	1	04	01	H3342_003_0	4		EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	H3342	003	2007	01	04	1	MediBlue PPO Plus		Nassau County	2	0		2				2		(800)-241-6894	(800)-241-6894	(866)-395-5175	(800)-809-7328	649	(866)-395-5175	(800)-809-7328	(800)-241-6894	(800)-241-6894
H3342	004	0	1	04	01	H3342_004_0	4		EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	H3342	004	2007	01	04	1	MediBlue PPO Plus		Suffolk County	2	0		2				2		(800)-241-6894	(800)-241-6894	(866)-395-5175	(800)-809-7328	220	(866)-395-5175	(800)-809-7328	(800)-241-6894	(800)-241-6894
H3342	006	0	1	04	01	H3342_006_0	3		EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	H3342	006	2007	01	04	1	MediBlue PPO Essential		Rockland and Westchester Counties	2	0		2				2		(800)-241-6894	(800)-241-6894	(866)-395-5175	(800)-809-7328	45				
H3342	007	0	1	04	01	H3342_007_0	3		EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	H3342	007	2007	01	04	1	MediBlue PPO Essential		Nassau County	2	0		2				2		(800)-241-6894	(800)-241-6894	(866)-395-5175	(800)-809-7328	88				
H3342	008	0	1	04	01	H3342_008_0	3		EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	H3342	008	2007	01	04	1	MediBlue PPO Essential		Suffolk County	2	0		2				2		(800)-241-6894	(800)-241-6894	(866)-395-5175	(800)-809-7328	19				
H3342	801	0	1	04	01	H3342_801_0	1		EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	H3342	801	2007	01	04	1	Senior Plan Direct PPO Plus		New York State	1	0		2				2		(800)-241-6894	(800)-241-6894	(866)-395-5175	(800)-809-7328	250	(866)-395-5175	(800)-809-7328	(800)-241-6894	(800)-241-6894
H3342	802	0	1	04	01	H3342_802_0	1		EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	H3342	802	2007	01	04	1	Senior Plan Direct PPO Plus		New York State	1	0		2				2		(800)-241-6894	(800)-241-6894	(866)-395-5175	(800)-809-7328	71	(866)-395-5175	(800)-809-7328	(800)-241-6894	(800)-241-6894
H3342	803	0	1	04	01	H3342_803_0	1		EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	H3342	803	2007	01	04	1	Senior Plan Direct PPO		New York State	1	0		2				2		(800)-241-6894	(800)-241-6894	(866)-395-5175	(800)-809-7328	50				
H3342	804	0	1	04	01	H3342_804_0	1		EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	H3342	804	2007	01	04	1	Senior Plan Direct PPO		New York State	1	0		2				2		(800)-241-6894	(800)-241-6894	(866)-395-5175	(800)-809-7328	35				
H3344	001	0	1	04	01	H3344_001_0	9		INDEPENDENT HEALTH BENEFITS CORP	Independent Health	www.independenthealth.com	H3344	001	2007	01	04	1	IH's Medicare Passport Plan PPO		Western New York	2	0		2				2		(716)-631-3108	(716)-631-3108	(800)-665-1502	(800)-958-4405	250	(800)-665-1502	(800)-958-4405	(716)-631-3108	(716)-631-3108
H3344	003	0	1	04	01	H3344_003_0	8		INDEPENDENT HEALTH BENEFITS CORP	Independent Health	www.independenthealth.com	H3344	003	2007	01	04	1	IH's Medicare Passport Plan PPO Premier		Western New York	2	0		2				2		(716)-631-3108	(716)-631-3108	(800)-665-1502	(800)-958-4405	250	(800)-665-1502	(800)-958-4405	(716)-631-3108	(716)-631-3108
H3344	801	0	1	04	01	H3344_801_0	7		INDEPENDENT HEALTH BENEFITS CORP	Independent Health	www.independenthealth.com	H3344	801	2007	01	04	1	IH's Medicare Passport Plan PPO		Western New York	1	0		2				2		(716)-631-3108	(716)-631-3108	(800)-665-1502	(800)-958-4405	50	(800)-665-1502	(800)-958-4405	(716)-631-3108	(716)-631-3108
H3344	802	0	1	04	01	H3344_802_0	4		INDEPENDENT HEALTH BENEFITS CORP	Independent Health	www.independenthealth.com	H3344	802	2007	01	04	1	IH's Medicare Passport Plan PPO		Western New York	1	0		2				2		(716)-631-3108	(716)-631-3108	(800)-665-1502	(800)-958-4405	75				
H3345	001	1	1	04	01	H3345_001_1	11		HIP INSURANCE COMPANY OF NEW YORK	Hip Insurance Company Of New York	hipusa.com	H3345	001	2007	01	04	1	HIP VIP Independence		Greater New York Metropolitain Area	2	1	New York City	2				2		(888)-447-4833	(880)-447-9169	(800)-447-8255	(800)-447-9169	3	(800)-447-8255	(800)-447-8255	(888)-447-4833	(888)-447-4833
H3345	001	2	1	04	01	H3345_001_2	11		HIP INSURANCE COMPANY OF NEW YORK	Hip Insurance Company Of New York	hipusa.com	H3345	001	2007	01	04	1	HIP VIP Independence		Greater New York Metropolitain Area	2	2	Nassau County	2				2		(888)-447-4833	(880)-447-9169	(800)-447-8255	(800)-447-9169	11	(800)-447-8255	(800)-447-8255	(888)-447-4833	(888)-447-4833
H3345	001	3	1	04	01	H3345_001_3	11		HIP INSURANCE COMPANY OF NEW YORK	Hip Insurance Company Of New York	hipusa.com	H3345	001	2007	01	04	1	HIP VIP Independence		Greater New York Metropolitain Area	2	3	Suffolk and Westchester Counties	2				2		(888)-447-4833	(880)-447-9169	(800)-447-8255	(800)-447-9169	1	(800)-447-8255	(800)-447-8255	(888)-447-4833	(888)-447-4833
H3345	801	5	1	04	01	H3345_801_5	7		HIP INSURANCE COMPANY OF NEW YORK	Hip Insurance Company Of New York	hipusa.com	H3345	801	2007	01	04	1	HIP VIP Independence Calendar Employer		Greater New York Metropolitain Area	1	5	New York City	2				2		(888)-447-4833	(880)-447-9169	(800)-447-8255	(800)-447-9169	3	(800)-447-8255	(800)-447-8255	(888)-447-4833	(888)-447-4833
H3345	801	6	1	04	01	H3345_801_6	7		HIP INSURANCE COMPANY OF NEW YORK	Hip Insurance Company Of New York	hipusa.com	H3345	801	2007	01	04	1	HIP VIP Independence Calendar Employer		Greater New York Metropolitain Area	1	6	Nassau County	2				2		(888)-447-4833	(880)-447-9169	(800)-447-8255	(800)-447-9169	11	(800)-447-8255	(800)-447-8255	(888)-447-4833	(888)-447-4833
H3345	801	7	1	04	01	H3345_801_7	8		HIP INSURANCE COMPANY OF NEW YORK	Hip Insurance Company Of New York	hipusa.com	H3345	801	2007	01	04	1	HIP VIP Independence Calendar Employer		Greater New York Metropolitain Area	1	7	Suffolk and Westerchester Counties	2				2		(888)-447-4833	(880)-447-9169	(800)-447-8255	(800)-447-9169	1	(800)-447-8255	(800)-447-8255	(888)-447-4833	(888)-447-4833
H3346	001	0	1	04	01	H3346_001_0	9		ROCHESTER AREA HEALTH MAINTENANCE ORG.	Preferred Care GoldAnywhere	www.preferredcare.org	H3346	001	2007	01	04	1	Preferred Care GoldAnywhere		Greater Rochester Area	2	0		2				2		(800)-252-2452	(800)-252-2452	(800)-665-7924	(888)-280-6205	50000				
H3346	002	0	1	04	01	H3346_002_0	6		ROCHESTER AREA HEALTH MAINTENANCE ORG.	Preferred Care GoldAnywhere	www.preferredcare.org	H3346	002	2007	01	04	1	Preferred Care GoldAnywhereRx		Greater Rochester Area	2	0		2				2		(800)-252-2452	(800)-252-2452	(800)-665-7924	(888)-280-6205	50000	(800)-665-7924	(888)-280-6205	(800)-252-2452	(800)-252-2452
H3346	801	0	1	04	01	H3346_801_0	8		ROCHESTER AREA HEALTH MAINTENANCE ORG.	Preferred Care GoldAnywhere	www.preferredcare.org	H3346	801	2007	01	04	1	Preferred Care GoldAnywhere employer group		Greater Rochester Area	1	0		2				2		(800)-252-2452	(800)-252-2452	(800)-665-7924	(888)-280-6205	50000				
H3346	802	0	1	04	01	H3346_802_0	12		ROCHESTER AREA HEALTH MAINTENANCE ORG.	Preferred Care GoldAnywhere	www.preferredcare.org	H3346	802	2007	01	04	1	Preferred Care GoldAnywhere employer group		Greater Rochester Area	1	0		2				2		(800)-252-2452	(800)-252-2452	(800)-665-7924	(888)-280-6205	50000	(800)-665-7924	(888)-280-6205	(800)-252-2452	(800)-252-2452
H3347	001	0	1	01	01	H3347_001_0	5		ELDERPLAN, INC.	Elderplan, Inc.	www.Elderplan.org	H3347	001	2007	01	01	1	Elderplan, Inc		Bronx County	2	0		1	1	2	2	2		(800)-610-6303	(800)-610-6303	(800)-353-3765	(800)-353-3765	200	(800)-353-3765	(800)-353-3765	(800)-610-6303	(800)-610-6303
H3351	001	0	1	01	01	H3351_001_0	3		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3351	001	2007	01	01	1	SeniorChoice Select		Western New York	2	0		2				2		(800)-421-1220	(800)-421-1220	(800)-558-4320	(800)-659-1986					
H3351	002	0	1	01	01	H3351_002_0	4		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3351	002	2007	01	01	1	SeniorChoice Secure		Western New York	2	0		2				2		(800)-421-1220	(800)-421-1220	(800)-558-4320	(800)-659-1986		(800)-558-4320	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3351	006	0	1	01	01	H3351_006_0	5		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3351	006	2007	01	01	1	Medicare Blue Choice Optimum		Metro Rochester and Finger Lakes Region	2	0		2				2		(800)-421-1220	(800)-421-1220	(877)-883-9577	(800)-659-1986		(877)-883-9577	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3351	007	0	1	01	01	H3351_007_0	2		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3351	007	2007	01	01	1	Medicare Blue Choice Platinum		Metro Rochester and Finger Lakes Region	2	0		2				2		(800)-421-1220	(800)-421-1220	(877)-883-9577	(800)-659-1986					
H3351	008	0	1	01	01	H3351_008_0	2		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3351	008	2007	01	01	1	Medicare Blue Choice Value		Metro Rochester and Finger Lakes Region	2	0		2				2		(800)-421-1220	(800)-421-1220	(877)-883-9577	(800)-659-1986					
H3351	009	0	1	01	01	H3351_009_0	2		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3351	009	2007	01	01	1	SeniorChoice Value		Western New York	2	0		2				2		(800)-421-1220	(800)-421-1220	(800)-558-4320	(800)-659-1986					
H3351	801	0	1	01	01	H3351_801_0	3		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3351	801	2007	01	01	1	SeniorChoice - Group		Western New York	1	0		2				2		(800)-421-1220	(800)-421-1220	(800)-558-4320	(800)-659-1986		(800)-558-4320	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3351	802	0	1	01	01	H3351_802_0	4		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3351	802	2007	01	01	1	Medicare Blue Choice - Group		Metro Rochester	1	0		2				2		(800)-421-1220	(800)-421-1220	(877)-883-9577	(800)-659-1986		(877)-883-9577	(800)-659-1986	(800)-421-1220	(800)-421-1220
H3351	803	0	1	01	01	H3351_803_0	3		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3351	803	2007	01	01	1	SeniorChoice - Group		Western New York	1	0		2				2		(800)-421-1220	(800)-421-1220	(800)-558-4320	(800)-659-1986					
H3351	804	0	1	01	01	H3351_804_0	3		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3351	804	2007	01	01	1	Medicare Blue Choice - Group		Metro Rochester	1	0		2				2		(800)-421-1220	(800)-421-1220	(877)-883-9577	(800)-659-1986					
H3356	001	0	1	18	06	H3356_001_0	4		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3356	001	2007	06	18	1	Blue Choice Senior		Metro Rochester and Finger Lakes area	2	0		2				2		(800)-421-1220	(800)-421-1220	(800)-659-1986	(877)-883-9577		(800)-659-1986	(877)-883-9577	(800)-421-1220	(800)-421-1220
H3356	801	0		18	06	H3356_801_0	3		EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc.	www.excellus.com	H3356	801	2007	06	18		Blue Choice Senior - Group		Metro Rochester	1	0		2						(800)-421-1220	(800)-421-1220	(800)-659-1986	(877)-883-9577		(800)-659-1986	(877)-883-9577	(800)-421-1220	(800)-421-1220
H3359	001	0	1	01	01	H3359_001_0	8		MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	H3359	001	2007	01	01	1	Healthfirst 65 Plus Plan		NY, Bronx, Kings, Queens, and Nassau Counties	2	0		2				2		(800)-662-1220	(800)-662-1220	(888)-260-1010	(877)-237-1303	15980	(877)-697-7244	(877)-237-1303	(800)-899-2114	(800)-662-1220
H3359	019	0	1	01	01	H3359_019_0	9		MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	H3359	019	2007	01	01	1	Healthfirst Increased Benefits Plan		NY, Bronx, Kings, Queens, and Nassau Counties	2	0		2				2		(800)-662-1220	(800)-662-1220	(888)-260-1010	(877)-237-1303	12762	(877)-697-7244	(877)-237-1303	(800)-899-2114	(800)-662-1220
H3359	021	0	1	01	01	H3359_021_0	11		MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	H3359	021	2007	01	01	1	Healthfirst Life Improvement Plan		NY, Bronx, Kings, Queens, and Nassau Counties	2	0		1	3	2	1	2		(800)-662-1220	(800)-662-1220	(888)-260-1010	(877)-237-1303	27241	(877)-697-7244	(877)-237-1303	(800)-899-2114	(800)-662-1220
H3359	026	0	1	01	01	H3359_026_0	9		MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	H3359	026	2007	01	01	1	Healthfirst Maximum Plan		NY, Bronx, Kings, and Queens Counties	2	0		1	3	2	1	2		(800)-662-1220	(800)-662-1220	(888)-260-1010	(877)-237-1303	16	(877)-697-7244	(877)-237-1303	(800)-899-2114	(800)-662-1220
H3359	027	0	1	01	01	H3359_027_0	8		MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	H3359	027	2007	01	01	1	Healthfirst Coordinated Benefits Plan		NY, Bronx, Kings and Queens Counties	2	0		2				2		(800)-662-1220	(800)-662-1220	(888)-260-1010	(877)-237-1303	1353				
H3359	804	0	1	01	01	H3359_804_0	7		MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	H3359	804	2007	01	01	1	Employer Group 1		NYC, LI and Westchester Counties	1	0		2				2		(800)-662-1220	(800)-662-1220	(888)-260-1010	(877)-237-1303	300	(877)-697-7244	(877)-237-1303	(800)-899-2114	(800)-662-1220
H3359	805	0	1	01	01	H3359_805_0	6		MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	H3359	805	2007	01	01	1	Employer Group 2		NYC, LI and Westchester Counties	1	0		2				2		(800)-662-1220	(800)-662-1220	(888)-260-1010	(877)-237-1303	300				
H3359	806	0	1	01	01	H3359_806_0	7		MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	H3359	806	2007	01	01	1	Employer Group 3		NYC, LI and Westchester Counties	1	0		2				2		(800)-662-1220	(800)-662-1220	(888)-260-1010	(877)-237-1303	150	(877)-697-7244	(877)-237-1303	(800)-899-2114	(800)-662-1220
H3359	807	0	1	01	01	H3359_807_0	7		MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	H3359	807	2007	01	01	1	Employer Group 4		NYC, LI and Westchester Counties	1	0		2				2		(800)-662-1220	(800)-662-1220	(888)-260-1010	(877)-237-1303	150				
H3361	019	0	1	01	01	H3361_019_0	4		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	019	2007	01	01	1	WellCare Choice		Albany and Rensselaer Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	020	0	1	01	01	H3361_020_0	5		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	020	2007	01	01	1	WellCare Choice		Bronx  County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	021	0	1	01	01	H3361_021_0	6		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	021	2007	01	01	1	WellCare Choice		Dutchess County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	022	0	1	01	01	H3361_022_0	9		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	022	2007	01	01	1	WellCare Choice		Greene and Ulster Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	024	0	1	01	01	H3361_024_0	5		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	024	2007	01	01	1	WellCare Choice		Queens County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	027	0	1	01	01	H3361_027_0	6		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	027	2007	01	01	1	WellCare Choice		Orange and Rockland Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	028	0	1	01	01	H3361_028_0	4		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	028	2007	01	01	1	WellCare Choice		Sullivan County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	029	0	1	01	01	H3361_029_0	5		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	029	2007	01	01	1	WellCare Choice		Westchester County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	031	0	1	01	01	H3361_031_0	6		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	031	2007	01	01	1	WellCare Access		Bronx County	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	039	0	1	01	01	H3361_039_0	5		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	039	2007	01	01	1	WellCare Dividend		Bronx, Kings, New York, and Queens Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258					
H3361	043	0	1	01	01	H3361_043_0	6		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	043	2007	01	01	1	WellCare Select		Bronx, Kings, New York, and Queens Counties	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	047	0	1	01	01	H3361_047_0	4		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	047	2007	01	01	1	WellCare Liberty		Albany County	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	050	0	1	01	01	H3361_050_0	5		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	050	2007	01	01	1	WellCare Liberty		New York County	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	051	0	1	01	01	H3361_051_0	9		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	051	2007	01	01	1	WellCare Passport		Bronx, Kings, New York, and Queens Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	056	0	1	01	01	H3361_056_0	7		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	056	2007	01	01	1	WellCare Advance		Orange and Rockland Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258					
H3361	057	0	1	01	01	H3361_057_0	5		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	057	2007	01	01	1	WellCare Select		Green and Ulster Counties	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	059	0	1	01	01	H3361_059_0	10		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	059	2007	01	01	1	WellCare Advance		Albany and Rensselaer Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258					
H3361	062	0	1	01	01	H3361_062_0	5		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	062	2007	01	01	1	WellCare Choice		Monroe and Wayne Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	064	0	1	01	01	H3361_064_0	5		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	064	2007	01	01	1	WellCare Access		Westchester County	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	065	0	1	01	01	H3361_065_0	6		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	065	2007	01	01	1	WellCare Access		Albany  and Rensselaer Counties	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	067	0	1	01	01	H3361_067_0	6		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	067	2007	01	01	1	WellCare Access		Dutchess County	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	068	0	1	01	01	H3361_068_0	6		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	068	2007	01	01	1	WellCare Access		Greene and Ulster Counties	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	069	0	1	01	01	H3361_069_0	6		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	069	2007	01	01	1	WellCare Access		Orange and Rockland Counties	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	072	0	1	01	01	H3361_072_0	7		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	072	2007	01	01	1	WellCare Access		Monroe and Wayne Counties	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	076	0	1	01	01	H3361_076_0	6		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	076	2007	01	01	1	WellCare Advance		Dutchess County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258					
H3361	077	0	1	01	01	H3361_077_0	6		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	077	2007	01	01	1	WellCare Advance		Greene and Ulster Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258					
H3361	079	0	1	01	01	H3361_079_0	4		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	079	2007	01	01	1	WellCare Select		Dutchess County	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	080	0	1	01	01	H3361_080_0	4		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	080	2007	01	01	1	WellCare Select		Westchester County	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	081	0	1	01	01	H3361_081_0	5		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	081	2007	01	01	1	WellCare Select		Orange and Rockland Counties	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	084	0	1	01	01	H3361_084_0	5		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	084	2007	01	01	1	WellCare Select		Monroe and Wayne Counties	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	086	0	1	01	01	H3361_086_0	5		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	086	2007	01	01	1	WellCare Evergreen		Bronx, Kings, New York, and Queens Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	098	0	1	01	01	H3361_098_0	4		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	098	2007	01	01	1	WellCare Select		Albany and Rensselaer Counties	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	099	0	1	01	01	H3361_099_0	8		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	099	2007	01	01	1	WellCare Value		Albany and Rensselaer Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	100	0	1	01	01	H3361_100_0	4		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	100	2007	01	01	1	WellCare Value		Dutchess	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	101	0	1	01	01	H3361_101_0	5		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	101	2007	01	01	1	WellCare Advance		Monroe and Wayne Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258					
H3361	102	0	1	01	01	H3361_102_0	4		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	102	2007	01	01	1	WellCare Value		Monroe and Wayne Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	104	0	1	01	01	H3361_104_0	4		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	104	2007	01	01	1	WellCare Value		Greene and Ulster Counties	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	105	0	1	01	01	H3361_105_0	4		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	105	2007	01	01	1	WellCare Advocate Complete		Bronx, Kings, New York and Queens County	2	0		1	1	2	2	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	106	0	1	01	01	H3361_106_0	5		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	106	2007	01	01	1	WellCare Choice		Kings County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	107	0	1	01	01	H3361_107_0	5		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	107	2007	01	01	1	WellCare Choice		New York County	2	0		2				2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	109	0	1	01	01	H3361_109_0	5		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	109	2007	01	01	1	WellCare Access		New York County	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	110	0	1	01	01	H3361_110_0	6		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	110	2007	01	01	1	WellCare Access		Kings County	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3361	111	0	1	01	01	H3361_111_0	6		WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	H3361	111	2007	01	01	1	WellCare Access		Queens County	2	0		1	3	2	1	2		(877)-247-6272	(877)-247-6272	(888)-888-9355	(866)-238-4258		(888)-888-9355	(866)-238-4258	(877)-247-6272	(877)-247-6272
H3362	003	0	1	01	01	H3362_003_0	9		INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	H3362	003	2007	01	01	1	Encompass 65		Western New York	2	0		2				2		(716)-631-3108	(716)-631-3108	(800)-665-1502	(800)-958-4405	8700	(800)-665-1502	(800)-958-4405	(716)-631-3108	(716)-631-3108
H3362	004	0	1	01	01	H3362_004_0	9		INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	H3362	004	2007	01	01	1	Encompass 65 Extra		Western New York	2	0		2				2		(716)-631-3108	(716)-631-3108	(800)-665-1502	(800)-958-4405	7200	(800)-665-1502	(800)-958-4405	(716)-631-3108	(716)-631-3108
H3362	016	0	1	01	01	H3362_016_0	5		INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	H3362	016	2007	01	01	1	Encompass 65		Western New York	2	0		2				2		(716)-631-3108	(716)-631-3108	(800)-665-1502	(800)-958-4405	10800				
H3362	017	0	1	01	01	H3362_017_0	9		INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	H3362	017	2007	01	01	1	Encompass 65 Basic		Western New York	2	0		2				2		(716)-631-3108	(716)-631-3108	(800)-665-1502	(800)-958-4405	450	(800)-665-1502	(800)-958-4405	(716)-631-3108	(716)-631-3108
H3362	018	0	1	01	01	H3362_018_0	5		INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	H3362	018	2007	01	01	1	Encompass 65 Basic		Western New York	2	0		2				2		(716)-631-3108	(716)-631-3108	(800)-665-1502	(800)-958-4405	200				
H3362	020	0	1	01	01	H3362_020_0	10		INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	H3362	020	2007	01	01	1	IH's Medicare Family Choice		Western New York	2	0		1	1	2	2	2		(716)-631-3108	(716)-631-3108	(800)-665-1502	(800)-958-4405	450	(800)-665-1502	(800)-958-4405	(716)-631-3108	(716)-631-3108
H3362	801	0	1	01	01	H3362_801_0	7		INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	H3362	801	2007	01	01	1	Encompass 65		Western New York	1	0		2				2		(716)-631-3108	(716)-631-3108	(800)-665-1502	(800)-958-4405	7200	(800)-665-1502	(800)-958-4405	(716)-631-3108	(716)-631-3108
H3362	807	0	1	02	01	H3362_807_0	7		INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	H3362	807	2007	01	02	1	Independent Health's Medicare Encompass D		Western New York	1	0		2				2		(716)-631-3108	(716)-631-3108	(800)-665-1502	(800)-958-4405	2200	(800)-665-1502	(800)-958-4405	(716)-631-3108	(716)-631-3108
H3362	811	0	1	01	01	H3362_811_0	4		INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	H3362	811	2007	01	01	1	Encompass 65		Western New York	1	0		2				2		(716)-631-3108	(716)-631-3108	(800)-665-1502	(800)-958-4405	195				
H3362	812	0	1	01	01	H3362_812_0	7		INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	H3362	812	2007	01	01	1	Independent Health's Medicare Encompass D		Western New York	1	0		2				2		(716)-631-3108	(716)-631-3108	(800)-665-1502	(800)-958-4405	1350	(800)-665-1502	(800)-958-4405	(716)-631-3108	(716)-631-3108
H3362	814	0	1	02	01	H3362_814_0	6		INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	H3362	814	2007	01	02	1	Independent Health's Medicare Encompass D		Western New York	1	0		2				2		(716)-631-3108	(716)-631-3108	(800)-665-1502	(800)-958-4405	2200				
H3366	008	0	1	01	01	H3366_008_0	3		HEALTH NET OF NY	Health Net Of NY	www.healthnet.com	H3366	008	2007	01	01	1	Health Net Ruby		Bronx, Kings Queens, Richmond Counties	2	0		2				2		(888)-747-2424	(888)-747-2424	(800)-547-8734	(800)-949-2515	6500	(800)-547-8734	(800)-949-2515	(888)-747-2424	(888)-747-2424
H3366	021	0	1	01	01	H3366_021_0	3		HEALTH NET OF NY	Health Net Of NY	www.healthnet.com	H3366	021	2007	01	01	1	Health Net Green		Bronx, Kings Queens, Richmond Counties	2	0		2				2		(888)-747-2424	(888)-747-2424	(800)-547-8734	(800)-949-2515	6500				
H3366	022	0	1	01	01	H3366_022_0	4		HEALTH NET OF NY	Health Net Of NY	www.healthnet.com	H3366	022	2007	01	01	1	Health Net Amber		Bronx, Kings Queens, Richmond Counties	2	0		1	3	2	1	2		(888)-747-2424	(888)-747-2424	(800)-547-8734	(800)-949-2515	1000	(800)-547-8734	(800)-949-2515	(888)-747-2424	(888)-747-2424
H3366	803	0	1	01	01	H3366_803_0	1		HEALTH NET OF NY	Health Net Of NY	www.healthnet.com	H3366	803	2007	01	01	1	Health Net SmartChoice for New York		Bronx, Kings, Queens and Richmond Counties	1	0		2				2		(888)-747-2424	(888)-747-2424	(800)-547-8734	(800)-949-2515	200	(800)-547-8734	(800)-949-2515	(888)-747-2424	(888)-747-2424
H3366	805	0	1	01	01	H3366_805_0	1		HEALTH NET OF NY	Health Net Of NY	www.healthnet.com	H3366	805	2007	01	01	1	Health Net SmartChoice for New York		Bronx, Kings, Queens and Richmond Counties	1	0		2				2		(888)-747-2424	(888)-747-2424	(800)-547-8734	(800)-949-2515	200				
H3366	806	0	1	01	01	H3366_806_0	1		HEALTH NET OF NY	Health Net Of NY	www.healthnet.com	H3366	806	2007	01	01	1	Health Net SmartChoice for New York		Bronx, Kings, Queens and Richmond Counties	1	0		2				2		(888)-747-2424	(888)-747-2424	(800)-547-8734	(800)-949-2515	200	(800)-547-8734	(800)-949-2515	(888)-747-2424	(888)-747-2424
H3366	808	0	1	01	01	H3366_808_0	1		HEALTH NET OF NY	Health Net Of NY	www.healthnet.com	H3366	808	2007	01	01	1	Health Net SmartChoice for New York		Bronx, Kings, Queens and Richmond Counties	1	0		2				2		(888)-747-2424	(888)-747-2424	(800)-547-8734	(800)-949-2515	200				
H3370	001	0	1	01	01	H3370_001_0	4		EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	H3370	001	2007	01	01	1	MediBlue HMO Plus		New York City	2	0		2				2		(800)-241-6894	(800)-241-6894	(800)-499-9554	(800)-809-7328	27534	(800)-499-9554	(800)-809-7328	(800)-241-6894	(800)-241-6894
H3370	002	0	1	01	01	H3370_002_0	6		EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	H3370	002	2007	01	01	1	MediBlue HMO Select		Rockland and Westchester Counties	2	0		2				2		(800)-241-6894	(800)-241-6894	(800)-499-9554	(800)-809-7328	11970	(800)-499-9554	(800)-809-7328	(800)-241-6894	(800)-241-6894
H3370	003	0	1	01	01	H3370_003_0	4		EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	H3370	003	2007	01	01	1	MediBlue HMO Plus		Nassau County	2	0		2				2		(800)-241-6894	(800)-241-6894	(800)-499-9554	(800)-809-7328	7350	(800)-499-9554	(800)-809-7328	(800)-241-6894	(800)-241-6894
H3370	004	0	1	01	01	H3370_004_0	6		EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	H3370	004	2007	01	01	1	MediBlue HMO Plus		Suffolk County	2	0		2				2		(800)-241-6894	(800)-241-6894	(800)-499-9554	(800)-809-7328	16562	(800)-499-9554	(800)-809-7328	(800)-241-6894	(800)-241-6894
H3370	009	0	1	01	01	H3370_009_0	2		EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	H3370	009	2007	01	01	1	MediBlue HMO Classic		Suffolk County	2	0		2				2		(800)-241-6894	(800)-241-6894	(800)-499-9554	(800)-809-7328	2241				
H3370	010	0	1	01	01	H3370_010_0	2		EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	H3370	010	2007	01	01	1	MediBlue HMO Classic		MetroNorth	2	0		2				2		(800)-241-6894	(800)-241-6894	(800)-499-9554	(800)-809-7328	183				
H3370	011	0	1	01	01	H3370_011_0	2		EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	H3370	011	2007	01	01	1	MediBlue HMO Classic		Nassau	2	0		2				2		(800)-241-6894	(800)-241-6894	(800)-499-9554	(800)-809-7328	122				
H3370	012	0	1	01	01	H3370_012_0	6		EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	H3370	012	2007	01	01	1	MediBlue HMO Plus		Mid-Hudson	2	0		2				2		(800)-241-6894	(800)-241-6894	(800)-499-9554	(800)-809-7328	303	(800)-499-9554	(800)-809-7328	(800)-241-6894	(800)-241-6894
H3370	013	0	1	01	01	H3370_013_0	3		EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	H3370	013	2007	01	01	1	MediBlue HMO Classic		Mid-Hudson	2	0		2				2		(800)-241-6894	(800)-241-6894	(800)-499-9554	(800)-809-7328	5				
H3370	014	0	1	01	01	H3370_014_0	4		EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	H3370	014	2007	01	01	1	MediBlue HMO Plus		Upstate New York	2	0		2				2		(800)-241-6894	(800)-241-6894	(800)-499-9554	(800)-809-7328	2072	(800)-499-9554	(800)-809-7328	(800)-241-6894	(800)-241-6894
H3370	015	0	1	01	01	H3370_015_0	2		EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	H3370	015	2007	01	01	1	MediBlue HMO Classic		Upstate New York	2	0		2				2		(800)-241-6894	(800)-241-6894	(800)-499-9554	(800)-809-7328	173				
H3370	016	0	1	01	01	H3370_016_0	6		EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	H3370	016	2007	01	01	1	MediBlue HMO Plus		Sullivan and Ulster	2	0		2				2		(800)-241-6894	(800)-241-6894	(800)-499-9554	(800)-809-7328	84	(800)-499-9554	(800)-809-7328	(800)-241-6894	(800)-241-6894
H3370	017	0	1	01	01	H3370_017_0	2		EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	H3370	017	2007	01	01	1	MediBlue HMO Classic		Sullivan and Ulster	2	0		2				2		(800)-241-6894	(800)-241-6894	(800)-499-9554	(800)-809-7328	9				
H3370	018	0	1	01	01	H3370_018_0	4		EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	H3370	018	2007	01	01	1	MediBlue Total Solutions		Downstate	2	0		1	3	2	1	2		(800)-241-6894	(800)-241-6894	(800)-499-9554	(800)-809-7328	549	(800)-499-9554	(800)-809-7328	(800)-241-6894	(800)-241-6894
H3370	019	0	1	01	01	H3370_019_0	2		EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	H3370	019	2007	01	01	1	MediBlue HMO Classic		New York City	2	0		2				2		(800)-241-6894	(800)-241-6894	(800)-499-9554	(800)-809-7328	122				
H3370	020	0	1	01	01	H3370_020_0	6		EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	H3370	020	2007	01	01	1	MediBlue HMO Plus		Metronorth	2	0		2				2		(800)-241-6894	(800)-241-6894	(800)-499-9554	(800)-809-7328	2396	(800)-499-9554	(800)-809-7328	(800)-241-6894	(800)-241-6894
H3370	801	0	1	01	01	H3370_801_0	1		EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	H3370	801	2007	01	01	1	Senior Plan Direct Plus		New York State	1	0		2				2		(800)-241-6894	(800)-241-6894	(800)-499-9554	(800)-809-7328	4595	(800)-499-9554	(800)-809-7328	(800)-241-6894	(800)-241-6894
H3370	802	0	1	01	01	H3370_802_0	1		EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	H3370	802	2007	01	01	1	Senior Plan Direct Plus		New York State	1	0		2				2		(800)-241-6894	(800)-241-6894	(800)-499-9554	(800)-809-7328	248	(800)-499-9554	(800)-809-7328	(800)-241-6894	(800)-241-6894
H3370	803	0	1	01	01	H3370_803_0	1		EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	H3370	803	2007	01	01	1	Senior Plan Direct		New York State	1	0		2				2		(800)-241-6894	(800)-241-6894	(800)-499-9554	(800)-809-7328	89				
H3370	804	0	1	01	01	H3370_804_0	1		EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	H3370	804	2007	01	01	1	Senior Plan Direct		New York State	1	0		2				2		(800)-241-6894	(800)-241-6894	(800)-499-9554	(800)-809-7328	35				
H3379	001	0	1	01	01	H3379_001_0	5		UNITED HEALTHCARE OF NEW YORK, INC.	SecureHorizons	www.medicarecomplete.com	H3379	001	2007	01	01	1	MedicareComplete Plan 2		New York, Queens, Richmond, Kings & Bronx Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-243-2419	(800)-555-5757		(800)-243-2419	(800)-555-5757	(888)-685-8480	(888)-685-8480
H3379	002	0	1	01	01	H3379_002_0	4		UNITED HEALTHCARE OF NEW YORK, INC.	SecureHorizons	www.medicarecomplete.com	H3379	002	2007	01	01	1	Evercare Plan IH		Evercare New York City Metro Area	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-555-5757		(800)-393-0993	(800)-555-5757	(888)-685-8480	(888)-685-8480
H3379	005	0	1	01	01	H3379_005_0	5		UNITED HEALTHCARE OF NEW YORK, INC.	SecureHorizons	www.medicarecomplete.com	H3379	005	2007	01	01	1	MedicareComplete Plan 3		Kings, New York & Queens Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-243-2419	(800)-555-5757		(800)-243-2419	(800)-555-5757	(888)-685-8480	(888)-685-8480
H3379	007	0	1	01	01	H3379_007_0	7		UNITED HEALTHCARE OF NEW YORK, INC.	SecureHorizons	www.medicarecomplete.com	H3379	007	2007	01	01	1	MedicareComplete		Oneida and Onondaga Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-243-2419	(800)-555-5757		(800)-243-2419	(800)-555-5757	(888)-685-8480	(888)-685-8480
H3379	012	0	1	01	01	H3379_012_0	5		UNITED HEALTHCARE OF NEW YORK, INC.	SecureHorizons	www.medicarecomplete.com	H3379	012	2007	01	01	1	MedicareComplete		Cayuga County	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-243-2419	(800)-348-1760		(800)-243-2419	(800)-555-5757	(888)-685-8480	(888)-685-8480
H3379	022	0	1	01	01	H3379_022_0	5		UNITED HEALTHCARE OF NEW YORK, INC.	SecureHorizons	www.medicarecomplete.com	H3379	022	2007	01	01	1	Evercare Plan IH		Upstate New York	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-555-5757		(800)-393-0993	(800)-555-5757	(888)-685-8480	(888)-685-8480
H3379	024	0	1	02	01	H3379_024_0	6		UNITED HEALTHCARE OF NEW YORK, INC.	SecureHorizons	www.medicarecomplete.com	H3379	024	2007	01	02	1	MedicareComplete Plus Plan 1		Albany, Rensselaer,Schenectady & Erie Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-243-2419	(800)-555-5757		(800)-243-2419	(800)-555-5757	(888)-685-8480	(888)-685-8480
H3379	030	0	1	01	01	H3379_030_0	3		UNITED HEALTHCARE OF NEW YORK, INC.	SecureHorizons	www.medicarecomplete.com	H3379	030	2007	01	01	1	MedicareComplete Essential		Oneida and Onondaga Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-243-2419	(800)-348-1760					
H3379	031	0	1	01	01	H3379_031_0	3		UNITED HEALTHCARE OF NEW YORK, INC.	SecureHorizons	www.medicarecomplete.com	H3379	031	2007	01	01	1	MedicareComplete Essential		Cayuga County	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-243-2419	(800)-348-1760					
H3379	034	0	1	02	01	H3379_034_0	6		UNITED HEALTHCARE OF NEW YORK, INC.	SecureHorizons	www.medicarecomplete.com	H3379	034	2007	01	02	1	MedicareComplete Plus Plan 2		Albany, Rensselaer ,Schenectady & Erie Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-243-2419	(800)-348-1760					
H3384	013	0	1	01	01	H3384_013_0	7		HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com, www.bsneny.com	H3384	013	2007	01	01	1	Senior Blue 652PartD		Northeastern New York	2	0		2				2		(877)-834-6918	(877)-513-1470	(800)-329-2792	(800)-700-8482	3225	(800)-329-2792	(800)-700-8482	(877)-834-6918	(877)-513-1470
H3384	015	0	1	01	01	H3384_015_0	3		HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com, www.bsneny.com	H3384	015	2007	01	01	1	Senior Blue 601		Northeastern New York	2	0		2				2		(877)-834-6918	(877)-513-1470	(800)-329-2792	(800)-700-8482	9275				
H3384	019	0	1	01	01	H3384_019_0	6		HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com, www.bsneny.com	H3384	019	2007	01	01	1	Senior Blue 651PartD		Western New York	2	0		2				2		(877)-834-6918	(877)-286-5710	(800)-329-2792	(800)-248-9296	1400	(800)-329-2792	(800)-248-9296	(877)-834-6918	(877)-286-5710
H3384	022	0	1	01	01	H3384_022_0	4		HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com, www.bsneny.com	H3384	022	2007	01	01	1	Senior Blue 601		Western New York	2	0		2				2		(877)-834-6918	(877)-286-5710	(800)-329-2792	(800)-248-9296	10031				
H3384	040	0	1	01	01	H3384_040_0	5		HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com, www.bsneny.com	H3384	040	2007	01	01	1	Senior Blue 653PartD		Northeastern New York	2	0		2				2		(877)-834-6918	(877)-513-1470	(800)-329-2792	(800)-700-8482	400	(800)-329-2792	(800)-700-8482	(877)-834-6918	(877)-513-1470
H3384	041	0	1	01	01	H3384_041_0	5		HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com, www.bsneny.com	H3384	041	2007	01	01	1	Senior Blue 653PartD		Western New York	2	0		2				2		(877)-834-6918	(877)-286-5710	(800)-329-2792	(800)-248-9296	1125	(800)-329-2792	(800)-248-9296	(877)-834-6918	(877)-286-5710
H3384	044	0	1	01	01	H3384_044_0	6		HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com, www.bsneny.com	H3384	044	2007	01	01	1	Senior Blue 600		Northeastern New York	2	0		1	3	1	2	2		(877)-834-6918	(877)-513-1470	(800)-329-2792	(800)-700-8482	1050	(800)-329-2792	(800)-700-8482	(877)-834-6918	(877)-513-1470
H3384	045	0	1	01	01	H3384_045_0	7		HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com, www.bsneny.com	H3384	045	2007	01	01	1	Senior Blue 600		Western NewYork	2	0		1	3	1	2	2		(877)-834-6918	(877)-286-5710	(800)-329-2792	(800)-248-9296	1350	(800)-329-2792	(800)-248-9296	(877)-834-6918	(877)-286-5710
H3384	051	0	1	01	01	H3384_051_0	3		HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com, www.bsneny.com	H3384	051	2007	01	01	1	Senior Blue 602		Western New York	2	0		2				2		(877)-834-6918	(877)-286-5710	(800)-329-2792	(800)-248-9296	2250				
H3384	052	0	1	01	01	H3384_052_0	4		HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com, www.bsneny.com	H3384	052	2007	01	01	1	Senior Blue 652PartD		Western New York	2	0		2				2		(877)-834-6918	(877)-286-5710	(800)-329-2792	(800)-248-9296	5050	(800)-329-2792	(800)-248-9296	(877)-834-6918	(877)-286-5710
H3384	053	0	1	01	01	H3384_053_0	7		HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com, www.bsneny.com	H3384	053	2007	01	01	1	Senior Blue 651 PartD		Northeastern New York	2	0		2				2		(877)-834-6918	(877)-513-1470	(800)-329-2792	(800)-700-8482	1400	(800)-329-2792	(800)-700-8482	(877)-834-6918	(877)-513-1470
H3384	801	0	1	01	01	H3384_801_0	4		HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com, www.bsneny.com	H3384	801	2007	01	01	1	Senior Blue Group (Med Only - Cal Yr)		Western New York, Northeastern New York	1	0		2				2		(877)-834-6918	(877)-513-1470	(800)-329-2792	(800)-700-8482	1061				
H3384	802	0	1	01	01	H3384_802_0	5		HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com, www.bsneny.com	H3384	802	2007	01	01	1	Senior Blue Group (Med only-non cal yr)		Western New York, Northeastern New York	1	0		2				2		(877)-834-6918	(877)-513-1470	(800)-329-2792	(800)-700-8482	354				
H3384	803	0	1	01	01	H3384_803_0	4		HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com, www.bsneny.com	H3384	803	2007	01	01	1	Senior Blue Group (Med + Part D cal yr)		Western New York, Northeastern New York	1	0		2				2		(877)-834-6918	(877)-513-1470	(800)-329-2792	(800)-700-8482	3182	(800)-329-2792	(800)-700-8482	(877)-834-6918	(877)-513-1470
H3384	804	0	1	01	01	H3384_804_0	6		HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com, www.bsneny.com	H3384	804	2007	01	01	1	Senior Blue Group (Med+Part D-non cal yr)		Western New York, Northeastern New York	1	0		2				2		(877)-834-6918	(877)-513-1470	(800)-329-2792	(800)-700-8482	1061	(800)-329-2792	(800)-700-8482	(877)-834-6918	(877)-513-1470
H3387	005	0	1	01	01	H3387_005_0	4		AMERICHOICE OF NEW YORK, INC	AmeriChoice Personal Care Plus	www.AmeriChoice.com	H3387	005	2007	01	01	1	AmeriChoice Personal Care Plus		Kings, Queens, and Bronx Counties	2	0		1	3	2	1	2		(800)-421-1220	(800)-421-1220	(800)-514-4912	(877)-289-1916	1475	(800)-421-1220	(800)-421-1220	(800)-421-1220	(800)-421-1220
H3388	001	0	1	01	01	H3388_001_0	1		CAPITAL DISTRICT PHYSICIANS' HP, INC.	CDPHP Medicare Choice	www.cdphp.com	H3388	001	2007	01	01	1	CDPHP Medicare Choice		Capital District Region	2	0		2				2		(518)-641-4000	(518)-641-4000	(518)-641-3950	(518)-641-3400	12691				
H3388	002	0	1	01	01	H3388_002_0	2		CAPITAL DISTRICT PHYSICIANS' HP, INC.	CDPHP Medicare Choice	www.cdphp.com	H3388	002	2007	01	01	1	CDPHP Medicare Choice with Part D		Capital District Region	2	0		2				2		(518)-641-4000	(518)-641-4000	(518)-641-3950	(518)-641-3400	12691	(888)-248-6522	(888)-248-6522	(518)-641-4000	(518)-641-4000
H3388	003	0	1	01	01	H3388_003_0	1		CAPITAL DISTRICT PHYSICIANS' HP, INC.	CDPHP Medicare Choice	www.cdphp.com	H3388	003	2007	01	01	1	CDPHP Medicare Choice Value Plan		Capital District Region	2	0		2				2		(518)-641-4000	(518)-641-4000	(518)-641-3950	(518)-641-3400	12691				
H3388	004	0	1	01	01	H3388_004_0	2		CAPITAL DISTRICT PHYSICIANS' HP, INC.	CDPHP Medicare Choice	www.cdphp.com	H3388	004	2007	01	01	1	CDPHP Medicare Choice Value Plan Part D		Capital District Region	2	0		2				2		(518)-641-4000	(518)-641-4000	(518)-641-3950	(518)-641-3400	12691	(888)-248-6522	(888)-248-6522	(518)-641-4000	(518)-641-4000
H3388	801	0	1	01	01	H3388_801_0	2		CAPITAL DISTRICT PHYSICIANS' HP, INC.	CDPHP Medicare Choice	www.cdphp.com	H3388	801	2007	01	01	1	CDPHP Group Medicare Choice Part D Non Cal		Greater Capital District Region	1	0		2				2		(518)-641-4000	(518)-641-4000	(518)-641-3950	(518)-641-3400	12691	(888)-248-6522	(888)-248-6522	(518)-641-4000	(518)-641-4000
H3388	803	0	1	01	01	H3388_803_0	2		CAPITAL DISTRICT PHYSICIANS' HP, INC.	CDPHP Medicare Choice	www.cdphp.com	H3388	803	2007	01	01	1	CDPHP Group Medicare Choice Part D Cal Yr		Greater Capital District Region	1	0		2				2		(518)-641-4000	(518)-641-4000	(518)-641-3950	(518)-641-3400	12691	(888)-248-6522	(888)-248-6522	(518)-641-4000	(518)-641-4000
H3388	804	0	1	01	01	H3388_804_0	2		CAPITAL DISTRICT PHYSICIANS' HP, INC.	CDPHP Medicare Choice	www.cdphp.com	H3388	804	2007	01	01	1	CDPHP Group Medicare Choice		Greater Capital District Region	1	0		2				2		(518)-641-4000	(518)-641-4000	(518)-641-3950	(518)-641-3400	12691				
H3404	001	0	1	04	01	H3404_001_0	1		PARTNERS NATIONAL HEALTH PLANS OF NC INC	PARTNERS Medicare Options	www.partnershealth.com	H3404	001	2007	01	04	1	PARTNERS Medicare Options Enhanced		Select North Carolina Counties	2	0		2				2		(888)-451-9957	(888)-451-9957	(888)-310-4110	(800)-665-8037		(888)-310-4110	(800)-665-8037	(888)-451-9957	(888)-451-9957
H3404	002	0	1	04	01	H3404_002_0	3		PARTNERS NATIONAL HEALTH PLANS OF NC INC	PARTNERS Medicare Options	www.partnershealth.com	H3404	002	2007	01	04	1	PARTNERS Medicare Options Standard		Select North Carolina Counties	2	0		2				2		(888)-451-9957	(888)-451-9957	(888)-310-4110	(800)-665-8037		(888)-310-4110	(800)-665-8037	(888)-451-9957	(888)-451-9957
H3404	801	0	1	04	01	H3404_801_0	2		PARTNERS NATIONAL HEALTH PLANS OF NC INC	PARTNERS Medicare Options	www.partnershealth.com	H3404	801	2007	01	04	1	PARTNERS Medicare Options MA only CY		North Carolina Employer Groups	1	0		2				2		(888)-451-9957	(888)-451-9957	(888)-310-4110	(800)-665-8037					
H3404	803	0	1	04	01	H3404_803_0	2		PARTNERS NATIONAL HEALTH PLANS OF NC INC	PARTNERS Medicare Options	www.partnershealth.com	H3404	803	2007	01	04	1	PARTNERS Medicare Options Open Form CY		North Carolina Employer Groups	1	0		2				2		(888)-451-9957	(888)-451-9957	(888)-310-4110	(800)-665-8037		(888)-310-4110	(800)-665-8037	(888)-451-9957	(888)-451-9957
H3404	805	0	1	04	01	H3404_805_0	2		PARTNERS NATIONAL HEALTH PLANS OF NC INC	PARTNERS Medicare Options	www.partnershealth.com	H3404	805	2007	01	04	1	PARTNERS Medicare Options Open Form NCY		North Carolina Employer Groups	1	0		2				2		(888)-451-9957	(888)-451-9957	(888)-310-4110	(800)-665-8037		(888)-310-4110	(800)-665-8037	(888)-451-9957	(888)-451-9957
H3405	001	0	1	04	01	H3405_001_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H3405	001	2007	01	04	1	HumanaChoicePPO PPO H3405-001		Durham, Orange, and Wake Counties	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H3405	801	0	1	04	01	H3405_801_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H3405	801	2007	01	04	1	Humana Employer Sponsored		Durham, Orange, and Wake Counties	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H3405	802	0	1	04	01	H3405_802_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H3405	802	2007	01	04	1	Humana Employer Sponsored		Durham, Orange, and Wake Counties	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H3405	803	0	1	04	01	H3405_803_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H3405	803	2007	01	04	1	Humana Employer Sponsored Non-CY		Durham, Orange, and Wake Counties	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H3405	804	0	1	04	01	H3405_804_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H3405	804	2007	01	04	1	Humana Employer Sponsored Non-CY		Durham, Orange, and Wake Counties	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H3435	001	0	1	37	05	H3435_001_0	3		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.ericksonadvantage.com	H3435	001	2007	05	37	1	Erickson Advantage Signature with Drugs		DuPage and Lake Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839		(866)-314-8188	(800)-704-7839	(888)-685-8480	(888)-685-8480
H3435	002	0	1	37	05	H3435_002_0	2		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.EvercareHealthPlans.com	H3435	002	2007	05	37	1	Erickson Advantage Signature without Drugs		DuPage and Lake Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839					
H3435	003	0	1	37	05	H3435_003_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.ericksonadvantage.com	H3435	003	2007	05	37	1	Erickson Advantage Champion		DuPage and Lake Counties	2	0		1	4	2	2	2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839		(866)-314-8188	(800)-704-7839	(888)-685-8480	(888)-685-8480
H3449	005	0	1	01	01	H3449_005_0	2		PARTNERS NATIONAL HEALTH PLANS OF NC, INC.	PARTNERS National Health Plans - NC, Inc.	www.partnershealth.com	H3449	005	2007	01	01	1	PARTNERS Medicare Choice - Enhanced		Select North Carolina Counties	2	0		2				2		(888)-451-9957	(888)-451-9957	(888)-310-4110	(800)-665-8037		(888)-310-4110	(800)-665-8037	(888)-451-9957	(888)-451-9957
H3449	012	0	1	01	01	H3449_012_0	1		PARTNERS NATIONAL HEALTH PLANS OF NC, INC.	PARTNERS National Health Plans - NC, Inc.	www.partnershealth.com	H3449	012	2007	01	01	1	PARTNERS Medicare Choice - Medical only		Select North Carolina Counties	2	0		2				2		(888)-451-9957	(888)-451-9957	(888)-310-4110	(800)-665-8037					
H3449	013	0	1	01	01	H3449_013_0	3		PARTNERS NATIONAL HEALTH PLANS OF NC, INC.	PARTNERS National Health Plans - NC, Inc.	www.partnershealth.com	H3449	013	2007	01	01	1	PARTNERS Medicare Choice - Standard		Select North Carolina Counties	2	0		2				2		(888)-451-9957	(888)-451-9957	(888)-310-4110	(800)-665-8037		(888)-310-4110	(800)-665-8037	(888)-451-9957	(888)-451-9957
H3449	801	0	1	01	01	H3449_801_0	2		PARTNERS NATIONAL HEALTH PLANS OF NC, INC.	PARTNERS National Health Plans - NC, Inc.	www.partnershealth.com	H3449	801	2007	01	01	1	PARTNERS Medicare Choice Open Form CY		North Carolina Employer Groups	1	0		2				2		(888)-451-9957	(888)-451-9957	(888)-310-4110	(800)-665-8037		(888)-310-4110	(800)-665-8037	(888)-451-9957	(888)-451-9957
H3449	805	0	1	01	01	H3449_805_0	2		PARTNERS NATIONAL HEALTH PLANS OF NC, INC.	PARTNERS National Health Plans - NC, Inc.	www.partnershealth.com	H3449	805	2007	01	01	1	PARTNERS Medicare Choice MA only CY		North Carolina Employer Groups	1	0		2				2		(888)-451-9957	(888)-451-9957	(888)-310-4110	(800)-665-8037					
H3449	808	0	1	01	01	H3449_808_0	2		PARTNERS NATIONAL HEALTH PLANS OF NC, INC.	PARTNERS National Health Plans - NC, Inc.	www.partnershealth.com	H3449	808	2007	01	01	1	PARTNERS Medicare Choice Open Form NCY		North Carolina Employer Groups	1	0		2				2		(888)-451-9957	(888)-451-9957	(888)-310-4110	(800)-665-8037		(888)-310-4110	(800)-665-8037	(888)-451-9957	(888)-451-9957
H3449	810	0	1	01	01	H3449_810_0	5		PARTNERS NATIONAL HEALTH PLANS OF NC, INC.	PARTNERS National Health Plans - NC, Inc.	www.partnershealth.com	H3449	810	2007	01	01	1	PARTNERS Medicare Choice RAI		North Carolina Empolyer Groups	1	0		2				2		(888)-451-9957	(888)-451-9957	(888)-310-4110	(800)-665-8037		(888)-310-4110	(800)-665-8037	(888)-451-9957	(888)-451-9957
H3456	001	0	1	01	01	H3456_001_0	6		UNITED HEALTHCARE OF NORTH CAROLINA	SecureHorizons	www.medicarecomplete.com	H3456	001	2007	01	01	1	MedicareComplete		Select Counties in North Carolina	2	0		2				2		(888)-685-8480	(888)-685-8480	(888)-264-8720	(800)-555-5757		(888)-264-8720	(800)-555-5757	(888)-685-8480	(888)-685-8480
H3456	010	0	1	01	01	H3456_010_0	4		UNITED HEALTHCARE OF NORTH CAROLINA	SecureHorizons	www.medicarecomplete.com	H3456	010	2007	01	01	1	Evercare Plan IH		Select Counties in North Carolina	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(888)-834-3721		(800)-393-0993	(888)-834-3721	(888)-685-8480	(888)-685-8480
H3456	016	0	1	01	01	H3456_016_0	4		UNITED HEALTHCARE OF NORTH CAROLINA	SecureHorizons	www.medicarecomplete.com	H3456	016	2007	01	01	1	Evercare Plan DH		Select Counties in North Carolina	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5110	(888)-834-3721		(877)-702-5110	(888)-834-3721	(888)-685-8480	(888)-685-8480
H3456	020	0	1	01	01	H3456_020_0	3		UNITED HEALTHCARE OF NORTH CAROLINA	SecureHorizons	www.medicarecomplete.com	H3456	020	2007	01	01	1	MedicareComplete Essential		Select Counties in North Carolina	2	0		2				2		(888)-685-8480	(888)-685-8480	(888)-264-8720	(888)-264-8761					
H3456	801	0	1	01	01	H3456_801_0	4		UNITED HEALTHCARE OF NORTH CAROLINA	SecureHorizons	www.medicarecomplete.com	H3456	801	2007	01	01	1	MedicareComplete		Select Counties in North Carolina	1	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5548	(888)-886-7554		(888)-867-5548	(888)-867-5548	(888)-685-8480	(888)-685-8480
H3613	001	0	1	20	08	H3613_001_0	1		CONCORDIA CARE	Concordia Care	concordiacareohio.org	H3613	001	2007	08	20	1	Concordia Care Duel Eligibles		Concordia Care Cuyahoga County	2	0		2				1	1					250	(216)-791-3580	(216)-791-3580		
H3613	002	0	1	20	08	H3613_002_0	1		CONCORDIA CARE	Concordia Care	concordiacareohio.org	H3613	002	2007	08	20	1	Concordia Care Medicare Only Eligibles		Concordia Care Cuyahoga County	2	0		2				1	1					10	(216)-791-3580	(216)-791-3580		
H3614	001	0	1	20	08	H3614_001_0	1		TRIHEALTH SENIORLINK	Trihealth Seniorlink	www.trihealthseniorshealth.com	H3614	001	2007	08	20	1	Medicare Part D		Cincinnati Metropolitan Area	2	0		2				2						4000	(000)-000-0000	(000)-000-0000		
H3614	002	0	1	20	08	H3614_002_0	1		TRIHEALTH SENIORLINK	Trihealth Seniorlink	www.trihealthseniorshealth.com	H3614	002	2007	08	20	1	Medicare Part D		Cincinnati Metropolitan Area	2	0		2				2						60	(000)-000-0000	(000)-000-0000		
H3619	001	0	1	04	01	H3619_001_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H3619	001	2007	01	04	1	HumanaChoicePPO PPO H3619-001		Cincinnati Metro Area	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H3619	004	0	1	04	01	H3619_004_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H3619	004	2007	01	04	1	HumanaChoicePPO PPO H3619-004		Cleveland Metro Area	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H3619	005	0	1	04	01	H3619_005_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H3619	005	2007	01	04	1	HumanaChoicePPO PPO H3619-005		Franklin, Fairfield	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H3619	006	0	1	04	01	H3619_006_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H3619	006	2007	01	04	1	HumanaChoicePPO PPO H3619-006		Dayton Metro Area	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H3619	801	0	1	04	01	H3619_801_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H3619	801	2007	01	04	1	Humana Employer Sponsored		Cincinnati Metro Area	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H3619	804	0	1	04	01	H3619_804_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H3619	804	2007	01	04	1	Humana Employer Sponsored		Select counties in Ohio	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H3619	806	0	1	04	01	H3619_806_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H3619	806	2007	01	04	1	Humana Employer Sponsored Non-CY		Select counties in Ohio	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H3619	807	0	1	04	01	H3619_807_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H3619	807	2007	01	04	1	Humana Employer Sponsored Non-CY		Select counties in Ohio	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H3620	001	0	1	04	01	H3620_001_0	4		MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	H3620	001	2007	01	04	1	Prime PPO		Stark, Tusc., Wayne, Holmes, Carroll counties	2	0		2				2		(800)-617-7446	(800)-617-7446	(800)-577-5084	(800)-577-5084	500	(800)-577-5084	(800)-577-5084	(800)-617-7446	(800)-617-7446
H3620	801	0	1	04	01	H3620_801_0	3		MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	H3620	801	2007	01	04	1	Employer Group PPO / CY		All Ohio Counties	1	0		2				2		(800)-617-7446	(800)-617-7446	(800)-577-5084	(800)-577-5084	2000	(800)-577-5084	(800)-577-5084	(800)-617-7446	(800)-617-7446
H3620	802	0	1	04	01	H3620_802_0	4		MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	H3620	802	2007	01	04	1	Employer Group PPO / MA Only CY		All Ohio Counties	1	0		2				2		(800)-617-7446	(800)-617-7446	(800)-577-5084	(800)-577-5084	500				
H3620	803	0	1	04	01	H3620_803_0	3		MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	H3620	803	2007	01	04	1	Employer Group PPO / Non CY		All Ohio Counties	1	0		2				2		(800)-617-7446	(800)-617-7446	(800)-577-5084	(800)-577-5084	500	(800)-577-5084	(800)-577-5084	(800)-617-7446	(800)-617-7446
H3620	804	0	1	04	01	H3620_804_0	4		MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	H3620	804	2007	01	04	1	Employer Group PPO / MA Only NCY		All Ohio Counties	1	0		2				2		(800)-617-7446	(800)-617-7446	(800)-577-5084	(800)-577-5084	500				
H3623	001	0	1	01	01	H3623_001_0	3		AETNA HEALTH OF (OHIO)	Aetna Medicare	http://www.aetnamedicare.com	H3623	001	2007	01	01	1	Aetna Golden Medicare Value Plan		Franklin County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3623	002	0	1	01	01	H3623_002_0	3		AETNA HEALTH OF (OHIO)	Aetna Medicare	http://www.aetnamedicare.com	H3623	002	2007	01	01	1	Aetna Golden Medicare Standard Plan		Franklin County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3623	003	0	1	01	01	H3623_003_0	3		AETNA HEALTH OF (OHIO)	Aetna Medicare	http://www.aetnamedicare.com	H3623	003	2007	01	01	1	Aetna Golden Medicare Premier Plan		Franklin County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3623	004	0	1	01	01	H3623_004_0	4		AETNA HEALTH OF (OHIO)	Aetna Medicare	http://www.aetnamedicare.com	H3623	004	2007	01	01	1	Aetna Golden Medicare Value Plan		Lucas County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3623	005	0	1	01	01	H3623_005_0	3		AETNA HEALTH OF (OHIO)	Aetna Medicare	http://www.aetnamedicare.com	H3623	005	2007	01	01	1	Aetna Golden Medicare Standard Plan		Lucas County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3623	006	0	1	01	01	H3623_006_0	3		AETNA HEALTH OF (OHIO)	Aetna Medicare	http://www.aetnamedicare.com	H3623	006	2007	01	01	1	Aetna Golden Medicare Premier Plan		Lucas County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3623	007	0	1	01	01	H3623_007_0	3		AETNA HEALTH OF (OHIO)	Aetna Medicare	http://www.aetnamedicare.com	H3623	007	2007	01	01	1	Aetna Golden Medicare Value Plan		Cuyahoga and Summit Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3623	008	0	1	01	01	H3623_008_0	3		AETNA HEALTH OF (OHIO)	Aetna Medicare	http://www.aetnamedicare.com	H3623	008	2007	01	01	1	Aetna Golden Medicare Standard Plan		Cuyahoga and Summit Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3623	009	0	1	01	01	H3623_009_0	3		AETNA HEALTH OF (OHIO)	Aetna Medicare	http://www.aetnamedicare.com	H3623	009	2007	01	01	1	Aetna Golden Medicare Premier Plan		Cuyahoga and Summit Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3623	010	0	1	01	01	H3623_010_0	3		AETNA HEALTH OF (OHIO)	Aetna Medicare	http://www.aetnamedicare.com	H3623	010	2007	01	01	1	Aetna Golden Medicare Value Plan		Hamilton County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3623	011	0	1	01	01	H3623_011_0	3		AETNA HEALTH OF (OHIO)	Aetna Medicare	http://www.aetnamedicare.com	H3623	011	2007	01	01	1	Aetna Golden Medicare Standard Plan		Hamilton County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3623	012	0	1	01	01	H3623_012_0	3		AETNA HEALTH OF (OHIO)	Aetna Medicare	http://www.aetnamedicare.com	H3623	012	2007	01	01	1	Aetna Golden Medicare Premier Plan		Hamilton County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3623	801	0	1	01	01	H3623_801_0	1		AETNA HEALTH OF (OHIO)	Aetna Medicare	http://www.aetnamedicare.com	H3623	801	2007	01	01	1	Aetna Golden Medicare Plan		Cuyahoga,Franklin,Hamilton, Lucas, Summit Counties	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H3623	802	0	1	01	01	H3623_802_0	1		AETNA HEALTH OF (OHIO)	Aetna Medicare	http://www.aetnamedicare.com	H3623	802	2007	01	01	1	Aetna Golden Medicare Plan w/Rx CY		Cuyahoga,Franklin,Hamilton, Lucas, Summit Counties	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3624	001	0	1	04	01	H3624_001_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H3624	001	2007	01	04	1	Aetna Golden Choice Standard Plan		Franklin County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3624	002	0	1	04	01	H3624_002_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H3624	002	2007	01	04	1	Aetna Golden Choice Standard Plan		Lucas County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3624	801	0	1	04	01	H3624_801_0	1		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H3624	801	2007	01	04	1	Aetna Golden Choice Plan		Cuyahoga,Franklin,Hamilton,Lucas,Summit Counties	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H3624	802	0	1	04	01	H3624_802_0	1		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H3624	802	2007	01	04	1	Aetna Golden Choice Plan w/Rx CY		Cuyahoga,Franklin,Hamilton,Lucas,Summit Counties	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3653	004	0	1	01	01	H3653_004_0	6		PARAMOUNT CARE, INC	Paramount Elite	www.paramounthealthcare.com	H3653	004	2007	01	01	1	Paramount Elite - Enhanced Medical & Drug		Lucas OH, Wood OH, and Monroe MI counties	2	0		2				1	1	(888)-740-5670	(888)-740-5670	(800)-462-3589	(800)-462-3589	13750	(800)-462-3589	(800)-462-3589	(888)-740-5670	(888)-740-5670
H3653	015	0	1	01	01	H3653_015_0	4		PARAMOUNT CARE, INC	Paramount Elite	www.paramounthealthcare.com	H3653	015	2007	01	01	1	Paramount Elite - Basic Medical & Drug		Lucas OH, Wood OH, and Monroe MI counties	2	0		2				1	1	(888)-740-5670	(888)-740-5670	(800)-462-3589	(800)-462-3589	701	(800)-462-3589	(800)-462-3589	(888)-740-5670	(888)-740-5670
H3653	018	0	1	01	01	H3653_018_0	5		PARAMOUNT CARE, INC	Paramount Elite	www.paramounthealthcare.com	H3653	018	2007	01	01	1	Paramount Elite - Enhanced Medical only		Lucas OH, Wood OH, and Monroe MI counties	2	0		2				1	1	(888)-740-5670	(888)-740-5670	(800)-462-3589	(800)-462-3589	120				
H3653	020	0	1	01	01	H3653_020_0	2		PARAMOUNT CARE, INC	Paramount Elite	www.paramounthealthcare.com	H3653	020	2007	01	01	1	Paramount Elite SNP - Dual Eligibles		Lucas OH and Wood OH counties	2	0		1	3	2	1	1	1	(888)-740-5670	(888)-740-5670	(800)-462-3589	(800)-462-3589	554	(800)-462-3589	(800)-462-3589	(888)-740-5670	(888)-740-5670
H3653	803	0	1	01	01	H3653_803_0	2		PARAMOUNT CARE, INC	Paramount Elite	www.paramounthealthcare.com	H3653	803	2007	01	01	1	Paramount Elite - Emp Group A/B No Rx		Lucas OH, Wood OH, and Monroe MI counties	1	0		2				1	1	(888)-740-5670	(888)-740-5670	(800)-462-3589	(800)-462-3589	652				
H3653	806	0	2	01	01	H3653_806_0	3		PARAMOUNT CARE, INC	Paramount Elite	www.paramounthealthcare.com	H3653	806	2007	01	01	2	Paramount Elite - Emp Group B only No Rx		Lucas OH and Wood OH counties	1	0		2				1	1	(888)-740-5670	(888)-740-5670	(800)-462-3589	(800)-462-3589	6				
H3653	807	0	1	01	01	H3653_807_0	3		PARAMOUNT CARE, INC	Paramount Elite	www.paramounthealthcare.com	H3653	807	2007	01	01	1	Paramount Elite - Emp Group A/B Closed Rx		Lucas OH, Wood OH, and Monroe MI counties	1	0		2				1	1	(888)-740-5670	(888)-740-5670	(800)-462-3589	(800)-462-3589	217	(800)-462-3589	(800)-462-3589	(888)-740-5670	(888)-740-5670
H3653	808	0	2	01	01	H3653_808_0	3		PARAMOUNT CARE, INC	Paramount Elite	www.paramounthealthcare.com	H3653	808	2007	01	01	2	Paramount Elite - Emp Group B only Closed		Lucas OH and Wood OH counties	1	0		2				1	1	(888)-740-5670	(888)-740-5670	(800)-462-3589	(800)-462-3589	2	(800)-462-3589	(800)-462-3589	(888)-740-5670	(888)-740-5670
H3653	809	0	1	01	01	H3653_809_0	3		PARAMOUNT CARE, INC	Paramount Elite	www.paramounthealthcare.com	H3653	809	2007	01	01	1	Paramount Elite - Emp Group A/B Open Rx		Lucas OH, Wood OH, and Monroe MI counties	1	0		2				1	1	(888)-740-5670	(888)-740-5670	(800)-462-3589	(800)-462-3589	217	(800)-462-3589	(800)-462-3589	(888)-740-5670	(888)-740-5670
H3653	810	0	2	01	01	H3653_810_0	3		PARAMOUNT CARE, INC	Paramount Elite	www.paramounthealthcare.com	H3653	810	2007	01	01	2	Paramount Elite - Emp Group B only Open Rx		Lucas OH and Wood OH counties	1	0		2				1	1	(888)-740-5670	(888)-740-5670	(800)-462-3589	(800)-462-3589	2	(800)-462-3589	(800)-462-3589	(888)-740-5670	(888)-740-5670
H3655	013	0	1	01	01	H3655_013_0	7		COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com	H3655	013	2007	01	01	1	Anthem Senior Advantage Basic		Ohio Metro Areas	2	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	66814	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
H3655	023	0	1	01	01	H3655_023_0	7		COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com	H3655	023	2007	01	01	1	Anthem Senior Advantage Enhanced		Ohio Metro Areas	2	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	2121	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
H3655	801	0	1	01	01	H3655_801_0	5		COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com	H3655	801	2007	01	01	1	Anthem Senior Advantage Group		Ohio	1	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	895	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
H3655	803	0	1	01	01	H3655_803_0	2		COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com	H3655	803	2007	01	01	1	Anthem Senior Advantage Group		Ohio	1	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	995				
H3659	001	0	1	02	01	H3659_001_0	8		UNITED HEALTHCARE OF OHIO, INC.	SecureHorizons	www.medicarecomplete.com	H3659	001	2007	01	02	1	MedicareComplete Plus Plan 1		Cincinnati, Columbus & Dayton area Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-711-6080	(800)-555-5757		(800)-711-6080	(800)-555-5757	(888)-685-8480	(888)-685-8480
H3659	003	0	1	01	01	H3659_003_0	7		UNITED HEALTHCARE OF OHIO, INC.	SecureHorizons	www.medicarecomplete.com	H3659	003	2007	01	01	1	MedicareComplete Plan 1		Cuyahoga, Mahoning and Trumbull Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-711-6080	(800)-555-5757		(800)-711-6080	(800)-555-5757	(888)-685-8480	(888)-685-8480
H3659	031	0	1	01	01	H3659_031_0	7		UNITED HEALTHCARE OF OHIO, INC.	SecureHorizons	www.medicarecomplete.com	H3659	031	2007	01	01	1	MedicareComplete Plan 2		Select Counties in Ohio	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-711-6080	(800)-555-5757		(800)-711-6080	(800)-555-5757	(888)-685-8480	(888)-685-8480
H3659	033	0	1	02	01	H3659_033_0	8		UNITED HEALTHCARE OF OHIO, INC.	SecureHorizons	www.medicarecomplete.com	H3659	033	2007	01	02	1	MedicareComplete Plus Plan 1		Stark and Summit Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-711-6080	(800)-555-5757		(800)-711-6080	(800)-555-5757	(888)-685-8480	(888)-685-8480
H3659	050	0	1	02	01	H3659_050_0	7		UNITED HEALTHCARE OF OHIO, INC.	SecureHorizons	www.medicarecomplete.com	H3659	050	2007	01	02	1	MedicareComplete Plus Plan 2		Cincinnati,Columbus and Dayton area Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-711-6080	(800)-504-4848					
H3659	051	0	1	01	01	H3659_051_0	5		UNITED HEALTHCARE OF OHIO, INC.	SecureHorizons	www.medicarecomplete.com	H3659	051	2007	01	01	1	MedicareComplete Essential Plan 1		Cuyahoga, Mahoning and Trumbull Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-711-6080	(800)-504-4848					
H3659	054	0	1	01	01	H3659_054_0	6		UNITED HEALTHCARE OF OHIO, INC.	SecureHorizons	www.medicarecomplete.com	H3659	054	2007	01	01	1	MedicareComplete Essential Plan 2		Select Ohio Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-711-6080	(800)-504-4848					
H3659	055	0	1	02	01	H3659_055_0	6		UNITED HEALTHCARE OF OHIO, INC.	SecureHorizons	www.medicarecomplete.com	H3659	055	2007	01	02	1	MedicareComplete Plus Plan 2		Stark and Summit Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-711-6080	(800)-504-4848					
H3659	056	0	1	01	01	H3659_056_0	4		UNITED HEALTHCARE OF OHIO, INC.	SecureHorizons	www.medicarecomplete.com	H3659	056	2007	01	01	1	Evercare Plan DH		Select Ohio Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5110	(888)-834-3721		(877)-702-5110	(888)-834-3721	(888)-685-8480	(888)-685-8480
H3659	057	0	1	01	01	H3659_057_0	3		UNITED HEALTHCARE OF OHIO, INC.	SecureHorizons	www.medicarecomplete.com	H3659	057	2007	01	01	1	Evercare Plan IH		Lake, Lorain & Lucas counties	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(888)-834-3721		(800)-393-0993	(888)-834-3721	(888)-685-8480	(888)-685-8480
H3659	058	0	1	01	01	H3659_058_0	3		UNITED HEALTHCARE OF OHIO, INC.	SecureHorizons	www.medicarecomplete.com	H3659	058	2007	01	01	1	Evercare Plan IH		Clark, Greene and Warren Counties	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(888)-834-3721		(800)-393-0993	(888)-834-3721	(888)-685-8480	(888)-685-8480
H3659	801	0	1	01	01	H3659_801_0	4		UNITED HEALTHCARE OF OHIO, INC.	SecureHorizons	www.medicarecomplete.com	H3659	801	2007	01	01	1	MedicareComplete		Select Counties in Ohio	1	0		2				2		(888)-685-8480	(888)-685-8480	(800)-711-6080	(800)-504-4848		(800)-711-6080	(800)-504-4848	(888)-685-8480	(888)-685-8480
H3659	802	0	1	01	01	H3659_802_0	2		UNITED HEALTHCARE OF OHIO, INC.	SecureHorizons	www.medicarecomplete.com	H3659	802	2007	01	01	1	MedicareComplete Essential		Select Counties in Ohio	1	0		2				2		(888)-685-8480	(888)-685-8480	(800)-711-6080	(800)-504-4848					
H3660	028	0	1	02	01	H3660_028_0	5		SUMMACARE INC.	SummaCare	www.summacare.com	H3660	028	2007	01	02	1	SummaCare Secure Gold Plus		Summit Portage Medina Cuyahoga Stark Carroll Wayne	2	0		2				2		(800)-750-0750	(800)-750-0750	(800)-996-6250	(888)-464-8440	50	(800)-996-6250	(888)-464-8440	(800)-750-0750	(800)-750-0750
H3660	029	0	1	02	01	H3660_029_0	5		SUMMACARE INC.	SummaCare	www.summacare.com	H3660	029	2007	01	02	1	SummaCare Secure Silver Plus		CARROLL CUYAHOGA MEDINA PORTAGE STARK SUMMIT WAYNE	2	0		2				2		(800)-750-0750	(800)-750-0750	(800)-996-6250	(888)-464-8440	20	(800)-996-6250	(888)-464-8440	(800)-750-0750	(800)-750-0750
H3660	801	0	1	01	01	H3660_801_0	3		SUMMACARE INC.	SummaCare	www.summacare.com	H3660	801	2007	01	01	1	SummaCare Secure Employer Plan Silver PD		Summit, Portage, Medina, Strk, Cuy, Wayne, Carroll	1	0		2				2		(800)-750-0750	(800)-750-0750	(800)-996-6250	(888)-464-8440	20	(800)-996-6250	(888)-464-8440	(800)-750-0750	(800)-750-0750
H3660	802	0	1	01	01	H3660_802_0	2		SUMMACARE INC.	SummaCare	www.summacare.com	H3660	802	2007	01	01	1	SummaCare Secure Employer Plan -HMO		Summit, Portage, Medina, Strk, Cuy, Wayne, Carroll	1	0		2				2		(800)-750-0750	(800)-750-0750	(800)-996-6250	(888)-464-8440	20				
H3660	805	0	1	02	01	H3660_805_0	2		SUMMACARE INC.	SummaCare	www.summacare.com	H3660	805	2007	01	02	1	POS EMPLOYER PLAN WITH PART D		CARROLL CUYAHOGA MEDINA PORTAGE STARK SUMMIT WAYNE	1	0		2				2		(800)-750-0750	(800)-750-0750	(800)-996-6250	(888)-464-8440	20	(800)-996-6250	(888)-464-8440	(800)-750-0750	(800)-750-0750
H3660	806	0	1	02	01	H3660_806_0	3		SUMMACARE INC.	SummaCare	www.summacare.com	H3660	806	2007	01	02	1	POS EMPLOYER PLAN -NO D		CARROLL CUYAHOGA MEDINA PORTAGE STARK SUMMIT WAYNE	1	0		2				2		(800)-750-0750	(800)-750-0750	(800)-996-6250	(888)-464-8440	20				
H3664	001	0	1	01	01	H3664_001_0	5		MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	H3664	001	2007	01	01	1	Plus		Stark, Tusc, Wayne, Holmes, and Carroll Counties	2	0		2				2		(800)-617-7446	(800)-617-7446	(800)-577-5084	(800)-577-5084	16276	(800)-577-5084	(800)-577-5084	(800)-617-7446	(800)-617-7446
H3664	008	0	2	01	01	H3664_008_0	5		MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	H3664	008	2007	01	01	2	PrimeTime Health Plan Part B Only		Stark, Tusc, Wayne, Holmes, and Carroll Counties	2	0		2				2		(800)-617-7446	(800)-617-7446	(800)-577-5084	(800)-577-5084	2	(800)-577-5084	(800)-577-5084	(800)-617-7446	(800)-617-7446
H3664	009	0	1	01	01	H3664_009_0	6		MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	H3664	009	2007	01	01	1	Basic		Stark, Tusc, Wayne, Holmes, and Carroll Counties	2	0		2				2		(800)-617-7446	(800)-617-7446	(800)-577-5084	(800)-577-5084	1000	(800)-577-5084	(800)-577-5084	(800)-617-7446	(800)-617-7446
H3664	011	0	1	01	01	H3664_011_0	7		MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	H3664	011	2007	01	01	1	Standard		Stark, Tusc, Wayne, Holmes, and Carroll Counties	2	0		2				2		(800)-617-7446	(800)-617-7446	(800)-577-5084	(800)-577-5084	500	(800)-577-5084	(800)-577-5084	(800)-617-7446	(800)-617-7446
H3664	012	0	1	01	01	H3664_012_0	6		MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	H3664	012	2007	01	01	1	Premier		Stark, Tusc, Wayne, Holmes, and Carroll Counties	2	0		2				2		(800)-617-7446	(800)-617-7446	(800)-577-5084	(800)-577-5084	1000	(800)-577-5084	(800)-577-5084	(800)-617-7446	(800)-617-7446
H3664	013	0	1	01	01	H3664_013_0	6		MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	H3664	013	2007	01	01	1	Premier Advantage		Stark, Tusc, Wayne, Holmes, and Carroll Counties	2	0		2				2		(800)-617-7446	(800)-617-7446	(800)-577-5084	(800)-577-5084	1000	(800)-577-5084	(800)-577-5084	(800)-617-7446	(800)-617-7446
H3664	014	0	1	01	01	H3664_014_0	6		MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	H3664	014	2007	01	01	1	Basic - MA Only		Stark, Tusc, Wayne, Holmes, and Carroll Counties	2	0		2				2		(800)-617-7446	(800)-617-7446	(800)-577-5084	(800)-577-5084	500				
H3664	801	0	1	01	01	H3664_801_0	4		MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	H3664	801	2007	01	01	1	EGHP HMO  - CY		All Ohio Counties	1	0		2				2		(800)-617-7446	(800)-617-7446	(800)-577-5084	(800)-577-5084	2000	(800)-577-5084	(800)-577-5084	(800)-617-7446	(800)-617-7446
H3664	802	0	1	01	01	H3664_802_0	4		MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	H3664	802	2007	01	01	1	PrimeTime Employer Group HMO MA-Only		All Ohio Counties	1	0		2				2		(800)-617-7446	(800)-617-7446	(800)-577-5084	(800)-577-5084	500				
H3664	803	0	1	01	01	H3664_803_0	4		MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	H3664	803	2007	01	01	1	PrimeTime EGHP - Non CY		All Ohio Counties	1	0		2				2		(800)-617-7446	(800)-617-7446	(800)-577-5084	(800)-577-5084	500	(800)-577-5084	(800)-577-5084	(800)-617-7446	(800)-617-7446
H3664	804	0	1	01	01	H3664_804_0	4		MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	H3664	804	2007	01	01	1	PrimeTime EGHP / MA Only - Non CY		All Ohio Counties	1	0		2				2		(800)-617-7446	(800)-617-7446	(800)-577-5084	(800)-577-5084	500				
H3668	005	0	1	01	01	H3668_005_0	4		MT. CARMEL HEALTH PLAN, INC.	MediGold	www.medigold.com	H3668	005	2007	01	01	1	MediGold Classic		Central Ohio and surrounding counties	2	0		2				2		(614)-898-8772	(614)-898-8772	(800)-240-3851	(800)-964-4525	20234	(800)-240-3851	(800)-964-4525	(614)-898-8772	(614)-898-8772
H3668	010	0	1	01	01	H3668_010_0	4		MT. CARMEL HEALTH PLAN, INC.	MediGold	www.medigold.com	H3668	010	2007	01	01	1	MediGold Classic		Dayton  and Springfield region	2	0		2				2		(614)-898-8772	(614)-898-8772	(800)-240-3851	(800)-964-4525	153	(800)-240-3851	(800)-964-4525	(614)-898-8772	(614)-898-8772
H3668	011	0	1	01	01	H3668_011_0	5		MT. CARMEL HEALTH PLAN, INC.	MediGold	www.medigold.com	H3668	011	2007	01	01	1	MediGold Basic		Central Ohio	2	0		2				2		(614)-898-8772	(614)-898-8772	(800)-240-3851	(800)-964-4525	75	(800)-240-3851	(800)-964-4525	(614)-898-8772	(614)-898-8772
H3668	012	0	1	01	01	H3668_012_0	5		MT. CARMEL HEALTH PLAN, INC.	MediGold	www.medigold.com	H3668	012	2007	01	01	1	MediGold Basic		Dayton and Springfield Region	2	0		2				2		(614)-898-8772	(614)-898-8772	(800)-240-3851	(800)-964-4525	31	(800)-240-3851	(800)-964-4525	(614)-898-8772	(614)-898-8772
H3668	801	0	1	01	01	H3668_801_0	2		MT. CARMEL HEALTH PLAN, INC.	MediGold	www.medigold.com	H3668	801	2007	01	01	1	MediGold		Central and Dayton Ohio regions	1	0		2				2		(614)-898-8772	(614)-898-8772	(800)-240-3851	(800)-964-4525	100				
H3668	802	0	1	01	01	H3668_802_0	3		MT. CARMEL HEALTH PLAN, INC.	MediGold	www.medigold.com	H3668	802	2007	01	01	1	MediGold		Central Ohio and Dayton	1	0		2				2		(614)-898-8772	(614)-898-8772	(800)-240-3851	(800)-964-4525	100	(800)-240-3851	(800)-964-4525	(614)-898-8772	(614)-898-8772
H3672	013	0	1	01	01	H3672_013_0	6		HOMETOWN HEALTH PLAN	HomeTown Health Plan	www.hometownhealthnet.com	H3672	013	2007	01	01	1	HomeTown SecureCare		Akron- Canton-Massillon Area	2	0		2				2		(877)-236-2291	(877)-236-2291	(800)-426-9013	(877)-236-2290	6000	(800)-426-9013	(877)-236-2290	(877)-236-2291	(877)-236-2291
H3672	014	0	1	01	01	H3672_014_0	3		HOMETOWN HEALTH PLAN	HomeTown Health Plan	www.hometownhealthnet.com	H3672	014	2007	01	01	1	HomeTown SecureCare		Akron-Canton-Massillon Area	2	0		2				2		(877)-236-2291	(877)-236-2291	(800)-426-9013	(877)-236-2290	750				
H3672	804	0	1	01	01	H3672_804_0	3		HOMETOWN HEALTH PLAN	HomeTown Health Plan	www.hometownhealthnet.com	H3672	804	2007	01	01	1	HomeTown SecureCare		Akron-Canton-Massillon Area	1	0		2				2		(877)-236-2291	(877)-236-2291	(800)-426-9013	(877)-236-2290	100				
H3672	805	0	1	01	01	H3672_805_0	5		HOMETOWN HEALTH PLAN	HomeTown Health Plan	www.hometownhealthnet.com	H3672	805	2007	01	01	1	HomeTown SecureCare		Akron-Canton-Massillon Area	1	0		2				2		(877)-236-2291	(877)-236-2291	(800)-426-9013	(877)-236-2290	6000	(800)-426-9013	(877)-236-2290	(877)-236-2291	(877)-236-2291
H3706	001	0	1	01	01	H3706_001_0	4		GLOBALHEALTH, INC.	Generations Healthcare	www.generationshealthcare.cc	H3706	001	2007	01	01	1	Generations Healthcare		Central Oklahoma	2	0		2				2		(800)-522-8506	(800)-522-8506	(877)-280-5600	(866)-609-6320		(877)-280-5600	(866)-609-6320	(800)-522-8506	(800)-522-8506
H3706	006	0	1	01	01	H3706_006_0	4		GLOBALHEALTH, INC.	Generations Healthcare	www.generationshealthcare.cc	H3706	006	2007	01	01	1	Generations Healthcare		Tulsa Area	2	0		2				2		(800)-522-8506	(800)-522-8506	(877)-280-5600	(866)-609-6320		(877)-280-5600	(866)-609-6320	(800)-522-8506	(800)-522-8506
H3706	007	0	1	02	01	H3706_007_0	4		GLOBALHEALTH, INC.	Generations Healthcare	www.generationshealthcare.cc	H3706	007	2007	01	02	1	Generations Premier POS		Western Oklahoma (incl. Oklahoma City Metro)	2	0		2				2		(800)-522-8506	(800)-522-8506	(877)-280-5600	(866)-609-6320		(877)-280-5600	(866)-609-6320	(800)-522-8506	(800)-522-8506
H3706	008	0	1	02	01	H3706_008_0	4		GLOBALHEALTH, INC.	Generations Healthcare	www.generationshealthcare.cc	H3706	008	2007	01	02	1	Generations Premier POS		Eastern Oklahoma (incl. Tulsa Metro Area)	2	0		2				2		(800)-522-8506	(800)-522-8506	(877)-280-5600	(866)-609-6320		(877)-280-5600	(866)-609-6320	(800)-522-8506	(800)-522-8506
H3706	803	0	1	01	01	H3706_803_0	2		GLOBALHEALTH, INC.	Generations Healthcare	www.generationshealthcare.cc	H3706	803	2007	01	01	1	Generations Healthcare EGHP CY		Oklahoma City and Tulsa Metro Areas	1	0		2				2		(800)-522-8506	(800)-522-8506	(877)-280-5600	(877)-280-5600		(877)-280-5600	(877)-280-5600	(800)-522-8506	(800)-522-8506
H3706	804	0	1	01	01	H3706_804_0	2		GLOBALHEALTH, INC.	Generations Healthcare	www.generationshealthcare.cc	H3706	804	2007	01	01	1	Generations Healthcare EGHP Non CY		Oklahoma City and Tulsa Metro Areas	1	0		2				2		(800)-522-8506	(800)-522-8506	(877)-280-5600	(877)-280-5600		(877)-280-5600	(877)-280-5600	(800)-522-8506	(800)-522-8506
H3708	001	0	1	01	01	H3708_001_0	2		SELECTCARE OF OKLAHOMA, INC.	SelectCare of Oklahoma	www.scoklahoma.com	H3708	001	2007	01	01	1	SelectCare of Oklahoma		Tribute	2	0		1	1	2	2	2		(888)-338-4681	(866)-338-4681	(800)-817-3515	(866)-556-4607		(800)-817-3515	(866)-556-4607	(888)-338-4681	(866)-338-4681
H3709	001	0	1	04	01	H3709_001_0	5		BLUE CROSS AND BLUE SHIELD OF OKLAHOMA	Blue Cross And Blue Shield Of Oklahoma	www.bcbsok.com	H3709	001	2007	01	04	1	Medicare Blue PPO		Central and northeastern Oklahoma	2	0		2				2		(800)-722-0353	(800)-722-0353	(800)-642-8065	(866)-303-2583		(800)-642-8065	(866)-303-2583	(800)-722-0353	(800)-722-0353
H3709	003	0	1	04	01	H3709_003_0	4		BLUE CROSS AND BLUE SHIELD OF OKLAHOMA	Blue Cross And Blue Shield Of Oklahoma	www.bcbsok.com	H3709	003	2007	01	04	1	Medicare Blue PPO Basic		Central and northeastern Oklahoma	2	0		2				2		(800)-722-0353	(800)-722-0353	(800)-642-8065	(866)-303-2583					
H3709	801	0	1	04	01	H3709_801_0	5		BLUE CROSS AND BLUE SHIELD OF OKLAHOMA	Blue Cross And Blue Shield Of Oklahoma	www.bcbsok.com	H3709	801	2007	01	04	1	Medicare Blue PPO Group Plan		Central and northeastern Oklahoma	1	0		2				2		(800)-722-0353	(800)-722-0353	(800)-642-8065	(866)-303-2583		(800)-642-8065	(866)-303-2583	(800)-722-0353	(800)-722-0353
H3709	802	0	1	04	01	H3709_802_0	4		BLUE CROSS AND BLUE SHIELD OF OKLAHOMA	Blue Cross And Blue Shield Of Oklahoma	www.bcbsok.com	H3709	802	2007	01	04	1	Medicare Blue PPO Basic Group Plan		Central and northeastern Oklahoma	1	0		2				2		(800)-722-0353	(800)-722-0353	(800)-642-8065	(866)-303-2583					
H3709	803	0	1	04	01	H3709_803_0	5		BLUE CROSS AND BLUE SHIELD OF OKLAHOMA	Blue Cross And Blue Shield Of Oklahoma	www.bcbsok.com	H3709	803	2007	01	04	1	Medicare Blue PPO Group Plan		Central and northeastern Oklahoma	1	0		2				2		(800)-722-0353	(800)-722-0353	(800)-642-8065	(866)-303-2583		(800)-642-8065	(866)-303-2583	(800)-722-0353	(800)-722-0353
H3709	804	0	1	04	01	H3709_804_0	4		BLUE CROSS AND BLUE SHIELD OF OKLAHOMA	Blue Cross And Blue Shield Of Oklahoma	www.bcbsok.com	H3709	804	2007	01	04	1	Medicare Blue PPO Basic Group Plan		Central and northeastern Oklahoma	1	0		2				2		(800)-722-0353	(800)-722-0353	(800)-642-8065	(866)-303-2583					
H3749	001	0	1	01	01	H3749_001_0	7		PACIFICARE OF OKLAHOMA, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H3749	001	2007	01	01	1	MedicareComplete		Oklahoma City Area	2	0		2				2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588		(800)-950-9355	(800)-385-5588	(800)-557-7595	(800)-387-1074
H3749	004	0	1	01	01	H3749_004_0	7		PACIFICARE OF OKLAHOMA, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H3749	004	2007	01	01	1	MedicareComplete		Tulsa Area	2	0		2				2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588		(800)-950-9355	(800)-385-5588	(800)-557-7595	(800)-387-1074
H3749	007	0	1	01	01	H3749_007_0	4		PACIFICARE OF OKLAHOMA, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H3749	007	2007	01	01	1	MedicareComplete Essential		Oklahoma City Area	2	0		2				2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588					
H3749	010	0	1	01	01	H3749_010_0	3		PACIFICARE OF OKLAHOMA, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H3749	010	2007	01	01	1	MedicareComplete Essential		Tulsa Area	2	0		2				2		(800)-387-1074	(800)-387-1074	(800)-385-5588	(800)-385-5588					
H3749	011	0	1	01	01	H3749_011_0	6		PACIFICARE OF OKLAHOMA, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H3749	011	2007	01	01	1	Evercare Plan DH		OKlahoma City Area	2	0		1	3	2	2	2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588		(800)-950-9355	(800)-385-5588	(800)-557-7595	(800)-387-1074
H3749	801	0	1	01	01	H3749_801_0	3		PACIFICARE OF OKLAHOMA, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H3749	801	2007	01	01	1	MedicareComplete Retiree Plan		OK Employer Sponsored Plan Service Area	1	0		2				2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588					
H3749	802	0	1	01	01	H3749_802_0	3		PACIFICARE OF OKLAHOMA, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H3749	802	2007	01	01	1	MedicareComplete Retiree Plan		OK Employer Sponsored Plan Service Area	1	0		2				2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588					
H3749	803	0	1	01	01	H3749_803_0	4		PACIFICARE OF OKLAHOMA, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H3749	803	2007	01	01	1	MedicareComplete Retiree Plan		OK Employer Sponsored Plan Service Area	1	0		2				2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588		(800)-950-9355	(800)-385-5588	(800)-557-7595	(800)-387-1074
H3749	804	0	1	01	01	H3749_804_0	4		PACIFICARE OF OKLAHOMA, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H3749	804	2007	01	01	1	MedicareComplete Retiree Plan		OK Employer Sponsored Plan Service Area	1	0		2				2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588		(800)-950-9355	(800)-385-5588	(800)-557-7595	(800)-387-1074
H3755	001	0	1	01	01	H3755_001_0	5		COMMUNITY CARE HMO, INC	CommunityCare HMO, Inc.	www.ccok.com	H3755	001	2007	01	01	1	Senior Health Plan		Tulsa Metro Area	2	0		2				2		(800)-722-0353	(800)-722-0353	(800)-642-8065	(800)-642-8065	15135	(800)-642-8065	(800)-642-8065	(800)-722-0353	(800)-722-0353
H3755	002	0	1	01	01	H3755_002_0	3		COMMUNITY CARE HMO, INC	CommunityCare HMO, Inc.	www.ccok.com	H3755	002	2007	01	01	1	Senior Health Plan		Tulsa Metro	2	0		2				2		(800)-722-0353	(800)-722-0353	(800)-642-8065	(800)-642-8065	4185				
H3755	004	0	1	01	01	H3755_004_0	3		COMMUNITY CARE HMO, INC	CommunityCare HMO, Inc.	www.ccok.com	H3755	004	2007	01	01	1	Senior Health Plan		Tulsa Metro	2	0		2				2		(800)-722-0353	(800)-722-0353	(800)-642-8065	(800)-642-8065	1993	(800)-642-8065	(800)-642-8065	(800)-722-0353	(800)-722-0353
H3755	801	0	1	01	01	H3755_801_0	4		COMMUNITY CARE HMO, INC	CommunityCare HMO, Inc.	www.ccok.com	H3755	801	2007	01	01	1	Senior Health EGHP+D		Tulsa Metro	1	0		2				2		(800)-722-0353	(800)-722-0353	(800)-642-8065	(800)-642-8065	2339	(800)-642-8065	(800)-642-8065	(800)-722-0353	(800)-722-0353
H3805	001	0	1	01	01	H3805_001_0	5		PACIFICARE OF OREGON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H3805	001	2007	01	01	1	MedicareComplete		Northern Oregon	2	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588		(800)-533-2743	(800)-385-5588	(800)-786-7387	(800)-387-1074
H3805	007	0	1	01	01	H3805_007_0	5		PACIFICARE OF OREGON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H3805	007	2007	01	01	1	MedicareComplete		Southern Oregon	2	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588		(800)-533-2743	(800)-385-5588	(800)-786-7387	(800)-387-1074
H3805	010	0	1	01	01	H3805_010_0	3		PACIFICARE OF OREGON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H3805	010	2007	01	01	1	MedicareComplete Essential		Southern Oregon	2	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588					
H3805	011	0	1	01	01	H3805_011_0	3		PACIFICARE OF OREGON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H3805	011	2007	01	01	1	MedicareComplete Essential		Northern Oregon	2	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588					
H3805	801	0	1	01	01	H3805_801_0	3		PACIFICARE OF OREGON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H3805	801	2007	01	01	1	MedicareComplete Retiree Plan		OR Employer Sponsored Plan Service Area	1	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588					
H3805	802	0	1	01	01	H3805_802_0	3		PACIFICARE OF OREGON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H3805	802	2007	01	01	1	MedicareComplete Retiree Plan		OR Employer Sponsored Plan Service Area	1	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588					
H3805	803	0	1	01	01	H3805_803_0	4		PACIFICARE OF OREGON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H3805	803	2007	01	01	1	MedicareComplete Retiree Plan		OR Employer Sponsored Plan Service Area	1	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588		(800)-533-2743	(800)-385-5588	(800)-786-7387	(800)-387-1074
H3805	804	0	1	01	01	H3805_804_0	4		PACIFICARE OF OREGON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H3805	804	2007	01	01	1	MedicareComplete Retiree Plan		OR Employer Sponsored Plan Service Area	1	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588		(800)-533-2743	(800)-385-5588	(800)-786-7387	(800)-387-1074
H3809	001	0	1	20	08	H3809_001_0	1		PROVIDENCE HEALTH SYSTEM - OREGON	Providence ElderPlace Portland	www.providence.org	H3809	001	2007	08	20	1	Providence ElderPlace Portland (dual)		Multnomah County	2	0		2				2						670	(503)-215-6556	(503)-215-6556		
H3809	002	0	1	20	08	H3809_002_0	1		PROVIDENCE HEALTH SYSTEM - OREGON	Providence ElderPlace Portland	www.providence.org	H3809	002	2007	08	20	1	Providence ElderPlace Portland (pvt pay)		Multnomah County	2	0		2				2						74	(503)-215-6556	(503)-215-6556		
H3810	001	0	1	01	01	H3810_001_0	3		MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.com	H3810	001	2007	01	01	1	CareSource Gold		Counties: Josephine, Douglas*, Jackson*	2	0		2				2		(800)-735-2900	(800)-735-2900	(888)-460-0185	(888)-460-0185	621				
H3810	002	0	1	01	01	H3810_002_0	3		MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.com	H3810	002	2007	01	01	1	CareSource - SNP		Counties: Josephine, Douglas*, Jackson*	2	0		1	3	2	1	2		(800)-735-2900	(800)-735-2900	(888)-460-0185	(888)-460-0185	785	(888)-460-0185	(888)-460-0185	(800)-735-2900	(800)-735-2900
H3810	003	0	1	01	01	H3810_003_0	4		MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.com	H3810	003	2007	01	01	1	CareSource Gold Plus Rx		Counties: Josephine, Douglas*, Jackson*	2	0		2				2		(800)-735-2900	(800)-735-2900	(888)-460-0185	(888)-460-0185	621	(888)-460-0185	(888)-460-0185	(800)-735-2900	(800)-735-2900
H3810	004	0	1	02	01	H3810_004_0	5		MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.com	H3810	004	2007	01	02	1	CareSource Platinum		Counties: Josephine, Jackson*, Douglas*	2	0		2				2		(800)-735-2900	(800)-735-2900	(888)-460-0185	(888)-460-0185	63				
H3810	005	0	1	02	01	H3810_005_0	5		MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.com	H3810	005	2007	01	02	1	CareSource Platinum Plus Rx		Counties: Josephine, Jackson*, Douglas,*	2	0		2				2		(800)-735-2900	(800)-735-2900	(888)-460-0185	(888)-460-0185	406	(888)-460-0185	(888)-460-0185	(800)-735-2900	(800)-735-2900
H3811	001	0	1	01	01	H3811_001_0	1		SAMARITAN HEALTH PLANS, INC.	Samaritan Advantage Health Plan	www.samaritanadvantage.com	H3811	001	2007	01	01	1	The Conventional Plan		Benton, Lincoln and Linn county	2	0		2				2		(800)-735-2900	(800)-735-2900	(800)-317-7489	(800)-317-7489	300				
H3811	002	0	1	01	01	H3811_002_0	3		SAMARITAN HEALTH PLANS, INC.	Samaritan Advantage Health Plan	www.samaritanadvantage.com	H3811	002	2007	01	01	1	The Premier Plan		Benton, Lincoln and Linn county	2	0		2				2		(800)-735-2900	(800)-735-2900	(800)-317-7489	(800)-317-7489	1000	(800)-317-7489	(800)-317-7489	(800)-735-2900	(800)-735-2900
H3811	003	0	1	01	01	H3811_003_0	4		SAMARITAN HEALTH PLANS, INC.	Samaritan Advantage Health Plan	www.samaritanadvantage.com	H3811	003	2007	01	01	1	The Samaritan Advantage Special Needs Plan		Benton and Linn counties	2	0		1	3	2	1	2		(800)-735-2900	(800)-735-2900	(800)-317-7489	(800)-317-7489	1700	(800)-317-7489	(800)-317-7489	(800)-735-2900	(800)-735-2900
H3812	001	0	1	04	01	H3812_001_0	5		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H3812	001	2007	01	04	1	MedicareComplete Choice Plan 1		Clackamas, Multnomah and Washington Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-480-0073	(800)-555-5757		(866)-480-0073	(800)-555-5757	(888)-685-8480	(888)-685-8480
H3812	003	0	1	04	01	H3812_003_0	7		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.SecureHorizons.com	H3812	003	2007	01	04	1	MedicareComplete Choice Plan 2		Clackamas, Multnomah and Washington Counties	2	0		2				2		(888)-685-8480	(800)-387-1074	(866)-480-0073	(800)-555-5757					
H3812	004	0	1	04	01	H3812_004_0	5		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H3812	004	2007	01	04	1	Evercare Plan DP		Clackamas, Multnomah and Washington Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5110	(888)-834-3721		(877)-702-5110	(888)-834-3721	(888)-685-8480	(888)-685-8480
H3812	005	0	1	04	01	H3812_005_0	4		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H3812	005	2007	01	04	1	Evercare Plan IP		Clackamas, Multnomah and Washington Counties	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(888)-834-3721		(800)-393-0993	(888)-834-3721	(888)-685-8480	(888)-685-8480
H3812	801	0	1	04	01	H3812_801_0	4		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H3812	801	2007	01	04	1	MedicareComplete Choice		Clackamas,Multnomah and Washington Counties	1	0		2				2		(888)-685-8480	(888)-685-8480	(866)-480-0073	(866)-289-3831		(866)-480-0073	(866)-289-3831	(888)-685-8480	(888)-685-8480
H3813	001	0	1	04	01	H3813_001_0	8		ODS HEALTH PLAN, INC.	ODS Advantage	www.odscompanies.com/odsadvantage	H3813	001	2007	01	04	1	ODS Advantage PPO		State of Oregon	2	0		2				2		(800)-433-6313	(800)-433-6313	(877)-299-9062	(877)-299-9062	5000				
H3813	002	0	1	04	01	H3813_002_0	7		ODS HEALTH PLAN, INC.	ODS Advantage	www.odscompanies.com/odsadvantage	H3813	002	2007	01	04	1	ODS Advantage PPOrx		State of Oregon	2	0		2				2		(800)-433-6313	(800)-433-6313	(877)-299-9062	(877)-299-9062	5000	(877)-299-9062	(877)-299-9062	(800)-433-6313	(800)-433-6313
H3813	003	0	1	04	01	H3813_003_0	8		ODS HEALTH PLAN, INC.	ODS Advantage	www.odscompanies.com/odsadvantage	H3813	003	2007	01	04	1	ODS Advantage PPOrx Select		State of Oregon	2	0		2				2		(800)-433-6313	(800)-433-6313	(877)-299-9062	(877)-299-9062	5000	(877)-299-9062	(877)-299-9062	(800)-433-6313	(800)-433-6313
H3813	801	0	1	04	01	H3813_801_0	4		ODS HEALTH PLAN, INC.	ODS Advantage	www.odscompanies.com/odsadvantage	H3813	801	2007	01	04	1	ODS Advantage PPO Employer Option		State of Oregon	1	0		2				2		(800)-433-6313	(800)-433-6313	(877)-299-9062	(877)-299-9062	5000				
H3813	802	0	1	04	01	H3813_802_0	4		ODS HEALTH PLAN, INC.	ODS Advantage	www.odscompanies.com/odsadvantage	H3813	802	2007	01	04	1	ODS Advantage PPOrx Employer Option		State of Oregon	1	0		2				2		(800)-433-6313	(800)-433-6313	(877)-299-9062	(877)-299-9062	5000	(888)-786-7509	(877)-299-9062	(800)-433-6313	(800)-433-6313
H3814	001	0	1	01	01	H3814_001_0	2		ATRIO HEALTH PLANS	ATRIO MyAdvantage	www.atriohp.com	H3814	001	2007	01	01	1	ATRIO MyAdvantage I		Coos, Klamath & Douglas Counties	2	0		2				2		(800)-735-2900	(800)-735-2900	(877)-672-8620	(877)-672-8620	721				
H3814	004	0	1	01	01	H3814_004_0	6		ATRIO HEALTH PLANS	ATRIO MyAdvantage	www.atriohp.com	H3814	004	2007	01	01	1	ATRIO MyAdvantage I Rx		Coos, Douglas and Klamath Counties	2	0		2				2		(800)-735-2900	(800)-735-2900	(877)-672-8620	(877)-672-8620	835	(877)-672-8620	(877)-672-8620	(800)-735-2900	(800)-735-2900
H3814	005	0	1	01	01	H3814_005_0	1		ATRIO HEALTH PLANS	ATRIO MyAdvantage	www.atriohp.com	H3814	005	2007	01	01	1	ATRIO MyAdvantage II		Coos, Douglas and Klamath Counties	2	0		2				2		(800)-735-2900	(800)-735-2900	(877)-672-8620	(877)-672-8620	241				
H3814	006	0	1	01	01	H3814_006_0	5		ATRIO HEALTH PLANS	ATRIO MyAdvantage	www.atriohp.com	H3814	006	2007	01	01	1	ATRIO MyAdvantage II Rx		Coos, Douglas and Klamath Counties	2	0		2				2		(800)-735-2900	(800)-735-2900	(877)-672-8620	(877)-672-8620	280	(877)-672-8620	(877)-672-8620	(800)-735-2900	(800)-735-2900
H3814	007	0	1	01	01	H3814_007_0	4		ATRIO HEALTH PLANS	ATRIO MyAdvantage	www.atriohp.com	H3814	007	2007	01	01	1	ATRIO MyAdvantage SNP		Coos, Douglas and Klamath Counties	2	0		1	3	1	2	2		(800)-735-2900	(800)-735-2900	(877)-672-8620	(877)-672-8620	2294	(877)-672-8620	(877)-672-8620	(800)-735-2900	(800)-735-2900
H3815	001	0	1	01	01	H3815_001_0	7		CITIZENS CHOICE HEALTHPLAN	Citizens Choice Healthplan	www.CitizensChoiceHealth.com	H3815	001	2007	01	01	1	Citizens Choice Healthplan		Los Angeles and Orange Counties, CA	2	0		2				2		(866)-516-9366	(866)-516-9366	(866)-634-2247	(866)-646-2247	4500	(866)-634-2247	(866)-646-2247	(866)-516-9366	(866)-516-9366
H3817	001	0	1	04	01	H3817_001_0	4		REGENCE BLUECROSS BLUESHIELD OF OR	Regence BlueCross BlueShield of Oregon	http://www.or.regence.com	H3817	001	2007	01	04	1	MedAdvantage		Port/Metro/Yamhill/Marion/Polk/Clark Co,Wa	2	0		2				2		(800)-382-1003	(800)-382-1003	(800)-541-8981	(800)-452-2909					
H3817	002	0	1	04	01	H3817_002_0	4		REGENCE BLUECROSS BLUESHIELD OF OR	Regence BlueCross BlueShield of Oregon	http://www.or.regence.com	H3817	002	2007	01	04	1	MedAdvantage + Rx		Port/Metro/Yamhill/Marion/Polk/Clark Co, WA	2	0		2				2		(800)-382-1003	(800)-382-1003	(800)-541-8981	(800)-452-2909		(800)-541-8981	(800)-452-2909	(800)-382-1003	(800)-382-1003
H3817	003	0	1	04	01	H3817_003_0	4		REGENCE BLUECROSS BLUESHIELD OF OR	Regence BlueCross BlueShield of Oregon	http://www.or.regence.com	H3817	003	2007	01	04	1	MedAdvantage + Enhanced Rx		Port/Metro/Yamhill/Marion/Polk/Clark Co,Wa	2	0		2				2		(800)-382-1003	(800)-382-1003	(800)-541-8981	(800)-452-2909		(800)-541-8981	(800)-452-2909	(800)-382-1003	(800)-382-1003
H3818	001	0	1	01	01	H3818_001_0	7		FAMILYCARE HEALTH PLANS, INC.	FamilyCare Health Plans, Inc.	www.premiercareplus.org	H3818	001	2007	01	01	1	PremierCare  Advantage Rx		Clackams,Multnomah,Washington, Clatsop County	2	0		2				2		(800)-735-2900	(800)-735-2900	(866)-798-2273	(866)-225-2273	100	(866)-798-2273	(866)-225-2273	(800)-735-2900	(800)-735-2900
H3818	002	0	1	01	01	H3818_002_0	7		FAMILYCARE HEALTH PLANS, INC.	FamilyCare Health Plans, Inc.	www.premiercareplus.org	H3818	002	2007	01	01	1	PremierCare Plus		Clackamas,Multnomah,Morrow,Umatilla, Washington, C	2	0		1	3	1	2	2		(800)-735-2900	(800)-735-2900	(866)-798-2273	(866)-225-2273	60	(866)-798-2273	(866)-225-2273	(800)-735-2900	(800)-735-2900
H3818	003	0	1	01	01	H3818_003_0	6		FAMILYCARE HEALTH PLANS, INC.	FamilyCare Health Plans, Inc.	www.premiercareplus.org	H3818	003	2007	01	01	1	PremierCare Choice Rx		Clackamas, Clatsop, Multnomah, Washington Counties	2	0		2				2		(800)-735-2900	(800)-735-2900	(866)-798-2273	(866)-225-2273	100	(866)-798-2273	(866)-225-2273	(800)-735-2900	(800)-735-2900
H3818	004	0	1	01	01	H3818_004_0	4		FAMILYCARE HEALTH PLANS, INC.	FamilyCare Health Plans, Inc.	www.premiercareplus.org	H3818	004	2007	01	01	1	PremierCare Choice		Clackamas, Clatsop, Multnomah, Washington Counties	2	0		2				2		(800)-735-2900	(800)-735-2900	(866)-798-2273	(866)-225-2273	100				
H3851	005	0	1	18	06	H3851_005_0	1		REGENCE BLUE CROSS BLUE SHIELD OF OREGON	Regence BlueCross BlueShield Of Oregon	http://www.regence.com	H3851	005	2007	06	18	1	Preferred Choice Sixty-Five		Lane County	2	0		2				2		(800)-382-1003	(800)-382-1003	(800)-541-8981	(800)-541-8981	20000				
H3851	006	0	1	18	06	H3851_006_0	2		REGENCE BLUE CROSS BLUE SHIELD OF OREGON	Regence BlueCross BlueShield Of Oregon	http://www.regence.com	H3851	006	2007	06	18	1	Preferred Choice Sixty-Five Plus		Lane County	2	0		2				2		(800)-382-1003	(800)-382-1003	(800)-541-8981	(800)-541-8981	60				
H3851	007	0	1	18	06	H3851_007_0	1		REGENCE BLUE CROSS BLUE SHIELD OF OREGON	Regence BlueCross BlueShield Of Oregon	http://www.regence.com	H3851	007	2007	06	18	1	Preferred Choice Sixty-Five		Western Oregon	2	0		2				2		(800)-382-1003	(800)-382-1003	(800)-541-8981	(800)-541-8981	20000				
H3851	008	0	1	18	06	H3851_008_0	2		REGENCE BLUE CROSS BLUE SHIELD OF OREGON	Regence BlueCross BlueShield Of Oregon	http://www.regence.com	H3851	008	2007	06	18	1	Preferred Choice Sixty-Five Plus		Western Oregon	2	0		2				2		(800)-382-1003	(800)-382-1003	(800)-541-8981	(800)-541-8981	60				
H3851	011	0	2	18	06	H3851_011_0	2		REGENCE BLUE CROSS BLUE SHIELD OF OREGON	Regence BlueCross BlueShield Of Oregon	http://www.regence.com	H3851	011	2007	06	18	2	Part B only		Preferred Choice Sixty Five Part B	2	0		2				2		(800)-382-1003	(800)-382-1003	(800)-541-8981	(800)-541-8981	100				
H3856	007	0	2	01	01	H3856_007_0	3		REGENCE BLUE CROSS BLUE SHIELD OF OREGON	Regence BlueCross BlueShield Of Oregon	www.regence.com	H3856	007	2007	01	01	2	First Choice Sixty-Five, Part B Only		Portland Tri-County and Columbia	2	0		2				2		(800)-382-1003	(800)-382-1003	(800)-541-8981	(800)-452-2909	5				
H3856	010	0	1	01	01	H3856_010_0	1		REGENCE BLUE CROSS BLUE SHIELD OF OREGON	Regence BlueCross BlueShield Of Oregon	www.regence.com	H3856	010	2007	01	01	1	First Choice Sixty-Five		Portland/Columbia-Marion-Polk Co/Clark Co, WA	2	0		2				2		(800)-382-1003	(800)-382-1003	(800)-541-8981	(800)-452-2909	24000				
H3856	014	0	2	01	01	H3856_014_0	3		REGENCE BLUE CROSS BLUE SHIELD OF OREGON	Regence BlueCross BlueShield Of Oregon	www.regence.com	H3856	014	2007	01	01	2	First Choice Sixty-Five Part B Only + Rx		Portland/Columbia-Marion-Polk Co/Clark Co	2	0		2				2		(800)-382-1003	(800)-382-1003	(800)-541-8981	(800)-452-2909	5	(800)-541-8981	(800)-452-2909	(800)-382-1003	(800)-382-1003
H3856	016	0	1	01	01	H3856_016_0	2		REGENCE BLUE CROSS BLUE SHIELD OF OREGON	Regence BlueCross BlueShield Of Oregon	www.regence.com	H3856	016	2007	01	01	1	First Choice Sixty-Five + Rx		Portland/Columbia-Marion-Polk Co/Clark Co	2	0		2				2		(800)-382-1003	(800)-382-1003	(800)-541-8981	(800)-452-2909	24000	(800)-541-8981	(800)-452-2909	(800)-382-1003	(800)-382-1003
H3864	001	0	1	01	01	H3864_001_0	4		C. OREGON I. HLTH SVCS, INC., DBA CLEAR CHOICE HEA	Clear Choice Health Plans	clearchoicehp.com	H3864	001	2007	01	01	1	Clear Choice Traditional Plan		Central & Eastern Oregon & Mid-Columbia Gorge	2	0		2				2		(800)-735-2900	(800)-735-2900	(888)-863-3637	(888)-863-3637	3049				
H3864	002	0	1	01	01	H3864_002_0	3		C. OREGON I. HLTH SVCS, INC., DBA CLEAR CHOICE HEA	Clear Choice Health Plans	clearchoicehp.com	H3864	002	2007	01	01	1	Clear Choice Value Plan		Central & Eastern Oregon & Mid-Columbia Gorge	2	0		2				2		(800)-735-2900	(800)-735-2900	(888)-863-3637	(888)-863-3637	909				
H3864	006	0	1	01	01	H3864_006_0	7		C. OREGON I. HLTH SVCS, INC., DBA CLEAR CHOICE HEA	Clear Choice Health Plans	clearchoicehp.com	H3864	006	2007	01	01	1	Clear Choice Value Advantage		Central & Eastern Oregon & Mid-Columbia Gorge	2	0		2				2		(800)-735-2900	(800)-735-2900	(888)-863-3637	(888)-863-3637	824	(800)-570-1673	(800)-570-1673	(800)-735-2900	(800)-735-2900
H3864	007	0	1	02	01	H3864_007_0	7		C. OREGON I. HLTH SVCS, INC., DBA CLEAR CHOICE HEA	Clear Choice Health Plans	clearchoicehp.com	H3864	007	2007	01	02	1	Clear Choice Traditional Advantage		Central & Eastern Oregon & Mid-Columbia Gorge	2	0		2				2		(800)-735-2900	(800)-735-2900	(888)-863-3637	(888)-863-3637	3305	(800)-570-1673	(800)-570-1673	(800)-735-2900	(800)-735-2900
H3864	801	0	1	01	01	H3864_801_0	2		C. OREGON I. HLTH SVCS, INC., DBA CLEAR CHOICE HEA	Clear Choice Health Plans	clearchoicehp.com	H3864	801	2007	01	01	1	Clear Choice  PERS Traditional		Central & Eastern Oregon & Mid-Columbia Gorge	1	0		2				2		(800)-735-2900	(800)-735-2900	(888)-863-3637	(888)-863-3637	1202				
H3864	802	0	1	01	01	H3864_802_0	4		C. OREGON I. HLTH SVCS, INC., DBA CLEAR CHOICE HEA	Clear Choice Health Plans	clearchoicehp.com	H3864	802	2007	01	01	1	Clear Choice PERS Traditional		Central & Eastern Oregon & Mid-Columbia Gorge	1	0		2				2		(800)-735-2900	(800)-735-2900	(888)-863-3637	(888)-863-3637	1202	(800)-570-1673	(800)-570-1673	(800)-735-2900	(800)-735-2900
H3887	001	0	1	02	01	H3887_001_0	5		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.EvercareHealthPlans.com	H3887	001	2007	01	02	1	Evercare Plan IH-POS		DuPage, Kane and Lake Counties	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(888)-834-3711		(800)-393-0993	(888)-834-3711	(888)-685-8480	(888)-685-8480
H3887	002	0	1	02	01	H3887_002_0	7		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.EvercareHealthPlans.com	H3887	002	2007	01	02	1	Evercare Plan DH-POS		DuPage, Kane and Lake Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(888)-834-3711		(800)-393-0993	(888)-834-3711	(888)-685-8480	(888)-685-8480
H3887	003	0	1	02	01	H3887_003_0	5		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.SecureHorizons.com	H3887	003	2007	01	02	1	SecureHorizons MedicareComplete Plus Plan1		Kane and Will Counties	2	0		2				2		(888)-865-8480	(800)-387-1074	(888)-867-5580	(800)-555-5757		(888)-867-5580	(800)-555-5757	(888)-685-8480	(888)-685-8480
H3887	004	0	1	02	01	H3887_004_0	3		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.EvercareHealthPlans.com	H3887	004	2007	01	02	1	MedicareComplete Plus Plan 2		Kane and Will Counties	2	0		2				2		(888)-865-8480	(888)-685-8480	(888)-867-5580	(888)-867-5580					
H3887	801	0	1	02	01	H3887_801_0	6		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.EvercareHealthPlans.com	H3887	801	2007	01	02	1	MedicareComplete Plus Plan 1		Kane and Will Counties	1	0		2				2		(888)-865-8480	(888)-685-8480	(888)-867-5580	(888)-867-5580		(888)-867-5580	(888)-867-5580	(888)-685-8480	(888)-685-8480
H3887	802	0	1	02	01	H3887_802_0	3		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.EvercareHealthPlans.com	H3887	802	2007	01	02	1	MedicareComplete Plus Plan 2		Kane and Will Counties	1	0		2				2		(888)-685-8480	(888)-865-8480	(888)-867-5548	(888)-867-5580					
H3907	002	0	1	01	01	H3907_002_0	3		UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	www.upmchealthplan.com	H3907	002	2007	01	01	1	UPMC for Life HMO		Western Pennsylvania	2	0		2				2		(800)-361-2629	(800)-361-2629	(877)-539-3080	(877)-381-3765					
H3907	006	0	1	01	01	H3907_006_0	3		UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	www.upmchealthplan.com	H3907	006	2007	01	01	1	UPMC for Life HMO Rx Enhanced		Western Pennsylvania	2	0		2				2		(800)-361-2629	(800)-361-2629	(877)-539-3080	(877)-381-3765		(877)-539-3080	(877)-381-3765	(800)-361-2629	(800)-361-2629
H3907	020	0	1	01	01	H3907_020_0	4		UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	www.upmchealthplan.com	H3907	020	2007	01	01	1	UPMC for Life Specialty Plan		Western Pennsylvania	2	0		1	3	1	2	2		(866)-407-8762	(866)-407-8762	(800)-606-8648	(866)-405-8762		(800)-606-8648	(866)-405-8762	(866)-407-8762	(866)-407-8762
H3907	021	0	1	01	01	H3907_021_0	4		UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	www.upmchealthplan.com	H3907	021	2007	01	01	1	UPMC for Life HMO Rx		Western Pennsylvania	2	0		2				2		(800)-361-2629	(800)-361-2629	(877)-539-3080	(877)-381-3765		(877)-539-3080	(877)-381-3765	(800)-361-2629	(800)-361-2629
H3907	801	0	1	01	01	H3907_801_0	2		UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	www.upmchealthplan.com	H3907	801	2007	01	01	1	UPMC Employer Group		Western Pennsylvania	1	0		2				2		(800)-361-2629	(800)-361-2629	(877)-539-3080	(877)-381-3765					
H3907	802	0	1	01	01	H3907_802_0	2		UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	www.upmchealthplan.com	H3907	802	2007	01	01	1	UPMC Employer Group - D (CY)		Western Pennsylvania	1	0		2				2		(800)-361-2629	(800)-361-2629	(877)-539-3080	(877)-381-3765		(877)-539-3080	(877)-381-3765	(800)-361-2629	(800)-361-2629
H3907	803	0	1	01	01	H3907_803_0	2		UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	www.upmchealthplan.com	H3907	803	2007	01	01	1	UPMC Employer Group - D (FY)		Western Pennsylvania	1	0		2				2		(800)-361-2629	(800)-361-2629	(877)-539-3080	(877)-381-3765		(877)-539-3080	(877)-381-3765	(800)-361-2629	(800)-361-2629
H3908	001	0	1	20	08	H3908_001_0	2		TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA	Trustees Of The University Of Pennsylvania	www.LIFEUPenn.org	H3908	001	2007	08	20	1	Trustees of the University of Pennsylvania		Philadelphia, PA	2	0		2				2						4026	(215)-573-7200	(215)-573-7200		
H3908	002	0	1	20	08	H3908_002_0	2		TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA	Trustees Of The University Of Pennsylvania	www.LIFEUPenn.org	H3908	002	2007	08	20	1	Trustees of the University of Pennsylvania		Philadelphia, PA	2	0		2				2						0	(215)-573-7200	(215)-573-7200		
H3909	001	0	1	04	01	H3909_001_0	6		INDEPENDENCE BLUE CROSS	Personal Choice 65	www.site65.com	H3909	001	2007	01	04	1	Personal Choice 65 Standard Rx Option II		Phila, Bucks, Chester, Delaware and Montgomery Cty	2	0		2				2		(888)-857-4816	(877)-219-5457	(888)-718-3333	(877)-393-6733	17129	(888)-718-3333	(877)-393-6733	(888)-857-4816	(877)-219-5457
H3909	007	0	1	04	01	H3909_007_0	3		INDEPENDENCE BLUE CROSS	Personal Choice 65	www.site65.com	H3909	007	2007	01	04	1	Personal Choice 65 Standard Medical Only		Counties:Bucks,Chester,Delaware,Montgomery,Phila	2	0		2				2		(888)-857-4816	(877)-219-5457	(888)-718-3333	(877)-393-6733	726				
H3909	801	0	1	04	01	H3909_801_0	2		INDEPENDENCE BLUE CROSS	Personal Choice 65	www.site65.com	H3909	801	2007	01	04	1	Personal Choice 65 Group Medical Only		County: Bucks, Chester, Delaware, Montgomery,Phila	1	0		2				2		(888)-857-4816	(877)-219-5457	(888)-718-3333	(877)-393-6733	1138				
H3909	802	0	1	04	01	H3909_802_0	6		INDEPENDENCE BLUE CROSS	Personal Choice 65	www.site65.com	H3909	802	2007	01	04	1	Personal Choice 65 Rx Option I		County: Bucks, Chester, Delaware, Montgomery,Phila	1	0		2				2		(888)-857-4816	(877)-219-5457	(888)-718-3333	(877)-393-6733	1508	(888)-718-3333	(877)-393-6733	(888)-857-4816	(877)-219-5457
H3912	001	0	1	04	01	H3912_001_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.EvercareHealthPlans.com	H3912	001	2007	01	04	1	Evercare Plan IP		Philadelphia Metro Area	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(866)-297-9232		(800)-393-0993	(866)-297-9232	(888)-685-8480	(888)-685-8480
H3912	004	0	1	04	01	H3912_004_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.EvercareHealthPlans.com	H3912	004	2007	01	04	1	Evercare Plan IP		Lancaster and York Counties	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(866)-297-9232		(800)-393-0993	(866)-297-9232	(888)-685-8480	(888)-685-8480
H3912	005	0	1	04	01	H3912_005_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.EvercareHealthPlans.com	H3912	005	2007	01	04	1	Evercare Plan DP		Lancaster and York Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(866)-810-1498	(866)-297-9232		(866)-810-1498	(866)-297-9232	(888)-685-8480	(888)-685-8480
H3912	006	0	1	04	01	H3912_006_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.EvercareHealthPlans.com	H3912	006	2007	01	04	1	Evercare Plan DP		Bucks, Chester and Philadelphia Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(866)-810-1498	(866)-297-9232		(866)-810-1498	(866)-297-9232	(888)-685-8480	(888)-685-8480
H3916	001	0	1	04	01	H3916_001_0	5		HIGHMARK, INC.	Highmark Inc.	www.highmark.com	H3916	001	2007	01	04	1	FreedomBlue Classic PPO Southwestern PA		Southwestern PA	2	0		2				2		(800)-988-0668	(800)-862-0709	(866)-306-1061	(800)-350-1973	9992	(866)-306-1061	(800)-350-1973	(800)-988-0668	(800)-862-0709
H3916	002	0	1	04	01	H3916_002_0	5		HIGHMARK, INC.	Highmark Inc.	www.highmark.com	H3916	002	2007	01	04	1	FreedomBlue Classic PPO West Central PA		West Central PA	2	0		2				2		(800)-988-0668	(800)-862-0709	(866)-306-1061	(800)-350-1973	9992	(866)-306-1061	(800)-350-1973	(800)-988-0668	(800)-862-0709
H3916	003	0	1	04	01	H3916_003_0	5		HIGHMARK, INC.	Highmark Inc.	www.highmark.com	H3916	003	2007	01	04	1	FreedomBlue Classic PPO CrawfordErieMercer		Crawford, Erie & Mercer Counties	2	0		2				2		(800)-988-0668	(800)-862-0709	(866)-306-1061	(800)-350-1973	9992	(866)-306-1061	(800)-350-1973	(800)-988-0668	(800)-862-0709
H3916	005	0	1	04	01	H3916_005_0	5		HIGHMARK, INC.	Highmark Inc.	www.highmark.com	H3916	005	2007	01	04	1	FreedomBlue PPO Deluxe East Central PA		Central PA	2	0		2				2		(800)-988-0668	(800)-862-0709	(866)-306-1061	(800)-350-1973	3520	(866)-306-1061	(800)-350-1973	(800)-988-0668	(800)-862-0709
H3916	012	0	1	04	01	H3916_012_0	4		HIGHMARK, INC.	Highmark Inc.	www.highmark.com	H3916	012	2007	01	04	1	FreedomBlue PPO Value East Central PA		Central PA	2	0		2				2		(800)-988-0668	(800)-862-0709	(866)-306-1061	(800)-350-1973	575				
H3916	015	0	1	04	01	H3916_015_0	5		HIGHMARK, INC.	Highmark Inc.	www.highmark.com	H3916	015	2007	01	04	1	FreedomBlue PPO Standard East Central PA		Central PA	2	0		2				2		(800)-988-0668	(800)-862-0709	(866)-306-1061	(800)-350-1973	2105	(866)-306-1061	(800)-350-1973	(800)-988-0668	(800)-862-0709
H3916	018	0	1	04	01	H3916_018_0	5		HIGHMARK, INC.	Highmark Inc.	www.highmark.com	H3916	018	2007	01	04	1	FreedomBlue PPO Basic Rx East Central PA		Central PA	2	0		2				2		(800)-988-0668	(800)-862-0709	(866)-306-1061	(800)-350-1973	523	(866)-306-1061	(800)-350-1973	(800)-988-0668	(800)-862-0709
H3916	019	0	1	04	01	H3916_019_0	5		HIGHMARK, INC.	Highmark Inc.	www.highmark.com	H3916	019	2007	01	04	1	FreedomBlue PPO HD Rx Southwestern PA		Southwestern PA	2	0		2				2		(800)-988-0668	(800)-862-0709	(866)-306-1061	(800)-350-1973	417	(866)-306-1061	(800)-350-1973	(800)-988-0668	(800)-862-0709
H3916	020	0	1	04	01	H3916_020_0	5		HIGHMARK, INC.	Highmark Inc.	www.highmark.com	H3916	020	2007	01	04	1	FreedomBlue PPO HD Rx West Central PA		West Central PA	2	0		2				2		(800)-988-0668	(800)-862-0709	(866)-306-1061	(800)-350-1973	417	(866)-306-1061	(800)-350-1973	(800)-988-0668	(800)-862-0709
H3916	021	0	1	04	01	H3916_021_0	5		HIGHMARK, INC.	Highmark Inc.	www.highmark.com	H3916	021	2007	01	04	1	FreedomBlue PPO HD Rx Crawford/Erie/Mercer		Crawford Erie Mercer, PA	2	0		2				2		(800)-988-0668	(800)-862-0709	(866)-306-1061	(800)-350-1973	417	(866)-306-1061	(800)-350-1973	(800)-988-0668	(800)-862-0709
H3916	801	0	1	04	01	H3916_801_0	5		HIGHMARK, INC.	Highmark Inc.	www.highmark.com	H3916	801	2007	01	04	1	FreedomBlue PPO MA Pennsylvania		Pennsylvania	1	0		2				2		(800)-988-0668	(800)-862-0709	(866)-306-1061	(800)-350-1973	8362				
H3916	802	0	1	04	01	H3916_802_0	6		HIGHMARK, INC.	Highmark Inc.	www.highmark.com	H3916	802	2007	01	04	1	FreedomBlue PPO MA-PD Pennsylvania		Pennsylvania	1	0		2				2		(800)-988-0668	(800)-862-0709	(866)-306-1061	(800)-350-1973	8362	(866)-306-1061	(800)-350-1973	(800)-988-0668	(800)-862-0709
H3916	803	0	1	04	01	H3916_803_0	5		HIGHMARK, INC.	Highmark Inc.	www.highmark.com	H3916	803	2007	01	04	1	FreedomBlue PPO MA PA Non-Calendar		Pennsylvania	1	0		2				2		(800)-988-0668	(800)-862-0709	(866)-306-1061	(800)-350-1973	8362				
H3916	804	0	1	04	01	H3916_804_0	6		HIGHMARK, INC.	Highmark Inc.	www.highmark.com	H3916	804	2007	01	04	1	FreedomBlue PPO MA-PD PA Non-Calendar		Pennsylavania	1	0		2				2		(800)-988-0668	(800)-862-0709	(866)-306-1061	(800)-350-1973	8362	(866)-306-1061	(800)-350-1973	(800)-988-0668	(800)-862-0709
H3917	001	0	1	20	08	H3917_001_0	3		PITTSBURGH CARE PARTNERSHIP, INC.	Community LIFE	www.commlife.org	H3917	001	2007	08	20	1	Pittsburgh Care Partnership, Inc.		Pittsburgh Metro Area	2	0		2				2							(412)-436-1320	(412)-436-1320		
H3917	002	0	1	20	08	H3917_002_0	3		PITTSBURGH CARE PARTNERSHIP, INC.	Community LIFE	www.commlife.org	H3917	002	2007	08	20	1	Pittsburgh Care Partnership, Inc.		Pittsburgh Metro Area	2	0		2				2							(412)-436-1320	(412)-436-1320		
H3918	001	0	1	20	08	H3918_001_0	1		LIVING INDEPENDENCE FOR THE ELDERLY	LIFE Pittsburgh	LIFEPittsburgh.org	H3918	001	2007	08	20	1	LIFE Pittsburgh Dual Eligibles Pharmacy		Partial Allegheny*	2	0		2				2						250	(412)-388-8042	(412)-388-8042		
H3918	002	0	1	20	08	H3918_002_0	2		LIVING INDEPENDENCE FOR THE ELDERLY	LIFE Pittsburgh	LIFEPittsburgh.org	H3918	002	2007	08	20	1	LIFE Pittsburgh Medicare Only Pharmacy		Allegheny *	2	0		2				2						10	(412)-388-8042	(412)-388-8042		
H3919	001	0	1	20	08	H3919_001_0	1		ST AGNES MEDICAL CENTER	St Agnes LIFE	www.stagnesphila.org	H3919	001	2007	08	20	1	St. Agnes LIFE		Philadelphia	2	0		2				2						170	(800)-820-4512	(800)-820-4512		
H3919	002	0	1	20	08	H3919_002_0	1		ST AGNES MEDICAL CENTER	St Agnes LIFE	www.stagnesphila.org	H3919	002	2007	08	20	1	St. Agnes LIFE		Philadelphia	2	0		2				2						5	(800)-820-4512	(800)-820-4512		
H3920	001	0	1	01	01	H3920_001_0	5		UNISON HEALTH PLAN OF PENNSYLVANIA, INC.	Unison Advantage	www.unisonhealthplan.com	H3920	001	2007	01	01	1	Unison Advantage Choice		Pennsylvania	2	0		2				2		(888)-616-0021	(888)-616-0021	(800)-209-4009	(800)-400-4003	2000	(800)-290-4009	(800)-400-4003	(888)-616-0021	(888)-616-0021
H3920	002	0	1	01	01	H3920_002_0	4		UNISON HEALTH PLAN OF PENNSYLVANIA, INC.	Unison Advantage	www.unisonhealthplan.com	H3920	002	2007	01	01	1	Unison Advantage Preferred		Pennsylvania	2	0		2				2		(888)-616-0021	(888)-616-0021	(800)-209-4009	(800)-400-4003	837	(800)-290-4009	(800)-400-4003	(888)-616-0021	(888)-616-0021
H3920	003	0	1	01	01	H3920_003_0	8		UNISON HEALTH PLAN OF PENNSYLVANIA, INC.	Unison Advantage	www.unisonhealthplan.com	H3920	003	2007	01	01	1	Unison Advantage Plus		Pennsylvania	2	0		1	3	2	1	2		(888)-616-0021	(888)-616-0021	(800)-209-4009	(800)-400-4003	17319	(800)-290-4009	(800)-400-4003	(888)-616-0021	(888)-616-0021
H3921	001	0	1	04	01	H3921_001_0	8		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H3921	001	2007	01	04	1	MedicareComplete Choice Plan 1		York County	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-901-4449	(800)-555-5757		(800)-901-4449	(800)-555-5757	(888)-685-8480	(888)-685-8480
H3921	003	0	1	04	01	H3921_003_0	9		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H3921	003	2007	01	04	1	MedicareComplete Choice Plan 1		Lancaster County	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-901-4449	(800)-555-5757		(800)-901-4449	(800)-555-5757	(888)-685-8480	(888)-685-8480
H3921	005	0	1	04	01	H3921_005_0	5		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H3921	005	2007	01	04	1	MedicareComplete Choice Plan 2		York County	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-901-4449	(800)-201-4879					
H3921	006	0	1	04	01	H3921_006_0	5		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H3921	006	2007	01	04	1	MedicareComplete Choice Plan 2		Lancaster County	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-901-4449	(800)-201-4879					
H3921	801	0	1	04	01	H3921_801_0	5		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H3921	801	2007	01	04	1	MedicareComplete Choice		Lancaster and York Counties	1	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5548	(888)-867-5548		(888)-867-5548	(888)-867-5548	(888)-685-8480	(888)-685-8480
H3923	001	0	1	04	01	H3923_001_0	6		CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	H3923	001	2007	01	04	1	SeniorBlue PPO - Option 3		Dauphin,Lehigh,Northampton	2	0		2				2		(800)-779-6961	(800)-779-6961	(866)-987-4213	(800)-990-4201	22	(866)-987-4213	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3923	002	0	1	04	01	H3923_002_0	6		CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	H3923	002	2007	01	04	1	SeniorBlue PPO - Option 3		Berks,Cumberland,Schuylkill	2	0		2				2		(800)-779-6961	(800)-779-6961	(866)-987-4213	(800)-990-4201	50	(866)-987-4213	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3923	003	0	1	04	01	H3923_003_0	6		CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	H3923	003	2007	01	04	1	SeniorBlue PPO - Option 3		Ce,Co,Ju,Mi,Mo,No,Pe,Sn,Un	2	0		2				2		(800)-779-6961	(800)-779-6961	(866)-987-4213	(800)-990-4201	5	(866)-987-4213	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3923	004	0	1	04	01	H3923_004_0	6		CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	H3923	004	2007	01	04	1	SeniorBlue PPO - Option 3		Ad,Fr,Fu,La,Le,Yo	2	0		2				2		(800)-779-6961	(800)-779-6961	(866)-987-4213	(800)-990-4201	106	(866)-987-4213	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3923	009	0	1	04	01	H3923_009_0	4		CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	H3923	009	2007	01	04	1	SeniorBlue PPO - Option 4		Dphin,Lh,Northampton	2	0		2				2		(800)-779-6961	(800)-779-6961	(866)-987-4213	(800)-990-4201	5				
H3923	010	0	1	04	01	H3923_010_0	4		CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	H3923	010	2007	01	04	1	SeniorBlue PPO - Option 4		Berks,Cumb,Schyl	2	0		2				2		(800)-779-6961	(800)-779-6961	(866)-987-4213	(800)-990-4201	5				
H3923	011	0	1	04	01	H3923_011_0	4		CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	H3923	011	2007	01	04	1	SeniorBlue PPO - Option 4		Ctr,Col,Jun,Miff,Mont,Northum,Py,Sny,Un	2	0		2				2		(800)-779-6961	(800)-779-6961	(866)-987-4213	(800)-990-4201	5				
H3923	012	0	1	04	01	H3923_012_0	4		CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	H3923	012	2007	01	04	1	SeniorBlue PPO - Option 4		Adm,Frank,Fult,Lanc,Lb,Yk	2	0		2				2		(800)-779-6961	(800)-779-6961	(866)-987-4213	(800)-990-4201	5				
H3923	013	0	1	04	01	H3923_013_0	9		CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	H3923	013	2007	01	04	1	SeniorBlue PPO - Option 2		Dauphin,Lehigh,Northampton	2	0		2				2		(800)-779-6961	(800)-779-6961	(866)-987-4213	(800)-990-4201	77	(866)-987-4213	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3923	014	0	1	04	01	H3923_014_0	9		CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	H3923	014	2007	01	04	1	SeniorBlue PPO - Option 2		Berks,Cumberland,Schuylkill	2	0		2				2		(800)-779-6961	(800)-779-6961	(866)-987-4213	(800)-990-4201	167	(866)-987-4213	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3923	015	0	1	04	01	H3923_015_0	9		CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	H3923	015	2007	01	04	1	SeniorBlue PPO - Option 2		Ctr,Col,Jun,Miff,Mont,Northum,Pry,Sny,Un	2	0		2				2		(800)-779-6961	(800)-779-6961	(866)-987-4213	(800)-990-4201	34	(866)-987-4213	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3923	016	0	1	04	01	H3923_016_0	9		CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	H3923	016	2007	01	04	1	SeniorBlue PPO - Option 2		Adm,Frank,Fult,Lanc,Leb,Yrk	2	0		2				2		(800)-779-6961	(800)-779-6961	(866)-987-4213	(800)-990-4201	407	(866)-987-4213	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3923	017	0	1	04	01	H3923_017_0	8		CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	H3923	017	2007	01	04	1	SeniorBlue PPO - Option 1		Dauphin,Lehigh,Northampton	2	0		2				2		(800)-779-6961	(800)-779-6961	(866)-987-4213	(800)-990-4201	111	(866)-987-4213	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3923	018	0	1	04	01	H3923_018_0	8		CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	H3923	018	2007	01	04	1	SeniorBlue PPO - Option 1		Berks,Cumberland,Schuylkill	2	0		2				2		(800)-779-6961	(800)-779-6961	(866)-987-4213	(800)-990-4201	217	(866)-987-4213	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3923	019	0	1	04	01	H3923_019_0	8		CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	H3923	019	2007	01	04	1	SeniorBlue PPO - Option 1		Ctr,Col,Jun,Miff,Mont,Northum,Pry,Sny,Un	2	0		2				2		(800)-779-6961	(800)-779-6961	(866)-987-4213	(800)-990-4201	22	(866)-987-4213	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3923	020	0	1	04	01	H3923_020_0	8		CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	H3923	020	2007	01	04	1	SeniorBlue PPO - Option 1		Adm,Frank,Fult,Lanc,Leb,Yrk	2	0		2				2		(800)-779-6961	(800)-779-6961	(866)-987-4213	(800)-990-4201	457	(866)-987-4213	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3923	801	0	1	04	01	H3923_801_0	5		CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	H3923	801	2007	01	04	1	MA PPO - ER with Rx		Central PA	1	0		2				2		(800)-779-6961	(800)-779-6961	(866)-987-4213	(800)-990-4201	51	(866)-987-4213	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3923	802	0	1	04	01	H3923_802_0	3		CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	H3923	802	2007	01	04	1	MA PPO - ER w/o Rx		Cental PA	1	0		2				2		(800)-779-6961	(800)-779-6961	(866)-987-4213	(800)-990-4201	5				
H3923	803	0	1	04	01	H3923_803_0	4		CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	H3923	803	2007	01	04	1	MA PPO - ER Non-Calendar w Rx		Central PA	1	0		2				2		(800)-779-6961	(800)-779-6961	(866)-987-4213	(800)-990-4201	51	(800)-779-6962	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3923	804	0	1	04	01	H3923_804_0	3		CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	H3923	804	2007	01	04	1	MA PPO - ER Non-Calendar w/o Rx		Central PA	1	0		2				2		(800)-779-6961	(800)-779-6961	(866)-987-4213	(800)-990-4201	5				
H3924	001	0	1	04	01	H3924_001_0	6		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	001	2007	01	04	1	Geisinger Health Plan Gold Preferred		Central Pennsylvania	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3924	002	0	1	04	01	H3924_002_0	4		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	002	2007	01	04	1	GHP Gold Preferred Standard Rx		Central Pennsylvania	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	003	0	1	04	01	H3924_003_0	5		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	003	2007	01	04	1	GHP Gold Preferred $0 Deductible Rx		Central Pennsylvania	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	004	0	1	04	01	H3924_004_0	4		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	004	2007	01	04	1	GHP Gold Preferred Enhanced Rx		Central Pennsyvania	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	005	0	1	04	01	H3924_005_0	6		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	005	2007	01	04	1	Geisinger Health Plan Gold Preferred		Wyoming County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3924	006	0	1	04	01	H3924_006_0	4		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	006	2007	01	04	1	GHP Gold Preferred Standard Rx		Wyoming County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	007	0	1	04	01	H3924_007_0	5		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	007	2007	01	04	1	GHP Gold Preferred $0 Deductible Rx		Wyoming County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	008	0	1	04	01	H3924_008_0	4		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	008	2007	01	04	1	GHP Gold Preferred Enhanced Rx		Wyoming County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	009	0	1	04	01	H3924_009_0	6		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	009	2007	01	04	1	Geisinger Health Plan Gold Preferred		Lackawanna County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3924	010	0	1	04	01	H3924_010_0	4		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	010	2007	01	04	1	GHP Gold Preferred Standard Rx		Lackawanna County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	011	0	1	04	01	H3924_011_0	5		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	011	2007	01	04	1	GHP Gold Preferred $0 Deductible Rx		Lackawanna County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	012	0	1	04	01	H3924_012_0	4		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	012	2007	01	04	1	GHP Gold Preferred Enhanced Rx		Lackawanna County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	013	0	1	04	01	H3924_013_0	6		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	013	2007	01	04	1	Geisinger Health Plan Gold Preferred		Luzerne County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3924	014	0	1	04	01	H3924_014_0	4		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	014	2007	01	04	1	GHP Gold Preferred Standard Rx		Luzerne County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	015	0	1	04	01	H3924_015_0	5		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	015	2007	01	04	1	GHP Gold Preferred $0 Deductible Rx		Luzerne County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	016	0	1	04	01	H3924_016_0	4		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	016	2007	01	04	1	GHP Gold Preferred Enhanced Rx		Luzerne County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	017	0	1	04	01	H3924_017_0	6		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	017	2007	01	04	1	Geisinger Health Plan Gold Preferred		Clearfield and Mifflin Counties	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3924	018	0	1	04	01	H3924_018_0	4		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	018	2007	01	04	1	GHP Gold Preferred Standard Rx		Clearfield and Mifflin Counties	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	019	0	1	04	01	H3924_019_0	5		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	019	2007	01	04	1	GHP Gold Preferred $0 Deductible Rx		Clearfield and Mifflin Counties	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	020	0	1	04	01	H3924_020_0	4		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	020	2007	01	04	1	GHP Gold Preferred Enhanced Rx		Clearfield and Mifflin Counties	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	021	0	1	04	01	H3924_021_0	6		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	021	2007	01	04	1	Geisinger Health Plan Gold Preferred		Counties: Dauphin, Lancaster, Lebanon	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3924	022	0	1	04	01	H3924_022_0	4		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	022	2007	01	04	1	GHP Gold Preferred Standard Rx		Counties: Dauphin, Lancaster, Lebanon	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	023	0	1	04	01	H3924_023_0	5		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	023	2007	01	04	1	GHP Gold Preferred $0 Deductible Rx		Counties: Dauphin, Lancaster, Lebanon	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	024	0	1	04	01	H3924_024_0	4		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	024	2007	01	04	1	GHP Gold Preferred Enhanced Rx		Counties: Dauphin, Lancaster, Lebanon	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	025	0	1	04	01	H3924_025_0	6		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	025	2007	01	04	1	Geisinger Health Plan Gold Preferred		Counties: Blair, Cambria, Huntingdon, Juniata	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3924	026	0	1	04	01	H3924_026_0	4		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	026	2007	01	04	1	GHP Gold Preferred Standard Rx		Counties: Blair, Cambria, Huntingdon, Juniata	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	027	0	1	04	01	H3924_027_0	5		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	027	2007	01	04	1	GHP Gold Preferred $0 Deductible Rx		Counties: Blair, Cambria, Huntingdon, Juniata	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	028	0	1	04	01	H3924_028_0	4		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	028	2007	01	04	1	GHP Gold Preferred Enhanced Rx		Counties: Blair, Cambria, Huntingdon, Juniata	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	029	0	1	04	01	H3924_029_0	6		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	029	2007	01	04	1	Geisinger Health Plan Gold Preferred		Carbon and Monroe Counties	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3924	030	0	1	04	01	H3924_030_0	4		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	030	2007	01	04	1	GHP Gold Preferred Standard Rx		Carbon and Monroe Counties	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	031	0	1	04	01	H3924_031_0	5		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	031	2007	01	04	1	GHP Gold Preferred $0 Deductible Rx		Carbon and Monroe Counties	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3924	032	0	1	04	01	H3924_032_0	4		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Preferred	www.thehealthplan.com	H3924	032	2007	01	04	1	GHP Gold Preferred Enhanced Rx		Carbon and Monroe Counties	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3925	001	0	1	20	08	H3925_001_0	1		PENNSYLVANIA PACE, INC.	Senior LIFE Johnstown, Inc.	www.seniorlifejohnstown.com	H3925	001	2007	08	20	1	PA PACE 001		Cambria Somerset PACE Senior LIFE JTown	2	0		2				2						70	(800)-523-5076	(800)-523-5076		
H3925	002	0	1	20	08	H3925_002_0	1		PENNSYLVANIA PACE, INC.	Senior LIFE Johnstown, Inc.	www.seniorlifejohnstown.com	H3925	002	2007	08	20	1	PA PACE 002		Cambria Somerset PACE Senior LIFE JTown	2	0		2				2						10	(800)-523-5076	(800)-523-5076		
H3931	004	0	1	01	01	H3931_004_0	3		AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	H3931	004	2007	01	01	1	Aetna Golden Medicare Premier Plan		Bucks, Chester, Delaware and Montgomery Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3931	054	0	1	01	01	H3931_054_0	2		AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	H3931	054	2007	01	01	1	Aetna Golden Medicare Value Plan		Philadelphia County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H3931	055	0	1	01	01	H3931_055_0	2		AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	H3931	055	2007	01	01	1	Aetna Golden Medicare Value Plan		Bucks, Chester, Delaware and Montgomery Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H3931	058	0	1	01	01	H3931_058_0	3		AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	H3931	058	2007	01	01	1	Aetna Golden Medicare Premier Plan		Philadelphia County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3931	060	0	1	01	01	H3931_060_0	5		AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	H3931	060	2007	01	01	1	Aetna Golden Medicare Special Plan		Philadelphia County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3931	063	0	1	01	01	H3931_063_0	5		AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	H3931	063	2007	01	01	1	Aetna Golden Medicare Special Plan		Bucks, Chester, Delaware and Montgomery Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3931	064	0	1	01	01	H3931_064_0	3		AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	H3931	064	2007	01	01	1	Aetna Golden Medicare Standard Plan		Bucks, Chester, Delaware and Montgomery Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3931	065	0	1	01	01	H3931_065_0	3		AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	H3931	065	2007	01	01	1	Aetna Golden Medicare Standard Plan		Philadelphia County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3931	066	0	1	01	01	H3931_066_0	2		AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	H3931	066	2007	01	01	1	Aetna Golden Medicare Value Plan		Berks, Lehigh, Monroe, Northampton, Schuylkill	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H3931	067	0	1	01	01	H3931_067_0	3		AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	H3931	067	2007	01	01	1	Aetna Golden Medicare Standard Plan		Berks, Lehigh, Monroe, Northampton, Schuylkill	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3931	068	0	1	01	01	H3931_068_0	3		AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	H3931	068	2007	01	01	1	Aetna Golden Medicare Premier Plan		Berks, Lehigh, Monroe, Northampton, Schuylkill	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3931	801	0	1	01	01	H3931_801_0	1		AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	H3931	801	2007	01	01	1	Aetna Golden Medicare Plan		Pennsylvania	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H3931	804	0	1	01	01	H3931_804_0	1		AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	H3931	804	2007	01	01	1	Aetna Golden Medicare Plan w/Rx CY		Pennsylvania	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H3949	002	0	1	01	01	H3949_002_0	7		ELDER HEALTH PENNSYLVANIA, INC.	Elder Health Pennsylvania, Inc.	www.elderhealth.com	H3949	002	2007	01	01	1	Elder Health Silver		Philadelphia, Bucks, Delaware & Montgomery Ctys	2	0		2				2		(800)-964-2561	(800)-964-2561	(800)-291-0396	(800)-291-0396		(800)-291-0396	(800)-291-0396	(800)-964-2561	(800)-964-2561
H3949	009	0	1	01	01	H3949_009_0	9		ELDER HEALTH PENNSYLVANIA, INC.	Elder Health Pennsylvania, Inc.	www.elderhealth.com	H3949	009	2007	01	01	1	Elder Health Select		Philadelphia, Bucks, Delaware and Montgomery Ctys	2	0		1	3	2	1	2		(800)-964-2561	(800)-964-2561	(800)-291-0396	(800)-291-0396		(800)-291-0396	(800)-291-0396	(800)-964-2561	(800)-964-2561
H3949	012	0	1	01	01	H3949_012_0	8		ELDER HEALTH PENNSYLVANIA, INC.	Elder Health Pennsylvania, Inc.	www.elderhealth.com	H3949	012	2007	01	01	1	Elder Health Platinum		Philadelphia area and Pittsburgh Platinum	2	0		2				2		(800)-964-2561	(800)-964-2561	(800)-291-0396	(800)-291-0396		(800)-291-0396	(800)-291-0396	(800)-964-2561	(800)-964-2561
H3949	013	0	1	01	01	H3949_013_0	7		ELDER HEALTH PENNSYLVANIA, INC.	Elder Health Pennsylvania, Inc.	www.elderhealth.com	H3949	013	2007	01	01	1	Elder Health Gold		Philadelphia Metro Area Gold	2	0		2				2		(800)-964-2561	(800)-964-2561	(800)-291-0396	(800)-291-0396		(800)-291-0396	(800)-291-0396	(800)-964-2561	(800)-964-2561
H3952	008	0	1	01	01	H3952_008_0	2		KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	H3952	008	2007	01	01	1	Keystone 65 Standard Medical Only		Bucks,Chester,Delaware,Montgomery,Phila  Counties	2	0		2				2		(888)-857-4816	(877)-219-5457	(800)-645-3965	(877)-393-6733	42742				
H3952	018	0	1	01	01	H3952_018_0	6		KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	H3952	018	2007	01	01	1	Keystone 65 Complete		Bucks,Chester,Delaware,Montgomery and Phila Cty	2	0		1	3	1	2	2		(888)-857-4816	(877)-219-5457	(800)-645-3965	(877)-393-6733	29700	(800)-645-3965	(877)-393-6733	(888)-857-4816	(877)-219-5457
H3952	020	0	1	01	01	H3952_020_0	6		KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	H3952	020	2007	01	01	1	Keystone 65 Standard Rx Option II		Bucks,Chester,Delaware,Montgomery,and Phila Cty	2	0		2				2		(888)-857-4816	(877)-219-5457	(800)-645-3965	(877)-393-6733	41461	(800)-645-3965	(877)-393-6733	(888)-857-4816	(877)-219-5457
H3952	026	0	1	01	01	H3952_026_0	2		KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	H3952	026	2007	01	01	1	Keystone 65 Value Medical Only		Bucks,Chester,Delaware, Montgomery,Phila Counties	2	0		2				2		(888)-857-4816	(877)-219-5457	(800)-645-3965	(877)-393-6733	2126				
H3952	030	0	1	02	01	H3952_030_0	4		KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	H3952	030	2007	01	02	1	Keystone 65 Direct Medical Only		Bucks,Chester,Delaware,Montgomery,Phila Counties	2	0		2				2		(888)-857-4816	(877)-219-5457	(800)-645-3965	(877)-393-6733	139				
H3952	032	0	1	02	01	H3952_032_0	8		KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	H3952	032	2007	01	02	1	Keystone 65 Direct Rx Option II		Bucks,Chester,Delaware,Montgomery,Phila Counties	2	0		2				2		(888)-857-4816	(877)-219-5457	(800)-645-3965	(877)-393-6733	670	(800)-645-3965	(877)-393-6733	(888)-857-4816	(877)-219-5457
H3952	040	0	1	01	01	H3952_040_0	5		KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	H3952	040	2007	01	01	1	Keystone 65 Value Rx Option I		Bucks,Chester,Delaware,Montgomery,and Phila Cty	2	0		2				2		(888)-857-4816	(877)-219-5457	(800)-645-3965	(877)-393-6733	5758	(800)-645-3965	(877)-393-6733	(888)-857-4816	(877)-219-5457
H3952	802	0	1	01	01	H3952_802_0	2		KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	H3952	802	2007	01	01	1	Keystone 65 Group Medical Only		Bucks,Chester,Delaware,Montgomery,Phila Cty	1	0		2				2		(888)-857-4816	(877)-219-5457	(800)-645-3965	(877)-393-6733	6563				
H3952	804	0	1	01	01	H3952_804_0	5		KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	H3952	804	2007	01	01	1	Keystone 65 Group Rx Option I		Bucks,Chester,Delaware, Montgomery,Phila Cty	1	0		2				2		(888)-857-4816	(877)-219-5457	(800)-645-3965	(877)-393-6733	11240	(800)-645-3965	(877)-393-6733	(888)-857-4816	(877)-219-5457
H3954	003	0	1	01	01	H3954_003_0	3		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	003	2007	01	01	1	Geisinger Health Plan Gold Classic		Counties: Cli, Col, Lyc, Mon, Sch, Sny, Uni	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3954	004	0	1	01	01	H3954_004_0	3		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	004	2007	01	01	1	Geisinger Health Plan Gold Classic		Wyoming County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3954	005	0	1	01	01	H3954_005_0	3		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	005	2007	01	01	1	Geisinger Health Plan Gold Classic		Lackawanna County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3954	006	0	1	01	01	H3954_006_0	3		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	006	2007	01	01	1	Geisinger Health Plan Gold Classic		Luzerne County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3954	007	0	1	01	01	H3954_007_0	3		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	007	2007	01	01	1	Geisinger Health Plan Gold Classic		Counties: Clearfield and Mifflin	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3954	008	0	1	01	01	H3954_008_0	3		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	008	2007	01	01	1	Geisinger Health Plan Gold Classic		Dauphin, Lancaster, Lebanon Counties	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3954	009	0	1	01	01	H3954_009_0	3		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	009	2007	01	01	1	Geisinger Health Plan Gold Select		Counties: Cli, Col, Lyc, Mon, Sch, Sny, Uni	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3954	010	0	1	01	01	H3954_010_0	3		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	010	2007	01	01	1	Geisinger Health Plan Gold Select		Wyoming County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3954	011	0	1	01	01	H3954_011_0	3		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	011	2007	01	01	1	Geisinger Health Plan Gold Select		Lackawanna County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3954	012	0	1	01	01	H3954_012_0	3		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	012	2007	01	01	1	Geisinger Health Plan Gold Select		Luzerne County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3954	013	0	1	01	01	H3954_013_0	3		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	013	2007	01	01	1	Geisinger Health Plan Gold Select		Counties: Clearfield and Mifflin	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3954	014	0	1	01	01	H3954_014_0	3		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	014	2007	01	01	1	Geisinger Health Plan Gold Select		Dauphin, Lancaster and Lebanon Counties	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3954	015	0	1	01	01	H3954_015_0	3		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	015	2007	01	01	1	Geisinger Health Plan Gold Select		Blair, Cambria, Huntingdon and Juniata Counties	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3954	018	0	1	01	01	H3954_018_0	3		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	018	2007	01	01	1	Geisinger Health Plan Gold Select		Carbon and Monroe Counties	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3954	019	0	1	01	01	H3954_019_0	4		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	019	2007	01	01	1	Geisinger Health Plan Gold Select		Northumberland County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3954	020	0	1	01	01	H3954_020_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	020	2007	01	01	1	GHP Gold Classic Standard Rx		Counties: Cli, Col, Lyc, Mon, Sch, Sny, Uni	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	021	0	1	01	01	H3954_021_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	021	2007	01	01	1	GHP Gold Classic $0 Deductible Rx		Counties: Cli, Col, Lyc, Mon, Sch, Sny, Uni	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	022	0	1	01	01	H3954_022_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	022	2007	01	01	1	GHP Gold Classic Enhanced Rx		Counties: Cli, Col, Lyc, Mon, Sch, Sny, Uni	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	023	0	1	01	01	H3954_023_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	023	2007	01	01	1	GHP Gold Classic Standard Rx		Wyoming County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	024	0	1	01	01	H3954_024_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	024	2007	01	01	1	GHP Gold Classic $0 Deductible Rx		Wyoming County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	025	0	1	01	01	H3954_025_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	025	2007	01	01	1	GHP Gold Classic Enhanced Rx		Wyoming County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	026	0	1	01	01	H3954_026_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	026	2007	01	01	1	GHP Gold Classic Standard Rx		Lackawanna County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	027	0	1	01	01	H3954_027_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	027	2007	01	01	1	GHP Gold Classic $0 Deductible Rx		Lackawanna County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	028	0	1	01	01	H3954_028_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	028	2007	01	01	1	GHP Gold Classic Enhanced Rx		Lackawanna County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	029	0	1	01	01	H3954_029_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	029	2007	01	01	1	GHP Gold Classic Standard Rx		Luzerne County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	030	0	1	01	01	H3954_030_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	030	2007	01	01	1	GHP Gold Classic $0 Deductible Rx		Luzerne County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	031	0	1	01	01	H3954_031_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	031	2007	01	01	1	GHP Gold Classic Enhanced Rx		Luzerne County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	032	0	1	01	01	H3954_032_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	032	2007	01	01	1	GHP Gold Classic Standard Rx		Counties: Clearfield, Mifflin	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	033	0	1	01	01	H3954_033_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	033	2007	01	01	1	GHP Gold Classic $0 Deductible Rx		Counties: Clearfield, Mifflin	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	034	0	1	01	01	H3954_034_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	034	2007	01	01	1	GHP Gold Classic Enhanced Rx		Counties: Clearfield, Mifflin	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	035	0	1	01	01	H3954_035_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	035	2007	01	01	1	GHP Gold Classic Standard Rx		Counties: Dauphin, Lancaster, Lebanon	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	036	0	1	01	01	H3954_036_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	036	2007	01	01	1	GHP Gold Classic $0 Deductible Rx		Counties: Dauphin, Lancaster, Lebanon	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	037	0	1	01	01	H3954_037_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	037	2007	01	01	1	GHP Gold Classic Enhanced Rx		Counties: Dauphin, Lancaster, Lebanon	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	038	0	1	01	01	H3954_038_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	038	2007	01	01	1	GHP Gold Select Standard Rx		Counties: Cli, Col, Lyc, Mon, Sch, Sny, Uni	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	039	0	1	01	01	H3954_039_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	039	2007	01	01	1	GHP Gold Select $0 Deductible Rx		Counties: Cli, Col, Lyc, Mon, Sch, Sny, Uni	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	040	0	1	01	01	H3954_040_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	040	2007	01	01	1	GHP Gold Select Enhanced Rx		Counties: Cli, Col, Lyc, Mon, Sch, Sny, Uni	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	041	0	1	01	01	H3954_041_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	041	2007	01	01	1	GHP Gold Select Standard Rx		Wyoming County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	042	0	1	01	01	H3954_042_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	042	2007	01	01	1	GHP Gold Select $0 Deductible Rx		Wyoming County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	043	0	1	01	01	H3954_043_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	043	2007	01	01	1	GHP Gold Select Enhanced Rx		Wyoming County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	044	0	1	01	01	H3954_044_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	044	2007	01	01	1	GHP Gold Select Standard Rx		Lackawanna County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	045	0	1	01	01	H3954_045_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	045	2007	01	01	1	GHP Gold Select $0 Deductible Rx		Lackawanna County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	046	0	1	01	01	H3954_046_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	046	2007	01	01	1	GHP Gold Select Enhanced Rx		Lackawanna County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	047	0	1	01	01	H3954_047_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	047	2007	01	01	1	GHP Gold Select Standard Rx		Luzerne County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	048	0	1	01	01	H3954_048_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	048	2007	01	01	1	GHP Gold Select $0 Deductible Rx		Luzerne County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	049	0	1	01	01	H3954_049_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	049	2007	01	01	1	GHP Gold Select Enhanced Rx		Luzerne County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	050	0	1	01	01	H3954_050_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	050	2007	01	01	1	GHP Gold Select Standard Rx		Counties: Clearfield, Mifflin	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	051	0	1	01	01	H3954_051_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	051	2007	01	01	1	GHP Gold Select $0 Deductible Rx		Counties: Clearfield, Mifflin	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	052	0	1	01	01	H3954_052_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	052	2007	01	01	1	GHP Gold Select Enhanced Rx		Counties: Clearfield, Mifflin	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	053	0	1	01	01	H3954_053_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	053	2007	01	01	1	GHP Gold Select Standard Rx		Counties: Dauphin, Lancaster, Lebanon	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	054	0	1	01	01	H3954_054_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	054	2007	01	01	1	GHP Gold Select $0 Deductible Rx		Counties: Dauphin, Lancaster, Lebanon	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	055	0	1	01	01	H3954_055_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	055	2007	01	01	1	GHP Gold Select Enhanced Rx		Counties: Dauphin, Lancaster, Lebanon	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	056	0	1	01	01	H3954_056_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	056	2007	01	01	1	GHP Gold Select Standard Rx		Counties: Blair, Cambria, Huntingdon, Juniata	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	057	0	1	01	01	H3954_057_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	057	2007	01	01	1	GHP Gold Select $0 Deductible Rx		Counties: Blair, Cambria, Huntingdon, Juniata	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	058	0	1	01	01	H3954_058_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	058	2007	01	01	1	GHP Gold Select Enhanced Rx		Counties: Blair, Cambria, Huntingdon, Juniata	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	059	0	1	01	01	H3954_059_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	059	2007	01	01	1	GHP Gold Select Standard Rx		Counties: Carbon, Monroe	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	060	0	1	01	01	H3954_060_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	060	2007	01	01	1	GHP Gold Select $0 Deductible Rx		Counties: Carbon, Monroe	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	061	0	1	01	01	H3954_061_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	061	2007	01	01	1	GHP Gold Select Enhanced Rx		Counties: Carbon, Monroe	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	062	0	1	01	01	H3954_062_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	062	2007	01	01	1	GHP Gold Select Standard Rx		Northumberland County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	063	0	1	01	01	H3954_063_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	063	2007	01	01	1	GHP Gold Select $0 Deductible Rx		Northumberland County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	064	0	1	01	01	H3954_064_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	064	2007	01	01	1	GHP Gold Select Enhanced Rx		Northumberland County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	065	0	1	01	01	H3954_065_0	3		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	065	2007	01	01	1	Geisinger Health Plan Gold Select		Cumberland and Perry Counties	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3954	066	0	1	01	01	H3954_066_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	066	2007	01	01	1	GHP Gold Select Standard Rx		Cumberland and Perry Counties	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	067	0	1	01	01	H3954_067_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	067	2007	01	01	1	GHP Gold Select $0 Deductible Rx		Cumberland and Perry Counties	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	068	0	1	01	01	H3954_068_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	068	2007	01	01	1	GHP Gold Select Enhanced Rx		Cumberland and Perry Counties	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	073	0	1	01	01	H3954_073_0	3		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	073	2007	01	01	1	Geisinger Health Plan Gold Select		York County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3954	074	0	1	01	01	H3954_074_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	074	2007	01	01	1	GHP Gold Select Standard Rx		York County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	075	0	1	01	01	H3954_075_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	075	2007	01	01	1	GHP Gold Select $0 Deductible		York County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	076	0	1	01	01	H3954_076_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	076	2007	01	01	1	GHP Gold Select Enhanced Rx		York County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	077	0	1	01	01	H3954_077_0	3		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	077	2007	01	01	1	Geisinger Health Plan Gold Select		Berks County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3954	078	0	1	01	01	H3954_078_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	078	2007	01	01	1	GHP Gold Select Standard Rx		Berks County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	079	0	1	01	01	H3954_079_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	079	2007	01	01	1	GHP Gold Select $0 Deductible Rx		Berks County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	080	0	1	01	01	H3954_080_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	080	2007	01	01	1	GHP Gold Select Enhanced Rx		Berks County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	089	0	1	01	01	H3954_089_0	3		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	089	2007	01	01	1	Geisinger Health Plan Gold Select		Sullivan and Susquehanna Counties	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3954	090	0	1	01	01	H3954_090_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	090	2007	01	01	1	GHP Gold Select Standard Rx		Sullivan and Susquehanna Counties	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	091	0	1	01	01	H3954_091_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	091	2007	01	01	1	GHP Gold Select $0 Deductible Rx		Sullivan and Susquehanna Counties	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	092	0	1	01	01	H3954_092_0	5		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	092	2007	01	01	1	GHP Gold Select Enhanced Rx		Sullivan and Susquehanna Counties	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	097	0	1	01	01	H3954_097_0	7		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	097	2007	01	01	1	Geisinger Health Plan Gold Special		Central Pennsylvania	2	0		1	3	1	2	2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	098	0	1	01	01	H3954_098_0	4		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	098	2007	01	01	1	Geisinger Health Plan Gold Assure		Central PA  Area 1	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3954	099	0	1	01	01	H3954_099_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	099	2007	01	01	1	GHP Gold Assure Standard Rx		Central PA Area 1	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	100	0	1	01	01	H3954_100_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	100	2007	01	01	1	GHP Gold Assure $0 Deductible Rx		Central PA Area 1	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	101	0	1	01	01	H3954_101_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	101	2007	01	01	1	GHP Gold Assure Enhanced Rx		Central PA Area 1	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	102	0	1	01	01	H3954_102_0	4		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	102	2007	01	01	1	Geisinger Health Plan Gold Assure		Central PA Area 2	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3954	103	0	1	01	01	H3954_103_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	103	2007	01	01	1	GHP Gold Assure Standard Rx		Central PA Area 2	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	104	0	1	01	01	H3954_104_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	104	2007	01	01	1	GHP Gold Assure $0 Deductible Rx		Central PA Area 2	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	105	0	1	01	01	H3954_105_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	105	2007	01	01	1	GHP Gold Assure Enhanced Rx		Central PA Area 2	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3954	801	0	1	01	01	H3954_801_0	7		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	801	2007	01	01	1	Geisinger Health Plan Gold Employer		Central Pennsylvania	1	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H3954	802	0	1	01	01	H3954_802_0	6		GEISINGER HEALTH PLAN	Geisinger Health Plan Gold	www.thehealthplan.com	H3954	802	2007	01	01	1	Geisinger Health Plan Gold Employer Rx		Central Pennsylvania	1	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H3957	003	0	1	01	01	H3957_003_0	3		KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmark.com	H3957	003	2007	01	01	1	SecurityBlue Standard Southwestern PA		Southwestern PA	2	0		2				2		(800)-988-0668	(800)-862-0709	(800)-935-2583	(800)-576-6343	44130	(800)-935-2583	(800)-576-6343	(800)-988-0668	(800)-862-0709
H3957	006	0	1	01	01	H3957_006_0	2		KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmark.com	H3957	006	2007	01	01	1	SecurityBlue Standard Bedford/Blair/Somers		Bedford, Blair, and Somerset Counties	2	0		2				2		(800)-988-0668	(800)-862-0709	(800)-935-2583	(800)-576-6343	5810	(800)-935-2583	(800)-576-6343	(800)-988-0668	(800)-862-0709
H3957	016	0	1	01	01	H3957_016_0	2		KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmark.com	H3957	016	2007	01	01	1	SecurityBlue Standard Crawford/Erie/Mercer		Crawford, Erie, Mercer Counties	2	0		2				2		(800)-988-0668	(800)-862-0709	(800)-935-2583	(800)-576-6343	4538	(800)-935-2583	(800)-576-6343	(800)-988-0668	(800)-862-0709
H3957	020	0	1	01	01	H3957_020_0	3		KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmark.com	H3957	020	2007	01	01	1	SecurityBlue Deluxe Southwestern PA		Southwestern PA	2	0		2				2		(800)-988-0668	(800)-862-0709	(800)-935-2583	(800)-576-6343	71926	(800)-935-2583	(800)-576-6343	(800)-988-0668	(800)-862-0709
H3957	021	0	1	01	01	H3957_021_0	3		KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmark.com	H3957	021	2007	01	01	1	SecurityBlue Deluxe Bedford/Blair/Somerset		Bedford, Blair and Somerset Counties	2	0		2				2		(800)-988-0668	(800)-862-0709	(800)-935-2583	(800)-576-6343	5766	(800)-935-2583	(800)-576-6343	(800)-988-0668	(800)-862-0709
H3957	022	0	1	01	01	H3957_022_0	3		KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmark.com	H3957	022	2007	01	01	1	SecurityBlue Deluxe Crawford/Erie/Mercer		Crawford, Erie & Mercer Counties	2	0		2				2		(800)-988-0668	(800)-862-0709	(800)-935-2583	(800)-576-6343	4724	(800)-935-2583	(800)-576-6343	(800)-988-0668	(800)-862-0709
H3957	024	0	1	01	01	H3957_024_0	1		KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmark.com	H3957	024	2007	01	01	1	SecurityBlue Value Southwestern PA		Southwestern PA	2	0		2				2		(800)-988-0668	(800)-862-0709	(800)-935-2583	(800)-576-6343	1759				
H3957	025	0	1	01	01	H3957_025_0	1		KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmark.com	H3957	025	2007	01	01	1	SecurityBlue Value Bedford/Blair/Somerset		Bedford, Blair and Somerset Counties	2	0		2				2		(800)-988-0668	(800)-862-0709	(800)-935-2583	(800)-576-6343	120				
H3957	026	0	1	01	01	H3957_026_0	1		KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmark.com	H3957	026	2007	01	01	1	SecurityBlue Value Crawford/Erie/Mercer		Crawford, Erie and Mercer Counties	2	0		2				2		(800)-988-0668	(800)-862-0709	(800)-935-2583	(800)-576-6343	98				
H3957	030	0	1	01	01	H3957_030_0	6		KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmark.com	H3957	030	2007	01	01	1	SecurityBlue Care		Western Region	2	0		1	3	1	2	2		(800)-988-0668	(800)-862-0709	(800)-935-2583	(800)-576-6343	5297	(800)-935-2583	(800)-576-6343	(800)-988-0668	(800)-862-0709
H3957	805	0	1	01	01	H3957_805_0	2		KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmark.com	H3957	805	2007	01	01	1	SecurityBlue MA Western PA		Western PA	1	0		2				2		(800)-988-0668	(800)-862-0709	(800)-935-2583	(800)-576-6343	2832				
H3957	806	0	1	01	01	H3957_806_0	2		KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmark.com	H3957	806	2007	01	01	1	SecurityBlue MA-PD Western PA		Western PA	1	0		2				2		(800)-988-0668	(800)-862-0709	(800)-935-2583	(800)-576-6343	37608	(800)-935-2583	(800)-576-6343	(800)-988-0668	(800)-862-0709
H3957	807	0	1	01	01	H3957_807_0	2		KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmark.com	H3957	807	2007	01	01	1	SecurityBlue MA Western PA Non-Calendar		Western PA	1	0		2				2		(800)-988-0668	(800)-862-0709	(800)-935-2583	(800)-576-6343	147				
H3957	808	0	1	01	01	H3957_808_0	2		KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmark.com	H3957	808	2007	01	01	1	SecurityBlue MA-PD Western PA Non-Calendar		Western PA	1	0		2				2		(800)-988-0668	(800)-862-0709	(800)-935-2583	(800)-576-6343	1978	(800)-935-2583	(800)-576-6343	(800)-988-0668	(800)-862-0709
H3959	001	0	1	01	01	H3959_001_0	3		HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://www.pa.chcadvantra.com	H3959	001	2007	01	01	1	Advantra Gold		Allegheny County	2	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-290-6660	(800)-470-4272	(866)-236-1069	(800)-207-1262
H3959	002	0	1	01	01	H3959_002_0	3		HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://www.pa.chcadvantra.com	H3959	002	2007	01	01	1	Advantra Gold		Fayette, Greene, Lawrence, Westmoreland Counties	2	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-290-6660	(800)-470-4272	(866)-236-1069	(800)-207-1262
H3959	006	0	1	01	01	H3959_006_0	3		HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://www.pa.chcadvantra.com	H3959	006	2007	01	01	1	Advantra Gold		Centre County	2	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-290-6660	(800)-470-4272	(866)-236-1069	(800)-207-1262
H3959	008	0	1	01	01	H3959_008_0	3		HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://www.pa.chcadvantra.com	H3959	008	2007	01	01	1	Advantra Gold		Armstrong,Beaver,Butler,Washington & Mercer Counti	2	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-290-6660	(800)-470-4272	(866)-236-1069	(800)-207-1262
H3959	010	0	1	01	01	H3959_010_0	3		HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://www.pa.chcadvantra.com	H3959	010	2007	01	01	1	Advantra Silver		Allegheny County	2	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-290-6660	(800)-470-4272	(866)-236-1069	(800)-207-1262
H3959	011	0	1	01	01	H3959_011_0	3		HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://www.pa.chcadvantra.com	H3959	011	2007	01	01	1	Advantra Silver		Fayette, Greene, Lawrence, Westmoreland Counties	2	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-290-6660	(800)-470-4272	(866)-236-1069	(800)-207-1262
H3959	012	0	1	01	01	H3959_012_0	3		HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://www.pa.chcadvantra.com	H3959	012	2007	01	01	1	Advantra Silver		Lancaster & Lebanon Counties	2	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-290-6660	(800)-470-4272	(866)-236-1069	(800)-207-1262
H3959	013	0	1	01	01	H3959_013_0	2		HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://www.pa.chcadvantra.com	H3959	013	2007	01	01	1	Advantra MA Only		Allegheny County	2	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272					
H3959	015	0	1	01	01	H3959_015_0	3		HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://www.pa.chcadvantra.com	H3959	015	2007	01	01	1	Advantra Silver		Armstrong, Beaver, Butler & Mercer Counties	2	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-290-6660	(800)-470-4272	(866)-236-1069	(800)-207-1262
H3959	017	0	1	01	01	H3959_017_0	3		HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://www.pa.chcadvantra.com	H3959	017	2007	01	01	1	Advantra Gold		Dauphin, Cumberland, Lehigh, Berks, Perry, Northam	2	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-290-6660	(800)-470-4272	(866)-236-1069	(800)-207-1262
H3959	018	0	1	01	01	H3959_018_0	3		HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://www.pa.chcadvantra.com	H3959	018	2007	01	01	1	Advantra Silver		Dauphin, Cumberland, Lehigh, Berks, Perry, Northam	2	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-290-6660	(800)-470-4272	(866)-236-1069	(800)-207-1262
H3959	019	0	1	01	01	H3959_019_0	3		HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://www.pa.chcadvantra.com	H3959	019	2007	01	01	1	Advantra Gold		Erie County	2	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-290-6660	(800)-470-4272	(866)-236-1069	(800)-207-1262
H3959	020	0	1	01	01	H3959_020_0	3		HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://www.pa.chcadvantra.com	H3959	020	2007	01	01	1	Advantra Silver		Erie County	2	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-290-6660	(800)-470-4272	(866)-236-1069	(800)-207-1262
H3959	021	0	1	01	01	H3959_021_0	4		HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://www.pa.chcadvantra.com	H3959	021	2007	01	01	1	Advantra Silver		Centre County	2	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-290-6660	(800)-470-4272	(866)-236-1069	(800)-207-1262
H3959	022	0	1	01	01	H3959_022_0	4		HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://www.pa.chcadvantra.com	H3959	022	2007	01	01	1	Advantra Gold		Lancaster & Lebanon Counties	2	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-290-6660	(800)-470-4272	(866)-236-1069	(800)-207-1262
H3959	023	0	1	01	01	H3959_023_0	4		HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://www.pa.chcadvantra.com	H3959	023	2007	01	01	1	Advantra Bronze		Allegheny County	2	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-290-6660	(800)-470-4272	(866)-236-1069	(800)-207-1262
H3959	803	0	1	01	01	H3959_803_0	3		HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://www.pa.chcadvantra.com	H3959	803	2007	01	01	1	Advantra HMO MA Only		Pennsylvania	1	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272					
H3959	804	0	1	01	01	H3959_804_0	3		HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://www.pa.chcadvantra.com	H3959	804	2007	01	01	1	Advantra HMO Gold		Pennsylvania	1	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-290-6660	(800)-470-4272	(866)-236-1069	(800)-207-1262
H3959	806	0	1	01	01	H3959_806_0	3		HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://www.pa.chcadvantra.com	H3959	806	2007	01	01	1	Advantra HMO Gold		Pennsylvania	1	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-290-6660	(800)-470-4272	(866)-236-1069	(800)-207-1262
H3959	807	0	1	01	01	H3959_807_0	3		HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://www.pa.chcadvantra.com	H3959	807	2007	01	01	1	Advantra HMO MA Only		Pennsylvania	1	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272					
H3962	001	0	1	01	01	H3962_001_0	8		KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorblue.capbluecross.com	H3962	001	2007	01	01	1	SeniorBlue Option 1		Dauphin/Lehigh/Northampton Counties	2	0		2				2		(800)-779-6961	(800)-779-6961	(800)-779-6962	(800)-990-4201	7486	(800)-779-6962	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3962	002	0	1	01	01	H3962_002_0	7		KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorblue.capbluecross.com	H3962	002	2007	01	01	1	SeniorBlue Option 1		Berks/Cumberland(Partial)/Schuylkill Counties	2	0		2				2		(800)-779-6961	(800)-779-6961	(800)-779-6962	(800)-990-4201	5912	(800)-779-6962	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3962	003	0	1	01	01	H3962_003_0	7		KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorblue.capbluecross.com	H3962	003	2007	01	01	1	SeniorBlue Option 1		CEN/COL/JUN/MIF/MON/NOR/PER/SNY/UNI Counties	2	0		2				2		(800)-779-6961	(800)-779-6961	(800)-779-6962	(800)-990-4201	1493	(800)-779-6962	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3962	004	0	1	01	01	H3962_004_0	8		KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorblue.capbluecross.com	H3962	004	2007	01	01	1	SeniorBlue Option 2		Dauphin, Lehigh, Northampton	2	0		2				2		(800)-779-6961	(800)-779-6961	(800)-779-6962	(800)-990-4201	255	(800)-779-6962	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3962	005	0	1	01	01	H3962_005_0	8		KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorblue.capbluecross.com	H3962	005	2007	01	01	1	SeniorBlue Option 2		Berks, Cumberland, Schuylkill	2	0		2				2		(800)-779-6961	(800)-779-6961	(800)-779-6962	(800)-990-4201	351	(800)-779-6962	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3962	006	0	1	01	01	H3962_006_0	8		KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorblue.capbluecross.com	H3962	006	2007	01	01	1	SeniorBlue Option 2		CN,CO,Jun,Miff,Mont,Nthumb,PRy Sny,Un	2	0		2				2		(800)-779-6961	(800)-779-6961	(800)-779-6962	(800)-990-4201	102	(800)-779-6962	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3962	007	0	1	01	01	H3962_007_0	8		KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorblue.capbluecross.com	H3962	007	2007	01	01	1	Senior Blue Option 3		Dauphin, Lehigh, Northampton	2	0		2				2		(800)-779-6961	(800)-779-6961	(800)-779-6962	(800)-990-4201	250	(800)-779-6962	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3962	008	0	1	01	01	H3962_008_0	6		KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorblue.capbluecross.com	H3962	008	2007	01	01	1	SeniorBlue Option 3		Berks, Cumberland, Schuylkill	2	0		2				2		(800)-779-6961	(800)-779-6961	(800)-779-6962	(800)-990-4201	323	(800)-779-6962	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3962	009	0	1	01	01	H3962_009_0	6		KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorblue.capbluecross.com	H3962	009	2007	01	01	1	SeniorBlue Option 3		CNT, COL, JUN, MIF, MONT, NTHUB, PRY, SNY, UN	2	0		2				2		(800)-779-6961	(800)-779-6961	(800)-779-6962	(800)-990-4201	101	(800)-779-6962	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3962	010	0	1	01	01	H3962_010_0	6		KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorblue.capbluecross.com	H3962	010	2007	01	01	1	Senior Blue Option 4		Dauphin, Lehigh, Northampton	2	0		2				2		(800)-779-6961	(800)-779-6961	(800)-779-6962	(800)-990-4201	22				
H3962	011	0	1	01	01	H3962_011_0	5		KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorblue.capbluecross.com	H3962	011	2007	01	01	1	Senior Blue Option 4		Berks, Cumberland, Schuylkill	2	0		2				2		(800)-779-6961	(800)-779-6961	(800)-779-6962	(800)-990-4201	27				
H3962	012	0	1	01	01	H3962_012_0	5		KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorblue.capbluecross.com	H3962	012	2007	01	01	1	SeniorBlue Option 4		CTR, COL, JUN, MIFF, MONT, NTHUMB, PRY, SNY, UNION	2	0		2				2		(800)-779-6961	(800)-779-6961	(800)-779-6962	(800)-990-4201	33				
H3962	801	0	1	01	01	H3962_801_0	4		KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorblue.capbluecross.com	H3962	801	2007	01	01	1	Senior Blue ER - With Rx		Da,Lh,Nh,Br,Cb,Sk,Ct,Cl,Ju,Mf,Mt,Nd,Py,Sn,Un	1	0		2				2		(800)-779-6961	(800)-779-6961	(800)-779-6962	(800)-990-4201	4899	(800)-779-6962	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3962	802	0	1	01	01	H3962_802_0	2		KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorblue.capbluecross.com	H3962	802	2007	01	01	1	Senior Blue ER - w/o Rx		bk,ct,cl,cb,du,ju,lh,mf,mt,nh,nd,py,sc,sy,un	1	0		2				2		(800)-779-6961	(800)-779-6961	(800)-779-6962	(800)-990-4201	50				
H3962	803	0	1	01	01	H3962_803_0	4		KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorblue.capbluecross.com	H3962	803	2007	01	01	1	Senior Blue ER - Non-Calendar - with Rx		bk,ct,cl,cd,du,ju,lh,mf,mt,nh,nd,py,sh,sn,un	1	0		2				2		(800)-779-6961	(800)-779-6961	(800)-779-6962	(800)-990-4201	4899	(800)-779-6962	(800)-990-4201	(800)-779-6961	(800)-779-6961
H3962	804	0	1	01	01	H3962_804_0	2		KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorblue.capbluecross.com	H3962	804	2007	01	01	1	Senior Blue ER - Non-Calendar - w/o Rx		Da,Lh,Nh,Bk,Cb,Sk,Ct,Cl,Ju,Mf,Mt,Nd,Py,Sn,Un	1	0		2				2		(800)-779-6961	(800)-779-6961	(800)-779-6962	(800)-990-4201	50				
H3964	001	0	1	01	01	H3964_001_0	3		HEALTH PARTNERS OF PHILADELPHIA INC	Senior Partners	healthpart.com	H3964	001	2007	01	01	1	Senior Partners Gold		Philadelphia County	2	0		2				2		(877)-454-8477	(877)-454-8477	(888)-667-7367	(888)-776-9466	6595				
H3964	002	0	1	01	01	H3964_002_0	5		HEALTH PARTNERS OF PHILADELPHIA INC	Senior Partners	healthpart.com	H3964	002	2007	01	01	1	Senior Partners Silver		Philadelphia, Bucks and Montgomery Counties	2	0		1	3	2	1	2		(877)-454-8477	(877)-454-8477	(888)-667-7367	(888)-776-9466	12045	(888)-667-7367	(888)-776-9466	(877)-454-8477	(877)-454-8477
H3964	003	0	1	01	01	H3964_003_0	4		HEALTH PARTNERS OF PHILADELPHIA INC	Senior Partners	healthpart.com	H3964	003	2007	01	01	1	Senior Partners Gold Rx		Philadelphia County	2	0		2				2		(877)-454-8477	(877)-454-8477	(888)-667-7367	(888)-776-9466	3610	(888)-667-7367	(888)-776-9466	(877)-454-8477	(877)-454-8477
H4003	001	0	1	02	01	H4003_001_0	5		MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.medicareymuchomas.com	H4003	001	2007	01	02	1	Medicare y Mucho Ms - BASICO		Puerto Rico	2	0		2				2		(866)-333-5469	(866)-333-5469	(787)-622-0490	(787)-622-0490		(866)-333-5471	(866)-333-5471	(866)-333-5469	(866)-333-5469
H4003	008	0	1	01	01	H4003_008_0	1		MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.medicareymuchomas.com	H4003	008	2007	01	01	1	Medicare y Mucho Ms - ORIGINAL		Puerto Rico	2	0		2				2		(866)-333-5469	(866)-333-5469	(787)-622-0490	(787)-622-0490					
H4003	009	0	1	01	01	H4003_009_0	5		MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.medicareymuchomas.com	H4003	009	2007	01	01	1	Medicare y Mucho Ms - SUPREMO		Puerto Rico	2	0		1	4	2	2	2		(866)-333-5469	(866)-333-5469	(787)-622-0490	(787)-622-0490		(866)-333-5471	(866)-333-5471	(866)-333-5469	(866)-333-5469
H4003	010	0	1	01	01	H4003_010_0	7		MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.medicareymuchomas.com	H4003	010	2007	01	01	1	Medicare y Mucho Ms - DIAMANTE		Puerto Rico	2	0		1	3	2	2	2		(866)-333-5469	(866)-333-5469	(787)-622-0490	(787)-622-0490		(866)-333-5471	(866)-333-5471	(866)-333-5469	(866)-333-5469
H4003	013	0	1	01	01	H4003_013_0	7		MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.medicareymuchomas.com	H4003	013	2007	01	01	1	Medicare y Mucho Ms - DIAMANTE PLUS		Puerto Rico	2	0		1	3	2	2	2		(866)-333-5469	(866)-333-5469	(787)-622-0490	(787)-622-0490		(866)-333-5471	(866)-333-5471	(866)-333-5469	(866)-333-5469
H4003	801	0	1	01	01	H4003_801_0	5		MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.medicareymuchomas.com	H4003	801	2007	01	01	1	Medicare y Mucho Mas - MA FLEX		Puerto Rico	1	0		2				2		(866)-333-5469	(866)-333-5469	(787)-622-0490	(787)-622-0490					
H4003	802	0	1	01	01	H4003_802_0	5		MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.medicareymuchomas.com	H4003	802	2007	01	01	1	Medicare y Mucho Mas - MA FLEX I		Puerto Rico	1	0		2				2		(866)-333-5469	(866)-333-5469	(787)-622-0490	(787)-622-0490					
H4003	803	0	1	01	01	H4003_803_0	7		MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.medicareymuchomas.com	H4003	803	2007	01	01	1	Medicare y Mucho Mas - MAPD FLEX		Puerto Rico	1	0		2				2		(866)-333-5469	(866)-333-5469	(787)-622-0490	(787)-622-0490		(866)-333-5471	(866)-333-5471	(866)-333-5469	(866)-333-5469
H4003	804	0	1	01	01	H4003_804_0	7		MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.medicareymuchomas.com	H4003	804	2007	01	01	1	Medicare y Mucho Mas - MAPD FLEX I		Puerto Rico	1	0		2				2		(866)-333-5469	(866)-333-5469	(787)-622-0490	(787)-622-0490		(866)-333-5471	(866)-333-5471	(866)-333-5469	(866)-333-5469
H4004	001	0	1	01	01	H4004_001_0	4		PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	H4004	001	2007	01	01	1	MA-PD Premier Plus		Puerto Rico	2	0		1	3	1	2	2		(866)-516-7701	(866)-516-7701	(866)-516-7700	(866)-516-7700	70000	(866)-516-7700	(866)-516-7700	(866)-516-7701	(866)-516-7701
H4004	015	0	1	01	01	H4004_015_0	6		PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	H4004	015	2007	01	01	1	MA-PD Dorado Plus		Puerto Rico	2	0		2				2		(866)-516-7701	(866)-516-7701	(866)-516-7700	(866)-516-7700	70000	(866)-516-7700	(866)-516-7700	(866)-516-7701	(866)-516-7701
H4004	017	0	1	01	01	H4004_017_0	7		PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	H4004	017	2007	01	01	1	MA-PD Diamante		Puerto Rico	2	0		2				2		(866)-516-7701	(866)-516-7701	(866)-516-7700	(866)-516-7700	70000	(866)-516-7700	(866)-516-7700	(866)-516-7701	(866)-516-7701
H4004	021	0	1	01	01	H4004_021_0	4		PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	H4004	021	2007	01	01	1	MA San Juan Care		Puerto Rico	2	0		2				2		(866)-516-7701	(866)-516-7701	(866)-516-7700	(866)-516-7700	70000				
H4004	024	0	1	01	01	H4004_024_0	6		PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	H4004	024	2007	01	01	1	MA-PD San Juan Care Gold		Puerto Rico	2	0		2				2		(866)-516-7701	(866)-516-7701	(866)-516-7700	(866)-516-7700	70000	(866)-516-7700	(866)-516-7700	(866)-516-7701	(866)-516-7701
H4004	025	0	1	01	01	H4004_025_0	4		PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	H4004	025	2007	01	01	1	MA Dorado		Puerto Rico	2	0		2				2		(866)-516-7701	(866)-516-7701	(866)-516-7700	(866)-516-7700	70000				
H4004	029	0	1	01	01	H4004_029_0	5		PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	H4004	029	2007	01	01	1	MA-PD Premier Premium		Puerto Rico	2	0		1	3	1	2	2		(866)-516-7701	(866)-516-7701	(866)-516-7700	(866)-516-7700	70000	(866)-516-7700	(866)-516-7700	(866)-516-7701	(866)-516-7701
H4004	030	0	1	01	01	H4004_030_0	5		PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	H4004	030	2007	01	01	1	MA-PD Premier		Puerto Rico	2	0		1	3	1	2	2		(866)-516-7701	(866)-516-7701	(866)-516-7700	(866)-516-7700	70000	(866)-516-7700	(866)-516-7700	(866)-516-7701	(866)-516-7701
H4004	035	0	1	01	01	H4004_035_0	6		PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	H4004	035	2007	01	01	1	MA-PD Medicare en el Hogar Plus		Puerto Rico	2	0		1	1	2	2	2		(866)-516-7701	(866)-516-7701	(866)-516-7700	(866)-516-7700	70000	(866)-516-7700	(866)-516-7700	(866)-516-7701	(866)-516-7701
H4005	001	0	1	04	01	H4005_001_0	3		TRIPLE-S, INC.	Triple-S, Inc.	www.ssspr.com	H4005	001	2007	01	04	1	Triple-S Medicare Optimo		Island of Puerto Rico	2	0		2				2		(800)-383-4457	(800)-383-4457	(800)-510-0722	(800)-510-0722					
H4005	003	0	1	04	01	H4005_003_0	5		TRIPLE-S, INC.	Triple-S, Inc.	www.ssspr.com	H4005	003	2007	01	04	1	Triple-S Medicare Optimo Superior		Island of Puerto Rico	2	0		2				2		(800)-383-4457	(800)-383-4457	(800)-510-0722	(800)-510-0722		(800)-510-0722	(800)-510-0722	(800)-383-4457	(800)-383-4457
H4005	004	0	1	04	01	H4005_004_0	5		TRIPLE-S, INC.	Triple-S, Inc.	www.ssspr.com	H4005	004	2007	01	04	1	Triple-S Medicare Optimo Plus		Island of Puerto Rico	2	0		2				2		(800)-383-4457	(800)-383-4457	(800)-510-0722	(800)-510-0722		(800)-510-0722	(800)-510-0722	(800)-383-4457	(800)-383-4457
H4005	801	0	1	04	01	H4005_801_0	2		TRIPLE-S, INC.	Triple-S, Inc.	www.ssspr.com	H4005	801	2007	01	04	1	Triple-S Medicare Optimo		Island of Puerto Rico	1	0		2				2		(800)-383-4457	(800)-383-4457	(800)-510-0722	(800)-510-0722					
H4005	802	0	1	04	01	H4005_802_0	3		TRIPLE-S, INC.	Triple-S, Inc.	www.ssspr.com	H4005	802	2007	01	04	1	Triple-S Medicare Optimo Plus A		Island of Puerto Rico	1	0		2				2		(800)-383-4457	(800)-383-4457	(800)-510-0722	(800)-510-0722		(800)-510-0722	(800)-510-0722	(800)-383-4457	(800)-383-4457
H4005	804	0	1	04	01	H4005_804_0	3		TRIPLE-S, INC.	Triple-S, Inc.	www.ssspr.com	H4005	804	2007	01	04	1	Triple-S Medicare Optimo Plus B		Island of Puerto Rico	1	0		2				2		(800)-383-4457	(800)-383-4457	(800)-510-0722	(800)-510-0722		(800)-510-0722	(800)-510-0722	(800)-383-4457	(800)-383-4457
H4006	001	0	1	01	01	H4006_001_0	5		MCS LIFE INSURANCE COMPANY	MCS Classicare	www.mcsclassicare.com	H4006	001	2007	01	01	1	MCS Classicare MA		Puerto Rico	2	0		2				2		(866)-627-8182	(866)-627-8182	(866)-627-8183	(866)-627-8181	250				
H4006	007	0	1	01	01	H4006_007_0	8		MCS LIFE INSURANCE COMPANY	MCS Classicare	www.mcsclassicare.com	H4006	007	2007	01	01	1	MCS Classicare Premium A		Puerto Rico	2	0		2				2		(866)-627-8182	(866)-627-8182	(866)-627-8183	(866)-627-8181	39899	(787)-620-2530	(787)-620-2528	(866)-627-8182	(866)-627-8182
H4006	008	0	1	02	01	H4006_008_0	10		MCS LIFE INSURANCE COMPANY	MCS Classicare	www.mcsclassicare.com	H4006	008	2007	01	02	1	MCS Classicare Premium B		Puerto Rico	2	0		2				2		(866)-627-8182	(866)-627-8182	(866)-627-8183	(866)-627-8181	9000	(787)-620-2530	(787)-620-2528	(866)-627-8182	(866)-627-8182
H4006	009	0	1	01	01	H4006_009_0	7		MCS LIFE INSURANCE COMPANY	MCS Classicare	www.mcsclassicare.com	H4006	009	2007	01	01	1	MCS Classicare Ideal A		Puerto Rico	2	0		1	3	1	2	2		(866)-627-8182	(866)-627-8182	(866)-627-8183	(866)-627-8181	9100	(787)-620-2530	(787)-620-2528	(866)-627-8182	(866)-627-8182
H4006	013	0	1	01	01	H4006_013_0	7		MCS LIFE INSURANCE COMPANY	MCS Classicare	www.mcsclassicare.com	H4006	013	2007	01	01	1	MCS Classicare Ideal D		Puerto Rico	2	0		1	3	1	2	2		(866)-627-8182	(866)-627-8182	(866)-627-8183	(866)-627-8181	9100	(787)-620-2530	(787)-620-2528	(866)-627-8182	(866)-627-8182
H4006	014	0	1	01	01	H4006_014_0	6		MCS LIFE INSURANCE COMPANY	MCS Classicare	www.mcsclassicare.com	H4006	014	2007	01	01	1	MCS Classicare Ideal B		Puerto Rico	2	0		1	3	1	2	2		(866)-627-8182	(866)-627-8182	(866)-627-8183	(866)-627-8181	200	(787)-620-2530	(787)-620-2528	(866)-627-8182	(866)-627-8182
H4006	015	0	1	01	01	H4006_015_0	5		MCS LIFE INSURANCE COMPANY	MCS Classicare	www.mcsclassicare.com	H4006	015	2007	01	01	1	MCS Classicare Ideal C		Puerto Rico	2	0		1	3	1	2	2		(866)-627-8182	(866)-627-8182	(866)-627-8183	(866)-627-8181	100	(787)-620-2530	(787)-620-2528	(866)-627-8182	(866)-627-8182
H4006	018	0	1	01	01	H4006_018_0	6		MCS LIFE INSURANCE COMPANY	MCS Classicare	www.mcsclassicare.com	H4006	018	2007	01	01	1	MCS Classicare Ideal E		Puerto Rico	2	0		1	3	1	2	2		(866)-627-8182	(866)-627-8182	(866)-627-8183	(866)-627-8181	9100	(787)-620-2530	(787)-620-2528	(866)-627-8182	(866)-627-8182
H4006	803	0	1	01	01	H4006_803_0	5		MCS LIFE INSURANCE COMPANY	MCS Classicare	www.mcsclassicare.com	H4006	803	2007	01	01	1	MCS Classicare MA Group		Puerto Rico	1	0		2				2		(866)-627-8182	(866)-627-8182	(866)-627-8183	(866)-627-8181	100				
H4006	804	0	1	01	01	H4006_804_0	5		MCS LIFE INSURANCE COMPANY	MCS Classicare	www.mcsclassicare.com	H4006	804	2007	01	01	1	MCS Classicare MA Group 25		Puerto Rico	1	0		2				2		(866)-627-8182	(866)-627-8182	(866)-627-8183	(866)-627-8181	100				
H4006	805	0	1	01	01	H4006_805_0	5		MCS LIFE INSURANCE COMPANY	MCS Classicare	www.mcsclassicare.com	H4006	805	2007	01	01	1	MCS Classicare MA Group 50		Puerto Rico	1	0		2				2		(866)-627-8182	(866)-627-8182	(866)-627-8183	(866)-627-8181	100				
H4006	806	0	1	01	01	H4006_806_0	7		MCS LIFE INSURANCE COMPANY	MCS Classicare	www.mcsclassicare.com	H4006	806	2007	01	01	1	MCS Classicare MA Group 94		Puerto Rico	1	0		2				2		(866)-627-8182	(866)-627-8182	(866)-627-8183	(866)-627-8181	100				
H4006	807	0	1	01	01	H4006_807_0	6		MCS LIFE INSURANCE COMPANY	MCS Classicare	www.mcsclassicare.com	H4006	807	2007	01	01	1	MCS Classicare MA-PD Group (C)		Puerto Rico	1	0		2				2		(866)-627-8182	(866)-627-8182	(866)-627-8183	(866)-627-8181	1200	(787)-620-2530	(787)-620-2528	(866)-627-8182	(866)-627-8182
H4006	808	0	1	01	01	H4006_808_0	6		MCS LIFE INSURANCE COMPANY	MCS Classicare	www.mcsclassicare.com	H4006	808	2007	01	01	1	MCS Classicare MA-PD Group (NC)		Puerto Rico	1	0		2				2		(866)-627-8182	(866)-627-8182	(866)-627-8183	(866)-627-8181	100	(787)-620-2530	(787)-620-2528	(866)-627-8182	(866)-627-8182
H4006	809	0	1	01	01	H4006_809_0	6		MCS LIFE INSURANCE COMPANY	MCS Classicare	www.mcsclassicare.com	H4006	809	2007	01	01	1	MCS Classicare MA-PD Group 25 (C)		Puerto Rico	1	0		2				2		(866)-627-8182	(866)-627-8182	(866)-627-8183	(866)-627-8181	100	(787)-620-2530	(787)-620-2528	(866)-627-8182	(866)-627-8182
H4006	811	0	1	01	01	H4006_811_0	6		MCS LIFE INSURANCE COMPANY	MCS Classicare	www.mcsclassicare.com	H4006	811	2007	01	01	1	MCS Classicare MA-PD Group 50 (C)		Puerto Rico	1	0		2				2		(866)-627-8182	(866)-627-8182	(866)-627-8183	(866)-627-8181	6000	(787)-620-2530	(787)-620-2528	(866)-627-8182	(866)-627-8182
H4006	813	0	1	01	01	H4006_813_0	9		MCS LIFE INSURANCE COMPANY	MCS Classicare	www.mcsclassicare.com	H4006	813	2007	01	01	1	MCS Classicare MA-PD Group 94 (C)		Puerto Rico	1	0		2				2		(866)-627-8182	(866)-627-8182	(866)-627-8183	(866)-627-8181	100	(787)-620-2530	(787)-620-2528	(866)-627-8182	(866)-627-8182
H4007	002	0	1	01	01	H4007_002_0	4		HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	H4007	002	2007	01	01	1	Humana Gold Plus HMO H4007-002D		Puerto Rico Island Wide	2	0		2				2		(800)-218-2560	(800)-650-8152	(866)-773-5959	(800)-681-3625		(866)-773-5959	(800)-681-3625	(800)-218-2560	(800)-650-8152
H4007	005	0	1	01	01	H4007_005_0	4		HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	H4007	005	2007	01	01	1	Humana Gold Plus HMO H4007-005E		Puerto Rico Island Wide	2	0		1	3	2	2	2		(800)-218-2560	(800)-650-8152	(866)-773-5959	(800)-681-3625		(866)-773-5959	(800)-681-3625	(800)-218-2560	(800)-650-8152
H4007	008	0	1	01	01	H4007_008_0	4		HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	H4007	008	2007	01	01	1	Humana Gold Plus HMO H4007-008E		Puerto Rico Island Wide	2	0		1	3	2	2	2		(800)-218-2560	(800)-650-8152	(866)-773-5959	(800)-681-3625		(866)-773-5959	(800)-681-3625	(800)-218-2560	(800)-650-8152
H4007	801	0	1	01	01	H4007_801_0	5		HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	H4007	801	2007	01	01	1	Humana Employer Sponsored		Puerto Rico Island Wide	1	0		2						(800)-218-2560	(800)-650-8152	(866)-773-5959	(800)-681-3625		(866)-773-5959	(800)-681-3625	(800)-218-2560	(800)-650-8152
H4007	802	0	1	01	01	H4007_802_0	5		HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	H4007	802	2007	01	01	1	Humana Employer Sponsored		Puerto Rico Island Wide	1	0		2						(800)-218-2560	(800)-650-8152	(866)-773-5959	(800)-681-3625					
H4007	803	0	1	01	01	H4007_803_0	5		HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	H4007	803	2007	01	01	1	Humana Employer Sponsored Non-CY		Puerto Rico Island Wide	1	0		2						(800)-218-2560	(800)-650-8152	(866)-773-5959	(800)-681-3625		(866)-773-5959	(800)-681-3625	(800)-218-2560	(800)-650-8152
H4007	804	0	1	01	01	H4007_804_0	5		HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	H4007	804	2007	01	01	1	Humana Employer Sponsored Non-CY		Puerto Rico Island Wide	1	0		2						(800)-218-2560	(800)-650-8152	(866)-773-5959	(800)-681-3625					
H4008	001	0	1	09	04	H4008_001_0	8	2	HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance Of Puerto Rico, Inc	www.humana-medicare.com	H4008	001	2007	04	09	1	Humana Gold Choice PFFS H4008-001		Select Municipalities in Puerto Rico	2	0		2				2		(800)-218-2560	(800)-650-8152	(866)-773-5959	(800)-649-0121		(866)-773-5959	(800)-649-0121	(800)-218-2560	(800)-650-8152
H4008	801	0	1	09	04	H4008_801_0	2	2	HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance Of Puerto Rico, Inc	www.humana-medicare.com	H4008	801	2007	04	09	1	Humana Employer Sponsored		Nationwide	1	0		2				2		(800)-218-2560	(800)-650-8152	(866)-773-5959	(800)-681-3625		(866)-773-5959	(800)-681-3625	(800)-218-2560	(800)-650-8152
H4008	802	0	1	09	04	H4008_802_0	2	2	HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance Of Puerto Rico, Inc	www.humana-medicare.com	H4008	802	2007	04	09	1	Humana Employer Sponsored		Nationwide	1	0		2				2		(800)-218-2560	(800)-650-8152	(866)-773-5959	(800)-681-3625					
H4008	803	0	1	09	04	H4008_803_0	2	2	HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance Of Puerto Rico, Inc	www.humana-medicare.com	H4008	803	2007	04	09	1	Humana Employer Sponsored Non-CY		Nationwide	1	0		2				2		(800)-218-2560	(800)-650-8152	(866)-773-5959	(800)-681-3625		(866)-773-5959	(800)-681-3625	(800)-218-2560	(800)-650-8152
H4008	804	0	1	09	04	H4008_804_0	2	2	HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance Of Puerto Rico, Inc	www.humana-medicare.com	H4008	804	2007	04	09	1	Humana Employer Sponsored Non-CY		Nationwide	1	0		2				2		(800)-218-2560	(800)-650-8152	(866)-773-5959	(800)-681-3625					
H4009	001	0	1	01	01	H4009_001_0	5		SDM HEALTHCARE MANAGEMENT, INC.	Salud Dorada con Medicare	www.sdmpr.com	H4009	001	2007	01	01	1	SDM Medicare Supreme		Metro Area	2	0		2				2		(787)-999-4848	(787)-999-4848	(787)-999-4848	(787)-999-4848	500				
H4009	002	0	1	01	01	H4009_002_0	8		SDM HEALTHCARE MANAGEMENT, INC.	Salud Dorada con Medicare	www.sdmpr.com	H4009	002	2007	01	01	1	SDM Medicare Royal		Metro Area	2	0		2				2		(787)-999-4848	(787)-999-4848	(787)-999-4848	(787)-999-4848	4600	(787)-999-4848	(787)-999-4848	(787)-999-4848	(787)-999-4848
H4009	003	0	1	01	01	H4009_003_0	15		SDM HEALTHCARE MANAGEMENT, INC.	Salud Dorada con Medicare	www.sdmpr.com	H4009	003	2007	01	01	1	SDM Medicare Vital		metro area	2	0		2				2		(787)-999-4848	(787)-999-4848	(787)-999-4848	(787)-999-4848	3200	(787)-999-4848	(787)-999-4848	(787)-999-4848	(787)-999-4848
H4009	004	0	1	01	01	H4009_004_0	10		SDM HEALTHCARE MANAGEMENT, INC.	Salud Dorada con Medicare	www.sdmpr.com	H4009	004	2007	01	01	1	SDM Medicare Colosal		Colosal	2	0		2				2		(787)-999-4848	(787)-999-4848	(787)-999-4848	(787)-999-4848	1300	(787)-999-4848	(787)-999-4848	(787)-999-4848	(787)-999-4848
H4009	005	0	1	01	01	H4009_005_0	5		SDM HEALTHCARE MANAGEMENT, INC.	Salud Dorada con Medicare	www.sdmpr.com	H4009	005	2007	01	01	1	ELA Dorado		Dorado	2	0		2				2		(787)-999-4848	(787)-999-4848	(787)-999-4848	(787)-999-4848	500	(787)-999-4848	(787)-999-4848	(787)-999-4848	(787)-999-4848
H4009	006	0	1	01	01	H4009_006_0	2		SDM HEALTHCARE MANAGEMENT, INC.	Salud Dorada con Medicare	www.sdmpr.com	H4009	006	2007	01	01	1	SDM Medicare Platino		Platino	2	0		2				2		(787)-999-4848	(787)-999-4848	(787)-999-4848	(787)-999-4848	2000	(787)-999-4848	(787)-999-4848	(787)-999-4848	(787)-999-4848
H4009	007	0	1	01	01	H4009_007_0	1		SDM HEALTHCARE MANAGEMENT, INC.	Salud Dorada con Medicare	www.sdmpr.com	H4009	007	2007	01	01	1	SDM Medicare Platino Dorado		Platino Dorado	2	0		2				2		(787)-999-4848	(787)-999-4848	(787)-999-4848	(787)-999-4848	500	(787)-999-4848	(787)-999-4848	(787)-999-4848	(787)-999-4848
H4011	001	0	1	04	01	H4011_001_0	6		FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	H4011	001	2007	01	04	1	First Plus Advantage		Entire Island Puerto Rico	2	0		2				2		(877)-672-4242	(877)-672-4242	(866)-515-5885	(866)-515-5885	2000				
H4011	003	0	1	04	01	H4011_003_0	6		FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	H4011	003	2007	01	04	1	First Plus Advantage Plus		Enitre Island Puerto Rico	2	0		2				2		(877)-672-4242	(877)-672-4242	(866)-515-5885	(866)-515-5885	800	(866)-515-5885	(866)-515-5885	(877)-672-4242	(877)-672-4242
H4011	004	0	1	04	01	H4011_004_0	6		FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	H4011	004	2007	01	04	1	First Plus Advantage Premium		Entire Island Puerto Rico	2	0		2				2		(877)-672-4242	(877)-672-4242	(866)-515-5885	(866)-515-5885	1200	(866)-515-5885	(866)-515-5885	(877)-672-4242	(877)-672-4242
H4011	008	0	1	04	01	H4011_008_0	6		FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	H4011	008	2007	01	04	1	First Plus A+		Entire Island Puerto Rico	2	0		2				2		(877)-672-4242	(877)-672-4242	(866)-515-5885	(866)-515-5885	1000	(866)-515-5885	(866)-515-5885	(877)-672-4242	(877)-672-4242
H4011	801	0	1	04	01	H4011_801_0	8		FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	H4011	801	2007	01	04	1	Employer Group Plan 1		Entire Island Puerto Rico	1	0		2				2		(877)-672-4242	(877)-672-4242	(866)-515-5885	(866)-515-5885	500	(866)-515-5885	(866)-515-5885	(877)-672-4242	(877)-672-4242
H4011	802	0	1	04	01	H4011_802_0	3		FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	H4011	802	2007	01	04	1	Employer Group Plan 2		Entire Island Puerto Rico	1	0		2				2		(877)-672-4242	(877)-672-4242	(866)-515-5885	(866)-515-5885	500				
H4011	803	0	1	04	01	H4011_803_0	3		FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	H4011	803	2007	01	04	1	Employer Group Plan 3		Entire Island Puerto Rico	1	0		2				2		(877)-672-4242	(877)-672-4242	(866)-515-5885	(866)-515-5885	500	(866)-515-5885	(866)-515-5885	(877)-672-4242	(877)-672-4242
H4011	804	0	1	04	01	H4011_804_0	3		FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	H4011	804	2007	01	04	1	Employer Group Plan 4		Entire Island Puerto Rico	1	0		2				2		(877)-672-4242	(877)-672-4242	(866)-515-5885	(866)-515-5885	500				
H4011	805	0	1	04	01	H4011_805_0	8		FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	H4011	805	2007	01	04	1	Employer Group Plan 5		Entire Island Puerto Rico	1	0		2				2		(877)-672-4242	(877)-672-4242	(866)-515-5885	(866)-515-5885	500	(866)-515-5885	(866)-515-5885	(877)-672-4242	(877)-672-4242
H4011	806	0	1	04	01	H4011_806_0	3		FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	H4011	806	2007	01	04	1	Employer Group Plan 6		Entire Island Puerto Rico	1	0		2				2		(877)-672-4242	(877)-672-4242	(866)-515-5885	(866)-515-5885	500				
H4011	807	0	1	04	01	H4011_807_0	3		FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	H4011	807	2007	01	04	1	Employer Group Plan 7		Entire Island Puerto Rico	1	0		2				2		(877)-672-4242	(877)-672-4242	(866)-515-5885	(866)-515-5885	500	(866)-515-5885	(866)-515-5885	(877)-672-4242	(877)-672-4242
H4011	808	0	1	04	01	H4011_808_0	3		FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	H4011	808	2007	01	04	1	Employer Group Plan 8		Entire Island Puerto Rico	1	0		2				2		(877)-672-4242	(877)-672-4242	(866)-515-5885	(866)-515-5885	500				
H4011	809	0	1	04	01	H4011_809_0	10		FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	H4011	809	2007	01	04	1	Employer Group Plan 9		Entire Island Puerto Rico	1	0		2				2		(877)-672-4242	(877)-672-4242	(866)-515-5885	(866)-515-5885	500	(866)-515-5885	(866)-515-5885	(877)-672-4242	(877)-672-4242
H4011	810	0	1	04	01	H4011_810_0	5		FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	H4011	810	2007	01	04	1	Employer Group Plan 10		Entire Island Puerto Rico	1	0		2				2		(877)-672-4242	(877)-672-4242	(866)-515-5885	(866)-515-5885	500				
H4011	811	0	1	04	01	H4011_811_0	5		FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	H4011	811	2007	01	04	1	Employer Group Plan 11		Entire Island Puerto Rico	1	0		2				2		(877)-672-4242	(877)-672-4242	(866)-515-5885	(866)-515-5885	500	(866)-515-5885	(866)-515-5885	(877)-672-4242	(877)-672-4242
H4011	812	0	1	04	01	H4011_812_0	5		FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	H4011	812	2007	01	04	1	Employer Group Plan 12		Entire Island Puerto Rico	1	0		2				2		(877)-672-4242	(877)-672-4242	(866)-515-5885	(866)-515-5885	500				
H4012	001	0	1	01	01	H4012_001_0	7		TRIPLE-S, INC.	Triple-S, Inc.	www.ssspr.com	H4012	001	2007	01	01	1	Triple-S Medicare Selecto		Island of Puerto Rico	2	0		1	3	2	2	2		(800)-383-4457	(800)-383-4457	(800)-510-0722	(800)-510-0722		(800)-510-0722	(800)-510-0722	(800)-383-4457	(800)-383-4457
H4012	003	0	1	01	01	H4012_003_0	8		TRIPLE-S, INC.	Triple-S, Inc.	www.ssspr.com	H4012	003	2007	01	01	1	Triple-S Medicare Selecto Superior		Island of Puerto Rico	2	0		1	3	2	2	2		(800)-383-4457	(800)-383-4457	(800)-510-0722	(800)-510-0722		(800)-510-0722	(800)-510-0722	(800)-383-4457	(800)-383-4457
H4012	004	0	1	01	01	H4012_004_0	8		TRIPLE-S, INC.	Triple-S, Inc.	www.ssspr.com	H4012	004	2007	01	01	1	Triple-S Medicare Selecto Plus		Island of Puerto Rico	2	0		1	3	2	2	2		(800)-383-4457	(800)-383-4457	(800)-510-0722	(800)-510-0722		(800)-510-0722	(800)-510-0722	(800)-383-4457	(800)-383-4457
H4102	001	0	1	01	01	H4102_001_0	10		UNITED HEALTH PLANS OF NEW ENGLAND, INC.	UnitedHealthcare of New England, Inc.	www.AARPMedicareComplete.com	H4102	001	2007	01	01	1	AARP Medicare Complete Rx		Bristol, Kent, Newport, Providence & Wash Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-643-4845	(800)-348-1787		(800)-643-4845	(800)-348-1787	(888)-685-8480	(888)-685-8480
H4102	025	0	1	01	01	H4102_025_0	3		UNITED HEALTH PLANS OF NEW ENGLAND, INC.	SecureHorizons	www.medicarecomplete.com	H4102	025	2007	01	01	1	AARP Medicare Complete		Bristol, Kent, Newport, Providence & Wash Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-643-4845	(800)-448-4481					
H4102	801	0	1	01	01	H4102_801_0	3		UNITED HEALTH PLANS OF NEW ENGLAND, INC.	SecureHorizons	www.medicarecomplete.com	H4102	801	2007	01	01	1	MedicareComplete		Rhode Island	1	0		2				2		(888)-685-8480	(888)-685-8480	(800)-643-4845	(800)-962-8251		(800)-643-4845	(800)-962-8251	(888)-685-8480	(888)-685-8480
H4102	802	0	1	01	01	H4102_802_0	2		UNITED HEALTH PLANS OF NEW ENGLAND, INC.	SecureHorizons	www.medicarecomplete.com	H4102	802	2007	01	01	1	MedicareComplete Essential		Rhode Island	1	0		2				2		(888)-685-8480	(888)-685-8480	(800)-643-4845	(800)-962-8251					
H4105	001	0	1	20	08	H4105_001_0	1		PACE ORGANIZATION OF RHODE ISLAND	Pace Organization Of Rhode Island	www.pace-ri.org	H4105	001	2007	08	20	1	PACE Organization of Rhode Island		PACE Organization of Rhode Island	2	0		2				1	1					100	(401)-490-6566	(401)-490-6566	(866)-883-1631	(866)-883-1631
H4105	002	0	1	20	08	H4105_002_0	3		PACE ORGANIZATION OF RHODE ISLAND	Pace Organization Of Rhode Island	www.pace-ri.org	H4105	002	2007	08	20	1	PACE Organization of Rhode Island		PACE Organization of Rhode Island	2	0		2				1	1					100	(401)-490-6566	(401)-490-6566	(866)-883-1631	(866)-883-1631
H4106	001	0	1	01	01	H4106_001_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H4106	001	2007	01	01	1	Evercare Plan DH		Bristol, Kent, Providence and Washington Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-393-0939		(800)-393-0993	(800)-393-0939	(888)-685-8480	(888)-685-8480
H4152	004	0	1	01	01	H4152_004_0	6		BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND	Blue Cross & Blue Shield Of Rhode Island	www.bcbsri.com	H4152	004	2007	01	01	1	BlueCHiP for Medicare Standard		State of Rhode Island	2	0		2				2		(877)-232-8432	(877)-232-8432	(800)-267-0439	(800)-505-2583	60				
H4152	005	0	1	01	01	H4152_005_0	6		BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND	Blue Cross & Blue Shield Of Rhode Island	www.bcbsri.com	H4152	005	2007	01	01	1	BlueCHiP for Medicare Plus		State of Rhode Island	2	0		2				2		(877)-232-8432	(877)-232-8432	(800)-267-0439	(800)-505-2583	50	(800)-267-0439	(800)-505-2583	(877)-232-8432	(877)-232-8432
H4152	007	0	1	02	01	H4152_007_0	9		BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND	Blue Cross & Blue Shield Of Rhode Island	www.bcbsri.com	H4152	007	2007	01	02	1	BlueCHiP for Medicare Preferred		State of Rhode Island	2	0		2				2		(877)-232-8432	(877)-232-8432	(800)-267-0439	(800)-505-2583	60	(800)-267-0439	(800)-505-2583	(877)-232-8432	(877)-232-8432
H4152	012	0	1	01	01	H4152_012_0	7		BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND	Blue Cross & Blue Shield Of Rhode Island	www.bcbsri.com	H4152	012	2007	01	01	1	BlueCHiP for Medicare Optima		State of Rhode Island	2	0		1	3	1	2	2		(877)-232-8432	(877)-232-8432	(800)-267-0439	(800)-505-2583	70	(800)-505-2583	(800)-505-2583	(877)-232-8432	(877)-232-8432
H4152	013	0	1	01	01	H4152_013_0	7		BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND	Blue Cross & Blue Shield Of Rhode Island	www.bcbsri.com	H4152	013	2007	01	01	1	BlueCHiP for Medicare Standard with Drugs		State of Rhode Island	2	0		2				2		(877)-232-8432	(877)-232-8432	(800)-267-0439	(800)-505-2583	85	(800)-505-2583	(800)-505-2583	(877)-232-8432	(877)-232-8432
H4152	815	0	1	02	01	H4152_815_0	5		BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND	Blue Cross & Blue Shield Of Rhode Island	www.bcbsri.com	H4152	815	2007	01	02	1	BlueCHiP for Medicare Group Preferred		State of Rhode Island	1	0		2				2		(877)-232-8432	(877)-232-8432	(800)-267-0439	(800)-505-2583	8	(800)-267-0439	(800)-505-2583	(877)-232-8432	(877)-232-8432
H4152	817	0	1	01	01	H4152_817_0	5		BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND	Blue Cross & Blue Shield Of Rhode Island	www.bcbsri.com	H4152	817	2007	01	01	1	BlueCHiP for Medicare Group Plus		State of Rhode Island	1	0		2				2		(877)-232-8432	(877)-232-8432	(800)-267-0439	(800)-505-2583	10	(800)-505-2583	(800)-505-2583	(877)-232-8432	(877)-232-8432
H4152	818	0	1	01	01	H4152_818_0	3		BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND	Blue Cross & Blue Shield Of Rhode Island	www.bcbsri.com	H4152	818	2007	01	01	1	Group Standard - MA only		State of Rhode Island	1	0		2				2		(877)-232-8432	(877)-232-8432	(800)-267-0439	(800)-505-2583	0				
H4152	819	0	1	01	01	H4152_819_0	5		BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND	Blue Cross & Blue Shield Of Rhode Island	www.bcbsri.com	H4152	819	2007	01	01	1	BlueCHiP for Medicare Group Plus		State of Rhode Island	1	0		2				2		(877)-232-8432	(877)-232-8432	(800)-267-0439	(800)-505-2583	10	(800)-505-2583	(800)-505-2583	(877)-232-8432	(877)-232-8432
H4152	820	0	1	02	01	H4152_820_0	5		BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND	Blue Cross & Blue Shield Of Rhode Island	www.bcbsri.com	H4152	820	2007	01	02	1	BlueCHiP for Medicare Group Preferred		State of Rhode Island	1	0		2				2		(877)-232-8432	(877)-232-8432	(800)-267-0439	(800)-505-2583	10	(800)-505-2583	(800)-505-2583	(877)-232-8432	(877)-232-8432
H4203	001	0	1	20	08	H4203_001_0	3		PALMETTO HEALTH ALLIANCE	Palmetto Health Alliance	www.palmettohealth.org	H4203	001	2007	08	20	1	Palmetto Health - Palmetto SeniorCare		Richland and  Lexington Counties	2	0		2				2						360	(803)-931-8175	(803)-931-8175		
H4203	002	0	1	20	08	H4203_002_0	4		PALMETTO HEALTH ALLIANCE	Palmetto Health Alliance	www.palmettohealth.org	H4203	002	2007	08	20	1	Palmetto Health - Palmetto SeniorCare		Richland and Lexington Counties	2	0		2				2						15	(803)-931-8175	(803)-931-8175		
H4204	002	0	1	09	04	H4204_002_0	2	2	INSTIL HEALTH INSURANCE COMPANY	InStil Health Insurance Company	www.myinstil.com	H4204	002	2007	04	09	1	InStil InCare		North Central SC	2	0		2				2		(800)-503-3118	(800)-503-3118	(877)-467-8452	(877)-446-7845					
H4204	003	0	1	09	04	H4204_003_0	2	2	INSTIL HEALTH INSURANCE COMPANY	InStil Health Insurance Company	www.myinstil.com	H4204	003	2007	04	09	1	InStil InCare		Eastern SC	2	0		2				2		(800)-503-3118	(800)-503-3118	(877)-467-8452	(877)-446-7845					
H4204	007	0	1	09	04	H4204_007_0	4	2	INSTIL HEALTH INSURANCE COMPANY	InStil Health Insurance Company	www.myinstil.com	H4204	007	2007	04	09	1	InStil InCare		Northern GA	2	0		2				2		(800)-503-3118	(800)-503-3118	(877)-467-8452	(877)-446-7845					
H4204	008	0	1	09	04	H4204_008_0	3	2	INSTIL HEALTH INSURANCE COMPANY	InStil Health Insurance Company	www.myinstil.com	H4204	008	2007	04	09	1	InStil InCare		South Western GA	2	0		2				2		(800)-503-3118	(800)-503-3118	(877)-467-8452	(877)-446-7845					
H4204	020	0	1	09	04	H4204_020_0	2	2	INSTIL HEALTH INSURANCE COMPANY	InStil Health Insurance Company	www.myinstil.com	H4204	020	2007	04	09	1	InStil InCare		Southeastern Georgia	2	0		2				2		(800)-503-3118	(800)-503-3118	(877)-467-8452	(877)-446-7845					
H4204	021	0	1	09	04	H4204_021_0	4	2	INSTIL HEALTH INSURANCE COMPANY	InStil Health Insurance Company	www.myinstil.com	H4204	021	2007	04	09	1	InStil InCare		South Central Georgia	2	0		2				2		(800)-503-3118	(800)-503-3118	(877)-467-8452	(877)-446-7845					
H4204	022	0	1	09	04	H4204_022_0	2	2	INSTIL HEALTH INSURANCE COMPANY	InStil Health Insurance Company	www.myinstil.com	H4204	022	2007	04	09	1	InStil InCare		Charleston Area South Carolina	2	0		2				2		(800)-503-3118	(800)-503-3118	(877)-467-8452	(877)-446-7845					
H4204	801	0	1	09	04	H4204_801_0	3	2	INSTIL HEALTH INSURANCE COMPANY	InStil Health Insurance Company	www.myinstil.com	H4204	801	2007	04	09	1	InStil Senior Group PFFS		Georgia and SC	1	0		2				2		(800)-503-3118	(800)-503-3118	(877)-467-8452	(877)-446-7845					
H4204	802	0	1	09	04	H4204_802_0	2	2	INSTIL HEALTH INSURANCE COMPANY	InStil Health Insurance Company	www.myinstil.com	H4204	802	2007	04	09	1	InStil Senior Group PFFS		Georgia and SC	1	0		2				2		(800)-503-3118	(800)-503-3118	(877)-467-8452	(877)-446-7845					
H4205	001	0	1	09	04	H4205_001_0	4	2	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	BlueCross BlueShield of South Carolina	http://www.southcarolinablues.com/pffs	H4205	001	2007	04	09	1	Medicare Blue Private		Upstate SC	2	0		2				2		(888)-300-7215	(888)-899-4219	(800)-605-3256	(800)-760-1790					
H4205	002	0	1	09	04	H4205_002_0	4	2	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	BlueCross BlueShield of South Carolina	http://www.southcarolinablues.com/pffs	H4205	002	2007	04	09	1	Medicare Blue Private		Midlands SC	2	0		2				2		(888)-300-7215	(888)-899-4219	(800)-605-3256	(800)-760-1790					
H4205	801	0	1	09	04	H4205_801_0	2	2	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	BlueCross BlueShield of South Carolina	http://www.southcarolinablues.com/pffs	H4205	801	2007	04	09	1	Group Blue Private		South Carolina	1	0		2				2		(888)-300-7215	(888)-899-4219	(800)-605-3256	(800)-760-1790					
H4205	802	0	1	09	04	H4205_802_0	2	2	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	BlueCross BlueShield of South Carolina	http://www.southcarolinablues.com/pffs	H4205	802	2007	04	09	1	Group Blue Private		South Carolina	1	0		2				2		(888)-300-7215	(888)-899-4219	(800)-605-3256	(800)-760-1790					
H4206	001	0	1	04	01	H4206_001_0	6		INSTIL HEALTH INSURANCE COMPANY	Instil Health Insurance Company	www.myinstil.com	H4206	001	2007	01	04	1	InStil InChoice - Option I		Athens, GA and surrounding counties	2	0		2				2		(800)-503-3118	(800)-503-3118	(877)-907-2783	(877)-446-7845		(877)-446-7845	(877)-446-7845	(800)-503-3118	(800)-503-3118
H4206	002	0	1	04	01	H4206_002_0	5		INSTIL HEALTH INSURANCE COMPANY	Instil Health Insurance Company	www.myinstil.com	H4206	002	2007	01	04	1	InStil InChoice - Option II		Athens, GA and surrounding counties	2	0		2				2		(800)-503-3118	(800)-503-3118	(877)-907-2783	(877)-446-7845		(877)-446-7845	(877)-446-7845	(800)-503-3118	(800)-503-3118
H4206	005	0	1	04	01	H4206_005_0	6		INSTIL HEALTH INSURANCE COMPANY	Instil Health Insurance Company	www.myinstil.com	H4206	005	2007	01	04	1	InStil InChoice - Option I		Augusta, GA and surrounding counties	2	0		2				2		(800)-503-3118	(800)-503-3118	(877)-907-2783	(877)-446-7845		(877)-446-7845	(877)-446-7845	(800)-503-3118	(800)-503-3118
H4206	006	0	1	04	01	H4206_006_0	5		INSTIL HEALTH INSURANCE COMPANY	Instil Health Insurance Company	www.myinstil.com	H4206	006	2007	01	04	1	InStil InChoice - Option II		Augusta, GA and surrounding counties	2	0		2				2		(800)-503-3118	(800)-503-3118	(877)-907-2783	(877)-446-7845		(877)-446-7845	(877)-446-7845	(800)-503-3118	(800)-503-3118
H4206	007	0	1	04	01	H4206_007_0	6		INSTIL HEALTH INSURANCE COMPANY	Instil Health Insurance Company	www.myinstil.com	H4206	007	2007	01	04	1	InStil InChoice - Option I		Savannah, GA and surrounding counties	2	0		2				2		(800)-503-3118	(800)-503-3118	(877)-907-2783	(877)-446-7845		(877)-446-7845	(877)-446-7845	(800)-503-3118	(800)-503-3118
H4206	008	0	1	04	01	H4206_008_0	5		INSTIL HEALTH INSURANCE COMPANY	Instil Health Insurance Company	www.myinstil.com	H4206	008	2007	01	04	1	InStil InChoice - Option II		Savannah, GA and surrounding counties	2	0		2				2		(800)-503-3118	(800)-503-3118	(877)-907-2783	(877)-446-7845		(877)-446-7845	(877)-446-7845	(800)-503-3118	(800)-503-3118
H4206	009	0	1	04	01	H4206_009_0	6		INSTIL HEALTH INSURANCE COMPANY	Instil Health Insurance Company	www.myinstil.com	H4206	009	2007	01	04	1	InStil InChoice - Option I		Columbus, GA and Western GA counties	2	0		2				2		(800)-503-3118	(800)-503-3118	(877)-907-2783	(877)-446-7845		(877)-446-7845	(877)-446-7845	(800)-503-3118	(800)-503-3118
H4206	010	0	1	04	01	H4206_010_0	6		INSTIL HEALTH INSURANCE COMPANY	Instil Health Insurance Company	www.myinstil.com	H4206	010	2007	01	04	1	InStil InChoice - Option II		Columbus, GA and Western GA counties	2	0		2				2		(800)-503-3118	(800)-503-3118	(877)-907-2783	(877)-446-7845		(877)-446-7845	(877)-446-7845	(800)-503-3118	(800)-503-3118
H4206	025	0	1	04	01	H4206_025_0	6		INSTIL HEALTH INSURANCE COMPANY	Instil Health Insurance Company	www.myinstil.com	H4206	025	2007	01	04	1	InStil MedCare		Selected counties in Georgia	2	0		1	3	2	1	2		(800)-503-3118	(800)-503-3118	(877)-907-2783	(877)-446-7845		(877)-446-7845	(877)-446-7845	(800)-503-3118	(800)-503-3118
H4207	001	0	1	04	01	H4207_001_0	8		BLUECHOICE HEALTHPLAN OF SOUTH CAROLINA, INC.	BlueChoice HealthPlan	www.MyPlatinumAdvantage.com	H4207	001	2007	01	04	1	Platinum Advantage - Plan 4		Midlands and UpState Counties in South Carolina	2	0		2				2		(877)-275-0077	(877)-275-0077	(877)-275-0072	(877)-275-0072		(877)-275-0072	(877)-275-0072	(877)-275-0077	(877)-275-0077
H4207	002	0	1	04	01	H4207_002_0	8		BLUECHOICE HEALTHPLAN OF SOUTH CAROLINA, INC.	BlueChoice HealthPlan	www.MyPlatinumAdvantage.com	H4207	002	2007	01	04	1	Platinum Advantage - Plan 3		Midlands and UpState Counties in South Carolina	2	0		2				2		(877)-275-0077	(877)-275-0077	(877)-275-0072	(877)-275-0072		(877)-275-0072	(877)-275-0072	(877)-275-0077	(877)-275-0077
H4207	003	0	1	04	01	H4207_003_0	8		BLUECHOICE HEALTHPLAN OF SOUTH CAROLINA, INC.	BlueChoice HealthPlan	www.MyPlatinumAdvantage.com	H4207	003	2007	01	04	1	Platinum Advantage - Plan 2		Midlands and UpState Counties in South Carolina	2	0		2				2		(877)-275-0077	(877)-275-0077	(877)-275-0072	(877)-275-0072		(877)-275-0072	(877)-275-0072	(877)-275-0077	(877)-275-0077
H4207	004	0	1	04	01	H4207_004_0	8		BLUECHOICE HEALTHPLAN OF SOUTH CAROLINA, INC.	BlueChoice HealthPlan	www.MyPlatinumAdvantage.com	H4207	004	2007	01	04	1	Platinum Advantage - Plan 5		Midlands and UpState Counties in South Carolina	2	0		2				2		(877)-275-0077	(877)-275-0077	(877)-275-0072	(877)-275-0072		(877)-275-0072	(877)-275-0072	(877)-275-0077	(877)-275-0077
H4207	005	0	1	04	01	H4207_005_0	9		BLUECHOICE HEALTHPLAN OF SOUTH CAROLINA, INC.	BlueChoice HealthPlan	www.MyPlatinumAdvantage.com	H4207	005	2007	01	04	1	Platinum Advantage - Plan 1		Midlands and UpState Counties in South Carolina	2	0		2				2		(877)-275-0077	(877)-275-0077	(877)-275-0072	(877)-275-0072		(877)-275-0072	(877)-275-0072	(877)-275-0077	(877)-275-0077
H4208	001	0	1	02	01	H4208_001_0	4		CAROLINA CARE PLAN, INC.	CAROLINA MEDICARE PRIME	www.carolinamedicareprime.com	H4208	001	2007	01	02	1	Carolina Medicare Prime 10		Lexington,Richland,Pickens and Greenville counties	2	0		2				2		(800)-735-2905	(800)-735-2905	(866)-624-4790	(866)-624-4790	1500	(800)-879-9080	(800)-879-9080	(800)-735-2905	(800)-735-2905
H4208	002	0	1	02	01	H4208_002_0	3		CAROLINA CARE PLAN, INC.	CAROLINA MEDICARE PRIME	www.carolinamedicareprime.com	H4208	002	2007	01	02	1	Carolina Medicare Prime 15		Lexington,Pickens,Richland,and Greenville counties	2	0		2				2		(800)-735-2905	(800)-735-2905	(866)-624-4790	(866)-624-4790	1500	(800)-879-9080	(800)-879-9080	(800)-735-2905	(800)-735-2905
H4208	008	0	1	02	01	H4208_008_0	4		CAROLINA CARE PLAN, INC.	CAROLINA MEDICARE PRIME	www.carolinamedicareprime.com	H4208	008	2007	01	02	1	Carolina Medicare Prime 10 Plus		Lexington, Pickens, Greenville & Richland Counties	2	0		2				2		(800)-735-2905	(800)-735-2905	(866)-624-4790	(866)-624-4790	1500	(800)-879-9080	(800)-879-9080	(800)-735-2905	(800)-735-2905
H4208	009	0	1	02	01	H4208_009_0	3		CAROLINA CARE PLAN, INC.	CAROLINA MEDICARE PRIME	www.carolinamedicareprime.com	H4208	009	2007	01	02	1	Carolina Medicare Prime 15 Plus		Lexington, Pickens, Greenville & Richland Counties	2	0		2				2		(800)-735-2905	(800)-735-2905	(866)-624-4790	(866)-624-4790	1500	(800)-879-9080	(800)-879-9080	(800)-735-2905	(800)-735-2905
H4208	801	0	1	02	01	H4208_801_0	2		CAROLINA CARE PLAN, INC.	CAROLINA MEDICARE PRIME	www.carolinamedicareprime.com	H4208	801	2007	01	02	1	Employer Only Std Plan Calendar Year		South Carolina	1	0		2				2		(800)-735-2905	(800)-735-2905	(866)-624-4790	(866)-624-4790	1500	(800)-879-9080	(800)-879-9080	(800)-735-2905	(800)-735-2905
H4208	802	0	1	02	01	H4208_802_0	2		CAROLINA CARE PLAN, INC.	CAROLINA MEDICARE PRIME	www.carolinamedicareprime.com	H4208	802	2007	01	02	1	Employer Only Std Plan Non-calendar Year		South Carolina	1	0		2				2		(800)-735-2905	(800)-735-2905	(866)-624-4790	(866)-624-4790	1500	(800)-879-9080	(800)-879-9080	(800)-735-2905	(800)-735-2905
H4208	803	0	1	02	01	H4208_803_0	2		CAROLINA CARE PLAN, INC.	CAROLINA MEDICARE PRIME	www.carolinamedicareprime.com	H4208	803	2007	01	02	1	Employer Only MA Calendar Year		South Carolina	1	0		2				2		(800)-735-2905	(800)-735-2905	(866)-624-4790	(866)-624-4790	1500				
H4209	001	0	1	04	01	H4209_001_0	5		BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	BlueCross BlueShield of South Carolina	www.southcarolinablues.com/medb	H4209	001	2007	01	04	1	Medicare Blue		Upstate South Carolina	2	0		2				2		(888)-300-7215	(888)-300-7215	(800)-605-3256	(800)-930-2912		(800)-605-3256	(800)-930-2912	(888)-300-7215	(888)-300-7215
H4209	002	0	1	04	01	H4209_002_0	5		BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	BlueCross BlueShield of South Carolina	www.southcarolinablues.com/medb	H4209	002	2007	01	04	1	Medicare Blue		Midlands South Carolina	2	0		2				2		(888)-300-7215	(888)-300-7215	(800)-605-3256	(800)-930-2912		(800)-605-3256	(800)-930-2912	(888)-300-7215	(888)-300-7215
H4209	003	0	1	04	01	H4209_003_0	5		BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	BlueCross BlueShield of South Carolina	www.southcarolinablues.com/medb	H4209	003	2007	01	04	1	Medicare Blue		Coastal South Carolina	2	0		2				2		(888)-300-7215	(888)-300-7215	(800)-605-3256	(800)-930-2912		(800)-605-3256	(800)-930-2912	(888)-300-7215	(888)-300-7215
H4209	004	0	1	04	01	H4209_004_0	5		BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	BlueCross BlueShield of South Carolina	www.southcarolinablues.com/medb	H4209	004	2007	01	04	1	Medicare Blue Plus		Upstate South Carolina	2	0		2				2		(888)-300-7215	(888)-300-7215	(800)-605-3256	(800)-930-2912		(800)-605-3256	(800)-930-2912	(888)-300-7215	(888)-300-7215
H4209	005	0	1	04	01	H4209_005_0	5		BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	BlueCross BlueShield of South Carolina	www.southcarolinablues.com/medb	H4209	005	2007	01	04	1	Medicare Blue Plus		Midlands South Carolina	2	0		2				2		(888)-300-7215	(888)-300-7215	(800)-605-3256	(800)-930-2912		(800)-605-3256	(800)-930-2912	(888)-300-7215	(888)-300-7215
H4209	006	0	1	04	01	H4209_006_0	5		BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	BlueCross BlueShield of South Carolina	www.southcarolinablues.com/medb	H4209	006	2007	01	04	1	Medicare Blue Plus		Coastal South Carolina	2	0		2				2		(888)-300-7215	(888)-300-7215	(800)-605-3256	(800)-930-2912		(800)-605-3256	(800)-930-2912	(888)-300-7215	(888)-300-7215
H4209	809	0	1	04	01	H4209_809_0	4		BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	BlueCross BlueShield of South Carolina	www.southcarolinablues.com/medb	H4209	809	2007	01	04	1	Group Blue		South Carolina	1	0		2				2		(888)-300-7215	(888)-300-7215	(800)-605-3256	(800)-930-2912		(800)-605-3256	(800)-930-2912	(888)-300-7215	(888)-300-7215
H4209	810	0	1	04	01	H4209_810_0	4		BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	BlueCross BlueShield of South Carolina	www.southcarolinablues.com/medb	H4209	810	2007	01	04	1	Group Blue		South Carolina	1	0		2				2		(888)-300-7215	(888)-300-7215	(800)-605-3256	(800)-930-2912		(800)-605-3256	(800)-930-2912	(888)-300-7215	(888)-300-7215
H4209	811	0	1	04	01	H4209_811_0	3		BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	BlueCross BlueShield of South Carolina	www.southcarolinablues.com/medb	H4209	811	2007	01	04	1	Group Blue		South Carolina	1	0		2				2		(888)-300-7215	(888)-300-7215	(800)-605-3256	(800)-930-2912					
H4209	812	0	1	04	01	H4209_812_0	3		BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	BlueCross BlueShield of South Carolina	www.southcarolinablues.com/medb	H4209	812	2007	01	04	1	Group Blue		South Carolina	1	0		2				2		(888)-300-7215	(888)-300-7215	(800)-605-3256	(800)-930-2912					
H4402	001	0	1	20	08	H4402_001_0	1		ALEXIAN BROTHERS COMMUNITY SERVICES	Alexian Brothers Community Services	WWW.alexianbrotherssoutheast.com.com	H4402	001	2007	08	20	1	Alexian Brothers Community Services		Hamilton County Area	2	0		2				2						325	(800)-443-8883	(800)-443-8883		
H4402	002	0	1	20	08	H4402_002_0	1		ALEXIAN BROTHERS COMMUNITY SERVICES	Alexian Brothers Community Services	WWW.alexianbrotherssoutheast.com.com	H4402	002	2007	08	20	1	Alexian Brothers Community Services		Southeastern Tennessee	2	0		2				2						5	(800)-441-8883	(800)-441-8883		
H4406	001	0	1	02	01	H4406_001_0	7		UNITED HEALTHCARE OF TENNESSEE, INC.	SecureHorizons	www.medicarecomplete.com	H4406	001	2007	01	02	1	MedicareComplete Plus Plan 1		Davidson, DeKalb, Hickman and Rutherford Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-853-2904	(800)-555-5757		(800)-853-2904	(800)-555-5757	(888)-685-8480	(888)-685-8480
H4406	003	0	1	02	01	H4406_003_0	6		UNITED HEALTHCARE OF TENNESSEE, INC.	SecureHorizons	www.medicarecomplete.com	H4406	003	2007	01	02	1	MedicareComplete Plus Plan 2		Davidson, DeKalb, Hickman and Rutherford Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-853-2904	(800)-816-7279					
H4406	004	0	1	01	01	H4406_004_0	5		UNITED HEALTHCARE OF TENNESSEE, INC.	SecureHorizons	www.medicarecomplete.com	H4406	004	2007	01	01	1	Evercare Plan DH		Davidson, DeKalb, Hickman and Rutherford Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(800)-853-2904	(800)-555-5757		(800)-853-2904	(800)-555-5757	(888)-685-8480	(888)-685-8480
H4406	801	0	1	01	01	H4406_801_0	3		UNITED HEALTHCARE OF TENNESSEE, INC.	SecureHorizons	www.medicarecomplete.com	H4406	801	2007	01	01	1	MedicareComplete		Davidson,DeKalb,Hickman and Rutherford Counties	1	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5548	(888)-867-5548		(888)-867-5548	(888)-867-5548	(888)-685-8480	(888)-685-8480
H4407	001	0	1	01	01	H4407_001_0	3		HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.myhealthspring.com	H4407	001	2007	01	01	1	HealthSpring Plus		Northern Counties	2	0		2				2		(866)-206-5565	(800)-391-9806	(888)-501-3965	(866)-802-2415		(888)-501-3965	(866)-802-2415	(866)-206-5565	(800)-391-9806
H4407	002	0	1	01	01	H4407_002_0	3		HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.myhealthspring.com	H4407	002	2007	01	01	1	HealthSpring Plus		Southern Counties	2	0		2				2		(866)-206-5565	(800)-391-9806	(888)-501-3965	(866)-802-2415		(800)-952-1992	(888)-212-5475	(877)-262-9090	(877)-262-9090
H4407	003	0	1	01	01	H4407_003_0	2		HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.myhealthspring.com	H4407	003	2007	01	01	1	Total Care		Northern Counties	2	0		1	3	2	1	2		(866)-206-5565	(800)-391-9806	(888)-501-3965	(866)-802-2415		(888)-501-3965	(866)-802-2415	(866)-206-5565	(800)-391-9806
H4407	004	0	1	01	01	H4407_004_0	3		HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.myhealthspring.com	H4407	004	2007	01	01	1	Total Care		Southern Counties	2	0		1	3	2	1	2		(866)-206-5565	(800)-391-9806	(888)-501-3965	(866)-802-2415		(800)-952-1992	(888)-212-5475	(877)-262-9090	(877)-262-9090
H4407	005	0	1	01	01	H4407_005_0	3		HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.myhealthspring.com	H4407	005	2007	01	01	1	HealthSpring True Choice		Northern Counties	2	0		2				2		(866)-206-5565	(800)-391-9806	(888)-501-3965	(866)-802-2415					
H4407	007	0	1	01	01	H4407_007_0	6		HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.myhealthspring.com	H4407	007	2007	01	01	1	HealthSpring Special Care		Northern Counties	2	0		1	1	2	2	2		(866)-206-5565	(800)-391-9806	(888)-501-3965	(866)-802-2415		(888)-501-3965	(866)-802-2415	(866)-206-5565	(800)-391-9806
H4407	008	0	1	01	01	H4407_008_0	4		HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.myhealthspring.com	H4407	008	2007	01	01	1	HealthSpring Special Care		Southern Counties	2	0		1	1	2	2	2		(866)-206-5565	(800)-391-9806	(888)-501-3965	(866)-802-2415		(800)-952-1992	(888)-212-5475	(877)-262-9090	(877)-262-9090
H4407	009	0	1	01	01	H4407_009_0	4		HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.myhealthspring.com	H4407	009	2007	01	01	1	HealthSpring Advantage		Northern Counties	2	0		2				2		(866)-206-5565	(800)-391-9806	(888)-501-3965	(866)-802-2415		(888)-501-3965	(866)-802-2415	(866)-206-5565	(800)-391-9806
H4407	802	0	1	01	01	H4407_802_0	3		HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.myhealthspring.com	H4407	802	2007	01	01	1	HealthSpring Retiree Primary		Mississippi	1	0		2				2		(866)-206-5565	(800)-391-9806	(888)-501-3965	(866)-802-2415					
H4407	807	0	1	01	01	H4407_807_0	6		HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.myhealthspring.com	H4407	807	2007	01	01	1	HealthSpring Retiree Plus		Mississippi	1	0		2				2		(866)-206-5565	(800)-391-9806	(888)-501-3965	(866)-802-2415		(800)-952-1992	(888)-212-5475	(877)-262-9090	(877)-262-9090
H4407	808	0	1	01	01	H4407_808_0	3		HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.myhealthspring.com	H4407	808	2007	01	01	1	HealthSpring Retiree Primary1		Mississippi	1	0		2				2		(866)-206-5565	(800)-391-9806	(888)-501-3965	(866)-802-2415					
H4407	809	0	1	01	01	H4407_809_0	6		HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.myhealthspring.com	H4407	809	2007	01	01	1	HealthSpring Retiree Plus1		Mississippi	1	0		2				2		(866)-206-5565	(800)-391-9806	(888)-501-3965	(866)-802-2415		(888)-501-3965	(866)-802-2415	(866)-206-5565	(800)-391-9806
H4408	001	0	1	04	01	H4408_001_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H4408	001	2007	01	04	1	HumanaChoicePPO PPO H4408-001		Shelby County	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H4408	002	0	1	04	01	H4408_002_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H4408	002	2007	01	04	1	HumanaChoicePPO PPO H4408-002		Nashville Metro Area	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H4408	801	0	1	04	01	H4408_801_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H4408	801	2007	01	04	1	Humana Employer Sponsored		Memphis and Nashville Metro Areas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H4408	803	0	1	04	01	H4408_803_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H4408	803	2007	01	04	1	Humana Employer Sponsored		Memphis and Nashville Metro Areas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H4408	804	0	1	04	01	H4408_804_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H4408	804	2007	01	04	1	Humana Employer Sponsored Non-CY		Memphis and Nashville Metro Areas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H4408	805	0	1	04	01	H4408_805_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H4408	805	2007	01	04	1	Humana Employer Sponsored Non-CY		Memphis and Nashville Metro Areas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H4449	002	0	1	09	04	H4449_002_0	6	2	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Optima	www.sierraoptima.com	H4449	002	2007	04	09	1	Sierra Optima Plus		Multi-State/County (Group 2)	2	0		2				2		(866)-789-1530	(800)-349-3538	(866)-789-1524	(800)-274-2246					
H4449	003	0	1	09	04	H4449_003_0	3	2	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Optima	www.sierraoptima.com	H4449	003	2007	04	09	1	Sierra Optima Plus		Multi-State/County (Group 3)	2	0		2				2		(866)-789-1530	(800)-349-3538	(866)-789-1524	(800)-274-2246					
H4449	004	0	1	09	04	H4449_004_0	2	2	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Optima	www.sierraoptima.com	H4449	004	2007	04	09	1	Sierra Optima		Multi-State/County (Group 1)	2	0		2				2		(866)-789-1530	(800)-349-3538	(866)-789-1524	(800)-274-2246					
H4449	006	0	1	09	04	H4449_006_0	3	2	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Optima	www.sierraoptima.com	H4449	006	2007	04	09	1	Sierra Optima		Multi-State/County (Group 3)	2	0		2				2		(866)-789-1530	(800)-349-3538	(866)-789-1524	(800)-274-2246					
H4449	007	0	1	09	04	H4449_007_0	3	2	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Optima	www.sierraoptima.com	H4449	007	2007	04	09	1	Sierra Optima		Multi-State/County (Group 4)	2	0		2				2		(866)-789-1530	(800)-349-3538	(866)-789-1524	(800)-274-2246					
H4449	008	0	1	09	04	H4449_008_0	4	2	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Optima	www.sierraoptima.com	H4449	008	2007	04	09	1	Sierra Optima Choice		All Counties in Washington	2	0		2				2		(866)-789-1530	(800)-349-3538	(866)-789-1524	(800)-274-2246					
H4449	009	0	1	09	04	H4449_009_0	4	2	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Optima	www.sierraoptima.com	H4449	009	2007	04	09	1	Sierra Optima Plus		Multi-State/County (Group 1)	2	0		2				2		(866)-789-1530	(800)-349-3538	(866)-789-1524	(800)-274-2246					
H4449	010	0	1	09	04	H4449_010_0	3	2	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Optima	www.sierraoptima.com	H4449	010	2007	04	09	1	Sierra Optima		Multi-State/County (Group 2)	2	0		2				2		(866)-789-1530	(800)-349-3538	(866)-789-1524	(800)-274-2246					
H4449	011	0	1	09	04	H4449_011_0	2	2	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Optima	www.sierraoptima.com	H4449	011	2007	04	09	1	Sierra Optima Select		Specified Counties in Arizona, Idaho and Utah	2	0		2				2		(866)-789-1530	(800)-349-3538	(866)-789-1524	(800)-274-2246					
H4454	002	0	1	01	01	H4454_002_0	4		HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.myhealthspring.com	H4454	002	2007	01	01	1	HealthSpring Plus		Middle, South East and West Tennessee	2	0		2				2		(886)-206-5565	(800)-391-9806	(888)-501-3965	(866)-802-2415		(888)-501-3965	(866)-802-2415	(886)-206-5565	(800)-391-9806
H4454	007	0	1	01	01	H4454_007_0	4		HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.myhealthspring.com	H4454	007	2007	01	01	1	HealthSpring Advantage		Middle, South East and West Tennessee	2	0		2				2		(886)-206-5565	(800)-391-9806	(888)-501-3965	(866)-802-2415		(888)-501-3965	(866)-802-2415	(886)-206-5565	(800)-391-9806
H4454	008	0	1	01	01	H4454_008_0	3		HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.myhealthspring.com	H4454	008	2007	01	01	1	HealthSpring Total Care		Middle, East and West Tennessee	2	0		1	3	2	1	2		(886)-206-5565	(800)-391-9806	(888)-501-3965	(866)-802-2415		(888)-501-3965	(866)-802-2415	(886)-206-5565	(800)-391-9806
H4454	012	0	1	01	01	H4454_012_0	3		HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.myhealthspring.com	H4454	012	2007	01	01	1	HealthSpring True Choice		Middle, South East and West Tennessee	2	0		2				2		(886)-206-5565	(800)-391-9806	(888)-501-3965	(866)-802-2415					
H4454	013	0	1	01	01	H4454_013_0	3		HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.myhealthspring.com	H4454	013	2007	01	01	1	HealthSpring Special Care		Middle, South East and West Tennessee	2	0		1	1	2	2	2		(886)-206-5565	(800)-391-9806	(888)-501-3965	(866)-802-2415		(888)-501-3965	(866)-802-2415	(886)-206-5565	(800)-391-9806
H4454	014	0	1	01	01	H4454_014_0	3		HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.myhealthspring.com	H4454	014	2007	01	01	1	HealthSpring Healthy Rewards		Middle, South East and West Tennessee	2	0		2				2		(886)-206-5565	(800)-391-9806	(888)-501-3965	(866)-802-2415					
H4454	803	0	1	01	01	H4454_803_0	4		HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.myhealthspring.com	H4454	803	2007	01	01	1	HealthSpring Retiree Primary		Tennessee	1	0		2				2		(886)-206-5565	(800)-391-9806	(888)-501-3965	(866)-802-2415					
H4454	805	0	1	01	01	H4454_805_0	8		HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.myhealthspring.com	H4454	805	2007	01	01	1	HealthSpring Retiree Plus		Tennessee	1	0		2				2		(886)-206-5565	(800)-391-9806	(888)-501-3965	(866)-802-2415		(888)-501-3965	(866)-802-2415	(886)-206-5565	(800)-391-9806
H4454	806	0	1	01	01	H4454_806_0	5		HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.myhealthspring.com	H4454	806	2007	01	01	1	HealthSpring Retiree Primary1		Tennessee	1	0		2				2		(886)-206-5565	(800)-391-9806	(888)-501-3965	(866)-802-2415					
H4454	807	0	1	01	01	H4454_807_0	7		HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.myhealthspring.com	H4454	807	2007	01	01	1	HealthSpring Retiree Plus1		Tennessee	1	0		2				2		(886)-206-5565	(800)-391-9806	(888)-501-3965	(866)-802-2415		(888)-501-3965	(866)-802-2415	(886)-206-5565	(800)-391-9806
H4456	010	0	1	01	01	H4456_010_0	6		United Healthcare Plan of the River Valley, Inc.	UnitedHealthcare Plan of the River Valley, Inc.	www.uhcrivervalley.com	H4456	010	2007	01	01	1	MedicareComplete Plan 1		Midwest IA/IL	2	0		2				2		(800)-884-4327	(866)-832-8671	(800)-435-1989	(800)-962-4709	35	(800)-435-1989	(800)-962-4709	(800)-884-4327	(866)-832-8671
H4456	013	0	1	01	01	H4456_013_0	5		United Healthcare Plan of the River Valley, Inc.	UnitedHealthcare Plan of the River Valley, Inc.	www.uhcrivervalley.com	H4456	013	2007	01	01	1	MedicareComplete Plan 1		Eastern TN and Southwestern VA	2	0		2				2		(800)-884-4327	(866)-832-8671	(800)-435-1989	(800)-962-4709	35	(800)-435-1989	(800)-962-4709	(800)-884-4327	(866)-832-8671
H4456	015	0	1	01	01	H4456_015_0	3		United Healthcare Plan of the River Valley, Inc.	UnitedHealthcare Plan of the River Valley, Inc.	www.uhcrivervalley.com	H4456	015	2007	01	01	1	MedicareComplete Plus 15		Midwest IA/IL	2	0		2				2		(800)-884-4327	(866)-832-8671	(800)-435-1989	(800)-962-4709	35	(800)-435-1989	(800)-962-4709	(800)-884-4327	(866)-832-8671
H4456	016	0	1	01	01	H4456_016_0	1		JOHN DEERE HEALTH PLAN, INC.	UnitedHealthcare Plan of the River Valley, Inc.	www.JohnDeereHealth.com	H4456	016	2007	01	01	1	MedicareComplete Essential		Midwest IA/IL	2	0		2				2		(800)-884-4327	(800)-884-4327	(800)-747-1446	(800)-334-6869	35				
H4456	017	0	1	01	01	H4456_017_0	3		United Healthcare Plan of the River Valley, Inc.	UnitedHealthcare Plan of the River Valley, Inc.	www.uhcrivervalley.com	H4456	017	2007	01	01	1	MedicareComplete Plus Prime		Midwest IA/IL	2	0		2				2		(800)-884-4327	(866)-832-8671	(800)-435-1989	(800)-962-4709	35	(800)-435-1989	(800)-962-4709	(800)-884-4327	(866)-832-8671
H4456	019	0	1	01	01	H4456_019_0	4		United Healthcare Plan of the River Valley, Inc.	UnitedHealthcare Plan of the River Valley, Inc.	www.uhcrivervalley.com	H4456	019	2007	01	01	1	MedicareComplete Plus 15		Eastern TN and Southwestern VA	2	0		2				2		(800)-884-4327	(866)-832-8671	(800)-435-1989	(800)-962-4709	28000	(800)-435-1989	(800)-962-4709	(800)-884-4327	(866)-832-8671
H4456	020	0	1	01	01	H4456_020_0	2		United Healthcare Plan of the River Valley, Inc.	UnitedHealthcare Plan of the River Valley, Inc.	www.JohnDeereHealth.com	H4456	020	2007	01	01	1	MedicareComplete Essential		Eastern TN and Southwestern VA	2	0		2				2		(800)-884-4327	(800)-884-4327	(800)-224-6602	(800)-334-6869	300				
H4456	021	0	1	01	01	H4456_021_0	4		United Healthcare Plan of the River Valley, Inc.	UnitedHealthcare Plan of the River Valley, Inc.	www.uhcrivervalley.com	H4456	021	2007	01	01	1	MedicareComplete Plus Prime		Eastern TN and Southwestern VA	2	0		2				2		(800)-884-4327	(866)-832-8671	(800)-435-1989	(800)-962-4709	2600	(800)-435-1989	(800)-962-4709	(800)-884-4327	(866)-832-8671
H4456	801	0	1	01	01	H4456_801_0	4		United Healthcare Plan of the River Valley, Inc.	UnitedHealthcare Plan of the River Valley, Inc.	www.uhcrivervalley.com	H4456	801	2007	01	01	1	Secure Plus - 801		Eastern TN and Southwestern VA	1	0		2				2		(800)-884-4327	(866)-832-8671	(800)-435-1989	(800)-962-4709	35	(800)-435-1989	(800)-962-4709	(800)-884-4327	(866)-832-8671
H4456	805	0	1	01	01	H4456_805_0	3		United Healthcare Plan of the River Valley, Inc.	UnitedHealthcare Plan of the River Valley, Inc.	www.uhcrivervalley.com	H4456	805	2007	01	01	1	Secure Plus - 805		Eastern TN and Southwestern VA	1	0		2				2		(800)-884-4327	(800)-884-4327	(800)-224-6602	(800)-334-6869	35				
H4456	806	0	1	01	01	H4456_806_0	3		United Healthcare Plan of the River Valley, Inc.	UnitedHealthcare Plan of the River Valley, Inc.	www.uhcrivervalley.com	H4456	806	2007	01	01	1	Secure Plus - 806		Midwest IA/IL	1	0		2				2		(800)-884-4327	(866)-832-8671	(800)-435-1989	(800)-962-4709	35	(800)-435-1989	(800)-962-4709	(800)-884-4327	(866)-832-8671
H4456	807	0	1	01	01	H4456_807_0	2		United Healthcare Plan of the River Valley, Inc.	UnitedHealthcare Plan of the River Valley, Inc.	www.uhcrivervalley.com	H4456	807	2007	01	01	1	Secure Plus - 807		Midwest IA/IL	1	0		2				2		(800)-884-4327	(800)-884-4327	(800)-747-1446	(800)-334-6869	35				
H4461	001	0	1	01	01	H4461_001_0	11		CARITEN HEALTH PLAN IN	Cariten Senior Health	http://www.caritenseniorhealth.com/	H4461	001	2007	01	01	1	Cariten Senior Health-Advantage Plus		Knoxville/Tri-Cities Area	2	0		2				2		(800)-396-2150	(800)-396-2150	(888)-285-2599	(888)-285-2599		(888)-285-2599	(888)-285-2599	(800)-396-2150	(800)-396-2150
H4461	004	0	1	01	01	H4461_004_0	6		CARITEN HEALTH PLAN IN	Cariten Senior Health	http://www.caritenseniorhealth.com/	H4461	004	2007	01	01	1	Cariten Senior Health-Advantage		East Tennessee	2	0		2				2		(800)-396-2150	(800)-396-2150	(888)-285-2599	(888)-285-2599					
H4461	007	0	1	01	01	H4461_007_0	3		CARITEN HEALTH PLAN IN	Cariten Senior Health	http://www.caritenseniorhealth.com/	H4461	007	2007	01	01	1	Cariten Senior Health-Advantage Hamilton		Hamilton County	2	0		2				2		(800)-396-2150	(800)-396-2150	(888)-285-2599	(888)-285-2599					
H4461	011	0	1	01	01	H4461_011_0	17		CARITEN HEALTH PLAN IN	Cariten Senior Health	http://www.caritenseniorhealth.com/	H4461	011	2007	01	01	1	Cariten Senior Health Complete		East Tennessee	2	0		1	3	1	2	2		(800)-396-2150	(800)-396-2150	(888)-285-2599	(888)-285-2599		(888)-285-2599	(888)-285-2599	(800)-396-2150	(800)-396-2150
H4461	012	0	1	01	01	H4461_012_0	9		CARITEN HEALTH PLAN IN	Cariten Senior Health	http://www.caritenseniorhealth.com/	H4461	012	2007	01	01	1	CSH Advantage Plus Hamilton		Hamilton County, Tennessee	2	0		2				2		(800)-396-2150	(800)-396-2150	(888)-285-2599	(888)-285-2599		(888)-285-2599	(888)-285-2599	(800)-396-2150	(800)-396-2150
H4461	013	0	1	01	01	H4461_013_0	14		CARITEN HEALTH PLAN IN	Cariten Senior Health	http://www.caritenseniorhealth.com/	H4461	013	2007	01	01	1	Cariten Senior Health Balance		East Tennessee	2	0		1	4	2	2	2		(800)-396-2150	(800)-396-2150	(888)-285-2599	(888)-285-2599		(888)-285-2599	(888)-285-2599	(800)-396-2150	(800)-396-2150
H4461	014	0	1	01	01	H4461_014_0	7		CARITEN HEALTH PLAN IN	Cariten Senior Health	http://www.caritenseniorhealth.com/	H4461	014	2007	01	01	1	Cariten Senior Health Value		East Tennessee	2	0		2				2		(800)-396-2150	(800)-396-2150	(888)-285-2599	(888)-285-2599					
H4461	015	0	1	01	01	H4461_015_0	15		CARITEN HEALTH PLAN IN	Cariten Senior Health	http://www.caritenseniorhealth.com/	H4461	015	2007	01	01	1	Cariten Senior Health Value Plus		East Tennessee	2	0		2				2		(800)-396-2150	(800)-396-2150	(888)-285-2599	(888)-285-2599		(888)-285-2599	(888)-285-2599	(800)-396-2150	(800)-396-2150
H4461	016	0	1	01	01	H4461_016_0	9		CARITEN HEALTH PLAN IN	Cariten Senior Health	http://www.caritenseniorhealth.com/	H4461	016	2007	01	01	1	Cariten Senior Health Adv Plus Elite		East Tennessee	2	0		2				2		(800)-396-2150	(800)-396-2150	(888)-285-2599	(888)-285-2599		(888)-285-2599	(888)-285-2599	(800)-396-2150	(800)-396-2150
H4461	017	0	1	01	01	H4461_017_0	15		CARITEN HEALTH PLAN IN	Cariten Senior Health	http://www.caritenseniorhealth.com/	H4461	017	2007	01	01	1	Cariten Senior Health Value Elite		East Tennessee	2	0		2				2		(800)-396-2150	(800)-396-2150	(888)-285-2599	(888)-285-2599		(888)-285-2599	(888)-285-2599	(800)-396-2150	(800)-396-2150
H4461	802	0	1	01	01	H4461_802_0	5		CARITEN HEALTH PLAN IN	Cariten Senior Health	http://www.caritenseniorhealth.com/	H4461	802	2007	01	01	1	Cariten Senior Health Employer		Employer GHP	1	0		2				2		(800)-396-2150	(800)-396-2150	(888)-285-2599	(888)-285-2599		(888)-285-2599	(888)-285-2599	(800)-396-2150	(800)-396-2150
H4506	003	0	1	05	01	H4506_003_0	3		SELECTCARE OF TEXAS, L.L.C.	SelectCare of Texas, LLC	www.sctexas.com	H4506	003	2007	01	05	1	SelectCare of Texas		TexanPlus-Houston Metro Area	2	0		2				2		(888)-685-8480	(866)-338-4681	(866)-230-2513	(866)-556-4607		(866)-230-2513	(866)-556-4607	(888)-685-8480	(866)-338-4681
H4506	004	0	1	05	01	H4506_004_0	3		SELECTCARE OF TEXAS, L.L.C.	SelectCare of Texas, LLC	www.sctexas.com	H4506	004	2007	01	05	1	SelectCare of Texas		TexanPlus--The Golden Triangle	2	0		2				2		(888)-685-8480	(866)-338-4681	(866)-230-2513	(866)-556-4607		(866)-230-2513	(866)-556-4607	(888)-685-8480	(866)-338-4681
H4506	010	0	1	05	01	H4506_010_0	1		SELECTCARE OF TEXAS, L.L.C.	SelectCare of Texas, LLC	www.sctexas.com	H4506	010	2007	01	05	1	SelectCare of Texas		TexanValue--Houston Metro Area	2	0		2				2		(888)-685-8480	(866)-338-4681	(800)-305-3570	(866)-556-4607					
H4506	011	0	1	05	01	H4506_011_0	1		SELECTCARE OF TEXAS, L.L.C.	SelectCare of Texas, LLC	www.sctexas.com	H4506	011	2007	01	05	1	SelectCare of Texas		TexanValue--The Golden Triangle	2	0		2				2		(888)-685-8480	(866)-338-4681	(800)-305-3570	(866)-556-4607					
H4506	012	0	1	05	01	H4506_012_0	2		SELECTCARE OF TEXAS, L.L.C.	SelectCare of Texas, LLC	www.sctexas.com	H4506	012	2007	01	05	1	SelectCare of Texas		TexanChoice	2	0		1	3	1	2	2		(888)-685-8480	(866)-338-4681	(800)-718-9065	(866)-556-4607		(800)-718-9065	(866)-556-4607	(888)-685-8480	(866)-338-4681
H4506	013	0	1	05	01	H4506_013_0	2		SELECTCARE OF TEXAS, L.L.C.	SelectCare of Texas, LLC	www.sctexas.com	H4506	013	2007	01	05	1	SelectCare of Texas		Tribute	2	0		1	1	2	2	2		(888)-685-8480	(866)-338-4681	(800)-718-9065	(866)-556-4607		(800)-718-9065	(866)-556-4607	(888)-685-8480	(866)-338-4681
H4506	015	0	1	05	01	H4506_015_0	3		SELECTCARE OF TEXAS, L.L.C.	SelectCare of Texas, LLC	www.sctexas.com	H4506	015	2007	01	05	1	SelectCare of Texas		TexanSelect--The Golden Triangle	2	0		2				2		(888)-685-8480	(866)-338-4681	(800)-305-3570	(866)-556-4607		(800)-305-3570	(866)-556-4607	(888)-685-8480	(866)-338-4681
H4506	801	0	1	05	01	H4506_801_0	6		SELECTCARE OF TEXAS, L.L.C.	SelectCare of Texas, LLC	www.sctexas.com	H4506	801	2007	01	05	1	SelectCare of Texas		TexanPlus-Employer Group (MAPD nonCY)	1	0		2				2		(888)-685-8480	(866)-338-4681	(866)-230-2513	(866)-556-4607		(866)-230-2513	(866)-556-4607	(888)-685-8480	(866)-338-4681
H4506	806	0	1	05	01	H4506_806_0	6		SELECTCARE OF TEXAS, L.L.C.	SelectCare of Texas, LLC	www.sctexas.com	H4506	806	2007	01	05	1	SelectCare of Texas		TexanPlus-Employer Group (MAPD CY)	1	0		2				2		(888)-685-8480	(866)-338-4681	(866)-230-2513	(866)-556-4607		(866)-230-2513	(866)-556-4607	(888)-685-8480	(866)-338-4681
H4506	808	0	1	05	01	H4506_808_0	4		SELECTCARE OF TEXAS, L.L.C.	SelectCare of Texas, LLC	www.sctexas.com	H4506	808	2007	01	05	1	SelectCare of Texas		TexanValue-Employer Group (MA Only)	1	0		2				2		(888)-685-8480	(866)-338-4681	(866)-230-2513	(866)-556-4607					
H4510	012	0	1	01	01	H4510_012_0	6		HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	H4510	012	2007	01	01	1	Humana Gold Plus HMO H4510-012		Corpus Christi Area	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H4510	015	0	1	01	01	H4510_015_0	3		HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	H4510	015	2007	01	01	1	Humana Gold Plus HMO H4510-015		San Antonio Area	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H4510	016	0	1	01	01	H4510_016_0	3		HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	H4510	016	2007	01	01	1	Humana Gold Plus HMO H4510-016		Nueces County	2	0		1	3	2	1	2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H4510	017	0	1	01	01	H4510_017_0	3		HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	H4510	017	2007	01	01	1	Humana Gold Plus HMO H4510-017		Bexar County	2	0		1	3	2	1	2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H4510	801	0	1	01	01	H4510_801_0	2		HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	H4510	801	2006	01	01	1	Humana Employer sponsored		Bexar, Aransas, Nueces and San Patricio counties	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H4510	802	0	1	01	01	H4510_802_0	2		HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	H4510	802	2007	01	01	1	Humana Employer Sponsored		Bexar, Aransas, Nueces and San Patricio counties	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H4510	803	0	1	01	01	H4510_803_0	2		HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	H4510	803	2007	01	01	1	Humana Employer Sponsored Non-CY		Select Texas Counties	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H4510	804	0	1	01	01	H4510_804_0	2		HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	H4510	804	2007	01	01	1	Humana Employer Sponsored Non-CY		Select Texas Counties	1	0		2						(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H4513	001	0	1	01	01	H4513_001_0	7		TEXAS HEALTHSPRING LLC	Texas HealthSpring	www.texashealthspring.com	H4513	001	2007	01	01	1	Texas HealthSpring Metro Advantage Plus		Upper Texas Gulf Coast	2	0		2				2		(877)-893-1504	(877)-893-1504	(800)-280-8888	(800)-846-2098		(800)-280-8888	(800)-846-2098	(877)-893-1504	(877)-893-1504
H4513	006	0	1	01	01	H4513_006_0	4		TEXAS HEALTHSPRING LLC	Texas HealthSpring	www.texashealthspring.com	H4513	006	2007	01	01	1	Texas HealthSpring Plus		Deep East Texas & Texas Valley	2	0		2				2		(877)-893-1504	(877)-893-1504	(800)-280-8888	(800)-846-2098		(800)-280-8888	(800)-846-2098	(877)-893-1504	(877)-893-1504
H4513	009	0	1	01	01	H4513_009_0	3		TEXAS HEALTHSPRING LLC	Texas HealthSpring	www.texashealthspring.com	H4513	009	2007	01	01	1	Texas HealthSpring True Choice		Upper Texas Gulf Coast	2	0		2				2		(877)-893-1504	(877)-893-1504	(800)-280-8888	(800)-846-2098					
H4513	010	0	1	01	01	H4513_010_0	4		TEXAS HEALTHSPRING LLC	Texas HealthSpring	www.texashealthspring.com	H4513	010	2007	01	01	1	Texas HealthSpring Total Care		All counties	2	0		1	3	2	1	2		(877)-893-1504	(877)-893-1504	(800)-280-8888	(800)-846-2098		(800)-280-8888	(800)-846-2098	(877)-893-1504	(877)-893-1504
H4513	014	0	1	01	01	H4513_014_0	4		TEXAS HEALTHSPRING LLC	Texas HealthSpring	www.texashealthspring.com	H4513	014	2007	01	01	1	Texas HealthSpring Advantage		All Counties -Part D Basic	2	0		2				2		(877)-893-1504	(877)-893-1504	(800)-280-8888	(800)-846-2098		(800)-280-8888	(800)-846-2098	(877)-893-1504	(877)-893-1504
H4513	015	0	1	01	01	H4513_015_0	4		TEXAS HEALTHSPRING LLC	Texas HealthSpring	www.texashealthspring.com	H4513	015	2007	01	01	1	Texas HealthSpring Special Care		Texas HealthSpring - All counties	2	0		1	1	2	2	2		(877)-893-1504	(877)-893-1504	(800)-280-8888	(800)-846-2098		(800)-280-8888	(800)-846-2098	(877)-893-1504	(877)-893-1504
H4513	017	0	1	01	01	H4513_017_0	3		TEXAS HEALTHSPRING LLC	Texas HealthSpring	www.texashealthspring.com	H4513	017	2007	01	01	1	Texas HealthSpring Solutions		Upper Texas Gulf Coast	2	0		2				2		(877)-893-1504	(877)-893-1504	(800)-280-8888	(800)-846-2098					
H4513	802	0	1	01	01	H4513_802_0	4		TEXAS HEALTHSPRING LLC	Texas HealthSpring	www.texashealthspring.com	H4513	802	2007	01	01	1	Texas HealthSpring Retiree Choice		Texas	1	0		2				2		(877)-893-1504	(877)-893-1504	(800)-280-8888	(800)-846-2098					
H4513	804	0	1	01	01	H4513_804_0	7		TEXAS HEALTHSPRING LLC	Texas HealthSpring	www.texashealthspring.com	H4513	804	2007	01	01	1	Texas HealthSpring Retiree Plus		Texas	1	0		2				2		(877)-893-1504	(877)-893-1504	(800)-280-8888	(800)-846-2098		(800)-280-8888	(800)-846-2098	(877)-893-1504	(877)-893-1504
H4513	805	0	1	01	01	H4513_805_0	4		TEXAS HEALTHSPRING LLC	Texas HealthSpring	www.texashealthspring.com	H4513	805	2007	01	01	1	Texas HealthSpring Retiree		Texas	1	0		2				2		(877)-893-1504	(877)-893-1504	(800)-280-8888	(800)-846-2098					
H4513	806	0	1	01	01	H4513_806_0	7		TEXAS HEALTHSPRING LLC	Texas HealthSpring	www.texashealthspring.com	H4513	806	2007	01	01	1	Texas HealthSpring Retiree Plus Choice		Texas	1	0		2				2		(877)-893-1504	(877)-893-1504	(800)-280-8888	(800)-846-2098		(800)-280-8888	(800)-846-2098	(877)-893-1504	(877)-893-1504
H4514	001	0	1	01	01	H4514_001_0	4		EVERCARE OF TEXAS, LLC	Evercare Of Texas, LLC	www.EvercareHealthPlans.com	H4514	001	2007	01	01	1	Evercare Plan DH		Surrounding Counties of Galveston Texas	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(866)-382-4642		(800)-393-0993	(866)-382-4642	(888)-685-8480	(888)-685-8480
H4514	004	0	1	01	01	H4514_004_0	5		EVERCARE OF TEXAS, LLC	Evercare Of Texas, LLC	www.EvercareHealthPlans.com	H4514	004	2007	01	01	1	Evercare Plan MH		Harris County	2	0		1	4	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-393-0993		(800)-393-0993	(866)-382-4642	(888)-685-8480	(888)-685-8480
H4514	005	0	1	01	01	H4514_005_0	3		EVERCARE OF TEXAS, LLC	Evercare Of Texas, LLC	www.EvercareHealthPlans.com	H4514	005	2007	01	01	1	Evercare Plan IH		Travis and Williamson Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-393-0993		(800)-393-0993	(866)-382-4642	(888)-685-8480	(888)-685-8480
H4514	006	0	1	01	01	H4514_006_0	5		EVERCARE OF TEXAS, LLC	Evercare Of Texas, LLC	www.EvercareHealthPlans.com	H4514	006	2007	01	01	1	Evercare Plan DH		Caldwell, Hays, Travis and Williamson Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-393-0993		(800)-393-0993	(866)-382-4642	(888)-685-8480	(888)-685-8480
H4514	007	0	1	01	01	H4514_007_0	6		EVERCARE OF TEXAS, LLC	Evercare Of Texas, LLC	www.EvercareHealthPlans.com	H4514	007	2007	01	01	1	MedicareComplete		Brazoria, Fort Bend, Harris & Montgomery Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-288-3389	(800)-330-1601		(866)-288-3389	(800)-330-1601	(888)-685-8480	(888)-685-8480
H4514	008	0	1	01	01	H4514_008_0	3		EVERCARE OF TEXAS, LLC	Evercare Of Texas, LLC	www.EvercareHealthPlans.com	H4514	008	2007	01	01	1	MedicareComplete Essential		Brazoria, Fort Bend, Harris & Montgomery Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-288-3389	(800)-330-1601					
H4514	801	0	1	01	01	H4514_801_0	4		EVERCARE OF TEXAS, LLC	Evercare Of Texas, LLC	www.EvercareHealthPlans.com	H4514	801	2007	01	01	1	MedicareComplete		Brazoria, Fort Bend, Harris & Montgomery Counties	1	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5548	(888)-867-5548		(888)-867-5548	(888)-867-5548	(888)-685-8480	(888)-685-8480
H4517	001	0	1	20	08	H4517_001_0	1		AMARILLO MULTISVC CTR FR THE AGING INC	Amarillo Multisvc Ctr For The Aging Inc	alanac@amaonline.com	H4517	001	2007	08	20	1	The basics at Jan Werner		Potter, TX and Randall, TX Counties	2	0		2				2						150	(888)-268-6401	(888)-268-6401		
H4517	002	0	1	20	08	H4517_002_0	1		AMARILLO MULTISVC CTR FR THE AGING INC	Amarillo Multisvc Ctr For The Aging Inc	alanac@amaonline.com	H4517	002	2007	08	20	1	The basics at Jan Werner		Potter, TX and Randall, TX Counties	2	0		2				2						150	(888)-268-6401	(888)-268-6401		
H4518	001	0	1	20	08	H4518_001_0	1		BIENVIVIR SENIOR HEALTH SERVICES	Bienvivir Senior Health Services	Bienvivir.org	H4518	001	2007	08	20	1	BSHS Part D, Dual Eligibles		El Paso, Texas and El Paso County	2	0		2				2						750	(915)-562-3444	(915)-562-3444		
H4518	002	0	1	20	08	H4518_002_0	1		BIENVIVIR SENIOR HEALTH SERVICES	Bienvivir Senior Health Services	Bienvivir.org	H4518	002	2007	08	20	1	BSHS Part D, Medicare Only		El Paso, Texas and El Paso County	2	0		2				2							(915)-562-3444	(915)-562-3444		
H4520	001	0	1	04	01	H4520_001_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H4520	001	2007	01	04	1	HumanaChoicePPO PPO H4520-001		Bexar, Comal, Guadalupe, Kendall, Medina Counties	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H4520	002	0	1	04	01	H4520_002_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H4520	002	2007	01	04	1	HumanaChoicePPO PPO H4520-002		Aransas, Nueces, San Patricio Counties	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H4520	003	0	1	04	01	H4520_003_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H4520	003	2007	01	04	1	HumanaChoicePPO PPO H4520-003		Austin Metro Area	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H4520	005	0	1	04	01	H4520_005_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H4520	005	2007	01	04	1	HumanaChoicePPO PPO H4520-005		Fort Bend, Harris, Montgomery Counties	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H4520	006	0	1	04	01	H4520_006_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H4520	006	2007	01	04	1	HumanaChoicePPO PPO H4520-006		Dallas, Hood, Johnson, and Tarrant counties	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H4520	801	0	1	04	01	H4520_801_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H4520	801	2007	01	04	1	Humana Employer Sponsored		Southeast Texas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H4520	804	0	1	04	01	H4520_804_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H4520	804	2007	01	04	1	Humana Employer Sponsored		Southeast Texas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H4520	805	0	1	04	01	H4520_805_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H4520	805	2007	01	04	1	Humana Employer Sponsored Non-CY		Select counties in Texas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H4520	806	0	1	04	01	H4520_806_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H4520	806	2007	01	04	1	Humana Employer Sponsored Non-CY		Select counties in Texas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H4521	001	0	1	01	01	H4521_001_0	2		VALLEY BAPTIST HEALTH PLAN, INC.	Valley Baptist Health Plan, Inc.	www.valleyhealthplans.com	H4521	001	2007	01	01	1	Valley Advantage Gold		Counties: HI, CA, WI	2	0		2				2		(800)-562-5259	(800)-562-5259	(800)-829-6440	(800)-829-6440	1575	(800)-829-6440	(800)-829-6440	(800)-562-5259	(800)-562-5259
H4521	002	0	1	01	01	H4521_002_0	5		VALLEY BAPTIST HEALTH PLAN, INC.	Valley Baptist Health Plan, Inc.	www.valleyhealthplans.com	H4521	002	2007	01	01	1	Valley Advantage Select		Counties: HI, CA, WI	2	0		1	3	2	1	2		(800)-562-5259	(800)-562-5259	(800)-829-6440	(800)-829-6440	2700	(800)-829-6440	(800)-829-6440	(800)-562-5259	(800)-562-5259
H4521	004	0	1	01	01	H4521_004_0	2		VALLEY BAPTIST HEALTH PLAN, INC.	Valley Baptist Health Plan, Inc.	www.valleyhealthplans.com	H4521	004	2007	01	01	1	Valley Advantage Silver		Counties: HI, CA, WI	2	0		2				2		(800)-562-5259	(800)-562-5259	(800)-829-6440	(800)-829-6440	225	(800)-829-6440	(800)-829-6440	(800)-562-5259	(800)-562-5259
H4521	801	0	1	01	01	H4521_801_0	5		VALLEY BAPTIST HEALTH PLAN, INC.	Valley Baptist Health Plan, Inc.	www.valleyhealthplans.com	H4521	801	2007	01	01	1	Valley Advantage Employer		State of Texas	1	0		2				2		(800)-562-5259	(800)-562-5259	(800)-829-6440	(800)-829-6440					
H4521	802	0	1	01	01	H4521_802_0	5		VALLEY BAPTIST HEALTH PLAN, INC.	Valley Baptist Health Plan, Inc.	www.valleyhealthplans.com	H4521	802	2007	01	01	1	Valley Advantage Employer 2		State of Texas	1	0		2				2		(800)-562-5259	(800)-562-5259	(800)-829-6440	(800)-829-6440		(800)-829-6440	(800)-829-6440	(800)-562-5259	(800)-562-5259
H4521	803	0	1	01	01	H4521_803_0	5		VALLEY BAPTIST HEALTH PLAN, INC.	Valley Baptist Health Plan, Inc.	www.valleyhealthplans.com	H4521	803	2007	01	01	1	Valley Advantage Employer 3		State of Texas	1	0		2				2		(800)-562-5259	(800)-562-5259	(800)-829-6440	(800)-829-6440		(800)-829-6440	(800)-829-6440	(800)-562-5259	(800)-562-5259
H4522	001	0	1	04	01	H4522_001_0	7		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H4522	001	2007	01	04	1	MedicareComplete Choice Plan 1		DonaAna,Grant,Hidalgo,Luna,Sierra,ElPaso Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-288-3389	(800)-555-5757		(866)-288-3389	(800)-555-5757	(888)-685-8480	(888)-685-8480
H4522	005	0	1	04	01	H4522_005_0	4		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H4522	005	2007	01	04	1	MedicareComplete Choice Plan 2		DonaAna,Grant,Hidalgo,Luna,Sierra,ElPaso Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-288-3389	(800)-330-1601					
H4522	007	0	1	04	01	H4522_007_0	5		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H4522	007	2007	01	04	1	Evercare Plan DP		DonaAna,Grant,Hidalgo,Luna,Sierra,El Paso Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5110	(888)-834-3721		(877)-702-5110	(888)-834-3721	(888)-685-8480	(888)-685-8480
H4522	801	0	1	04	01	H4522_801_0	5		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H4522	801	2007	01	04	1	MedicareComplete Choice		Dona Ana,Grant,Hidalgo,Luna,Sierra,ElPaso Counties	1	0		2				2		(888)-685-8480	(888)-685-8480	(866)-288-3389	(800)-330-1601		(866)-288-3389	(800)-330-1601	(888)-685-8480	(888)-685-8480
H4523	001	0	1	01	01	H4523_001_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H4523	001	2007	01	01	1	Aetna Golden Medicare Select Plan		Bexar County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H4523	005	0	1	01	01	H4523_005_0	3		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H4523	005	2007	01	01	1	Aetna Golden Medicare Value Plan		Dallas County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H4523	006	0	1	01	01	H4523_006_0	3		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H4523	006	2007	01	01	1	Aetna Golden Medicare Premier Plan		Bexar County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H4523	007	0	1	01	01	H4523_007_0	3		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H4523	007	2007	01	01	1	Aetna Golden Medicare Value Plan		Tarrant County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H4523	009	0	1	01	01	H4523_009_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H4523	009	2007	01	01	1	Aetna Golden Medicare Value Plan		Nueces County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H4523	801	0	1	01	01	H4523_801_0	1		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H4523	801	2007	01	01	1	Aetna Golden Medicare Plan		Texas	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H4523	802	0	1	01	01	H4523_802_0	1		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H4523	802	2007	01	01	1	Aetna Golden Medicare Plan w/Rx CY		Texas	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H4524	001	0	1	04	01	H4524_001_0	5		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	H4524	001	2007	01	04	1	Aetna Golden Choice Value Plan		Bexar County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H4524	002	0	1	04	01	H4524_002_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	H4524	002	2007	01	04	1	Aetna Golden Choice Premier Plan		Bexar County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H4524	801	0	1	04	01	H4524_801_0	1		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	H4524	801	2007	01	04	1	Aetna Golden Choice Plan		Texas	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H4524	802	0	1	04	01	H4524_802_0	1		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	H4524	802	2007	01	04	1	Aetna Golden Choice Plan w/Rx CY		Texas	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H4525	001	0	1	01	01	H4525_001_0	4		SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	H4525	001	2007	01	01	1	FirstCare Advantage Gold		FirstCare Advantage Gold (Abilene Region)	2	0		2				2		(800)-562-5259	(800)-562-5259	(866)-229-4969	(800)-562-5275		(866)-229-4969	(800)-562-5275	(800)-562-5259	(800)-562-5259
H4525	002	0	1	01	01	H4525_002_0	4		SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	H4525	002	2007	01	01	1	FirstCare Advantage Gold		FirstCare Advantage Gold (Lubbock Region)	2	0		2				2		(800)-562-5259	(800)-562-5259	(866)-229-4969	(800)-562-5275		(866)-229-4969	(800)-562-5275	(800)-562-5259	(800)-562-5259
H4525	003	0	1	01	01	H4525_003_0	4		SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	H4525	003	2007	01	01	1	FirstCare Advantage Select		FirstCare Advantage Select (Lubbock Region)	2	0		1	3	2	1	2		(800)-562-5259	(800)-562-5259	(866)-229-4969	(800)-562-5275		(866)-229-4969	(800)-562-5275	(800)-562-5259	(800)-562-5259
H4525	004	0	1	01	01	H4525_004_0	2		SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	H4525	004	2007	01	01	1	FirstCare Advantage Silver		FirstCare Advantage Silver (Abilene Region)	2	0		2				2		(800)-562-5259	(800)-562-5259	(866)-229-4969	(800)-562-5275					
H4525	005	0	1	01	01	H4525_005_0	2		SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	H4525	005	2007	01	01	1	FirstCare Advantage Silver		FirstCare Advantage Silver (Lubbock Region)	2	0		2				2		(800)-562-5259	(800)-562-5259	(866)-229-4969	(800)-562-5275					
H4525	006	0	1	01	01	H4525_006_0	5		SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	H4525	006	2007	01	01	1	FirstCare Advantage Platinum		FirstCare Advantage Platinum (Abilene Region)	2	0		2				2		(800)-562-5259	(800)-562-5259	(866)-229-4969	(800)-562-5275		(866)-229-4969	(800)-562-5275	(800)-562-5259	(800)-562-5259
H4525	007	0	1	01	01	H4525_007_0	5		SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	H4525	007	2007	01	01	1	FirstCare Advantage Platinum		FirstCare Advantage Platinum (Lubbock Region)	2	0		2				2		(800)-562-5259	(800)-562-5259	(866)-229-4969	(800)-562-5275		(866)-229-4969	(800)-562-5275	(800)-562-5259	(800)-562-5259
H4525	801	0	1	01	01	H4525_801_0	2		SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	H4525	801	2007	01	01	1	FirstCare Advantage Employer		FirstCare Advantage Employer	1	0		2				2		(800)-562-5259	(800)-562-5259	(866)-229-4969	(800)-562-5275					
H4525	802	0	1	01	01	H4525_802_0	5		SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	H4525	802	2007	01	01	1	FirstCare Advantage Employer (D)		FirstCare Advantage Employer (D)	1	0		2				2		(800)-562-5259	(800)-562-5259	(866)-229-4969	(800)-562-5275		(866)-229-4969	(800)-562-5275	(800)-562-5259	(800)-562-5259
H4527	001	0	1	01	01	H4527_001_0	3		PSO HEALTH SERVICES, LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	H4527	001	2007	01	01	1	Physicians Health Choice		Nueces and San Patricio Counties	2	0		2				1	1	(866)-858-0659	(866)-858-0659	(866)-550-4736	(866)-550-4736	2122	(866)-550-4736	(866)-550-4736	(866)-858-0659	(866)-858-0659
H4527	002	0	1	01	01	H4527_002_0	4		PSO HEALTH SERVICES, LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	H4527	002	2007	01	01	1	Physicians Health Choice		Travis and Williamson Counties	2	0		2				1	1	(866)-858-0659	(866)-858-0659	(866)-550-4736	(866)-550-4736	2522	(866)-550-4736	(866)-550-4736	(866)-858-0659	(866)-858-0659
H4527	003	0	1	01	01	H4527_003_0	4		PSO HEALTH SERVICES, LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	H4527	003	2007	01	01	1	Physicians Health Choice Select		Travis and Williamson Counties	2	0		1	3	2	1	1	1	(866)-858-0659	(866)-858-0659	(866)-550-4736	(866)-550-4736	1503	(866)-550-4736	(866)-550-4736	(866)-858-0659	(866)-858-0659
H4527	004	0	1	01	01	H4527_004_0	4		PSO HEALTH SERVICES, LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	H4527	004	2007	01	01	1	Physicians Health Choice Select		Nueces and San Patricio Counties	2	0		1	3	2	1	1	1	(866)-858-0659	(866)-858-0659	(866)-550-4736	(866)-550-4736	1792	(866)-550-4736	(866)-550-4736	(866)-858-0659	(866)-858-0659
H4527	005	0	1	01	01	H4527_005_0	3		PSO HEALTH SERVICES, LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	H4527	005	2007	01	01	1	Physicians Health Choice		El Paso County	2	0		2				2		(866)-858-0659	(866)-858-0659	(866)-550-4736	(866)-550-4736	1622	(866)-550-4736	(866)-550-4736	(866)-858-0659	(866)-858-0659
H4527	006	0	1	01	01	H4527_006_0	4		PSO HEALTH SERVICES, LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	H4527	006	2007	01	01	1	Physicians Health Choice Select		El Paso County	2	0		1	3	2	1	2		(866)-858-0659	(866)-858-0659	(866)-550-4736	(866)-550-4736	918	(866)-550-4736	(866)-550-4736	(866)-858-0659	(866)-858-0659
H4527	008	0	1	01	01	H4527_008_0	3		PSO HEALTH SERVICES, LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	H4527	008	2007	01	01	1	Physicians Health Choice Diabetes		Nueces and San Patricio Counties	2	0		1	4	2	2	2		(866)-858-0659	(866)-858-0659	(866)-550-4736	(866)-550-4736	204	(866)-550-4736	(866)-550-4736	(866)-858-0659	(866)-858-0659
H4528	001	0	1	01	01	H4528_001_0	8		ELDER HEALTH TEXAS, INC.	Elder Health Texas, Inc.	www.elderhealth.com	H4528	001	2007	01	01	1	Elder Health Gold		Texas Elder Health Gold	2	0		2				2		(800)-964-2561	(800)-964-2561	(888)-353-3789	(888)-353-3789		(888)-353-3789	(888)-353-3789	(800)-964-2561	(800)-964-2561
H4528	002	0	1	01	01	H4528_002_0	8		ELDER HEALTH TEXAS, INC.	Elder Health Texas, Inc.	www.elderhealth.com	H4528	002	2007	01	01	1	Elder Health Select		Texas Elder Health Select	2	0		1	3	2	1	2		(800)-964-2561	(800)-964-2561	(888)-353-3789	(888)-353-3789		(888)-353-3789	(888)-353-3789	(800)-964-2561	(800)-964-2561
H4528	005	0	1	01	01	H4528_005_0	9		ELDER HEALTH TEXAS, INC.	Elder Health Texas, Inc.	www.elderhealth.com	H4528	005	2007	01	01	1	Elder Health Platinum		Texas Elder Health Platinum	2	0		2				2		(800)-964-2561	(800)-964-2561	(888)-353-3789	(888)-353-3789		(888)-353-3789	(888)-353-3789	(800)-964-2561	(800)-964-2561
H4529	001	0	1	01	01	H4529_001_0	7		ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	H4529	001	2007	01	01	1	El Paso -  Premier		El Paso County	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-658-5161	1715	(866)-301-4107	(800)-658-5161		(866)-573-8613
H4529	002	0	1	01	01	H4529_002_0	5		ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	H4529	002	2007	01	01	1	El Paso - Plus		El Paso County	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-658-5161	6329	(866)-301-4107	(800)-658-5161		(866)-573-8613
H4529	003	0	1	01	01	H4529_003_0	6		ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	H4529	003	2007	01	01	1	Travis - Premier		Travis & Williamson Counties	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-573-8597	977	(866)-301-4107	(800)-573-8597		(866)-573-8613
H4529	004	0	1	01	01	H4529_004_0	5		ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	H4529	004	2007	01	01	1	Travis - Plus		Travis & Williamson County	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-573-8597	3517	(866)-301-4107	(800)-573-8597		(866)-573-8613
H4529	007	0	1	01	01	H4529_007_0	11		ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	H4529	007	2007	01	01	1	El Paso -  SNP		El Paso County	2	0		1	3	2	1	2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-658-5161	17682	(800)-573-8597	(800)-658-5161	(866)-573-8591	(866)-573-8613
H4529	014	0	1	01	01	H4529_014_0	8		ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	H4529	014	2007	01	01	1	Tyler - Plus		Tyler	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-658-5161	883	(800)-573-8597	(800)-658-5161	(866)-573-8591	(866)-573-8613
H4529	015	0	1	01	01	H4529_015_0	7		ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	H4529	015	2007	01	01	1	Tyler - Premier		Tyler	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-658-5161	476	(866)-301-4107	(800)-658-5161		(866)-573-8613
H4529	018	0	1	01	01	H4529_018_0	6		ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	H4529	018	2007	01	01	1	Longview - Plus		Longview	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-658-5161	494	(866)-301-4107	(800)-658-5161		(866)-573-8613
H4529	019	0	1	01	01	H4529_019_0	7		ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	H4529	019	2007	01	01	1	Longview - Premier		Longview	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-658-5161	284	(866)-301-4107	(800)-658-5161		(866)-573-8613
H4531	001	0	1	04	01	H4531_001_0	4		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of Texas	www.bcbstx.com	H4531	001	2007	01	04	1	Blue Medicare PPO		El Paso county, Houston Metro area	2	0		2				2		(888)-844-5530	(800)-538-0380	(800)-718-2031	(866)-308-4781		(888)-579-9373	(888)-579-9373	(888)-579-9375	(888)-579-9375
H4531	802	0	1	04	01	H4531_802_0	2		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of Texas	www.bcbstx.com	H4531	802	2007	01	04	1	Blue Medicare PPO		State of Texas	1	0		2				2		(888)-844-5530	(800)-538-0380	(800)-718-2031	(866)-308-4781		(800)-718-2031	(866)-308-4781		
H4531	803	0	1	04	01	H4531_803_0	2		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of Texas	www.bcbstx.com	H4531	803	2007	01	04	1	Blue Medicare PPO		State of Texas	1	0		2				2		(888)-844-5530	(800)-538-0380	(800)-718-2031	(866)-308-4781		(800)-718-2031	(866)-308-4781		
H4531	804	0	1	04	01	H4531_804_0	2		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of Texas	www.bcbstx.com	H4531	804	2007	01	04	1	Blue Medicare PPO		State of Texas	1	0		2				2		(888)-844-5530	(888)-844-5530	(800)-718-2031	(800)-718-2031					
H4531	805	0	1	04	01	H4531_805_0	3		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of Texas	www.bcbstx.com	H4531	805	2007	01	04	1	Blue Medicare PPO		State of Texas	1	0		2				2		(888)-844-5530	(888)-844-5530	(800)-718-2031	(800)-718-2031					
H4564	001	0	1	18	06	H4564_001_0	3		SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	http//www.swhp.org	H4564	001	2007	06	18	1	SeniorCare Sr Preferred Plus - Basic Rx		Central Texas	2	0		2				2		(254)-724-2832	(254)-724-2832	(866)-334-3141	(866)-334-3141		(866)-334-3141	(866)-334-3141	(254)-724-2832	(254)-724-2832
H4564	002	0	1	18	06	H4564_002_0	3		SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	http//www.swhp.org	H4564	002	2007	06	18	1	SeniorCare Sr Preferred - Basic Rx		Central Texas	2	0		2				2		(254)-724-2832	(254)-724-2832	(866)-334-3141	(866)-334-3141		(866)-334-3141	(866)-334-3141	(254)-724-2832	(254)-724-2832
H4564	003	0	1	18	06	H4564_003_0	3		SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	http//www.swhp.org	H4564	003	2007	06	18	1	SeniorCare Sr Select - Basic Rx		Central Texas	2	0		2				2		(254)-724-2832	(254)-724-2832	(866)-334-3141	(866)-334-3141		(866)-334-3141	(866)-334-3141	(254)-724-2832	(254)-724-2832
H4564	004	0	1	18	06	H4564_004_0	6		SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	http//www.swhp.org	H4564	004	2007	06	18	1	SeniorCare Sr Preferred Plus - Enhanced Rx		Central Texas	2	0		2				2		(254)-724-2832	(254)-724-2832	(866)-334-3141	(866)-334-3141		(866)-334-3141	(866)-334-3141	(254)-724-2832	(254)-724-2832
H4564	005	0	1	18	06	H4564_005_0	6		SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	http//www.swhp.org	H4564	005	2007	06	18	1	SeniorCare Sr Preferred - Enhanced Rx		Central Texas	2	0		2				2		(254)-724-2832	(254)-724-2832	(866)-334-3141	(866)-334-3141		(866)-334-3141	(866)-334-3141	(254)-724-2832	(254)-724-2832
H4564	006	0	1	18	06	H4564_006_0	6		SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	http//www.swhp.org	H4564	006	2007	06	18	1	SeniorCare Sr Select - Enhanced Rx		Central Texas	2	0		2				2		(254)-724-2832	(254)-724-2832	(866)-334-3141	(866)-334-3141		(866)-334-3141	(866)-334-3141	(254)-724-2832	(254)-724-2832
H4564	010	0	1	18	06	H4564_010_0	2		SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	http//www.swhp.org	H4564	010	2007	06	18	1	SeniorCare Sr Preferred Plus-Medical Only		Central Texas	2	0		2				2		(254)-724-2832	(254)-724-2832	(866)-334-3141	(866)-334-3141					
H4564	011	0	1	18	06	H4564_011_0	2		SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	http//www.swhp.org	H4564	011	2007	06	18	1	SeniorCare Sr Preferred-Medical Only		Central Texas	2	0		2				2		(254)-724-2832	(254)-724-2832	(866)-334-3141	(866)-334-3141					
H4564	012	0	1	18	06	H4564_012_0	2		SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	http//www.swhp.org	H4564	012	2007	06	18	1	SeniorCare Sr Select-Medical Only		Central Texas	2	0		2				2		(254)-724-2832	(254)-724-2832	(866)-334-3141	(866)-334-3141					
H4564	013	0	1	18	06	H4564_013_0	6		SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	http//www.swhp.org	H4564	013	2007	06	18	1	SeniorCare Sr Preferred Plus - Value Rx		Central Texas	2	0		2				2		(254)-724-2832	(254)-724-2832	(866)-334-3141	(866)-334-3141		(866)-334-3141	(866)-334-3141	(254)-724-2832	(254)-724-2832
H4564	014	0	1	18	06	H4564_014_0	6		SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	http//www.swhp.org	H4564	014	2007	06	18	1	SeniorCare Sr Preferred - Value Rx		Central Texas	2	0		2				2		(254)-724-2832	(254)-724-2832	(866)-334-3141	(866)-334-3141		(866)-334-3141	(866)-334-3141	(254)-724-2832	(254)-724-2832
H4564	015	0	1	18	06	H4564_015_0	6		SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	http//www.swhp.org	H4564	015	2007	06	18	1	SeniorCare Sr Select - Value Rx		Central Texas	2	0		2				2		(254)-724-2832	(254)-724-2832	(866)-334-3141	(866)-334-3141		(866)-334-3141	(866)-334-3141	(254)-724-2832	(254)-724-2832
H4577	001	0	1	09	04	H4577_001_0	3	2	HOMEOWNER'S/WELLCARE PFFS INSURANCE INC.	WellCare	www.wellcare.com	H4577	001	2007	04	09	1	Duet		Multi-State Area 9	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111					
H4577	002	0	1	09	04	H4577_002_0	3	2	HOMEOWNER'S/WELLCARE PFFS INSURANCE INC.	WellCare	www.wellcare.com	H4577	002	2007	04	09	1	Duet		Multi-State Area 10	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111					
H4577	003	0	1	09	04	H4577_003_0	3	2	HOMEOWNER'S/WELLCARE PFFS INSURANCE INC.	WellCare	www.wellcare.com	H4577	003	2007	04	09	1	Duet		Multi-State Area 11	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111					
H4577	004	0	1	09	04	H4577_004_0	3	2	HOMEOWNER'S/WELLCARE PFFS INSURANCE INC.	WellCare	www.wellcare.com	H4577	004	2007	04	09	1	Duet		Multi-State Area 12	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111					
H4577	005	0	1	09	04	H4577_005_0	3	2	HOMEOWNER'S/WELLCARE PFFS INSURANCE INC.	WellCare	www.wellcare.com	H4577	005	2007	04	09	1	Summit		Multi-State Area 7	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H4577	006	0	1	09	04	H4577_006_0	3	2	HOMEOWNER'S/WELLCARE PFFS INSURANCE INC.	WellCare	www.wellcare.com	H4577	006	2007	04	09	1	Summit		Multi-State Area 8	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H4577	007	0	1	09	04	H4577_007_0	5	2	HOMEOWNER'S/WELLCARE PFFS INSURANCE INC.	WellCare	www.wellcare.com	H4577	007	2007	04	09	1	Summit		Multi-State Area 9	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H4577	008	0	1	09	04	H4577_008_0	3	2	HOMEOWNER'S/WELLCARE PFFS INSURANCE INC.	WellCare	www.wellcare.com	H4577	008	2007	04	09	1	Summit		Multi-State Area 10	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H4577	009	0	1	09	04	H4577_009_0	4	2	HOMEOWNER'S/WELLCARE PFFS INSURANCE INC.	WellCare	www.wellcare.com	H4577	009	2007	04	09	1	Summit		Multi-State Area 11	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H4577	010	0	1	09	04	H4577_010_0	3	2	HOMEOWNER'S/WELLCARE PFFS INSURANCE INC.	WellCare	www.wellcare.com	H4577	010	2007	04	09	1	Summit		Multi-State Area 12	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H4577	011	0	1	09	04	H4577_011_0	3	2	HOMEOWNER'S/WELLCARE PFFS INSURANCE INC.	WellCare	www.wellcare.com	H4577	011	2007	04	09	1	Freedom		Multi-State Area 2	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H4577	012	0	1	09	04	H4577_012_0	3	2	HOMEOWNER'S/WELLCARE PFFS INSURANCE INC.	WellCare	www.wellcare.com	H4577	012	2007	04	09	1	Concert		Multi-State Area 6	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H4577	013	0	1	09	04	H4577_013_0	3	2	HOMEOWNER'S/WELLCARE PFFS INSURANCE INC.	WellCare	www.wellcare.com	H4577	013	2007	04	09	1	Concert		Multi-State Area 7	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H4577	014	0	1	09	04	H4577_014_0	3	2	HOMEOWNER'S/WELLCARE PFFS INSURANCE INC.	WellCare	www.wellcare.com	H4577	014	2007	04	09	1	Concert		Multi-State Area 8	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H4577	015	0	1	09	04	H4577_015_0	3	2	HOMEOWNER'S/WELLCARE PFFS INSURANCE INC.	WellCare	www.wellcare.com	H4577	015	2007	04	09	1	Concert		Multi-State Area 9	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H4577	801	0	1	09	04	H4577_801_0	5	2	HOMEOWNER'S/WELLCARE PFFS INSURANCE INC.	WellCare	www.wellcare.com	H4577	801	2007	04	09	1	Employer Plan 3		Nationwide	1	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H4577	802	0	1	09	04	H4577_802_0	5	2	HOMEOWNER'S/WELLCARE PFFS INSURANCE INC.	WellCare	www.wellcare.com	H4577	802	2007	04	09	1	Employer Plan 4		Nationwide	1	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H4590	010	0	1	01	01	H4590_010_0	7		PACIFICARE OF TEXAS, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H4590	010	2007	01	01	1	MedicareComplete Plan 1		San Antonio Area	2	0		2				2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588		(800)-950-9355	(800)-385-5588	(800)-557-7595	(800)-387-1074
H4590	012	0	1	01	01	H4590_012_0	5		PACIFICARE OF TEXAS, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H4590	012	2007	01	01	1	MedicareComplete Plan 1		Dallas/Fort Worth Metroplex	2	0		2				2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588		(800)-950-9355	(800)-385-5588	(800)-557-7595	(800)-387-1074
H4590	020	0	1	01	01	H4590_020_0	6		PACIFICARE OF TEXAS, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H4590	020	2007	01	01	1	Evercare Plan DH		Dallas-Fort Worth Metroplex	2	0		1	3	2	2	2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588		(800)-950-9355	(800)-385-5588	(800)-557-7595	(800)-387-1074
H4590	022	0	1	01	01	H4590_022_0	6		PACIFICARE OF TEXAS, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H4590	022	2007	01	01	1	Evercare Plan DH		San Antonio Area	2	0		1	3	2	2	2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588		(800)-950-9355	(800)-385-5588	(800)-557-7595	(800)-387-1074
H4590	025	0	1	01	01	H4590_025_0	5		PACIFICARE OF TEXAS, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H4590	025	2007	01	01	1	MedicareComplete		Corpus Christi Area	2	0		2				2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588		(800)-950-9355	(800)-385-5588	(800)-557-7595	(800)-387-1074
H4590	027	0	1	01	01	H4590_027_0	3		PACIFICARE OF TEXAS, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H4590	027	2007	01	01	1	MedicareComplete Essential		Dallas/Ft Worth Metroplex	2	0		2				2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588					
H4590	028	0	1	01	01	H4590_028_0	8		PACIFICARE OF TEXAS, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H4590	028	2007	01	01	1	MedicareComplete Plan 2		San Antonio Area	2	0		2				2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588		(800)-950-9355	(800)-385-5588	(800)-557-7595	(800)-387-1074
H4590	029	0	1	01	01	H4590_029_0	4		PACIFICARE OF TEXAS, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H4590	029	2007	01	01	1	MedicareComplete Essential		San Antonio Area	2	0		2				2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588					
H4590	030	0	1	01	01	H4590_030_0	6		PACIFICARE OF TEXAS, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H4590	030	2007	01	01	1	MedicareComplete Plan 2		Dallas/Ft Worth Metroplex	2	0		2				2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588		(800)-950-9355	(800)-385-5588	(800)-557-7595	(800)-387-1074
H4590	031	0	1	01	01	H4590_031_0	6		PACIFICARE OF TEXAS, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H4590	031	2007	01	01	1	Evercare Plan IH		Bexar, Guadalupe, and Kendall Counties	2	0		1	1	2	2	2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588		(800)-950-9355	(800)-385-5588	(800)-557-7595	(800)-387-1074
H4590	032	0	1	01	01	H4590_032_0	4		PACIFICARE OF TEXAS, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H4590	032	2007	01	01	1	Evercare Plan BH		Atascosa, Bexar, Comal, Guadalupe, Kendall County	2	0		1	4	2	2	2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588		(800)-950-9355	(800)-385-5588	(800)-557-7595	(800)-387-1074
H4590	033	0	1	01	01	H4590_033_0	6		PACIFICARE OF TEXAS, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H4590	033	2007	01	01	1	Evercare Plan DH		Corpus Christi Area	2	0		1	3	2	2	2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588		(800)-950-9355	(800)-385-5588	(800)-557-7595	(800)-387-1074
H4590	034	0	1	01	01	H4590_034_0	4		PACIFICARE OF TEXAS, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H4590	034	2007	01	01	1	Evercare Plan IH		Dallas,Tarrant, Collin,and Denton Counties	2	0		1	1	2	2	2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588		(800)-950-9355	(800)-385-5588	(800)-557-7595	(800)-387-1074
H4590	801	0	1	01	01	H4590_801_0	3		PACIFICARE OF TEXAS, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H4590	801	2007	01	01	1	MedicareComplete Retiree Plan		TX Employer Sponsored Plan Service Area	1	0		2				2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588					
H4590	802	0	1	01	01	H4590_802_0	3		PACIFICARE OF TEXAS, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H4590	802	2007	01	01	1	MedicareComplete Retiree Plan		TX Employer Sponsored Plan Service Area	1	0		2				2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588					
H4590	803	0	1	01	01	H4590_803_0	4		PACIFICARE OF TEXAS, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H4590	803	2007	01	01	1	MedicareComplete Retiree Plan		TX Employer Sponsored Plan Service Area	1	0		2				2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588		(800)-950-9355	(800)-385-5588	(800)-557-7595	(800)-387-1074
H4590	804	0	1	01	01	H4590_804_0	4		PACIFICARE OF TEXAS, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H4590	804	2007	01	01	1	MedicareComplete Retiree Plan		TX Employer Sponsored Plan Service Area	1	0		2				2		(800)-557-7595	(800)-387-1074	(800)-950-9355	(800)-385-5588		(800)-950-9355	(800)-385-5588	(800)-557-7595	(800)-387-1074
H4604	003	0	1	02	01	H4604_003_0	7		UNITEDHEALTHCARE OF UTAH, INC.	SecureHorizons	www.medicarecomplete.com	H4604	003	2007	01	02	1	MedicareComplete Plus Plan 1		BoxElder/Davis/Morgan/SltLake/Summit/Wasatch/Weber	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-853-3084	(800)-555-5757		(800)-853-3084	(800)-555-5757	(888)-685-8480	(888)-685-8480
H4604	005	0	1	02	01	H4604_005_0	5		UNITEDHEALTHCARE OF UTAH, INC.	SecureHorizons	www.medicarecomplete.com	H4604	005	2007	01	02	1	MedicareComplete Plus Plan 2		BoxElder/Davis/Morgan/SltLake/Summit/Wasatch/Weber	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-853-3084	(800)-691-0008					
H4604	006	0	1	02	01	H4604_006_0	5		UNITEDHEALTHCARE OF UTAH, INC.	SecureHorizons	www.medicarecomplete.com	H4604	006	2007	01	02	1	Evercare Plan DH-POS		Salt Lake and Surrounding Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5110	(888)-834-3721		(877)-702-5110	(888)-834-3721	(888)-685-8480	(888)-685-8480
H4604	007	0	1	02	01	H4604_007_0	5		UNITEDHEALTHCARE OF UTAH, INC.	SecureHorizons	www.medicarecomplete.com	H4604	007	2007	01	02	1	Evercare Plan IH-POS		Box Elder and Salt Lake Counties	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(888)-834-3721		(800)-393-0993	(888)-834-3721	(888)-685-8480	(888)-685-8480
H4604	801	0	1	01	01	H4604_801_0	3		UNITEDHEALTHCARE OF UTAH, INC.	SecureHorizons	www.medicarecomplete.com	H4604	801	2007	01	01	1	MedicareComplete		Salt Lake and Surrounding Counties	1	0		2				2		(888)-685-8480	(888)-685-8480	(800)-853-3084	(800)-691-0008		(800)-853-3084	(800)-691-0008	(888)-685-8480	(888)-685-8480
H4605	001	0	1	04	01	H4605_001_0	4		REGENCE BLUECROSS BLUESHIELD OF UT	Regence BlueCross BlueShield of Utah	www.ut.regence.com	H4605	001	2007	01	04	1	MedAdvantage		Davis/Salt Lake/Summit/Utah/Weber	2	0		2				2		(800)-382-1003	(800)-382-1003	(800)-541-8981	(800)-541-8981					
H4605	002	0	1	04	01	H4605_002_0	4		REGENCE BLUECROSS BLUESHIELD OF UT	Regence BlueCross BlueShield of Utah	www.ut.regence.com	H4605	002	2007	01	04	1	MedAdvantage + Rx		Davis/Salt Lake/Summit/Utah/Weber	2	0		2				2		(800)-382-1003	(800)-382-1003	(800)-541-8981	(800)-541-8981		(800)-541-8981	(800)-541-8981	(800)-382-1003	(800)-382-1003
H4605	004	0	1	04	01	H4605_004_0	4		REGENCE BLUECROSS BLUESHIELD OF UT	Regence BlueCross BlueShield of Utah	www.ut.regence.com	H4605	004	2007	01	04	1	MedAdvantage + Enhanced Rx		Davis/Salt Lake/Summit/Utah/Weber	2	0		2				2		(800)-382-1003	(800)-382-1003	(800)-541-8981	(800)-541-8981		(800)-541-8981	(800)-541-8981	(800)-382-1003	(800)-382-1003
H4606	001	0	1	04	01	H4606_001_0	5		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H4606	001	2007	01	04	1	HumanaChoicePPO PPO H4606-001		Salt Lake City Metro Area	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H4606	003	0	1	04	01	H4606_003_0	6		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H4606	003	2007	01	04	1	HumanaChoicePPO PPO H4606-003		Washington County	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H4606	004	0	1	04	01	H4606_004_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H4606	004	2007	01	04	1	HumanaChoicePPO PPO H4606-004		Salt Lake City Metro Area	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H4606	801	0	1	04	01	H4606_801_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H4606	801	2007	01	04	1	Humana Employer Sponsored		Salt Lake City and St George Metro Areas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H4606	802	0	1	04	01	H4606_802_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H4606	802	2007	01	04	1	Humana Employer Sponsored		Salt Lake City and St. George Metro Areas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H4606	803	0	1	04	01	H4606_803_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H4606	803	2007	01	04	1	Humana Employer Sponsored Non-CY		Salt Lake City and St. George Metro Areas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H4606	804	0	1	04	01	H4606_804_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H4606	804	2007	01	04	1	Humana Employer Sponsored Non-CY		Salt Lake City and St. George Metro Areas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H4720	001	0	1	09	04	H4720_001_0	5	2	UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons	www.securehorizons.com	H4720	001	2007	04	09	1	SecureHorizons MedicareDirect Rx Plan 52		Schoharie County	2	0		2				2		(888)-844-5530	(800)-387-1074	(866)-272-0407	(800)-776-8876		(866)-272-0407	(800)-776-8876	(888)-844-5530	(800)-387-1074
H4720	801	0	1	09	04	H4720_801_0	5	2	UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons	www.securehorizons.com	H4720	801	2007	04	09	1	SecureHorizons Direct		National	1	0		2				2		(888)-844-5530	(800)-387-1074	(866)-272-0407	(800)-776-8876					
H4720	803	0	1	09	04	H4720_803_0	6	2	UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons	www.securehorizons.com	H4720	803	2007	04	09	1	SecureHorizons Direct Rx		National	1	0		2				2		(888)-844-5530	(800)-387-1074	(866)-272-0407	(800)-776-8876		(866)-272-0407	(800)-776-8876	(888)-844-5530	(800)-387-1074
H4779	001	0	1	37	05	H4779_001_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UNITED HEALTHCARE INSURANCE COMPANY	www.ericksonadvantage.com	H4779	001	2007	05	37	1	Erickson Advantage Signature with Drugs		Collin and Harris Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839		(866)-314-8188	(800)-704-7839	(888)-685-8480	(888)-685-8480
H4779	002	0	1	37	05	H4779_002_0	2		UNITED HEALTHCARE INSURANCE COMPANY	UNITED HEALTHCARE INSURANCE COMPANY	www.EvercareHealthPlans.com	H4779	002	2007	05	37	1	Erickson Advantage Signature without Drugs		Collin and Harris Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839					
H4779	003	0	1	37	05	H4779_003_0	4		UNITED HEALTHCARE INSURANCE COMPANY	UNITED HEALTHCARE INSURANCE COMPANY	www.ericksonadvantage.com	H4779	003	2007	05	37	1	Erickson Advantage Champion		Collin and Harris Counties	2	0		1	4	2	2	2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839		(866)-314-8188	(800)-704-7839	(888)-685-8480	(888)-685-8480
H4908	001	0	1	04	01	H4908_001_0	3		OPTIMA HEALTH INSURANCE COMPANY	Optima Medicare Preferred	www.optimahealth.com	H4908	001	2007	01	04	1	Optima Medicare Preferred		Optima Medicare Preferred	2	0		2				2		(800)-225-7784	(800)-225-7784	(800)-543-3359	(866)-678-4620	750				
H4908	002	0	1	04	01	H4908_002_0	5		OPTIMA HEALTH INSURANCE COMPANY	Optima Medicare Preferred	www.optimahealth.com	H4908	002	2007	01	04	1	Optima Medicare Preferred Plus		Optima Medicare Preferred Plus	2	0		2				2		(800)-225-7784	(800)-225-7784	(800)-543-3359	(866)-678-4620	750	(800)-543-3359	(866)-678-4620	(800)-225-7784	(800)-225-7784
H4908	003	0	1	04	01	H4908_003_0	3		OPTIMA HEALTH INSURANCE COMPANY	Optima Medicare Preferred	www.optimahealth.com	H4908	003	2007	01	04	1	Optima Medicare Preferred Saver		Optima Medicare Preferred Saver	2	0		2				2		(800)-225-7784	(800)-225-7784	(800)-543-3359	(866)-678-4620	685				
H4908	004	0	1	04	01	H4908_004_0	4		OPTIMA HEALTH INSURANCE COMPANY	Optima Medicare Preferred	www.optimahealth.com	H4908	004	2007	01	04	1	Optima Medicare Preferred Saver Plus		Optima Medicare Preferred Saver Plus	2	0		2				2		(800)-225-7784	(800)-225-7784	(800)-543-3359	(866)-678-4620	750	(800)-543-3359	(866)-678-4620	(800)-225-7784	(800)-225-7784
H4908	801	0	1	04	01	H4908_801_0	1		OPTIMA HEALTH INSURANCE COMPANY	Optima Medicare Preferred	www.optimahealth.com	H4908	801	2007	01	04	1	Optima Medicare Preferred (Employer)		Optima Medicare Preferred (Employer)	1	0		2				2		(800)-225-7784	(800)-225-7784	(800)-543-3359	(866)-678-4620	50				
H4908	802	0	1	04	01	H4908_802_0	2		OPTIMA HEALTH INSURANCE COMPANY	Optima Medicare Preferred	www.optimahealth.com	H4908	802	2007	01	04	1	Optima Medicare Preferred Plus (Employer)		Optima Medicare Preferred Plus (Employer)	1	0		2				2		(800)-225-7784	(800)-225-7784	(800)-543-3359	(866)-678-4620	50	(800)-543-3359	(866)-678-4620	(800)-225-7784	(800)-225-7784
H4909	001	0	1	04	01	H4909_001_0	7		ANTHEM HEALTH PLANS OF VIRGINIA, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	H4909	001	2007	01	04	1	Anthem Medicare Preferred Standard		Richmond and Peninsula Metro Areas	2	0		2				2		(888)-853-7754	(800)-828-1120	(866)-827-9866	(800)-334-7676	537	(866)-827-9866	(800)-334-7676	(888)-853-7754	(800)-828-1120
H4909	004	0	1	04	01	H4909_004_0	7		ANTHEM HEALTH PLANS OF VIRGINIA, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	H4909	004	2007	01	04	1	Anthem Medicare Preferred Premier		Richmond and Peninsula Metro Areas	2	0		2				2		(888)-853-7754	(800)-828-1120	(866)-827-9866	(800)-334-7676	332	(866)-827-9866	(800)-334-7676	(888)-853-7754	(800)-828-1120
H4909	801	0	1	04	01	H4909_801_0	5		ANTHEM HEALTH PLANS OF VIRGINIA, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	H4909	801	2007	01	04	1	Anthem Medicare Preferred Group		Richmond and Peninsula Metro Areas	1	0		2				2		(888)-853-7754	(800)-828-1120	(866)-827-9866	(800)-334-7676	325	(866)-827-9866	(800)-334-7676	(888)-853-7754	(800)-828-1120
H4909	803	0	1	04	01	H4909_803_0	2		ANTHEM HEALTH PLANS OF VIRGINIA, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	H4909	803	2007	01	04	1	Anthem Medicare Preferred Group		Richmond and Peninsula Metro Area	1	0		2				2		(888)-853-7754	(800)-828-1120	(866)-827-9866	(800)-334-7676	163				
H4910	001	0	1	01	01	H4910_001_0	3		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H4910	001	2007	01	01	1	Aetna Golden Medicare Value Plan		Fairfax County and Surrounding Area	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H4910	002	0	1	01	01	H4910_002_0	5		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H4910	002	2007	01	01	1	Aetna Golden Medicare Premier Plan		Fairfax County and Surrounding Area	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H4910	004	0	1	01	01	H4910_004_0	5		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H4910	004	2007	01	01	1	Aetna Golden Medicare Standard Plan		Fairfax County and Surrounding Area	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H4910	801	0	1	01	01	H4910_801_0	1		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H4910	801	2007	01	01	1	Aetna Golden Medicare Plan		Fairfax County and Surrounding Area	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H4910	802	0	1	01	01	H4910_802_0	1		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H4910	802	2007	01	01	1	Aetna Golden Medicare Plan w/Rx CY		Fairfax County and Surrounding Area	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H4911	002	0	1	04	01	H4911_002_0	5		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H4911	002	2007	01	04	1	Aetna Golden Choice Premier Plan		Fairfax County and Surrounding Area	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H4911	003	0	1	04	01	H4911_003_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H4911	003	2007	01	04	1	Aetna Golden Choice Standard Plan		Fairfax County and Surrounding Area	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H4911	004	0	1	04	01	H4911_004_0	6		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H4911	004	2007	01	04	1	Aetna Golden Choice Value Plan		Alexandria City,Fairfax City,Fairfax,Falls Church	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H4911	801	0	1	04	01	H4911_801_0	3		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H4911	801	2007	01	04	1	Aetna Golden Choice Plan		Fairfax County and Surrounding Area	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H4911	802	0	1	04	01	H4911_802_0	5		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H4911	802	2007	01	04	1	Aetna Golden Choice Plan w/Rx CY		Fairfax County and Surrounding Area	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5005	001	0	1	01	01	H5005_001_0	5		PACIFICARE OF WASHINGTON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H5005	001	2007	01	01	1	MedicareComplete Plan 1		Central Washington	2	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588		(800)-533-2743	(800)-385-5588	(800)-786-7387	(800)-387-1074
H5005	010	0	1	01	01	H5005_010_0	5		PACIFICARE OF WASHINGTON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H5005	010	2007	01	01	1	MedicareComplete Plan 1		Southern Washington	2	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588		(800)-533-2743	(800)-385-5588	(800)-786-7387	(800)-387-1074
H5005	011	0	1	01	01	H5005_011_0	5		PACIFICARE OF WASHINGTON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H5005	011	2007	01	01	1	MedicareComplete Plan 1		Northern Washington	2	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588		(800)-533-2743	(800)-385-5588	(800)-786-7387	(800)-387-1074
H5005	013	0	1	01	01	H5005_013_0	5		PACIFICARE OF WASHINGTON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H5005	013	2007	01	01	1	MedicareComplete		Cowlitz County	2	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588		(800)-533-2743	(800)-385-5588	(800)-786-7387	(800)-387-1074
H5005	015	0	1	01	01	H5005_015_0	3		PACIFICARE OF WASHINGTON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H5005	015	2007	01	01	1	MedicareComplete Essential		Central Washington	2	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588					
H5005	018	0	1	01	01	H5005_018_0	3		PACIFICARE OF WASHINGTON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H5005	018	2007	01	01	1	MedicareComplete Essential		Cowlitz	2	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588					
H5005	019	0	1	01	01	H5005_019_0	7		PACIFICARE OF WASHINGTON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H5005	019	2007	01	01	1	MedicareComplete Plan 3		Central Washington	2	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588		(800)-533-2743	(800)-385-5588	(800)-786-7387	(800)-387-1074
H5005	020	0	1	01	01	H5005_020_0	4		PACIFICARE OF WASHINGTON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H5005	020	2007	01	01	1	MedicareComplete Plan 3		Northern Washington	2	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588		(800)-533-2743	(800)-385-5588	(800)-786-7387	(800)-387-1074
H5005	021	0	1	01	01	H5005_021_0	3		PACIFICARE OF WASHINGTON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H5005	021	2007	01	01	1	MedicareComplete Essential		Northern Washington	2	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588					
H5005	022	0	1	01	01	H5005_022_0	4		PACIFICARE OF WASHINGTON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H5005	022	2007	01	01	1	MedicareComplete Plan 3		Southern Washington	2	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588		(800)-533-2743	(800)-385-5588	(800)-786-7387	(800)-387-1074
H5005	023	0	1	01	01	H5005_023_0	3		PACIFICARE OF WASHINGTON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H5005	023	2007	01	01	1	MedicareComplete Essential		Southern Washington	2	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588					
H5005	801	0	1	01	01	H5005_801_0	5		PACIFICARE OF WASHINGTON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H5005	801	2007	01	01	1	MedicareComplete Retiree Plan		WA Employer Sponsored Plan Service Area	1	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588					
H5005	802	0	1	01	01	H5005_802_0	5		PACIFICARE OF WASHINGTON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H5005	802	2007	01	01	1	MedicareComplete Retiree Plan		WA Employer Sponsored Plan Service Area	1	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588					
H5005	803	0	1	01	01	H5005_803_0	6		PACIFICARE OF WASHINGTON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H5005	803	2007	01	01	1	MedicareComplete Retiree Plan		WA Employer Sponsored Plan Service Area	1	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588		(800)-533-2743	(800)-385-5588	(800)-786-7387	(800)-387-1074
H5005	804	0	1	01	01	H5005_804_0	6		PACIFICARE OF WASHINGTON, INC.	Secure Horizons Medicare Advantage Plan	www.securehorizons.com	H5005	804	2007	01	01	1	MedicareComplete Retiree Plan		WA Employer Sponsored Plan Service Area	1	0		2				2		(800)-786-7387	(800)-387-1074	(800)-533-2743	(800)-385-5588		(800)-533-2743	(800)-385-5588	(800)-786-7387	(800)-387-1074
H5006	010	0	1	09	04	H5006_010_0	10	2	STERLING LIFE INSURANCE COMPANY	Sterling Option I	www.sterlingplans.com	H5006	010	2007	04	09	1	Sterling Option II		Multi-State Area	2	0		2				2		(888)-858-8567	(888)-858-8567	(888)-858-8551	(888)-858-8572		(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
H5006	011	0	1	09	04	H5006_011_0	2	2	STERLING LIFE INSURANCE COMPANY	Sterling Option I	www.sterlingplans.com	H5006	011	2007	04	09	1	Sterling Option I		Multi-State Area	2	0		2				2		(888)-858-8567	(888)-858-8567	(888)-858-8551	(888)-858-8572					
H5006	801	0	1	09	04	H5006_801_0	3	2	STERLING LIFE INSURANCE COMPANY	Sterling Option I	www.sterlingplans.com	H5006	801	2007	04	09	1	Sterling Retiree Options		Nationwide	1	0		2				2		(888)-858-8567	(888)-858-8567	(888)-858-8551	(888)-858-8572					
H5007	001	0	1	20	08	H5007_001_0	2		PROVIDENCE HEALTH SYSTEM	Providence Health System	www.providence.org/longtermcare/elderplace	H5007	001	2007	08	20	1	Providence ElderPlace - Seattle		Seattle - King County Washington	2	0		2				2						250	(000)-000-0000	(000)-000-0000		
H5007	002	0	1	20	08	H5007_002_0	1		PROVIDENCE HEALTH SYSTEM	Providence Health System	www.providence.org/longtermcare/elderplace	H5007	002	2007	08	20	1	Providence ElderPlace - Seattle Sr. Plus		Seattle - King County Washington	2	0		2				2							(000)-000-0000	(000)-000-0000		
H5008	001	0	1	01	01	H5008_001_0	5		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H5008	001	2007	01	01	1	Evercare Plan IH		King, Pierce and Snohomish Counties	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(866)-266-0636		(800)-393-0993	(866)-266-0636	(888)-685-8480	(888)-685-8480
H5008	002	0	1	01	01	H5008_002_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H5008	002	2007	01	01	1	Evercare Premier		King, Pierce and Snohomish Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(866)-266-0636	(866)-266-0636		(866)-266-0636	(866)-266-0636	(888)-685-8480	(888)-685-8480
H5009	001	0	1	04	01	H5009_001_0	4		REGENCE BLUESHIELD	Regence BlueShield	www.wa.regence.com	H5009	001	2007	01	04	1	MedAdvantage		Clallam/King/Kitsap/Pierce/Thur/Snoh/Skag/What/Yak	2	0		2				2		(800)-382-1003	(800)-382-1003	(800)-541-8981	(800)-541-8981					
H5009	002	0	1	04	01	H5009_002_0	4		REGENCE BLUESHIELD	Regence BlueShield	www.wa.regence.com	H5009	002	2007	01	04	1	MedAdvantage + Rx		Clallam/King/Kitsap/Pierce/Thur/Snoh/Skag/What/Yak	2	0		2				2		(800)-382-1003	(800)-382-1003	(800)-541-8981	(800)-541-8981		(800)-541-8981	(800)-541-8981	(800)-382-1003	(800)-382-1003
H5009	004	0	1	04	01	H5009_004_0	4		REGENCE BLUESHIELD	Regence BlueShield	www.wa.regence.com	H5009	004	2007	01	04	1	MedAdvantage + Enhanced Rx		Clallam/King/Kitsap/Pierce/Thur/Snoh/Skag/What/Yak	2	0		2				2		(800)-382-1003	(800)-382-1003	(800)-541-8981	(800)-541-8981		(800)-541-8981	(800)-541-8981	(800)-382-1003	(800)-382-1003
H5010	001	0	1	04	01	H5010_001_0	4		ASURIS NORTHWEST HEALTH	Asuris Northwest Health	www.asurisnorthwesthealth.com	H5010	001	2007	01	04	1	MedAdvantage		A Regence affiliate available in Spokane county	2	0		2				2		(800)-382-1003	(800)-382-1003	(800)-541-8981	(800)-541-8981					
H5010	002	0	1	04	01	H5010_002_0	4		ASURIS NORTHWEST HEALTH	Asuris Northwest Health	www.asurisnorthwesthealth.com	H5010	002	2007	01	04	1	MedAdvantage + Rx		A Regence affiliate available in Spokane county	2	0		2				2		(800)-382-1003	(800)-382-1003	(800)-541-8981	(800)-541-8981		(800)-541-8981	(800)-541-8981	(800)-382-1003	(800)-382-1003
H5010	004	0	1	04	01	H5010_004_0	4		ASURIS NORTHWEST HEALTH	Asuris Northwest Health	www.asurisnorthwesthealth.com	H5010	004	2007	01	04	1	MedAdvantage + Enhanced Rx		A Regence affiliate available in Spokane county	2	0		2				2		(800)-382-1003	(800)-382-1003	(800)-541-8981	(800)-541-8981		(800)-541-8981	(800)-541-8981	(800)-382-1003	(800)-382-1003
H5050	001	0	1	01	01	H5050_001_0	3		GROUP HEALTH COOPERATIVE	Group Health Cooperative	www.ghc.org	H5050	001	2007	01	01	1	GHC Medicare Plan (Medicare Parts A&B)		King/Mason/Pierce/Spokane/Thurston Counties	2	0		2				2		(800)-833-6388	(800)-833-6388	(888)-901-4636	(800)-446-8882					
H5050	002	0	1	01	01	H5050_002_0	2		GROUP HEALTH COOPERATIVE	Group Health Cooperative	www.ghc.org	H5050	002	2007	01	01	1	GHC Medicare Plan (Medicare Parts A&B)		Grays/Isl/Kitsap/Lewis/SanJ/Skag/Sno/What/Counties	2	0		2				2		(800)-833-6388	(800)-833-6388	(888)-901-4636	(800)-446-8882					
H5050	004	0	1	01	01	H5050_004_0	5		GROUP HEALTH COOPERATIVE	Group Health Cooperative	www.ghc.org	H5050	004	2007	01	01	1	GHC Medicare A,B,&D High Option Plan		All Counties Served by Group Health Cooperative	2	0		2				2		(800)-833-6388	(800)-833-6388	(888)-901-4636	(800)-446-8882		(888)-901-4636	(888)-901-4636	(800)-833-6388	(800)-833-6388
H5050	009	0	1	01	01	H5050_009_0	5		GROUP HEALTH COOPERATIVE	Group Health Cooperative	www.ghc.org	H5050	009	2007	01	01	1	GHC Medicare Plan (Medicare Parts A,B,&D)		King/Mason/Pierce/Spokane/Thurston Counties	2	0		2				2		(800)-833-6388	(800)-833-6388	(888)-901-4636	(800)-446-8882		(888)-901-4636	(888)-901-4636	(800)-833-6388	(800)-833-6388
H5050	010	0	1	01	01	H5050_010_0	6		GROUP HEALTH COOPERATIVE	Group Health Cooperative	www.ghc.org	H5050	010	2007	01	01	1	GHC Medicare Plan (Medicare Parts A,B,&D)		Grays/Isl/Kitsap/Lewis/SanJ/Skag/Sno/What/Counties	2	0		2				2		(800)-833-6388	(800)-833-6388	(888)-901-4636	(800)-446-8882		(888)-901-4636	(888)-901-4636	(800)-833-6388	(800)-833-6388
H5050	801	0	1	01	01	H5050_801_0	2		GROUP HEALTH COOPERATIVE	Group Health Cooperative	www.ghc.org	H5050	801	2007	01	01	1	GHC Medicare EGHP (Medicare Parts A & B)		All Counties Served by Group Health Cooperative	1	0		2				2		(800)-833-6388	(800)-833-6388	(888)-901-4636	(800)-446-8882					
H5050	802	0	1	01	01	H5050_802_0	2		GROUP HEALTH COOPERATIVE	Group Health Cooperative	www.ghc.org	H5050	802	2007	01	01	1	GHC Medicare EGHP (Medicare Parts A,B,&D)		All Counties Served by Group Health Cooperative	1	0		2				2		(800)-833-6388	(800)-833-6388	(888)-901-4636	(800)-446-8882		(888)-901-4636	(888)-901-4636	(800)-833-6388	(800)-833-6388
H5102	003	0	1	18	06	H5102_003_0	4		HEALTH PLAN OF THE UPPER OHIO VALLEY	The Health Plan	www.healthplan.org	H5102	003	2007	06	18	1	Medicare Plus		Health Plan Medicare Plus	2	0		2				2		(740)-695-7919	(740)-695-7919	(740)-695-7907	(740)-695-7656	1500				
H5106	013	0	1	04	01	H5106_013_0	6		MOUNTAIN STATE BLUE CROSS BLUE SHIELD	Mountain State Blue Cross Blue Shield	www.msbcbs.com	H5106	013	2007	01	04	1	2007 FREEDOMBLUE OPT 1		ALL WV COUNTIES EXCEPT:BK,HK,HR,MA,MS,MO,OH,WZ	2	0		2				2		(800)-855-1155	(800)-855-1155	(888)-459-4020	(800)-385-1985		(800)-385-1985	(888)-459-4020	(800)-855-1155	(800)-855-1155
H5106	014	0	1	04	01	H5106_014_0	13		MOUNTAIN STATE BLUE CROSS BLUE SHIELD	Mountain State Blue Cross Blue Shield	www.msbcbs.com	H5106	014	2007	01	04	1	2007 FREEDOMBLUE OPT 2		ALL WV COUNTIES EXCEPT:BK,HK,HR,MA,MS,MO,OH,WZ	2	0		2				2		(800)-855-1155	(800)-855-1155	(888)-459-4020	(800)-385-1985		(800)-385-1985	(888)-459-4020	(800)-855-1155	(800)-855-1155
H5106	015	0	1	04	01	H5106_015_0	6		MOUNTAIN STATE BLUE CROSS BLUE SHIELD	Mountain State Blue Cross Blue Shield	www.msbcbs.com	H5106	015	2007	01	04	1	2007 FREEDOMBLUE NORTH OPT 1		WV COUNTIES: BK,HK,HR,MA,MS,MO,OH,WZ	2	0		2				2		(800)-855-1155	(800)-855-1155	(888)-459-4020	(800)-385-1985		(800)-385-1985	(888)-459-4020	(800)-855-1155	(800)-855-1155
H5106	016	0	1	04	01	H5106_016_0	12		MOUNTAIN STATE BLUE CROSS BLUE SHIELD	Mountain State Blue Cross Blue Shield	www.msbcbs.com	H5106	016	2007	01	04	1	2007 FREEDOMBLUE NORTH OPT 2		WV COUNTIES: BK,HK,HR,MA,MS,MO,OH,WZ	2	0		2				2		(800)-855-1155	(800)-855-1155	(888)-459-4020	(800)-385-1985		(800)-385-1985	(888)-459-4020	(800)-855-1155	(800)-855-1155
H5106	017	0	1	04	01	H5106_017_0	5		MOUNTAIN STATE BLUE CROSS BLUE SHIELD	Mountain State Blue Cross Blue Shield	www.msbcbs.com	H5106	017	2007	01	04	1	2007 FREEDOMBLUE OPT 3 NO PD		ALL WV COUNTIES EXCEPT BK,HK,HR,MA,MS,MO,OH,WZ	2	0		2				2		(800)-855-1155	(800)-855-1155	(888)-459-4020	(800)-385-1985					
H5106	018	0	1	04	01	H5106_018_0	5		MOUNTAIN STATE BLUE CROSS BLUE SHIELD	Mountain State Blue Cross Blue Shield	www.msbcbs.com	H5106	018	2007	01	04	1	2007 FREEDOMBLUE NORTH OPT 3 NO PD		WV COUNTIES BK,HK,HR,MA,MS,MO,OH,WZ	2	0		2				2		(800)-855-1155	(800)-855-1155	(888)-459-4020	(800)-385-1985					
H5106	805	0	1	04	01	H5106_805_0	4		MOUNTAIN STATE BLUE CROSS BLUE SHIELD	Mountain State Blue Cross Blue Shield	www.msbcbs.com	H5106	805	2007	01	04	1	2007 FREEDOMBLUE GRP NON-CAL YR NO D		ALL WV COUNTIES	1	0		2				2		(800)-855-1155	(800)-855-1155	(888)-459-4020	(800)-385-1985					
H5106	806	0	1	04	01	H5106_806_0	4		MOUNTAIN STATE BLUE CROSS BLUE SHIELD	Mountain State Blue Cross Blue Shield	www.msbcbs.com	H5106	806	2007	01	04	1	2007 FREEDOMBLUE GRP NON-CAL YR W/D		ALL WV COUNTIES	1	0		2				2		(800)-855-1155	(800)-855-1155	(888)-459-4020	(800)-385-1985		(800)-385-1985	(888)-459-4020	(800)-855-1155	(800)-855-1155
H5106	807	0	1	04	01	H5106_807_0	5		MOUNTAIN STATE BLUE CROSS BLUE SHIELD	Mountain State Blue Cross Blue Shield	www.msbcbs.com	H5106	807	2007	01	04	1	2007 FREEDOMBLUE GRP CAL YR NO D		ALL WV COUNTIES	1	0		2				2		(800)-855-1155	(800)-855-1155	(888)-459-4020	(800)-385-1985					
H5106	808	0	1	04	01	H5106_808_0	5		MOUNTAIN STATE BLUE CROSS BLUE SHIELD	Mountain State Blue Cross Blue Shield	www.msbcbs.com	H5106	808	2007	01	04	1	2007 FREEDOMBLUE GRP CAL YR W/D		ALL WV COUNTIES	1	0		2				2		(800)-855-1155	(800)-855-1155	(888)-459-4020	(800)-385-1985		(800)-385-1985	(888)-459-4020	(800)-855-1155	(800)-855-1155
H5151	002	0	1	01	01	H5151_002_0	8		HEALTH PLAN OF THE UPPER OHIO VALLEY	The Health Plan	www.healthplan.org	H5151	002	2007	01	01	1	Health Plan SecureCare		East Ohio, Northern WV	2	0		2				2		(740)-695-7919	(740)-695-7919	(740)-695-7907	(740)-695-7656	6000	(877)-847-7907	(800)-624-6961	(740)-695-7919	(740)-695-7919
H5151	003	0	1	01	01	H5151_003_0	8		HEALTH PLAN OF THE UPPER OHIO VALLEY	The Health Plan	www.healthplan.org	H5151	003	2007	01	01	1	Health Plan SecureCare		NorthCentral West Virginia	2	0		2				2		(740)-695-7919	(740)-695-7919	(740)-695-7907	(740)-695-7656	6000	(877)-847-7907	(800)-624-6961	(740)-695-7919	(740)-695-7919
H5151	004	0	1	01	01	H5151_004_0	4		HEALTH PLAN OF THE UPPER OHIO VALLEY	The Health Plan	www.healthplan.org	H5151	004	2007	01	01	1	Health Plan SecureCare		East Ohio, Northern WV	2	0		2				2		(740)-695-7919	(740)-695-7919	(740)-695-7907	(740)-695-7656	750				
H5151	005	0	1	01	01	H5151_005_0	5		HEALTH PLAN OF THE UPPER OHIO VALLEY	The Health Plan	www.healthplan.org	H5151	005	2007	01	01	1	Health Plan SecureCare		North Central West Virginia	2	0		2				2		(740)-695-7919	(740)-695-7919	(740)-695-7907	(740)-695-7656	750				
H5151	802	0	1	01	01	H5151_802_0	4		HEALTH PLAN OF THE UPPER OHIO VALLEY	The Health Plan	www.healthplan.org	H5151	802	2007	01	01	1	Health Plan SecureCare		Southeast Ohio, Northern West Virginia	1	0		2				2		(740)-695-7919	(740)-695-7919	(740)-695-7907	(740)-695-7656	100				
H5151	803	0	1	01	01	H5151_803_0	6		HEALTH PLAN OF THE UPPER OHIO VALLEY	The Health Plan	www.healthplan.org	H5151	803	2007	01	01	1	Health Plan SecureCare		Southeast Ohio, Northern West Virginia	1	0		2				2		(740)-695-7919	(740)-695-7919	(740)-695-7907	(740)-695-7656	6000	(877)-847-7907	(800)-624-6961	(740)-695-7919	(740)-695-7919
H5204	002	0	1	35	05	H5204_002_0	4		HEALTH PLAN FOR COMMUNITY LIVING, INC.	Health Plan for Community Living	www.clanet.org	H5204	002	2007	05	35	1	Partnership		Dane County, Wisconsin	2	0		1	1	2	2	2		(608)-242-8583	(608)-242-8583	(888)-459-5255	(888)-459-5255		(888)-459-5255	(888)-459-5255	(608)-242-8583	(608)-242-8583
H5206	002	0	1	35	05	H5206_002_0	1		PARTNERSHIP HEALTH PLAN, INC.	Community Health Partnership	www.communityhealthpartnership.com	H5206	002	2007	05	35	1	Community Health Partnership		Chippewa, Dunn and Eau Claire Counties	2	0		1	1	2	2	2		(800)-842-1814	(800)-842-1814	(800)-842-1814	(800)-842-1814	1125	(800)-842-1814	(800)-842-1814	(800)-842-1814	(800)-842-1814
H5206	003	0	1	35	05	H5206_003_0	1		PARTNERSHIP HEALTH PLAN, INC.	Community Health Partnership	www.communityhealthpartnership.com	H5206	003	2007	05	35	1	Community Health Partnership		Pierce and St. Croix Counties	2	0		1	1	2	2	2		(800)-842-1814	(800)-842-1814	(800)-842-1814	(800)-842-1814	180	(800)-842-1814	(800)-842-1814	(800)-842-1814	(800)-842-1814
H5207	001	0	1	35	05	H5207_001_0	1		COMMUNITY CARE HEALTH PLAN, INC	Community Care	www.CommunityCareInc.org	H5207	001	2007	05	35	1	Community Care's Partnership Program		Kenosha, Milwaukee, Racine and Waukesha Counties	2	0		1	1	2	2	2		(414)-385-6626	(414)-385-6626	(866)-992-6600	(866)-992-6600	551	(866)-992-6600	(866)-992-6600	(414)-385-6626	(414)-385-6626
H5209	002	0	1	35	05	H5209_002_0	2		ELDER CARE HEALTH PLAN, INC.	Elder Care Health Plan, Inc.	www.eldercarehealthplan.org	H5209	002	2007	05	35	1	Elder Care Partnership		Dane County, Wisconsin	2	0		1	1	2	2	2		(800)-947-3529	(800)-947-3529	(800)-963-0035	(800)-963-0035	660	(800)-963-0035	(800)-963-0035	(800)-947-3529	(800)-947-3529
H5211	001	0	1	02	01	H5211_001_0	1		SECURITY HEALTH PLAN OF WISCONSIN, INC	Security Health Plan Of Wisconsin, Inc	www.securityhealth.org	H5211	001	2007	01	02	1	Advocare Plan 2		Central, Northern, & Western WI	2	0		2				2		(877)-727-2232	(877)-727-2232	(877)-998-0998	(877)-998-0998	7880				
H5211	002	0	1	01	01	H5211_002_0	5		SECURITY HEALTH PLAN OF WISCONSIN, INC	Security Health Plan Of Wisconsin, Inc	www.securityhealth.org	H5211	002	2007	01	01	1	Advocare Plan 3		Central, Northern, & Western WI	2	0		2				2		(877)-727-2232	(877)-727-2232	(877)-998-0998	(877)-998-0998	200	(877)-998-0998	(877)-998-0998	(877)-727-2232	(877)-727-2232
H5211	003	0	1	01	01	H5211_003_0	2		SECURITY HEALTH PLAN OF WISCONSIN, INC	Security Health Plan Of Wisconsin, Inc	www.securityhealth.org	H5211	003	2007	01	01	1	Advocare Plan 4		Central, Northern, & Western WI	2	0		2				2		(877)-727-2232	(877)-727-2232	(877)-998-0998	(877)-998-0998	79				
H5211	004	0	1	02	01	H5211_004_0	4		SECURITY HEALTH PLAN OF WISCONSIN, INC	Security Health Plan Of Wisconsin, Inc	www.securityhealth.org	H5211	004	2007	01	02	1	Advocare Plan 1		Central, Northern, & Western WI	2	0		2				2		(877)-727-2232	(877)-727-2232	(877)-998-0998	(877)-998-0998	3937	(877)-998-0998	(877)-998-0998	(877)-727-2232	(877)-727-2232
H5212	001	0	1	20	08	H5212_001_0	1		COMMUNITY CARE ORGANIZATION, INC.	Community Care	www.CommunityCareInc.org	H5212	001	2007	08	20	1	Community Care's PACE Program		Milwaukee County	2	0		2				2						719	(866)-992-6600	(866)-992-6600	(414)-385-6626	(414)-385-6626
H5212	002	0	1	20	08	H5212_002_0	3		COMMUNITY CARE ORGANIZATION, INC.	Community Care	www.CommunityCareInc.org	H5212	002	2007	08	20	1	Community Care's PACE Program		Milwaukee County	2	0		2				2						1	(866)-992-6600	(866)-992-6600	(414)-385-6626	(414)-385-6626
H5213	001	0	1	20	08	H5213_001_0	2		TOTAL COMMUNITY CARE, L.L.C.	Total Community Care	www.TotalCommunityCare.org	H5213	001	2007	08	20	1	Total Community Care		Albuquerque Metro Area	2	0		2				2						309	(505)-924-2608	(505)-924-2608		
H5213	002	0	1	20	08	H5213_002_0	3		TOTAL COMMUNITY CARE, L.L.C.	Total Community Care	www.TotalCommunityCare.org	H5213	002	2007	08	20	1	Total Community Care		Albuquerque Metro Area	2	0		2				2						5	(505)-924-2608	(505)-924-2608		
H5214	003	0	1	04	01	H5214_003_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H5214	003	2007	01	04	1	HumanaChoicePPO PPO H5214-003		Atlanta Metro Area	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H5214	801	0	1	04	01	H5214_801_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H5214	801	2007	01	04	1	Humana Employer Sponsored		DeKalb and Fulton Counties	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H5214	803	0	1	04	01	H5214_803_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H5214	803	2007	01	04	1	Humana Employer Sponsored		DeKalb and Fulton Counties	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H5214	804	0	1	04	01	H5214_804_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H5214	804	2007	01	04	1	Humana Employer Sponsored Non-CY		DeKalb and Fulton Counties	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H5214	805	0	1	04	01	H5214_805_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H5214	805	2007	01	04	1	Humana Employer Sponsored Non-CY		DeKalb and Fulton Counties	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H5215	001	0	1	04	01	H5215_001_0	7		NETWORK HEALTH INSURANCE CORPORATION	Network PlatinumPlus	www.nppdrugplans.com	H5215	001	2007	01	04	1	Network PlatinumPlus		East Central Wisconsin	2	0		2				2		(800)-947-3529	(800)-947-3529	(800)-378-5234	(800)-983-7587	2500				
H5215	002	0	1	04	01	H5215_002_0	9		NETWORK HEALTH INSURANCE CORPORATION	Network PlatinumPlus	www.nppdrugplans.com	H5215	002	2007	01	04	1	Network PlatinumPlus-Pharmacy		East Central Wisconsin	2	0		2				2		(800)-947-3529	(800)-947-3529	(800)-378-5234	(800)-983-7587	2500	(800)-378-5234	(800)-983-7587	(800)-947-3529	(800)-947-3529
H5215	005	0	1	04	01	H5215_005_0	10		NETWORK HEALTH INSURANCE CORPORATION	Network PlatinumPlus	www.nppdrugplans.com	H5215	005	2007	01	04	1	Network Platinum Premier Pharmacy		East Central Wisconsin	2	0		2				2		(800)-947-3529	(800)-947-3529	(800)-378-5234	(800)-983-7587	5000	(800)-378-5234	(800)-983-7587	(800)-947-3529	(800)-947-3529
H5215	006	0	1	04	01	H5215_006_0	11		NETWORK HEALTH INSURANCE CORPORATION	Network PlatinumPlus	www.nppdrugplans.com	H5215	006	2007	01	04	1	Network Platinum Premier		East Central Wisconsin	2	0		2				2		(800)-947-3529	(800)-947-3529	(800)-378-5234	(800)-983-7587	5000				
H5215	801	0	1	04	01	H5215_801_0	2		NETWORK HEALTH INSURANCE CORPORATION	Network PlatinumPlus	www.nppdrugplans.com	H5215	801	2007	01	04	1	Network PlatinumPlus Pharmacy Emp Plan		East Central Wisconsin	1	0		2				2		(800)-947-3529	(800)-947-3529	(800)-378-5234	(800)-983-7587	1500	(800)-378-5234	(800)-983-7587	(800)-947-3529	(800)-947-3529
H5215	804	0	1	04	01	H5215_804_0	2		NETWORK HEALTH INSURANCE CORPORATION	Network PlatinumPlus	www.nppdrugplans.com	H5215	804	2007	01	04	1	Network PlatinumPlus Employer Plan		East Central Wisconsin	1	0		2				2		(800)-947-3529	(800)-947-3529	(800)-378-5234	(800)-983-7857	1500				
H5215	805	0	1	04	01	H5215_805_0	2		NETWORK HEALTH INSURANCE CORPORATION	Network PlatinumPlus	www.nppdrugplans.com	H5215	805	2007	01	04	1	Network Platinum Premier Emp Group		East Central Wisconsin	1	0		2				2		(800)-947-3529	(800)-947-3529	(800)-378-5234	(800)-983-7587	1500	(800)-378-5234	(800)-983-7587	(800)-947-3529	(800)-947-3529
H5216	001	0	1	04	01	H5216_001_0	6		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H5216	001	2007	01	04	1	HumanaChoicePPO PPO H5216-001		Milwaukee, Ozaukee, Racine, and Waukesha Counties	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H5216	801	0	1	04	01	H5216_801_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H5216	801	2007	01	04	1	Humana Employer Sponsored		Milwaukee Metro Area	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H5216	802	0	1	04	01	H5216_802_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H5216	802	2007	01	04	1	Humana Employer Sponsored		Milwaukee Metro Area	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H5216	803	0	1	04	01	H5216_803_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H5216	803	2007	01	04	1	Humana Employer Sponsored Non-CY		Milwaukee Metro Area	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H5216	804	0	1	04	01	H5216_804_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H5216	804	2007	01	04	1	Humana Employer Sponsored Non-CY		Milwaukee Metro Area	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H5227	001	0	1	09	04	H5227_001_0	4	2	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Advantra Private Fee For Service	www.tbd.com	H5227	001	2007	04	09	1	Advantra Private Fee For Service		Select counties in several states	2	0		2				2		(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999	50	(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999
H5227	801	0	1	09	04	H5227_801_0	3	2	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Advantra Private Fee For Service	www.tbd.com	H5227	801	2007	04	09	1	Advantra EGO-Part D-CY		United States and Territories	1	0		2				2		(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999	200	(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999
H5227	802	0	1	09	04	H5227_802_0	2	2	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Advantra Private Fee For Service	www.tbd.com	H5227	802	2007	04	09	1	Advantra EGO-Part D-Non-CY		United States and Territories	1	0		2				2		(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999	200	(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999
H5253	004	0	1	02	01	H5253_004_0	10		UNITED HEALTHCARE OF WISCONSIN, INC	SecureHorizons	www.SecureHorizons.com	H5253	004	2007	01	02	1	MedicareComplete Plus Plan 1		Milwaukee,Ozaukee,Wash,Waukesha,Racine Counties	2	0		2				2		(888)-685-8480	(800)-387-1074	(800)-524-2448	(800)-555-5757		(800)-524-2448	(800)-555-5757	(888)-685-8480	(888)-685-8480
H5253	007	0	1	01	01	H5253_007_0	5		UNITED HEALTHCARE OF WISCONSIN, INC	SecureHorizons	www.medicarecomplete.com	H5253	007	2007	01	01	1	Evercare Plan IH		Milwaukee, Racine & Waukesha surrounding Counties	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(888)-834-3721		(800)-393-0993	(888)-834-3721	(888)-685-8480	(888)-685-8480
H5253	011	0	1	02	01	H5253_011_0	11		UNITED HEALTHCARE OF WISCONSIN, INC	SecureHorizons	www.SecureHorizons.com	H5253	011	2007	01	02	1	MedicareComplete Plus Plan 1		Green Bay & Lacrosse Area Counties	2	0		2				2		(888)-685-8480	(800)-387-1074	(800)-524-2448	(800)-555-5757		(800)-524-2448	(800)-555-5757	(888)-685-8480	(888)-685-8480
H5253	021	0	1	02	01	H5253_021_0	8		UNITED HEALTHCARE OF WISCONSIN, INC	SecureHorizons	www.SecureHorizons.com	H5253	021	2007	01	02	1	MedicareComplete Plus Plan 2		Milwaukee, Ozaukee, Racine, Wash and Wauk Counties	2	0		2				2		(888)-685-8480	(800)-387-1074	(800)-524-2448	(800)-555-5757					
H5253	022	0	1	02	01	H5253_022_0	4		UNITED HEALTHCARE OF WISCONSIN, INC	SecureHorizons	www.medicarecomplete.com	H5253	022	2007	01	02	1	MedicareComplete Plus Plan 2		Green Bay  & Lacrosse Area Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-524-2448	(800)-524-2478					
H5253	024	0	1	01	01	H5253_024_0	4		UNITED HEALTHCARE OF WISCONSIN, INC	SecureHorizons	www.medicarecomplete.com	H5253	024	2007	01	01	1	Evercare Plan DH		Milwaukee and Green Bay Area Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5110	(888)-834-3721		(877)-702-5110	(888)-834-3721	(888)-685-8480	(888)-685-8480
H5253	801	0	1	01	01	H5253_801_0	3		UNITED HEALTHCARE OF WISCONSIN, INC	SecureHorizons	www.medicarecomplete.com	H5253	801	2007	01	01	1	MedicareComplete		Milwaukee and Green Bay Area Counties	1	0		2				2		(888)-685-8480	(888)-685-8480	(800)-524-2448	(800)-524-2478		(800)-524-2448	(800)-524-2478	(888)-685-8480	(888)-685-8480
H5253	802	0	1	01	01	H5253_802_0	4		UNITED HEALTHCARE OF WISCONSIN, INC	SecureHorizons	www.medicarecomplete.com	H5253	802	2007	01	01	1	MedicareComplete Essential		Milwaukee and Green Bay Area Counties	1	0		2				2		(888)-685-8480	(888)-685-8480	(800)-524-2448	(800)-524-2478					
H5256	001	0	1	18	06	H5256_001_0	1		MEDICAL ASSOCIATES CLINIC HEALTH PLAN	Medical Associates Clinic Health Plan of Wisconsin	mahealthcare.com	H5256	001	2007	06	18	1	Medical Associates Advantage Plan		Southwest Wisconsin	2	0		2				2		(800)-735-2943	(800)-735-2943	(866)-821-1365	(800)-747-8900	2100				
H5256	002	0	1	18	06	H5256_002_0	1		MEDICAL ASSOCIATES CLINIC HEALTH PLAN	Medical Associates Clinic Health Plan of Wisconsin	mahealthcare.com	H5256	002	2007	06	18	1	MAHP Medicare Community Plan		Southwest Wisconsin	2	0		2				2		(800)-735-2943	(800)-735-2943	(866)-821-1365	(800)-747-8900	100				
H5262	001	0	1	01	01	H5262_001_0	2		GUNDERSEN LUTHERAN HEALTH PLAN	Gundersen Lutheran Health Plan, Inc.	www.glhealthplan.org	H5262	001	2007	01	01	1	Gundersen Lutheran Senior Pref. Elite w/RX		La Crosse and Southwestern Wisconsin	2	0		2				2		(800)-947-3529	(800)-947-3529	(800)-394-5566	(800)-370-9718	5730	(800)-394-5566	(800)-370-9718	(800)-947-3529	(800)-947-3529
H5262	003	0	1	01	01	H5262_003_0	2		GUNDERSEN LUTHERAN HEALTH PLAN	Gundersen Lutheran Health Plan, Inc.	www.glhealthplan.org	H5262	003	2007	01	01	1	Gundersen Lutheran Senior Pref. Value w/RX		La Crosee and SW Wisconsin	2	0		2				2		(800)-947-3529	(800)-947-3529	(800)-394-5566	(800)-370-9718	114	(800)-394-5566	(800)-370-9718	(800)-947-3529	(800)-947-3529
H5262	004	0	1	01	01	H5262_004_0	1		GUNDERSEN LUTHERAN HEALTH PLAN	Gundersen Lutheran Health Plan, Inc.	www.glhealthplan.org	H5262	004	2007	01	01	1	Gundersen Lutheran Sr. Pref. Value (no RX)		La Crosse and SW Wisconsin	2	0		2				2		(800)-947-3529	(800)-947-3529	(800)-394-5566	(800)-370-9718	125				
H5262	005	0	1	01	01	H5262_005_0	1		GUNDERSEN LUTHERAN HEALTH PLAN	Gundersen Lutheran Health Plan, Inc.	www.glhealthplan.org	H5262	005	2007	01	01	1	Gundersen Lutheran Sr. Pref. Elite (no RX)		La Crosse and SW Wisconsin	2	0		2				2		(800)-947-3529	(800)-947-3529	(800)-394-5566	(800)-370-9718	5032				
H5264	002	0	1	18	06	H5264_002_0	4		DEAN HEALTH PLAN, INC.	Dean Health Plan, Inc.	www.deancare.com	H5264	002	2007	06	18	1	DeanCare Gold Enhanced		DeanCare Gold	2	0		2				2		(877)-733-6456	(877)-733-6456	(888)-422-3326	(888)-422-3326	91				
H5264	003	0	1	18	06	H5264_003_0	3		DEAN HEALTH PLAN, INC.	Dean Health Plan, Inc.	www.deancare.com	H5264	003	2007	06	18	1	DeanCare Gold Basic		DeanCare Gold	2	0		2				2		(877)-733-6456	(877)-733-6456	(888)-422-3326	(888)-422-3326	81				
H5301	002	0	1	38	05	H5301_002_0	4		PENNSYLVANIA LIFE INSURANCE COMPANY	Fresenius Medical Care Health Plan	www.fmchp.com	H5301	002	2007	05	38	1	Fresenius Medical Care Health Plan		Fresenius Medical Care Health Plan	2	0		2				2		(866)-338-4681	(866)-338-4681	(866)-660-4728	(866)-660-4728	50				
H5301	003	0	1	38	05	H5301_003_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Fresenius Medical Care Health Plan	www.fmchp.com	H5301	003	2007	05	38	1	Fresenius Medical Care Health Plan		Fresenius Medical Care Health Plan	2	0		2				2		(866)-338-4681	(866)-338-4681	(866)-660-4728	(866)-660-4728	50				
H5302	003	0	1	02	01	H5302_003_0	3		COVENTRY HEALTH CARE OF GEORGIA, INC.	Advantra	www.tbd.com	H5302	003	2007	01	02	1	Advantra		Savannah GA area	2	0		2				2		(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999	500	(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999
H5302	004	0	1	02	01	H5302_004_0	7		COVENTRY HEALTH CARE OF GEORGIA, INC.	Advantra	www.tbd.com	H5302	004	2007	01	02	1	Advantra		Savannah GA area	2	0		2				2		(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999	500	(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999
H5302	805	0	1	02	01	H5302_805_0	3		COVENTRY HEALTH CARE OF GEORGIA, INC.	Advantra	www.tbd.com	H5302	805	2007	01	02	1	Advantra-EGO Part D-CY		State of Georgia	1	0		2				2		(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999	50	(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999
H5302	806	0	1	02	01	H5302_806_0	3		COVENTRY HEALTH CARE OF GEORGIA, INC.	Advantra	www.tbd.com	H5302	806	2007	01	02	1	Advantra-EGO Part D-Non-CY		State of Georgia	1	0		2				2		(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999	50	(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999
H5302	807	0	1	02	01	H5302_807_0	2		COVENTRY HEALTH CARE OF GEORGIA, INC.	Advantra	www.tbd.com	H5302	807	2007	01	02	1	Advantra-EGO MA Only-CY		State of Georgia	1	0		2				2		(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999	50				
H5302	808	0	1	02	01	H5302_808_0	2		COVENTRY HEALTH CARE OF GEORGIA, INC.	Advantra	www.tbd.com	H5302	808	2007	01	02	1	Advantra-EGO MA Only-Non-CY		State of Georgia	1	0		2				2		(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999	50				
H5304	001	0	1	09	04	H5304_001_0	6	2	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	H5304	001	2007	04	09	1	SmartValue Plus		Sullivan County, NY	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-809-7328	100	(888)-445-8916	(800)-809-7328	(888)-844-5530	(877)-247-1657
H5304	801	0	1	09	04	H5304_801_0	8	2	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	H5304	801	2007	04	09	1	SmartValue Group Plan I		NY with Nationwide Group Coverage	1	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-809-7328	350	(888)-445-8916	(800)-809-7328	(888)-844-5530	(877)-247-1657
H5304	802	0	1	09	04	H5304_802_0	3	2	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	H5304	802	2007	04	09	1	SmartValue Group Plan II		NY with Nationwide Group Coverage	1	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-809-7328	350				
H5304	803	0	1	09	04	H5304_803_0	7	2	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	H5304	803	2007	04	09	1	SmartValue Group Plan III		NY with Nationwide Group Coverage	1	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-809-7328	350	(888)-445-8916	(800)-809-7328	(888)-844-5530	(877)-247-1657
H5402	007	0	1	01	01	H5402_007_0	5		QUALITY HEALTH PLANS, INC.	Quality Health Plans, Inc.	www.qualityhealthplans.com	H5402	007	2007	01	01	1	Advantage Silver		North and Central Florida	2	0		2				2		(800)-483-3434	(800)-483-3434	(866)-747-2700	(866)-747-2700	2325	(866)-747-2700	(866)-747-2700	(800)-483-3434	(800)-483-3434
H5402	010	0	1	01	01	H5402_010_0	6		QUALITY HEALTH PLANS, INC.	Quality Health Plans, Inc.	www.qualityhealthplans.com	H5402	010	2007	01	01	1	Advantage Premium		Central Florida	2	0		2				2		(800)-483-3434	(800)-483-3434	(866)-747-2700	(866)-747-2700	1025	(866)-747-2700	(866)-747-2700	(800)-483-3434	(800)-483-3434
H5402	011	0	1	01	01	H5402_011_0	5		QUALITY HEALTH PLANS, INC.	Quality Health Plans, Inc.	www.qualityhealthplans.com	H5402	011	2007	01	01	1	Advantage		Central Florida	2	0		2				2		(800)-483-3434	(800)-483-3434	(866)-747-2700	(866)-747-2700	2800	(866)-747-2700	(866)-747-2700	(800)-483-3434	(800)-483-3434
H5402	012	0	1	01	01	H5402_012_0	4		QUALITY HEALTH PLANS, INC.	Quality Health Plans, Inc.	www.qualityhealthplans.com	H5402	012	2007	01	01	1	Advantage Silver Central		Lake, Marion and Sumter Counties, Florida	2	0		2				2		(800)-483-3434	(800)-483-3434	(866)-747-2700	(866)-747-2700	1600	(866)-747-2700	(866)-747-2700	(800)-483-3434	(800)-483-3434
H5402	013	0	1	01	01	H5402_013_0	4		QUALITY HEALTH PLANS, INC.	Quality Health Plans, Inc.	www.qualityhealthplans.com	H5402	013	2007	01	01	1	Advantage Premium Central		Lake, Marion and Sumter Counties, Florida	2	0		2				2		(800)-483-3434	(800)-483-3434	(866)-747-2700	(866)-747-2700	1200	(866)-747-2700	(866)-747-2700	(800)-483-3434	(800)-483-3434
H5402	015	0	1	01	01	H5402_015_0	4		QUALITY HEALTH PLANS, INC.	Quality Health Plans, Inc.	www.qualityhealthplans.com	H5402	015	2007	01	01	1	Advantage Silver North		Clay, Duval and St. Johns Counties, Florida	2	0		2				2		(800)-483-3434	(800)-483-3434	(866)-747-2700	(866)-747-2700	800	(866)-747-2700	(866)-747-2700	(800)-483-3434	(800)-483-3434
H5402	017	0	1	01	01	H5402_017_0	5		QUALITY HEALTH PLANS, INC.	Quality Health Plans, Inc.	www.qualityhealthplans.com	H5402	017	2007	01	01	1	Advantage Premium North		Clay, Duval and St. Johns Counties, Florida	2	0		2				2		(800)-483-3434	(800)-483-3434	(866)-747-2700	(866)-747-2700	300	(866)-747-2700	(866)-747-2700	(800)-483-3434	(800)-483-3434
H5402	024	0	1	01	01	H5402_024_0	5		QUALITY HEALTH PLANS, INC.	Quality Health Plans, Inc.	www.qualityhealthplans.com	H5402	024	2007	01	01	1	Value One		Florida	2	0		1	3	2	1	2		(800)-483-3434	(800)-483-3434	(866)-747-2700	(866)-747-2700	2750	(866)-747-2700	(866)-747-2700	(800)-483-3434	(800)-483-3434
H5402	025	0	1	01	01	H5402_025_0	5		QUALITY HEALTH PLANS, INC.	Quality Health Plans, Inc.	www.qualityhealthplans.com	H5402	025	2007	01	01	1	Advantage Value		Various Counties, Florida	2	0		2				2		(800)-483-3434	(800)-483-3434	(866)-747-2700	(866)-747-2700	500				
H5403	001	0	1	20	08	H5403_001_0	1		ON LOK SENIORHEALTH	On Lok SeniorHealth	www.onlok.org	H5403	001	2007	08	20	1	On Lok SeniorHealth (Dual Eligibles)		San Francisco and Alameda Counties	2	0		2				2						980	(888)-996-6565	(888)-886-6565	(415)-292-8898	(415)-292-8898
H5403	002	0	1	20	08	H5403_002_0	1		ON LOK SENIORHEALTH	On Lok SeniorHealth	www.onlok.org	H5403	002	2007	08	20	1	On Lok SeniorHealth (Medicare Only)		San Francisco and Alameda Counties	2	0		2				2						25	(888)-996-6565	(888)-886-6565	(415)-292-8898	(415)-292-8898
H5404	001	0	1	01	01	H5404_001_0	7		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	001	2007	01	01	1	Medicare Masterpiece		Hernando County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	002	0	1	01	01	H5404_002_0	7		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	002	2007	01	01	1	Medicare Masterpiece		Manatee County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	003	0	1	01	01	H5404_003_0	7		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	003	2007	01	01	1	Medicare Masterpiece		Sarasota County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	004	0	1	01	01	H5404_004_0	6		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	004	2007	01	01	1	Medicare Masterpiece		Capitol Counties	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	013	0	1	01	01	H5404_013_0	7		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	013	2007	01	01	1	Medicare Masterpiece		Polk County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	016	0	1	01	01	H5404_016_0	7		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	016	2007	01	01	1	Medicare Masterpiece		Hillsborough County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	022	0	1	01	01	H5404_022_0	7		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	022	2007	01	01	1	Medicare Masterpiece		Pinellas County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	025	0	1	01	01	H5404_025_0	7		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	025	2007	01	01	1	Medicare Masterpiece		Charlotte & Lee Counties	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	028	0	1	01	01	H5404_028_0	7		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	028	2007	01	01	1	Medicare Masterpiece		Seminole County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	031	0	1	01	01	H5404_031_0	7		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	031	2007	01	01	1	Medicare Masterpiece		Osceola County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	034	0	1	01	01	H5404_034_0	7		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	034	2007	01	01	1	Medicare Masterpiece		Okechobee County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	037	0	1	01	01	H5404_037_0	7		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	037	2007	01	01	1	Medicare Masterpiece		Pasco County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	043	0	1	01	01	H5404_043_0	7		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	043	2007	01	01	1	Medicare Masterpiece		Saint Lucie County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	053	0	1	01	01	H5404_053_0	7		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	053	2007	01	01	1	Medicare Masterpiece		Dade County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	056	0	1	01	01	H5404_056_0	7		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	056	2007	01	01	1	Medicare Masterpiece		Palm Beach County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	059	0	1	01	01	H5404_059_0	7		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	059	2007	01	01	1	Medicare Masterpiece		Broward County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	062	0	1	01	01	H5404_062_0	7		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	062	2007	01	01	1	Medicare Masterpiece		Brevard County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	086	0	1	02	01	H5404_086_0	7		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	086	2007	01	02	1	Medicare Masterpiece Plus A		West Coast, Gulf Coast & First Coast	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	087	0	1	02	01	H5404_087_0	8		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	087	2007	01	02	1	Medicare Masterpiece Plus B		Capitol, Central, Space Coast & South FL Counties	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	093	0	1	01	01	H5404_093_0	6		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	093	2007	01	01	1	Medicare Masterpiece		Clay County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	094	0	1	01	01	H5404_094_0	7		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	094	2007	01	01	1	Medicare Masterpiece		Collier County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	096	0	1	01	01	H5404_096_0	7		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	096	2007	01	01	1	Medicare Masterpiece		Duval County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	101	0	1	01	01	H5404_101_0	7		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	101	2007	01	01	1	Medicare Masterpiece		Lake County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	102	0	1	01	01	H5404_102_0	7		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	102	2007	01	01	1	Medicare Masterpiece		Marion County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	105	0	1	01	01	H5404_105_0	7		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	105	2007	01	01	1	Medicare Masterpiece		Orange County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	106	0	1	01	01	H5404_106_0	6		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	106	2007	01	01	1	Medicare Masterpiece		Putnam County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	108	0	1	01	01	H5404_108_0	6		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	108	2007	01	01	1	Medicare Masterpiece		Sumter County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	110	0	1	01	01	H5404_110_0	4		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	110	2007	01	01	1	Universal DP		Broward, Dade & Palm Beach Counties	2	0		1	3	2	1	2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	111	0	1	01	01	H5404_111_0	4		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	111	2007	01	01	1	Universal DP		Tampa Bay Area	2	0		1	3	2	1	2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	112	0	1	01	01	H5404_112_0	4		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	112	2007	01	01	1	Universal IP		South Florida	2	0		1	1	2	2	2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5404	113	0	1	01	01	H5404_113_0	4		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5404	113	2007	01	01	1	Universal IP		Tampa Bay Area	2	0		1	1	2	2	2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5405	001	0	1	20	08	H5405_001_0	2		CENTER FOR ELDERS INDEPENDENCE	Center For Elders Independence	www.cei.elders.org	H5405	001	2007	08	20	1	Center for Elders Independence - Part D		Alameda and Contra Costa Counties	2	0		2				2						351	(510)-433-1150	(510)-433-1150		
H5405	002	0	1	20	08	H5405_002_0	2		CENTER FOR ELDERS INDEPENDENCE	Center For Elders Independence	www.cei.elders.org	H5405	002	2007	08	20	1	Center for Elders-Part D/MediCare, only		Alameda and Contra Costa Counties	2	0		2				2						5	(510)-433-1150	(510)-433-1150		
H5406	001	0	1	20	08	H5406_001_0	1		SUTTER HEALTH SACRAMENTO SIERRA REGION	Sutter SeniorCare	http://suttermedicalcenter.org/services/senior_sen	H5406	001	2007	08	20	1	Sutter SeniorCare		San Francisco, California	2	0		2				2							(916)-446-3100	(916)-446-3100	(916)-446-4124	(916)-446-4124
H5406	002	0	1	20	08	H5406_002_0	1		SUTTER HEALTH SACRAMENTO SIERRA REGION	Sutter SeniorCare	http://suttermedicalcenter.org/services/senior_sen	H5406	002	2007	08	20	1	Sutter SeniorCare		San Francisco, California	2	0		2				2							(916)-446-3100	(916)-446-3100	(916)-446-4124	(916)-446-4124
H5407	001	0	1	01	01	H5407_001_0	6		CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	H5407	001	2007	01	01	1	CitrusCare		Greater Tampa Bay Florida	2	0		2				2		(888)-248-7875	(866)-248-7875	(877)-624-8787	(866)-769-1157		(877)-624-8787	(877)-769-1157	(866)-248-7875	(866)-248-7875
H5407	004	0	1	01	01	H5407_004_0	6		CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	H5407	004	2007	01	01	1	CitrusCare		Polk County	2	0		2				2		(888)-248-7875	(866)-248-7875	(877)-624-8787	(866)-769-1157		(877)-624-8787	(877)-769-1157	(866)-248-7875	(866)-248-7875
H5407	005	0	1	01	01	H5407_005_0	6		CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	H5407	005	2007	01	01	1	CitrusCare Platinum Plan		Polk County	2	0		2				2		(888)-248-7875	(866)-248-7875	(877)-624-8787	(866)-769-1157	500	(877)-624-8787	(877)-769-1157	(866)-248-7875	(866)-248-7875
H5407	006	0	1	01	01	H5407_006_0	6		CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	H5407	006	2007	01	01	1	CitrusCare		Dade County	2	0		2				2		(888)-248-7875	(866)-248-7875	(877)-624-8787	(866)-769-1157		(877)-624-8787	(877)-769-1157	(866)-248-7875	(866)-248-7875
H5407	007	0	1	01	01	H5407_007_0	6		CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	H5407	007	2007	01	01	1	CitrusCare		Broward County	2	0		2				2		(888)-248-7875	(866)-248-7875	(877)-624-8787	(866)-769-1157		(877)-624-8787	(877)-769-1157	(866)-248-7875	(866)-248-7875
H5407	008	0	1	01	01	H5407_008_0	6		CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	H5407	008	2007	01	01	1	CitrusCare		Orange, Osceola, and Seminole Counties	2	0		2				2		(888)-248-7875	(866)-248-7875	(877)-624-8787	(866)-769-1157		(877)-624-8787	(877)-769-1157	(866)-248-7875	(866)-248-7875
H5407	009	0	1	01	01	H5407_009_0	6		CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	H5407	009	2007	01	01	1	CitrusCare Platinum		Orange, Osceola, and Seminole Counties	2	0		2				2		(888)-248-7875	(866)-248-7875	(877)-624-8787	(866)-769-1157	500	(877)-624-8787	(877)-769-1157	(866)-248-7875	(866)-248-7875
H5407	010	0	1	01	01	H5407_010_0	6		CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	H5407	010	2007	01	01	1	CitrusCare		Volusia County	2	0		2				2		(888)-248-7875	(866)-248-7875	(877)-624-8787	(866)-769-1157		(877)-624-8787	(877)-769-1157	(866)-248-7875	(866)-248-7875
H5407	011	0	1	01	01	H5407_011_0	6		CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	H5407	011	2007	01	01	1	Citrus Special Needs Plan		HMO Service Area	2	0		1	3	2	1	2		(888)-248-7875	(866)-248-7875	(877)-624-8787	(866)-769-1157		(877)-624-8787	(877)-769-1157	(866)-248-7875	(866)-248-7875
H5407	012	0	1	01	01	H5407_012_0	5		CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	H5407	012	2007	01	01	1	CitrusCare		Palm Beach premium	2	0		2				2		(888)-248-7875	(866)-248-7875	(877)-624-8787	(866)-769-1157	500	(877)-624-8787	(877)-769-1157	(866)-248-7875	(866)-248-7875
H5407	013	0	1	01	01	H5407_013_0	5		CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	H5407	013	2007	01	01	1	CitrusCare		St. Lucie	2	0		2				2		(888)-248-7875	(866)-248-7875	(877)-624-8787	(866)-769-1157	500	(877)-624-8787	(877)-769-1157	(866)-248-7875	(866)-248-7875
H5407	014	0	1	01	01	H5407_014_0	6		CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	H5407	014	2007	01	01	1	CitrusCare Premium		Tampa Bay Premium	2	0		2				2		(888)-248-7875	(866)-248-7875	(877)-624-8787	(866)-769-1157	500	(877)-624-8787	(877)-769-1157	(866)-248-7875	(866)-248-7875
H5407	015	0	1	01	01	H5407_015_0	6		CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	H5407	015	2007	01	01	1	CitrusCare Premium		Dade Premium	2	0		2				2		(888)-248-7875	(866)-248-7875	(877)-624-8787	(866)-769-1157	500	(877)-624-8787	(877)-769-1157	(866)-248-7875	(866)-248-7875
H5407	016	0	1	01	01	H5407_016_0	6		CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	H5407	016	2007	01	01	1	CitrusCare Premium		Broward Premium	2	0		2				2		(888)-248-7875	(866)-248-7875	(877)-624-8787	(866)-769-1157	500	(877)-624-8787	(877)-769-1157	(866)-248-7875	(866)-248-7875
H5407	017	0	1	01	01	H5407_017_0	6		CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	H5407	017	2007	01	01	1	CitrusCare Premium		Greater Orlando Premium	2	0		2				2		(888)-248-7875	(866)-248-7875	(877)-624-8787	(866)-769-1157	500	(877)-624-8787	(877)-769-1157	(866)-248-7875	(866)-248-7875
H5407	018	0	1	01	01	H5407_018_0	6		CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	H5407	018	2007	01	01	1	CitrusCare Premium		Volusia Premium	2	0		2				2		(888)-248-7875	(866)-248-7875	(877)-624-8787	(866)-769-1157	500	(877)-624-8787	(877)-769-1157	(866)-248-7875	(866)-248-7875
H5407	019	0	1	01	01	H5407_019_0	6		CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	H5407	019	2007	01	01	1	CitrusCare Premium		Palm Beach Premium	2	0		2				2		(888)-248-7875	(866)-248-7875	(877)-624-8787	(866)-769-1157	500	(877)-624-8787	(877)-769-1157	(866)-248-7875	(866)-248-7875
H5407	020	0	1	01	01	H5407_020_0	6		CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	H5407	020	2007	01	01	1	CitrusCare Premium		St. Lucie Premium	2	0		2				2		(888)-248-7875	(866)-248-7875	(877)-624-8787	(866)-769-1157	500	(877)-624-8787	(877)-769-1157	(866)-248-7875	(866)-248-7875
H5410	001	0	1	01	01	H5410_001_0	3		LEON MEDICAL CENTERS HEALTH PLANS, INC	Leon Medical Centers Health, Inc.	www.lmchealthplans.com	H5410	001	2007	01	01	1	Leon Cares		Miami-Dade county	2	0		2				2		(305)-220-5752	(305)-220-5752	(866)-393-5366	(866)-393-5366	24750	(866)-393-5366	(866)-393-5366	(305)-220-5752	(305)-220-5752
H5414	002	0	1	01	01	H5414_002_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H5414	002	2007	01	01	1	Aetna Golden Medicare Standard Plan		Pinellas and Hillsborough Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5414	004	0	1	01	01	H5414_004_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H5414	004	2007	01	01	1	Aetna Golden Medicare Premier Plan		Pinellas and Hillsborough Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5414	006	0	1	01	01	H5414_006_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H5414	006	2007	01	01	1	Aetna Golden Medicare Value Plan		Duval and Saint Johns Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5414	007	0	1	01	01	H5414_007_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H5414	007	2007	01	01	1	Aetna Golden Medicare Standard Plan		Duval and Saint Johns Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5414	008	0	1	01	01	H5414_008_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H5414	008	2007	01	01	1	Aetna Golden Medicare Premier Plan		Duval and Saint Johns Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5414	009	0	1	01	01	H5414_009_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H5414	009	2007	01	01	1	Aetna Golden Medicare Value Plan		Pinellas and Hillsborough Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5414	801	0	1	01	01	H5414_801_0	1		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H5414	801	2007	01	01	1	Aetna Golden Medicare Plan		Florida	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H5414	803	0	1	01	01	H5414_803_0	1		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H5414	803	2007	01	01	1	Aetna Golden Medicare Plan w/Rx CY		Florida	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5415	039	0	1	04	01	H5415_039_0	4		HUMANA HEALTH INSURANCE COMPANY OF FL, INC.	Humana Health Insurance Company Of Fl, Inc.	www.humana-medicare.com	H5415	039	2007	01	04	1	HumanaChoicePPO PPO H5415-039		Flagler and Volusia Counties	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H5415	801	0	1	04	01	H5415_801_0	2		HUMANA HEALTH INSURANCE COMPANY OF FL, INC.	Humana Health Insurance Company Of Fl, Inc.	www.humana-medicare.com	H5415	801	2007	01	04	1	Humana Employer Sponsored		Select Florida Counties	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H5415	803	0	1	04	01	H5415_803_0	1		HUMANA HEALTH INSURANCE COMPANY OF FL, INC.	Humana Health Insurance Company Of Fl, Inc.	www.humana-medicare.com	H5415	803	2007	01	04	1	Humana Employer Sponsored		Select Florida Counties	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H5415	804	0	1	04	01	H5415_804_0	2		HUMANA HEALTH INSURANCE COMPANY OF FL, INC.	Humana Health Insurance Company Of Fl, Inc.	www.humana-medicare.com	H5415	804	2007	01	04	1	Humana Employer Sponsored Non-CY		Florida Select Counties	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
H5415	805	0	1	04	01	H5415_805_0	1		HUMANA HEALTH INSURANCE COMPANY OF FL, INC.	Humana Health Insurance Company Of Fl, Inc.	www.humana-medicare.com	H5415	805	2007	01	04	1	Humana Employer Sponsored Non-CY		Florida Select Counties	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
H5416	001	0	1	01	01	H5416_001_0	6		ARCADIAN HEALTH PLAN	Spokane Community Care	www.spokanecommunitycare.com	H5416	001	2007	01	01	1	Spokane Community Care - Premier		Spokane County	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-573-8609	1474	(866)-301-4107	(800)-573-8609		(866)-573-8613
H5416	002	0	1	01	01	H5416_002_0	6		ARCADIAN HEALTH PLAN	Spokane Community Care	www.spokanecommunitycare.com	H5416	002	2007	01	01	1	Spokane Community Care - Plus		Spokane County	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-573-8609	1566	(866)-301-4107	(800)-573-8609		(866)-573-8613
H5416	003	0	1	01	01	H5416_003_0	8		ARCADIAN HEALTH PLAN	Spokane Community Care	www.spokanecommunitycare.com	H5416	003	2007	01	01	1	Spokane Community Care - Basic		Spokane County	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-573-8609	645				
H5416	004	0	1	01	01	H5416_004_0	6		ARCADIAN HEALTH PLAN	Spokane Community Care	www.spokanecommunitycare.com	H5416	004	2007	01	01	1	Columbia Community Care - Plus		Yakima/Tri-Cities	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-658-2313	1347	(866)-301-4107	(800)-658-2313		(866)-573-8613
H5416	005	0	1	01	01	H5416_005_0	6		ARCADIAN HEALTH PLAN	Spokane Community Care	www.spokanecommunitycare.com	H5416	005	2007	01	01	1	Columbia Community Care - Premier		Yakima/Tri-Cities	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-658-2313	460	(866)-301-4107	(800)-658-2313		(866)-573-8613
H5417	001	0	1	04	01	H5417_001_0	6		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H5417	001	2007	01	04	1	Evercare Plan IP		Panhandle, Jax, Tampa, Orlando and Southern FL	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-791-9233		(800)-393-0993	(800)-791-9233	(888)-685-8480	(888)-685-8480
H5417	005	0	1	04	01	H5417_005_0	5		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H5417	005	2007	01	04	1	Evercare Plan MP		Char, Citrus,Hernan,Hills,Lee,Manatee,Pas,Pin,Polk	2	0		1	4	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-791-9233		(800)-393-0993	(800)-791-9233	(888)-685-8480	(888)-685-8480
H5417	006	0	1	04	01	H5417_006_0	9		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H5417	006	2007	01	04	1	MedicareComplete Choice Plan 1		Broward and Palm Beach Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-711-6088	(800)-711-6088		(800)-711-6088	(800)-711-6088	(888)-685-8480	(888)-685-8480
H5418	001	0	1	04	01	H5418_001_0	9		CALIFORNIA HEALTH PLAN	California Health Plan	www.califhealthplan.com	H5418	001	2007	01	04	1	California Medicare Advantage PPO		Los Angeles and Orange Counties	2	0		2				2		(800)-577-5586	(800)-577-5586	(800)-822-8720	(800)-822-8720	50	(800)-822-8720	(800)-822-8720	(800)-577-5586	(800)-577-5586
H5419	001	0	1	09	04	H5419_001_0	1	2	BLUE CROSS OF CALIFORNIA	Blue Cross Of California	www.bluecrossca.com	H5419	001	2007	04	09	1	SmartValue Classic		California - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	1669				
H5419	004	0	1	09	04	H5419_004_0	6	2	BLUE CROSS OF CALIFORNIA	Blue Cross Of California	www.bluecrossca.com	H5419	004	2007	04	09	1	SmartValue Plus		California - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	1001	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H5419	009	0	1	09	04	H5419_009_0	6	2	BLUE CROSS OF CALIFORNIA	Blue Cross Of California	www.bluecrossca.com	H5419	009	2007	04	09	1	SmartValue Enhanced Plus		California - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	334	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H5419	013	0	1	09	04	H5419_013_0	3	2	BLUE CROSS OF CALIFORNIA	Blue Cross Of California	www.bluecrossca.com	H5419	013	2007	04	09	1	SmartValue Enhanced		California - Select Counties	2	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	334				
H5419	805	0	1	09	04	H5419_805_0	4	2	BLUE CROSS OF CALIFORNIA	Blue Cross Of California	www.bluecrossca.com	H5419	805	2007	04	09	1	SmartValue Group Plan I		CA with Nationwide Group Coverage	1	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	2800	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H5419	806	0	1	09	04	H5419_806_0	3	2	BLUE CROSS OF CALIFORNIA	Blue Cross Of California	www.bluecrossca.com	H5419	806	2007	04	09	1	SmartValue Group Plan II		CA with Nationwide Group Coverage	1	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	2800				
H5419	807	0	1	09	04	H5419_807_0	4	2	BLUE CROSS OF CALIFORNIA	Blue Cross Of California	www.bluecrossca.com	H5419	807	2007	04	09	1	SmartValue Group Plan III		CA with Nationwide Coverage	1	0		2				2		(888)-844-5530	(877)-247-1657	(888)-445-8916	(800)-765-2585	2800	(888)-445-8916	(800)-765-2585	(888)-844-5530	(877)-247-1657
H5420	001	0	1	05	01	H5420_001_0	4		MEDICA HEALTHCARE PLANS, INC.	Medica HealthCare Plans, Inc.	www.medicaplans.com	H5420	001	2007	01	05	1	MedicareMax		Miami-Dade County	2	0		2				2		(800)-517-6923	(305)-421-1251	(305)-421-1244	(305)-267-5267	9800	(800)-407-9069	(866)-260-5278	(800)-517-6923	(305)-421-1251
H5420	003	0	1	05	01	H5420_003_0	4		MEDICA HEALTHCARE PLANS, INC.	Medica HealthCare Plans, Inc.	www.medicaplans.com	H5420	003	2007	01	05	1	MedicareMax		Broward County	2	0		2				2		(800)-517-6923	(800)-865-4057	(800)-407-9069	(954)-491-3141	1200	(800)-407-9069	(866)-260-5278	(800)-517-6923	(800)-865-4057
H5420	004	0	1	05	01	H5420_004_0	3		MEDICA HEALTHCARE PLANS, INC.	Medica HealthCare Plans, Inc.	www.medicaplans.com	H5420	004	2007	01	05	1	MedicareMax Direct		Miami-Dade County	2	0		2				2		(800)-517-6923	(305)-421-1251	(305)-421-1244	(305)-267-5267	135	(800)-407-9069	(866)-260-5278	(800)-517-6923	(305)-421-1251
H5420	005	0	1	05	01	H5420_005_0	3		MEDICA HEALTHCARE PLANS, INC.	Medica HealthCare Plans, Inc.	www.medicaplans.com	H5420	005	2007	01	05	1	MedicareMax Direct		Broward County	2	0		2				2		(800)-517-6923	(305)-421-1251	(800)-407-9069	(866)-260-5278	405	(800)-407-9069	(866)-260-5278	(800)-517-6923	(305)-421-1251
H5420	006	0	1	05	01	H5420_006_0	4		MEDICA HEALTHCARE PLANS, INC.	Medica HealthCare Plans, Inc.	www.medicaplans.com	H5420	006	2007	01	05	1	MedicareMax Plus		MedicareMax Plus	2	0		1	3	2	1	2		(800)-517-6923	(305)-421-1251	(800)-407-9069	(305)-267-5267	925	(800)-407-9069	(866)-260-5278	(800)-517-6923	(305)-421-1251
H5421	032	0	1	09	04	H5421_032_0	2	2	PYRAMID LIFE INSURANCE COMPANY	Today's Option	www.pyramidlife.com	H5421	032	2007	04	09	1	Today's Options Value		West/Midwest/South 1	2	0		2				2		(888)-844-5530	(800)-461-5376	(866)-568-8921	(800)-360-5735					
H5421	034	0	1	09	04	H5421_034_0	2	2	PYRAMID LIFE INSURANCE COMPANY	Today's Option	www.pyramidlife.com	H5421	034	2007	04	09	1	Today's Options Premier		West/Midwest/South 1	2	0		2				2		(888)-844-5530	(800)-461-5376	(866)-568-8921	(800)-360-5735					
H5421	035	0	1	09	04	H5421_035_0	3	2	PYRAMID LIFE INSURANCE COMPANY	Today's Option	www.pyramidlife.com	H5421	035	2007	04	09	1	Today's Options Value		West/Midwest/South 2	2	0		2				2		(888)-844-5530	(800)-461-5376	(866)-568-8921	(800)-360-5735					
H5421	037	0	1	09	04	H5421_037_0	3	2	PYRAMID LIFE INSURANCE COMPANY	Today's Option	www.pyramidlife.com	H5421	037	2007	04	09	1	Today's Options Premier		West/Midwest/South 2	2	0		2				2		(888)-844-5530	(800)-461-5376	(866)-568-8921	(800)-360-5735					
H5421	038	0	1	09	04	H5421_038_0	2	2	PYRAMID LIFE INSURANCE COMPANY	Today's Option	www.pyramidlife.com	H5421	038	2007	04	09	1	Today's Options Value		West/Midwest/South 3	2	0		2				2		(888)-844-5530	(800)-461-5376	(866)-568-8921	(800)-360-5735					
H5421	039	0	1	09	04	H5421_039_0	2	2	PYRAMID LIFE INSURANCE COMPANY	Today's Option	www.pyramidlife.com	H5421	039	2007	04	09	1	Today's Options Premier		West/Midwest/South 3	2	0		2				2		(888)-844-5530	(800)-461-5376	(866)-568-8921	(800)-360-5735					
H5421	040	0	1	09	04	H5421_040_0	6	2	PYRAMID LIFE INSURANCE COMPANY	Today's Option	www.pyramidlife.com	H5421	040	2007	04	09	1	Today's Options Value Plus		West/Midwest/South 1	2	0		2				2		(888)-844-5530	(800)-461-5376	(866)-568-8921	(800)-360-5735		(866)-568-8921	(800)-360-5735	(888)-844-5530	(800)-461-5376
H5421	041	0	1	09	04	H5421_041_0	5	2	PYRAMID LIFE INSURANCE COMPANY	Today's Option	www.pyramidlife.com	H5421	041	2007	04	09	1	Today's Options Premier Plus		West/Midwest/South 1	2	0		2				2		(888)-844-5530	(800)-461-5376	(866)-568-8921	(800)-360-5735		(866)-568-8921	(800)-360-5735	(888)-844-5530	(800)-461-5376
H5421	042	0	1	09	04	H5421_042_0	6	2	PYRAMID LIFE INSURANCE COMPANY	Today's Option	www.pyramidlife.com	H5421	042	2007	04	09	1	Today's Options Value Plus		West/Midwest/South 2	2	0		2				2		(888)-844-5530	(800)-461-5376	(866)-568-8921	(800)-360-5735		(866)-568-8921	(800)-360-5735	(888)-844-5530	(800)-461-5376
H5421	043	0	1	09	04	H5421_043_0	5	2	PYRAMID LIFE INSURANCE COMPANY	Today's Option	www.pyramidlife.com	H5421	043	2007	04	09	1	Today's Options Premier Plus		West/Midwest/South 2	2	0		2				2		(888)-844-5530	(800)-461-5376	(866)-568-8921	(800)-360-5735		(866)-568-8921	(800)-360-5735	(888)-844-5530	(800)-461-5376
H5421	044	0	1	09	04	H5421_044_0	5	2	PYRAMID LIFE INSURANCE COMPANY	Today's Option	www.pyramidlife.com	H5421	044	2007	04	09	1	Today's Options Value Plus		West/Midwest/South 3	2	0		2				2		(888)-844-5530	(800)-461-5376	(866)-568-8921	(800)-360-5735		(866)-568-8921	(800)-360-5735	(888)-844-5530	(800)-461-5376
H5421	045	0	1	09	04	H5421_045_0	5	2	PYRAMID LIFE INSURANCE COMPANY	Today's Option	www.pyramidlife.com	H5421	045	2007	04	09	1	Today's Options Premier Plus		West/Midwest/South 3	2	0		2				2		(888)-844-5530	(800)-461-5376	(866)-568-8921	(800)-360-5735		(866)-568-8921	(800)-360-5735	(888)-844-5530	(800)-461-5376
H5421	801	0	1	09	04	H5421_801_0	3	2	PYRAMID LIFE INSURANCE COMPANY	Today's Option	www.pyramidlife.com	H5421	801	2007	04	09	1	Today's Options Value - Group		National	1	0		2				2		(888)-844-5530	(800)-461-5376	(866)-568-8921	(800)-360-5735					
H5421	804	0	1	09	04	H5421_804_0	4	2	PYRAMID LIFE INSURANCE COMPANY	Today's Option	www.pyramidlife.com	H5421	804	2007	04	09	1	Today's Options Value Plus - Group		National	1	0		2				2		(888)-844-5530	(800)-461-5376	(866)-568-8921	(800)-360-5735		(866)-568-8921	(800)-360-5735	(888)-844-5530	(800)-461-5376
H5421	805	0	1	09	04	H5421_805_0	4	2	PYRAMID LIFE INSURANCE COMPANY	Today's Option	www.pyramidlife.com	H5421	805	2007	04	09	1	Today's Options Value Plus 2 - Group		National	1	0		2				2		(888)-844-5530	(800)-461-5376	(866)-568-8921	(800)-360-5735		(866)-568-8921	(800)-360-5735	(888)-844-5530	(800)-461-5376
H5422	001	0	1	01	01	H5422_001_0	6		BLUE CROSS BLUE SHIELD OF GEORGIA	Blue Cross Blue Shield Healthcare Plan of Georgia	www.bcbsga.com	H5422	001	2007	01	01	1	BlueValue Secure		GA Selected Counties	2	0		2				2		(877)-247-1657	(877)-247-1657	(866)-438-9968	(800)-765-2585	11	(866)-438-9968	(800)-765-2585	(877)-247-1657	(877)-247-1657
H5422	002	0	1	01	01	H5422_002_0	6		BLUE CROSS BLUE SHIELD OF GEORGIA	Blue Cross Blue Shield Healthcare Plan of Georgia	www.bcbsga.com	H5422	002	2007	01	01	1	BlueValue Secure		GA Select Counties	2	0		2				2		(877)-247-1657	(877)-247-1657	(866)-438-9968	(800)-765-2585	1488	(866)-438-9968	(800)-765-2585	(877)-247-1657	(877)-247-1657
H5422	003	0	1	01	01	H5422_003_0	9		BLUE CROSS BLUE SHIELD OF GEORGIA	Blue Cross Blue Shield Healthcare Plan of Georgia	www.bcbsga.com	H5422	003	2007	01	01	1	BlueValue Secure Plus		GA Select Counties	2	0		1	3	1	2	2		(877)-247-1657	(877)-247-1657	(866)-438-9968	(800)-765-2585	613	(866)-438-9968	(800)-765-2585	(877)-247-1657	(877)-247-1657
H5422	005	0	1	01	01	H5422_005_0	6		BLUE CROSS BLUE SHIELD OF GEORGIA	Blue Cross Blue Shield Healthcare Plan of Georgia	www.bcbsga.com	H5422	005	2007	01	01	1	BlueValue Secure		Savannah Metro Area	2	0		2				2		(877)-247-1657	(877)-247-1657	(866)-438-9968	(800)-765-2585	848	(866)-438-9968	(800)-765-2585	(877)-247-1657	(877)-247-1657
H5422	801	0	1	01	01	H5422_801_0	2		BLUE CROSS BLUE SHIELD OF GEORGIA	Blue Cross Blue Shield Healthcare Plan of Georgia	www.bcbsga.com	H5422	801	2007	01	01	1	BlueValue Secure Group Plan I		Georgia, Select Counties	1	0		2				2		(877)-247-1657	(877)-247-1657	(866)-438-9968	(800)-765-2585	1000	(866)-438-9968	(800)-765-2585	(877)-247-1657	(877)-247-1657
H5422	802	0	1	01	01	H5422_802_0	1		BLUE CROSS BLUE SHIELD OF GEORGIA	Blue Cross Blue Shield Healthcare Plan of Georgia	www.bcbsga.com	H5422	802	2007	01	01	1	BlueValue Secure Group Plan II		Georgia, Select Counties	1	0		2				2		(877)-247-1657	(877)-247-1657	(866)-438-9968	(800)-765-2585	1000				
H5424	001	0	1	04	01	H5424_001_0	7		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H5424	001	2007	01	04	1	MedicareComplete Choice Plan 1		Honolulu County	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-238-7220	(800)-555-5757		(866)-238-7220	(800)-555-5757	(888)-685-8480	(888)-685-8480
H5424	003	0	1	04	01	H5424_003_0	4		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H5424	003	2007	01	04	1	MedicareComplete Choice Plan 2		Honolulu County	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-238-7220	(866)-391-6664					
H5424	005	0	1	04	01	H5424_005_0	4		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H5424	005	2007	01	04	1	Evercare Plan DP		Honolulu County	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(866)-238-7220	(888)-834-3721		(866)-238-7220	(888)-834-3721	(888)-685-8480	(888)-685-8480
H5424	801	0	1	04	01	H5424_801_0	3		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H5424	801	2007	01	04	1	MedicareComplete Choice		Honolulu County	1	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5548	(888)-867-5548		(888)-867-5548	(888)-867-5548	(888)-685-8480	(888)-685-8480
H5425	001	0	1	01	01	H5425_001_0	10		SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	H5425	001	2007	01	01	1	SCAN Health Plan		SCAN Ventura County	2	0		2				2		(800)-735-2929	(800)-735-2929	(800)-559-3500	(800)-915-7226		(800)-559-3500	(800)-915-7226	(800)-735-2929	(800)-735-2929
H5425	003	0	1	01	01	H5425_003_0	9		SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	H5425	003	2007	01	01	1	SCAN Health Plan		SCAN Kern County	2	0		2				2		(800)-735-2929	(800)-735-2929	(800)-559-3500	(800)-915-7226		(800)-559-3500	(800)-915-7226	(800)-735-2929	(800)-735-2929
H5425	004	0	1	01	01	H5425_004_0	10		SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	H5425	004	2007	01	01	1	SCAN Health Plan		SCAN San Diego County Signature	2	0		2				2		(800)-735-2929	(800)-735-2929	(800)-559-3500	(800)-915-7226		(800)-559-3500	(800)-915-7226	(800)-735-2929	(800)-735-2929
H5425	005	0	1	01	01	H5425_005_0	9		SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	H5425	005	2007	01	01	1	SCAN Health Plan		SCAN San Diego County	2	0		2				2		(800)-735-2929	(800)-735-2929	(800)-559-3500	(800)-915-7226		(800)-559-3500	(800)-915-7226	(800)-735-2929	(800)-735-2929
H5425	801	0	1	01	01	H5425_801_0	8		SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	H5425	801	2007	01	01	1	SCAN Employer Group Plan		SCAN Employer Group Plan	1	0		2				2		(800)-735-2929	(800)-735-2929	(800)-559-3500	(800)-915-7226	2729				
H5425	802	0	1	01	01	H5425_802_0	8		SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	H5425	802	2007	01	01	1	SCAN Employer Group Plan		SCAN Employer Group Plan	1	0		2				2		(800)-735-2929	(800)-735-2929	(800)-559-3500	(800)-915-7226	2729				
H5425	803	0	1	01	01	H5425_803_0	8		SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	H5425	803	2007	01	01	1	SCAN Employer Group Plan		SCAN Employer Group Plan	1	0		2				2		(800)-735-2929	(800)-735-2929	(800)-559-3500	(800)-915-7226	2729	(800)-559-3500	(800)-915-7226	(800)-735-2929	(800)-735-2929
H5425	804	0	1	01	01	H5425_804_0	8		SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	H5425	804	2007	01	01	1	SCAN Employer Group Plan		SCAN Employer Group Plan	1	0		2				2		(800)-735-2929	(800)-735-2929	(800)-559-3500	(800)-915-7226	2729	(800)-559-3500	(800)-915-7226	(800)-735-2929	(800)-735-2929
H5426	001	0	1	01	01	H5426_001_0	15		METCARE HEALTH PLANS, INC.	AdvantageCare	www.myadvantagecare.com	H5426	001	2007	01	01	1	Valencia Plan		Treasure Coast Market	2	0		2				2		(800)-955-8771	(800)-955-8771	(877)-874-1234	(877)-692-3822	1976	(877)-874-1234	(877)-692-3822	(800)-955-8771	(800)-955-8771
H5426	002	0	1	01	01	H5426_002_0	15		METCARE HEALTH PLANS, INC.	AdvantageCare	www.myadvantagecare.com	H5426	002	2007	01	01	1	Valencia Plan		Gulf Coast Market	2	0		2				2		(800)-955-8771	(800)-955-8771	(877)-874-1234	(877)-692-3822	1976	(877)-874-1234	(877)-692-3822	(800)-955-8771	(800)-955-8771
H5426	003	0	1	01	01	H5426_003_0	12		METCARE HEALTH PLANS, INC.	AdvantageCare	www.myadvantagecare.com	H5426	003	2007	01	01	1	Valencia Plan		Central Florida Market	2	0		2				2		(800)-955-8771	(800)-955-8771	(877)-874-1234	(877)-692-3822	1976	(877)-874-1234	(877)-692-3822	(800)-955-8771	(800)-955-8771
H5426	007	0	1	02	01	H5426_007_0	18		METCARE HEALTH PLANS, INC.	AdvantageCare	www.myadvantagecare.com	H5426	007	2007	01	02	1	Orange Blossom Plan		Treasure Coast	2	0		2				2		(800)-955-8771	(800)-955-8771	(877)-874-1234	(877)-692-3822	1118	(877)-874-1234	(877)-692-3822	(800)-955-8771	(800)-955-8771
H5426	008	0	1	02	01	H5426_008_0	18		METCARE HEALTH PLANS, INC.	AdvantageCare	www.myadvantagecare.com	H5426	008	2007	01	02	1	Orange Blossom Plan		Gulf Coast	2	0		2				2		(800)-955-8771	(800)-955-8771	(877)-874-1234	(877)-692-3822	1118	(877)-874-1234	(877)-692-3822	(800)-955-8771	(800)-955-8771
H5426	009	0	1	02	01	H5426_009_0	17		METCARE HEALTH PLANS, INC.	AdvantageCare	www.myadvantagecare.com	H5426	009	2007	01	02	1	Orange Blossom Plan		Central Florida Market	2	0		2				2		(800)-955-8771	(800)-955-8771	(877)-874-1234	(877)-692-3822	1118	(877)-874-1234	(877)-692-3822	(800)-955-8771	(800)-955-8771
H5426	013	0	1	01	01	H5426_013_0	17		METCARE HEALTH PLANS, INC.	AdvantageCare	www.myadvantagecare.com	H5426	013	2007	01	01	1	Mandarin Plan		Treasure Coast	2	0		1	3	2	2	2		(800)-955-8771	(800)-955-8771	(877)-874-1234	(877)-692-3822	1519	(877)-874-1234	(877)-692-3822	(800)-955-8771	(800)-955-8771
H5426	014	0	1	01	01	H5426_014_0	17		METCARE HEALTH PLANS, INC.	AdvantageCare	www.myadvantagecare.com	H5426	014	2007	01	01	1	Mandarin Plan		Gulf Coast	2	0		1	3	2	2	2		(800)-955-8771	(800)-955-8771	(877)-874-1234	(877)-692-3822	1519	(877)-874-1234	(877)-692-3822	(800)-955-8771	(800)-955-8771
H5426	015	0	1	01	01	H5426_015_0	16		METCARE HEALTH PLANS, INC.	AdvantageCare	www.myadvantagecare.com	H5426	015	2007	01	01	1	Mandarin Plan		Central Florida Market	2	0		1	3	2	2	2		(800)-955-8771	(800)-955-8771	(877)-874-1234	(877)-692-3822	1519	(877)-874-1234	(877)-692-3822	(800)-955-8771	(800)-955-8771
H5427	001	0	1	01	01	H5427_001_0	6		FREEDOM HEALTH, INC.	Freedom Health, Inc.	http://www.freedomusa.com	H5427	001	2007	01	01	1	Freedom Medicare Plan		North Central Florida	2	0		2				2		(800)-955-8771	(800)-955-8771	(800)-401-2740	(888)-796-0946	2583	(800)-777-0074	(888)-796-0946	(800)-955-8771	(800)-955-8771
H5427	002	0	1	01	01	H5427_002_0	3		FREEDOM HEALTH, INC.	Freedom Health, Inc.	http://www.freedomusa.com	H5427	002	2007	01	01	1	Freedom Medicare Plan		Miami-Dade County	2	0		2				2		(800)-955-8771	(800)-955-8771	(800)-401-2740	(888)-796-0946	481	(800)-777-0074	(888)-796-0946	(800)-955-8771	(800)-955-8771
H5427	003	0	1	01	01	H5427_003_0	3		FREEDOM HEALTH, INC.	Freedom Health, Inc.	http://www.freedomusa.com	H5427	003	2007	01	01	1	Freedom Medicare Plan		Broward	2	0		2				2		(800)-955-8771	(800)-955-8771	(800)-401-2740	(888)-796-0946	481	(800)-777-0074	(888)-796-0946	(800)-955-8771	(800)-955-8771
H5427	010	0	1	01	01	H5427_010_0	5		FREEDOM HEALTH, INC.	Freedom Health, Inc.	http://www.freedomusa.com	H5427	010	2007	01	01	1	Freedom Medicare Plan		Central Florida	2	0		2				2		(800)-955-8771	(800)-955-8771	(800)-401-2740	(888)-796-0946	2338	(800)-777-0074	(888)-796-0946	(800)-955-8771	(800)-955-8771
H5427	015	0	1	01	01	H5427_015_0	5		FREEDOM HEALTH, INC.	Freedom Health, Inc.	http://www.freedomusa.com	H5427	015	2007	01	01	1	Freedom Medicare Plan Plus		North Central Florida	2	0		2				2		(800)-955-8771	(800)-955-8771	(800)-401-2740	(888)-796-0946	2104	(800)-777-0074	(888)-796-0946	(800)-955-8771	(800)-955-8771
H5427	020	0	1	01	01	H5427_020_0	5		FREEDOM HEALTH, INC.	Freedom Health, Inc.	http://www.freedomusa.com	H5427	020	2007	01	01	1	Freedom Medicare Plan Plus		Dade	2	0		2				2		(800)-955-8771	(800)-955-8771	(800)-401-2740	(888)-796-0946	275	(800)-777-0074	(888)-796-0946	(800)-955-8771	(800)-955-8771
H5427	021	0	1	01	01	H5427_021_0	5		FREEDOM HEALTH, INC.	Freedom Health, Inc.	http://www.freedomusa.com	H5427	021	2007	01	01	1	Freedom Medicare Plan Plus		Broward	2	0		2				2		(800)-955-8771	(800)-955-8771	(800)-401-2740	(888)-796-0946	275	(800)-777-0074	(888)-796-0946	(800)-955-8771	(800)-955-8771
H5427	022	0	1	01	01	H5427_022_0	4		FREEDOM HEALTH, INC.	Freedom Health, Inc.	http://www.freedomusa.com	H5427	022	2007	01	01	1	Freedom Medicare Plan Plus		Central Florida	2	0		2				2		(800)-955-8771	(800)-955-8771	(800)-401-2740	(888)-796-0946	2613	(800)-777-0074	(888)-796-0946	(800)-955-8771	(800)-955-8771
H5427	049	0	1	01	01	H5427_049_0	5		FREEDOM HEALTH, INC.	Freedom Health, Inc.	http://www.freedomusa.com	H5427	049	2007	01	01	1	Freedom Medicare Dual Eligible Plan		Florida	2	0		1	3	2	1	2		(800)-955-8771	(800)-955-8771	(800)-401-2740	(888)-796-0946	618	(800)-777-0074	(888)-796-0946	(800)-955-8771	(800)-955-8771
H5427	050	0	1	01	01	H5427_050_0	5		FREEDOM HEALTH, INC.	Freedom Health, Inc.	http://www.freedomusa.com	H5427	050	2007	01	01	1	QMedCare of Florida		North Central and Central Florida	2	0		1	4	2	2	2		(800)-955-8771	(800)-955-8771	(800)-401-2740	(888)-796-0946		(800)-777-0074	(888)-796-0946	(800)-955-8771	(800)-955-8771
H5428	001	0	1	01	01	H5428_001_0	3		SAN MATEO HEALTH COMMISSION	Health Plan of San Mateo	www.hpsm.org	H5428	001	2007	01	01	1	HPSM CareAdvantage		San Mateo County	2	0		1	3	2	1	2		(800)-735-2929	(800)-735-2929	(866)-880-0606	(866)-880-0606	9000	(866)-880-0606	(866)-880-0606	(800)-735-2929	(800)-735-2929
H5429	001	0	1	04	01	H5429_001_0	6		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5429	001	2007	01	04	1	Medicare Masterpiece PPO		Tampa Bay, Hernando, Manatee, Sarasota, Polk	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5429	005	0	1	04	01	H5429_005_0	6		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5429	005	2007	01	04	1	Medicare Masterpiece PPO		Capitol and Central Florida	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5429	007	0	1	04	01	H5429_007_0	6		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5429	007	2007	01	04	1	Medicare Masterpiece PPO		Broward & Palm Beach Counties	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5429	011	0	1	04	01	H5429_011_0	6		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5429	011	2007	01	04	1	Medicare Masterpiece PPO		Miami - Dade County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5429	015	0	1	04	01	H5429_015_0	6		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5429	015	2007	01	04	1	Medicare Masterpiece PPO		Brevard County	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5429	020	0	1	04	01	H5429_020_0	6		UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	H5429	020	2007	01	04	1	Medicare Masterpiece PPO		Charlotte, Lee & Collier Counties	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5430	001	0	1	01	01	H5430_001_0	3		CARE1ST HEALTH PLAN OF ARIZONA	Care1st Health Plan Of Arizona	www.care1st/az.com	H5430	001	2007	01	01	1	ONECare by Care1st Health Plan Arizona		County: Maricopa	2	0		1	3	2	1	2		(800)-367-8939	(800)-367-8939	(877)-778-1882	(877)-778-1855		(877)-778-1882	(877)-778-1855		(800)-367-8939
H5431	001	0	1	01	01	H5431_001_0	6		HEALTHSUN HEALTH PLANS, INC.	HealthSun Health Plans, Inc.	www.health-sun.com	H5431	001	2007	01	01	1	SunPlus Advantage Plan		Miami-Dade	2	0		2				2		(877)-206-0500	(877)-206-0500	(877)-207-4900	(877)-207-4900	2484	(877)-207-4900	(877)-207-4900	(877)-206-0500	(877)-206-0500
H5431	002	0	1	01	01	H5431_002_0	6		HEALTHSUN HEALTH PLANS, INC.	HealthSun Health Plans, Inc.	www.health-sun.com	H5431	002	2007	01	01	1	SunPlus Advantage Plan		Broward	2	0		2				2		(877)-206-0500	(877)-206-0500	(877)-207-4900	(877)-207-4900	300	(877)-207-4900	(877)-207-4900	(877)-206-0500	(877)-206-0500
H5431	003	0	1	01	01	H5431_003_0	6		HEALTHSUN HEALTH PLANS, INC.	HealthSun Health Plans, Inc.	www.health-sun.com	H5431	003	2007	01	01	1	SunPlus Advantage Plan		Okeechobee	2	0		2				2		(877)-206-0500	(877)-206-0500	(877)-207-4900	(877)-207-4900	600	(877)-207-4900	(877)-207-4900	(877)-206-0500	(877)-206-0500
H5433	001	0	1	01	01	H5433_001_0	10		ORANGE COUNTY HEALTH AUTHORITY	OneCare	www.caloptima.org	H5433	001	2007	01	01	1	OneCare		OneCare (serves only Orange County)	2	0		1	3	1	2	2		(714)-246-8496	(714)-246-8496	(877)-412-2734	(877)-412-2734	10000	(877)-412-2734	(877)-412-2734	(714)-246-8496	(714)-246-8496
H5434	001	0	1	04	01	H5434_001_0	3		BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida	www.bcbsfl.com	H5434	001	2007	01	04	1	MedicareBlue PPO		Broward and Palm Beach Counties	2	0		2				2		(800)-955-1339	(800)-955-1339	(877)-352-2583	(800)-876-2227	500	(877)-352-2583	(800)-876-2227	(800)-955-1339	(800)-955-1339
H5434	002	0	1	04	01	H5434_002_0	3		BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida	www.bcbsfl.com	H5434	002	2007	01	04	1	MedicareBlue PPO		Hillsborough and Pinellas Counties	2	0		2				2		(800)-955-1339	(800)-955-1339	(877)-352-2583	(800)-876-2227	100	(877)-352-2583	(800)-876-2227	(800)-955-1339	(800)-955-1339
H5434	801	0	1	04	01	H5434_801_0	5		BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida	www.bcbsfl.com	H5434	801	2007	01	04	1	MedicareBlue Group PPO		State of Florida	1	0		2				2		(800)-955-1339	(800)-955-1339	(877)-352-2583	(800)-876-2227	100	(877)-352-2583	(800)-876-2227	(800)-955-1339	(800)-955-1339
H5434	802	0	1	04	01	H5434_802_0	5		BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida	www.bcbsfl.com	H5434	802	2007	01	04	1	MedicareBlue Group PPO		State of Florida	1	0		2				2		(800)-955-1339	(800)-955-1339	(877)-352-2583	(800)-876-2227	100	(877)-352-2583	(800)-876-2227	(800)-955-1339	(800)-955-1339
H5435	001	0	1	09	04	H5435_001_0	2	2	PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	SecureHorizons MedicareDirect	www.securehorizons.com	H5435	001	2007	04	09	1	SecureHorizons MedicareDirect Plan 1		Multi-State: Area 1	2	0		2				1	1	(888)-685-8480	(800)-387-1074	(866)-579-8774	(800)-776-8876					
H5435	002	0	1	09	04	H5435_002_0	2	2	PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	SecureHorizons MedicareDirect	www.securehorizons.com	H5435	002	2007	04	09	1	SecureHorizons MedicareDirect Plan 2		Multi-State: Area 2	2	0		2				1	1	(888)-685-8480	(800)-387-1074	(866)-579-8774	(800)-776-8876					
H5435	003	0	1	09	04	H5435_003_0	2	2	PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	SecureHorizons MedicareDirect	www.securehorizons.com	H5435	003	2007	04	09	1	SecureHorizons MedicareDirect Plan 3		Multi-State: Area 3	2	0		2				1	1	(888)-685-8480	(800)-387-1074	(866)-579-8774	(800)-776-8876					
H5435	004	0	1	09	04	H5435_004_0	2	2	PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	SecureHorizons MedicareDirect	www.securehorizons.com	H5435	004	2007	04	09	1	SecureHorizons MedicareDirect Plan 4		Multi-State: Area 4	2	0		2				1	1	(888)-685-8480	(800)-387-1074	(866)-579-8774	(800)-776-8876					
H5435	008	0	1	09	04	H5435_008_0	3	2	PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	SecureHorizons MedicareDirect	www.securehorizons.com	H5435	008	2007	04	09	1	SecureHorizons MedicareDirect Premier 300		Multi-State: Area 8	2	0		2				1	1	(888)-685-8480	(800)-387-1074	(866)-579-8774	(800)-776-8876					
H5435	009	0	1	09	04	H5435_009_0	3	2	PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	SecureHorizons MedicareDirect	www.securehorizons.com	H5435	009	2007	04	09	1	SecureHorizons MedicareDirect Premier 200		Multi-State: Area 9	2	0		2				1	1	(888)-685-8480	(800)-387-1074	(866)-579-8774	(800)-776-8876					
H5435	010	0	1	09	04	H5435_010_0	3	2	PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	SecureHorizons MedicareDirect	www.securehorizons.com	H5435	010	2007	04	09	1	SecureHorizons MedicareDirect Plan 10		Multi-State: Area 10	2	0		2				2		(888)-685-8480	(800)-387-1074	(866)-525-6437	(866)-525-6425	5000				
H5435	013	0	1	09	04	H5435_013_0	4	2	PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	SecureHorizons MedicareDirect	www.securehorizons.com	H5435	013	2007	04	09	1	SecureHorizons MedicareDirect Rx Plan 54		Multi-State: Area 13	2	0		2				1	1	(888)-685-8480	(800)-387-1074	(866)-579-8774	(800)-776-8876		(866)-579-8774	(800)-776-8876	(888)-685-8480	(800)-387-1074
H5435	014	0	1	09	04	H5435_014_0	2	2	PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	SecureHorizons MedicareDirect	www.securehorizons.com	H5435	014	2007	04	09	1	SecureHorizons MedicareDirect Rx Plan 55		Multi-State: Area 14	2	0		2				2		(888)-685-8480	(800)-387-1074	(866)-579-8774	(800)-776-8876		(866)-579-8774	(800)-776-8876	(888)-685-8480	(800)-387-1074
H5435	016	0	1	09	04	H5435_016_0	3	2	PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	SecureHorizons MedicareDirect	www.securehorizons.com	H5435	016	2007	04	09	1	SecureHorizons MedicareDirect Premier 100		Multi-State: Area 16	2	0		2				1	1	(888)-685-8480	(800)-387-1074	(866)-579-8774	(800)-776-8876					
H5435	849	0	1	09	04	H5435_849_0	3	2	PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	SecureHorizons MedicareDirect	www.securehorizons.com	H5435	849	2007	04	09	1	SecureHorizons MedicareDirect Retiree Plan		EGHP PFFS National Service Area	1	0		2				2		(888)-685-8480	(800)-387-1074	(866)-525-6437	(800)-710-2525					
H5435	850	0	1	09	04	H5435_850_0	3	2	PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	SecureHorizons MedicareDirect	www.securehorizons.com	H5435	850	2007	04	09	1	SecureHorizons MedicareDirect Retiree Plan		EGHP PFFS National Service Area	1	0		2				2		(888)-685-8480	(800)-387-1074	(866)-525-6437	(800)-710-2525					
H5435	869	0	1	09	04	H5435_869_0	4	2	PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	SecureHorizons MedicareDirect	www.securehorizons.com	H5435	869	2007	04	09	1	SecureHorizons MedicareDirect Retiree Plan		EGHP PFFS National Service Area	1	0		2				2		(888)-685-8480	(800)-387-1074	(866)-525-6437	(800)-710-2525		(866)-525-6437	(800)-710-2525	(888)-685-8480	(800)-387-1074
H5435	870	0	1	09	04	H5435_870_0	4	2	PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	SecureHorizons MedicareDirect	www.securehorizons.com	H5435	870	2007	04	09	1	SecureHorizons MedicareDirect Retiree Plan		EGHP PFFS National Service Area	1	0		2				2		(888)-685-8480	(800)-387-1074	(866)-525-6437	(800)-710-2525		(866)-525-6437	(800)-710-2525	(888)-685-8480	(800)-387-1074
H5436	001	0	1	04	01	H5436_001_0	9		AVMED, INC.	AvMed Medicare Preferred PPO	www.avmed.org	H5436	001	2007	01	04	1	AvMed Medicare Preferred PPO		Dade County Local PPO	2	0		2				2		(877)-442-8633	(877)-442-8633	(800)-782-8633	(800)-250-9243	50	(800)-782-8633	(800)-250-9243	(877)-442-8633	(877)-442-8633
H5436	002	0	1	04	01	H5436_002_0	9		AVMED, INC.	AvMed Medicare Preferred PPO	www.avmed.org	H5436	002	2007	01	04	1	AvMed Medicare Preferred PPO		Broward County Local PPO	2	0		2				2		(877)-442-8633	(877)-442-8633	(800)-782-8633	(800)-250-9243	50	(800)-782-8633	(800)-250-9243	(877)-442-8633	(877)-442-8633
H5437	001	0	1	04	01	H5437_001_0	6		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5437	001	2007	01	04	1	Aetna Golden Choice Standard Plan		Pinellas County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5437	801	0	1	04	01	H5437_801_0	1		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5437	801	2007	01	04	1	Aetna Golden Choice Plan		Florida	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H5437	802	0	1	04	01	H5437_802_0	1		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5437	802	2007	01	04	1	Aetna Golden Choice Plan w/Rx CY		Florida	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5439	001	0	1	04	01	H5439_001_0	6		HEALTH NET LIFE INSURANCE COMPANY	Health Net Life Insurance Company	www.healthnet.com	H5439	001	2007	01	04	1	Health Net Options Plus Violet		San Diego	2	0		2				2		(800)-929-9955	(800)-929-9955	(800)-960-4638	(800)-935-6565	3999	(800)-960-4638	(800)-935-6565	(800)-929-9955	(800)-929-9955
H5440	001	0	1	01	01	H5440_001_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United Healthcare Insurance Company	www.EvercareHealthPlans.com	H5440	001	2007	01	01	1	Evercare Plan DH		Orlando and Tampa areas plus Broward County	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5114	(800)-791-9233		(877)-702-5114	(800)-791-9233	(888)-685-8480	(888)-685-8480
H5485	001	0	1	09	04	H5485_001_0	5	2	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	H5485	001	2007	04	09	1	Prime PFFS Select		Tusc, Wayne, Holms, Carroll, Colum, Summit	2	0		2				2		(800)-617-7446	(800)-617-7446	(800)-577-5084	(800)-577-5084	2000	(800)-577-5084	(800)-577-5084	(800)-617-7446	(800)-617-7446
H5485	002	0	1	09	04	H5485_002_0	5	2	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	H5485	002	2007	04	09	1	Select Stark PFFS		Stark County	2	0		2				2		(800)-617-7446	(800)-617-7446	(800)-577-5084	(800)-577-5084	500	(800)-577-5084	(800)-577-5084	(800)-617-7446	(800)-617-7446
H5485	801	0	1	09	04	H5485_801_0	3	2	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	H5485	801	2007	04	09	1	EGHP Prime PFFS Select		All Ohio Counties	1	0		2				2		(800)-617-7446	(800)-617-7446	(800)-577-5084	(800)-577-5084	1000	(800)-577-5084	(800)-577-5084	(800)-617-7446	(800)-617-7446
H5485	802	0	1	09	04	H5485_802_0	3	2	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	H5485	802	2007	04	09	1	EGHP Prime PFFS Select - Non CY		All Ohio Counties	1	0		2				2		(800)-617-7446	(800)-617-7446	(800)-577-5084	(800)-577-5084	1000	(800)-577-5084	(800)-577-5084	(800)-617-7446	(800)-617-7446
H5485	803	0	1	09	04	H5485_803_0	2	2	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	H5485	803	2007	04	09	1	Prime PFFS Select / EGHP MA Only - CY		All Ohio Counties	1	0		2				2		(800)-617-7446	(800)-617-7446	(800)-577-5084	(800)-577-5084	1000				
H5485	804	0	1	09	04	H5485_804_0	2	2	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	H5485	804	2007	04	09	1	Prime PFFS Select EGHP - Non CY		All Ohio Counties	1	0		2				2		(800)-617-7446	(800)-617-7446	(800)-577-5084	(800)-577-5084	1000				
H5500	001	0	1	04	01	H5500_001_0	5		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H5500	001	2007	01	04	1	MedicareComplete Choice		Bibb/Blount/Chilton/Jeffer./St.Clair/Shelby/Walker	2	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5542	(800)-555-5757	6310	(888)-867-5542	(800)-555-5757	(888)-685-8480	(888)-685-8480
H5501	001	0	1	04	01	H5501_001_0	7		TENET CHOICES, INC. / PEOPLES HEALTH NETWORK	HealthCare Select	www.tenetchoices.com	H5501	001	2007	01	04	1	HealthCare Select		New Orleans Metro area	2	0		2				2		(866)-654-9800	(866)-654-9800	(800)-631-8443	(800)-631-8443	700	(800)-631-8443	(800)-631-8443	(866)-654-9800	(866)-654-9800
H5507	001	0	1	04	01	H5507_001_0	5		UNITED HEALTHCARE INS. COMPANY, INC.	SecureHorizons	www.medicarecomplete.com	H5507	001	2007	01	04	1	MedicareComplete Choice		St. Louis Area counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5580	(800)-555-5757		(888)-867-5580	(800)-555-5757	(888)-685-8480	(888)-685-8480
H5508	001	0	1	04	01	H5508_001_0	5		ADVANTAGE HEALTH SOLUTIONS, INC.	Advantage Health Solutions, Inc.	www.advantageplan.com	H5508	001	2007	01	04	1	ADVANTAGE Preferred Plus - Part D		Central Indiana Allen & St. Joseph Counties	2	0		2				2		(800)-743-3333	(800)-573-4990	(800)-523-7533	(800)-201-8342	2480	(800)-311-0539	(800)-201-8342	(800)-311-0533	(800)-573-4990
H5508	002	0	1	04	01	H5508_002_0	2		ADVANTAGE HEALTH SOLUTIONS, INC.	Advantage Health Solutions, Inc.	www.advantageplan.com	H5508	002	2007	01	04	1	ADVANTAGE Preferred Plus		Central Indiana Allen & St. Joseph Counties	2	0		2				2		(800)-743-3333	(800)-573-4990	(800)-523-7533	(800)-201-8342	1520				
H5509	001	0	1	04	01	H5509_001_0	5		COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health And Life Ins. Company	www.kc.chcadvantra.com	H5509	001	2007	01	04	1	Advantra Freedom		Kansas City Metro Area	2	0		2				2		(866)-347-2459	(866)-347-2459	(800)-727-9712	(866)-533-5160	4297	(866)-294-9803	(866)-533-5160	(866)-236-1069	(866)-347-2459
H5509	003	0	1	04	01	H5509_003_0	6		COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health And Life Ins. Company	www.kc.chcadvantra.com	H5509	003	2007	01	04	1	Advantra Freedom - Wichita		Wichita Metro Area	2	0		2				2		(866)-347-2459	(866)-347-2459	(800)-727-9712	(866)-533-5160	746	(866)-294-9803	(866)-533-5160	(866)-236-1069	(866)-347-2459
H5509	801	0	1	04	01	H5509_801_0	3		COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health And Life Ins. Company	www.kc.chcadvantra.com	H5509	801	2007	01	04	1	Advantra Freedom		Coventry Health and Life Insurance Company	1	0		2				2		(866)-347-2459	(866)-347-2459	(800)-727-9712	(866)-533-5160	1021	(866)-294-9803	(866)-533-5160	(866)-236-1069	(866)-347-2459
H5509	802	0	1	04	01	H5509_802_0	2		COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health And Life Ins. Company	www.kc.chcadvantra.com	H5509	802	2007	01	04	1	Advantra Freedom		Coventry Health and Life Insurance Company	1	0		2				2		(866)-347-2459	(866)-347-2459	(800)-727-9712	(866)-533-5160	51				
H5509	803	0	1	04	01	H5509_803_0	3		COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health And Life Ins. Company	www.kc.chcadvantra.com	H5509	803	2007	01	04	1	Advantra Freedom		Coventry Health and Life Insurance Company	1	0		2				2		(866)-347-2459	(866)-347-2459	(800)-727-9712	(866)-533-5160	51	(866)-294-9803	(866)-533-5160	(866)-236-1069	(866)-347-2459
H5509	804	0	1	04	01	H5509_804_0	2		COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health And Life Ins. Company	www.kc.chcadvantra.com	H5509	804	2007	01	04	1	Advantra Freedom		Coventry Health and Life Insurance Company	1	0		2				2		(866)-347-2459	(866)-347-2459	(800)-727-9712	(866)-533-5160	51				
H5509	805	0	1	04	01	H5509_805_0	3		COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health And Life Ins. Company	www.kc.chcadvantra.com	H5509	805	2007	01	04	1	Advantra Freedom Employer Group		Advantra Freedom	1	0		2				2		(866)-347-2459	(866)-347-2459	(800)-727-9712	(866)-533-5160	51	(866)-294-9803	(866)-533-5160	(866)-236-1069	(866)-347-2459
H5509	806	0	1	04	01	H5509_806_0	3		COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health And Life Ins. Company	www.kc.chcadvantra.com	H5509	806	2007	01	04	1	Advantra Freedom Employer Group		Advantra Freedom	1	0		2				2		(866)-347-2459	(866)-347-2459	(800)-727-9712	(866)-533-5160	51	(866)-294-9803	(866)-533-5160	(866)-236-1069	(866)-347-2459
H5510	002	0	1	04	01	H5510_002_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5510	002	2007	01	04	1	Aetna Golden Choice Premier Plan		Baltimore and Surrounding Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5510	003	0	1	04	01	H5510_003_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5510	003	2007	01	04	1	Aetna Golden Choice Standard Plan		Baltimore and Surrounding Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5510	005	0	1	04	01	H5510_005_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5510	005	2007	01	04	1	Aetna Golden Choice Standard Plan		Baltimore City	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5510	006	0	1	04	01	H5510_006_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5510	006	2007	01	04	1	Aetna Golden Choice Premier Plan		Baltimore City	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5510	801	0	1	04	01	H5510_801_0	1		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5510	801	2007	01	04	1	Aetna Golden Choice Plan		Maryland	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H5510	802	0	1	04	01	H5510_802_0	1		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5510	802	2007	01	04	1	Aetna Golden Choice Plan w/Rx CY		Maryland	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5512	001	0	1	04	01	H5512_001_0	5		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5512	001	2007	01	04	1	Aetna Golden Choice Standard Plan		BergenEssexHudsonMorrisOceanPassaicSussexUnion	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5512	002	0	1	04	01	H5512_002_0	6		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5512	002	2007	01	04	1	Aetna Golden Choice Premier Plan		BergenEssexHudsonMorrisOceanPassaicSussexUnion	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5512	005	0	1	04	01	H5512_005_0	5		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5512	005	2007	01	04	1	Aetna Golden Choice Standard Plan		Middlesex and Monmouth Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5512	006	0	1	04	01	H5512_006_0	5		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5512	006	2007	01	04	1	Aetna Golden Choice Premier Plan		Middlesex and Monmouth Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5512	008	0	1	04	01	H5512_008_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5512	008	2007	01	04	1	Aetna Golden Choice Standard Plan		Burlington, Camden, Gloucester and Mercer Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5512	009	0	1	04	01	H5512_009_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5512	009	2007	01	04	1	Aetna Golden Choice Premier Plan		Burlington, Camden, Gloucester and Mercer Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5512	801	0	1	04	01	H5512_801_0	1		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5512	801	2007	01	04	1	Aetna Golden Choice Plan		New Jersey	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H5512	802	0	1	04	01	H5512_802_0	1		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5512	802	2007	01	04	1	Aetna Golden Choice Plan w/Rx CY		New Jersey	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5516	001	0	1	04	01	H5516_001_0	6		UNITED HEALTHCARE INS. COMPANY, INC.	SecureHorizons	www.medicarecomplete.com	H5516	001	2007	01	04	1	MedicareComplete Choice		Select North Carolina Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5538	(800)-555-5757		(888)-867-5538	(800)-555-5757	(888)-685-8480	(888)-685-8480
H5517	001	0	1	04	01	H5517_001_0	3		COVENTRY HEALTH AND LIFE INS. COMPANY	Carelink Advantra PPO	www.chcadvantra.com	H5517	001	2007	01	04	1	Advantra PPO		West Virginia and Eastern Ohio	2	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-291-5518	(800)-470-4272	(866)-236-1069	(800)-207-1262
H5517	802	0	1	04	01	H5517_802_0	4		COVENTRY HEALTH AND LIFE INS. COMPANY	Carelink Advantra PPO	www.chcadvantra.com	H5517	802	2007	01	04	1	Advantra PPO MA Only		West Virginia & Eastern Ohio	1	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272					
H5517	804	0	1	04	01	H5517_804_0	3		COVENTRY HEALTH AND LIFE INS. COMPANY	Carelink Advantra PPO	www.chcadvantra.com	H5517	804	2007	01	04	1	Advantra PPO Gold		West Virginia and Eastern Ohio	1	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-291-5518	(800)-470-4272	(866)-236-1069	(800)-207-1262
H5517	805	0	1	04	01	H5517_805_0	3		COVENTRY HEALTH AND LIFE INS. COMPANY	Carelink Advantra PPO	www.chcadvantra.com	H5517	805	2007	01	04	1	Advantra PPO Gold		West Virginia and Eastern Ohio	1	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-291-5518	(800)-470-4272	(866)-236-1069	(800)-207-1262
H5517	806	0	1	04	01	H5517_806_0	4		COVENTRY HEALTH AND LIFE INS. COMPANY	Carelink Advantra PPO	www.chcadvantra.com	H5517	806	2007	01	04	1	Advantra PPO MA Only		West Virginia & Eastern Ohio	1	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-290-0190					
H5520	001	0	1	04	01	H5520_001_0	8		HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	H5520	001	2007	01	04	1	Health Net Aqua		Portland, Salem, MidVly, OR and Clark WA	2	0		2				2		(888)-802-7122	(888)-802-7122	(888)-445-8913	(800)-822-7698					
H5520	002	0	1	04	01	H5520_002_0	10		HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	H5520	002	2007	01	04	1	Health Net Violet Option 1		Portland, Salem, MidVly, OR and Clark WA	2	0		2				2		(888)-802-7122	(888)-802-7122	(888)-445-8913	(800)-822-7698		(888)-445-8913	(800)-822-7698	(888)-802-7122	(888)-802-7122
H5520	003	0	1	04	01	H5520_003_0	9		HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	H5520	003	2007	01	04	1	Health Net Aqua		Jackson and Josephine Counties, OR	2	0		2				2		(888)-802-7122	(888)-802-7122	(888)-445-8913	(800)-822-7698					
H5520	004	0	1	04	01	H5520_004_0	11		HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	H5520	004	2007	01	04	1	Health Net Violet Option 1		Jackson and Josephine Counties, OR	2	0		2				2		(888)-802-7122	(888)-802-7122	(888)-445-8913	(800)-822-7698		(888)-445-8913	(800)-822-7698	(888)-802-7122	(888)-802-7122
H5520	005	0	1	04	01	H5520_005_0	10		HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	H5520	005	2007	01	04	1	Health Net Violet Option 2		Portland, Salem, MidVly, OR and Clark WA	2	0		2				2		(888)-802-7122	(888)-802-7122	(888)-445-8913	(800)-822-7698		(888)-445-8913	(888)-445-8913	(888)-802-7122	(888)-802-7122
H5520	006	0	1	04	01	H5520_006_0	9		HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	H5520	006	2007	01	04	1	Health Net Violet Option 2		Jackson and Josephine Counties, OR	2	0		2				2		(888)-802-7122	(888)-802-7122	(888)-445-8913	(800)-822-7698		(888)-445-8913	(800)-822-7698	(888)-802-7122	(888)-802-7122
H5520	801	0	1	04	01	H5520_801_0	1		HEALTH NET LIFE INSURANCE COMPANY	Health Net Options Plus	www.healthnet.com	H5520	801	2007	01	04	1	Health Net Options Plus		Ptld, Salem, MidVly, GPass/Medfd, Clark WA	1	0		2				2		(888)-844-5530	(800)-802-7122	(888)-445-8913	(800)-822-7698		(888)-445-8913	(800)-822-7698	(888)-844-5530	(800)-802-7122
H5520	803	0	1	04	01	H5520_803_0	2		HEALTH NET LIFE INSURANCE COMPANY	Health Net Options Plus	www.healthnet.com	H5520	803	2007	01	04	1	Health Net Options Plus		Ptld, Salem, MidVly, GPass/Medfd, Clark WA	1	0		2				2		(888)-844-5530	(800)-802-7122	(888)-445-8913	(800)-822-7698					
H5520	804	0	1	04	01	H5520_804_0	1		HEALTH NET LIFE INSURANCE COMPANY	Health Net Options Plus	www.healthnet.com	H5520	804	2007	01	04	1	Health Net Options Plus		Ptld, Salem, MidVly, GPass/Medfd, Clark WA	1	0		2				2		(888)-844-5530	(800)-802-7122	(888)-445-8913	(800)-822-7698		(888)-445-8913	(800)-822-7698	(888)-844-5530	(800)-802-7122
H5520	806	0	1	04	01	H5520_806_0	2		HEALTH NET LIFE INSURANCE COMPANY	Health Net Options Plus	www.healthnet.com	H5520	806	2007	01	04	1	Health Net Options Plus		Ptld, Salem, MidVly, GPass/Medfd, Clark WA	1	0		2				2		(888)-844-5530	(800)-802-7122	(888)-445-8913	(800)-822-7698					
H5521	002	0	1	04	01	H5521_002_0	7		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5521	002	2007	01	04	1	Aetna Golden Choice Standard Plan		Lehigh, Monroe, Northampton, Schuylkill Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5521	003	0	1	04	01	H5521_003_0	6		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5521	003	2007	01	04	1	Aetna Golden Choice Premier Plan		Lehigh, Monroe, Northampton, Schuylkill Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5521	005	0	1	04	01	H5521_005_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5521	005	2007	01	04	1	Aetna Golden Choice Standard Plan		Bucks, Chester, Delaware and Montgomery Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5521	006	0	1	04	01	H5521_006_0	6		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5521	006	2007	01	04	1	Aetna Golden Choice Premier Plan		Bucks, Chester, Delaware and Montgomery Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5521	008	0	1	04	01	H5521_008_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5521	008	2007	01	04	1	Aetna Golden Choice Standard Plan		Philadelphia County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5521	009	0	1	04	01	H5521_009_0	8		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5521	009	2007	01	04	1	Aetna Golden Choice Premier Plan		Philadelphia County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5521	801	0	1	04	01	H5521_801_0	1		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5521	801	2007	01	04	1	Aetna Golden Choice Plan		Pennsylvania	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H5521	802	0	1	04	01	H5521_802_0	1		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5521	802	2007	01	04	1	Aetna Golden Choice Plan w/Rx CY		Pennsylvania	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5522	001	0	1	04	01	H5522_001_0	6		HEALTH ASSURANCE PENNSYLVANIA, INC.	Advantra PPO	www.chcadvantra.com	H5522	001	2007	01	04	1	Advantra PPO Gold		Allegheny County	2	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-291-5221	(800)-470-4272	(866)-236-1069	(800)-207-1262
H5522	002	0	1	04	01	H5522_002_0	6		HEALTH ASSURANCE PENNSYLVANIA, INC.	Advantra PPO	www.chcadvantra.com	H5522	002	2007	01	04	1	Advantra PPO Gold		Dauphin, Lancaster, Lebanon Counties	2	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-290-0190		(866)-291-5221	(800)-470-4272	(866)-236-1069	(800)-207-1262
H5522	003	0	1	04	01	H5522_003_0	6		HEALTH ASSURANCE PENNSYLVANIA, INC.	Advantra PPO	www.chcadvantra.com	H5522	003	2007	01	04	1	Advantra PPO Gold		Fayette, Greene, Lawrence & Westmoreland Counties	2	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-290-0190		(866)-291-5221	(800)-470-4272	(866)-236-1069	(800)-207-1262
H5522	802	0	1	04	01	H5522_802_0	2		HEALTH ASSURANCE PENNSYLVANIA, INC.	Advantra PPO	www.chcadvantra.com	H5522	802	2007	01	04	1	Advantra PPO MA Only		Pennsylvania	1	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272					
H5522	803	0	1	04	01	H5522_803_0	2		HEALTH ASSURANCE PENNSYLVANIA, INC.	Advantra PPO	www.chcadvantra.com	H5522	803	2007	01	04	1	Advantra PPO Gold		Pennsylvania	1	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-291-5221	(800)-470-4272	(866)-236-1069	(800)-207-1262
H5522	805	0	1	04	01	H5522_805_0	2		HEALTH ASSURANCE PENNSYLVANIA, INC.	Advantra PPO	www.chcadvantra.com	H5522	805	2007	01	04	1	Advantra PPO Gold		Pennsylvania	1	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272		(866)-291-5221	(800)-470-4272	(866)-236-1069	(800)-207-1262
H5522	806	0	1	04	01	H5522_806_0	2		HEALTH ASSURANCE PENNSYLVANIA, INC.	Advantra PPO	www.chcadvantra.com	H5522	806	2007	01	04	1	Advantra PPO MA Only		Pennsylvania	1	0		2				2		(800)-207-1262	(800)-207-1262	(800)-290-0190	(800)-470-4272					
H5523	001	0	1	04	01	H5523_001_0	10		CARITEN INSURANCE COMPANY	Cariten Senior Health (PPO)	www.Cariten.com	H5523	001	2007	01	04	1	Cariten Senior Health PPO		East Tennessee	2	0		2				2		(800)-396-2150	(800)-396-2150	(888)-817-5838	(888)-285-2599		(888)-817-5838	(888)-285-2599	(800)-396-2150	(800)-396-2150
H5525	001	0	1	04	01	H5525_001_0	3		OSF HEALTHPLANS, INC.	OSF Care Preferred	www.OSFMedicare.com	H5525	001	2007	01	04	1	OSF Care Preferred Rx		North and Central Illinois	2	0		2				2		(888)-817-0139	(888)-817-0139	(877)-677-8203	(877)-677-8205	5995	(877)-677-8203	(877)-677-8205	(888)-817-0139	(888)-817-0139
H5525	002	0	1	04	01	H5525_002_0	4		OSF HEALTHPLANS, INC.	OSF Care Preferred	www.OSFMedicare.com	H5525	002	2007	01	04	1	OSF Care Preferred		North and Central Illinois	2	0		2				2		(888)-817-0139	(888)-817-0139	(877)-677-8203	(877)-677-8205	10				
H5525	003	0	1	04	01	H5525_003_0	5		OSF HEALTHPLANS, INC.	OSF Care Preferred	www.OSFMedicare.com	H5525	003	2007	01	04	1	OSF Care Preferred Rx Plus		North and Central Illinois	2	0		2				2		(888)-817-0139	(888)-817-0139	(877)-677-8203	(877)-677-8205	547	(877)-677-8203	(877)-677-8205	(888)-817-0139	(888)-817-0139
H5525	004	0	1	04	01	H5525_004_0	5		OSF HEALTHPLANS, INC.	OSF Care Preferred	www.OSFMedicare.com	H5525	004	2007	01	04	1	OSF Care Preferred Basic Rx		North and Central Illinois	2	0		2				2		(888)-817-0139	(888)-817-0139	(877)-677-8203	(877)-677-8205	3633	(877)-677-8203	(877)-677-8205	(888)-817-0139	(888)-817-0139
H5525	801	0	1	04	01	H5525_801_0	4		OSF HEALTHPLANS, INC.	OSF Care Preferred	www.OSFMedicare.com	H5525	801	2007	01	04	1	OSF EGHP I		North and Central Illinois	1	0		2				2		(888)-817-0139	(888)-817-0139	(877)-677-8203	(877)-677-8205	100	(877)-677-8203	(877)-677-8205	(888)-817-0139	(888)-817-0139
H5525	802	0	1	04	01	H5525_802_0	4		OSF HEALTHPLANS, INC.	OSF Care Preferred	www.OSFMedicare.com	H5525	802	2007	01	04	1	OSF EGHP II		North and Central Illinois	1	0		2				2		(888)-817-0139	(888)-817-0139	(877)-677-8203	(877)-677-8205	100				
H5525	805	0	1	04	01	H5525_805_0	4		OSF HEALTHPLANS, INC.	OSF Care Preferred	www.OSFMedicare.com	H5525	805	2007	01	04	1	OSF EGHP III		North and Central Illinois	1	0		2				2		(888)-817-0139	(888)-817-0139	(877)-677-8203	(877)-677-8205	100	(877)-677-8203	(877)-677-8205	(888)-817-0139	(888)-817-0139
H5525	806	0	1	04	01	H5525_806_0	4		OSF HEALTHPLANS, INC.	OSF Care Preferred	www.OSFMedicare.com	H5525	806	2007	01	04	1	OSFHP EGHP CAT		CAT Retirees	1	0		2				2		(888)-817-0139	(888)-817-0139	(877)-677-8203	(877)-677-8205	100	(877)-677-8203	(877)-677-8205	(888)-817-0139	(888)-817-0139
H5526	001	0	1	04	01	H5526_001_0	6		HEALTHNOW NEW YORK INC.	Traditional Blue Medicare PPO	www.bcbswny.com (WNY) or www.bsneny.com (NENY)	H5526	001	2007	01	04	1	Traditional Blue Medicare PPO 701 Plus		BlueShield of Northeastern New York	2	0		2				2		(877)-834-6918	(877)-286-5710	(800)-329-2792	(800)-248-9296	450				
H5526	002	0	1	04	01	H5526_002_0	4		HEALTHNOW NEW YORK INC.	Traditional Blue Medicare PPO	www.bcbswny.com (WNY) or www.bsneny.com (NENY)	H5526	002	2007	01	04	1	Traditional Blue Medicare PPO 701Plus		BlueCross BlueShield of Western New York	2	0		2				2		(877)-834-6918	(877)-286-5710	(800)-329-2792	(800)-248-9296	1875				
H5526	003	0	1	04	01	H5526_003_0	7		HEALTHNOW NEW YORK INC.	Traditional Blue Medicare PPO	www.bcbswny.com (WNY) or www.bsneny.com (NENY)	H5526	003	2007	01	04	1	Traditional Blue Medicare PPO 751PartD		BlueShield of Northeastern New York	2	0		2				2		(877)-834-6918	(877)-513-1470	(800)-329-2792	(800)-700-8482	750	(800)-329-2792	(800)-700-8482	(877)-834-6918	(877)-513-1470
H5526	004	0	1	04	01	H5526_004_0	6		HEALTHNOW NEW YORK INC.	Traditional Blue Medicare PPO	www.bcbswny.com (WNY) or www.bsneny.com (NENY)	H5526	004	2007	01	04	1	Traditional Blue Medicare PPO 751PartD		BlueCross BlueShield of Western New York	2	0		2				2		(877)-834-6918	(877)-286-5710	(800)-329-2792	(800)-248-9296	1500	(800)-329-2792	(800)-248-9296	(877)-834-6918	(877)-286-5710
H5526	007	0	1	04	01	H5526_007_0	6		HEALTHNOW NEW YORK INC.	Traditional Blue Medicare PPO	www.bcbswny.com (WNY) or www.bsneny.com (NENY)	H5526	007	2007	01	04	1	Traditional Blue Medicare PPO 752PartD		Northeastern New York	2	0		2				2		(877)-834-6918	(877)-513-1470	(800)-329-2792	(800)-700-8482	400	(800)-329-2792	(800)-700-8482	(877)-834-6918	(877)-513-1470
H5526	008	0	1	04	01	H5526_008_0	6		HEALTHNOW NEW YORK INC.	Traditional Blue Medicare PPO	www.bcbswny.com (WNY) or www.bsneny.com (NENY)	H5526	008	2007	01	04	1	Traditional Blue Medicare PPO 752PartD		Western New York	2	0		2				2		(877)-834-6918	(877)-286-5710	(800)-329-2792	(800)-248-9296	450	(800)-329-2792	(800)-248-9296	(877)-834-6918	(877)-286-5710
H5526	801	0	1	04	01	H5526_801_0	4		HEALTHNOW NEW YORK INC.	Traditional Blue Medicare PPO	www.bcbswny.com (WNY) or www.bsneny.com (NENY)	H5526	801	2007	01	04	1	Trad Blue PPO Group (Med Only Cal Yr)		Western New York, Northeastern New York	1	0		2				2		(877)-834-6918	(877)-513-1470	(800)-329-2792	(800)-700-8482	187				
H5526	802	0	1	04	01	H5526_802_0	4		HEALTHNOW NEW YORK INC.	Traditional Blue Medicare PPO	www.bcbswny.com (WNY) or www.bsneny.com (NENY)	H5526	802	2007	01	04	1	Trad Blue PPO Group (Med Only Non Cal Yr)		Western New York, Northeastern New York	1	0		2				2		(877)-834-6918	(877)-513-1470	(800)-329-2792	(800)-700-8482	62				
H5526	803	0	1	04	01	H5526_803_0	5		HEALTHNOW NEW YORK INC.	Traditional Blue Medicare PPO	www.bcbswny.com (WNY) or www.bsneny.com (NENY)	H5526	803	2007	01	04	1	Trad Blue PPO Group (Med + Part D Cal Yr)		Western New York, Northeastern New York	1	0		2				2		(877)-834-6918	(877)-513-1470	(800)-329-2792	(800)-700-8482	562	(800)-329-2792	(800)-700-8482	(877)-834-6918	(877)-513-1470
H5526	804	0	1	04	01	H5526_804_0	5		HEALTHNOW NEW YORK INC.	Traditional Blue Medicare PPO	www.bcbswny.com (WNY) or www.bsneny.com (NENY)	H5526	804	2007	01	04	1	Trad Blue PPO Group (Med+Part D noncal Yr)		Western New York, Northeastern New York	1	0		2				2		(877)-834-6918	(877)-513-1470	(800)-329-2792	(800)-700-8482	187	(800)-329-2792	(800)-700-8482	(877)-834-6918	(877)-513-1470
H5527	001	0	1	04	01	H5527_001_0	8		UNITED HEALTHCARE INS. COMPANY, INC.	SecureHorizons	www.medicarecomplete.com	H5527	001	2007	01	04	1	MedicareComplete Choice		Kent, Providence and Washington Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5509	(800)-555-5757		(888)-867-5509	(800)-555-5757	(888)-685-8480	(888)-685-8480
H5528	001	0	1	04	01	H5528_001_0	2		GROUP HEALTH INCORPORATED	GHI Medicare Choice PPO	www.ghi.com	H5528	001	2007	01	04	1	GHI Medicare PPO Prime		Counties of New York City	2	0		2				2		(877)-208-7920	(877)-208-7920	(866)-557-7300	(800)-611-8454					
H5528	002	0	1	04	01	H5528_002_0	3		GROUP HEALTH INCORPORATED	GHI Medicare Choice PPO	www.ghi.com	H5528	002	2007	01	04	1	GHI Medicare PPO Plus		Counties of NYC	2	0		2				2		(877)-208-7920	(877)-208-7920	(866)-557-7300	(800)-611-8454		(866)-557-7300	(800)-611-8454	(877)-208-7920	(877)-208-7920
H5528	003	0	1	04	01	H5528_003_0	4		GROUP HEALTH INCORPORATED	GHI Medicare Choice PPO	www.ghi.com	H5528	003	2007	01	04	1	GHI Medicare PPO Premier		Counties of NYC	2	0		2				2		(877)-208-7920	(877)-208-7920	(866)-557-7300	(800)-611-8454		(866)-557-7300	(800)-611-8454	(877)-208-7920	(877)-208-7920
H5528	004	0	1	04	01	H5528_004_0	3		GROUP HEALTH INCORPORATED	GHI Medicare Choice PPO	www.ghi.com	H5528	004	2007	01	04	1	GHI Medicare PPO I		Hudson Valley and Long Island counties	2	0		2				2		(877)-208-7920	(877)-208-7920	(866)-557-7300	(800)-611-8454					
H5528	005	0	1	04	01	H5528_005_0	4		GROUP HEALTH INCORPORATED	GHI Medicare Choice PPO	www.ghi.com	H5528	005	2007	01	04	1	GHI Medicare PPO II		Hudson Valley and Long Island counties	2	0		2				2		(877)-208-7920	(877)-208-7920	(866)-557-7300	(800)-611-8454		(866)-557-7300	(800)-611-8454	(877)-208-7920	(877)-208-7920
H5528	008	0	1	04	01	H5528_008_0	5		GROUP HEALTH INCORPORATED	GHI Medicare Choice PPO	www.ghi.com	H5528	008	2007	01	04	1	GHI Medicare PPO III		Hudson Valley and Long Island Counties	2	0		2				2		(877)-208-7920	(877)-208-7920	(866)-557-7300	(800)-611-8454		(866)-557-7300	(800)-611-8454	(877)-208-7920	(877)-208-7920
H5528	009	0	1	04	01	H5528_009_0	2		GROUP HEALTH INCORPORATED	GHI Medicare Choice PPO	www.ghi.com	H5528	009	2007	01	04	1	GHI Medicare PPO Pinnacle I		Putnam and Suffolk Counties	2	0		2				2		(877)-208-7920	(877)-208-7920	(866)-557-7300	(800)-611-8454					
H5528	010	0	1	04	01	H5528_010_0	5		GROUP HEALTH INCORPORATED	GHI Medicare Choice PPO	www.ghi.com	H5528	010	2007	01	04	1	GHI Medicare PPO Pinnacle II		Putnam and Suffolk Counties	2	0		2				2		(877)-208-7920	(877)-208-7920	(866)-557-7300	(800)-611-8454		(866)-557-7300	(800)-611-8454	(877)-208-7920	(877)-208-7920
H5528	011	0	1	04	01	H5528_011_0	5		GROUP HEALTH INCORPORATED	GHI Medicare Choice PPO	www.ghi.com	H5528	011	2007	01	04	1	GHI Medicare PPO Pinnacle III		Putnam and Suffolk Counties	2	0		2				2		(877)-208-7920	(877)-208-7920	(866)-557-7300	(800)-611-8454		(866)-557-7300	(800)-611-8454	(877)-208-7920	(877)-208-7920
H5528	012	0	1	04	01	H5528_012_0	6		GROUP HEALTH INCORPORATED	GHI Medicare Choice PPO	www.ghi.com	H5528	012	2007	01	04	1	GHI Medicare PPO Select		Nassau and Orange Counties	2	0		2				2		(877)-208-7920	(877)-208-7920	(866)-557-7300	(800)-611-8454		(866)-557-7300	(800)-611-8454	(877)-208-7920	(877)-208-7920
H5528	802	0	1	04	01	H5528_802_0	1		GROUP HEALTH INCORPORATED	GHI Medicare Choice PPO	www.ghi.com	H5528	802	2007	01	04	1	GHI Medicare NYC Group Access		Counties of New York City	1	0		2				2		(877)-208-7920	(877)-208-7920	(866)-557-7300	(800)-611-8454					
H5528	804	0	1	04	01	H5528_804_0	1		GROUP HEALTH INCORPORATED	GHI Medicare Choice PPO	www.ghi.com	H5528	804	2007	01	04	1	GHI Medicare NY Group Access		NYS except NYC, Putnam and Suffolk	1	0		2				2		(877)-208-7920	(877)-208-7920	(866)-557-7300	(800)-611-8454					
H5528	806	0	1	04	01	H5528_806_0	1		GROUP HEALTH INCORPORATED	GHI Medicare Choice PPO	www.ghi.com	H5528	806	2007	01	04	1	GHI Medicare NYC Group Access Rx		Counties of New York City	1	0		2				2		(877)-208-7920	(877)-208-7920	(866)-557-7300	(800)-611-8454		(866)-557-7300	(800)-611-8454	(877)-208-7920	(877)-208-7920
H5528	807	0	1	04	01	H5528_807_0	1		GROUP HEALTH INCORPORATED	GHI Medicare Choice PPO	www.ghi.com	H5528	807	2007	01	04	1	GHI Medicare NY Group Access Rx		NYS except NYC, Putnam and Suffolk	1	0		2				2		(877)-208-7920	(877)-208-7920	(866)-557-7300	(800)-611-8454		(866)-557-7300	(800)-611-8454	(877)-208-7920	(877)-208-7920
H5528	809	0	1	04	01	H5528_809_0	1		GROUP HEALTH INCORPORATED	GHI Medicare Choice PPO	www.ghi.com	H5528	809	2007	01	04	1	GHI Medicare Group Access		Putnam and Suffolk Counties	1	0		2				2		(877)-208-7920	(877)-208-7920	(866)-557-7300	(800)-611-8454					
H5528	810	0	1	04	01	H5528_810_0	1		GROUP HEALTH INCORPORATED	GHI Medicare Choice PPO	www.ghi.com	H5528	810	2007	01	04	1	GHI Medicare Group Access Rx		Putnam and Suffolk counties	1	0		2				2		(877)-208-7920	(877)-208-7920	(866)-557-7300	(800)-611-8454		(866)-557-7300	(800)-611-8454	(877)-208-7920	(877)-208-7920
H5529	001	0	1	04	01	H5529_001_0	7		COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com	H5529	001	2007	01	04	1	Anthem Medicare Preferred Standard		Ohio Metro Areas	2	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	3706	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
H5529	002	0	1	04	01	H5529_002_0	7		COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com	H5529	002	2007	01	04	1	Anthem Medicare Preferred Premier		Ohio Metro Areas	2	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	1311	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
H5529	801	0	1	04	01	H5529_801_0	4		COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com	H5529	801	2007	01	04	1	Anthem Medicare Preferred Group		Ohio	1	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	149	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
H5530	001	0	1	04	01	H5530_001_0	7		ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	H5530	001	2007	01	04	1	Anthem Medicare Preferred Standard		Louisville/Lexington/Bowling Green/Paducah/N. KY	2	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	730	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
H5530	002	0	1	04	01	H5530_002_0	7		ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	H5530	002	2007	01	04	1	Anthem Medicare Preferred Premier		Louisville/Lexington/Bowling Green/Paducah/N. KY	2	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	298	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
H5530	801	0	1	04	01	H5530_801_0	4		ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	H5530	801	2007	01	04	1	Anthem Medicare Preferred Group		Kentucky	1	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	38	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
H5531	001	0	1	04	01	H5531_001_0	5		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5531	001	2007	01	04	1	Aetna Golden Choice Standard Plan		Rockland and Westchester Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5531	002	0	1	04	01	H5531_002_0	5		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5531	002	2007	01	04	1	Aetna Golden Choice Premier Plan		Rockland and Westchester Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5531	801	0	1	04	01	H5531_801_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5531	801	2007	01	04	1	Aetna Golden Choice Plan		New York	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H5531	802	0	1	04	01	H5531_802_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5531	802	2007	01	04	1	Aetna Golden Choice Plan w/Rx CY		New York	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5532	001	0	1	04	01	H5532_001_0	5		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H5532	001	2007	01	04	1	MedicareComplete Choice		Charlotte/Hernando/Hillsborough/Lee/Pasco/Pinellas	2	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5581	(800)-555-5757		(888)-867-5581	(800)-555-5757	(888)-685-8480	(888)-685-8480
H5533	002	0	1	04	01	H5533_002_0	3		UPMC HEALTH NETWORK	UPMC Health Plan	www.upmchealthplan.com	H5533	002	2007	01	04	1	UPMC for Life PPO Rx Enhanced		Western Pennsylvania	2	0		2				2		(800)-361-2629	(800)-361-2629	(877)-539-3080	(877)-381-3765		(877)-539-3080	(877)-381-3765	(800)-361-2629	(800)-361-2629
H5533	801	0	1	04	01	H5533_801_0	4		UPMC HEALTH NETWORK	UPMC Health Plan	www.upmchealthplan.com	H5533	801	2007	01	04	1	UPMC Employer Group PPO		Western Pennsylvania	1	0		2				2		(800)-361-2629	(800)-361-2629	(877)-539-3080	(877)-381-3765					
H5533	802	0	1	04	01	H5533_802_0	4		UPMC HEALTH NETWORK	UPMC Health Plan	www.upmchealthplan.com	H5533	802	2007	01	04	1	UPMC Employer Group PPO - D (CY)		Western Pennsylvania	1	0		2				2		(800)-361-2629	(800)-361-2629	(877)-539-3080	(877)-381-3765		(877)-539-3080	(877)-381-3765	(800)-361-2629	(800)-361-2629
H5533	803	0	1	04	01	H5533_803_0	4		UPMC HEALTH NETWORK	UPMC Health Plan	www.upmchealthplan.com	H5533	803	2007	01	04	1	UPMC Employer Group PPO - D (FY)		Western Pennsylvania	1	0		2				2		(800)-361-2629	(800)-361-2629	(877)-539-3080	(877)-381-3765		(877)-539-3080	(877)-381-3765	(800)-361-2629	(800)-361-2629
H5539	001	0	1	05	01	H5539_001_0	7		MARYLAND CARE - MEDICARE, INC.	Maryland Medicare Advantage Plus	www.marylandphysicianscare.com	H5539	001	2007	01	05	1	Maryland Care Advantage Plus		Maryland Care Advantage Plus	2	0		1	3	1	2	2		(866)-600-2198	(866)-543-2167	(800)-953-8852	(800)-953-8852	1202	(800)-953-8852	(800)-953-8852	(866)-602-1982	(866)-602-1982
H5549	001	0	1	01	01	H5549_001_0	6		VNS CHOICE	VNS CHOICE Select	www.vnschoice.org	H5549	001	2007	01	01	1	VNS CHOICE SELECT		Bronx, Kings, New York, Queens and Richmond County	2	0		1	3	2	2	2		(888)-844-5530	(888)-844-5530	(866)-783-1444	(866)-867-0047	1515	(866)-783-1444	(866)-783-1444	(888)-844-5530	(888)-844-5530
H5554	001	0	1	01	01	H5554_001_0	4		SANTA CLARA COUNTY HEALTH AUTHORITY	Healthy Generations	www.scfhp.com	H5554	001	2007	01	01	1	Healthy Generations		Santa Clara County Health Authority	2	0		1	3	1	2	2		(800)-576-7759	(800)-576-7759	(800)-260-2055	(800)-260-2055		(800)-260-2055	(800)-260-2055	(800)-576-7759	(800)-576-7759
H5575	001	0	1	01	01	H5575_001_0	21		FIDELIS SECURECARE OF NORTH CAROLINA	Fidelis SecureCare of North Carolina	www.fidelissc.com	H5575	001	2007	01	01	1	Fidelis Medicare Plus		Winston-Salem Area	2	0		1	1	2	2	2		(877)-735-8261	(877)-735-8261	(877)-372-8085	(877)-372-8080	90	(877)-372-8085	(877)-372-8080	(877)-735-8261	(877)-735-8261
H5575	002	0	1	01	01	H5575_002_0	20		FIDELIS SECURECARE OF NORTH CAROLINA	Fidelis SecureCare of North Carolina	www.fidelissc.com	H5575	002	2007	01	01	1	Fidelis SecureCare of North Carolina		North Carolina Central Region	2	0		1	1	2	2	2		(877)-735-8261	(877)-735-8261	(877)-372-8085	(877)-372-8080	10	(877)-372-8085	(877)-372-8080	(877)-735-8261	(877)-735-8261
H5576	001	0	1	02	01	H5576_001_0	3		VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhpla.com	H5576	001	2007	01	02	1	Vantage Gold Plus - Basic Shreveport		Bossier and Caddo parishes	2	0		2				2		(318)-361-2131	(318)-361-2131	(888)-823-1910	(888)-823-1910		(888)-823-1910	(888)-823-1910	(318)-361-2131	(318)-361-2131
H5576	002	0	1	02	01	H5576_002_0	3		VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhpla.com	H5576	002	2007	01	02	1	Vantage Gold Plus - Premium Shreveport		Bossier and Caddo parishes	2	0		2				2		(318)-361-2131	(318)-361-2131	(888)-823-1910	(888)-823-1910		(888)-823-1910	(888)-823-1910	(318)-361-2131	(318)-361-2131
H5576	003	0	1	02	01	H5576_003_0	3		VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhpla.com	H5576	003	2007	01	02	1	Vantage Gold Plus - Basic Alexandria		Rapides parish	2	0		2				2		(318)-361-2131	(318)-361-2131	(888)-823-1910	(888)-823-1910		(888)-823-1910	(888)-823-1910	(318)-361-2131	(318)-361-2131
H5576	004	0	1	02	01	H5576_004_0	3		VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhpla.com	H5576	004	2007	01	02	1	Vantage Gold Plus - Premium Alexandria		Rapides parish	2	0		2				2		(318)-361-2131	(318)-361-2131	(888)-823-1910	(888)-823-1910		(888)-823-1910	(888)-823-1910	(318)-361-2131	(318)-361-2131
H5576	005	0	1	02	01	H5576_005_0	3		VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhpla.com	H5576	005	2007	01	02	1	Vantage Gold Plus - Basic Monroe		Parishes: Cdl, Ja, Mo, Lin, Un, RI, Ou	2	0		2				2		(318)-361-2131	(318)-361-2131	(888)-823-1910	(888)-823-1910		(888)-823-1910	(888)-823-1910	(318)-361-2131	(318)-361-2131
H5576	006	0	1	02	01	H5576_006_0	3		VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhpla.com	H5576	006	2007	01	02	1	Vantage Gold Plus - Premium Monroe		Parishes: Cdl, Ja, Mo, Lin, Un, RI, Ou	2	0		2				2		(318)-361-2131	(318)-361-2131	(888)-823-1910	(888)-823-1910		(888)-823-1910	(888)-823-1910	(318)-361-2131	(318)-361-2131
H5576	801	0	1	01	01	H5576_801_0	5		VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhpla.com	H5576	801	2007	01	01	1	Vantage Gold Plus - MAPD Employer Calendar		Parishes: Bo, Cad, Cdl, Ja, Mo, Lin, Un, Ri, Ou	1	0		2				2		(318)-361-2131	(318)-361-2131	(888)-823-1910	(888)-823-1910		(888)-823-1910	(888)-823-1910	(318)-361-2131	(318)-361-2131
H5576	802	0	1	01	01	H5576_802_0	5		VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhpla.com	H5576	802	2007	01	01	1	Vantage Gold Plus - MAPD Emp Non-Calendar		Parishes: Bo, Cad, Cdl, Ja, Mo, Lin, Un, Ri, Ou	1	0		2				2		(318)-361-2131	(318)-361-2131	(888)-823-1910	(888)-823-1910		(888)-823-1910	(888)-823-1910	(318)-361-2131	(318)-361-2131
H5576	803	0	1	01	01	H5576_803_0	4		VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhpla.com	H5576	803	2007	01	01	1	Vantage Gold Plus - MA Employer Calendar		Parishes: Bo, Cad, Cdl, Ja, Mo, Lin, Un, Ri, Ou	1	0		2				2		(318)-361-2131	(318)-361-2131	(888)-823-1910	(888)-823-1910					
H5577	001	0	1	01	01	H5577_001_0	7		RED MEDICA DE PUERTO RICO, INC.	Red Med	www.red-medica.com	H5577	001	2007	01	01	1	Red Medica de Puerto Rico, Inc.		Red Medica de Puerto Rico, Inc.	2	0		2				1	1	(787)-620-7772	(787)-620-7772	(787)-620-7772	(787)-620-7772	72221	(787)-620-7772	(787)-620-7772	(787)-620-7772	(787)-620-7772
H5577	002	0	1	01	01	H5577_002_0	4		RED MEDICA DE PUERTO RICO, INC.	Red Med	www.red-medica.com	H5577	002	2007	01	01	1	Red Medica de Puerto Rico, Inc		Red Medica de Puerto Rico, Inc	2	0		1	3	2	2	1	1	(787)-620-7772	(787)-620-7772	(787)-620-7772	(787)-620-7772	72221	(787)-620-7772	(787)-620-7772	(787)-620-7772	(787)-620-7772
H5578	002	0	1	01	01	H5578_002_0	6		ARCADIAN HEALTH PLAN OF GEORGIA, INC.	Arcadian Health Plan of Georgia	To be determined	H5578	002	2007	01	01	1	Plus		Savannah Market	2	0		2				2		(866)-573-8591	(866)-573-8591	(800)-572-8507	(800)-572-8507	539	(800)-572-8507	(800)-572-8507	(866)-573-8591	(866)-573-8591
H5578	003	0	1	01	01	H5578_003_0	7		ARCADIAN HEALTH PLAN OF GEORGIA, INC.	Arcadian Health Plan of Georgia	To be determined	H5578	003	2007	01	01	1	Premier		Savannah Market	2	0		2				2		(866)-573-8591	(866)-573-8591	(800)-572-8507	(800)-572-8507	298	(800)-572-8507	(800)-572-8507	(866)-573-8591	(866)-573-8591
H5580	001	0	1	01	01	H5580_001_0	11		SOUTHWEST CATHOLIC HEALTH NETWORK CORPORATION	Mercy Care Advantage	www.mercycareadvantage.com	H5580	001	2007	01	01	1	Mercy Care Advantage		Maricopa, Pima and Santa Cruz Counties	2	0		1	3	1	2	2		(866)-602-1982	(866)-602-1982	(800)-624-3879	(800)-624-3879	14000	(800)-624-3879	(800)-624-3879	(866)-602-1982	(866)-602-1982
H5586	001	0	1	01	01	H5586_001_0	4		SOUTH DAKOTA STATE MEDICAL HOLDING COMPANY, INC.	DAKOTACARE	www.dakotacare.com	H5586	001	2007	01	01	1	HeartLine Plus		South Dakota	2	0		1	4	2	2	2		(800)-811-1113	(800)-811-1113	(866)-437-3288	(866)-437-3288		(866)-437-3288	(866)-437-3288	(800)-811-1113	(800)-811-1113
H5586	002	0	1	01	01	H5586_002_0	6		SOUTH DAKOTA STATE MEDICAL HOLDING COMPANY, INC.	DAKOTACARE	www.dakotacare.com	H5586	002	2007	01	01	1	Dual Eligible		South Dakota	2	0		1	3	2	1	2		(800)-811-1113	(800)-811-1113	(866)-437-3288	(866)-437-3288		(866)-437-3288	(866)-437-3288	(800)-811-1113	(800)-811-1113
H5587	001	0	1	01	01	H5587_001_0	9		HEALTH CHOICE ARIZONA, INC.	Health Choice Generations	HCGenerations.com	H5587	001	2007	01	01	1	Health Choice Generations		Apache, Coconino, Maricopa, Navajo, Pima and Pinal	2	0		1	3	1	2	2		(800)-842-4681	(800)-842-4681	(800)-656-8991	(800)-656-8991	5000	(800)-656-8991	(800)-656-8991	(800)-842-4681	(800)-842-4681
H5588	001	0	1	01	01	H5588_001_0	4		MOLINA HEALTHCARE OF NEVADA, INC.	www.molinahealthcare.com	www.molinahealthcare.com	H5588	001	2007	01	01	1	Molina of Nevada		Clark and Washoe Area	2	0		1	3	1	2	1	1	(800)-346-4128	(800)-346-4128	(800)-665-3086	(866)-403-8293	1000	(800)-665-3086	(866)-403-8293	(800)-346-4128	(800)-346-4128
H5591	001	0	1	01	01	H5591_001_0	6		MARTINS POINT GENERATIONS, LLC	Martin's Point Generations Advantage	www.martinspoint.org	H5591	001	2007	01	01	1	Martin's Point Generations Advantage		Martin's Point Generations Advantage	2	0		2				2		(207)-000-5555	(207)-000-5555	(800)-322-0280	(800)-322-0280		(800)-322-0280	(800)-322-0280	(207)-000-5555	(207)-000-5555
H5594	001	0	1	01	01	H5594_001_0	5		OPTIMUM HEALTHCARE, INC.	Optimum HealthCare, Inc.	www.youroptimumhealthcare.com	H5594	001	2007	01	01	1	Optimum Gold Plan		Optimum Gold Plan	2	0		2				2		(866)-776-0782	(866)-776-0782	(800)-487-0184	(800)-487-0184	1213	(800)-487-0184	(800)-487-0184	(866)-776-0782	(866)-776-0782
H5594	002	0	1	01	01	H5594_002_0	5		OPTIMUM HEALTHCARE, INC.	Optimum HealthCare, Inc.	www.youroptimumhealthcare.com	H5594	002	2007	01	01	1	Optimum Platinum Plan		Optimum  Platinum Plan	2	0		2				2		(866)-776-0782	(866)-776-0782	(800)-487-0184	(800)-487-0184	1213	(800)-487-0184	(800)-487-0184	(866)-776-0782	(866)-776-0782
H5598	001	0	1	39	05	H5598_001_0	6		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.EvercareHealthPlans.com	H5598	001	2007	05	39	1	Evercare Plan RD		DeKalb and Fulton Counties	2	0		1	4	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-634-0127	2090	(800)-393-0993	(800)-634-0127	(888)-685-8480	(888)-685-8480
H5604	003	0	1	02	01	H5604_003_0	3		AVETA HEALTH ILLINOIS, INC.	Aveta CarePartners	www.avetacarepartners.com	H5604	003	2007	01	02	1	Aveta CarePartners		Aveta CarePartners - Chicago Cook	2	0		1	4	2	2	2		(800)-660-7541	(800)-660-7541	(800)-660-7421	(800)-660-7421	100	(800)-660-7421	(800)-660-7421	(800)-660-7541	(800)-660-7541
H5606	001	0	1	38	05	H5606_001_0	4		STERLING LIFE INSURANCE COMPANY	Fresenius Medical Health Plan, Inc. - Pennsylvania	www.sterlingplans.com	H5606	001	2007	05	38	1	FRESENIUS MEDICAL CARE HEALTH PLAN		Pennsylvania	2	0		2				2		(888)-858-8567	(888)-858-8567	(888)-207-0762	(800)-866-1612					
H5608	001	0	1	01	01	H5608_001_0	6		DENVER HEALTH MEDICAL PLAN, INC.	Denver Health Medical Plan	www.dhha.org	H5608	001	2007	01	01	1	Denver Health Medicare Choice		Denver County	2	0		1	3	2	1	2		(720)-956-2370	(720)-956-2370	(877)-956-2111	(877)-956-2111	1100	(877)-956-2111	(877)-956-2111	(720)-956-2370	(720)-956-2370
H5608	002	0	1	01	01	H5608_002_0	6		DENVER HEALTH MEDICAL PLAN, INC.	Denver Health Medical Plan	www.dhha.org	H5608	002	2007	01	01	1	Denver Health Medicare Select		DENVER COUNTY	2	0		2				2		(720)-956-2370	(720)-956-2370	(877)-956-2111	(877)-956-2111	400	(877)-956-2111	(877)-956-2111	(720)-956-2370	(720)-956-2370
H5608	801	0	1	01	01	H5608_801_0	4		DENVER HEALTH MEDICAL PLAN, INC.	Denver Health Medical Plan	www.dhha.org	H5608	801	2007	01	01	1	Denver Health Employer Group Plan		Arapahoe, Denver, Jefferson Counties	1	0		2				2		(720)-956-2370	(720)-956-2370	(877)-956-2111	(877)-956-2111	159	(877)-956-2111	(877)-956-2111	(720)-956-2370	(720)-956-2370
H5609	001	0	1	01	01	H5609_001_0	4		GEMCARE HEALTH PLAN INC.	GEMCARE Health Plan	www.gemcarehealthplan.com	H5609	001	2007	01	01	1	GEMCare Medicare Plus		Kern County	2	0		2				2		(888)-833-9312	(888)-833-9312	(877)-697-2464	(877)-697-2464	956	(877)-697-2464	(877)-697-2464	(888)-833-9312	(888)-833-9312
H5609	002	0	1	01	01	H5609_002_0	7		GEMCARE HEALTH PLAN INC.	GEMCARE Health Plan	www.gemcarehealthplan.com	H5609	002	2007	01	01	1	GEMCare Medicare Plus Dual Eligible Plan		Kern County	2	0		1	3	1	2	2		(888)-833-9312	(888)-833-9312	(877)-697-2464	(877)-697-2464	240	(877)-697-2464	(877)-697-2464	(888)-833-9312	(888)-833-9312
H5609	801	0	1	01	01	H5609_801_0	4		GEMCARE HEALTH PLAN INC.	GEMCARE Health Plan	www.gemcarehealthplan.com	H5609	801	2007	01	01	1	GEMCARE Medicare Plus ES Plan		Kern County	1	0		2				2		(888)-833-9312	(888)-833-9312	(877)-697-2464	(877)-697-2464	600	(877)-697-2464	(877)-697-2464	(888)-833-9312	(888)-833-9312
H5610	001	0	1	20	08	H5610_001_0	1		CARE RESOURCES, INC.	Care Resources	careresources.com	H5610	001	2007	08	20	1	Care Resources		Western Michigan	2	0		2				2						165	(800)-634-2712	(800)-634-2712		
H5610	003	0	1	20	08	H5610_003_0	1		CARE RESOURCES, INC.	Care Resources	careresources.com	H5610	003	2007	08	20	1	Care Resources		West Michigan	2	0		2				2						10	(800)-634-2712	(800)-634-2712		
H5611	001	0	1	01	01	H5611_001_0	6		AMERICAN PIONEER HEALTH PLANS, INC.	American Pioneer Healh Plans	www.amphp.com	H5611	001	2007	01	01	1	American Pioneer Health Plans		FloridianCare Plus--South Florida	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3514	(866)-553-0397		(800)-817-3514	(866)-553-0397	(866)-338-4681	(866)-338-4681
H5611	003	0	1	01	01	H5611_003_0	4		AMERICAN PIONEER HEALTH PLANS, INC.	American Pioneer Healh Plans	www.amphp.com	H5611	003	2007	01	01	1	American Pioneer Health Plans		FloridianCare Value--South Florida	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3514	(866)-553-0397					
H5611	004	0	1	01	01	H5611_004_0	5		AMERICAN PIONEER HEALTH PLANS, INC.	American Pioneer Healh Plans	www.amphp.com	H5611	004	2007	01	01	1	American Pioneer Health Plans		FloridianCare Plus--Central Florida	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3516	(866)-553-0399		(800)-817-3516	(866)-553-0399	(866)-338-4681	(866)-338-4681
H5611	005	0	1	01	01	H5611_005_0	4		AMERICAN PIONEER HEALTH PLANS, INC.	American Pioneer Healh Plans	www.amphp.com	H5611	005	2007	01	01	1	American Pioneer Health Plans		FloridianCare Complete--Central Florida	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3516	(866)-553-0399		(800)-817-3516	(866)-553-0399	(866)-338-4681	(866)-338-4681
H5611	006	0	1	01	01	H5611_006_0	4		AMERICAN PIONEER HEALTH PLANS, INC.	American Pioneer Healh Plans	www.amphp.com	H5611	006	2007	01	01	1	American Pioneer Health Plans		FloridianCare Value--Central Florida	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3516	(866)-553-0399					
H5611	007	0	1	01	01	H5611_007_0	6		AMERICAN PIONEER HEALTH PLANS, INC.	American Pioneer Healh Plans	www.amphp.com	H5611	007	2007	01	01	1	American Pioneer Health Plans		FloridianCare Plus--NE Florida	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3514	(866)-553-0397		(800)-817-3514	(866)-553-0397	(866)-338-4681	(866)-338-4681
H5611	008	0	1	01	01	H5611_008_0	5		AMERICAN PIONEER HEALTH PLANS, INC.	American Pioneer Healh Plans	www.amphp.com	H5611	008	2007	01	01	1	American Pioneer Health Plans		FloridianCare Complete--NE Florida	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3514	(866)-553-0397		(800)-817-3514	(866)-553-0397	(866)-338-4681	(866)-338-4681
H5611	009	0	1	01	01	H5611_009_0	5		AMERICAN PIONEER HEALTH PLANS, INC.	American Pioneer Healh Plans	www.amphp.com	H5611	009	2007	01	01	1	American Pioneer Health Plans		FloridianCare Value--NE Florida	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3514	(866)-553-0397					
H5611	010	0	1	01	01	H5611_010_0	3		AMERICAN PIONEER HEALTH PLANS, INC.	American Pioneer Healh Plans	www.amphp.com	H5611	010	2007	01	01	1	American Pioneer Health Plans		FloridianCare Choice	2	0		1	3	1	2	2		(866)-338-4681	(866)-338-4681	(866)-553-0351	(866)-553-0397		(866)-553-0351	(866)-553-0397	(866)-338-4681	(866)-338-4681
H5611	011	0	1	01	01	H5611_011_0	3		AMERICAN PIONEER HEALTH PLANS, INC.	American Pioneer Healh Plans	www.amphp.com	H5611	011	2007	01	01	1	American Pioneer Health Plans		Tribute	2	0		1	1	2	2	2		(866)-338-4681	(866)-338-4681	(866)-553-0351	(866)-553-0397		(866)-553-0351	(866)-553-0397	(866)-338-4681	(866)-338-4681
H5611	012	0	1	01	01	H5611_012_0	7		AMERICAN PIONEER HEALTH PLANS, INC.	American Pioneer Healh Plans	www.amphp.com	H5611	012	2007	01	01	1	American Pioneer Health Plans		FloridianCare Plus--Miami-Dade	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3514	(866)-553-0397		(800)-817-3514	(866)-553-0397	(866)-338-4681	(866)-338-4681
H5611	013	0	1	01	01	H5611_013_0	5		AMERICAN PIONEER HEALTH PLANS, INC.	American Pioneer Healh Plans	www.amphp.com	H5611	013	2007	01	01	1	American Pioneer Health Plans		FloridianCare Value--Miami-Dade	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3514	(866)-553-0397					
H5611	807	0	1	01	01	H5611_807_0	2		AMERICAN PIONEER HEALTH PLANS, INC.	American Pioneer Healh Plans	www.amphp.com	H5611	807	2007	01	01	1	American Pioneer Health Plans		FloridianCare--Employer Group--Florida	1	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3514	(866)-553-0397		(800)-817-3514	(866)-553-0397	(866)-338-4681	(866)-338-4681
H5611	808	0	1	01	01	H5611_808_0	2		AMERICAN PIONEER HEALTH PLANS, INC.	American Pioneer Healh Plans	www.amphp.com	H5611	808	2007	01	01	1	American Pioneer Health Plans		FloridianCare--Employer Group--Florida	1	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3514	(866)-553-0397		(800)-817-3514	(866)-553-0397	(866)-338-4681	(866)-338-4681
H5611	809	0	1	01	01	H5611_809_0	2		AMERICAN PIONEER HEALTH PLANS, INC.	American Pioneer Healh Plans	www.amphp.com	H5611	809	2007	01	01	1	American Pioneer Health Plans		FloridianCare--Employer Group--Florida	1	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3514	(866)-553-0397					
H5619	001	0	1	01	01	H5619_001_0	12		ARCADIAN HEALTH PLAN, INC.	Northeast Community Care	To be determined	H5619	001	2007	01	01	1	Plus		Cumberland	2	0		2				2		(866)-573-8591	(866)-573-8591	(800)-573-8597	(800)-573-8597	331	(800)-573-8597	(800)-573-8597	(866)-573-8591	(866)-573-8591
H5619	002	0	1	01	01	H5619_002_0	10		ARCADIAN HEALTH PLAN, INC.	Northeast Community Care	To be determined	H5619	002	2007	01	01	1	Premier		Cumberland County	2	0		2				2		(866)-573-8591	(866)-573-8591	(800)-573-8597	(800)-573-8597	183	(800)-573-8597	(800)-573-8597	(866)-573-8591	(866)-573-8591
H5619	003	0	1	01	01	H5619_003_0	8		ARCADIAN HEALTH PLAN, INC.	Northeast Community Care	www.northeastcommunitycare.com	H5619	003	2007	01	01	1	SNP		Cumberland County	2	0		1	3	2	1	2		(866)-573-8591	(866)-573-8591	(800)-573-8597	(800)-573-8597	17682	(800)-573-8597	(800)-573-8597	(866)-573-8591	(866)-573-8591
H5628	001	0	1	01	01	H5628_001_0	4		MOLINA HEALTHCARE OF UTAH, INC.	Molina Healthcare of Utah	www.molinahealthcare.com	H5628	001	2007	01	01	1	Molina Advantage		Wasatch Front area	2	0		1	3	1	2	1	1	(800)-346-4128	(800)-346-4128	(888)-665-1328	(866)-403-8293	3000	(888)-665-1328	(866)-403-8293	(800)-346-4128	(800)-346-4128
H5640	001	0	1	01	01	H5640_001_0	4		INLAND EMPIRE HEALTH PLAN	IEHP Health Access	www.iehp.org	H5640	001	2007	01	01	1	IEHP Health Access		Riverside and San Bernardino Counties	2	0		1	3	1	2	2		(800)-718-4347	(800)-718-4347	(877)-273-4347	(877)-273-4347	3600	(877)-273-4347	(877)-273-4347	(800)-718-4347	(800)-718-4347
H5649	001	0	1	01	01	H5649_001_0	4		CENTRAL HEALTH PLAN OF CALIFORNIA, INC.	Central Health Medicare Plan	http://www.centralhealthplan.com	H5649	001	2007	01	01	1	Central Health Medicare Plan		Los Angeles County	2	0		2				2		(888)-205-7671	(888)-205-7671	(866)-314-2427	(866)-314-2427	650	(866)-314-2427	(866)-314-2427	(888)-205-7671	(888)-205-7671
H5649	002	0	1	01	01	H5649_002_0	5		CENTRAL HEALTH PLAN OF CALIFORNIA, INC.	Central Health Medicare Plan	http://www.centralhealthplan.com	H5649	002	2007	01	01	1	Central Health Medi-Medi Plan		Los Angeles County	2	0		1	3	2	1	2		(888)-205-7671	(888)-205-7671	(866)-314-2427	(866)-314-2427	650	(866)-314-2427	(866)-314-2427	(888)-205-7671	(888)-205-7671
H5652	001	0	1	37	05	H5652_001_0	3		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.ericksonadvantage.com	H5652	001	2007	05	37	1	Erickson Advantage Signature with Drugs		Baltimore, Montgomery and Prince Georges Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839		(866)-314-8188	(800)-704-7839		
H5652	002	0	1	37	05	H5652_002_0	3		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.ericksonadvantage.com	H5652	002	2007	05	37	1	Erickson Advantage Signature without Drugs		Baltimore, Montgomery and Prince Georges Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839					
H5652	003	0	1	37	05	H5652_003_0	5		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.ericksonadvantage.com	H5652	003	2007	05	37	1	Erickson Advantage Guardian		Baltimore, Montgomery and Prince Georges Counties	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839		(866)-314-8188	(800)-704-7839		
H5652	004	0	1	37	05	H5652_004_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.ericksonadvantage.com	H5652	004	2007	05	37	1	Erickson Advantage Champion		Baltimore, Montgomery and Prince Georges Counties	2	0		1	4	2	2	2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839		(866)-314-8188	(800)-704-7839		
H5656	001	0	1	01	01	H5656_001_0	5		SELECTCARE HEALTH PLANS, INC.	TexasFirst Health Plans	www.selectcarehealthplans.com	H5656	001	2007	01	01	1	TexasFirst Health Plans		TexanPlus--North Texas	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-958-2707	(866)-245-4143		(800)-958-2707	(866)-245-4143	(866)-338-4681	(866)-338-4681
H5656	002	0	1	01	01	H5656_002_0	3		SELECTCARE HEALTH PLANS, INC.	TexasFirst Health Plans	www.selectcarehealthplans.com	H5656	002	2007	01	01	1	TexasFirst Health Plans		TexanComplete--North Texas	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-958-2707	(866)-245-4143		(800)-958-2707	(866)-245-4143	(866)-338-4681	(866)-338-4681
H5656	003	0	1	01	01	H5656_003_0	2		SELECTCARE HEALTH PLANS, INC.	TexasFirst Health Plans	www.selectcarehealthplans.com	H5656	003	2007	01	01	1	TexasFirst Health Plans		TexanValue--North Texas	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-958-2707	(866)-245-4143					
H5656	004	0	1	01	01	H5656_004_0	4		SELECTCARE HEALTH PLANS, INC.	TexasFirst Health Plans	www.selectcarehealthplans.com	H5656	004	2007	01	01	1	TexasFirst Health Plans		TexanSelect--North Texas	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-958-2707	(866)-245-4143		(800)-958-2707	(866)-245-4143	(866)-338-4681	(866)-338-4681
H5656	801	0	1	01	01	H5656_801_0	2		SELECTCARE HEALTH PLANS, INC.	TexasFirst Health Plans	www.selectcarehealthplans.com	H5656	801	2007	01	01	1	TexasFirst Health Plans		Employer Group--North Texas	1	0		2				2		(866)-338-4681	(866)-338-4681	(800)-958-2707	(866)-245-4143		(800)-958-2707	(866)-245-4143	(866)-338-4681	(866)-338-4681
H5656	802	0	1	01	01	H5656_802_0	2		SELECTCARE HEALTH PLANS, INC.	TexasFirst Health Plans	www.selectcarehealthplans.com	H5656	802	2007	01	01	1	TexasFirst Health Plans		Employer Group--North Texas	1	0		2				2		(866)-338-4681	(866)-338-4681	(800)-958-2707	(866)-245-4143		(800)-958-2707	(866)-245-4143	(866)-338-4681	(866)-338-4681
H5656	803	0	1	01	01	H5656_803_0	2		SELECTCARE HEALTH PLANS, INC.	TexasFirst Health Plans	www.selectcarehealthplans.com	H5656	803	2007	01	01	1	TexasFirst Health Plans		Employer Group--North Texas	1	0		2				2		(866)-338-4681	(866)-338-4681	(800)-958-2707	(866)-245-4143					
H5657	004	0	1	09	04	H5657_004_0	4	2	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	H5657	004	2007	04	09	1	Humana Gold Choice PFFS H5657-004		Select Counites in New York	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312		
H5657	005	0	1	09	04	H5657_005_0	7	2	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	H5657	005	2007	04	09	1	Humana Gold Choice PFFS H5657-005		Select Counties in New York	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312		
H5657	006	0	1	09	04	H5657_006_0	6	2	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	H5657	006	2007	04	09	1	Humana Gold Choice PFFS H5657-006		Select Counties in New York	2	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312		
H5657	805	0	1	09	04	H5657_805_0	3	2	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	H5657	805	2007	04	09	1	Humana Employer Sponsored		Nationwide	1	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312		
H5657	806	0	1	09	04	H5657_806_0	3	2	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	H5657	806	2007	04	09	1	Humana Employer Sponsored		Nationwide	1	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312					
H5657	807	0	1	09	04	H5657_807_0	3	2	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	H5657	807	2007	04	09	1	Humana Employer Sponsored Non-CY		Nationwide	1	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312		
H5657	808	0	1	09	04	H5657_808_0	3	2	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	H5657	808	2007	04	09	1	Humana Employer Sponsored Non-CY		Nationwide	1	0		2				2		(800)-833-3301	(877)-833-4486	(877)-511-5000	(800)-833-2312					
H5665	001	0	1	01	01	H5665_001_0	10		CARE IMPROVEMENT ASSOCIATES OF MARYLAND	Care Improvement Plus	www.careimprovementplus.com	H5665	001	2007	01	01	1	Care Improvement Plus Silver Rx		Central Maryland	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
H5665	002	0	1	01	01	H5665_002_0	10		CARE IMPROVEMENT ASSOCIATES OF MARYLAND	Care Improvement Plus	www.careimprovementplus.com	H5665	002	2007	01	01	1	Care Improvement Plus Gold Rx		Central Maryland	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
H5665	003	0	1	01	01	H5665_003_0	10		CARE IMPROVEMENT ASSOCIATES OF MARYLAND	Care Improvement Plus	www.careimprovementplus.com	H5665	003	2007	01	01	1	Care Improvement Plus Platinum Rx		Central Maryland	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
H5665	004	0	1	01	01	H5665_004_0	10		CARE IMPROVEMENT ASSOCIATES OF MARYLAND	Care Improvement Plus	www.careimprovementplus.com	H5665	004	2007	01	01	1	Care Improvement Plus Gold Rx Premier		Central Maryland	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
H5665	005	0	1	01	01	H5665_005_0	10		CARE IMPROVEMENT ASSOCIATES OF MARYLAND	Care Improvement Plus	www.careimprovementplus.com	H5665	005	2007	01	01	1	Care Improvement Plus Gold Rx Plus		Central Maryland	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
H5665	006	0	1	01	01	H5665_006_0	10		CARE IMPROVEMENT ASSOCIATES OF MARYLAND	Care Improvement Plus	www.careimprovementplus.com	H5665	006	2007	01	01	1	Care Improvement Plus Platinum Rx Plus		Central Maryland	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
H5665	007	0	1	01	01	H5665_007_0	11		CARE IMPROVEMENT ASSOCIATES OF MARYLAND	Care Improvement Plus	www.careimprovementplus.com	H5665	007	2007	01	01	1	Care Improvement Plus Platinum Rx Premier		Central Maryland	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
H5665	803	0	1	01	01	H5665_803_0	4		CARE IMPROVEMENT ASSOCIATES OF MARYLAND	Care Improvement Plus	www.careimprovementplus.com	H5665	803	2007	01	01	1	Care Improvement Plus Employer CY		Maryland	1	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
H5665	804	0	1	01	01	H5665_804_0	4		CARE IMPROVEMENT ASSOCIATES OF MARYLAND	Care Improvement Plus	www.careimprovementplus.com	H5665	804	2007	01	01	1	Care Improvement Plus Employer NCY		Maryland	1	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
H5678	001	0	1	37	05	H5678_001_0	3		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.ericksonadvantage.com	H5678	001	2007	05	37	1	Erickson Advantage Signature with Drugs		Fairfax County	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839		(866)-314-8188	(800)-704-7839	(888)-685-8480	(888)-685-8480
H5678	002	0	1	37	05	H5678_002_0	2		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.EvercareHealthPlans.com	H5678	002	2007	05	37	1	Erickson Advantage Signature without Drugs		Fairfax County	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839					
H5678	003	0	1	37	05	H5678_003_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.ericksonadvantage.com	H5678	003	2007	05	37	1	Erickson Advantage Guardian		Fairfax County	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839		(866)-314-8188	(800)-704-7839	(888)-685-8480	(888)-685-8480
H5678	004	0	1	37	05	H5678_004_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.ericksonadvantage.com	H5678	004	2007	05	37	1	Erickson Advantage Champion		Fairfax County	2	0		1	4	2	2	2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839		(866)-314-8188	(800)-704-7839	(888)-685-8480	(888)-685-8480
H5679	001	0	1	01	01	H5679_001_0	8		ANTHEM BC/BS OF COLORADO	Anthem Blue Cross & Blue Shield	www.anthem.com	H5679	001	2007	01	01	1	SureValue		Denver Metro Area	2	0		2				2		(888)-877-5378	(877)-247-1657	(888)-230-7338	(800)-765-2585	10722	(888)-230-7338	(800)-765-2585	(888)-877-5378	(877)-247-1657
H5683	801	0	1	09	04	H5683_801_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H5683	801	2007	04	09	1	Humana Employer Sponsored		Nationwide	1	0		2				2		(800)-833-3301	(800)-833-3301	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H5683	802	0	1	09	04	H5683_802_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H5683	802	2007	04	09	1	Humana Employer Sponsored		Nationwide	1	0		2				2		(800)-833-3301	(800)-833-3301	(877)-511-5000	(800)-833-2312					
H5683	803	0	1	09	04	H5683_803_0	3	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H5683	803	2007	04	09	1	Humana Employer Sponsored Non-CY		Nationwide	1	0		2				2		(800)-833-3301	(800)-833-3301	(877)-511-5000	(800)-833-2312		(877)-511-5000	(800)-833-2312	(800)-833-3301	(877)-833-4486
H5683	804	0	1	09	04	H5683_804_0	4	2	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	H5683	804	2007	04	09	1	Humana Employer Sponsored Non-CY		Nationwide	1	0		2				2		(800)-833-3301	(800)-833-3301	(877)-511-5000	(800)-833-2312					
H5685	001	0	1	01	01	H5685_001_0	6		MIDWEST HEALTH PLAN, INC.	Midwest Advantage	www.midwestadvantage.org	H5685	001	2007	01	01	1	Midwest Health Plan, Inc.		Midwest Advantage of Wayne and Oakland Counties	2	0		1	3	1	2	2		(800)-649-3777	(800)-649-3777	(888)-654-0706	(888)-654-0706	2000	(888)-654-0706	(888)-654-0706	(800)-649-3777	(800)-649-3777
H5696	001	0	1	01	01	H5696_001_0	4		PHYSICIANS UNITED PLAN, INC.	Physicians United Plan	www.pupcorp.com	H5696	001	2007	01	01	1	Hometown Spirit		Central Florida - Polk County	2	0		2				2		(866)-671-0693	(866)-671-0693	(866)-571-0693	(866)-571-0693	1608	(866)-571-0693	(866)-571-0693	(866)-671-0693	(866)-671-0693
H5696	002	0	1	01	01	H5696_002_0	5		PHYSICIANS UNITED PLAN, INC.	Physicians United Plan	www.pupcorp.com	H5696	002	2007	01	01	1	Hometown Rewards		Central Florida - Polk County	2	0		2				2		(866)-671-0693	(866)-671-0693	(866)-571-0693	(866)-571-0693	1617	(866)-571-0693	(866)-571-0693	(866)-671-0693	(866)-671-0693
H5696	003	0	1	01	01	H5696_003_0	6		PHYSICIANS UNITED PLAN, INC.	Physicians United Plan	www.pupcorp.com	H5696	003	2007	01	01	1	Hometown Spirit		Central Florida - The Villages	2	0		2				2		(866)-671-0693	(866)-671-0693	(866)-571-0693	(866)-571-0693	1200	(866)-571-0693	(866)-571-0693	(866)-671-0693	(866)-671-0693
H5696	004	0	1	01	01	H5696_004_0	7		PHYSICIANS UNITED PLAN, INC.	Physicians United Plan	www.pupcorp.com	H5696	004	2007	01	01	1	Hometown Rewards		Central Florida - The Villages	2	0		2				2		(866)-671-0693	(866)-671-0693	(866)-571-0693	(866)-571-0693	300	(866)-571-0693	(866)-571-0693	(866)-671-0693	(866)-671-0693
H5696	005	0	1	01	01	H5696_005_0	5		PHYSICIANS UNITED PLAN, INC.	Physicians United Plan	www.pupcorp.com	H5696	005	2007	01	01	1	Hometown Spirit		Central Florida - Orlando Region	2	0		2				2		(866)-671-0693	(866)-671-0693	(866)-571-0693	(866)-571-0693	1867	(866)-571-0693	(866)-571-0693	(866)-671-0693	(866)-671-0693
H5696	006	0	1	01	01	H5696_006_0	8		PHYSICIANS UNITED PLAN, INC.	Physicians United Plan	www.pupcorp.com	H5696	006	2007	01	01	1	Hometown Rewards		Central Florida - Orlando Region	2	0		2				2		(866)-671-0693	(866)-671-0693	(866)-571-0693	(866)-571-0693	467	(866)-571-0693	(866)-571-0693	(866)-671-0693	(866)-671-0693
H5697	001	0	1	37	05	H5697_001_0	3		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.ericksonadvantage.com	H5697	001	2007	05	37	1	Erickson Advantage Signature with Drugs		Bucks and Delaware Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839		(866)-314-8188	(800)-704-7839	(888)-685-8480	(888)-685-8480
H5697	002	0	1	37	05	H5697_002_0	2		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.EvercareHealthPlans.com	H5697	002	2007	05	37	1	Erickson Advantage Signature without Drugs		Bucks and Delaware Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839					
H5697	003	0	1	37	05	H5697_003_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.ericksonadvantage.com	H5697	003	2007	05	37	1	Erickson Advantage Champion		Bucks and Delaware Counties	2	0		1	4	2	2	2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839		(866)-314-8188	(800)-704-7839	(888)-685-8480	(888)-685-8480
H5698	002	0	1	01	01	H5698_002_0	4		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	http://www.windsormedicareextra.com	H5698	002	2007	01	01	1	Windsor Medicare Extra Gold Plan		Middle Tennessee	2	0		2				2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	144	(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
H5698	003	0	1	01	01	H5698_003_0	4		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	http://www.windsormedicareextra.com	H5698	003	2007	01	01	1	Windsor Medicare Extra Comprehensive Plan		Middle Tennessee	2	0		1	3	2	1	2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	2244	(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
H5698	005	0	1	01	01	H5698_005_0	5		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	http://www.windsormedicareextra.com	H5698	005	2007	01	01	1	Windsor Medicare Extra Gold Plan		West Tennessee & Northeast Arkansas	2	0		2				2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	339	(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
H5698	006	0	1	01	01	H5698_006_0	4		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	http://www.windsormedicareextra.com	H5698	006	2007	01	01	1	Windsor Medicare Extra Silver Plan		Middle Tennessee	2	0		2				2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	22				
H5698	007	0	1	01	01	H5698_007_0	4		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	http://www.windsormedicareextra.com	H5698	007	2007	01	01	1	Windsor Medicare Extra Silver Plan		West Tennessee & Northeast Arkansas	2	0		2				2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	50				
H5698	009	0	1	01	01	H5698_009_0	4		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	http://www.windsormedicareextra.com	H5698	009	2007	01	01	1	Windsor Medicare Extra Comprehensive Plan		West Tennessee & Northeast Arkansas	2	0		1	3	2	1	2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	1001	(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
H5698	010	0	1	01	01	H5698_010_0	4		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	http://www.windsormedicareextra.com	H5698	010	2007	01	01	1	Windsor Medicare Extra Silver Plan		Madison & Crockett Counties, TN	2	0		2				2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	3				
H5698	012	0	1	01	01	H5698_012_0	4		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	http://www.windsormedicareextra.com	H5698	012	2007	01	01	1	Windsor Medicare Extra Platinum Plan		Madison & Crockett Counties, TN	2	0		2				2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	96	(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
H5698	013	0	1	01	01	H5698_013_0	5		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	http://www.windsormedicareextra.com	H5698	013	2007	01	01	1	Windsor Medicare Extra Gold Plan		Madison & Crockett Counties, TN	2	0		2				2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	7	(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
H5698	014	0	1	01	01	H5698_014_0	4		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	http://www.windsormedicareextra.com	H5698	014	2007	01	01	1	Windsor Medicare Extra Comprehensive Plan		Madison & Crockett Counties, TN	2	0		1	3	2	1	2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	140	(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
H5698	017	0	1	01	01	H5698_017_0	4		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	http://www.windsormedicareextra.com	H5698	017	2007	01	01	1	Windsor Medicare Extra Platinum Plan		Middle Tennessee	2	0		2				2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	198	(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
H5698	018	0	1	01	01	H5698_018_0	4		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	http://www.windsormedicareextra.com	H5698	018	2007	01	01	1	Windsor Medicare Extra Platinum Plan		West Tennessee & Northeast Arkansas	2	0		2				2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	87	(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
H5698	019	0	1	01	01	H5698_019_0	4		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	http://www.windsormedicareextra.com	H5698	019	2007	01	01	1	Windsor Medicare Extra Silver Plan		Saline, Pulaski, Lonoke & Arkansas Counties, AR	2	0		2				2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	7				
H5698	020	0	1	01	01	H5698_020_0	5		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	http://www.windsormedicareextra.com	H5698	020	2007	01	01	1	Windsor Medicare Extra Gold Plan		Saline, Pulaski, Lonoke & Arkansas Counties, AR	2	0		2				2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	47	(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
H5698	021	0	1	01	01	H5698_021_0	4		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	http://www.windsormedicareextra.com	H5698	021	2007	01	01	1	Windsor Medicare Extra Platinum Plan		Saline, Pulaski, Lonoke & Arkansas Counties, AR	2	0		2				2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	47	(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
H5698	022	0	1	01	01	H5698_022_0	5		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	www.windsorextra.com	H5698	022	2007	01	01	1	Windsor Medicare Extra Comprehensive Plan		Saline, Pulaski, Lonoke & Arkansas Counties, AR	2	0		1	3	2	1	2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	13	(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
H5698	027	0	1	01	01	H5698_027_0	4		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	http://www.windsormedicareextra.com	H5698	027	2007	01	01	1	Windsor Medicare Extra Silver Plan		Central Mississippi	2	0		2				2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	6				
H5698	028	0	1	01	01	H5698_028_0	5		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	http://www.windsormedicareextra.com	H5698	028	2007	01	01	1	Windsor Medicare Extra Gold Plan		Central Mississippi	2	0		2				2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	39	(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
H5698	029	0	1	01	01	H5698_029_0	4		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	http://www.windsormedicareextra.com	H5698	029	2007	01	01	1	Windsor Medicare Extra Platinum Plan		Central Mississippi	2	0		2				2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	39	(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
H5698	030	0	1	01	01	H5698_030_0	5		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	www.windsorextra.com	H5698	030	2007	01	01	1	Windsor Medicare Extra Comprehensive Plan		Central Mississippi	2	0		1	3	2	1	2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	11	(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
H5698	035	0	1	01	01	H5698_035_0	4		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	http://www.windsormedicareextra.com	H5698	035	2007	01	01	1	Windsor Medicare Extra Silver Plan		Hamilton & Knox Counties, TN	2	0		2				2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	32				
H5698	036	0	1	01	01	H5698_036_0	5		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	http://www.windsormedicareextra.com	H5698	036	2007	01	01	1	Windsor Medicare Extra Gold Plan		Hamilton & Knox Counties, TN	2	0		2				2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	32	(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
H5698	037	0	1	01	01	H5698_037_0	4		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	http://www.windsormedicareextra.com	H5698	037	2007	01	01	1	Windsor Medicare Extra Platinum Plan		Hamilton & Knox Counties, TN	2	0		2				2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	16	(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
H5698	038	0	1	01	01	H5698_038_0	4		WINDSOR HEALTH PLAN OF TN INC.	Windsor Medicare Extra	http://www.windsormedicareextra.com	H5698	038	2007	01	01	1	Windsor Medicare Extra Comprehensive Plan		Hamilton & Knox Counties, TN	2	0		1	3	2	1	2		(800)-848-0298	(800)-848-0298	(800)-316-2273	(877)-243-5844	48	(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
H5700	001	0	1	01	01	H5700_001_0	9		ARKANSAS COMMUNITY CARE	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	H5700	001	2007	01	01	1	Northwest -  Premier		Northwest Arkansas	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-705-0783	250	(866)-301-4107	(800)-705-0783		(866)-573-8613
H5700	002	0	1	01	01	H5700_002_0	6		ARKANSAS COMMUNITY CARE	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	H5700	002	2007	01	01	1	Northwest  - Plus		Northwest Arkansas	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-705-0783	1175	(866)-301-4107	(800)-705-0783		(866)-573-8613
H5700	004	0	1	01	01	H5700_004_0	7		ARKANSAS COMMUNITY CARE	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	H5700	004	2007	01	01	1	Central - Premier		Central Arkansas	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-705-0766	302	(866)-301-4107	(800)-705-0766		(866)-573-8613
H5700	005	0	1	01	01	H5700_005_0	4		ARKANSAS COMMUNITY CARE	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	H5700	005	2007	01	01	1	Central - Plus		Central Arkansas	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-705-0766	2683	(866)-301-4107	(800)-705-0766		(866)-573-8613
H5700	009	0	1	01	01	H5700_009_0	5		ARKANSAS COMMUNITY CARE	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	H5700	009	2007	01	01	1	Fort Smith - Plus		Fort Smith	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-705-0766	470	(866)-301-4107	(800)-705-0766		(866)-573-8613
H5700	010	0	1	01	01	H5700_010_0	7		ARKANSAS COMMUNITY CARE	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	H5700	010	2007	01	01	1	Fort Smith - Premier		Fort Smith	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-705-0766	270	(866)-301-4107	(800)-705-0766		(866)-573-8613
H5700	013	0	1	01	01	H5700_013_0	5		ARKANSAS COMMUNITY CARE	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	H5700	013	2007	01	01	1	Hot Springs - Plus		Hot Springs	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-705-0766	331	(866)-301-4107	(800)-705-0766		(866)-573-8613
H5700	014	0	1	01	01	H5700_014_0	7		ARKANSAS COMMUNITY CARE	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	H5700	014	2007	01	01	1	Hot Springs - Premier		Hot Springs	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-705-0766	183	(866)-301-4107	(800)-705-0766		(866)-573-8613
H5700	018	0	1	01	01	H5700_018_0	4		ARKANSAS COMMUNITY CARE	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	H5700	018	2007	01	01	1	Northwest - SNP		Northwest Arkansas	2	0		1	3	2	1	2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-705-0783	17682	(866)-301-4107	(800)-705-0783		(866)-573-8613
H5700	020	0	1	01	01	H5700_020_0	5		ARKANSAS COMMUNITY CARE	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	H5700	020	2007	01	01	1	Texarkana - Plus		Texarkana	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-705-0766	532	(866)-301-4107	(800)-705-0766		(866)-573-8613
H5700	021	0	1	01	01	H5700_021_0	11		ARKANSAS COMMUNITY CARE	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	H5700	021	2007	01	01	1	Texarkana - Premier		Texarkana	2	0		2				2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-705-0766	298	(866)-301-4107	(800)-705-0766		(866)-573-8613
H5700	022	0	1	01	01	H5700_022_0	5		ARKANSAS COMMUNITY CARE	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	H5700	022	2007	01	01	1	Arkansas - SNP		Fort Smith & Texarkana - Arkansas	2	0		1	3	2	1	2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-705-0766	17682	(866)-301-4107	(800)-705-0766		(866)-573-8613
H5700	023	0	1	01	01	H5700_023_0	5		ARKANSAS COMMUNITY CARE	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	H5700	023	2007	01	01	1	Oklahoma - SNP		Texarkana - Oklahoma	2	0		1	3	2	1	2		(866)-573-8591	(866)-573-8613	(800)-573-8597	(800)-705-0766	17682	(866)-301-4107	(800)-705-0766		(866)-573-8613
H5703	001	0	1	01	01	H5703_001_0	2		SOUTH COUNTRY HEALTH ALLIANCE	South Country Health Alliance	www.mnscha.org	H5703	001	2007	01	01	1	AbilityCare		Select Counties in Minnesota	2	0		1	3	1	2	2		(888)-878-0137	(888)-878-0137	(866)-477-1601	(866)-477-1601		(866)-477-1601	(866)-477-1601	(888)-878-0137	(888)-878-0137
H5711	001	0	1	01	01	H5711_001_0	5		QMEDCARE OF NEW JERSEY, INC	QMedCare of New Jersey, Inc.	www.qmedinc.com	H5711	001	2007	01	01	1	QMedCare of New Jersey, Inc.		Central New Jersey	2	0		1	4	2	2	2		(732)-544-5544	(732)-544-5544	(732)-544-5544	(732)-544-5544		(877)-854-4462	(877)-854-4462	(732)-544-5544	(732)-544-5544
H5721	001	0	1	09	04	H5721_001_0	3	2	HEALTH NET INSURANCE OF NEW YORK, INC.	Health Net	www.healthnet.com	H5721	001	2007	04	09	1	Health Net Crimson Option 1		New York	2	0		2				2		(888)-747-2424	(888)-747-2424	(800)-547-8734	(800)-949-2515	3845				
H5721	002	0	1	09	04	H5721_002_0	3	2	HEALTH NET INSURANCE OF NEW YORK, INC.	Health Net	www.healthnet.com	H5721	002	2007	04	09	1	Health Net Crimson Option 2		New York	2	0		2				2		(888)-747-2424	(888)-747-2424	(800)-547-8734	(800)-949-2515	246				
H5721	003	0	1	09	04	H5721_003_0	3	2	HEALTH NET INSURANCE OF NEW YORK, INC.	Health Net	www.healthnet.com	H5721	003	2007	04	09	1	Health Net Crimson Option 3		New York	2	0		2				2		(888)-747-2424	(888)-747-2424	(800)-547-8734	(800)-949-2515	2040				
H5721	802	0	1	09	04	H5721_802_0	7	2	HEALTH NET INSURANCE OF NEW YORK, INC.	Health Net	www.healthnet.com	H5721	802	2007	04	09	1	Health Net Pearl EG		National	1	0		2				2		(800)-929-9955	(888)-747-2424	(800)-977-8221	(800)-949-2515					
H5721	804	0	1	09	04	H5721_804_0	7	2	HEALTH NET INSURANCE OF NEW YORK, INC.	Health Net	www.healthnet.com	H5721	804	2007	04	09	1	Health Net Pearl EG		National	1	0		2				2		(800)-929-9955	(888)-747-2424	(800)-977-8221	(800)-949-2515					
H5729	001	0	1	01	01	H5729_001_0	11		PARTNERCARE HEALTH PLAN, INC.	PartnerCare Golden Advocate Plan	www.partnercarehealthplan.com	H5729	001	2007	01	01	1	Golden Advocate		Florida - 22 Counties	2	0		1	1	2	2	2		(866)-268-1800	(866)-268-1800	(888)-901-9208	(888)-901-9208	131	(888)-901-9208	(888)-901-9208	(866)-268-1800	(866)-268-1800
H5729	004	0	1	01	01	H5729_004_0	10		PARTNERCARE HEALTH PLAN, INC.	PartnerCare Golden Advocate Plan	www.partnercarehealthplan.com	H5729	004	2007	01	01	1	Dade Advocate		Dade County	2	0		2				2		(866)-268-1800	(866)-268-1800	(888)-901-9208	(888)-901-9208	101	(888)-901-9208	(888)-901-9208	(866)-268-1800	(866)-268-1800
H5729	005	0	1	01	01	H5729_005_0	8		PARTNERCARE HEALTH PLAN, INC.	PartnerCare Golden Advocate Plan	www.partnercarehealthplan.com	H5729	005	2007	01	01	1	Florida Advocate		Florida- 18 Counties	2	0		2				2		(866)-268-1800	(866)-268-1800	(888)-901-9208	(888)-901-9208	294	(888)-901-9208	(888)-901-9208	(866)-268-1800	(866)-268-1800
H5729	006	0	1	01	01	H5729_006_0	7		PARTNERCARE HEALTH PLAN, INC.	PartnerCare Golden Advocate Plan	www.partnercarehealthplan.com	H5729	006	2007	01	01	1	Pensacola Advocate		Escambia/Santa Rosa	2	0		2				2		(866)-268-1800	(866)-268-1800	(888)-901-9208	(888)-901-9208	16	(888)-901-9208	(888)-901-9208	(866)-268-1800	(866)-268-1800
H5729	007	0	1	01	01	H5729_007_0	7		PARTNERCARE HEALTH PLAN, INC.	PartnerCare Golden Advocate Plan	www.partnercarehealthplan.com	H5729	007	2007	01	01	1	Broward Advocate		Broward County	2	0		2				2		(866)-268-1800	(866)-268-1800	(888)-901-9208	(888)-901-9208	74	(888)-901-9208	(888)-901-9208	(866)-268-1800	(866)-268-1800
H5729	008	0	1	01	01	H5729_008_0	5		PARTNERCARE HEALTH PLAN, INC.	PartnerCare Golden Advocate Plan	www.partnercarehealthplan.com	H5729	008	2007	01	01	1	Premier		Florida- 22 Counties	2	0		2				2		(866)-268-1800	(866)-268-1800	(888)-901-9208	(888)-901-9208	86	(888)-901-9208	(888)-901-9208	(866)-268-1800	(866)-268-1800
H5729	009	0	1	01	01	H5729_009_0	8		PARTNERCARE HEALTH PLAN, INC.	PartnerCare Golden Advocate Plan	www.partnercarehealthplan.com	H5729	009	2007	01	01	1	Medicare In the Home		Florida- 22 Counties	2	0		1	1	2	2	2		(866)-268-1800	(866)-268-1800	(888)-901-9208	(888)-901-9208	1175	(888)-901-9208	(888)-901-9208	(866)-268-1800	(866)-268-1800
H5729	010	0	1	01	01	H5729_010_0	6		PARTNERCARE HEALTH PLAN, INC.	PartnerCare Golden Advocate Plan	www.partnercarehealthplan.com	H5729	010	2007	01	01	1	Diamond		Florida- 20 Counties	2	0		2				2		(866)-268-1800	(866)-268-1800	(888)-901-9208	(888)-901-9208	313	(888)-901-9208	(888)-901-9208	(866)-268-1800	(866)-268-1800
H5732	001	0	1	01	01	H5732_001_0	5		AUXILIO PLATINO, INC.	Auxilio Platino	www.auxilio.com	H5732	001	2007	01	01	1	Auxilio Platino Plan 001		Puerto Rico	2	0		2				2		(888)-631-9979	(888)-631-9979	(888)-515-1746	(888)-515-1746	2500	(888)-515-1746	(888)-515-1746	(888)-631-9979	(888)-631-9979
H5732	002	0	1	01	01	H5732_002_0	3		AUXILIO PLATINO, INC.	Auxilio Platino	www.auxilio.com	H5732	002	2007	01	01	1	Auxilio Platino Plan 002		Puerto Rico	2	0		2				2		(888)-631-9979	(888)-631-9979	(888)-515-1746	(888)-515-1746		(888)-515-1746	(888)-515-1746	(888)-631-9979	(888)-631-9979
H5732	003	0	1	01	01	H5732_003_0	3		AUXILIO PLATINO, INC.	Auxilio Platino	www.auxilio.com	H5732	003	2007	01	01	1	Auxilio Platino Plan 003		Puerto Rico	2	0		1	3	2	2	2		(888)-631-9979	(888)-631-9979	(888)-515-1746	(888)-515-1746		(888)-515-1746	(888)-515-1746	(888)-631-9979	(888)-631-9979
H5736	002	0	1	09	04	H5736_002_0	3	2	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5736	002	2007	04	09	1	Aetna Medicare Open Plan		National (except NM)	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5736	003	0	1	09	04	H5736_003_0	3	2	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5736	003	2007	04	09	1	Aetna Medicare Open Value Plan		Eastern Texas	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5736	004	0	1	09	04	H5736_004_0	2	2	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5736	004	2007	04	09	1	Aetna Medicare Open Premier Plan		Eastern Texas	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5736	005	0	1	09	04	H5736_005_0	2	2	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5736	005	2007	04	09	1	Aetna Medicare Open Value Plan		Central Texas	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5736	006	0	1	09	04	H5736_006_0	2	2	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5736	006	2007	04	09	1	Aetna Medicare Open Premier Plan		Central Texas	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5736	007	0	1	09	04	H5736_007_0	5	2	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5736	007	2007	04	09	1	Aetna Medicare Open Standard Plan		Indiana and Illinois	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5736	008	0	1	09	04	H5736_008_0	5	2	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5736	008	2007	04	09	1	Aetna Medicare Open Premier Plan		Indiana and Illinois	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5736	009	0	1	09	04	H5736_009_0	3	2	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5736	009	2007	04	09	1	Aetna Medicare Open Value Plan		San Diego County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5736	010	0	1	09	04	H5736_010_0	3	2	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5736	010	2007	04	09	1	Aetna Medicare Open Premier Plan		San Diego County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5736	801	0	1	09	04	H5736_801_0	3	2	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5736	801	2007	04	09	1	Aetna Medicare Open Plan		National	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H5736	802	0	1	09	04	H5736_802_0	3	2	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	H5736	802	2007	04	09	1	Aetna Medicare Open Plan w/Rx		National	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5750	001	0	1	02	01	H5750_001_0	5		METROPOLITAN HEALTH PLAN	North Star Advantage / North Star Advantage Plus	MHP4LIFE.ORG	H5750	001	2007	01	02	1	MHP North Star Advantage Plus		Minnesota	2	0		2				2		(800)-627-3529	(800)-627-3529	(888)-562-8000	(888)-562-8000	266	(888)-562-8000	(888)-562-8000	(800)-627-3529	(800)-627-3529
H5750	002	0	1	02	01	H5750_002_0	4		METROPOLITAN HEALTH PLAN	North Star Advantage / North Star Advantage Plus	MHP4LIFE.ORG	H5750	002	2007	01	02	1	MHP North Star Advantage		Minnesota	2	0		2				2		(800)-627-3529	(800)-627-3529	(888)-562-8000	(888)-562-8000	27				
H5750	003	0	1	02	01	H5750_003_0	6		METROPOLITAN HEALTH PLAN	North Star Advantage / North Star Advantage Plus	MHP4LIFE.ORG	H5750	003	2007	01	02	1	MHP North Star Advantage Basic		Minnesota	2	0		2				2		(800)-627-3529	(800)-627-3529	(888)-562-8000	(888)-562-8000	106	(888)-562-8000	(888)-562-8000	(800)-627-3529	(800)-627-3529
H5754	001	0	1	37	05	H5754_001_0	3		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.ericksonadvantage.com	H5754	001	2007	05	37	1	Erickson Advantage Signature with Drugs		Essex and Plymouth Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839		(866)-314-8188	(800)-704-7839	(888)-685-8480	(888)-685-8480
H5754	002	0	1	37	05	H5754_002_0	2		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.EvercareHealthPlans.com	H5754	002	2007	05	37	1	Erickson Advantage Signature without Drugs		Essex and Plymouth Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839					
H5754	003	0	1	37	05	H5754_003_0	5		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.ericksonadvantage.com	H5754	003	2007	05	37	1	Erickson Advantage Guardian		Essex County	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839		(866)-314-8188	(800)-704-7839	(888)-685-8480	(888)-685-8480
H5754	004	0	1	37	05	H5754_004_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insurance Company	www.ericksonadvantage.com	H5754	004	2007	05	37	1	Erickson Advantage Champion		Essex and Plymouth Counties	2	0		1	4	2	2	2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839		(866)-314-8188	(800)-704-7839	(888)-685-8480	(888)-685-8480
H5756	001	0	1	05	01	H5756_001_0	7		DELAWARE PHYSICIANS CARE, INC.	Delaware Physicians Care-Medicare	www.delawarephysicianscare.com	H5756	001	2007	01	05	1	Delaware Physician Care - Medicare		Delaware Physician Care - Medicare	2	0		1	3	1	2	2		(866)-602-1982	(866)-602-1982	(302)-894-6716	(302)-894-6716	325	(302)-894-6716	(302)-894-6716		
H5760	001	0	1	02	01	H5760_001_0	8		COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO	Cooperativa de Seguros de Vida de PR (COSVI)	http://www.cosvi.com	H5760	001	2007	01	02	1	CosviMed Care		Puerto Rico	2	0		2				2		(877)-311-0018	(877)-311-0014	(877)-311-0012	(877)-311-0013	32				
H5760	002	0	1	02	01	H5760_002_0	10		COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO	Cooperativa de Seguros de Vida de PR (COSVI)	http://www.cosvi.com	H5760	002	2007	01	02	1	CosviMed Care R+		Puerto Rico	2	0		2				2		(877)-311-0018	(877)-311-0014	(877)-311-0012	(877)-311-0013	29	(877)-311-0012	(877)-311-0013	(877)-311-0018	(877)-311-0014
H5760	003	0	1	02	01	H5760_003_0	10		COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO	Cooperativa de Seguros de Vida de PR (COSVI)	http://www.cosvi.com	H5760	003	2007	01	02	1	CosviMed Care RmaX		Puerto Rico	2	0		2				2		(877)-311-0018	(877)-311-0014	(877)-311-0012	(877)-311-0013	2355	(877)-311-0012	(877)-311-0013	(877)-311-0018	(877)-311-0014
H5760	004	0	1	02	01	H5760_004_0	8		COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO	Cooperativa de Seguros de Vida de PR (COSVI)	http://www.cosvi.com	H5760	004	2007	01	02	1	CosviMed Care Platino		Puerto Rico	2	0		1	3	1	2	2		(877)-311-0018	(877)-311-0014	(877)-311-0012	(877)-311-0013	3661	(877)-311-0012	(877)-311-0013	(877)-311-0018	(877)-311-0014
H5760	005	0	1	02	01	H5760_005_0	10		COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO	Cooperativa de Seguros de Vida de PR (COSVI)	http://www.cosvi.com	H5760	005	2007	01	02	1	CosviMed Care Platino+		Puerto Rico	2	0		1	3	1	2	2		(877)-311-0018	(877)-311-0014	(877)-311-0012	(877)-311-0013	3661	(877)-311-0012	(877)-311-0013	(877)-311-0018	(877)-311-0014
H5760	801	0	1	02	01	H5760_801_0	4		COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO	Cooperativa de Seguros de Vida de PR (COSVI)	http://www.cosvi.com	H5760	801	2007	01	02	1	CosviMed Care RxG		Puerto Rico	1	0		2				2		(877)-311-0018	(877)-311-0014	(877)-311-0012	(877)-311-0013	1100	(877)-311-0012	(877)-311-0013	(877)-311-0018	(877)-311-0014
H5769	001	0	1	07	02	H5769_001_0	5		BLUE CROSS OF CALIFORNIA	Blue Cross of California	www.bluecrossca.com	H5769	001	2007	02	07	1	SmartSaver - Plan I		California	2	0		2				2		(888)-877-5378	(877)-247-1657	(888)-230-7338	(800)-765-2585	584				
H5769	002	0	1	07	02	H5769_002_0	5		BLUE CROSS OF CALIFORNIA	Blue Cross of California	www.bluecrossca.com	H5769	002	2007	02	07	1	SmartSaver - Plan II		California - Select Counties	2	0		2				2		(888)-877-5378	(877)-247-1657	(888)-230-7338	(800)-765-2585	107				
H5769	003	0	1	07	02	H5769_003_0	5		BLUE CROSS OF CALIFORNIA	Blue Cross of California	www.bluecrossca.com	H5769	003	2007	02	07	1	SmartSaver - Plan III		California - Select Counties	2	0		2				2		(888)-877-5378	(877)-247-1657	(888)-230-7338	(800)-765-2585	20				
H5769	801	0	1	07	02	H5769_801_0	5		BLUE CROSS OF CALIFORNIA	Blue Cross of California	www.bluecrossca.com	H5769	801	2007	02	07	1	SmartSaver Group Plan		California - Select Counties	1	0		2				2		(888)-877-5378	(877)-247-1657	(888)-230-7338	(800)-765-2585	100				
H5774	003	0	1	01	01	H5774_003_0	4		AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	H5774	003	2007	01	01	1	American Health Basic		Puerto Rico	2	0		2				2		(866)-620-2520	(866)-620-2520	(888)-620-1919	(866)-620-2420	1036				
H5774	004	0	1	01	01	H5774_004_0	6		AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	H5774	004	2007	01	01	1	Reforma Plus		Puerto Rico	2	0		1	3	2	2	2		(866)-620-2520	(866)-620-2520	(888)-620-1919	(866)-620-2420	1036	(888)-620-1919	(866)-620-2420	(866)-620-2520	(866)-620-2520
H5774	005	0	1	01	01	H5774_005_0	8		AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	H5774	005	2007	01	01	1	Standard		Puerto Rico	2	0		2				2		(866)-620-2520	(866)-620-2520	(888)-620-1919	(866)-620-2420	1036	(888)-620-1919	(866)-620-2420	(866)-620-2520	(866)-620-2520
H5774	006	0	1	01	01	H5774_006_0	6		AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	H5774	006	2007	01	01	1	Premium		Puerto Rico	2	0		2				2		(866)-620-2520	(866)-620-2520	(888)-620-1919	(866)-620-2420	1036	(888)-620-1919	(866)-620-2420	(866)-620-2520	(866)-620-2520
H5774	007	0	1	01	01	H5774_007_0	6		AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	H5774	007	2007	01	01	1	Independance		Puerto Rico	2	0		2				2		(866)-620-2520	(866)-620-2520	(888)-620-1919	(866)-620-2420	1036	(888)-620-1919	(866)-620-2420	(866)-620-2520	(866)-620-2520
H5774	008	0	1	01	01	H5774_008_0	7		AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	H5774	008	2007	01	01	1	Security		Puerto Rico	2	0		2				2		(866)-620-2520	(866)-620-2520	(888)-620-1919	(866)-620-2420		(888)-620-1919	(866)-620-2420	(866)-620-2520	(866)-620-2520
H5774	009	0	1	01	01	H5774_009_0	8		AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	H5774	009	2007	01	01	1	Opal		Puerto Rico	2	0		1	4	2	2	2		(866)-620-2520	(866)-620-2520	(888)-620-1919	(866)-620-2420		(888)-620-1919	(866)-620-2420	(866)-620-2520	(866)-620-2520
H5774	010	0	1	01	01	H5774_010_0	6		AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	H5774	010	2007	01	01	1	Quality Care		Puerto Rico	2	0		1	4	2	2	2		(866)-620-2520	(866)-620-2520	(888)-620-1919	(866)-620-2420	1036	(888)-620-1919	(866)-620-2420	(866)-620-2520	(866)-620-2520
H5774	802	0	1	01	01	H5774_802_0	4		AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	H5774	802	2007	01	01	1	Employer Basic 1		Puerto Rico	1	0		2				2		(866)-620-2520	(866)-620-2520	(888)-620-1919	(866)-620-2420					
H5774	804	0	1	01	01	H5774_804_0	4		AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	H5774	804	2007	01	01	1	Employer Basic 2		Puerto Rico	1	0		2				2		(866)-620-2520	(866)-620-2520	(888)-620-1919	(866)-620-2420					
H5774	806	0	1	01	01	H5774_806_0	5		AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	H5774	806	2007	01	01	1	Employer Basic 3		Puerto Rico	1	0		2				2		(866)-620-2520	(866)-620-2520	(888)-620-1919	(866)-620-2420		(888)-620-1919	(866)-620-2420	(866)-620-2520	(866)-620-2520
H5774	807	0	1	01	01	H5774_807_0	5		AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	H5774	807	2007	01	01	1	Employer Basic 4		Puerto Rico	1	0		2				2		(866)-620-2520	(866)-620-2520	(888)-620-1919	(866)-620-2420		(888)-620-1919	(866)-620-2420	(866)-620-2520	(866)-620-2520
H5782	001	0	1	01	01	H5782_001_0	5		SOLANO-NAPA-YOLO COMMISSION ON MEDICAL CARE	PartnershipAdvantage	www.partnershiphp.org	H5782	001	2007	01	01	1	PartnershipAdvantage		Napa, Solano, and Yolo Counties	2	0		1	3	1	2	2		(800)-266-2140	(800)-266-2140	(866)-264-3626	(866)-264-3626	1800	(866)-264-3626	(866)-264-3626	(800)-266-2140	(800)-266-2140
H5783	002	0	1	01	01	H5783_002_0	6		ARCADIAN HEALTH PLAN, INC.	Arcadian Health Plan	To be determined	H5783	002	2007	01	01	1	Charleston - Plus		Charleston	2	0		2				2		(866)-573-8591	(866)-573-8591	(800)-573-8597	(800)-573-8597	612	(800)-573-8597	(800)-573-8597	(866)-573-8591	(866)-573-8591
H5783	003	0	1	01	01	H5783_003_0	7		ARCADIAN HEALTH PLAN, INC.	Arcadian Health Plan	To be determined	H5783	003	2007	01	01	1	Charleston - Premier		Charleston	2	0		2				2		(866)-573-8591	(866)-573-8591	(800)-573-8597	(800)-573-8597	338	(800)-573-8597	(800)-573-8597	(866)-573-8591	(866)-573-8591
H5783	006	0	1	01	01	H5783_006_0	6		ARCADIAN HEALTH PLAN, INC.	Arcadian Health Plan	To be determined	H5783	006	2007	01	01	1	Greenville - Plus		Greenville	2	0		2				2		(866)-573-8591	(866)-573-8591	(800)-573-8597	(800)-573-8597	587	(800)-573-8597	(800)-573-8597	(866)-573-8591	(866)-573-8591
H5783	007	0	1	01	01	H5783_007_0	8		ARCADIAN HEALTH PLAN, INC.	Arcadian Health Plan	To be determined	H5783	007	2007	01	01	1	Greenville - Premier		Greenville	2	0		2				2		(866)-573-8591	(866)-573-8591	(800)-573-8597	(800)-573-8597	338	(800)-573-8597	(800)-573-8597	(866)-573-8591	(866)-573-8591
H5783	008	0	1	01	01	H5783_008_0	3		ARCADIAN HEALTH PLAN, INC.	Arcadian Health Plan	To be determined	H5783	008	2007	01	01	1	Greenville - SNP		Greenville	2	0		1	3	2	1	2		(866)-573-8591	(866)-573-8591	(800)-573-8597	(800)-573-8597	17682	(800)-573-8597	(800)-573-8597	(866)-573-8591	(866)-573-8591
H5793	001	0	1	01	01	H5793_001_0	3		AETNA HEALTH INC.	Aetna Health Inc.	http://www.aetna.com	H5793	001	2007	01	01	1	Aetna Golden Medicare Value Plan		Fairfield, Hartford and New Haven Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5793	002	0	1	01	01	H5793_002_0	3		AETNA HEALTH INC.	Aetna Health Inc.	http://www.aetna.com	H5793	002	2007	01	01	1	Aetna Golden Medicare Standard Plan		Fairfield, Hartford and New Haven Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5793	003	0	1	01	01	H5793_003_0	3		AETNA HEALTH INC.	Aetna Health Inc.	http://www.aetna.com	H5793	003	2007	01	01	1	Aetna Golden Medicare Premier Plan		Fairfield, Hartford and New Haven Counties	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5793	801	0	1	01	01	H5793_801_0	1		AETNA HEALTH INC.	Aetna Health Inc.	http://www.aetna.com	H5793	801	2007	01	01	1	Aetna Golden Medicare Plan		Fairfield, Hartford and New Haven Counties	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H5793	802	0	1	01	01	H5793_802_0	1		AETNA HEALTH INC.	Aetna Health Inc.	http://www.aetna.com	H5793	802	2007	01	01	1	Aetna Golden Medicare Plan w/Rx CY		Fairfield, Hartford and New Haven Counties	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5794	001	0	1	01	01	H5794_001_0	4		UNISON HEALTH PLAN OF NEW JERSEY, INC.	Unison Advantage	www.unisonhealthplan.com	H5794	001	2007	01	01	1	Unison Advantage Choice		Northeast New Jersey	2	0		2				2		(888)-616-0021	(888)-616-0021	(800)-290-4009	(800)-400-4003	1804	(800)-290-4009	(800)-400-4003	(888)-616-0021	(888)-616-0021
H5794	002	0	1	01	01	H5794_002_0	6		UNISON HEALTH PLAN OF NEW JERSEY, INC.	Unison Advantage	www.unisonhealthplan.com	H5794	002	2007	01	01	1	Unison Advantage Preferred		Northeast New Jersey	2	0		2				2		(888)-616-0021	(888)-616-0021	(800)-290-4009	(800)-400-4003	837	(800)-290-4009	(800)-400-4003	(888)-616-0021	(888)-616-0021
H5810	001	0	1	01	01	H5810_001_0	7		MOLINA HEALTHCARE OF CALIFORNIA	Molina Healthcare of California	http://www.molinahealthcare.com/	H5810	001	2007	01	01	1	Molina Advantage		LA County; parts of Riv and SB Counties	2	0		1	3	1	2	1	1	(800)-346-4128	(800)-346-4128	(800)-665-0898	(800)-665-0898	3000	(800)-665-0898	(800)-665-0898	(800)-346-4128	(800)-346-4128
H5811	001	0	1	01	01	H5811_001_0	2		MEDCORE HP	Medcore HP	www.medcorehp.com	H5811	001	2007	01	01	1	Medcore Gold		San Joaquin County	2	0		2				2		(800)-258-6810	(800)-258-6810	(800)-320-5688	(800)-320-5688	19600	(800)-320-5688	(800)-320-5688	(800)-258-6810	(800)-258-6810
H5811	002	0	1	01	01	H5811_002_0	4		MEDCORE HP	Medcore HP	www.medcorehp.com	H5811	002	2007	01	01	1	Medcore Gold Select (Medicare & Medi-Cal)		San Joaquin County	2	0		1	3	1	2	2		(800)-258-6810	(800)-258-6810	(800)-320-5688	(800)-320-5688	866	(800)-320-5688	(800)-320-5688	(800)-258-6810	(800)-258-6810
H5811	003	0	1	01	01	H5811_003_0	2		MEDCORE HP	Medcore HP	www.medcorehp.com	H5811	003	2007	01	01	1	Medcore Silver		San Joaquin County	2	0		2				2		(800)-258-6810	(800)-258-6810	(800)-320-5688	(800)-320-5688	1000				
H5812	002	0	1	09	04	H5812_002_0	3	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	002	2007	04	09	1	Geisinger Health Plan Gold Choice		Berks County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H5812	003	0	1	09	04	H5812_003_0	3	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	003	2007	04	09	1	Geisinger Health Plan Gold Choice		Bradford County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H5812	004	0	1	09	04	H5812_004_0	3	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	004	2007	04	09	1	Geisinger Health Plan Gold Choice		Centre County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H5812	005	0	1	09	04	H5812_005_0	3	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	005	2007	04	09	1	Geisinger Health Plan Gold Choice		Cumberland County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H5812	006	0	1	09	04	H5812_006_0	3	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	006	2007	04	09	1	Geisinger Health Plan Gold Choice		Tioga County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H5812	009	0	1	09	04	H5812_009_0	3	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	009	2007	04	09	1	Geisinger Health Plan Gold Choice		Counties: Lancaster, Lebanon, York	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H5812	010	0	1	09	04	H5812_010_0	3	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	010	2007	04	09	1	Geisinger Health Plan Gold Choice		Counties: Cli, Col, Lyc, Mon, Uni	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H5812	011	0	1	09	04	H5812_011_0	5	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	011	2007	04	09	1	GHP Gold Choice Standard Rx		Berks County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	012	0	1	09	04	H5812_012_0	6	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	012	2007	04	09	1	GHP Gold Choice $0 Deductible Rx		Berks County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	013	0	1	09	04	H5812_013_0	5	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	013	2007	04	09	1	GHP Gold Choice Enhanced Rx		Berks County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	014	0	1	09	04	H5812_014_0	5	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	014	2007	04	09	1	GHP Gold Choice Standard Rx		Bradford County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	015	0	1	09	04	H5812_015_0	6	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	015	2007	04	09	1	GHP Gold Choice $0 Deductible Rx		Bradford County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	016	0	1	09	04	H5812_016_0	5	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	016	2007	04	09	1	GHP Gold Choice Enhanced Rx		Bradford County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	017	0	1	09	04	H5812_017_0	5	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	017	2007	04	09	1	GHP Gold Choice Standard Rx		Centre County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	018	0	1	09	04	H5812_018_0	6	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	018	2007	04	09	1	GHP Gold Choice $0 Deductible Rx		Centre County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	019	0	1	09	04	H5812_019_0	5	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	019	2007	04	09	1	GHP Gold Choice Enhanced Rx		Centre County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	020	0	1	09	04	H5812_020_0	5	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	020	2007	04	09	1	GHP Gold Choice Standard Rx		Cumberland County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	021	0	1	09	04	H5812_021_0	6	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	021	2007	04	09	1	GHP Gold Choice $0 Deductible Rx		Cumberland County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	022	0	1	09	04	H5812_022_0	5	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	022	2007	04	09	1	GHP Gold Choice Enhanced Rx		Cumberland County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	023	0	1	09	04	H5812_023_0	5	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	023	2007	04	09	1	GHP Gold Choice Standard Rx		Tioga County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	024	0	1	09	04	H5812_024_0	6	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	024	2007	04	09	1	GHP Gold Choice $0 Deductible Rx		Tioga County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	025	0	1	09	04	H5812_025_0	5	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	025	2007	04	09	1	GHP Gold Choice Enhanced Rx		Tioga County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	026	0	1	09	04	H5812_026_0	5	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	026	2007	04	09	1	GHP Gold Choice Standard Rx		Counties: Lancaster, Lebanon, York	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	027	0	1	09	04	H5812_027_0	6	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	027	2007	04	09	1	GHP Gold Choice $0 Deductible Rx		Counties: Lancaster, Lebanon, York	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	028	0	1	09	04	H5812_028_0	5	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	028	2007	04	09	1	GHP Gold Choice Enhanced Rx		Counties: Lancaster, Lebanon, York	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	029	0	1	09	04	H5812_029_0	5	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	029	2007	04	09	1	GHP Gold Choice Standard Rx		Counties: Cli, Col, Lyc, Mon, Uni	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	030	0	1	09	04	H5812_030_0	6	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	030	2007	04	09	1	GHP Gold Choice $0 Deductible Rx		Counties: Cli, Col, Lyc, Mon, Uni	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	031	0	1	09	04	H5812_031_0	5	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	031	2007	04	09	1	GHP Gold Choice Enhanced Rx		Counties: Cli, Col, Lyc, Mon, Uni	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	032	0	1	09	04	H5812_032_0	3	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	032	2007	04	09	1	Geisinger Health Plan Gold Choice		Sullivan County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656					
H5812	033	0	1	09	04	H5812_033_0	5	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	033	2007	04	09	1	GHP Gold Choice Standard Rx		Sullivan County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	034	0	1	09	04	H5812_034_0	6	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	034	2007	04	09	1	GHP Gold Choice $0 Deductible Rx		Sullivan County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5812	035	0	1	09	04	H5812_035_0	5	2	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Choice	www.thehealthplan.com	H5812	035	2007	04	09	1	GHP Gold Choice Enhanced Rx		Sullivan County	2	0		2				2		(800)-447-2833	(800)-447-2833	(800)-498-9731	(800)-631-1656		(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
H5813	001	0	1	01	01	H5813_001_0	6		AETNA HEALTH, INC	Aetna Medicare	http://www.aetnamedicare.com	H5813	001	2007	01	01	1	Aetna Golden Medicare Value Plan		New Castle County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H5813	002	0	1	01	01	H5813_002_0	5		AETNA HEALTH, INC	Aetna Medicare	http://www.aetnamedicare.com	H5813	002	2007	01	01	1	Aetna Golden Medicare Special Plan		New Castle County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5813	003	0	1	01	01	H5813_003_0	6		AETNA HEALTH, INC	Aetna Medicare	http://www.aetnamedicare.com	H5813	003	2007	01	01	1	Aetna Golden Medicare Standard Plan		New Castle County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5813	004	0	1	01	01	H5813_004_0	6		AETNA HEALTH, INC	Aetna Medicare	http://www.aetnamedicare.com	H5813	004	2007	01	01	1	Aetna Golden Medicare Premier Plan		New Castle County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5813	801	0	1	01	01	H5813_801_0	1		AETNA HEALTH, INC	Aetna Medicare	http://www.aetnamedicare.com	H5813	801	2007	01	01	1	Aetna Golden Medicare Plan		New Castle County	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H5813	802	0	1	01	01	H5813_802_0	1		AETNA HEALTH, INC	Aetna Medicare	http://www.aetnamedicare.com	H5813	802	2007	01	01	1	Aetna Golden Medicare Plan w/Rx CY		New Castle County	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5817	001	0	1	01	01	H5817_001_0	6		AMERIGROUP TEXAS, INC.	AMERIGROUP Texas	www.myamerigroup.com	H5817	001	2007	01	01	1	AMERIVANTAGE Special Needs Plan		Houston/Harris County	2	0		1	3	1	2	2		(800)-855-2880	(800)-855-2880	(800)-600-4441	(800)-600-4441	6200	(800)-600-4441	(800)-600-4441	(800)-855-2880	(800)-855-2880
H5820	002	0	1	09	04	H5820_002_0	8	2	UNIVERSAL HEALTH CARE INSURANCE COMPANY	ANY, ANY, ANY PLAN	http://www.univhc.com	H5820	002	2007	04	09	1	ANY, ANY, ANY Plan II		Plan B	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5820	003	0	1	09	04	H5820_003_0	8	2	UNIVERSAL HEALTH CARE INSURANCE COMPANY	ANY, ANY, ANY PLAN	http://www.univhc.com	H5820	003	2007	04	09	1	ANY, ANY, ANY Plan III		Plan C	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5820	004	0	1	09	04	H5820_004_0	7	2	UNIVERSAL HEALTH CARE INSURANCE COMPANY	ANY, ANY, ANY PLAN	http://www.univhc.com	H5820	004	2007	04	09	1	ANY, ANY, ANY Plan IV		Plan D	2	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5820	801	0	1	09	04	H5820_801_0	6	2	UNIVERSAL HEALTH CARE INSURANCE COMPANY	ANY, ANY, ANY PLAN	http://www.univhc.com	H5820	801	2007	04	09	1	Universal EGWP		National	1	0		2				2		(800)-617-0177	(800)-617-0177	(866)-690-4842	(866)-690-4842		(866)-690-4842	(866)-690-4842	(800)-617-0177	(800)-617-0177
H5821	001	0	1	02	01	H5821_001_0	6		MAPFRE LIFE INSURANCE COMPANY	MAPFRE LIFE Insurance Company	www.mapfremedicare.com	H5821	001	2007	01	02	1	MAPFRE Medicare Excel		State of Puerto Rico	2	0		2				2		(787)-753-6677	(787)-753-6677	(888)-750-5288	(888)-750-5288	1000	(888)-750-5288	(888)-750-5288	(787)-753-6677	(787)-753-6677
H5821	004	0	1	02	01	H5821_004_0	7		MAPFRE LIFE INSURANCE COMPANY	MAPFRE LIFE Insurance Company	www.mapfremedicare.com	H5821	004	2007	01	02	1	MAPFRE Medicare Excel Premier		State of Puerto Rico	2	0		2				2		(787)-753-6677	(787)-753-6677	(888)-750-5288	(888)-750-5288	2500	(888)-750-5288	(888)-750-5288	(787)-753-6677	(787)-753-6677
H5821	007	0	1	02	01	H5821_007_0	8		MAPFRE LIFE INSURANCE COMPANY	MAPFRE LIFE Insurance Company	www.mapfremedicare.com	H5821	007	2007	01	02	1	MAPFRE Medicare Excel Deluxe		State of Puerto Rico	2	0		2				2		(787)-753-6677	(787)-753-6677	(888)-750-5288	(888)-750-5288	1000	(888)-750-5288	(888)-750-5288	(787)-753-6677	(787)-753-6677
H5821	008	0	1	02	01	H5821_008_0	6		MAPFRE LIFE INSURANCE COMPANY	MAPFRE LIFE Insurance Company	www.mapfremedicare.com	H5821	008	2007	01	02	1	MAPFRE Medicare Excel ELA		State of Puerto Rico	2	0		2				2		(787)-753-6677	(787)-753-6677	(888)-750-5288	(888)-750-5288	1000	(888)-750-5288	(888)-750-5288	(787)-753-6677	(787)-753-6677
H5821	009	0	1	02	01	H5821_009_0	4		MAPFRE LIFE INSURANCE COMPANY	MAPFRE LIFE Insurance Company	www.mapfremedicare.com	H5821	009	2007	01	02	1	MAPFRE Medicare Excel Platino		State of Puerto Rico	2	0		1	3	2	2	2		(787)-753-6677	(787)-753-6677	(888)-750-5288	(888)-750-5288	4500	(888)-750-5288	(888)-750-5288	(787)-753-6677	(787)-753-6677
H5821	013	0	1	02	01	H5821_013_0	7		MAPFRE LIFE INSURANCE COMPANY	MAPFRE LIFE Insurance Company	www.mapfremedicare.com	H5821	013	2007	01	02	1	MAPFRE Medicare Excel Extended		State of Puerto Rico	2	0		2				2		(787)-753-6677	(787)-753-6677	(888)-750-5288	(888)-750-5288	2500	(888)-750-5288	(888)-750-5288	(787)-753-6677	(787)-753-6677
H5821	014	0	1	02	01	H5821_014_0	4		MAPFRE LIFE INSURANCE COMPANY	MAPFRE LIFE Insurance Company	www.mapfremedicare.com	H5821	014	2007	01	02	1	MAPFRE Medicare Excel Platino Plus		State of Puerto Rico	2	0		1	3	2	2	2		(787)-753-6677	(787)-753-6677	(888)-750-5288	(888)-750-5288	4500	(888)-750-5288	(888)-750-5288	(787)-753-6677	(787)-753-6677
H5822	001	0	1	20	08	H5822_001_0	1		MIDLAND CARE CONNECTION	Midland CARE Services	www.midlandhospice.org	H5822	001	2007	08	20	1	Midland Care Connection - Dual Eligibles		Counties: DG, JA, JF, OS, PT, SN, WB	2	0		2				2						70	(800)-491-3691	(800)-491-3691		
H5822	002	0	1	20	08	H5822_002_0	1		MIDLAND CARE CONNECTION	Midland CARE Services	www.midlandhospice.org	H5822	002	2007	08	20	1	Midland Care Connection - Medicare Only		Counties: DG, JA, JF, OS, PT, SN, WB	2	0		2				2						10	(800)-491-3691	(800)-491-3691		
H5823	001	0	1	01	01	H5823_001_0	4		MOLINA HEALTHCARE OF WASHINGTON, INC.	Molina Healthcare of Washington	www.molinahealthcare.com	H5823	001	2007	01	01	1	Molina Advantage		Central Puget Sound area; Spokane area	2	0		1	3	1	2	1	1	(877)-665-4629	(877)-665-4629	(800)-665-1029	(800)-665-1029	3000	(800)-665-1029	(800)-665-1029	(877)-665-4629	(877)-665-4629
H5826	005	0	1	01	01	H5826_005_0	3		COMMUNITY HEALTH PLAN OF WASHINGTON	Community HealthFirst Medicare Advantage Plan	www.chpw.org	H5826	005	2007	01	01	1	Community HealthFirst MA SNP		Eastern and Western Washington State	2	0		1	3	1	2	2		(800)-833-6388	(800)-833-6388	(800)-942-0247	(800)-944-1247		(800)-942-0247	(800)-944-1247	(800)-833-6388	
H5826	006	0	1	01	01	H5826_006_0	1		COMMUNITY HEALTH PLAN OF WASHINGTON	Community HealthFirst Medicare Advantage Plan	www.chpw.org	H5826	006	2007	01	01	1	Community HealthFirst MA (Urban)		Western Washington and Spokane County	2	0		2				2		(800)-833-6388	(800)-833-6388	(800)-942-0247	(800)-944-1247					
H5826	007	0	1	01	01	H5826_007_0	1		COMMUNITY HEALTH PLAN OF WASHINGTON	Community HealthFirst Medicare Advantage Plan	www.chpw.org	H5826	007	2007	01	01	1	Community HealthFirst MA (Rural)		Eastern and Western Washington State	2	0		2				2		(800)-833-6388	(800)-833-6388	(800)-942-0247	(800)-944-1247					
H5826	008	0	1	01	01	H5826_008_0	3		COMMUNITY HEALTH PLAN OF WASHINGTON	Community HealthFirst Medicare Advantage Plan	www.chpw.org	H5826	008	2007	01	01	1	Community HealthFirst w/Pharmacy (Urban)		Western Washington and Spokane County	2	0		2				2		(800)-833-6388	(800)-833-6388	(800)-942-0247	(800)-944-1247		(800)-944-0156	(800)-944-1247	(800)-833-6388	
H5826	009	0	1	01	01	H5826_009_0	3		COMMUNITY HEALTH PLAN OF WASHINGTON	Community HealthFirst Medicare Advantage Plan	www.chpw.org	H5826	009	2007	01	01	1	Community HealthFirst w/Pharmacy (Rural)		Eastern and Western Washington State	2	0		2				2		(800)-833-6388	(800)-833-6388	(800)-942-0247	(800)-944-1247		(800)-944-0156	(800)-944-1247	(800)-833-6388	
H5832	001	0	1	01	01	H5832_001_0	3		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H5832	001	2007	01	01	1	Aetna Golden Medicare Value Plan		Oklahoma County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5832	002	0	1	01	01	H5832_002_0	3		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H5832	002	2007	01	01	1	Aetna Golden Medicare Premier Plan		Oklahoma County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-445-1796	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5832	003	0	1	01	01	H5832_003_0	3		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H5832	003	2007	01	01	1	Aetna Golden Medicare Value Plan		Tulsa County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-445-1796	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5832	004	0	1	01	01	H5832_004_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H5832	004	2007	01	01	1	Aetna Golden Medicare Premier Plan		Tulsa County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-445-1796	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5832	801	0	1	01	01	H5832_801_0	1		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H5832	801	2007	01	01	1	Aetna Golden Medicare Plan		Cleveland, Oklahoma and Tulsa Counties	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H5832	802	0	1	01	01	H5832_802_0	1		AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	H5832	802	2007	01	01	1	Aetna Golden Medicare Plan w/Rx CY		Cleveland, Oklahoma and Tulsa Counties	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-445-1796	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5838	001	0	1	01	01	H5838_001_0	6		COMMONWEALTH CARE ALLIANCE	Commonwealth Care Alliance	http://www.commonwealthcare.org	H5838	001	2007	01	01	1	Commonwealth Care Connection		Greater Boston and Springfield Areas	2	0		1	3	2	1	2		(866)-322-7357	(866)-322-7357	(866)-610-2273	(866)-610-2273	100	(866)-610-2273	(866)-610-2273		
H5839	001	0	1	09	04	H5839_001_0	8	1	STERLING LIFE INSURANCE COMPANY (MT)	Sterling Partners - Montana	www.sterlingplans.com	H5839	001	2007	04	09	1	Sterling Partners- Montana		Montana	2	0		2				2		(888)-858-8567	(888)-858-8567	(888)-858-8551	(888)-858-8572		(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
H5849	001	1	1	09	04	H5849_001_1	7	2	ARKANSAS BLUE CROSS AND BLUE SHIELD, A MUTUAL INS.	Arkansas Blue Cross  - Medi-Pak Advantage	www.arkansasbluecross.com	H5849	001	2007	04	09	1	Medi-Pak Advantage		All Counties in Arkansas	2	1	Northwest Arkansas	2				2		(888)-844-5530	(800)-370-5869	(866)-390-3369	(800)-392-2583	3975	(800)-952-8656	(800)-392-2583	(800)-952-8712	(800)-370-5869
H5849	001	2	1	09	04	H5849_001_2	7	2	ARKANSAS BLUE CROSS AND BLUE SHIELD, A MUTUAL INS.	Arkansas Blue Cross  - Medi-Pak Advantage	www.arkansasbluecross.com	H5849	001	2007	04	09	1	Medi-Pak Advantage		All Counties in Arkansas	2	2	Central Arkansas	2				2		(888)-844-5530	(800)-370-5869	(866)-390-3369	(800)-392-2583	3170	(800)-952-8656	(800)-392-2583	(800)-952-8712	(800)-370-5869
H5849	001	3	1	09	04	H5849_001_3	7	2	ARKANSAS BLUE CROSS AND BLUE SHIELD, A MUTUAL INS.	Arkansas Blue Cross  - Medi-Pak Advantage	www.arkansasbluecross.com	H5849	001	2007	04	09	1	Medi-Pak Advantage		All Counties in Arkansas	2	3	South and East Arkansas	2				2		(888)-844-5530	(800)-370-5869	(866)-390-3369	(800)-392-2583	1785	(800)-952-8656	(800)-392-2583	(800)-952-8712	(800)-370-5869
H5850	001	0	1	01	01	H5850_001_0	5		SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	H5850	001	2007	01	01	1	Summit Ideal Plan		Miami-Dade County	2	0		2				2		(800)-490-7704	(800)-490-7704	(800)-847-3995	(800)-356-7485	1005	(866)-797-8648	(800)-356-7485	(800)-490-7704	(800)-490-7704
H5850	002	0	1	01	01	H5850_002_0	5		SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	H5850	002	2007	01	01	1	Summit Maximum Plan		Dade, Broward and Palm Beach Counties	2	0		1	3	2	1	2		(800)-490-7704	(800)-490-7704	(800)-847-3995	(800)-356-7485	599	(866)-797-8648	(800)-356-7485	(800)-490-7704	(800)-490-7704
H5850	003	0	1	01	01	H5850_003_0	4		SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	H5850	003	2007	01	01	1	Summit Ideal Plan		Broward County	2	0		2				2		(800)-490-7704	(800)-490-7704	(800)-847-3995	(800)-356-7485	267	(866)-797-8648	(800)-356-7485	(800)-490-7704	(800)-490-7704
H5850	004	0	1	01	01	H5850_004_0	5		SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	H5850	004	2007	01	01	1	Summit Ideal Plan		Palm Beach County	2	0		2				2		(800)-490-7704	(800)-490-7704	(800)-847-3995	(800)-356-7485	124	(866)-797-8648	(800)-356-7485	(800)-490-7704	(800)-490-7704
H5850	005	0	1	01	01	H5850_005_0	5		SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	H5850	005	2007	01	01	1	Summit Ideal Plan		Martin County	2	0		2				2		(800)-490-7704	(800)-490-7704	(800)-847-3995	(800)-356-7485	77	(866)-797-8648	(800)-356-7485	(800)-490-7704	(800)-490-7704
H5850	006	0	1	01	01	H5850_006_0	6		SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	H5850	006	2007	01	01	1	Summit Plus Plan		Dade County	2	0		2				2		(800)-490-7704	(800)-490-7704	(800)-847-3995	(800)-356-7485	128	(866)-797-8648	(800)-356-7485	(800)-490-7704	(800)-490-7704
H5850	007	0	1	01	01	H5850_007_0	5		SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	H5850	007	2007	01	01	1	Summit Ideal Plan		St. Lucie County	2	0		2				2		(800)-490-7704	(800)-490-7704	(800)-847-3995	(800)-356-7485	77	(866)-797-8648	(800)-356-7485	(800)-490-7704	(800)-490-7704
H5850	008	0	1	01	01	H5850_008_0	5		SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	H5850	008	2007	01	01	1	Summit Maximum Plan		Martin and St. Lucie Counties	2	0		1	3	2	1	2		(800)-490-7704	(800)-490-7704	(800)-847-3995	(800)-356-7485	599	(866)-797-8648	(800)-356-7485	(800)-490-7704	(800)-490-7704
H5850	009	0	1	01	01	H5850_009_0	4		SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	H5850	009	2007	01	01	1	Summit Plus Plan		Martin and St. Lucie Counties	2	0		2				2		(800)-490-7704	(800)-490-7704	(800)-847-3995	(800)-356-7485	93	(866)-797-8648	(800)-356-7485	(800)-490-7704	(800)-490-7704
H5850	010	0	1	01	01	H5850_010_0	4		SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	H5850	010	2007	01	01	1	Summit Plus Plan		Broward and Palm Beach Counties	2	0		2				2		(800)-490-7704	(800)-490-7704	(800)-847-3995	(800)-356-7485	43	(866)-797-8648	(800)-356-7485	(800)-490-7704	(800)-490-7704
H5852	001	0	1	01	01	H5852_001_0	6		AIDS Healthcare Foundation	POSITIVE HEALTHCARE PARTNERS	WWW.POSITIVEHEALTHCARE.ORG	H5852	001	2007	01	01	1	Positive Healthcare Partners		LOS ANGELES COUNTY	2	0		1	4	2	2	1	1	(800)-735-2929	(800)-735-2929	(800)-263-0067	(800)-263-0067	520	(800)-263-0067	(800)-263-0067	(800)-735-2929	(800)-735-2929
H5854	002	0	1	01	01	H5854_002_0	4		ANTHEM HEALTH PLANS, INC	Anthem Blue Cross and Blue Shield	www.anthem.com	H5854	002	2007	01	01	1	MediBlue HMO Plus		Fairfield, Hartford and New Haven counties	2	0		2				2		(800)-241-6894	(800)-241-6894	(866)-673-4157	(800)-238-1143	61	(866)-673-4157	(800)-238-1143	(800)-241-6894	(800)-241-6894
H5854	003	0	1	01	01	H5854_003_0	4		ANTHEM HEALTH PLANS, INC	Anthem Blue Cross and Blue Shield	www.anthem.com	H5854	003	2007	01	01	1	MediBlue HMO Select		Fairfield, Hartford and New Haven counties	2	0		2				2		(800)-241-6894	(800)-241-6894	(866)-673-4157	(800)-238-1143	122	(866)-673-4157	(800)-238-1143	(800)-241-6894	(800)-241-6894
H5854	004	0	1	01	01	H5854_004_0	3		ANTHEM HEALTH PLANS, INC	Anthem Blue Cross and Blue Shield	www.anthem.com	H5854	004	2007	01	01	1	MediBlue HMO Classic		Fairfield, Hartford and New Haven counties	2	0		2				2		(800)-241-6894	(800)-241-6894	(866)-673-4157	(800)-238-1143	61				
H5854	801	0	1	01	01	H5854_801_0	2		ANTHEM HEALTH PLANS, INC	Anthem Blue Cross and Blue Shield	www.anthem.com	H5854	801	2007	01	01	1	MediBlue HMO Plus		Connecticut	1	0		2				2		(800)-241-6894	(800)-241-6894	(866)-673-4157	(800)-238-1143	65	(866)-673-4157	(800)-238-1143	(800)-241-6894	(800)-241-6894
H5854	802	0	1	01	01	H5854_802_0	6		ANTHEM HEALTH PLANS, INC	Anthem Blue Cross and Blue Shield	www.anthem.com	H5854	802	2007	01	01	1	MediBlue HMO Plus		Connecticut	1	0		2				2		(800)-241-6894	(800)-241-6894	(866)-673-4157	(800)-238-1143	195	(866)-673-4157	(800)-238-1143	(800)-241-6894	(800)-241-6894
H5854	803	0	1	01	01	H5854_803_0	4		ANTHEM HEALTH PLANS, INC	Anthem Blue Cross and Blue Shield	www.anthem.com	H5854	803	2007	01	01	1	MediBlue HMO Essential		Connecticut	1	0		2				2		(800)-241-6894	(800)-241-6894	(866)-673-4157	(800)-238-1143	16				
H5854	804	0	1	01	01	H5854_804_0	2		ANTHEM HEALTH PLANS, INC	Anthem Blue Cross and Blue Shield	www.anthem.com	H5854	804	2007	01	01	1	MediBlue HMO Classic		Connecticut	1	0		2				2		(800)-241-6894	(800)-241-6894	(866)-673-4157	(800)-238-1143	49				
H5859	001	0	1	01	01	H5859_001_0	4		HEALTH PLAN OF CAREOREGON, INC.	CareOregon Advantage	http://www.careoregonadvantage.org	H5859	001	2007	01	01	1	CareOregon Advantage		Portland Metro Area, Salem Area, Northwest Area	2	0		1	3	2	1	2		(877)-416-4161	(877)-416-4161	(800)-224-4840	(800)-224-4840	5910	(800)-224-4840	(800)-224-4840	(877)-416-4161	(877)-416-4161
H5862	001	0	1	09	04	H5862_001_0	4	2	BLUE CROSS OF IDAHO HEALTH SERVICES, INC.	Flexi Blue	bcidaho.com	H5862	001	2007	04	09	1	Flexi Blue		State of Idaho	2	0		2				2		(800)-377-1363	(800)-377-1363	(888)-494-2583	(888)-492-2583	1060	(888)-494-2583	(888)-492-2583	(800)-377-1363	(800)-377-1363
H5880	001	0	1	01	01	H5880_001_0	4		VOLUNTEER STATE HEALTH PLAN, INC	Volunteer State Health Plan	ww.bcbst.com	H5880	001	2007	01	01	1	BlueAdvantage Complete		Knox County	2	0		1	3	2	1	2		(888)-423-9490	(877)-664-6422	(800)-841-7434	(800)-292-5146	165	(800)-841-7434	(800)-292-5146	(888)-423-9490	(877)-646-6422
H5883	001	1	1	01	01	H5883_001_1	5		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	001	2007	01	01	1	BCN Advantage		Option 1	2	1	Kent, Newaygo, Ottawa counties	2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	78				
H5883	001	2	1	01	01	H5883_001_2	6		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	001	2007	01	01	1	BCN Advantage		Option 1	2	2	Cnty: Clin, Eat, Ing, Kzoo, Barry, Grat, Ion, Mid	2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	50				
H5883	001	3	1	01	01	H5883_001_3	6		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	001	2007	01	01	1	BCN Advantage		Option 1	2	3	Cnty: Calh, Jack, Liv, Monroe, Mont, Wash	2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	120				
H5883	001	4	1	01	01	H5883_001_4	6		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	001	2007	01	01	1	BCN Advantage		Option 1	2	4	Cnty: Bay, Gen, Lap, Musk, Sag, Shia, Tus	2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	89				
H5883	001	5	1	01	01	H5883_001_5	6		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	001	2007	01	01	1	BCN Advantage		Option 1	2	5	Macomb, Oakland, St. Clair, Wayne counties	2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	151				
H5883	002	1	1	01	01	H5883_002_1	10		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	002	2007	01	01	1	BCN Advantage		Option 2	2	1	Kent, Newaygo, Ottawa counties	2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	88	(800)-450-3680	(866)-966-2583	(800)-430-3211	(800)-431-7944
H5883	002	2	1	01	01	H5883_002_2	9		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	002	2007	01	01	1	BCN Advantage		Option 2	2	2	Cnty: Clin, Eat, Ing, Kzoo, Barry, Grat, Ion, Mid	2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	105	(800)-450-3680	(866)-966-2583	(800)-430-3211	(800)-431-7944
H5883	002	3	1	01	01	H5883_002_3	9		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	002	2007	01	01	1	BCN Advantage		Option 2	2	3	Cnty: Calh, Jack, Liv, Monroe, Mont, Wash	2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	201	(800)-450-3680	(866)-966-2583	(800)-430-3211	(800)-431-7944
H5883	002	4	1	01	01	H5883_002_4	9		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	002	2007	01	01	1	BCN Advantage		Option 2	2	4	Cnty: Bay, Gen, Lap, Musk, Sag, Shia, Tus	2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	171	(800)-450-3680	(866)-966-2583	(800)-430-3211	(800)-431-7944
H5883	002	7	1	01	01	H5883_002_7	9		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	002	2007	01	01	1	BCN Advantage		Option 2	2	7	Macomb, Oakland, St. Clair, Wayne counties	2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	549	(800)-450-3680	(866)-966-2583	(800)-430-3211	(800)-431-7944
H5883	003	1	1	01	01	H5883_003_1	8		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	003	2007	01	01	1	BCN Advantage		Option 3	2	1	Kent, Newaygo, Ottawa counties	2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	1542	(800)-450-3680	(866)-966-2583	(800)-430-3211	(800)-431-7944
H5883	003	2	1	01	01	H5883_003_2	8		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	003	2007	01	01	1	BCN Advantage		Option 3	2	2	Cnty: Clin, Eat, Ing, Kzoo, Barry, Grat, Ion, Mid	2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	2066	(800)-450-3680	(866)-966-2583	(800)-430-3211	(800)-431-7944
H5883	003	3	1	01	01	H5883_003_3	9		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	003	2007	01	01	1	BCN Advantage		Option 3	2	3	Cnty: Calh, Jack, Liv, Monroe, Mont, Wash	2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	918	(800)-450-3680	(866)-966-2583	(800)-430-3211	(800)-431-7944
H5883	003	4	1	01	01	H5883_003_4	8		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	003	2007	01	01	1	BCN Advantage		Option 3	2	4	Cnty: Bay, Gen, Lap, Musk, Sag, Shia, Tus	2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	2454	(800)-450-3680	(866)-966-2583	(800)-430-3211	(800)-431-7944
H5883	003	5	1	01	01	H5883_003_5	8		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	003	2007	01	01	1	BCN Advantage		Option 3	2	5	Macomb, Oakland, St. Clair, Wayne counties	2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	3717	(800)-450-3680	(866)-966-2583	(800)-430-3211	(800)-431-7944
H5883	801	0	1	01	01	H5883_801_0	4		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	801	2007	01	01	1	BCN Advantage		Employer Group	1	0		2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	509				
H5883	802	0	1	01	01	H5883_802_0	4		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	802	2007	01	01	1	BCN Advantage		Employer Group	1	0		2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	509				
H5883	803	0	1	01	01	H5883_803_0	4		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	803	2007	01	01	1	BCN Advantage		Employer Group	1	0		2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	509				
H5883	804	0	1	01	01	H5883_804_0	4		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	804	2007	01	01	1	BCN Advantage		Employer Group	1	0		2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	509				
H5883	805	0	1	01	01	H5883_805_0	4		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	805	2007	01	01	1	BCN Advantage		Employer Group	1	0		2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	509	(800)-450-3680	(866)-966-2583	(800)-430-3211	(800)-431-7944
H5883	806	0	1	01	01	H5883_806_0	4		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	806	2007	01	01	1	BCN Advantage		Employer Group	1	0		2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	509	(800)-450-3680	(866)-966-2583	(800)-430-3211	(800)-431-7944
H5883	807	0	1	01	01	H5883_807_0	4		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	807	2007	01	01	1	BCN Advantage		Employer Group	1	0		2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	509	(800)-450-3680	(866)-966-2583	(800)-430-3211	(800)-431-7944
H5883	808	0	1	01	01	H5883_808_0	4		BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	H5883	808	2007	01	01	1	BCN Advantage		Employer Group	1	0		2				2		(800)-430-3211	(800)-431-7944	(800)-450-3680	(866)-966-2583	509	(800)-450-3680	(866)-966-2583	(800)-430-3211	(800)-431-7944
H5884	001	1	1	09	04	H5884_001_1	1	2	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst.com	H5884	001	2007	04	09	1	BlueAdvantage		State of Tennessee	2	1	Middle and Western Tennessee	2				2		(888)-423-9490	(877)-664-6422	(800)-841-7434	(800)-292-5146	197				
H5884	001	2	1	09	04	H5884_001_2	1	2	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst.com	H5884	001	2007	04	09	1	BlueAdvantage		State of Tennessee	2	2	Southeast and Northeast Tennessee	2				2		(888)-423-9490	(877)-664-6422	(800)-841-7434	(800)-292-5146	184				
H5884	002	1	1	09	04	H5884_002_1	3	2	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst.com	H5884	002	2007	04	09	1	BlueAdvantageChoice		State of Tennessee	2	1	Middle and Western Tennessee	2				2		(888)-423-9490	(877)-664-6422	(800)-841-7434	(800)-292-5146	984	(800)-841-7434	(800)-292-5146	(888)-423-9490	(877)-646-6422
H5884	002	2	1	09	04	H5884_002_2	3	2	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst.com	H5884	002	2007	04	09	1	BlueAdvantageChoice		State of Tennessee	2	2	Southeast and Northeast Tennessee	2				2		(888)-423-9490	(877)-664-6422	(800)-841-7434	(800)-292-5146	922	(800)-841-7434	(800)-292-5146	(888)-423-9490	(877)-646-6422
H5884	003	1	1	09	04	H5884_003_1	3	2	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst.com	H5884	003	2007	04	09	1	BlueAdvantage Gold		State of Tennessee	2	1	Middle and Western Tennessee	2				2		(888)-423-9490	(877)-664-6422	(800)-841-7434	(800)-292-5146	1967	(800)-841-7434	(888)-578-6775	(888)-423-9490	(800)-257-3384
H5884	003	2	1	09	04	H5884_003_2	3	2	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst.com	H5884	003	2007	04	09	1	BlueAdvantage Gold		State of Tennessee	2	2	Southeast and Northeast Tennessee	2				2		(888)-423-9490	(877)-664-6422	(800)-841-7434	(800)-292-5146	1844	(800)-841-7434	(888)-578-6775	(888)-423-9490	(800)-257-3384
H5884	004	1	1	09	04	H5884_004_1	4	2	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst.com	H5884	004	2007	04	09	1	BlueAdvantage Platinum		State of Tennessee	2	1	Middle and Western Tennessee	2				2		(888)-423-9490	(877)-664-6422	(800)-841-7434	(800)-292-5146	787	(800)-841-7434	(888)-578-6775	(888)-423-9490	(800)-257-3384
H5884	004	2	1	09	04	H5884_004_2	4	2	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst.com	H5884	004	2007	04	09	1	BlueAdvantage Platinum		State of Tennessee	2	2	Southeast and Northeast Tennessee	2				2		(888)-423-9490	(877)-664-6422	(800)-841-7434	(800)-292-5146	738	(800)-841-7434	(888)-578-6775	(888)-423-9490	(800)-257-3384
H5884	801	0	1	09	04	H5884_801_0	3	2	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst.com	H5884	801	2007	04	09	1	BlueAdvantage		National	1	0		2				2		(888)-423-9490	(877)-664-6422	(800)-841-7434	(800)-292-5146	4				
H5884	802	0	1	09	04	H5884_802_0	3	2	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst.com	H5884	802	2007	04	09	1	BlueAdvantagePlus		National	1	0		2				2		(888)-423-9490	(877)-664-6422	(800)-841-7434	(800)-292-5146	39	(800)-841-7434	(888)-578-6775	(888)-423-9490	(800)-257-3384
H5884	803	0	1	09	04	H5884_803_0	3	2	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst.com	H5884	803	2007	04	09	1	BlueAdvantage		National	1	0		2				2		(888)-423-9490	(877)-664-6422	(800)-841-7434	(800)-292-5146	4				
H5884	804	0	1	09	04	H5884_804_0	3	2	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst.com	H5884	804	2007	04	09	1	BlueAdvantagePlus		National	1	0		2				2		(888)-423-9490	(877)-664-6422	(800)-841-7434	(800)-292-5146	39	(800)-841-7434	(888)-578-6775	(888)-423-9490	(800)-257-3384
H5887	001	0	1	01	01	H5887_001_0	5		FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	H5887	001	2007	01	01	1	FirstCare Plus		Entire Island Puerto Rico	2	0		2				2		(877)-672-4242	(877)-672-4242	(866)-515-5885	(866)-515-5885	2000	(866)-515-5885	(866)-515-5885	(877)-672-4242	(877)-672-4242
H5887	004	0	1	01	01	H5887_004_0	5		FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	H5887	004	2007	01	01	1	First Plus Medicare Platino		Entire Island Puerto Rico	2	0		1	3	1	2	2		(877)-672-4242	(877)-672-4242	(866)-515-5885	(866)-515-5885	7000	(866)-515-5885	(866)-515-5885	(877)-672-4242	(877)-672-4242
H5887	005	0	1	01	01	H5887_005_0	1		FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	H5887	005	2007	01	01	1	First Plus Medicare Platino 2		Entire Island Puerto Rico	2	0		1	3	1	2	2		(877)-672-4242	(877)-672-4242	(866)-515-5885	(866)-515-5885	100	(866)-515-5885	(866)-515-5885	(877)-672-4242	(877)-672-4242
H5893	001	0	1	01	01	H5893_001_0	1		ELDER CARE HEALTH PLAN, INC.	Elder Care Health Plan, Inc	www.eldercarehalthplan.org	H5893	001	2007	01	01	1	Elder Care InFocus Health		Columbia, Dane, Dodge & Sauk Counties, Wisconsin	2	0		1	1	2	2	2		(800)-947-3529	(800)-947-3529	(800)-963-0035	(800)-963-0035	60	(800)-963-0035	(800)-963-0035	(800)-947-3529	(800)-947-3529
H5893	002	0	1	01	01	H5893_002_0	2		ELDER CARE HEALTH PLAN, INC.	Elder Care Health Plan, Inc	www.eldercarehalthplan.org	H5893	002	2007	01	01	1	Elder Care Reliance Health		Columbia, Dane, Dodge & Sauk Counties, Wisconsin	2	0		1	4	2	2	2		(800)-947-3529	(800)-947-3529	(800)-963-0035	(800)-963-0035	400	(800)-963-0035	(800)-963-0035	(800)-947-3529	(800)-947-3529
H5895	001	0	1	01	01	H5895_001_0	3		CONTRA COSTA CO MED SVCS DBA CONTRA COSTA HEALTH	Contra Costa Health Plan	http://www.cchealth.org/health_plan/	H5895	001	2007	01	01	1	SelectCare		Contra Costa County	2	0		1	3	1	2	2		(800)-735-2929	(800)-735-2929	(877)-661-6230	(877)-661-6230		(877)-661-6230	(877)-661-6230	(800)-735-2929	(800)-735-2929
H5896	001	0	1	01	01	H5896_001_0	6		AMERIGROUP MARYLAND, INC.	AMERIGROUP Maryland, Inc.	www.myamerigroup.com	H5896	001	2007	01	01	1	AMERIVANTAGE Special Needs Plan		Baltimore Metro Area	2	0		1	3	1	2	2		(800)-855-2880	(800)-855-2880	(800)-600-4441	(800)-600-4441	2000	(866)-236-7466	(800)-600-4441		(800)-855-2880
H5908	001	0	1	09	04	H5908_001_0	7	2	SUN HEALTH MEDISUN, INC.	MediSun Private Fee For Service	www.medisun.com	H5908	001	2007	04	09	1	Sun Health MediSun CareOptions		MediSun CareOptions, NW Maricopa County	2	0		2				2		(623)-974-7440	(623)-974-7440	(800)-446-8331	(800)-446-8331	18000				
H5909	001	0	1	38	05	H5909_001_0	3		AMERICAN PROGRESSIVE LIFE & HEALTH OF NEW YORK	Fresenius Medical Care Health Plan	www.fmchp.com	H5909	001	2007	05	38	1	Fresenius Medical Care Health Plan		Fresenius Medical Care Health Plan	2	0		2				2		(866)-338-4681	(866)-338-4681	(866)-660-4728	(866)-660-4728	50				
H5918	001	0	1	37	05	H5918_001_0	3		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insuance Company	www.ericksonadvantage.com	H5918	001	2007	05	37	1	Erickson Advantage Signature with Drugs		Monmouth and Morris Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839		(866)-314-8188	(800)-704-7839	(888)-685-8480	(888)-685-8480
H5918	002	0	1	37	05	H5918_002_0	3		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insuance Company	www.EvercareHealthPlans.com	H5918	002	2007	05	37	1	Erickson Advantage Signature without Drugs		Monmouth and Morris Counties	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839					
H5918	003	0	1	37	05	H5918_003_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insuance Company	www.ericksonadvantage.com	H5918	003	2007	05	37	1	Erickson Advantage Guardian		Monmouth and Morris Counties	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839		(866)-314-8188	(800)-704-7839	(888)-685-8480	(888)-685-8480
H5918	004	0	1	37	05	H5918_004_0	4		UNITED HEALTHCARE INSURANCE COMPANY	United HealthCare Insuance Company	www.ericksonadvantage.com	H5918	004	2007	05	37	1	Erickson Advantage Champion		Monmouth and Morris Counties	2	0		1	4	2	2	2		(888)-685-8480	(888)-685-8480	(866)-314-8188	(800)-704-7839		(866)-314-8188	(800)-704-7839	(888)-685-8480	(888)-685-8480
H5926	001	0	1	01	01	H5926_001_0	5		MOLINA HEALTHCARE OF MICHIGAN	Molina Healthcare of Michigan	www.molinahealthcare.com	H5926	001	2007	01	01	1	Molina Advantage		Detroit/Flint Metro area; Grand Rapids Metro area	2	0		1	3	1	2	1	1	(248)-925-1700	(800)-649-3777	(800)-665-3072	(800)-665-3072	3000	(800)-665-3072	(800)-665-3072	(248)-925-1700	(248)-925-1700
H5928	001	0	1	01	01	H5928_001_0	5		CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	H5928	001	2007	01	01	1	Care1st Health Plan		Care1st Health Plan	2	0		1	3	2	1	2		(626)-299-4299	(626)-299-4299	(800)-605-2556	(866)-820-6009	315	(800)-605-2556	(866)-820-6009	(626)-299-4299	(626)-299-4299
H5928	002	0	1	01	01	H5928_002_0	7		CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	H5928	002	2007	01	01	1	Care1st Health Plan		Care 1st Health Plan	2	0		2				1	1	(626)-299-4299	(626)-299-4299	(800)-605-2556	(866)-820-6009	150	(800)-605-2556	(866)-820-6009	(626)-299-4299	(626)-299-4299
H5932	001	0	1	01	01	H5932_001_0	6		GATEWAY HEALTH PLAN, INC.	Gateway Health Plan Medicare Assured	www.gatewayhealthplan.com	H5932	001	2007	01	01	1	Gateway Health Plan Medicare Assured		Southwestern and Lehigh/Capital Pennsylvania	2	0		1	3	1	2	2		(800)-654-5988	(800)-654-5988	(800)-685-5209	(877)-428-3929	24880	(800)-685-5209	(877)-428-3929	(800)-654-5988	(800)-654-5988
H5936	001	0	1	01	01	H5936_001_0	6		AMERICAN PIONEER LIFE INSURANCE COMPANY	American Pioneer Life Insurance Company	www.aplfl.com	H5936	001	2007	01	01	1	American Pioneer Life Insurance Company		FloridianCare Plus--South Florida	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3514	(866)-553-0397		(800)-817-3514	(866)-553-0397	(866)-338-4681	(866)-338-4681
H5936	003	0	1	01	01	H5936_003_0	3		AMERICAN PIONEER LIFE INSURANCE COMPANY	American Pioneer Life Insurance Company	www.aplfl.com	H5936	003	2007	01	01	1	American Pioneer Life Insurance Company		FloridianCare Choice	2	0		1	3	2	1	2		(866)-338-4681	(866)-338-4681	(866)-353-0351	(866)-553-0397		(866)-353-0351	(866)-553-0397	(866)-338-4681	(866)-338-4681
H5936	004	0	1	01	01	H5936_004_0	4		AMERICAN PIONEER LIFE INSURANCE COMPANY	American Pioneer Life Insurance Company	www.aplfl.com	H5936	004	2007	01	01	1	American Pioneer Life Insurance Company		FloridianCare Value--South Florida	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3514	(866)-553-0397					
H5936	005	0	1	01	01	H5936_005_0	5		AMERICAN PIONEER LIFE INSURANCE COMPANY	American Pioneer Life Insurance Company	www.aplfl.com	H5936	005	2007	01	01	1	American Pioneer Life Insurance Company		FloridianCare Plus--Central Florida	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3516	(866)-553-0399		(800)-817-3516	(866)-553-0399	(866)-338-4681	(866)-338-4681
H5936	006	0	1	01	01	H5936_006_0	4		AMERICAN PIONEER LIFE INSURANCE COMPANY	American Pioneer Life Insurance Company	www.aplfl.com	H5936	006	2007	01	01	1	American Pioneer Life Insurance Company		FloridianCare Complete--Central Florida	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3516	(866)-553-0399		(800)-817-3516	(866)-553-0399	(866)-338-4681	(866)-338-4681
H5936	007	0	1	01	01	H5936_007_0	4		AMERICAN PIONEER LIFE INSURANCE COMPANY	American Pioneer Life Insurance Company	www.aplfl.com	H5936	007	2007	01	01	1	American Pioneer Life Insurance Company		FloridianCare Value--Central Florida	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3516	(866)-553-0399					
H5936	008	0	1	01	01	H5936_008_0	6		AMERICAN PIONEER LIFE INSURANCE COMPANY	American Pioneer Life Insurance Company	www.aplfl.com	H5936	008	2007	01	01	1	American Pioneer Life Insurance Company		FloridianCare Plus--NE Florida	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3514	(866)-553-0397		(800)-817-3514	(866)-553-0397	(866)-338-4681	(866)-338-4681
H5936	009	0	1	01	01	H5936_009_0	5		AMERICAN PIONEER LIFE INSURANCE COMPANY	American Pioneer Life Insurance Company	www.aplfl.com	H5936	009	2007	01	01	1	American Pioneer Life Insurance Company		FloridianCare Complete--NE Florida	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3514	(866)-553-0397		(800)-817-3514	(866)-553-0397	(866)-338-4681	(866)-338-4681
H5936	010	0	1	01	01	H5936_010_0	5		AMERICAN PIONEER LIFE INSURANCE COMPANY	American Pioneer Life Insurance Company	www.aplfl.com	H5936	010	2007	01	01	1	American Pioneer Life Insurance Company		FloridianCare Value--NE Florida	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3514	(866)-553-0397					
H5936	011	0	1	01	01	H5936_011_0	3		AMERICAN PIONEER LIFE INSURANCE COMPANY	American Pioneer Life Insurance Company	www.aplfl.com	H5936	011	2007	01	01	1	American Pioneer Life Insurance Company		Tribute	2	0		1	1	2	2	2		(866)-338-4681	(866)-338-4681	(866)-353-0351	(866)-553-0397		(866)-353-0351	(866)-553-0397	(866)-338-4681	(866)-338-4681
H5936	013	0	1	01	01	H5936_013_0	7		AMERICAN PIONEER LIFE INSURANCE COMPANY	American Pioneer Life Insurance Company	www.aplfl.com	H5936	013	2007	01	01	1	American Pioneer Life Insurance Company		FloridianCare Plus--Miami-Dade	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3514	(866)-553-0397		(800)-817-3514	(866)-553-0397	(866)-338-4681	(866)-338-4681
H5936	014	0	1	01	01	H5936_014_0	5		AMERICAN PIONEER LIFE INSURANCE COMPANY	American Pioneer Life Insurance Company	www.aplfl.com	H5936	014	2007	01	01	1	American Pioneer Life Insurance Company		FloridianCare Value--Miami-Dade	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3514	(866)-553-0397					
H5936	807	0	1	01	01	H5936_807_0	2		AMERICAN PIONEER LIFE INSURANCE COMPANY	American Pioneer Life Insurance Company	www.aplfl.com	H5936	807	2007	01	01	1	American Pioneer Life Insurance Company		FloridianCare--Employer Group--Florida	1	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3514	(866)-553-0397		(800)-817-3514	(866)-553-0397	(866)-338-4681	(866)-338-4681
H5936	808	0	1	01	01	H5936_808_0	2		AMERICAN PIONEER LIFE INSURANCE COMPANY	American Pioneer Life Insurance Company	www.aplfl.com	H5936	808	2007	01	01	1	American Pioneer Life Insurance Company		FloridianCare--Employer Group--Florida	1	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3514	(866)-553-0397		(800)-817-3514	(866)-553-0397	(866)-338-4681	(866)-338-4681
H5936	809	0	1	01	01	H5936_809_0	2		AMERICAN PIONEER LIFE INSURANCE COMPANY	American Pioneer Life Insurance Company	www.aplfl.com	H5936	809	2007	01	01	1	American Pioneer Life Insurance Company		FloridianCare--Employer Group--Florida	1	0		2				2		(866)-338-4681	(866)-338-4681	(800)-817-3514	(866)-553-0397					
H5938	001	0	1	01	01	H5938_001_0	5		CAPITAL HEALTH PLAN	Capital Health Plan Advantage	www.capitalhealth.com	H5938	001	2007	01	01	1	Capital Health Plan Advantage Plus		Leon, Gadsden, Wakulla, Jefferson counties	2	0		2				2		(800)-955-8771	(800)-955-8771	(800)-390-1434	(800)-390-1434	2500	(800)-390-1434	(800)-390-1434	(800)-955-8771	(800)-955-8771
H5938	006	0	1	01	01	H5938_006_0	4		CAPITAL HEALTH PLAN	Capital Health Plan Advantage	www.capitalhealth.com	H5938	006	2007	01	01	1	Capital Health Plan Preferred Advantage		Gadsden, Jefferson, Leon, Wakulla Counties	2	0		2				2		(800)-955-8771	(800)-955-8771	(800)-390-1434	(800)-390-1434	2500	(800)-390-1434	(800)-390-1434	(800)-955-8771	(800)-955-8771
H5938	801	0	1	01	01	H5938_801_0	2		CAPITAL HEALTH PLAN	Capital Health Plan Advantage	www.capitalhealth.com	H5938	801	2007	01	01	1	Capital Health Plan Retiree Advantage		Leon. Gadsden. Wakulla, Jefferson	1	0		2				2		(800)-955-8771	(800)-955-8771	(800)-390-1434	(800)-390-1434	0				
H5938	802	0	1	01	01	H5938_802_0	4		CAPITAL HEALTH PLAN	Capital Health Plan Advantage	www.capitalhealth.com	H5938	802	2007	01	01	1	Capital Health Plan Retiree Advantage Plus		Leon, Gadsden, Wakulla, Jefferson	1	0		2				2		(800)-955-8771	(800)-955-8771	(800)-390-1434	(800)-390-1434	3500	(800)-390-1434	(800)-390-1434	(800)-955-8771	(800)-955-8771
H5938	803	0	1	01	01	H5938_803_0	3		CAPITAL HEALTH PLAN	Capital Health Plan Advantage	www.capitalhealth.com	H5938	803	2007	01	01	1	Capital Health Plan Retiree Advantage		Leon, Gadsden, Wakulla, Jefferson	1	0		2				2		(800)-955-8771	(800)-955-8771	(800)-390-1434	(800)-390-1434	0				
H5938	804	0	1	01	01	H5938_804_0	4		CAPITAL HEALTH PLAN	Capital Health Plan Advantage	www.capitalhealth.com	H5938	804	2007	01	01	1	Capital Health Plan Retiree Advantage Plus		Leon, Gadsden, Wakulla, Jefferson	1	0		2				2		(800)-955-8771	(800)-955-8771	(800)-390-1434	(800)-390-1434	500	(800)-390-1434	(800)-390-1434	(800)-955-8771	(800)-955-8771
H5943	001	0	1	39	05	H5943_001_0	11		SCAN HEALTH PLAN	VillageHealth	www.villagehealth.com	H5943	001	2007	05	39	1	VillageHealth		VillageHealth	2	0		1	4	2	2	2		(877)-586-1648	(877)-586-1648	(877)-586-1648	(877)-916-1234	1000	(877)-586-1648	(877)-916-1234	(877)-586-1648	(877)-586-1648
H5948	001	0	1	01	01	H5948_001_0	8		ARTA MEDICARE HEALTH PLAN, INC.	Arta Medicare Health Plan	www.artamedicare.com	H5948	001	2007	01	01	1	Arta Gold		Orange County Arta Gold	2	0		2				2		(800)-735-2922	(800)-735-2922	(866)-376-8294	(866)-376-8294	328	(866)-376-8294	(866)-376-8294	(800)-735-2922	(800)-735-2922
H5948	002	0	1	01	01	H5948_002_0	7		ARTA MEDICARE HEALTH PLAN, INC.	Arta Medicare Health Plan	www.artamedicare.com	H5948	002	2007	01	01	1	Arta Select		Orange County Arta Select	2	0		1	3	1	2	2		(800)-735-2922	(800)-735-2922	(866)-578-3789	(866)-578-3789	1312	(866)-578-3789	(866)-578-3789	(800)-735-2922	(800)-735-2922
H5949	001	0	1	01	01	H5949_001_0	3		SENIOR WHOLE HEALTH, LLC	Senior Whole Health of Connecticut	www.seniorwholehealth.com	H5949	001	2007	01	01	1	Senior Whole Health of Connecticut		Senior Whole Health of Connecticut	2	0		1	3	1	2	2		(888)-749-6455	(888)-749-6455	(888)-794-7268	(888)-794-7268	978	(888)-794-7268	(888)-794-7268	(888)-749-6455	(888)-749-6455
H5950	001	0	1	01	01	H5950_001_0	5		AETNA HEALTH INC.	Aetna Medicare	http://www. aetnamedicare.com	H5950	001	2007	01	01	1	Aetna Golden Medicare Value Plan		Shelby County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5950	002	0	1	01	01	H5950_002_0	5		AETNA HEALTH INC.	Aetna Medicare	http://www. aetnamedicare.com	H5950	002	2007	01	01	1	Aetna Golden Medicare Standard Plan		Shelby County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5950	003	0	1	01	01	H5950_003_0	4		AETNA HEALTH INC.	Aetna Medicare	http://www. aetnamedicare.com	H5950	003	2007	01	01	1	Aetna Golden Medicare Premier Plan		Shelby County	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5950	801	0	1	01	01	H5950_801_0	1		AETNA HEALTH INC.	Aetna Medicare	http://www. aetnamedicare.com	H5950	801	2007	01	01	1	Aetna Golden Medicare Plan		Shelby County	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
H5950	802	0	1	01	01	H5950_802_0	1		AETNA HEALTH INC.	Aetna Medicare	http://www. aetnamedicare.com	H5950	802	2007	01	01	1	Aetna Golden Medicare Plan w/Rx CY		Shelby County	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
H5952	001	0	1	09	04	H5952_001_0	3	2	CAMBRIDGE LIFE INSURANCE COMPANY	Advantra Private Fee For Service	www.tbd.com	H5952	001	2007	04	09	1	Advantra Private Fee For Service		Select counties in New York State	2	0		2				2		(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999	500	(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999
H5952	801	0	1	09	04	H5952_801_0	4	2	CAMBRIDGE LIFE INSURANCE COMPANY	Advantra Private Fee For Service	www.tbd.com	H5952	801	2007	04	09	1	Advantra PFFS-EGO-Part D-CY		United States and Territories	1	0		2				2		(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999	25	(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999
H5952	802	0	1	09	04	H5952_802_0	2	2	CAMBRIDGE LIFE INSURANCE COMPANY	Advantra Private Fee For Service	www.tbd.com	H5952	802	2007	04	09	1	Advantra PFFS-EGO-Part D-Non-CY		United States and Territories	1	0		2				2		(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999	25	(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999
H5952	803	0	1	09	04	H5952_803_0	2	2	CAMBRIDGE LIFE INSURANCE COMPANY	Advantra Private Fee For Service	www.tbd.com	H5952	803	2007	04	09	1	Advantra PFFS-EGO-MA Only-CY		United States and Territories	1	0		2				2		(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999	25				
H5952	804	0	1	09	04	H5952_804_0	2	2	CAMBRIDGE LIFE INSURANCE COMPANY	Advantra Private Fee For Service	www.tbd.com	H5952	804	2007	04	09	1	Advantra PFFS-EGO-MA Only-Non CY		United States and Territories	1	0		2				2		(999)-999-9999	(999)-999-9999	(999)-999-9999	(999)-999-9999	25				
H5962	001	0	1	38	05	H5962_001_0	5		STERLING LIFE INSURANCE COMPANY	Fresenius Medical Care Health Plan, Inc. - Texas	www.sterlingplans.com	H5962	001	2007	05	38	1	FRESENIUS MEDICAL CARE HEALTH PLAN		Texas	2	0		2				2		(888)-858-8567	(888)-858-8567	(888)-207-0762	(800)-866-1612					
H5969	001	0	1	01	01	H5969_001_0	7		ALOHACARE	AlohaCare	http://www.alohacarehawaii.org/	H5969	001	2007	01	01	1	AlohaCare Advantage		State of Hawaii	2	0		2				2		(877)-447-5990	(877)-447-5990	(866)-973-6395	(866)-973-6395	510	(866)-973-6395	(866)-973-6395	(877)-447-5990	(877)-447-5990
H5969	002	0	1	01	01	H5969_002_0	6		ALOHACARE	AlohaCare	http://www.alohacarehawaii.org/	H5969	002	2007	01	01	1	AlohaCare Advantage Plus		State of Hawaii	2	0		1	3	2	1	2		(877)-447-5990	(877)-447-5990	(866)-973-6395	(866)-973-6395	796	(866)-973-6395	(866)-973-6395	(877)-447-5990	(877)-447-5990
H5980	001	0	1	01	01	H5980_001_0	21		FIDELIS SECURECARE OF TEXAS, INC.	Fidelis SecureCare of Texas, Inc.	www.fidelissc.com	H5980	001	2007	01	01	1	Fidelis Medicare Plus		Eastern Texas Area	2	0		1	1	2	2	2		(888)-844-5530	(888)-844-5530	(866)-795-7773	(866)-795-7773	90	(866)-795-7773	(866)-795-7773	(888)-844-5530	(888)-844-5530
H5980	002	0	1	01	01	H5980_002_0	20		FIDELIS SECURECARE OF TEXAS, INC.	Fidelis SecureCare of Texas, Inc.	www.fidelissc.com	H5980	002	2007	01	01	1	Fidelis SecureCare of Texas		Eastern Texas Area	2	0		1	1	2	2	2		(888)-844-5530	(888)-844-5530	(866)-795-7773	(866)-795-7773	10	(866)-795-7773	(866)-795-7773	(888)-844-5530	(888)-844-5530
H5985	001	0	1	01	01	H5985_001_0	5		ABRAZO ADVANTAGE HEALTH PLAN	Abrazo Advantage Health Plan	AbrazoAdvantage.com	H5985	001	2007	01	01	1	Abrazo Advantage		Central Arizona	2	0		2				2		(800)-489-1472	(800)-489-1472	(888)-864-1114	(888)-864-1114	2500	(888)-864-1114	(888)-864-1114	(800)-489-1472	(800)-489-1472
H5985	002	0	1	01	01	H5985_002_0	5		ABRAZO ADVANTAGE HEALTH PLAN	Abrazo Advantage Health Plan	AbrazoAdvantage.com	H5985	002	2007	01	01	1	Abrazo Advantage Plus		Central Arizona	2	0		1	3	1	2	2		(800)-489-1472	(800)-489-1472	(888)-864-1114	(888)-864-1114	4000	(888)-864-1114	(888)-864-1114	(800)-489-1472	(800)-489-1472
H5989	002	0	1	01	01	H5989_002_0	8		COMPREHENSIVE CARE MANAGEMENT CORP.	Comprehensive Care Management Corp.	http://www.comprehensivecaremanagement.com/	H5989	002	2007	01	01	1	CCM Direct - Dual Eligible		New York City Metro Area and Westchester County	2	0		1	1	2	2	2		(718)-519-5220	(718)-519-5215	(718)-519-5220	(718)-519-5215		(877)-226-8500	(877)-226-8500		
H5989	003	0	1	01	01	H5989_003_0	5		COMPREHENSIVE CARE MANAGEMENT CORP.	Comprehensive Care Management Corp.	http://www.comprehensivecaremanagement.com/	H5989	003	2007	01	01	1	CCM Direct - Medicare Only		New York City Metro Area and Westchester County	2	0		1	1	2	2	2		(718)-519-5220	(718)-519-5215	(718)-519-5220	(718)-519-5215		(877)-226-8500	(877)-226-8500		
H5991	001	0	1	01	01	H5991_001_0	2		AFFINITY HEALTH PLAN, INC.	Affinity Health Plan	www.affinityplan.org	H5991	001	2007	01	01	1	Affinity Medicare Ultimate		New York City (5 Boroughs)	2	0		1	3	1	2	2		(800)-662-1220	(800)-662-1220	(877)-234-4499	(877)-234-4499		(800)-417-3367	(800)-417-3367	(800)-899-2114	(800)-899-2114
H5991	002	0	1	01	01	H5991_002_0	3		AFFINITY HEALTH PLAN, INC.	Affinity Health Plan	www.affinityplan.org	H5991	002	2007	01	01	1	Affinity Medicare Solutions		New York City (5 Boroughs)	2	0		1	3	1	2	2		(800)-662-1220	(800)-662-1220	(877)-234-4499	(877)-234-4499		(800)-417-3367	(800)-417-3367	(800)-899-2114	(800)-899-2114
H5992	001	0	1	01	01	H5992_001_0	4		SENIOR WHOLE HEALTH, LLC	Senior Whole Health of New York	www.seniorwholehealth.com	H5992	001	2007	01	01	1	Senior Whole Health of New York		Senior Whole Health of New York	2	0		1	3	1	2	2		(888)-749-6455	(888)-749-6455	(888)-794-7268	(888)-794-7268	978	(888)-794-7268	(888)-794-7268	(888)-749-6455	(888)-749-6455
H5995	001	0	1	01	01	H5995_001_0	6		MARION POLK COMMUNITY HEALTH PLAN ADVANTAGE, INC.	Marion Polk Community Health Plan Advantage	www.mpchpa.org	H5995	001	2007	01	01	1	Marion Polk Community HealthPlan Advantage		Marion and Polk Counties Area	2	0		1	3	2	1	2		(800)-471-7944	(800)-471-7944	(866)-869-1514	(866)-869-1514	3300	(866)-869-1514	(866)-869-1514	(800)-471-7944	(800)-471-7944
H5996	001	0	1	09	04	H5996_001_0	1	2	HEALTH NET LIFE INSURANCE COMPANY, INC.	Health Net	www.healthnet.com	H5996	001	2007	04	09	1	Health Net Crimson		Portions of CA, TX, WA	2	0		2				2		(800)-977-6757	(800)-977-6757	(602)-977-7522	(800)-333-3930	1236				
H5996	002	0	1	09	04	H5996_002_0	1	2	HEALTH NET LIFE INSURANCE COMPANY, INC.	Health Net	www.healthnet.com	H5996	002	2007	04	09	1	Health Net Crimson Option 2		Portions of CA, NM, TX, WA	2	0		2				2		(800)-977-6757	(800)-977-6757	(602)-977-7522	(800)-333-3930	3164				
H5996	003	0	1	09	04	H5996_003_0	1	2	HEALTH NET LIFE INSURANCE COMPANY, INC.	Health Net	www.healthnet.com	H5996	003	2007	04	09	1	Health Net Crimson Option 2		Portions of CA,TX, WA	2	0		2				2		(800)-977-6757	(800)-977-6757	(602)-977-7522	(800)-333-3930	1463				
H5996	004	0	1	09	04	H5996_004_0	1	2	HEALTH NET LIFE INSURANCE COMPANY, INC.	Health Net	www.healthnet.com	H5996	004	2007	04	09	1	Health Net Crimson Option 2		Portions of TX	2	0		2				2		(800)-977-6757	(800)-977-6757	(602)-977-7522	(800)-333-3930	378				
H5996	005	0	1	09	04	H5996_005_0	1	2	HEALTH NET LIFE INSURANCE COMPANY, INC.	Health Net	www.healthnet.com	H5996	005	2007	04	09	1	Health Net Crimson Option 3		Portions of HI, NM	2	0		2				2		(800)-977-6757	(800)-977-6757	(602)-977-7522	(800)-333-3930	988				
H5996	006	0	1	09	04	H5996_006_0	2	2	HEALTH NET LIFE INSURANCE COMPANY, INC.	Health Net	www.healthnet.com	H5996	006	2007	04	09	1	Health Net Pearl Option 4		Portions of CA, HI, NM, TX, WA	2	0		2				2		(800)-929-9955	(888)-747-2424	(800)-977-8221	(800)-200-0410	5729				
H5996	007	0	1	09	04	H5996_007_0	1	2	HEALTH NET LIFE INSURANCE COMPANY, INC.	Health Net	www.healthnet.com	H5996	007	2007	04	09	1	Health Net Crimson Option 4		Portions of TX, WA	2	0		2				2		(800)-977-6757	(800)-977-6757	(602)-977-7522	(800)-333-3930	499				
H5996	008	0	1	09	04	H5996_008_0	1	2	HEALTH NET LIFE INSURANCE COMPANY, INC.	Health Net	www.healthnet.com	H5996	008	2007	04	09	1	Health Net Crimson Option 5		Connecticut	2	0		2				2		(800)-977-6757	(800)-977-6757	(602)-977-7522	(800)-333-3930	1039				
H5996	009	0	1	09	04	H5996_009_0	3	2	HEALTH NET LIFE INSURANCE COMPANY, INC.	Health Net	www.healthnet.com	H5996	009	2007	04	09	1	Health Net Pearl Option 6		Connecticut	2	0		2				2		(800)-929-9955	(888)-747-2424	(800)-977-8221	(800)-200-0410	1039	(800)-806-8811	(800)-200-0410	(800)-929-9955	(800)-929-9955
H5996	801	0	1	09	04	H5996_801_0	5	2	HEALTH NET LIFE INSURANCE COMPANY, INC.	Health Net	www.healthnet.com	H5996	801	2007	04	09	1	Health Net Pearl EG		National	1	0		2				2		(800)-929-9955	(888)-747-2424	(800)-977-8221	(800)-200-0410		(800)-806-8811	(800)-200-0410	(800)-929-9955	(800)-929-9955
H5996	802	0	1	09	04	H5996_802_0	5	2	HEALTH NET LIFE INSURANCE COMPANY, INC.	Health Net	www.healthnet.com	H5996	802	2007	04	09	1	Health Net Pearl EG		National	1	0		2				2		(800)-929-9955	(888)-747-2424	(800)-977-8221	(800)-200-0410	500				
H5996	803	0	1	09	04	H5996_803_0	5	2	HEALTH NET LIFE INSURANCE COMPANY, INC.	Health Net	www.healthnet.com	H5996	803	2007	04	09	1	Health Net Pearl EG		National	1	0		2				2		(800)-929-9955	(888)-747-2424	(800)-977-8221	(800)-200-0410	500	(800)-806-8811	(800)-200-0410	(800)-929-9955	(800)-929-9955
H5996	804	0	1	09	04	H5996_804_0	5	2	HEALTH NET LIFE INSURANCE COMPANY, INC.	Health Net	www.healthnet.com	H5996	804	2007	04	09	1	Health Net Pearl EG		National	1	0		2				2		(800)-929-9955	(888)-747-2424	(800)-977-8221	(800)-200-0410	500				
H5998	001	0	1	01	01	H5998_001_0	4		UNISON HEALTH PLAN OF TENNESSEE, INC.	Unison Advantage	www.unisonhealthplan.com	H5998	001	2007	01	01	1	Unison Advantage Choice		Southwest Tennessee	2	0		2				2		(888)-616-0021	(888)-616-0021	(800)-414-9025	(800)-400-4003	837	(800)-414-9025	(800)-400-4003	(888)-616-0021	(888)-616-0021
H5998	002	0	1	01	01	H5998_002_0	4		UNISON HEALTH PLAN OF TENNESSEE, INC.	Unison Advantage	www.unisonhealthplan.com	H5998	002	2007	01	01	1	Unison Advantage Preferred		Southwest Tennessee	2	0		2				2		(888)-616-0021	(888)-616-0021	(800)-414-9025	(800)-400-4003	524	(800)-414-9025	(800)-400-4003	(888)-616-0021	(888)-616-0021
H5998	003	0	1	01	01	H5998_003_0	2		UNISON HEALTH PLAN OF TENNESSEE, INC.	Unison Advantage	www.unisonhealthplan.com	H5998	003	2007	01	01	1	Unison Advantage Plus		Southwest Tennessee	2	0		1	3	1	2	2		(888)-616-0021	(888)-616-0021	(800)-414-9025	(800)-400-4003	733	(800)-414-9025	(800)-400-4003	(888)-616-0021	(888)-616-0021
H6360	001	0	1	18	06	H6360_001_0	2		KAISER FOUNDATION HP OF OHIO	Kaiser Foundation Health Plan of Ohio	www.kaiserpermanente.org	H6360	001	2007	06	18	1	Kaiser Permanente Medicare Plus I		Counties: Cuy, Gea, Lak, Lor, Med, Por, Sum	2	0		2				2		(877)-676-6677	(877)-479-5741	(800)-686-7100	(800)-551-5353	11706	(800)-686-7100	(800)-551-5353	(877)-676-6677	(877)-479-5741
H6360	002	0	1	18	06	H6360_002_0	2		KAISER FOUNDATION HP OF OHIO	Kaiser Foundation Health Plan of Ohio	www.kaiserpermanente.org	H6360	002	2007	06	18	1	Kaiser Permanente Medicare Plus II		Counties: Cuy, Gea, Lak, Lor, Med, Por, Sum	2	0		2				2		(877)-676-6677	(877)-479-5741	(800)-686-7100	(800)-551-5353	1000	(800)-686-7100	(800)-551-5353	(877)-676-6677	(877)-479-5741
H6360	004	0	1	18	06	H6360_004_0	3		KAISER FOUNDATION HP OF OHIO	Kaiser Foundation Health Plan of Ohio	www.kaiserpermanente.org	H6360	004	2007	06	18	1	Kaiser Permanente Medicare Plus Basic		Counties: Cuy, Gea, Lak, Lor, Med, Por, Sum	2	0		2				2		(877)-676-6677	(877)-479-5741	(800)-686-7100	(800)-551-5353	10				
H6360	006	0	1	18	06	H6360_006_0	2		KAISER FOUNDATION HP OF OHIO	Kaiser Foundation Health Plan of Ohio	www.kaiserpermanente.org	H6360	006	2007	06	18	1	Kaiser Permanente Medicare Plus III		Counties: Cuy,Gea,Lak,Lor,Med,Por,Sum	2	0		2				2		(877)-676-6677	(877)-479-5741	(800)-686-7100	(800)-551-5353	0	(800)-686-7100	(800)-551-5353	(877)-676-6677	(877)-479-5741
H6360	007	0	1	18	06	H6360_007_0	3		KAISER FOUNDATION HP OF OHIO	Kaiser Foundation Health Plan of Ohio	www.kaiserpermanente.org	H6360	007	2007	06	18	1	Kaiser Permanente Medicare Plus Basic II		Counties: Cuy,Gea,Lak,Lor,Med,Por,Sum	2	0		2				2		(877)-676-6677	(877)-479-5741	(800)-686-7100	(800)-551-5353	0				
H6360	008	0	1	18	06	H6360_008_0	2		KAISER FOUNDATION HP OF OHIO	Kaiser Foundation Health Plan of Ohio	www.kaiserpermanente.org	H6360	008	2007	06	18	1	Kaiser Permanente Medicare Plus Basic III		Counties: Cuy,Gea,Lak,Lor,Med,Por,Sum	2	0		2				2		(877)-676-6677	(877)-479-5741	(800)-686-7100	(800)-551-5353	0				
H6360	801	0		18	06	H6360_801_0	3		KAISER FOUNDATION HP OF OHIO	Kaiser Foundation Health Plan of Ohio	www.kaiserpermanente.org	H6360	801	2007	06	18		Kaiser Permanente Medicare Plus Group		Ohio	1	0		2						(877)-676-6677	(877)-479-5741	(800)-686-7100	(800)-551-5353		(800)-686-7100	(800)-551-5353	(877)-676-6677	(877)-479-5741
H6421	001	0	1	09	04	H6421_001_0	4	2	ELDER HEALTH MID-ATLANTIC, INC.	Elder Health Mid-Atlantic PFFS	www.elderhealth.com	H6421	001	2007	04	09	1	Elder Health Freedom		Mid-Atlantic Elder Health Freedom	2	0		2				2		(888)-888-8888	(888)-888-8888	(888)-888-8888	(888)-888-8888		(888)-888-8888	(888)-888-8888		
H6499	005	0	1	09	04	H6499_005_0	3	2	STONE HARBOR INSURANCE COMPANY	WellCare	www.wellcare.com	H6499	005	2007	04	09	1	Duet		Multi-State Area 13	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111					
H6499	006	0	1	09	04	H6499_006_0	3	2	STONE HARBOR INSURANCE COMPANY	WellCare	www.wellcare.com	H6499	006	2007	04	09	1	Summit		Multi-State Area 13	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H6499	007	0	1	09	04	H6499_007_0	3	2	STONE HARBOR INSURANCE COMPANY	WellCare	www.wellcare.com	H6499	007	2007	04	09	1	Summit		Multi-State Area 14	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H6499	008	0	1	09	04	H6499_008_0	5	2	STONE HARBOR INSURANCE COMPANY	WellCare	www.wellcare.com	H6499	008	2007	04	09	1	Summit		Multi-State Area 15	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H6499	009	0	1	09	04	H6499_009_0	5	2	STONE HARBOR INSURANCE COMPANY	WellCare	www.wellcare.com	H6499	009	2007	04	09	1	Summit		Multi-State Area 16	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H6499	010	0	1	09	04	H6499_010_0	3	2	STONE HARBOR INSURANCE COMPANY	WellCare	www.wellcare.com	H6499	010	2007	04	09	1	Summit		Multi-State Area 17	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H6499	011	0	1	09	04	H6499_011_0	3	2	STONE HARBOR INSURANCE COMPANY	WellCare	www.wellcare.com	H6499	011	2007	04	09	1	Summit		Multi-State Area 18	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H6499	012	0	1	09	04	H6499_012_0	3	2	STONE HARBOR INSURANCE COMPANY	WellCare	www.wellcare.com	H6499	012	2007	04	09	1	Freedom		Multi- State Area 3	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H6499	013	0	1	09	04	H6499_013_0	3	2	STONE HARBOR INSURANCE COMPANY	WellCare	www.wellcare.com	H6499	013	2007	04	09	1	Concert		Multi-State Area 10	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H6499	014	0	1	09	04	H6499_014_0	3	2	STONE HARBOR INSURANCE COMPANY	WellCare	www.wellcare.com	H6499	014	2007	04	09	1	Concert		Multi-State Area 11	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H6499	015	0	1	09	04	H6499_015_0	5	2	STONE HARBOR INSURANCE COMPANY	WellCare	www.wellcare.com	H6499	015	2007	04	09	1	Concert		Multi-State Area 12	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H6499	016	0	1	09	04	H6499_016_0	3	2	STONE HARBOR INSURANCE COMPANY	WellCare	www.wellcare.com	H6499	016	2007	04	09	1	Concert		Multi-State Area 13	2	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H6499	801	0	1	09	04	H6499_801_0	4	2	STONE HARBOR INSURANCE COMPANY	WellCare	www.wellcare.com	H6499	801	2007	04	09	1	Employer Plan 5		Nationwide	1	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H6499	802	0	1	09	04	H6499_802_0	4	2	STONE HARBOR INSURANCE COMPANY	WellCare	www.wellcare.com	H6499	802	2007	04	09	1	Employer Plan 6		Nationwide	1	0		2				2		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111		(111)-111-1111	(111)-111-1111	(111)-111-1111	(111)-111-1111
H6717	001	0	1	02	01	H6717_001_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UNITED HEALTHCARE INSURANCE COMPANY	www.EvercareHealthPlans.com	H6717	001	2007	01	02	1	Evercare Plan IH-POS		Cumberland and Dauphin Counties	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(866)-297-9232		(800)-393-0993	(866)-297-9232	(888)-685-8480	(888)-685-8480
H6934	001	0	1	01	01	H6934_001_0	2		UAHC HEALTH PLAN OF TENNESSEE, INC.	UAHC Gold Plus	www.uahctn.com	H6934	001	2007	01	01	1	UAHC Gold Plus		UAHC Gold Plus	2	0		1	3	2	1	2		(800)-876-5242	(800)-876-5242	(800)-876-9758	(800)-876-9758	5000	(800)-876-9758	(800)-876-9758	(800)-876-5242	(800)-876-5242
H7065	001	0	1	01	01	H7065_001_0	3		GROUP HEALTH COOPERATIVE OF EAU CLAIRE	Wisconsin Personal Care Plan	http://www.group-health.com	H7065	001	2007	01	01	1	Wisconsin Personal Care Plan		Northwest Wisconsin	2	0		1	3	1	2	2		(800)-947-3529	(800)-947-3529	(888)-203-7770	(888)-203-7770	1950	(888)-203-7770	(888)-203-7770	(800)-947-3529	(800)-947-3529
H7187	001	0	1	02	01	H7187_001_0	4		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H7187	001	2007	01	02	1	Evercare Plan IH-POS		Arlington County	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-393-0395		(800)-393-0993	(800)-393-0395	(888)-685-8480	(888)-685-8480
H7187	002	0	1	02	01	H7187_002_0	4		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H7187	002	2007	01	02	1	Evercare Plan DH-POS		Chesterfield,Gooch,Hanover,Henrico,Richmond City	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-393-0395		(800)-393-0993	(800)-393-0395	(888)-685-8480	(888)-685-8480
H7187	003	0	1	02	01	H7187_003_0	7		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H7187	003	2007	01	02	1	MedicareComplete Plus Plan 1		Chesterfield,Gooch,Hanover,Henrico,Richmond City	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-643-4845	(800)-962-8251		(800)-643-4845	(800)-962-8251	(888)-685-8480	(888)-685-8480
H7187	004	0	1	02	01	H7187_004_0	3		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H7187	004	2007	01	02	1	MedicareComplete Plus Plan 2		Chesterfield,Gooch,Hanover,Henrico,Richmond City	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-643-4845	(800)-962-8251					
H7187	801	0	1	01	01	H7187_801_0	4		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	H7187	801	2007	01	01	1	MedicareComplete		Chest.,Goochl.,Hanover,Henrico,Richmond City Cos.	1	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5548	(888)-867-5548		(888)-867-5548	(888)-867-5548	(888)-685-8480	(888)-685-8480
H7226	001	0	1	09	04	H7226_001_0	5	2	HARVARD PILGRIM HEALTH CARE INC.	HARVARD PILGRIM HEALTH CARE INC.	http://harvardpilgrim.org	H7226	001	2007	04	09	1	First Seniority Freedom Plus		Hillsborough County	2	0		2				2		(800)-421-3599	(888)-259-8276	(800)-421-3550	(800)-779-7723	621	(800)-421-3550	(800)-779-7723	(800)-421-3599	(888)-259-8276
H7226	002	0	1	09	04	H7226_002_0	4	2	HARVARD PILGRIM HEALTH CARE INC.	HARVARD PILGRIM HEALTH CARE INC.	http://harvardpilgrim.org	H7226	002	2007	04	09	1	First Seniority Freedom		Hillsborough County	2	0		2				2		(800)-421-3599	(888)-259-8276	(800)-421-3550	(800)-779-7723	461	(800)-421-3550	(800)-779-7723	(800)-421-3599	(888)-259-8276
H7226	006	0	1	09	04	H7226_006_0	3	2	HARVARD PILGRIM HEALTH CARE INC.	HARVARD PILGRIM HEALTH CARE INC.	http://harvardpilgrim.org	H7226	006	2007	04	09	1	First Seniority Freedom		Hillsborough New Hampshire	2	0		2				2		(800)-421-3599	(888)-259-8276	(800)-421-3550	(800)-779-7723	39				
H7226	007	0	1	09	04	H7226_007_0	6	2	HARVARD PILGRIM HEALTH CARE INC.	HARVARD PILGRIM HEALTH CARE INC.	http://harvardpilgrim.org	H7226	007	2007	04	09	1	First Seniority Freedom Plus		Essex,Middlesex,Norfolk, Suffolk	2	0		2				2		(800)-421-3599	(888)-259-8276	(800)-421-3550	(800)-779-7723	621	(800)-421-3550	(800)-779-7723	(800)-421-3599	(888)-259-8276
H7226	008	0	1	09	04	H7226_008_0	4	2	HARVARD PILGRIM HEALTH CARE INC.	HARVARD PILGRIM HEALTH CARE INC.	http://harvardpilgrim.org	H7226	008	2007	04	09	1	First Seniority Freedom		Essex,Middlesex,Norfolk, Suffolk	2	0		2				2		(800)-421-3599	(888)-259-8276	(800)-421-3550	(800)-779-7723	461	(800)-421-3550	(800)-779-7723	(800)-421-3599	(888)-259-8276
H7226	009	0	1	09	04	H7226_009_0	3	2	HARVARD PILGRIM HEALTH CARE INC.	HARVARD PILGRIM HEALTH CARE INC.	http://harvardpilgrim.org	H7226	009	2007	04	09	1	First Seniority Freedom		Essex,Middlesex,Norfolk, Suffolk	2	0		2				2		(800)-421-3599	(888)-259-8276	(800)-421-3550	(800)-779-7723	39				
H7226	801	0	1	09	04	H7226_801_0	5	2	HARVARD PILGRIM HEALTH CARE INC.	HARVARD PILGRIM HEALTH CARE INC.	http://harvardpilgrim.org	H7226	801	2007	04	09	1	First Seniority Freedom Plus		NEW HAMPSHIRE	1	0		2				2		(800)-421-3599	(888)-259-8276	(800)-421-3550	(800)-779-7723	621	(800)-421-3550	(800)-779-7723	(800)-421-3599	(888)-259-8276
H7226	806	0	1	09	04	H7226_806_0	5	2	HARVARD PILGRIM HEALTH CARE INC.	HARVARD PILGRIM HEALTH CARE INC.	http://harvardpilgrim.org	H7226	806	2007	04	09	1	First Seniority Freedom Plus		Hillsborough New Hampshire	1	0		2				2		(800)-421-3599	(888)-259-8276	(800)-421-3550	(800)-779-7723	4				
H7226	807	0	1	09	04	H7226_807_0	5	2	HARVARD PILGRIM HEALTH CARE INC.	HARVARD PILGRIM HEALTH CARE INC.	http://harvardpilgrim.org	H7226	807	2007	04	09	1	First Seniority Freedom Plus		Essex,Middlesex,Norfolk, Suffolk	1	0		2				2		(800)-421-3599	(888)-259-8276	(800)-421-3550	(800)-779-7723	621	(800)-421-3550	(800)-779-7723	(800)-421-3599	(888)-259-8276
H7226	808	0	1	09	04	H7226_808_0	5	2	HARVARD PILGRIM HEALTH CARE INC.	HARVARD PILGRIM HEALTH CARE INC.	http://harvardpilgrim.org	H7226	808	2007	04	09	1	First Seniority Freedom Plus		Essex,Middlesex,Norfolk, Suffolk	1	0		2				2		(800)-421-3599	(888)-259-8276	(800)-421-3550	(800)-779-7723	4				
H7254	001	0	1	02	01	H7254_001_0	4		UNITED HEALTHCARE INSURANCE COMPANY	UNITED HEALTHCARE INSURANCE COMPANY	www.EvercareHealthPlans.com	H7254	001	2007	01	02	1	Evercare Plan IH-POS		Bleck,Chatt,Coweta,Gordon,Han,Hou,Lamar,Laur,Mcduf	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-634-0127		(800)-393-0993	(800)-634-0127	(888)-685-8480	(888)-685-8480
H7254	002	0	1	02	01	H7254_002_0	4		UNITED HEALTHCARE INSURANCE COMPANY	UNITED HEALTHCARE INSURANCE COMPANY	www.EvercareHealthPlans.com	H7254	002	2007	01	02	1	Evercare Plan DH-POS		Clayton and Coweta and Laurens Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-634-0127		(800)-393-0993	(800)-634-0127	(888)-685-8480	(888)-685-8480
H7274	001	0	1	39	05	H7274_001_0	8		UNITED HEALTHCARE INSURANCE COMPANY	UNITED HEALTHCARE INSURANCE COMPANY	www.evercareonline.com	H7274	001	2007	05	39	1	Evercare Plan RD		Pima County	2	0		1	4	2	2	2		(888)-865-8480	(888)-865-8480	(800)-393-0993	(800)-952-5647	2090	(800)-393-0993	(800)-952-5647	(888)-865-8480	(888)-685-8480
H7289	001	0	1	07	02	H7289_001_0	5		UNICARE LIFE AND HEALTH INSURANCE, INC.	UniCare	www.unicare.com	H7289	001	2007	02	07	1	Save Well - Plan I		Select Counties Nationwide	2	0		2				2		(888)-877-5378	(877)-247-1657	(888)-230-7338	(800)-765-2585	2189				
H7289	002	0	1	07	02	H7289_002_0	6		UNICARE LIFE AND HEALTH INSURANCE, INC.	UniCare	www.unicare.com	H7289	002	2007	02	07	1	Save Well - Plan II		Select Counties Nationwide	2	0		2				2		(888)-877-5378	(877)-247-1657	(888)-230-7338	(800)-765-2585	1500				
H7289	003	0	1	07	02	H7289_003_0	5		UNICARE LIFE AND HEALTH INSURANCE, INC.	UniCare	www.unicare.com	H7289	003	2007	02	07	1	Save Well - Plan III		Select Counties Nationwide	2	0		2				2		(888)-877-5378	(877)-247-1657	(888)-230-7338	(800)-765-2585	829				
H7289	801	0	1	07	02	H7289_801_0	6		UNICARE LIFE AND HEALTH INSURANCE, INC.	UniCare	www.unicare.com	H7289	801	2007	02	07	1	Save Well - Group Plan		United States - Select Counties	1	0		2				2		(888)-877-5378	(877)-247-1657	(888)-230-7338	(800)-765-2585	100				
H7981	001	0	1	09	04	H7981_001_0	6	2	MCS LIFE INSURANCE COMPANY	MCS Classicare	mcsclassicare.com	H7981	001	2007	04	09	1	MCS Classicare PFFS		Puerto Rico	2	0		2				2		(866)-627-8182	(866)-627-8182	(866)-627-8183	(866)-627-8183	2000	(866)-627-8183	(866)-627-8183	(866)-627-8182	(866)-627-8182
H7981	004	0	1	09	04	H7981_004_0	7	2	MCS LIFE INSURANCE COMPANY	MCS Classicare	mcsclassicare.com	H7981	004	2007	04	09	1	MCS Classicare VI Premium		Virgin Islands	2	0		2				2		(866)-627-8182	(866)-627-8182	(866)-627-8183	(866)-627-8183	1000	(866)-627-8183	(866)-627-8183	(866)-627-8182	(866)-627-8182
H7981	801	0	1	09	04	H7981_801_0	13	2	MCS LIFE INSURANCE COMPANY	MCS Classicare	mcsclassicare.com	H7981	801	2007	04	09	1	MCS Classicare VI Group		Virgin Islands	1	0		2				2		(866)-627-8182	(866)-627-8182	(866)-627-8183	(866)-627-8183	250	(866)-627-8183	(866)-627-8183	(866)-627-8182	(866)-627-8182
H7981	802	0	1	09	04	H7981_802_0	12	2	MCS LIFE INSURANCE COMPANY	MCS Classicare	mcsclassicare.com	H7981	802	2007	04	09	1	MCS Classicare PFFS PR Group		Puerto Rico	1	0		2				2		(866)-627-8182	(866)-627-8182	(866)-627-8183	(866)-627-8183	100	(866)-627-8183	(866)-627-8183	(866)-627-8182	(866)-627-8182
H7981	803	0	1	09	04	H7981_803_0	12	2	MCS LIFE INSURANCE COMPANY	MCS Classicare	mcsclassicare.com	H7981	803	2007	04	09	1	MCS Classicare PFFS PR Group 50		Puerto Rico	1	0		2				2		(866)-627-8182	(866)-627-8182	(866)-627-8183	(866)-627-8183	100	(866)-627-8183	(866)-627-8183	(866)-627-8182	(866)-627-8182
H8000	001	0	1	39	05	H8000_001_0	7		UNITED HEALTHCARE INSURANCE COMPANY	UNITED HEALTHCARE INSURANCE COMPANY	www.EvercareHealthPlans.com	H8000	001	2007	05	39	1	Evercare Plan RD		Essex, Middlesex, Norfolk and Suffolk Counties	2	0		1	4	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(800)-393-0939	2090	(800)-393-0993	(800)-393-0939	(888)-685-8480	(888)-685-8480
H8011	001	0	1	41	05	H8011_001_0	5		AMERICAN PROGRESSIVE	HealthBank	www.amerprog.com	H8011	001	2007	05	41	1	HealthBank		New York	2	0		2				2		(888)-844-5530	(800)-955-8771	(888)-445-8699	(800)-332-3377					
H8011	002	0	1	41	05	H8011_002_0	5		AMERICAN PROGRESSIVE	HealthBank	www.amerprog.com	H8011	002	2007	05	41	1	HealthBank		Pennsylvania	2	0		2				2		(888)-844-5530	(800)-955-8771	(888)-445-8699	(800)-332-3377					
H8011	801	0	1	41	05	H8011_801_0	6		AMERICAN PROGRESSIVE	HealthBank	www.amerprog.com	H8011	801	2007	05	41	1	HealthBank		National	1	0		2				2		(888)-844-5530	(800)-955-8771	(888)-445-8699	(800)-332-3377					
H8031	001	0	1	01	01	H8031_001_0	6		GATEWAY HEALTH PLAN OF OHIO, INC.	Gateway Health Plan Medicare Assured	www.gatewayhealthplan.com	H8031	001	2007	01	01	1	Gateway Health Plan Medicare Assured		Ohio	2	0		1	3	1	2	2		(800)-654-5988	(800)-654-5988	(888)-447-4505	(877)-428-3929	873	(888)-447-4505	(877)-428-3929	(800)-654-5988	(800)-654-5988
H8201	001	0	1	09	04	H8201_001_0	3	2	METROPOLITAN HEALTH PLAN	Metropolitan Health Plan	www.mhp4life.org	H8201	001	2007	04	09	1	MHP North Star		Minnesota	2	0		2				2		(800)-627-3529	(800)-627-3529	(888)-562-8000	(888)-562-8000	665				
H8742	001	0	1	01	01	H8742_001_0	4		ABRI HEALTH PLAN, INC	Today's Health	www.todayshealthwi.com	H8742	001	2007	01	01	1	Today's Health		Today's Health Plus	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-958-2710	(800)-958-2704		(800)-958-2710	(800)-958-2704	(866)-338-4681	(866)-338-4681
H8742	003	0	1	01	01	H8742_003_0	2		ABRI HEALTH PLAN, INC	Today's Health	www.todayshealthwi.com	H8742	003	2007	01	01	1	Today's Health		Today's Health Value	2	0		2				2		(866)-338-4681	(866)-338-4681	(800)-958-2710	(800)-958-2704					
H8742	801	0	1	01	01	H8742_801_0	2		ABRI HEALTH PLAN, INC	Today's Health	www.todayshealthwi.com	H8742	801	2007	01	01	1	Today's Health		Today's Health Employer Group	1	0		2				2		(866)-338-4681	(866)-338-4681	(800)-958-2710	(800)-958-2704		(800)-958-2710	(800)-958-2704	(866)-338-4681	(866)-338-4681
H8742	802	0	1	01	01	H8742_802_0	2		ABRI HEALTH PLAN, INC	Today's Health	www.todayshealthwi.com	H8742	802	2007	01	01	1	Today's Health		Today's Health Employer Group	1	0		2				2		(866)-338-4681	(866)-338-4681	(800)-958-2710	(800)-958-2704		(800)-958-2710	(800)-958-2704	(866)-338-4681	(866)-338-4681
H8742	803	0	1	01	01	H8742_803_0	2		ABRI HEALTH PLAN, INC	Today's Health	www.todayshealthwi.com	H8742	803	2007	01	01	1	Today's Health		Today's Health Employer Group	1	0		2				2		(866)-338-4681	(866)-338-4681	(800)-958-2710	(800)-958-2704					
H9001	001	0	1	01	01	H9001_001_0	3		FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	H9001	001	2007	01	01	1	Fallon Senior Plan Standard		Counties: WORC, MSEX, FRK, HMD, HPS, NOF	2	0		2				2		(877)-608-7677	(877)-608-7677	(800)-868-5200	(888)-377-1980	3481				
H9001	006	0	1	01	01	H9001_006_0	5		FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	H9001	006	2007	01	01	1	Fallon Senior Plan Plus Basic Rx		Counties: WORC, MSEX, FRK, HMD, HPS, NOF	2	0		2				2		(877)-608-7677	(877)-608-7677	(800)-868-5200	(888)-377-1980	4966	(800)-868-5200	(888)-377-1980	(877)-608-7677	(877)-608-7677
H9001	010	0	1	01	01	H9001_010_0	3		FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	H9001	010	2007	01	01	1	Fallon Senior Plan Saver		Counties: WORC, MSEX, FRK, HMD, HPS, NOF	2	0		2				2		(877)-608-7677	(877)-608-7677	(800)-868-5200	(888)-377-1980	874				
H9001	011	0	1	01	01	H9001_011_0	5		FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	H9001	011	2007	01	01	1	Fallon Senior Plan Saver Basic Rx		Counties: WORC, MSEX, FRK, HMD, HPS, NOF	2	0		2				2		(877)-608-7677	(877)-608-7677	(800)-868-5200	(888)-377-1980	1812	(800)-868-5200	(888)-377-1980	(877)-608-7677	(877)-608-7677
H9001	012	0	1	01	01	H9001_012_0	5		FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	H9001	012	2007	01	01	1	Fallon Senior Plan Value		Counties: WORC, MSEX, FRK, HMD, HPS, NOF	2	0		1	3	1	2	2		(877)-608-7677	(877)-608-7677	(800)-868-5200	(888)-377-1980	921	(800)-868-5200	(888)-377-1980	(877)-608-7677	(877)-608-7677
H9001	013	0	1	01	01	H9001_013_0	5		FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	H9001	013	2007	01	01	1	Fallon Senior Plan Saver Enhanced Rx		Counties: WORC, MSEX, FRK, HMD, HPS, NOF	2	0		2				2		(877)-608-7677	(877)-608-7677	(800)-868-5200	(888)-377-1980	1751	(800)-868-5200	(888)-377-1980	(877)-608-7677	(877)-608-7677
H9001	014	0	1	01	01	H9001_014_0	5		FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	H9001	014	2007	01	01	1	Fallon Senior Plan Standard Basic Rx		Counties: WORC, MSEX, FRK, HMD, HPS, NOF	2	0		2				2		(877)-608-7677	(877)-608-7677	(800)-868-5200	(888)-377-1980	4385	(800)-868-5200	(888)-377-1980	(877)-608-7677	(877)-608-7677
H9001	015	0	1	01	01	H9001_015_0	5		FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	H9001	015	2007	01	01	1	Fallon Senior Plan Standard Enhanced Rx		Counties: WORC, MSEX, FRK, HMD, HPS, NOF	2	0		2				2		(877)-608-7677	(877)-608-7677	(800)-868-5200	(888)-377-1980	2743	(800)-868-5200	(888)-377-1980	(877)-660-8767	(877)-608-7677
H9001	016	0	1	01	01	H9001_016_0	3		FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	H9001	016	2007	01	01	1	Fallon Senior Plan Plus		Counties: WORC, MSEX, FRK, HMD, HPS, NOF	2	0		2				2		(877)-608-7677	(877)-608-7677	(800)-868-5200	(888)-377-1980	95				
H9001	017	0	1	01	01	H9001_017_0	5		FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	H9001	017	2007	01	01	1	Fallon Senior Plan Plus Advanced Rx		Counties: WORC, MSEX, FRK, HMD, HPS, NOF	2	0		2				2		(877)-608-7677	(877)-608-7677	(800)-868-5200	(888)-377-1980	3791	(800)-868-5200	(888)-377-1980	(877)-608-7677	(877)-608-7677
H9001	801	0	1	01	01	H9001_801_0	3		FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	H9001	801	2007	01	01	1	HMO MA Only		Full Service Area - Employer Groups	1	0		2				2		(877)-608-7677	(877)-608-7677	(800)-868-5200	(888)-377-1980	1710				
H9001	802	0	1	01	01	H9001_802_0	4		FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	H9001	802	2007	01	01	1	HMO MA RX Coinsurance - Non Calendar Year		Full Service Area - Employer Groups	1	0		2				2		(877)-608-7677	(877)-608-7677	(800)-868-5200	(888)-377-1980	794	(800)-868-5200	(888)-377-1980	(877)-608-7677	(877)-608-7677
H9001	803	0	1	01	01	H9001_803_0	4		FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	H9001	803	2007	01	01	1	HMO MA RX Coinsurance - Calendar Year		Full Service Area - Employer Groups	1	0		2				2		(877)-608-7677	(877)-608-7677	(800)-868-5200	(888)-377-1980	4500	(800)-868-5200	(888)-377-1980	(877)-608-7677	(877)-608-7677
H9003	001	0	1	01	01	H9003_001_0	7		KAISER FOUNDATION HP OF THE N W	Kaiser Foundation Health Plan of the NW	www.kaiserpermanente.org	H9003	001	2007	01	01	1	Senior Advantage		Portland Metro, Clark Co. WA, Salem, Longview	2	0		2				2		(800)-735-2900	(800)-735-2900	(877)-221-8221	(877)-221-8221	20753	(877)-221-8221	(877)-221-8221	(800)-735-2900	(800)-735-2900
H9003	801	0	1	01	01	H9003_801_0	6		KAISER FOUNDATION HP OF THE N W	Kaiser Foundation Health Plan of the NW	www.kaiserpermanente.org	H9003	801	2007	01	01	1	Employer Group Only		Portland Metro, Clark Co. WA, Salem, Longview	1	0		2				2		(800)-735-2900	(800)-735-2900	(877)-221-8221	(877)-221-8221	24076	(877)-221-8221	(877)-221-8221	(800)-735-2900	(800)-735-2900
H9003	802	0	1	01	01	H9003_802_0	6		KAISER FOUNDATION HP OF THE N W	Kaiser Foundation Health Plan of the NW	www.kaiserpermanente.org	H9003	802	2007	01	01	1	Employer Group Only		Portland Metro, Clark Co. WA, Salem, Longview	1	0		2				2		(800)-735-2900	(800)-735-2900	(877)-221-8221	(877)-221-8221	2068				
H9005	007	0	1	01	01	H9005_007_0	6		GROUP HEALTH PLAN, INC.	HealthPartners	www.healthpartners.com/medicare	H9005	007	2007	01	01	1	HealthPartners Classic		MN Twin Cities Metro Area	2	0		2				2		(800)-443-0156	(800)-443-0156	(800)-233-9645	(800)-247-7015		(800)-233-9645	(800)-247-7015	(800)-443-0156	(800)-443-0156
H9005	804	0	1	01	01	H9005_804_0	5		GROUP HEALTH PLAN, INC.	HealthPartners	www.healthpartners.com/medicare	H9005	804	2007	01	01	1	HealthPartners Classic Group		MN Twin Cities Metro Area	1	0		2				2		(800)-443-0156	(800)-443-0156	(800)-233-9645	(800)-247-7015		(800)-233-9645	(800)-247-7015	(800)-443-0156	(800)-443-0156
H9011	003	0	1	01	01	H9011_003_0	5		UNITED HEALTHCARE OF FLORIDA INC.	SecureHorizons	www.medicarecomplete.com	H9011	003	2007	01	01	1	MedicareComplete Plan 1		Miami-Dade County	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-642-7552	(800)-555-5757		(800)-642-7552	(800)-555-5757	(888)-685-8480	(888)-685-8480
H9011	011	0	1	01	01	H9011_011_0	3		UNITED HEALTHCARE OF FLORIDA INC.	SecureHorizons	www.medicarecomplete.com	H9011	011	2007	01	01	1	Evercare Plan DH		Miami-Dade County	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5110	(888)-834-3721		(877)-702-5110	(888)-834-3721	(888)-685-8480	(888)-685-8480
H9011	012	0	1	01	01	H9011_012_0	7		UNITED HEALTHCARE OF FLORIDA INC.	SecureHorizons	www.medicarecomplete.com	H9011	012	2007	01	01	1	MedicareComplete Plan 2		Miami-Dade County	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-642-7552	(800)-555-5757		(800)-642-7552	(800)-555-5757	(888)-685-8480	(888)-685-8480
H9011	801	0	1	01	01	H9011_801_0	3		UNITED HEALTHCARE OF FLORIDA INC.	SecureHorizons	www.medicarecomplete.com	H9011	801	2007	01	01	1	MedicareComplete		Broward, Dade and Palm Beach Counties	1	0		2				2		(888)-685-8480	(888)-685-8480	(800)-642-7552	(800)-221-6746		(800)-642-7552	(800)-221-6746	(888)-685-8480	(888)-685-8480
H9011	802	0	1	01	01	H9011_802_0	2		UNITED HEALTHCARE OF FLORIDA INC.	SecureHorizons	www.medicarecomplete.com	H9011	802	2007	01	01	1	MedicareComplete Essential		Broward, Dade and Palm Beach Counties	1	0		2				2		(888)-685-8480	(888)-685-8480	(800)-642-7552	(800)-221-6746					
H9016	002	0	1	01	01	H9016_002_0	8		UHP HEALTHCARE	UHP Healthcare for Seniors	www.uhphealthcare.com	H9016	002	2007	01	01	1	UHP Healthcare for Seniors		Los Angeles County	2	0		2				1	1	(888)-702-3323	(888)-702-3323	(800)-544-0088	(800)-847-1222	150	(800)-544-0088	(800)-847-1222	(888)-702-3323	(888)-702-3323
H9016	006	0	1	01	01	H9016_006_0	9		UHP HEALTHCARE	UHP Healthcare for Seniors	www.uhphealthcare.com	H9016	006	2007	01	01	1	UHP Healthcare for Seniors		San Bernardino County	2	0		2				1	1	(888)-702-3323	(888)-702-3323	(800)-544-0088	(800)-847-1222	100	(800)-544-0088	(800)-847-1222	(888)-702-3323	(888)-702-3323
H9016	007	0	1	01	01	H9016_007_0	9		UHP HEALTHCARE	UHP Healthcare for Seniors	www.uhphealthcare.com	H9016	007	2007	01	01	1	UHP Healthcare for Seniors		Orange County	2	0		2				1	1	(888)-702-3323	(888)-702-3323	(800)-544-0088	(800)-847-1222	100	(800)-544-0088	(800)-847-1222	(888)-702-3323	(888)-702-3323
H9016	009	0	1	01	01	H9016_009_0	5		UHP HEALTHCARE	UHP Healthcare for Seniors	www.uhphealthcare.com	H9016	009	2007	01	01	1	UHP Healthcare For Seniors - Special Needs		Los Angeles County	2	0		1	3	1	2	1	1	(888)-702-3323	(888)-702-3323	(800)-544-0088	(800)-847-1222	100	(800)-544-0088	(800)-847-1222	(888)-702-3323	(888)-702-3323
H9016	010	0	1	01	01	H9016_010_0	5		UHP HEALTHCARE	UHP Healthcare for Seniors	www.uhphealthcare.com	H9016	010	2007	01	01	1	UHP Healthcare For Seniors - Special Needs		Orange County	2	0		1	3	1	2	1	1	(888)-702-3323	(888)-702-3323	(800)-544-0088	(800)-847-1222	50	(800)-544-0088	(800)-847-1222	(888)-702-3323	(888)-702-3323
H9016	011	0	1	01	01	H9016_011_0	6		UHP HEALTHCARE	UHP Healthcare for Seniors	www.uhphealthcare.com	H9016	011	2007	01	01	1	UHP Healthcare For Seniors - Special Needs		San Bernardino	2	0		1	3	1	2	1	1	(888)-702-3323	(888)-702-3323	(800)-544-0088	(800)-847-1222	100	(800)-544-0088	(800)-847-1222	(888)-702-3323	(888)-702-3323
H9047	001	0	1	01	01	H9047_001_0	9		PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org/healthplans	H9047	001	2007	01	01	1	Providence Medicare Extra Plan 1 + RX		Portland Metro, Willamette Valley, Clark County	2	0		2				2		(888)-244-6642	(888)-244-6642	(800)-603-2340	(800)-988-0088		(800)-603-2340	(800)-988-0088	(888)-244-6642	(888)-244-6642
H9047	013	0	2	01	01	H9047_013_0	9		PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org/healthplans	H9047	013	2007	01	01	2	Providence Medicare Extra Part B Only + RX		Portland Metro and Willamette Valley	2	0		2				2		(888)-244-6642	(888)-244-6642	(800)-603-2340	(800)-988-0088		(800)-603-2340	(800)-988-0088	(888)-244-6642	(888)-244-6642
H9047	024	0	1	02	01	H9047_024_0	9		PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org/healthplans	H9047	024	2007	01	02	1	Providence Medicare Choice + RX		Portland Metro, Willamette Valley, Clark County	2	0		2				2		(888)-244-6642	(888)-244-6642	(800)-603-2340	(800)-988-0088		(800)-603-2340	(800)-988-0088	(888)-244-6642	(888)-244-6642
H9047	033	0	1	01	01	H9047_033_0	4		PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org	H9047	033	2007	01	01	1	Providence Medicare Extra Plan 1		Portland Metro, Willamette Valley, Clark County	2	0		2				2		(888)-244-6642	(888)-244-6642	(800)-603-2340	(800)-988-0088					
H9047	035	0	1	02	01	H9047_035_0	6		PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org/healthplans	H9047	035	2007	01	02	1	Providence Medicare Choice		Portland Metro, Willamette Valley, Clark County	2	0		2				2		(888)-244-6642	(888)-244-6642	(800)-603-2340	(800)-988-0088					
H9047	801	0	1	01	01	H9047_801_0	4		PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org	H9047	801	2007	01	01	1	Providence Medicare Extra Group Plan		Portland Metro, Willamette Valley, Clark County	1	0		2				2		(888)-244-6642	(888)-244-6642	(800)-603-2340	(800)-988-0088					
H9047	804	0	1	01	01	H9047_804_0	4		PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org	H9047	804	2007	01	01	1	Providence Medicare Extra Group Plan + RX		Portland Metro, Willamette Valley, Clark County	1	0		2				2		(888)-244-6642	(888)-244-6642	(800)-603-2340	(800)-988-0088		(800)-603-2340	(800)-988-0088	(888)-244-6642	(888)-244-6642
H9101	007	0	1	10	05	H9101_007_0	5		ELDERPLAN, INC.  - SHMO	Elderplan, Inc.	http://www.elderplan.org	H9101	007	2007	05	10	1	Elderplan, INC		New York City Metro area	2	0		1	1	2	2	2		(800)-610-6303	(800)-610-6303	(800)-353-3765	(718)-921-7898	200	(800)-353-3765	(800)-353-3765	(800)-610-6303	(800)-610-6303
H9103	001	0	1	10	05	H9103_001_0	6		KAISER FOUNDATION HP OF THE N W	Kaiser Foundation Health Plan of the NW	www.kaiserpermanente.org	H9103	001	2007	05	10	1	Senior Advantage II		Portland Metro, Clark Co. WA, Salem	2	0		2				2		(800)-735-2900	(800)-735-2900	(877)-221-8221	(877)-221-8221	5173	(877)-221-8221	(877)-221-8221	(800)-735-2900	(800)-735-2900
H9104	006	0	1	10	05	H9104_006_0	11		SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	H9104	006	2007	05	10	1	SCAN Health Plan		SCAN Los Angeles County	2	0		1	1	2	2	2		(800)-735-2929	(800)-735-2929	(800)-559-3500	(800)-915-7226	41284	(800)-559-3500	(800)-915-7226	(800)-735-2929	(800)-735-2929
H9104	007	0	1	10	05	H9104_007_0	10		SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	H9104	007	2007	05	10	1	SCAN Health Plan		SCAN Orange County	2	0		1	1	2	2	2		(800)-735-2929	(800)-735-2929	(800)-559-3500	(800)-915-7226	41284	(800)-559-3500	(800)-915-7226	(800)-735-2929	(800)-735-2929
H9104	008	0	1	10	05	H9104_008_0	10		SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	H9104	008	2007	05	10	1	SCAN Health Plan		SCAN Riverside County	2	0		1	1	2	2	2		(800)-735-2929	(800)-735-2929	(800)-559-3500	(800)-915-7226	41284	(800)-559-3500	(800)-915-7226	(800)-735-2929	(800)-735-2929
H9104	009	0	1	10	05	H9104_009_0	10		SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	H9104	009	2007	05	10	1	SCAN Health Plan		SCAN San Bernardino County	2	0		1	1	2	2	2		(800)-735-2929	(800)-735-2929	(800)-559-3500	(800)-915-7226	41284	(800)-559-3500	(800)-915-7226	(800)-735-2929	(800)-735-2929
H9104	801	0	1	10	05	H9104_801_0	4		SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	H9104	801	2007	05	10	1	SCAN Employer Group Plan		SCAN Employer Group Plan	1	0		2				2		(800)-735-2929	(800)-735-2929	(800)-559-3500	(800)-915-7226	2729				
H9104	802	0	1	10	05	H9104_802_0	4		SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	H9104	802	2007	05	10	1	SCAN Employer Group Plan		SCAN Employer Group Plan	1	0		2				2		(800)-735-2929	(800)-735-2929	(800)-559-3500	(800)-915-7226	2729				
H9104	803	0	1	10	05	H9104_803_0	7		SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	H9104	803	2007	05	10	1	SCAN Employer Group Plan		SCAN Employer Group Plan	1	0		2				2		(800)-735-2929	(800)-735-2929	(800)-559-3500	(800)-915-7226	2729	(800)-559-3500	(800)-915-7226	(800)-735-2929	(800)-735-2929
H9104	804	0	1	10	05	H9104_804_0	7		SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	H9104	804	2007	05	10	1	SCAN Employer Group Plan		SCAN Employer Group Plan	1	0		2				2		(800)-735-2929	(800)-735-2929	(800)-559-3500	(800)-915-7226	2729	(800)-559-3500	(800)-915-7226	(800)-735-2929	(800)-735-2929
H9136	001	0	1	01	01	H9136_001_0	7		MEDICARE ULTRA, INC.	Medicare Ultra	www.hmu.com	H9136	001	2007	01	01	1	Health Medicare Ultra, Inc.		Health Medicare Ultra	2	0		2				1	1	(800)-981-0054	(800)-981-0054	(800)-981-0054	(800)-981-0054	72221	(800)-981-0054	(800)-981-0054	(800)-981-0054	(800)-981-0054
H9313	001	0	1	01	01	H9313_001_0	2		MEDICAL MUTUAL OF OHIO	Medical Mutual of Ohio	www.medmutual.com	H9313	001	2007	01	01	1	Advantage Plan  Standard		Akr/Ctn/Cleve/Yngtwn/Tol/Col Areas	2	0		2				2		(800)-982-8109	(800)-982-8109	(800)-982-3117	(800)-613-2583	825	(800)-982-3117	(800)-613-2583	(800)-982-8109	(800)-982-8109
H9313	002	0	1	02	01	H9313_002_0	2		MEDICAL MUTUAL OF OHIO	Medical Mutual of Ohio	www.medmutual.com	H9313	002	2007	01	02	1	Advantage Plan Value		AkrCtnCleveYngtwnTolCol Area	2	0		2				2		(800)-982-8109	(800)-982-8109	(800)-982-3117	(800)-613-2583	1100	(800)-982-3117	(800)-613-2583	(800)-982-8109	(800)-982-8109
H9313	003	0	1	02	01	H9313_003_0	2		MEDICAL MUTUAL OF OHIO	Medical Mutual of Ohio	www.medmutual.com	H9313	003	2007	01	02	1	Advantage Plan Premium		AkrCtnCleveYngtwnTolCol Area	2	0		2				2		(800)-982-8109	(800)-982-8109	(800)-982-3117	(800)-613-2583	825	(800)-982-3117	(800)-613-2583	(800)-982-8109	(800)-982-8109
H9313	801	0	1	02	01	H9313_801_0	1		MEDICAL MUTUAL OF OHIO	Medical Mutual of Ohio	www.medmutual.com	H9313	801	2007	01	02	1	Employer plan		Ohio	1	0		2				2		(800)-982-8109	(800)-982-8109	(800)-982-3117	(800)-613-2583	1375	(800)-982-3117	(800)-613-2583	(800)-982-8109	(800)-982-8109
H9313	802	0	1	02	01	H9313_802_0	1		MEDICAL MUTUAL OF OHIO	Medical Mutual of Ohio	www.medmutual.com	H9313	802	2007	01	02	1	Employer plan mapd non-calendar		Ohio	1	0		2				2		(800)-982-8109	(800)-982-8109	(800)-982-3117	(800)-613-2583	1375	(800)-982-3117	(800)-613-2583	(800)-982-8109	(800)-982-8109
H9385	001	0	1	01	01	H9385_001_0	7		SCAN HEALTH PLAN OF ARIZONA	SCAN Health Plan Arizona	www.scanhealthplan.com	H9385	001	2007	01	01	1	SCAN Health Plan		SCAN  Maricopa County	2	0		1	1	2	2	2		(800)-735-2929	(800)-735-2929	(800)-559-3500	(800)-915-7226		(800)-559-3500	(800)-915-7226	(800)-735-2929	(800)-735-2929
H9418	001	0	1	02	01	H9418_001_0	4		UNITED HEALTHCARE INSURANCE COMPANY	UNITED HEALTHCARE INSURANCE COMPANY	www.EvercareHealthPlans.com	H9418	001	2007	01	02	1	Evercare Plan IH-POS		Litchfield, Tolland and Windham Counties	2	0		1	1	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(888)-697-9058		(800)-393-0993	(888)-697-9058	(888)-685-8480	(888)-685-8480
H9418	002	0	1	02	01	H9418_002_0	6		UNITED HEALTHCARE INSURANCE COMPANY	UNITED HEALTHCARE INSURANCE COMPANY	www.EvercareHealthPlans.com	H9418	002	2007	01	02	1	Evercare Plan DH-POS		Litchfield, Tolland and Windham Counties	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(800)-393-0993	(888)-697-9058		(800)-393-0993	(888)-697-9058	(888)-685-8480	(888)-685-8480
H9519	001	0	1	09	04	H9519_001_0	10	2	INDEPENDENT HEALTH BENEFITS CORPORATION	Independent Health	www.independenthealth.com	H9519	001	2007	04	09	1	Independent Health's Medicare Anywhere		New York State	2	0		2				1	1	(716)-631-3108	(716)-631-3108	(800)-665-1502	(800)-958-4405	150	(800)-665-1502	(800)-958-4405	(716)-631-3108	(716)-631-3108
H9519	002	0	1	09	04	H9519_002_0	7	2	INDEPENDENT HEALTH BENEFITS CORPORATION	Independent Health	www.independenthealth.com	H9519	002	2007	04	09	1	Independent Health's Medicare Anywhere		New York State	2	0		2				1	1	(716)-631-3108	(716)-631-3108	(800)-665-1502	(800)-958-4405	125				
H9519	801	0	1	09	04	H9519_801_0	6	2	INDEPENDENT HEALTH BENEFITS CORPORATION	Independent Health	www.independenthealth.com	H9519	801	2007	04	09	1	Independent Health's Medicare Anywhere		Western New York and Deemed Medicare Network	1	0		2				1	1	(716)-631-3108	(716)-631-3108	(800)-665-1502	(800)-958-4405	1500	(800)-665-1502	(800)-958-4405	(716)-631-3108	(716)-631-3108
H9519	802	0	1	09	04	H9519_802_0	4	2	INDEPENDENT HEALTH BENEFITS CORPORATION	Independent Health	www.independenthealth.com	H9519	802	2007	04	09	1	Independent Health's Medicare Anywhere		Western New York and Deemed Medicare Network	1	0		2				1	1	(716)-631-3108	(716)-631-3108	(800)-665-1502	(800)-958-4405	200				
H9859	001	0	1	01	01	H9859_001_0	9		MVP HEALTH PLAN, INC,	MVP Gold	www.mvphealthcare.com	H9859	001	2007	01	01	1	MVP Gold		East Region	2	0		2				2		(800)-665-7924	(888)-280-6205	(585)-327-2480	(585)-327-5760	518				
H9859	002	0	1	01	01	H9859_002_0	11		MVP HEALTH PLAN, INC,	MVP Gold	www.mvphealthcare.com	H9859	002	2007	01	01	1	MVP Gold Rx		East Region	2	0		2				2		(800)-665-7924	(888)-280-6205	(585)-327-2480	(585)-327-5760	222	(800)-665-7924	(800)-665-7924		
H9859	003	0	1	01	01	H9859_003_0	9		MVP HEALTH PLAN, INC,	MVP Gold	www.mvphealthcare.com	H9859	003	2007	01	01	1	MVP Gold		Mid-Hudson Region	2	0		2				2		(800)-665-7924	(888)-280-6205	(585)-327-2480	(585)-327-5760	69				
H9859	004	0	1	01	01	H9859_004_0	11		MVP HEALTH PLAN, INC,	MVP Gold	www.mvphealthcare.com	H9859	004	2007	01	01	1	MVP Gold Rx		Mid-Hudson Region	2	0		2				2		(800)-665-7924	(888)-280-6205	(585)-327-2480	(585)-327-5760	31	(800)-665-7924	(800)-665-7924		
H9859	005	0	1	01	01	H9859_005_0	9		MVP HEALTH PLAN, INC,	MVP Gold	www.mvphealthcare.com	H9859	005	2007	01	01	1	MVP Gold		Mid-State Region	2	0		2				2		(800)-665-7924	(888)-280-6205	(585)-327-2480	(585)-327-5760	112				
H9859	006	0	1	01	01	H9859_006_0	12		MVP HEALTH PLAN, INC,	MVP Gold	www.mvphealthcare.com	H9859	006	2007	01	01	1	MVP Gold Rx		Mid-State Region	2	0		2				2		(800)-665-7924	(888)-280-6205	(585)-327-2480	(585)-327-5760	48	(800)-665-7924	(800)-665-7924		
H9859	801	0	1	01	01	H9859_801_0	10		MVP HEALTH PLAN, INC,	MVP Gold	www.mvphealthcare.com	H9859	801	2007	01	01	1	MVP Gold Employer Group		East Region	1	0		2				2		(800)-665-7924	(888)-280-6205	(585)-327-2480	(585)-327-5760	278				
H9859	802	0	1	01	01	H9859_802_0	11		MVP HEALTH PLAN, INC,	MVP Gold	www.mvphealthcare.com	H9859	802	2007	01	01	1	MVP Gold Employer Group Rx		East Region	1	0		2				2		(800)-665-7924	(888)-280-6205	(585)-327-2480	(585)-327-5760	832	(800)-665-7924	(800)-665-7924		
H9859	803	0	1	01	01	H9859_803_0	10		MVP HEALTH PLAN, INC,	MVP Gold	www.mvphealthcare.com	H9859	803	2007	01	01	1	MVP Gold Employer Group		Mid-Hudson Region	1	0		2				2		(800)-665-7924	(888)-280-6205	(585)-327-2480	(585)-327-5760	75				
H9859	804	0	1	01	01	H9859_804_0	11		MVP HEALTH PLAN, INC,	MVP Gold	www.mvphealthcare.com	H9859	804	2007	01	01	1	MVP Gold Employer Group Rx		Mid-Hudson Region	1	0		2				2		(800)-665-7924	(888)-280-6205	(585)-327-2480	(585)-327-5760	225	(800)-665-7924	(800)-665-7924		
H9859	805	0	1	01	01	H9859_805_0	10		MVP HEALTH PLAN, INC,	MVP Gold	www.mvphealthcare.com	H9859	805	2007	01	01	1	MVP Gold Employer Group		Mid-State Region	1	0		2				2		(800)-665-7924	(888)-280-6205	(585)-327-2480	(585)-327-5760	97				
H9859	806	0	1	01	01	H9859_806_0	11		MVP HEALTH PLAN, INC,	MVP Gold	www.mvphealthcare.com	H9859	806	2007	01	01	1	MVP Gold Employer Group Rx		Mid-State Region	1	0		2				2		(800)-665-7924	(888)-280-6205	(585)-327-2480	(585)-327-5760	293	(800)-665-7924	(800)-665-7924		
H9859	807	0	1	01	01	H9859_807_0	10		MVP HEALTH PLAN, INC,	MVP Gold	www.mvphealthcare.com	H9859	807	2007	01	01	1	MVP Gold Employer Group		Broome County	1	0		2				2		(800)-665-7924	(888)-280-6205	(585)-327-2480	(585)-327-5760	50				
H9859	808	0	1	01	01	H9859_808_0	11		MVP HEALTH PLAN, INC,	MVP Gold	www.mvphealthcare.com	H9859	808	2007	01	01	1	MVP Gold Employer Group Rx		Broome County	1	0		2				2		(800)-665-7924	(888)-280-6205	(585)-327-2480	(585)-327-5760	150	(800)-665-7924	(800)-665-7924		
H9984	001	0	1	01	01	H9984_001_0	8		GOLDEN CROSS HMO HEALTH PLAN CORPORATION	GOLDEN CROSS	www.goldencrossmapd.com	H9984	001	2007	01	01	1	A Plus		GOLDEN CROSS A Plus	2	0		2				2		(787)-724-6565	(787)-724-6565	(787)-724-6565	(787)-724-6565		(800)-724-6565	(800)-724-6565	(787)-724-6565	(787)-724-6565
H9984	002	0	1	01	01	H9984_002_0	5		GOLDEN CROSS HMO HEALTH PLAN CORPORATION	GOLDEN CROSS	www.goldencrossmapd.com	H9984	002	2007	01	01	1	AA		GOLDEN CROSS AA	2	0		2				2		(787)-724-6565	(787)-724-6565	(787)-724-6565	(787)-724-6565		(800)-724-6565	(800)-724-6565	(787)-724-6565	(787)-724-6565
H9984	003	0	1	01	01	H9984_003_0	4		GOLDEN CROSS HMO HEALTH PLAN CORPORATION	GOLDEN CROSS	www.goldencrossmapd.com	H9984	003	2007	01	01	1	AAA		GOLDEN CROSS AAA	2	0		2				2		(787)-724-6565	(787)-724-6565	(787)-724-6565	(787)-724-6565		(800)-724-6565	(800)-724-6565	(787)-724-6565	(787)-724-6565
R3175	001	0	1	31	11	R3175_001_0	5		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	R3175	001	2007	11	31	1	MedicareComplete Choice Plan 3		Hawaii	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-238-7220	(800)-555-5757		(866)-238-7220	(800)-555-5757	(888)-685-8480	(888)-685-8480
R3175	002	0	1	31	11	R3175_002_0	6		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	R3175	002	2007	11	31	1	MedicareComplete Choice Plan 5		Hawaii	2	0		2				2		(888)-685-8480	(888)-685-8480	(866)-238-7220	(866)-391-6664					
R3175	003	0	1	31	11	R3175_003_0	9		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	R3175	003	2007	11	31	1	Evercare Plan RDP		Hawaii	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(866)-238-7220	(888)-834-3721		(866)-238-7220	(888)-834-3721	(888)-685-8480	(888)-685-8480
R3175	801	0	1	31	11	R3175_801_0	4		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	R3175	801	2007	11	31	1	MedicareComplete Choice Plan 1		Hawaii	1	0		2				2		(888)-685-8480	(888)-685-8480	(866)-238-7220	(866)-391-6664		(866)-238-7220	(866)-391-6664	(888)-685-8480	(888)-685-8480
R3175	802	0	1	31	11	R3175_802_0	6		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	R3175	802	2007	11	31	1	MedicareComplete Choice Plan 2		Hawaii	1	0		2				2		(888)-685-8480	(888)-685-8480	(866)-238-7220	(866)-391-6664					
R3444	001	0	1	31	11	R3444_001_0	9		CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	www.careimprovementplus.com	R3444	001	2007	11	31	1	Care Improvement Plus Silver Rx		Arkansas and Missouri	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(800)-713-1603	(800)-713-1603
R3444	002	0	1	31	11	R3444_002_0	11		CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	www.careimprovementplus.com	R3444	002	2007	11	31	1	Care Improvement Plus Gold Rx		Arkansas and Missouri	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(800)-713-1603	(800)-713-1603
R3444	003	0	1	31	11	R3444_003_0	11		CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	www.careimprovementplus.com	R3444	003	2007	11	31	1	Care Improvement Plus Platinum Rx		Arkansas and Missouri	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(800)-713-1603	(800)-713-1603
R3444	004	0	1	31	11	R3444_004_0	12		CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	www.careimprovementplus.com	R3444	004	2007	11	31	1	Care Improvement Plus Gold Rx Premier		Arkansas and Missouri	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(800)-713-1603	(800)-713-1603
R3444	005	0	1	31	11	R3444_005_0	12		CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	www.careimprovementplus.com	R3444	005	2007	11	31	1	Care Improvement Plus Gold Rx Plus		Arkansas and Missouri	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(800)-713-1603	(800)-713-1603
R3444	006	0	1	31	11	R3444_006_0	12		CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	www.careimprovementplus.com	R3444	006	2007	11	31	1	Care Improvement Plus Platinum Rx Plus		Arkansas and Missouri	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(800)-713-1603	(800)-713-1603
R3444	007	0	1	31	11	R3444_007_0	12		CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	www.careimprovementplus.com	R3444	007	2007	11	31	1	Care Improvement Plus Platinum Rx Premier		Arkansas and Missouri	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(800)-713-1603	(800)-713-1603
R3444	801	0	1	31	11	R3444_801_0	7		CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	www.careimprovementplus.com	R3444	801	2007	11	31	1	Care Improvement Plus Employer CY		Arkansas and Missouri	1	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(800)-713-1603	(800)-713-1603
R3444	802	0	1	31	11	R3444_802_0	7		CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	www.careimprovementplus.com	R3444	802	2007	11	31	1	Care Improvement Plus Employer NCY		Arkansas and Missouri	1	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(800)-713-1603	(800)-713-1603
R5287	001	0	1	31	11	R5287_001_0	9		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.SecureHorizons.com	R5287	001	2007	11	31	1	MedicareComplete Choice Plan 2		Florida	2	0		2				2		(888)-685-8480	(800)-387-1074	(888)-867-5581	(800)-555-5757		(888)-867-5581	(800)-555-5757	(888)-685-8480	(888)-685-8480
R5287	002	0	1	31	11	R5287_002_0	6		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	R5287	002	2007	11	31	1	MedicareComplete Choice Plan 2		Florida	2	0		2				2		(888)-685-8480	(888)-685-8480	(800)-711-6088	(800)-973-6467					
R5287	003	0	1	31	11	R5287_003_0	8		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.SecureHorizons.com	R5287	003	2007	11	31	1	Evercare Plan RDP		Florida	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5110	(888)-834-3721		(877)-702-5110	(888)-834-3721	(888)-685-8480	(888)-685-8480
R5287	801	0	1	31	11	R5287_801_0	4		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	R5287	801	2007	11	31	1	MedicareComplete Choice Plan 1		Florida	1	0		2				2		(888)-685-8480	(888)-685-8480	(800)-711-6088	(800)-973-6467		(800)-711-6088	(800)-973-6467	(888)-685-8480	(888)-685-8480
R5287	802	0	1	31	11	R5287_802_0	5		UNITED HEALTHCARE INSURANCE COMPANY	SecureHorizons	www.medicarecomplete.com	R5287	802	2007	11	31	1	MedicareComplete Choice Plan 2		Florida	1	0		2				2		(888)-685-8480	(888)-685-8480	(800)-711-6088	(800)-973-6467					
R5342	001	0	1	31	11	R5342_001_0	8		UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons	www.medicarecomplete.com	R5342	001	2007	11	31	1	MedicareComplete Choice Plan 1		New York State	2	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5537	(800)-555-5757		(888)-867-5537	(800)-555-5757	(888)-685-8480	(888)-685-8480
R5342	002	0	1	31	11	R5342_002_0	4		UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons	www.medicarecomplete.com	R5342	002	2007	11	31	1	MedicareComplete Choice Plan 2		New York State	2	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5537	(800)-348-1760					
R5342	003	0	1	31	11	R5342_003_0	7		UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons	www.medicarecomplete.com	R5342	003	2007	11	31	1	Evercare Plan RDP		New York State	2	0		1	3	2	2	2		(888)-685-8480	(888)-685-8480	(877)-702-5110	(888)-834-3721		(877)-702-5110	(888)-834-3721	(888)-685-8480	(888)-685-8480
R5342	801	0	1	31	11	R5342_801_0	4		UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons	www.medicarecomplete.com	R5342	801	2007	11	31	1	MedicareComplete Choice Plan 1		New York State	1	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5537	(800)-348-1760		(888)-867-5537	(800)-348-1760	(888)-685-8480	(888)-685-8480
R5342	802	0	1	31	11	R5342_802_0	5		UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons	www.medicarecomplete.com	R5342	802	2007	11	31	1	MedicareComplete Choice Plan 2		New York	1	0		2				2		(888)-685-8480	(888)-685-8480	(888)-867-5537	(800)-348-1760					
R5553	001	0	1	31	11	R5553_001_0	9		INSTIL HEALTH INSURANCE COMPANY	InStil Health Insurance Company	www.myinstil.com	R5553	001	2007	11	31	1	InStil InChoice Option I - Regional		Georgia and South Carolina	2	0		2				2		(800)-503-3118	(800)-503-3118	(877)-917-2783	(877)-446-7845		(877)-446-7845	(877)-446-7845	(800)-503-3118	(800)-503-3118
R5553	002	0	1	31	11	R5553_002_0	7		INSTIL HEALTH INSURANCE COMPANY	InStil Health Insurance Company	www.myinstil.com	R5553	002	2007	11	31	1	InStil InChoice Option II - Regional		Georgia and South Carolina	2	0		2				2		(800)-503-3118	(800)-503-3118	(877)-917-2783	(877)-446-7845		(877)-446-7845	(877)-446-7845	(800)-503-3118	(800)-503-3118
R5553	801	0	1	31	11	R5553_801_0	3		INSTIL HEALTH INSURANCE COMPANY	InStil Health Insurance Company	www.myinstil.com	R5553	801	2007	11	31	1	InStil Senior Group PPO		Georgia and South Carolina	1	0		2				2		(800)-503-3118	(800)-503-3118	(877)-917-2783	(877)-446-7845		(877)-446-7845	(877)-446-7845	(800)-503-3118	(800)-503-3118
R5553	802	0	1	31	11	R5553_802_0	3		INSTIL HEALTH INSURANCE COMPANY	InStil Health Insurance Company	www.myinstil.com	R5553	802	2007	11	31	1	InStil Senior Group PPO		Georgia and South Carolina	1	0		2				2		(800)-503-3118	(800)-503-3118	(877)-917-2783	(877)-446-7845		(877)-446-7845	(877)-446-7845	(800)-503-3118	(800)-503-3118
R5566	003	0	1	31	11	R5566_003_0	2		BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	Blue Cross Blue Shield Northern Plains Alliance	www.YourMedicareSolutions.com	R5566	003	2007	11	31	1	MedicareBlue PPO Essential Plus Rx 1		States of IA, MN, MT, NE, ND, SD, WY	2	0		2				2		(888)-457-3005	(866)-456-1550	(888)-457-3009	(866)-456-7731		(888)-457-3009	(866)-456-7731	(888)-457-3005	(866)-456-1550
R5566	005	0	1	31	11	R5566_005_0	2		BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	Blue Cross Blue Shield Northern Plains Alliance	www.YourMedicareSolutions.com	R5566	005	2007	11	31	1	MedicareBlue PPO Enhanced Plus Rx 1		States of IA, MN, MT, NE, ND, SD, WY	2	0		2				2		(888)-457-3005	(866)-456-1550	(888)-457-3009	(866)-456-7731		(888)-457-3009	(866)-456-7731	(888)-457-3005	(866)-456-1550
R5566	006	0	1	31	11	R5566_006_0	2		BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	Blue Cross Blue Shield Northern Plains Alliance	www.YourMedicareSolutions.com	R5566	006	2007	11	31	1	MedicareBlue PPO Enhanced Plus Rx 2		States of IA, MN, MT, NE, ND, SD, WY	2	0		2				2		(888)-457-3005	(866)-456-1550	(888)-457-3009	(866)-456-7731		(888)-457-3009	(866)-456-7731	(888)-457-3005	(866)-456-1550
R5566	008	0	1	31	11	R5566_008_0	2		BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	Blue Cross Blue Shield Northern Plains Alliance	www.YourMedicareSolutions.com	R5566	008	2007	11	31	1	MedicareBlue PPO Enhanced Plus Rx 3		States of IA, MN, MT, NE, ND, SD, WY	2	0		2				2		(888)-457-3005	(866)-456-1550	(888)-457-3009	(866)-456-7731		(888)-457-3009	(866)-456-7731	(888)-457-3005	(866)-456-1550
R5566	801	0	1	31	11	R5566_801_0	3		BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	Blue Cross Blue Shield Northern Plains Alliance	www.YourMedicareSolutions.com	R5566	801	2007	11	31	1	Group MedicareBlue PPO Plus Rx		States of IA, MN, MT, NE, ND, SD, WY	1	0		2				2		(888)-457-3005	(866)-456-1550	(888)-457-3009	(866)-456-7731		(888)-457-3009	(866)-456-7731	(888)-457-3005	(866)-456-1550
R5566	802	0	1	31	11	R5566_802_0	1		BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	Blue Cross Blue Shield Northern Plains Alliance	www.YourMedicareSolutions.com	R5566	802	2007	11	31	1	Group MedicareBlue PPO		States of IA, MN, MT, NE, ND, SD, WY	1	0		2				2		(888)-457-3005	(866)-456-1550	(888)-457-3009	(866)-456-7731					
R5566	803	0	1	31	11	R5566_803_0	2		BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	Blue Cross Blue Shield Northern Plains Alliance	www.YourMedicareSolutions.com	R5566	803	2007	11	31	1	Group MedicareBlue PPO Plus Rx		States of IA,MN,MT,ND,NE,SD,WY	1	0		2				2		(888)-457-3005	(866)-456-1550	(888)-457-3009	(866)-456-7731		(888)-457-3009	(866)-456-7731	(888)-457-3005	(866)-456-1550
R5566	804	0	1	31	11	R5566_804_0	1		BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	Blue Cross Blue Shield Northern Plains Alliance	www.YourMedicareSolutions.com	R5566	804	2007	11	31	1	Group MedicareBlue PPO		States of IA,MN,MT,ND,NE,SD,WY	1	0		2				2		(888)-457-3005	(866)-456-1550	(888)-457-3009	(866)-456-7731					
R5566	805	0	1	31	11	R5566_805_0	2		BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	Blue Cross Blue Shield Northern Plains Alliance	www.YourMedicareSolutions.com	R5566	805	2007	11	31	1	Group MedicareBlue PPO Plus Rx Max		States of IA,MN,MT,ND,NE,SD,WY	1	0		2				2		(888)-457-3005	(866)-456-1550	(888)-457-3009	(866)-456-7731		(888)-457-3009	(866)-456-7731	(888)-457-3005	(866)-456-1550
R5566	806	0	1	31	11	R5566_806_0	2		BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	Blue Cross Blue Shield Northern Plains Alliance	www.YourMedicareSolutions.com	R5566	806	2007	11	31	1	Group MedicareBlue PPO Plus Rx Max		States of IA,MN,MT,ND,NE,SD,WY	1	0		2				2		(888)-457-3005	(866)-456-1550	(888)-457-3009	(866)-456-7731		(888)-457-3009	(866)-456-7731	(888)-457-3005	(866)-456-1550
R5595	001	0	1	31	11	R5595_001_0	3		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	aetnamedicare.com	R5595	001	2007	11	31	1	Aetna Golden Choice Regional Plan		New Jersey	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
R5595	003	0	1	31	11	R5595_003_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	aetnamedicare.com	R5595	003	2007	11	31	1	Aetna Golden Choice Regional Standard Plan		Mid-Atlantic (Maryland, Delaware and DC)	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
R5595	004	0	1	31	11	R5595_004_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	aetnamedicare.com	R5595	004	2007	11	31	1	Aetna Golden Choice Regional Premier Plan		Mid-Atlantic (Maryland, Delaware and DC)	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
R5595	005	0	1	31	11	R5595_005_0	5		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	aetnamedicare.com	R5595	005	2007	11	31	1	Aetna Golden Choice Regional Value Plan		Mid-Atlantic (Maryland, Delaware and DC)	2	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
R5595	801	0	1	31	11	R5595_801_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	aetnamedicare.com	R5595	801	2007	11	31	1	Aetna Golden Choice Regional PPO Plan		New Jersey	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
R5595	802	0	1	31	11	R5595_802_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	aetnamedicare.com	R5595	802	2007	11	31	1	Aetna Golden Choice Plan w/Rx CY		New Jersey	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
R5595	803	0	1	31	11	R5595_803_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	aetnamedicare.com	R5595	803	2007	11	31	1	Aetna Golden Choice Regional PPO Plan		Mid-Atlantic (Maryland, Delaware and DC)	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796					
R5595	804	0	1	31	11	R5595_804_0	3		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	aetnamedicare.com	R5595	804	2007	11	31	1	Aetna Golden Choice Regional PPO Plan w/Rx		Mid-Atlantic (Maryland, Delaware and DC)	1	0		2				2		(800)-628-3323	(800)-628-3323	(800)-282-5366	(800)-445-1796		(800)-282-5366	(800)-445-1796	(800)-628-3323	(800)-628-3323
R5674	001	0	1	31	11	R5674_001_0	9		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Nevada Spectrum	http://www.sierranevadaspectrum.com	R5674	001	2007	11	31	1	Sierra Nevada Spectrum		Nevada	2	0		2				2		(800)-349-3538	(800)-349-3538	(877)-559-4512	(800)-274-6648		(877)-559-4512	(800)-274-6648	(800)-349-3538	(800)-349-3538
R5674	801	0	1	31	11	R5674_801_0	7		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Nevada Spectrum	http://www.sierranevadaspectrum.com	R5674	801	2007	11	31	1	Basic Group (with Drug) Coverage		Nevada	1	0		2				2		(800)-349-3538	(800)-349-3538	(877)-559-4512	(800)-274-6648		(877)-559-4512	(800)-274-6648	(800)-349-3538	(800)-349-3538
R5674	802	0	1	31	11	R5674_802_0	5		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Nevada Spectrum	http://www.sierranevadaspectrum.com	R5674	802	2007	11	31	1	Basic Group (without Drug) Coverage		Nevada	1	0		2				2		(800)-349-3538	(800)-349-3538	(877)-559-4512	(800)-274-6648					
R5674	803	0	1	31	11	R5674_803_0	6		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Nevada Spectrum	http://www.sierranevadaspectrum.com	R5674	803	2007	11	31	1	(NCY) Basic Group (With Drug) Coverage		Nevada	1	0		2				2		(800)-349-3538	(800)-349-3538	(877)-559-4512	(800)-274-6648		(877)-559-4512	(800)-274-6648	(800)-349-3538	(800)-349-3538
R5674	804	0	1	31	11	R5674_804_0	5		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Nevada Spectrum	http://www.sierranevadaspectrum.com	R5674	804	2007	11	31	1	(NCY) Basic Group (Without Drug) Coverage		Nevada	1	0		2				2		(800)-349-3538	(800)-349-3538	(877)-559-4512	(800)-274-6648					
R5826	001	0	1	31	11	R5826_001_0	6		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	001	2007	11	31	1	HumanaChoicePPO PPO R5826-001		States of Alabama and Tennessee	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	002	0	1	31	11	R5826_002_0	6		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	002	2007	11	31	1	HumanaChoicePPO PPO R5826-002		States of Pennsylvania and West Virginia	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	003	0	1	31	11	R5826_003_0	6		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	003	2007	11	31	1	HumanaChoicePPO PPO R5826-003		States of North Carolina and Virginia	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	004	0	1	31	11	R5826_004_0	6		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	004	2007	11	31	1	HumanaChoicePPO PPO R5826-004		States of Georgia and South Carolina	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	005	0	1	31	11	R5826_005_0	5		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	005	2007	11	31	1	HumanaChoicePPO PPO R5826-005		State of Florida	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	006	0	1	31	11	R5826_006_0	5		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	006	2007	11	31	1	HumanaChoicePPO PPO R5826-006		State of Michigan	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	007	0	1	31	11	R5826_007_0	5		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	007	2007	11	31	1	HumanaChoicePPO PPO R5826-007		State of Ohio	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	008	0	1	31	11	R5826_008_0	6		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	008	2007	11	31	1	HumanaChoicePPO PPO R5826-008		States of Indiana and Kentucky	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	009	0	1	31	11	R5826_009_0	6		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	009	2007	11	31	1	HumanaChoicePPO PPO R5826-009		States of Illinois and Wisconsin	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	010	0	1	31	11	R5826_010_0	6		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	010	2007	11	31	1	HumanaChoicePPO PPO R5826-010		States of Arkansas and Missouri	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	011	0	1	31	11	R5826_011_0	6		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	011	2007	11	31	1	HumanaChoicePPO PPO R5826-011		States of Louisiana and Mississippi	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	012	0	1	31	11	R5826_012_0	6		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	012	2007	11	31	1	HumanaChoicePPO PPO R5826-012		State of Texas	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	013	0	1	31	11	R5826_013_0	6		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	013	2007	11	31	1	HumanaChoicePPO PPO R5826-013		States of Kansas and Oklahoma	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	014	0	1	31	11	R5826_014_0	9		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	014	2007	11	31	1	HumanaChoicePPO PPO R5826-014		State of Arizona	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	018	0	1	31	11	R5826_018_0	6		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	018	2007	11	31	1	HumanaChoicePPO PPO R5826-018		State of Florida	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	021	0	1	31	11	R5826_021_0	7		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	021	2007	11	31	1	HumanaChoicePPO PPO R5826-021		State of Ohio	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	023	0	1	31	11	R5826_023_0	6		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	023	2007	11	31	1	HumanaChoicePPO PPO R5826-023		States of Illinois and Wisconsin	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	026	0	1	31	11	R5826_026_0	6		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	026	2007	11	31	1	HumanaChoicePPO PPO R5826-026		State of Texas	2	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	801	0	1	31	11	R5826_801_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	801	2007	11	31	1	Humana Employer Sponsored		States of Alabama and Tennessee	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	802	0	1	31	11	R5826_802_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	802	2007	11	31	1	Humana Employer Sponsored		States of Pennsylvania and West Virginia	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	803	0	1	31	11	R5826_803_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	803	2007	11	31	1	Humana Employer Sponsored		States of North Carolina and Virginia	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	804	0	1	31	11	R5826_804_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	804	2007	11	31	1	Humana Employer Sponsored		States of Georgia and South Carolina	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	805	0	1	31	11	R5826_805_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	805	2007	11	31	1	Humana Employer Sponsored		State of Florida	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	806	0	1	31	11	R5826_806_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	806	2007	11	31	1	Humana Employer Sponsored		State of Michigan	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	807	0	1	31	11	R5826_807_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	807	2007	11	31	1	Humana Employer Sponsored		State of Ohio	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	808	0	1	31	11	R5826_808_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	808	2007	11	31	1	Humana Employer Sponsored		States of Indiana and Kentucky	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	809	0	1	31	11	R5826_809_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	809	2007	11	31	1	Humana Employer Sponsored		States of Illinois and Wisconsin	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	810	0	1	31	11	R5826_810_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	810	2007	11	31	1	Humana Employer Sponsored		States of Arkansas and Missouri	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	811	0	1	31	11	R5826_811_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	811	2007	11	31	1	Humana Employer Sponsored		States of Louisiana and Mississippi	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	812	0	1	31	11	R5826_812_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	812	2007	11	31	1	Humana Employer Sponsored		State of Texas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	813	0	1	31	11	R5826_813_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	813	2007	11	31	1	Humana Employer Sponsored		States of Kansas and Oklahoma	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	814	0	1	31	11	R5826_814_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	814	2007	11	31	1	Humana Employer Sponsored		State of Arizona	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	815	0	1	31	11	R5826_815_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	815	2007	11	31	1	Humana Employer Sponsored		States of Alabama and Tennessee	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	816	0	1	31	11	R5826_816_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	816	2007	11	31	1	Humana Employer Sponsored		States of Pennsylvania and West Virginia	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	817	0	1	31	11	R5826_817_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	817	2007	11	31	1	Humana Employer Sponsored		States of North Carolina and Virginia	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	818	0	1	31	11	R5826_818_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	818	2007	11	31	1	Humana Employer Sponsored		States of Georgia and South Carolina	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	819	0	1	31	11	R5826_819_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	819	2007	11	31	1	Humana Employer Sponsored		State of Florida	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	820	0	1	31	11	R5826_820_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	820	2007	11	31	1	Humana Employer Sponsored		State of Michigan	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	821	0	1	31	11	R5826_821_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	821	2007	11	31	1	Humana Employer Sponsored		State of Ohio	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	822	0	1	31	11	R5826_822_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	822	2007	11	31	1	Humana Employer Sponsored		States of Indiana and Kentucky	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	823	0	1	31	11	R5826_823_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	823	2007	11	31	1	Humana Employer Sponsored		States of Illinois and Wisconsin	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	824	0	1	31	11	R5826_824_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	824	2007	11	31	1	Humana Employer Sponsored		States of Arkansas and Missouri	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	825	0	1	31	11	R5826_825_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	825	2007	11	31	1	Humana Employer Sponsored		States of Louisiana and Mississippi	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	826	0	1	31	11	R5826_826_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	826	2007	11	31	1	Humana Employer Sponsored		State of Texas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	827	0	1	31	11	R5826_827_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	827	2007	11	31	1	Humana Employer Sponsored		States of Kansas and Oklahoma	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	828	0	1	31	11	R5826_828_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	828	2007	11	31	1	Humana Employer Sponsored		State of Arizona	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	831	0	1	31	11	R5826_831_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	831	2007	11	31	1	Humana Employer Sponsored Non-CY		States of Pennsylvania and West Virginia	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	832	0	1	31	11	R5826_832_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	832	2007	11	31	1	Humana Employer Sponsored Non-CY		States of North Carolina and Virginia	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	833	0	1	31	11	R5826_833_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	833	2007	11	31	1	Humana Employer Sponsored Non-CY		States of Georgia and South Carolina	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	834	0	1	31	11	R5826_834_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	834	2007	11	31	1	Humana Employer Sponsored Non-CY		State of Florida	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	835	0	1	31	11	R5826_835_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	835	2007	11	31	1	Humana Employer Sponsored Non-CY		States of Alabama and Tennessee	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	836	0	1	31	11	R5826_836_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	836	2007	11	31	1	Humana Employer Sponsored Non-CY		State of Michigan	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	837	0	1	31	11	R5826_837_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	837	2007	11	31	1	Humana Employer Sponsored Non-CY		State of Ohio	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	838	0	1	31	11	R5826_838_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	838	2007	11	31	1	Humana Employer Sponsored Non-CY		States of Indiana and Kentucky	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	839	0	1	31	11	R5826_839_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	839	2007	11	31	1	Humana Employer Sponsored Non-CY		States of Illinois and Wisconsin	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	840	0	1	31	11	R5826_840_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	840	2007	11	31	1	Humana Employer Sponsored Non-CY		States of Arkansas and Missouri	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	841	0	1	31	11	R5826_841_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	841	2007	11	31	1	Humana Employer Sponsored Non-CY		States of Louisiana and Mississippi	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	842	0	1	31	11	R5826_842_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	842	2007	11	31	1	Humana Employer Sponsored Non-CY		State of Texas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	843	0	1	31	11	R5826_843_0	3		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	843	2007	11	31	1	Humana Employer Sponsored Non-CY		States of Kansas and Oklahoma	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	844	0	1	31	11	R5826_844_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	844	2007	11	31	1	Humana Employer Sponsored Non-CY		State of Arizona	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364		(800)-457-4708	(800)-833-2364	(800)-833-3301	(877)-833-4486
R5826	845	0	1	31	11	R5826_845_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	845	2007	11	31	1	Humana Employer Sponsored Non-CY		States of Pennsylvania and West Virginia	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	846	0	1	31	11	R5826_846_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	846	2007	11	31	1	Humana Employer Sponsored Non-CY		States of North Carolina and Virginia	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	847	0	1	31	11	R5826_847_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	847	2007	11	31	1	Humana Employer Sponsored Non-CY		States of Georgia and South Carolina	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	848	0	1	31	11	R5826_848_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	848	2007	11	31	1	Humana Employer Sponsored Non-CY		State of Florida	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	849	0	1	31	11	R5826_849_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	849	2007	11	31	1	Humana Employer Sponsored Non-CY		States of Alabama and Tennessee	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	850	0	1	31	11	R5826_850_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	850	2007	11	31	1	Humana Employer Sponsored Non-CY		State of Michigan	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	851	0	1	31	11	R5826_851_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	851	2007	11	31	1	Humana Employer Sponsored Non-CY		State of Ohio	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	852	0	1	31	11	R5826_852_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	852	2007	11	31	1	Humana Employer Sponsored Non-CY		States of Indiana and Kentucky	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	853	0	1	31	11	R5826_853_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	853	2007	11	31	1	Humana Employer Sponsored Non-CY		States of Illinois and Wisconsin	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	854	0	1	31	11	R5826_854_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	854	2007	11	31	1	Humana Employer Sponsored Non-CY		States of Arkansas and Missouri	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	855	0	1	31	11	R5826_855_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	855	2007	11	31	1	Humana Employer Sponsored Non-CY		States of Louisiana and Mississippi	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	856	0	1	31	11	R5826_856_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	856	2007	11	31	1	Humana Employer Sponsored Non-CY		State of Texas	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	857	0	1	31	11	R5826_857_0	4		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	857	2007	11	31	1	Humana Employer Sponsored Non-CY		States of Kansas and Oklahoma	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5826	858	0	1	31	11	R5826_858_0	5		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	R5826	858	2007	11	31	1	Humana Employer Sponsored Non-CY		State of Arizona	1	0		2				2		(800)-833-3301	(877)-833-4486	(800)-457-4708	(800)-833-2364					
R5863	001	0	1	31	11	R5863_001_0	10		HEALTH NET LIFE INSURANCE COMPANY	Health Net	www.healthnet.com	R5863	001	2007	11	31	1	Health Net Violet		Arizona	2	0		2				2		(800)-977-6757	(800)-977-6757	(800)-977-7522	(800)-422-7311		(800)-977-7522	(800)-422-7311	(800)-977-6757	(800)-977-6757
R5863	801	0	1	31	11	R5863_801_0	4		HEALTH NET LIFE INSURANCE COMPANY	Health Net	www.healthnet.com	R5863	801	2007	11	31	1	Health Net CoCare PPO		Arizona	1	0		2				2		(800)-977-6757	(800)-977-6757	(800)-977-7522	(800)-422-7311		(800)-806-8811	(800)-422-7311	(800)-977-6757	(800)-977-6757
R5863	803	0	1	31	11	R5863_803_0	3		HEALTH NET LIFE INSURANCE COMPANY	Health Net	www.healthnet.com	R5863	803	2007	11	31	1	Health Net CoCare PPO		Arizona	1	0		2				2		(800)-977-6757	(800)-977-6757	(800)-977-7522	(800)-422-7311					
R5863	804	0	1	31	11	R5863_804_0	3		HEALTH NET LIFE INSURANCE COMPANY	Health Net	www.healthnet.com	R5863	804	2007	11	31	1	Health Net CoCare PPO		Arizona	1	0		2				2		(800)-977-6757	(800)-977-6757	(800)-977-7522	(800)-422-7311		(800)-806-8811	(800)-422-7311	(800)-977-6757	(800)-977-6757
R5863	806	0	1	31	11	R5863_806_0	3		HEALTH NET LIFE INSURANCE COMPANY	Health Net	www.healthnet.com	R5863	806	2007	11	31	1	Health Net CoCare PPO		Arizona	1	0		2				2		(800)-977-6757	(800)-977-6757	(800)-977-7522	(800)-422-7311					
R5941	001	0	1	31	11	R5941_001_0	10		ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	R5941	001	2007	11	31	1	Blue Medicare Access Standard		Ohio	2	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	133	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
R5941	002	0	1	31	11	R5941_002_0	10		ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	R5941	002	2007	11	31	1	Blue Medicare Access Premier		Ohio	2	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	78	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
R5941	003	0	1	31	11	R5941_003_0	10		ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	R5941	003	2007	11	31	1	Blue Medicare Access Standard		Indiana and Kentucky	2	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	932	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
R5941	004	0	1	31	11	R5941_004_0	9		ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	R5941	004	2007	11	31	1	Blue Medicare Access Premier		Indiana and Kentucky	2	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	993	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
R5941	801	0	1	31	11	R5941_801_0	7		ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	R5941	801	2007	11	31	1	Blue Medicare Access Group		Ohio	1	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	1109	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
R5941	802	0	1	31	11	R5941_802_0	7		ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	R5941	802	2007	11	31	1	Blue Medicare Access Group		Indiana and Kentucky	1	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	2650	(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
R5941	805	0	1	31	11	R5941_805_0	4		ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	R5941	805	2007	11	31	1	Blue Medicare Access Group		Ohio	1	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	123				
R5941	806	0	1	31	11	R5941_806_0	4		ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	R5941	806	2007	11	31	1	Blue Medicare Access Group		Indiana and Kentucky	1	0		2				2		(888)-853-7754	(888)-853-7754	(800)-467-1199	(866)-803-5153	295				
R6801	001	0	1	31	11	R6801_001_0	14		CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	Care Improvement Plus	www.careimprovementplus.com	R6801	001	2007	11	31	1	Care Improvement Plus Silver Rx		Texas	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
R6801	002	0	1	31	11	R6801_002_0	10		CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	Care Improvement Plus	www.careimprovementplus.com	R6801	002	2007	11	31	1	Care Improvement Plus Gold Rx		Texas	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
R6801	003	0	1	31	11	R6801_003_0	10		CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	Care Improvement Plus	www.careimprovementplus.com	R6801	003	2007	11	31	1	Care Improvement Plus Platinum Rx		Texas	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
R6801	004	0	1	31	11	R6801_004_0	11		CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	Care Improvement Plus	www.careimprovementplus.com	R6801	004	2007	11	31	1	Care Improvement Plus Gold Rx Premier		Texas	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
R6801	005	0	1	31	11	R6801_005_0	10		CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	Care Improvement Plus	www.careimprovementplus.com	R6801	005	2007	11	31	1	Care Improvement Plus Gold Rx Plus		Texas	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
R6801	006	0	1	31	11	R6801_006_0	11		CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	Care Improvement Plus	www.careimprovementplus.com	R6801	006	2007	11	31	1	Care Improvement Plus Platinum Rx Plus		Texas	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
R6801	007	0	1	31	11	R6801_007_0	10		CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	Care Improvement Plus	www.careimprovementplus.com	R6801	007	2007	11	31	1	Care Improvement Plus Platinum Rx Premier		Texas	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
R6801	801	0	1	31	11	R6801_801_0	7		CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	Care Improvement Plus	www.careimprovementplus.com	R6801	801	2007	11	31	1	Care Improvement Plus Employer CY		Texas	1	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
R6801	802	0	1	31	11	R6801_802_0	7		CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	Care Improvement Plus	www.careimprovementplus.com	R6801	802	2007	11	31	1	Care Improvement Plus Employer NCY		Texas	1	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
R9896	001	0	1	31	11	R9896_001_0	9		CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO	Care Improvement Plus	www.careimprovementplus.com	R9896	001	2007	11	31	1	Care Improvement Plus Silver Rx		Georgia and South Carolina	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
R9896	002	0	1	31	11	R9896_002_0	9		CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO	Care Improvement Plus	www.careimprovementplus.com	R9896	002	2007	11	31	1	Care Improvement Plus Gold Rx		Georgia and South Carolina	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
R9896	003	0	1	31	11	R9896_003_0	10		CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO	Care Improvement Plus	www.careimprovementplus.com	R9896	003	2007	11	31	1	Care Improvement Plus Platinum Rx		Georgia and South Carolina	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
R9896	004	0	1	31	11	R9896_004_0	10		CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO	Care Improvement Plus	www.careimprovementplus.com	R9896	004	2007	11	31	1	Care Improvement Plus Gold Rx Premier		Georgia and South Carolina	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
R9896	005	0	1	31	11	R9896_005_0	10		CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO	Care Improvement Plus	www.careimprovementplus.com	R9896	005	2007	11	31	1	Care Improvement Plus Gold Rx Plus		Georgia and South Carolina	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
R9896	006	0	1	31	11	R9896_006_0	10		CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO	Care Improvement Plus	www.careimprovementplus.com	R9896	006	2007	11	31	1	Care Improvement Plus Platinum Rx Plus		Georgia and South Carolina	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
R9896	007	0	1	31	11	R9896_007_0	10		CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO	Care Improvement Plus	www.careimprovementplus.com	R9896	007	2007	11	31	1	Care Improvement Plus Platinum Rx Premier		Georgia and South Carolina	2	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
R9896	801	0	1	31	11	R9896_801_0	8		CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO	Care Improvement Plus	www.careimprovementplus.com	R9896	801	2007	11	31	1	Care Improvement Plus Employer CY		Georgia and South Carolina	1	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
R9896	802	0	1	31	11	R9896_802_0	8		CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO	Care Improvement Plus	www.careimprovementplus.com	R9896	802	2007	11	31	1	Care Improvement Plus Employer NCY		Georgia and South Carolina	1	0		1	4	2	2	2		(800)-713-1603	(800)-713-1603	(800)-204-1002	(800)-711-1656		(866)-270-3977	(800)-711-1656	(866)-236-1069	(800)-713-1603
R9943	001	0	1	31	11	R9943_001_0	8		BC LIFE & HEALTH INSURANCE COMPANY	BC LIFE & HEALTH INSURANCE COMPANY	www.bluecrossca.com	R9943	001	2007	11	31	1	Freedom Blue Plan I		California	2	0		2				2		(877)-247-1657	(877)-247-1657	(877)-811-3107	(800)-765-2585	14999	(877)-811-3107	(800)-765-2585	(877)-247-1657	(877)-247-1657
R9943	002	0	1	31	11	R9943_002_0	8		BC LIFE & HEALTH INSURANCE COMPANY	BC LIFE & HEALTH INSURANCE COMPANY	www.bluecrossca.com	R9943	002	2007	11	31	1	Freedom Blue Plan II		California	2	0		2				2		(877)-247-1657	(877)-247-1657	(877)-811-3107	(800)-765-2585	13843	(877)-811-3107	(800)-765-2585	(877)-247-1657	(877)-247-1657
R9943	801	0	1	31	11	R9943_801_0	7		BC LIFE & HEALTH INSURANCE COMPANY	BC LIFE & HEALTH INSURANCE COMPANY	www.bluecrossca.com	R9943	801	2007	11	31	1	Freedom Blue Group Plan I		California	1	0		2				2		(877)-247-1657	(877)-247-1657	(877)-811-3107	(800)-765-2585	1000	(877)-811-3107	(800)-765-2585	(877)-247-1657	(877)-247-1657
R9943	802	0	1	31	11	R9943_802_0	4		BC LIFE & HEALTH INSURANCE COMPANY	BC LIFE & HEALTH INSURANCE COMPANY	www.bluecrossca.com	R9943	802	2007	11	31	1	Freedom Blue Group Plan II		California	1	0		2				2		(877)-247-1657	(877)-247-1657	(877)-811-3107	(800)-765-2585	1000				
R9943	803	0	1	31	11	R9943_803_0	7		BC LIFE & HEALTH INSURANCE COMPANY	BC LIFE & HEALTH INSURANCE COMPANY	www.bluecrossca.com	R9943	803	2007	11	31	1	Freedom Blue Group Plan III		California	1	0		2				2		(877)-247-1657	(877)-247-1657	(877)-811-3107	(800)-765-2585	1000	(877)-811-3107	(800)-765-2585	(877)-247-1657	(877)-247-1657
S0043	009	0		29	10	S0043_009_0	3		PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	S0043	009	2007	10	29		PDP Medi-Max Part D		Puerto Rico	2	0		2											(866)-516-7700	(866)-516-7700		
S0043	010	0		29	10	S0043_010_0	3		PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	S0043	010	2007	10	29		PDP Medi Max  Plus Enhanced Part D		Puerto Rico	2	0		2											(866)-516-7700	(866)-516-7700		
S0197	002	0		29	10	S0197_002_0	5		CAMBRIDGE LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S0197	002	2007	10	29		AdvantraRx Value		AdvantraRx Value New York	2	0		2											(866)-823-4646	(800)-882-3822	(866)-236-1069	(800)-508-9548
S0197	003	0		29	10	S0197_003_0	4		CAMBRIDGE LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S0197	003	2007	10	29		AdvantraRx Premier		AdvantraRx Premier New York	2	0		2											(866)-823-4646	(800)-882-3822	(866)-236-1069	(800)-508-9548
S0197	005	0		29	10	S0197_005_0	5		CAMBRIDGE LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S0197	005	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus New York	2	0		2											(866)-823-4646	(800)-882-3822	(866)-236-1069	(800)-508-9548
S0197	801	0		29	10	S0197_801_0	4		CAMBRIDGE LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S0197	801	2007	10	29		AdvantraRx Group CY		AdvantraRx Group	1	0		2											(866)-823-4646	(800)-882-3822	(866)-236-1069	(800)-508-9548
S0197	802	0		29	10	S0197_802_0	4		CAMBRIDGE LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S0197	802	2007	10	29		AdvantraRx Group NCY		AdvantraRx Group	1	0		2											(866)-823-4646	(800)-882-3822	(866)-236-1069	(800)-508-9548
S0197	803	0		29	10	S0197_803_0	4		CAMBRIDGE LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S0197	803	2007	10	29		AdvantraRx Group CY		AdvantraRx Group	1	0		2											(866)-823-4646	(800)-882-3822	(866)-236-1069	(800)-508-9548
S0197	804	0		29	10	S0197_804_0	4		CAMBRIDGE LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S0197	804	2007	10	29		AdvantraRx Group NCY		AdvantraRx Group	1	0		2											(866)-823-4646	(800)-882-3822	(866)-236-1069	(800)-508-9548
S0197	805	0		29	10	S0197_805_0	4		CAMBRIDGE LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S0197	805	2007	10	29		AdvantraRx Group CY		AdvantraRx Group	1	0		2											(866)-823-4646	(800)-882-3822	(866)-236-1069	(800)-508-9548
S0197	806	0		29	10	S0197_806_0	4		CAMBRIDGE LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S0197	806	2007	10	29		AdvantraRx Group NCY		AdvantraRx Group	1	0		2											(866)-823-4646	(800)-882-3822	(866)-236-1069	(800)-508-9548
S1030	001	0		29	10	S1030_001_0	4		BCBS OF ALABAMA AND BCBS OF TENNESSEE	BlueRx	www.BlueRx.com	S1030	001	2007	10	29		Blue Rx Option I		State of Alabama, State of Tennessee	2	0		2											(888)-234-8266	(888)-578-6775	(800)-257-3384	(800)-257-3384
S1030	003	0		29	10	S1030_003_0	3		BCBS OF ALABAMA AND BCBS OF TENNESSEE	BlueRx	www.BlueRx.com	S1030	003	2007	10	29		Blue Rx Option III		State of Alabama, State of Tennessee	2	0		2											(888)-234-8266	(888)-578-6775	(800)-257-3384	(800)-257-3384
S1030	004	0		29	10	S1030_004_0	3		BCBS OF ALABAMA AND BCBS OF TENNESSEE	BlueRx	www.BlueRx.com	S1030	004	2007	10	29		Blue Rx Option IV		State of Alabama, State of Tennessee	2	0		2											(888)-234-8266	(888)-578-6775	(800)-257-3384	(800)-257-3384
S1030	801	0		29	10	S1030_801_0	3		BCBS OF ALABAMA AND BCBS OF TENNESSEE	BlueRx	www.BlueRx.com	S1030	801	2007	10	29		Blue Rx Employee Group Plan 801		State of Alabama, State of Tennessee	1	0		2											(888)-234-8266	(888)-578-6775	(800)-257-3384	(800)-257-3384
S1030	802	0		29	10	S1030_802_0	3		BCBS OF ALABAMA AND BCBS OF TENNESSEE	BlueRx	www.BlueRx.com	S1030	802	2007	10	29		Blue Rx Employee Group Plan 802		State of Alabama, State of Tennessee	1	0		2											(888)-234-8266	(888)-578-6775	(800)-257-3384	(800)-257-3384
S1566	001	0		29	10	S1566_001_0	1		ELDER HEALTH TEXAS, INC	Elder Health PDP Texas	www.elderhealth.com	S1566	001	2007	10	29		Elder Health PDP Select		State of Texas Elder Health PDP Select	2	0		2											(800)-935-7197	(888)-225-0026	(800)-716-3231	(800)-964-2561
S1566	002	0		29	10	S1566_002_0	3		ELDER HEALTH TEXAS, INC	Elder Health PDP Texas	www.elderhealth.com	S1566	002	2007	10	29		Elder Health PDP Platinum		Texas Elder Health PDP Platinum	2	0		2											(800)-935-7197	(888)-225-0026	(800)-716-3231	(800)-964-2561
S2321	001	0		29	10	S2321_001_0	2		QCC INS CO D/B/A AMERIHEALTH INS CO	AmeriHealth Rx	www.amerihealthpdp.com	S2321	001	2007	10	29		AmeriHealth Rx Option I		Pennsylvania, West Virginia	2	0		2											(888)-678-7007	(866)-456-1689	(888)-457-3002	(866)-456-1683
S2321	002	0		29	10	S2321_002_0	2		QCC INS CO D/B/A AMERIHEALTH INS CO	AmeriHealth Rx	www.amerihealthpdp.com	S2321	002	2007	10	29		AmeriHealth Rx Option II Enhanced		Pennsylvania, West Virginia	2	0		2											(888)-678-7007	(866)-456-1689	(888)-457-3002	(866)-456-1683
S2468	001	0		29	10	S2468_001_0	4		CA PHYSICIANS' SERVICE DBA BLUE SHIELD OF CA	Blue Shield of California	www.mylifepath.com	S2468	001	2007	10	29		Blue Shield Medicare Rx Enhanced Plan		State of California	2	0		2											(888)-239-6469	(800)-488-8000	(888)-239-6482	(888)-595-0000
S2468	002	0		29	10	S2468_002_0	5		CA PHYSICIANS' SERVICE DBA BLUE SHIELD OF CA	Blue Shield of California	www.mylifepath.com	S2468	002	2007	10	29		Blue Shield Medicare Rx Plan		State of California	2	0		2											(888)-239-6469	(800)-488-8000	(888)-239-6482	(888)-595-0000
S2468	801	0		29	10	S2468_801_0	2		CA PHYSICIANS' SERVICE DBA BLUE SHIELD OF CA	Blue Shield of California	www.mylifepath.com	S2468	801	2007	10	29		Blue Shield of California Medicare Rx Plan		State of California	1	0		2											(888)-239-6469	(800)-488-8000	(888)-239-6482	(888)-595-0000
S2468	802	0		29	10	S2468_802_0	2		CA PHYSICIANS' SERVICE DBA BLUE SHIELD OF CA	Blue Shield of California	www.mylifepath.com	S2468	802	2007	10	29		Blue Shield of California Medicare Rx Plan		State of California	1	0		2											(888)-239-6469	(800)-488-8000	(888)-239-6482	(888)-595-0000
S2505	001	0		29	10	S2505_001_0	1		WINDSOR HEALTH PLAN OF TN, INC	Windsor Health Plan of TN, Inc.	http://www.windsormedicareextra.com/	S2505	001	2007	10	29		Windsor Medicare Extra Value Plan		Alabama and Tennessee	2	0		2											(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
S2505	002	0		29	10	S2505_002_0	2		WINDSOR HEALTH PLAN OF TN, INC	Windsor Health Plan of TN, Inc.	http://www.windsormedicareextra.com/	S2505	002	2007	10	29		Windsor Medicare Extra Complete Plan		Alabama and Tennessee	2	0		2											(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
S2505	003	0		29	10	S2505_003_0	1		WINDSOR HEALTH PLAN OF TN, INC	Windsor Health Plan of TN, Inc.	http://www.windsormedicareextra.com/	S2505	003	2007	10	29		Windsor Medicare Extra Value Plan		Arkansas	2	0		2											(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
S2505	004	0		29	10	S2505_004_0	2		WINDSOR HEALTH PLAN OF TN, INC	Windsor Health Plan of TN, Inc.	http://www.windsormedicareextra.com/	S2505	004	2007	10	29		Windsor Medicare Extra Complete Plan		Arkansas	2	0		2											(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
S2505	005	0		29	10	S2505_005_0	1		WINDSOR HEALTH PLAN OF TN, INC	Windsor Health Plan of TN, Inc.	http://www.windsormedicareextra.com/	S2505	005	2007	10	29		Windsor Medicare Extra Value Plan		Mississippi	2	0		2											(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
S2505	006	0		29	10	S2505_006_0	2		WINDSOR HEALTH PLAN OF TN, INC	Windsor Health Plan of TN, Inc.	http://www.windsormedicareextra.com/	S2505	006	2007	10	29		Windsor Medicare Extra Complete Plan		Mississippi	2	0		2											(800)-316-2273	(877)-243-5844	(800)-848-0298	(800)-848-0298
S2770	001	0		29	10	S2770_001_0	4		QCC INS CO D/B/A AMERIHEALTH INS CO	AmeriHealth Advantage	www.Amerihealthpdp.com	S2770	001	2007	10	29		AmeriHealth Advantage Rx Option I		Pennsylvania,West Virginia	2	0		2											(888)-457-3007	(866)-456-1695	(888)-457-3002	(866)-456-1683
S2874	001	0		29	10	S2874_001_0	2		HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance of Puerto Rico, Inc	www.humana-medicare.com	S2874	001	2007	10	29		Humana PDP Standard S2874-001		Puerto Rico - Island Wide	2	0		2											(866)-773-5959	(800)-681-3625	(800)-218-2560	(800)-650-8152
S2874	002	0		29	10	S2874_002_0	2		HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance of Puerto Rico, Inc	www.humana-medicare.com	S2874	002	2007	10	29		Humana PDP Enhanced S2874-002		Puerto Rico - Island Wide	2	0		2											(866)-773-5959	(800)-681-3625	(800)-218-2560	(800)-650-8152
S2874	801	0		29	10	S2874_801_0	2		HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance of Puerto Rico, Inc	www.humana-medicare.com	S2874	801	2007	10	29		Humana PDP Employer Sponsored		Puerto Rico	1	0		2											(866)-773-5959	(800)-649-0121	(800)-218-2560	(800)-650-8152
S2874	802	0		29	10	S2874_802_0	2		HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance of Puerto Rico, Inc	www.humana-medicare.com	S2874	802	2007	10	29		Humana PDP Employer Sponsored Non-CY		Puerto Rico	1	0		2											(866)-773-5959	(800)-649-0121	(800)-218-2560	(800)-650-8152
S2893	001	0		29	10	S2893_001_0	8		Blue MedicareRx	Blue MedicareRx	www.bmedicarerx.com	S2893	001	2007	10	29		Blue MedicareRx Value Plus		Connecticut, Massachusetts, Rhode Island, Vermont	2	0		2											(866)-755-2776	(877)-479-2227	(866)-798-7026	(800)-936-9984
S2893	003	0		29	10	S2893_003_0	7		Blue MedicareRx	Blue MedicareRx	www.bmedicarerx.com	S2893	003	2007	10	29		Blue MedicareRx Premier		Connecticut, Massachusetts, Rhode Island, Vermont	2	0		2											(866)-755-2776	(877)-479-2227	(866)-798-7026	(800)-936-9984
S2893	014	0		29	10	S2893_014_0	8		Blue MedicareRx	Blue MedicareRx	www.bmedicarerx.com	S2893	014	2007	10	29		Blue MedicareRx Value		Connecticut, Massachusetts, Rhode Island, Vermont	2	0		2											(866)-755-2776	(877)-479-2227	(866)-798-7026	(800)-936-9984
S2893	801	0		29	10	S2893_801_0	5		Blue MedicareRx	Blue MedicareRx	www.bmedicarerx.com	S2893	801	2007	10	29		Blue MedicareRx Group		Connecticut, Massachusetts, Rhode Island, Vermont	1	0		2											(866)-755-2776	(877)-479-2227	(866)-798-7026	(800)-936-9984
S2893	802	0		29	10	S2893_802_0	5		Blue MedicareRx	Blue MedicareRx	www.bmedicarerx.com	S2893	802	2007	10	29		Blue MedicareRx Group		Connecticut, Massachusetts, Rhode Island, Vermont	1	0		2											(866)-755-2776	(877)-479-2227	(866)-798-7026	(800)-936-9984
S3230	001	0		29	10	S3230_001_0	1		MEDICAL MUTUAL OF OHIO	Medical Mutual of Ohio	www.medmutual.com	S3230	001	2007	10	29		Basic		Ohio	2	0		2											(800)-523-8558	(800)-523-8558	(800)-523-8558	(800)-523-8558
S3230	002	0		29	10	S3230_002_0	1		MEDICAL MUTUAL OF OHIO	Medical Mutual of Ohio	www.medmutual.com	S3230	002	2007	10	29		Premium		Ohio	2	0		2											(800)-523-8558	(800)-523-8558	(800)-523-8558	(800)-523-8558
S3230	801	0		29	10	S3230_801_0	1		MEDICAL MUTUAL OF OHIO	Medical Mutual of Ohio	www.medmutual.com	S3230	801	2007	10	29		Employer plan		US	1	0		2											(800)-523-8558	(800)-523-8558	(800)-523-8558	(800)-523-8558
S3230	802	0		29	10	S3230_802_0	1		MEDICAL MUTUAL OF OHIO	Medical Mutual of Ohio	www.medmutual.com	S3230	802	2007	10	29		Employer plan pdp non-calendar year		Ohio	1	0		2											(800)-982-3117	(800)-613-2583	(800)-982-8109	(800)-982-8109
S3389	005	0		29	10	S3389_005_0	2		UPMC HEALTH PLAN	UPMC Health Plan	www.upmchealthplan.com	S3389	005	2007	10	29		UPMC for Life Prescription Drug Plan		States of Pennsylvania and West Virginia	2	0		2											(877)-539-3080	(877)-381-3765	(800)-361-2629	(800)-361-2629
S3389	006	0		29	10	S3389_006_0	2		UPMC HEALTH PLAN	UPMC Health Plan	www.upmchealthplan.com	S3389	006	2007	10	29		UPMC for Life PDP Enhanced		States of Pennsylvania and West Virginia	2	0		2											(877)-539-3080	(877)-381-3765	(800)-361-2629	(800)-361-2629
S3389	802	0		29	10	S3389_802_0	1		UPMC HEALTH PLAN	UPMC Health Plan	www.upmchealthplan.com	S3389	802	2007	10	29		UPMC Employer Group PDP (CY)		States of Pennsylvania and West Virginia	1	0		2											(877)-539-3080	(877)-381-3765	(800)-361-2629	(800)-361-2629
S3389	803	0		29	10	S3389_803_0	1		UPMC HEALTH PLAN	UPMC Health Plan	www.upmchealthplan.com	S3389	803	2007	10	29		UPMC Employer Group PDP (FY)		States of Pennsylvania and West Virginia	1	0		2											(877)-539-3080	(877)-381-3765	(800)-361-2629	(800)-361-2629
S3521	001	0		29	10	S3521_001_0	2		EXCELLUS HEALTH PLAN, INC	Simply Prescriptions	www.simplyprescriptions.com	S3521	001	2007	10	29		Rx 1		New York State	2	0		2											(800)-514-6930	(800)-659-1986	(800)-421-1220	(800)-421-1220
S3521	002	0		29	10	S3521_002_0	3		EXCELLUS HEALTH PLAN, INC	Simply Prescriptions	www.simplyprescriptions.com	S3521	002	2007	10	29		Rx 2		NY State	2	0		2											(800)-514-6930	(800)-659-1986	(800)-421-1220	(800)-421-1220
S3521	003	0		29	10	S3521_003_0	4		EXCELLUS HEALTH PLAN, INC	Simply Prescriptions	www.simplyprescriptions.com	S3521	003	2007	10	29		Rx 3		NY State	2	0		2											(800)-514-6930	(800)-659-1986	(800)-421-1220	(800)-421-1220
S3521	801	0		29	10	S3521_801_0	3		EXCELLUS HEALTH PLAN, INC	Simply Prescriptions	www.simplyprescriptions.com	S3521	801	2007	10	29		Part D - Employer Group		National and US Territories	1	0		2											(800)-514-6930	(800)-659-1986	(800)-421-1220	(800)-421-1220
S3994	001	0		29	10	S3994_001_0	5		HAWAII MEDICAL SERVICES ASSOCIATION	HMSA's PDP	http://www.hmsa.com	S3994	001	2007	10	29		SRx		State of Hawaii	2	0		2											(800)-776-4672	(800)-620-4672	(808)-948-6222	(808)-948-6222
S3994	801	0		29	10	S3994_801_0	2		HAWAII MEDICAL SERVICES ASSOCIATION	HMSA's PDP	http://www.hmsa.com	S3994	801	2007	10	29		CY GRx		State of Hawaii	1	0		2											(800)-776-4672	(800)-620-4672	(808)-948-6222	(808)-948-6222
S3994	802	0		29	10	S3994_802_0	2		HAWAII MEDICAL SERVICES ASSOCIATION	HMSA's PDP	http://www.hmsa.com	S3994	802	2007	10	29		NCY GRx		State of Hawaii	1	0		2											(800)-776-4672	(800)-620-4672	(808)-948-6222	(808)-948-6222
S4248	001	0		29	10	S4248_001_0	2		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Rx	www.thehealthplan.com	S4248	001	2007	10	29		Geisinger Health Plan Gold Rx Standard		Pennsylvania and West Virginia	2	0		2											(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
S4248	002	0		29	10	S4248_002_0	5		GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Health Plan Gold Rx	www.thehealthplan.com	S4248	002	2007	10	29		GHP Gold Rx No Deductible		Pennsylvania and West Virginia	2	0		2											(800)-988-4861	(800)-631-1656	(800)-447-2833	(800)-447-2833
S4496	001	0		29	10	S4496_001_0	2		AMERIHEALTH HMO, INC.	AmeriHealth 65	www.amerihealth65.com	S4496	001	2007	10	29		AmeriHealth Rx Option I		AmeriHealth Rx Option I	2	0		2											(800)-645-3965	(800)-898-3492	(888)-857-4816	(877)-219-5457
S4496	002	0		29	10	S4496_002_0	2		AMERIHEALTH HMO, INC.	AmeriHealth 65	www.amerihealth65.com	S4496	002	2007	10	29		AmeriHealth Rx Option II Enhanced		AmeriHealth Rx Option II	2	0		2											(800)-645-3965	(800)-898-3492	(888)-857-4816	(877)-219-5457
S4496	801	0		29	10	S4496_801_0	2		AMERIHEALTH HMO, INC.	AmeriHealth 65	www.amerihealth65.com	S4496	801	2007	10	29		AmeriHealth Rx Option I CY		AmeriHealth Rx Option I Calendar Year	1	0		2											(800)-645-3965	(800)-898-3492	(888)-857-4816	(877)-219-5457
S4496	802	0		29	10	S4496_802_0	2		AMERIHEALTH HMO, INC.	AmeriHealth 65	www.amerihealth65.com	S4496	802	2007	10	29		AmeriHealth Rx Option I non-CY		AmeriHealth Rx Option I Non Calendar Year	1	0		2											(800)-645-3965	(800)-898-3492	(888)-857-4816	(877)-219-5457
S4802	001	0		29	10	S4802_001_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	001	2007	10	29		Sterling Rx		Region 4	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	002	0		29	10	S4802_002_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	002	2007	10	29		Sterling Rx		Region 5	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	003	0		29	10	S4802_003_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	003	2007	10	29		Sterling Rx		Region 6	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	004	0		29	10	S4802_004_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	004	2007	10	29		Sterling Rx		Region 7	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	005	0		29	10	S4802_005_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	005	2007	10	29		Sterling Rx		Region 8	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	006	0		29	10	S4802_006_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	006	2007	10	29		Sterling Rx		Region 9	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	007	0		29	10	S4802_007_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	007	2007	10	29		Sterling Rx		Region 10	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	008	0		29	10	S4802_008_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	008	2007	10	29		Sterling Rx		Region 11	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	009	0		29	10	S4802_009_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	009	2007	10	29		Sterling Rx		Region 15	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	010	0		29	10	S4802_010_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	010	2007	10	29		Sterling Rx		Region 18	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	011	0		29	10	S4802_011_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	011	2007	10	29		Sterling Rx		Region 19	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	012	0		29	10	S4802_012_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	012	2007	10	29		Sterling Rx		Region 21	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	013	0		29	10	S4802_013_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	013	2007	10	29		Sterling Rx		Region 22	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	014	0		29	10	S4802_014_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	014	2007	10	29		Sterling Rx		Region 23	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	015	0		29	10	S4802_015_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	015	2007	10	29		Sterling Rx		Region 24	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	016	0		29	10	S4802_016_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	016	2007	10	29		Sterling Rx		Region 26	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	017	0		29	10	S4802_017_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	017	2007	10	29		Sterling Rx		Region 27	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	018	0		29	10	S4802_018_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	018	2007	10	29		Sterling Rx		Region 28	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	019	0		29	10	S4802_019_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	019	2007	10	29		Sterling Rx		Region 29	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	020	0		29	10	S4802_020_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	020	2007	10	29		Sterling Rx		Region 30	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	021	0		29	10	S4802_021_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	021	2007	10	29		Sterling Rx		Region 31	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	022	0		29	10	S4802_022_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	022	2007	10	29		Sterling Rx		Region 1	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	023	0		29	10	S4802_023_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	023	2007	10	29		Sterling Rx		Region 2	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	024	0		29	10	S4802_024_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	024	2007	10	29		Sterling Rx		Region 3	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	025	0		29	10	S4802_025_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	025	2007	10	29		Sterling Rx		Region 13	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	026	0		29	10	S4802_026_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	026	2007	10	29		Sterling Rx		Region 14	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	027	0		29	10	S4802_027_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	027	2007	10	29		Sterling Rx		Region 16	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	028	0		29	10	S4802_028_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	028	2007	10	29		Sterling Rx		Region 17	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	029	0		29	10	S4802_029_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	029	2007	10	29		Sterling Rx		Region 20	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	030	0		29	10	S4802_030_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	030	2007	10	29		Sterling Rx		Region 25	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	031	0		29	10	S4802_031_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	031	2007	10	29		Sterling Rx		Region 33	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	032	0		29	10	S4802_032_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	032	2007	10	29		Sterling Rx		Region 34	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	033	0		29	10	S4802_033_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	033	2007	10	29		Sterling Rx		Region 12	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	034	0		29	10	S4802_034_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	034	2007	10	29		Sterling Rx Plus		Region 1	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	035	0		29	10	S4802_035_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	035	2007	10	29		Sterling Rx Plus		Region 2	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	036	0		29	10	S4802_036_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	036	2007	10	29		Sterling Rx Plus		Region 3	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	037	0		29	10	S4802_037_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	037	2007	10	29		Sterling Rx Plus		Region 4	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	038	0		29	10	S4802_038_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	038	2007	10	29		Sterling Rx Plus		Region 5	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	039	0		29	10	S4802_039_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	039	2007	10	29		Sterling Rx Plus		Region 6	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	040	0		29	10	S4802_040_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	040	2007	10	29		Sterling Rx Plus		Region 7	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	041	0		29	10	S4802_041_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	041	2007	10	29		Sterling Rx Plus		Region 8	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	042	0		29	10	S4802_042_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	042	2007	10	29		Sterling Rx Plus		Region 9	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	043	0		29	10	S4802_043_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	043	2007	10	29		Sterling Rx Plus		Region 10	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	044	0		29	10	S4802_044_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	044	2007	10	29		Sterling Rx Plus		Region 11	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	045	0		29	10	S4802_045_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	045	2007	10	29		Sterling Rx Plus		Region 12	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	046	0		29	10	S4802_046_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	046	2007	10	29		Sterling Rx Plus		Region 13	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	047	0		29	10	S4802_047_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	047	2007	10	29		Sterling Rx Plus		Region 14	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	048	0		29	10	S4802_048_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	048	2007	10	29		Sterling Rx Plus		Region 15	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	049	0		29	10	S4802_049_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	049	2007	10	29		Sterling Rx Plus		Region 16	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	050	0		29	10	S4802_050_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	050	2007	10	29		Sterling Rx Plus		Region 17	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	051	0		29	10	S4802_051_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	051	2007	10	29		Sterling Rx Plus		Region 18	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	052	0		29	10	S4802_052_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	052	2007	10	29		Sterling Rx Plus		Region 19	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	053	0		29	10	S4802_053_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	053	2007	10	29		Sterling Rx Plus		Region 20	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	054	0		29	10	S4802_054_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	054	2007	10	29		Sterling Rx Plus		Region 21	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	055	0		29	10	S4802_055_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	055	2007	10	29		Sterling Rx Plus		Region 22	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	056	0		29	10	S4802_056_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	056	2007	10	29		Sterling Rx Plus		Region 23	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	057	0		29	10	S4802_057_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	057	2007	10	29		Sterling Rx Plus		Region 24	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	058	0		29	10	S4802_058_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	058	2007	10	29		Sterling Rx Plus		Region 25	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	059	0		29	10	S4802_059_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	059	2007	10	29		Sterling Rx Plus		Region 26	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	060	0		29	10	S4802_060_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	060	2007	10	29		Sterling Rx Plus		Region 27	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	061	0		29	10	S4802_061_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	061	2007	10	29		Sterling Rx Plus		Region 28	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	062	0		29	10	S4802_062_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	062	2007	10	29		Sterling Rx Plus		Region 29	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	063	0		29	10	S4802_063_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	063	2007	10	29		Sterling Rx Plus		Region 30	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	064	0		29	10	S4802_064_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	064	2007	10	29		Sterling Rx Plus		Region 31	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	065	0		29	10	S4802_065_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	065	2007	10	29		Sterling Rx Plus		Region 33	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	066	0		29	10	S4802_066_0	4		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	066	2007	10	29		Sterling Rx Plus		Region 34	2	0		2											(888)-858-8551	(888)-858-8572	(888)-858-8567	(888)-858-8567
S4802	801	0		29	10	S4802_801_0	1		STERLING LIFE INSURANCE COMPANY	Sterling Prescription Drug Plan	http://sterling.medicareplanrx.com	S4802	801	2007	10	29		Sterling Retiree Rx		Nationwide	1	0		2											(888)-858-8551	(888)-858-8572		
S4877	001	0		29	10	S4877_001_0	2		COOPERATIVE DE SEGUROS DE VIDA DE PUERTO RICO	CosviMed Care	www.cosvi.com	S4877	001	2007	10	29		CosviR+		Puerto Rico	2	0		2											(877)-311-0013	(877)-311-0013	(877)-311-0014	(877)-311-0014
S4877	002	0		29	10	S4877_002_0	2		COOPERATIVE DE SEGUROS DE VIDA DE PUERTO RICO	CosviMed Care	www.cosvi.com	S4877	002	2007	10	29		CosviRmaX		Puerto Rico	2	0		2											(877)-311-0013	(877)-311-0013	(877)-311-0014	(877)-311-0014
S4877	801	0		29	10	S4877_801_0	2		COOPERATIVE DE SEGUROS DE VIDA DE PUERTO RICO	CosviMed Care	www.cosvi.com	S4877	801	2007	10	29		CosviMed Care RxG		Puerto Rico	1	0		2											(877)-311-0013	(877)-311-0013	(877)-311-0014	(877)-311-0014
S5540	002	0		29	10	S5540_002_0	2		BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Blue Cross Blue Shield of North Carolina	www.bcbsnc.com	S5540	002	2007	10	29		BCBSNC Standard Plan		North Carolina	2	0		2											(888)-247-4142	(800)-478-0583	(888)-247-4145	(800)-442-7028
S5540	004	0		29	10	S5540_004_0	2		BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Blue Cross Blue Shield of North Carolina	www.bcbsnc.com	S5540	004	2007	10	29		BCBSNC Plus Plan		North Carolina	2	0		2											(888)-247-4142	(800)-478-0583	(888)-247-4145	(800)-442-7028
S5552	001	0		29	10	S5552_001_0	3		HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	S5552	001	2007	10	29		Humana PDP Enhanced S5552-001		State of New York	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5552	002	0		29	10	S5552_002_0	1		HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	S5552	002	2007	10	29		Humana PDP Complete S5552-002		State of New York	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5552	003	0		29	10	S5552_003_0	1		HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	S5552	003	2007	10	29		Humana PDP Standard S5552-003		State of New York	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5552	801	0		29	10	S5552_801_0	2		HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	S5552	801	2007	10	29		Humana PDP Employer Sponsored		State of New York	1	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5552	802	0		29	10	S5552_802_0	2		HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	S5552	802	2007	10	29		Humana PDP Employer Sponsored Non-CY		State of New York	1	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5555	001	0		29	10	S5555_001_0	8		MCS LIFE INSURANCE COMPANY (H4006)	MCS Classicare	www.medicalcarsystem.com	S5555	001	2007	10	29		MCS Classicare Rx		Puerto Rico	2	0		2											(866)-627-8183	(866)-627-8181	(866)-627-8182	(866)-627-8182
S5555	002	0		29	10	S5555_002_0	8		MCS LIFE INSURANCE COMPANY (H4006)	MCS Classicare	www.medicalcarsystem.com	S5555	002	2007	10	29		MCS Classicare Rx2		Puerto Rico	2	0		2											(866)-627-8183	(866)-627-8181	(866)-627-8182	(866)-627-8182
S5555	801	0		29	10	S5555_801_0	5		MCS LIFE INSURANCE COMPANY (H4006)	MCS Classicare	www.medicalcarsystem.com	S5555	801	2007	10	29		MCS Classicare PDP Group (C)		Puerto Rico	1	0		2											(866)-627-8183	(866)-627-8181	(866)-627-8182	(866)-627-8182
S5555	802	0		29	10	S5555_802_0	5		MCS LIFE INSURANCE COMPANY (H4006)	MCS Classicare	www.medicalcarsystem.com	S5555	802	2007	10	29		MCS Classicare PDP Group (NC)		Puerto Rico	1	0		2											(866)-627-8183	(866)-627-8181	(866)-627-8182	(866)-627-8182
S5557	002	0		29	10	S5557_002_0	2		FOX INSURANCE COMPANY	FOX Insurance Company	www.foxrxcare.com	S5557	002	2007	10	29		Fox Rx Care Choice Plan		Northern New England Fox Rx Care Choice Plan	2	0		2											(888)-369-7979	(888)-369-7979	(866)-369-7373	(866)-369-7373
S5557	003	0		29	10	S5557_003_0	3		FOX INSURANCE COMPANY	FOX Insurance Company	www.foxrxcare.com	S5557	003	2007	10	29		Fox Rx Care Choice Plan		Upper Mid West Fox Rx Care Choice Plan	2	0		2											(888)-369-7979	(888)-369-7979	(866)-369-7373	(866)-369-7373
S5557	004	0		29	10	S5557_004_0	2		FOX INSURANCE COMPANY	FOX Insurance Company	www.foxrxcare.com	S5557	004	2007	10	29		Fox Rx Care Choice Plan		Fox Rx Care Choice Plan of Arizona	2	0		2											(888)-369-7979	(888)-369-7979	(866)-369-7373	(866)-369-7373
S5557	005	0		29	10	S5557_005_0	2		FOX INSURANCE COMPANY	FOX Insurance Company	www.foxrxcare.com	S5557	005	2007	10	29		Fox Rx Care Choice Plan		North West Fox Rx Care Choice Plan	2	0		2											(888)-369-7979	(888)-369-7979	(866)-369-7373	(866)-369-7373
S5557	006	0		29	10	S5557_006_0	2		FOX INSURANCE COMPANY	FOX Insurance Company	www.foxrxcare.com	S5557	006	2007	10	29		Fox Rx Care Choice Plan		Fox Rx Care Choice Plan of Arkansas	2	0		2											(888)-369-7979	(888)-369-7979	(866)-369-7373	(866)-369-7373
S5557	007	0		29	10	S5557_007_0	2		FOX INSURANCE COMPANY	FOX Insurance Company	www.foxrxcare.com	S5557	007	2007	10	29		Fox Rx Care Comprehensive Plan		Northern New England Fox RxCare Comprehensive Plan	2	0		2											(888)-369-7979	(888)-369-7979	(866)-369-7373	(866)-369-7373
S5557	008	0		29	10	S5557_008_0	1		FOX INSURANCE COMPANY	FOX Insurance Company	www.foxrxcare.com	S5557	008	2007	10	29		Fox Rx Care High Value Plan		Fox Rx Care High Value Plan of Upper Mid West	2	0		2											(888)-369-7979	(888)-369-7979	(866)-369-7373	(866)-369-7373
S5557	009	0		29	10	S5557_009_0	1		FOX INSURANCE COMPANY	FOX Insurance Company	www.foxrxcare.com	S5557	009	2007	10	29		Fox Rx Care High Value Plan		Fox Rx Care High Value Plan of Arizona	2	0		2											(888)-369-7979	(888)-369-7979	(866)-369-7373	(866)-369-7373
S5557	010	0		29	10	S5557_010_0	1		FOX INSURANCE COMPANY	FOX Insurance Company	www.foxrxcare.com	S5557	010	2007	10	29		Fox Rx Care Comprehensive Plan		Fox Rx Care Comprehensive Plan of North West	2	0		2											(888)-369-7979	(888)-369-7979	(866)-369-7373	(866)-369-7373
S5557	011	0		29	10	S5557_011_0	1		FOX INSURANCE COMPANY	FOX Insurance Company	www.foxrxcare.com	S5557	011	2007	10	29		Fox Rx Care Comprehensive Plan		Fox Rx Care Comprehensive Plan of Arkansas	2	0		2											(888)-369-7979	(888)-369-7979	(866)-369-7373	(866)-369-7373
S5566	001	0		29	10	S5566_001_0	2		GROUP HEALTH SERVICES OF OKLAHOMA, INC.	BLUE CROSS AND BLUE SHIELD OF OKLAHOMA	www.bcbsok.com	S5566	001	2007	10	29		Medicare Blue Rx Basic		State of Oklahoma Region 23	2	0		2											(800)-693-3815	(800)-693-3815		
S5566	002	0		29	10	S5566_002_0	2		GROUP HEALTH SERVICES OF OKLAHOMA, INC.	BLUE CROSS AND BLUE SHIELD OF OKLAHOMA	www.bcbsok.com	S5566	002	2007	10	29		Medicare Blue Rx Basic Plus		State of Oklahoma, Region 23	2	0		2											(800)-693-3815	(800)-693-3815		
S5566	003	0		29	10	S5566_003_0	2		GROUP HEALTH SERVICES OF OKLAHOMA, INC.	BLUE CROSS AND BLUE SHIELD OF OKLAHOMA	www.bcbsok.com	S5566	003	2007	10	29		Medicare Blue Rx Enhanced		State of Oklahoma, Region 23	2	0		2											(800)-693-3815	(800)-693-3815		
S5566	802	0		29	10	S5566_802_0	1		GROUP HEALTH SERVICES OF OKLAHOMA, INC.	BLUE CROSS AND BLUE SHIELD OF OKLAHOMA	www.bcbsok.com	S5566	802	2007	10	29		Medicare Blue Rx Group		State of Oklahoma Region 23	1	0		2											(800)-693-3815	(800)-693-3815		
S5566	803	0		29	10	S5566_803_0	1		GROUP HEALTH SERVICES OF OKLAHOMA, INC.	BLUE CROSS AND BLUE SHIELD OF OKLAHOMA	www.bcbsok.com	S5566	803	2007	10	29		Medicare Blue Rx Group		State of Oklahoma Region 23	1	0		2											(800)-693-3815	(800)-693-3815		
S5569	003	0		29	10	S5569_003_0	3		CAMBRIDGE LIFE INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5569	003	2007	10	29		First Health Premier		First Health Premier of New York	2	0		2											(866)-823-4701	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5569	004	0		29	10	S5569_004_0	6		CAMBRIDGE LIFE INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5569	004	2007	10	29		First Health Select		First Health Select of New York	2	0		2											(866)-823-4701	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5580	003	0		29	10	S5580_003_0	1		FIRST UNITED AMERICAN LIFE INSURANCE COMPANY	First United American Life Insurance Company	http://www.firstunitedamerican.com/	S5580	003	2007	10	29		First UA Medicare Part D Prescription Drug		State of New York	2	0		2											(866)-524-4171	(866)-524-4171	(866)-524-4172	(866)-524-4172
S5580	004	0		29	10	S5580_004_0	1		FIRST UNITED AMERICAN LIFE INSURANCE COMPANY	First United American Life Insurance Company	http://www.firstunitedamerican.com/	S5580	004	2007	10	29		First UA Medicare Part D Rx Covg - Silver		State of New York	2	0		2											(866)-524-4171	(866)-524-4171	(866)-524-4172	(866)-524-4172
S5580	801	0		29	10	S5580_801_0	1		FIRST UNITED AMERICAN LIFE INSURANCE COMPANY	First United American Life Insurance Company	http://www.firstunitedamerican.com/	S5580	801	2007	10	29		First UA Employer Calendar Drug Plan		National	1	0		2											(866)-524-4171	(866)-524-4171	(866)-524-4172	(866)-524-4172
S5580	802	0		29	10	S5580_802_0	1		FIRST UNITED AMERICAN LIFE INSURANCE COMPANY	First United American Life Insurance Company	http://www.firstunitedamerican.com/	S5580	802	2007	10	29		First UA Employer Non-Calendar Drug Plan		National	1	0		2											(866)-524-4171	(866)-524-4171	(866)-524-4172	(866)-524-4172
S5584	001	0		29	10	S5584_001_0	3		BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	S5584	001	2007	10	29		Prescription Blue Option A		State of Michigan	2	0		2											(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
S5584	002	0		29	10	S5584_002_0	3		BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	S5584	002	2007	10	29		Prescription Blue Option B		State of Michigan	2	0		2											(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
S5584	801	0		29	10	S5584_801_0	2		BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	S5584	801	2007	10	29		Prescription Blue Employer Plan CY		State of Michigan	1	0		2											(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
S5584	802	0		29	10	S5584_802_0	2		BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	S5584	802	2007	10	29		Prescription Blue Employer Plan non-CY		State of Michigan	1	0		2											(800)-565-1770	(800)-485-4415	(800)-579-0235	(800)-481-8704
S5585	001	0		29	10	S5585_001_0	4		HEALTHNOW NEW YORK INC.	HealthNow New York Inc.	www.smarthealthrx.com	S5585	001	2007	10	29		SmartHealth RX		State of New York	2	0		2											(888)-787-2390	(888)-989-9905	(888)-676-6778	(877)-513-1470
S5588	001	0		29	10	S5588_001_0	4		PROMEDICA LIFE INS D/B/A PARAMOUNT INS CO	Paramount Prescription Drug Plan	www.paramounthealthcare.com	S5588	001	2007	10	29		Paramount Drug Plan		State of Ohio	2	0		2											(800)-462-3589	(800)-462-3589		
S5588	002	0		29	10	S5588_002_0	4		PROMEDICA LIFE INS D/B/A PARAMOUNT INS CO	Paramount Prescription Drug Plan	www.paramounthealthcare.com	S5588	002	2007	10	29		Paramount Enhanced Drug Plan		State of Ohio	2	0		2											(800)-462-3589	(800)-462-3589		
S5588	802	0		29	10	S5588_802_0	4		PROMEDICA LIFE INS D/B/A PARAMOUNT INS CO	Paramount Prescription Drug Plan	www.paramounthealthcare.com	S5588	802	2007	10	29		Paramount Drug Plan		State of Ohio	1	0		2											(800)-462-3589	(800)-462-3589		
S5588	803	0		29	10	S5588_803_0	4		PROMEDICA LIFE INS D/B/A PARAMOUNT INS CO	Paramount Prescription Drug Plan	www.paramounthealthcare.com	S5588	803	2007	10	29		Paramount Enhanced Drug Plan		State of Ohio	1	0		2											(800)-462-3589	(800)-462-3589		
S5593	002	0		29	10	S5593_002_0	1		HIGHMARK SENIOR RESOURCES INC.	Highmark Senior Resources Inc.	www.highmark.com	S5593	002	2007	10	29		BlueRx Plus		Pennsylvania & West Virginia	2	0		2											(800)-290-3914	(866)-465-4030	(800)-988-0668	(800)-988-0668
S5593	003	0		29	10	S5593_003_0	2		HIGHMARK SENIOR RESOURCES INC.	Highmark Senior Resources Inc.	www.highmark.com	S5593	003	2007	10	29		BlueRx Complete		Pennsylvania & West Virginia	2	0		2											(800)-290-3914	(866)-465-4030	(800)-988-0668	(800)-988-0668
S5593	004	0		29	10	S5593_004_0	4		HIGHMARK SENIOR RESOURCES INC.	Highmark Senior Resources Inc.	www.highmark.com	S5593	004	2007	10	29		BlueRx Value		Pennsylvania and West Virginia	2	0		2											(800)-290-3914	(866)-465-4030	(800)-988-0668	(800)-988-0668
S5593	801	0		29	10	S5593_801_0	1		HIGHMARK SENIOR RESOURCES INC.	Highmark Senior Resources Inc.	www.highmark.com	S5593	801	2007	10	29		BlueRx Employer Group Calendar		National	1	0		2											(800)-290-3914	(866)-465-4030	(800)-988-0668	(800)-988-0668
S5593	802	0		29	10	S5593_802_0	1		HIGHMARK SENIOR RESOURCES INC.	Highmark Senior Resources Inc.	www.highmark.com	S5593	802	2007	10	29		BlueRx Employer Group Non-Calendar		National	1	0		2											(800)-290-3914	(866)-465-4030	(800)-988-0668	(800)-988-0668
S5596	001	0		29	10	S5596_001_0	6		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	001	2007	10	29		Blue MedicareRx Value Plus		Maine and New Hampshire	2	0		2											(866)-755-2776	(866)-244-1241	(866)-798-7026	(800)-499-2865
S5596	003	0		29	10	S5596_003_0	6		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	003	2007	10	29		Blue MedicareRx Premier		Maine and New Hampshire	2	0		2											(866)-755-2776	(866)-244-1241	(866)-798-7026	(800)-499-2865
S5596	005	0		29	10	S5596_005_0	4		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	005	2007	10	29		Blue MedicareRx Value		Virginia	2	0		2											(866)-755-2776	(877)-481-8633	(800)-828-1120	(800)-828-1120
S5596	006	0		29	10	S5596_006_0	3		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	006	2007	10	29		Blue MedicareRx Plus		Virginia	2	0		2											(866)-755-2776	(877)-481-8633	(800)-828-1120	(800)-828-1120
S5596	007	0		29	10	S5596_007_0	5		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	007	2007	10	29		Blue MedicareRx Premier		Virginia	2	0		2											(866)-755-2776	(877)-481-8633	(800)-828-1120	(800)-828-1120
S5596	009	0		29	10	S5596_009_0	4		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	009	2007	10	29		Blue MedicareRx Value		Georgia	2	0		2											(800)-928-6201	(866)-892-5331	(888)-853-7754	
S5596	010	0		29	10	S5596_010_0	3		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	010	2007	10	29		Blue MedicareRx Plus		Georgia	2	0		2											(800)-928-6201	(866)-892-5331	(888)-853-7754	
S5596	011	0		29	10	S5596_011_0	4		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	011	2007	10	29		Blue MedicareRx Premier		Georgia	2	0		2											(800)-928-6201	(866)-892-5331	(888)-853-7754	
S5596	013	0		29	10	S5596_013_0	3		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	013	2007	10	29		Blue MedicareRx Value		Ohio	2	0		2											(866)-755-2776	(800)-467-8065	(866)-798-7026	(888)-853-7754
S5596	014	0		29	10	S5596_014_0	6		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	014	2007	10	29		Blue MedicareRx Plus		Ohio	2	0		2											(866)-755-2776	(800)-467-8065	(866)-798-7026	(888)-853-7754
S5596	015	0		29	10	S5596_015_0	6		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	015	2007	10	29		Blue MedicareRx Premier		Ohio	2	0		2											(866)-755-2776	(800)-467-8065	(866)-798-7026	(888)-853-7754
S5596	017	0		29	10	S5596_017_0	4		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	017	2007	10	29		Blue MedicareRx Value		Indiana and Kentucky	2	0		2											(866)-755-2776	(800)-467-8065	(866)-798-7026	(888)-853-7754
S5596	018	0		29	10	S5596_018_0	5		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	018	2007	10	29		Blue MedicareRx Plus		Indiana and Kentucky	2	0		2											(866)-755-2776	(800)-467-8065	(866)-798-7026	(888)-853-7754
S5596	019	0		29	10	S5596_019_0	6		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	019	2007	10	29		Blue MedicareRx Premier		Indiana and Kentucky	2	0		2											(866)-755-2776	(800)-467-8065	(866)-798-7026	(888)-853-7754
S5596	021	0		29	10	S5596_021_0	5		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	021	2007	10	29		Blue MedicareRx Value		Wisconsin	2	0		2											(800)-928-6201	(800)-216-5572		
S5596	022	0		29	10	S5596_022_0	4		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	022	2007	10	29		Blue MedicareRx Plus		Wisconsin	2	0		2											(800)-928-6201	(800)-216-5572		
S5596	023	0		29	10	S5596_023_0	4		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	023	2007	10	29		Blue MedicareRx Premier		Wisconsin	2	0		2											(800)-928-6201	(800)-216-5572		
S5596	025	0		29	10	S5596_025_0	5		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	025	2007	10	29		Blue MedicareRx Value		Colorado	2	0		2											(800)-928-6201	(866)-892-5332		
S5596	026	0		29	10	S5596_026_0	4		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	026	2007	10	29		Blue MedicareRx Plus		Colorado	2	0		2											(800)-928-6201	(866)-892-5332		
S5596	027	0		29	10	S5596_027_0	4		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	027	2007	10	29		Blue MedicareRx Premier		Colorado	2	0		2											(800)-928-6201	(866)-892-5332		
S5596	029	0		29	10	S5596_029_0	5		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	029	2007	10	29		Blue MedicareRx Value		Nevada	2	0		2											(800)-928-6201	(866)-892-5343		
S5596	030	0		29	10	S5596_030_0	3		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	030	2007	10	29		Blue MedicareRx Plus		Nevada	2	0		2											(800)-928-6201	(866)-892-5343		
S5596	031	0		29	10	S5596_031_0	4		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	031	2007	10	29		Blue MedicareRx Premier		Nevada	2	0		2											(800)-928-6201	(866)-892-5343		
S5596	033	0		29	10	S5596_033_0	5		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	033	2007	10	29		Blue Cross MedicareRx Value		California	2	0		2											(800)-928-6201	(866)-892-5340		
S5596	034	0		29	10	S5596_034_0	3		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	034	2007	10	29		Blue Cross MedicareRx Plus		California	2	0		2											(800)-928-6201	(866)-892-5340		
S5596	035	0		29	10	S5596_035_0	4		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	035	2007	10	29		Blue Cross MedicareRx Gold		California	2	0		2											(800)-928-6201	(866)-892-5340		
S5596	043	0		29	10	S5596_043_0	4		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	043	2007	10	29		Blue MedicareRx Value		Missouri	2	0		2											(866)-755-2776	(800)-652-6387	(866)-798-7026	
S5596	044	0		29	10	S5596_044_0	6		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	044	2007	10	29		Blue MedicareRx Plus		Missouri	2	0		2											(866)-755-2776	(800)-652-6387	(866)-798-7026	
S5596	045	0		29	10	S5596_045_0	7		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	045	2007	10	29		Blue MedicareRx Premier		Missouri	2	0		2											(866)-755-2776	(800)-652-6387	(866)-798-7026	
S5596	046	0		29	10	S5596_046_0	7		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	046	2007	10	29		Blue MedicareRx Value		Maine and New Hampshire	2	0		2											(866)-244-1241	(866)-244-1241	(800)-499-2865	(800)-499-2865
S5596	801	0		29	10	S5596_801_0	3		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	801	2007	10	29		Blue MedicareRx Group		New Hampshire and Maine	1	0		2											(866)-755-2776	(866)-244-1241	(866)-798-7026	
S5596	803	0		29	10	S5596_803_0	3		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	803	2007	10	29		Blue MedicareRx Group		VA, GA, OH, IN, KY, WI, CO, NV, CA, MO	1	0		2											(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
S5596	804	0		29	10	S5596_804_0	3		ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bmedicarerx.com; www.bluecrosscamedicarerx.com	S5596	804	2007	10	29		Blue MedicareRx Group		VA, GA, OH, IN, KY, WI, CO, NV, CA, MO	1	0		2											(800)-467-1199	(800)-467-8065	(888)-853-7754	(888)-853-7754
S5597	034	0		29	10	S5597_034_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	034	2007	10	29		Prescription Pathway Gold Plan Reg 1		State of New Hampshire and State of Maine	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	035	0		29	10	S5597_035_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	035	2007	10	29		Prescription Pathway Gold Plan Reg 2		State of CT, MA, RI, VT	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	036	0		29	10	S5597_036_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	036	2007	10	29		Prescription Pathway Gold Plan Reg 4		State of New Jersey	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	037	0		29	10	S5597_037_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	037	2007	10	29		Prescription Pathway Gold Plan Reg 5		State of Delaware, District of Columbia, Maryland	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	038	0		29	10	S5597_038_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	038	2007	10	29		Prescription Pathway Gold Plan Reg 6		State of Pennsylvania and State of West Virginia	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	039	0		29	10	S5597_039_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	039	2007	10	29		Prescription Pathway Gold Plan Reg 7		State of Virginia	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	040	0		29	10	S5597_040_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	040	2007	10	29		Prescription Pathway Gold Plan Reg 8		State of North Carolina	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	041	0		29	10	S5597_041_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	041	2007	10	29		Prescription Pathway Gold Plan Reg 9		State of South Carolina	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	042	0		29	10	S5597_042_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	042	2007	10	29		Prescription Pathway Gold Plan Reg 10		State of Georgia	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	043	0		29	10	S5597_043_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	043	2007	10	29		Prescription Pathway Gold Plan Reg 11		State of Florida	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	044	0		29	10	S5597_044_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	044	2007	10	29		Prescription Pathway Gold Plan Reg 12		State of Alabama and State of Tennessee	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	045	0		29	10	S5597_045_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	045	2007	10	29		Prescription Pathway Gold Plan Reg 13		State of Michigan	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	046	0		29	10	S5597_046_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	046	2007	10	29		Prescription Pathway Gold Plan Reg 14		State of Ohio	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	047	0		29	10	S5597_047_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	047	2007	10	29		Prescription Pathway Gold Plan Reg 15		State of Indiana and State of Kentucky	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	048	0		29	10	S5597_048_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	048	2007	10	29		Prescription Pathway Gold Plan Reg 16		State of Wisconsin	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	049	0		29	10	S5597_049_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	049	2007	10	29		Prescription Pathway Gold Plan Reg 17		State of Illinois	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	050	0		29	10	S5597_050_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	050	2007	10	29		Prescription Pathway Gold Plan Reg 18		State of Missouri	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	051	0		29	10	S5597_051_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	051	2007	10	29		Prescription Pathway Gold Plan Reg 19		State of Arkansas	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	052	0		29	10	S5597_052_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	052	2007	10	29		Prescription Pathway Gold Plan Reg 20		State of Mississippi	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	053	0		29	10	S5597_053_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	053	2007	10	29		Prescription Pathway Gold Plan Reg 21		State of Louisiana	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	054	0		29	10	S5597_054_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	054	2007	10	29		Prescription Pathway Gold Plan Reg 22		State of Texas	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	055	0		29	10	S5597_055_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	055	2007	10	29		Prescription Pathway Gold Plan Reg 23		State of Oklahoma	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	056	0		29	10	S5597_056_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	056	2007	10	29		Prescription Pathway Gold Plan Reg 24		State of Kansas	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	057	0		29	10	S5597_057_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	057	2007	10	29		Prescription Pathway Gold Plan Reg 25		State of IA, MN, MT, NE, ND, SD, WY	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	058	0		29	10	S5597_058_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	058	2007	10	29		Prescription Pathway Gold Plan Reg 26		State of New Mexico	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	059	0		29	10	S5597_059_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	059	2007	10	29		Prescription Pathway Gold Plan Reg 27		State of Colorado	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	060	0		29	10	S5597_060_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	060	2007	10	29		Prescription Pathway Gold Plan Reg 28		State of Arizona	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	061	0		29	10	S5597_061_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	061	2007	10	29		Prescription Pathway Gold Plan Reg 29		State of Nevada	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	062	0		29	10	S5597_062_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	062	2007	10	29		Prescription Pathway Gold Plan Reg 30		State of Oregon and State of Washington	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	063	0		29	10	S5597_063_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	063	2007	10	29		Prescription Pathway Gold Plan Reg 31		State of Idaho and State of Utah	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	064	0		29	10	S5597_064_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	064	2007	10	29		Prescription Pathway Gold Plan Reg 32		State of California	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	067	0		29	10	S5597_067_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	067	2007	10	29		Prescription Pathway Bronze Plan Reg 1		State of New Hampshire and State of Maine	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	068	0		29	10	S5597_068_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	068	2007	10	29		Prescription Pathway Bronze Plan Reg 2		State of CT, MA, RI, VT	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	069	0		29	10	S5597_069_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	069	2007	10	29		Prescription Pathway Bronze Plan Reg 4		State of New Jersey	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	070	0		29	10	S5597_070_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	070	2007	10	29		Prescription Pathway Bronze Plan Reg 5		State of Delaware, District of Columbia,Maryland	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	071	0		29	10	S5597_071_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	071	2007	10	29		Prescription Pathway Bronze Plan Reg 6		State of Pennsylvania and State of West Virginia	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	072	0		29	10	S5597_072_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	072	2007	10	29		Prescription Pathway Bronze Plan Reg 7		State of Virginia	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	073	0		29	10	S5597_073_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	073	2007	10	29		Prescription Pathway Bronze Plan Reg 8		State of North Carolina	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	074	0		29	10	S5597_074_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	074	2007	10	29		Prescription Pathway Bronze Plan Reg 9		State of South Carolina	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	075	0		29	10	S5597_075_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	075	2007	10	29		Prescription Pathway Bronze Plan Reg 10		State of Georgia	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	076	0		29	10	S5597_076_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	076	2007	10	29		Prescription Pathway Bronze Plan Reg 11		State of Florida	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	077	0		29	10	S5597_077_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	077	2007	10	29		Prescription Pathway Bronze Plan Reg 12		State of Alabama and State of Tennessee	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	078	0		29	10	S5597_078_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	078	2007	10	29		Prescription Pathway Bronze Plan Reg 13		State of Michigan	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	079	0		29	10	S5597_079_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	079	2007	10	29		Prescription Pathway Bronze Plan Reg 14		State of Ohio	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	080	0		29	10	S5597_080_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	080	2007	10	29		Prescription Pathway Bronze Plan Reg 15		State of Indiana and State of Kentucky	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	081	0		29	10	S5597_081_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	081	2007	10	29		Prescription Pathway Bronze Plan Reg 16		State of Wisconsin	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	082	0		29	10	S5597_082_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	082	2007	10	29		Prescription Pathway Bronze Plan Reg 17		State of Illinois	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	083	0		29	10	S5597_083_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	083	2007	10	29		Prescription Pathway Bronze Plan Reg 18		State of Missouri	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	084	0		29	10	S5597_084_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	084	2007	10	29		Prescription Pathway Bronze Plan Reg 19		State of Arkansas	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	085	0		29	10	S5597_085_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	085	2007	10	29		Prescription Pathway Bronze Plan Reg 20		State of Mississippi	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	086	0		29	10	S5597_086_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	086	2007	10	29		Prescription Pathway Bronze Plan Reg 21		State of Louisiana	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	087	0		29	10	S5597_087_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	087	2007	10	29		Prescription Pathway Bronze Plan Reg 22		State of Texas	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	088	0		29	10	S5597_088_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	088	2007	10	29		Prescription Pathway Bronze Plan Reg 23		State of Oklahoma	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	089	0		29	10	S5597_089_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	089	2007	10	29		Prescription Pathway Bronze Plan Reg 24		State of Kansas	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	090	0		29	10	S5597_090_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	090	2007	10	29		Prescription Pathway Bronze Plan Reg 25		States of IA, MN, MT, NE, ND, SD, WY	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	091	0		29	10	S5597_091_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	091	2007	10	29		Prescription Pathway Bronze Plan Reg 26		State of New Mexico	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	092	0		29	10	S5597_092_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	092	2007	10	29		Prescription Pathway Bronze Plan Reg 27		State of Colorado	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	093	0		29	10	S5597_093_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	093	2007	10	29		Prescription Pathway Bronze Plan Reg 28		State of Arizona	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	094	0		29	10	S5597_094_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	094	2007	10	29		Prescription Pathway Bronze Plan Reg 29		State of Nevada	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	095	0		29	10	S5597_095_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	095	2007	10	29		Prescription Pathway Bronze Plan Reg 30		State of Oregon and State of Washington	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	096	0		29	10	S5597_096_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	096	2007	10	29		Prescription Pathway Bronze Plan Reg 31		State of Idaho and State of Utah	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	097	0		29	10	S5597_097_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	097	2007	10	29		Prescription Pathway Bronze Plan Reg 32		State of California	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	199	0		29	10	S5597_199_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	199	2007	10	29		Prescription Pathway Platinum Plan Reg 1		State of New Hampshire and Maine	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	200	0		29	10	S5597_200_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	200	2007	10	29		Prescription Pathway Platinum Plan Reg 2		Connecticut, Massachusetts, Rhode Island,Vermont	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	201	0		29	10	S5597_201_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	201	2007	10	29		Prescription Pathway Platinum Plan Reg 4		State of New Jersey	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	202	0		29	10	S5597_202_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	202	2007	10	29		Prescription Pathway Platinum Plan Reg 5		Delaware, District of Columbia, and Maryland	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	203	0		29	10	S5597_203_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	203	2007	10	29		Prescription Pathway Platinum Plan Reg 6		Pennsylvania and West Virginia	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	204	0		29	10	S5597_204_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	204	2007	10	29		Prescription Pathway Platinum Plan Reg 7		Virginia	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	205	0		29	10	S5597_205_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	205	2007	10	29		Prescription Pathway Platinum Plan Reg 8		North Carolina	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	206	0		29	10	S5597_206_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	206	2007	10	29		Prescription Pathway Platinum Plan Reg 9		South Carolina	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	207	0		29	10	S5597_207_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	207	2007	10	29		Prescription Pathway Platinum Plan Reg 10		Georgia	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	208	0		29	10	S5597_208_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	208	2007	10	29		Prescription Pathway Platinum Plan Reg 11		Florida	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	209	0		29	10	S5597_209_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	209	2007	10	29		Prescription Pathway Platinum Plan Reg 12		Alabama and Tennessee	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	210	0		29	10	S5597_210_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	210	2007	10	29		Prescription Pathway Platinum Plan Reg 13		Michigan	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	211	0		29	10	S5597_211_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	211	2007	10	29		Prescription Pathway Platinum Plan Reg 14		Ohio	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	212	0		29	10	S5597_212_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	212	2007	10	29		Prescription Pathway Platinum Plan Reg 15		Indiana and Kentucky	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	213	0		29	10	S5597_213_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	213	2007	10	29		Prescription Pathway Platinum Plan Reg 16		Wisconsin	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	214	0		29	10	S5597_214_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	214	2007	10	29		Prescription Pathway Platinum Plan Reg 17		Illinois	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	215	0		29	10	S5597_215_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	215	2007	10	29		Prescription Pathway Platinum Plan Reg 18		Missouri	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	216	0		29	10	S5597_216_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	216	2007	10	29		Prescription Pathway Platinum Plan Reg 19		Arkansas	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	217	0		29	10	S5597_217_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	217	2007	10	29		Prescription Pathway Platinum Plan Reg 20		Mississippi	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	218	0		29	10	S5597_218_0	3		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	218	2007	10	29		Prescription Pathway Platinum Plan Reg 21		Louisiana	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	219	0		29	10	S5597_219_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	219	2007	10	29		Prescription Pathway Platinum Plan Reg 22		Texas	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	220	0		29	10	S5597_220_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	220	2007	10	29		Prescription Pathway Platinum Plan Reg 23		Oklahoma	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	221	0		29	10	S5597_221_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	221	2007	10	29		Prescription Pathway Platinum Plan Reg 24		Kansas	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	222	0		29	10	S5597_222_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	222	2007	10	29		Prescription Pathway Platinum Plan Reg 25		IA, MN, MT, NE, ND, SD, WY	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	223	0		29	10	S5597_223_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	223	2007	10	29		Prescription Pathway Platinum Plan Reg 26		New Mexico	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	224	0		29	10	S5597_224_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	224	2007	10	29		Prescription Pathway Platinum Plan Reg 27		Colorado	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	225	0		29	10	S5597_225_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	225	2007	10	29		Prescription Pathway Platinum Plan Reg 28		Arizona	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	226	0		29	10	S5597_226_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	226	2007	10	29		Prescription Pathway Platinum Plan Reg 29		Nevada	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	227	0		29	10	S5597_227_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	227	2007	10	29		Prescription Pathway Platinum Plan Reg 30		Oregon, Washington	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	228	0		29	10	S5597_228_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	228	2007	10	29		Prescription Pathway Platinum Plan Reg 31		Idaho, Utah	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	229	0		29	10	S5597_229_0	2		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	229	2007	10	29		Prescription Pathway Platinum Plan Reg 32		California	2	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	802	0		29	10	S5597_802_0	1		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	802	2007	10	29		Pennsylvania Life Employer Std Def CY 2		National Plan	1	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	804	0		29	10	S5597_804_0	1		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	804	2007	10	29		Pennsylvania Life Employer Std Def CY 4		National Plan	1	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	805	0		29	10	S5597_805_0	1		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	805	2007	10	29		Pennsylvania Life Employer Std Def CY 5		National Plan	1	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	807	0		29	10	S5597_807_0	1		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	807	2007	10	29		Pennsylvania Life Employer Std Def NCY 2		National Plan	1	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	809	0		29	10	S5597_809_0	1		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	809	2007	10	29		Pennsylvania Life Employer Std Def NCY 4		National Plan	1	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	810	0		29	10	S5597_810_0	1		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	810	2007	10	29		Pennsylvania Life Employer Std Def NCY 5		National Plan	1	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	811	0		29	10	S5597_811_0	1		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	811	2007	10	29		Pennsylvania Life Employer CY HP Group		National	1	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	812	0		29	10	S5597_812_0	1		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	812	2007	10	29		Pennsylvania Life Employer CY PC		National	1	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	813	0		29	10	S5597_813_0	1		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	813	2007	10	29		Pennsylvania Life Employer CY VP		National	1	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	814	0		29	10	S5597_814_0	1		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	814	2007	10	29		Pennsylvania Life Employer CY Generics Cor		National	1	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	815	0		29	10	S5597_815_0	1		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	815	2007	10	29		Pennsylvania Life Employer NCY Hp Group		National	1	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	816	0		29	10	S5597_816_0	1		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	816	2007	10	29		Pennsylvania Life Employer NCY PC		National	1	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	817	0		29	10	S5597_817_0	1		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	817	2007	10	29		Pennsylvania Life Employer NCY VP		National	1	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5597	818	0		29	10	S5597_818_0	1		PENNSYLVANIA LIFE INSURANCE COMPANY	Pennsylvania Life Insurance Company	www.RxPathway.com	S5597	818	2007	10	29		Pennsylvania Life Employer NCY GenericsCor		National	1	0		2											(800)-698-8394	(800)-765-8900	(800)-754-5171	(866)-222-3904
S5601	002	0		29	10	S5601_002_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	002	2007	10	29		SilverScript		Northern New England SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	003	0		29	10	S5601_003_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	003	2007	10	29		SilverScript Plus		Northern New England SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	004	0		29	10	S5601_004_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	004	2007	10	29		SilverScript		Central New England SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	005	0		29	10	S5601_005_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	005	2007	10	29		SilverScript Plus		Central New England SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	006	0		29	10	S5601_006_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	006	2007	10	29		SilverScript		New York SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	007	0		29	10	S5601_007_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	007	2007	10	29		SilverScript Plus		New York SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	008	0		29	10	S5601_008_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	008	2007	10	29		SilverScript		New Jersey SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	009	0		29	10	S5601_009_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	009	2007	10	29		SilverScript Plus		New Jersey SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	010	0		29	10	S5601_010_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	010	2007	10	29		SilverScript		Mid-Atlantic SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	011	0		29	10	S5601_011_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	011	2007	10	29		SilverScript Plus		Mid-Atlantic SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	012	0		29	10	S5601_012_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	012	2007	10	29		SilverScript		Pennsylvania, West Virginia SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	013	0		29	10	S5601_013_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	013	2007	10	29		SilverScript Plus		Pennsylvania, West Virginia SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	014	0		29	10	S5601_014_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	014	2007	10	29		SilverScript		Virginia SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	015	0		29	10	S5601_015_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	015	2007	10	29		SilverScript Plus		Virginia SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	016	0		29	10	S5601_016_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	016	2007	10	29		SilverScript		North Carolina SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	017	0		29	10	S5601_017_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	017	2007	10	29		SilverScript Plus		North Carolina SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	018	0		29	10	S5601_018_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	018	2007	10	29		SilverScript		South Carolina SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	019	0		29	10	S5601_019_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	019	2007	10	29		SilverScript Plus		South Carolina SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	020	0		29	10	S5601_020_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	020	2007	10	29		SilverScript		Georgia SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	021	0		29	10	S5601_021_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	021	2007	10	29		SilverScript Plus		Georgia SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	022	0		29	10	S5601_022_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	022	2007	10	29		SilverScript		Florida SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	023	0		29	10	S5601_023_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	023	2007	10	29		SilverScript Plus		Florida SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	024	0		29	10	S5601_024_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	024	2007	10	29		SilverScript		Alabama, Tennessee SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	025	0		29	10	S5601_025_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	025	2007	10	29		SilverScript Plus		Alabama, Tennessee SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	026	0		29	10	S5601_026_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	026	2007	10	29		SilverScript		Michigan SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	027	0		29	10	S5601_027_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	027	2007	10	29		SilverScript Plus		Michigan SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	028	0		29	10	S5601_028_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	028	2007	10	29		SilverScript		Ohio SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	029	0		29	10	S5601_029_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	029	2007	10	29		SilverScript Plus		Ohio SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	030	0		29	10	S5601_030_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	030	2007	10	29		SilverScript		Indiana, Kentucky SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	031	0		29	10	S5601_031_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	031	2007	10	29		SilverScript Plus		Indiana, Kentucky SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	032	0		29	10	S5601_032_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	032	2007	10	29		SilverScript		Wisconsin SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	033	0		29	10	S5601_033_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	033	2007	10	29		SilverScript Plus		Wisconsin SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	034	0		29	10	S5601_034_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	034	2007	10	29		SilverScript		Illinois SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	035	0		29	10	S5601_035_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	035	2007	10	29		SilverScript Plus		Illinois SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	036	0		29	10	S5601_036_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	036	2007	10	29		SilverScript		Missouri SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	037	0		29	10	S5601_037_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	037	2007	10	29		SilverScript Plus		Missouri SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	038	0		29	10	S5601_038_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	038	2007	10	29		SilverScript		Arkansas SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	039	0		29	10	S5601_039_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	039	2007	10	29		SilverScript Plus		Arkansas SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	040	0		29	10	S5601_040_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	040	2007	10	29		SilverScript		Mississippi SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	041	0		29	10	S5601_041_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	041	2007	10	29		SilverScript Plus		Mississippi SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	042	0		29	10	S5601_042_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	042	2007	10	29		SilverScript		Louisiana SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	043	0		29	10	S5601_043_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	043	2007	10	29		SilverScript Plus		Louisiana SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	044	0		29	10	S5601_044_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	044	2007	10	29		SilverScript		Texas SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	045	0		29	10	S5601_045_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	045	2007	10	29		SilverScript Plus		Texas SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	046	0		29	10	S5601_046_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	046	2007	10	29		SilverScript		Oklahoma SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	047	0		29	10	S5601_047_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	047	2007	10	29		SilverScript Plus		Oklahoma SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	048	0		29	10	S5601_048_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	048	2007	10	29		SilverScript		Kansas SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	049	0		29	10	S5601_049_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	049	2007	10	29		SilverScript Plus		Kansas SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	050	0		29	10	S5601_050_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	050	2007	10	29		SilverScript		Upper Midwest and N. Plains SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	051	0		29	10	S5601_051_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	051	2007	10	29		SilverScript Plus		Upper Midwest and N. Plains SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	052	0		29	10	S5601_052_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	052	2007	10	29		SilverScript		New Mexico SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	053	0		29	10	S5601_053_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	053	2007	10	29		SilverScript Plus		New Mexico SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	054	0		29	10	S5601_054_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	054	2007	10	29		SilverScript		Colorado SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	055	0		29	10	S5601_055_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	055	2007	10	29		SilverScript Plus		Colorado SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	056	0		29	10	S5601_056_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	056	2007	10	29		SilverScript		Arizona SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	057	0		29	10	S5601_057_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	057	2007	10	29		SilverScript Plus		Arizona SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	058	0		29	10	S5601_058_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	058	2007	10	29		SilverScript		Nevada SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	059	0		29	10	S5601_059_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	059	2007	10	29		SilverScript Plus		Nevada SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	060	0		29	10	S5601_060_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	060	2007	10	29		SilverScript		Oregon, Washington SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	061	0		29	10	S5601_061_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	061	2007	10	29		SilverScript Plus		Oregon, Washington SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	062	0		29	10	S5601_062_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	062	2007	10	29		SilverScript		Idaho, Utah SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	063	0		29	10	S5601_063_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	063	2007	10	29		SilverScript Plus		Idaho, Utah SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	064	0		29	10	S5601_064_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	064	2007	10	29		SilverScript		California SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	065	0		29	10	S5601_065_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	065	2007	10	29		SilverScript Plus		California SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	066	0		29	10	S5601_066_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	066	2007	10	29		SilverScript		Hawaii SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	067	0		29	10	S5601_067_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	067	2007	10	29		SilverScript Plus		Hawaii SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	068	0		29	10	S5601_068_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	068	2007	10	29		SilverScript		Alaska SilverScript	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	069	0		29	10	S5601_069_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	069	2007	10	29		SilverScript Plus		Alaska SilverScript Plus	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	070	0		29	10	S5601_070_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	070	2007	10	29		SilverScript		070	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	071	0		29	10	S5601_071_0	4		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	071	2007	10	29		SilverScript Plus		071	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	072	0		29	10	S5601_072_0	6		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	072	2007	10	29		SilverScript Complete		072	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	073	0		29	10	S5601_073_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	073	2007	10	29		SilverScript Complete		073	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	074	0		29	10	S5601_074_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	074	2007	10	29		SilverScript Complete		074	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	075	0		29	10	S5601_075_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	075	2007	10	29		SilverScript Complete		075	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	076	0		29	10	S5601_076_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	076	2007	10	29		SilverScript Complete		076	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	077	0		29	10	S5601_077_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	077	2007	10	29		SilverScript Complete		077	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	078	0		29	10	S5601_078_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	078	2007	10	29		SilverScript Complete		078	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	079	0		29	10	S5601_079_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	079	2007	10	29		SilverScript Complete		079	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	080	0		29	10	S5601_080_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	080	2007	10	29		SilverScript Complete		080	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	081	0		29	10	S5601_081_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	081	2007	10	29		SilverScript Complete		081	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	082	0		29	10	S5601_082_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	082	2007	10	29		SilverScript Complete		082	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	083	0		29	10	S5601_083_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	083	2007	10	29		SilverScript Complete		083	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	084	0		29	10	S5601_084_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	084	2007	10	29		SilverScript Complete		084	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	085	0		29	10	S5601_085_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	085	2007	10	29		SilverScript Complete		085	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	086	0		29	10	S5601_086_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	086	2007	10	29		SilverScript Complete		086	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	087	0		29	10	S5601_087_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	087	2007	10	29		SilverScript Complete		087	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	088	0		29	10	S5601_088_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	088	2007	10	29		SilverScript Complete		088	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	089	0		29	10	S5601_089_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	089	2007	10	29		SilverScript Complete		089	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	090	0		29	10	S5601_090_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	090	2007	10	29		SilverScript Complete		090	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	091	0		29	10	S5601_091_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	091	2007	10	29		SilverScript Complete		091	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	092	0		29	10	S5601_092_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	092	2007	10	29		SilverScript Complete		092	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	093	0		29	10	S5601_093_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	093	2007	10	29		SilverScript Complete		093	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	094	0		29	10	S5601_094_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	094	2007	10	29		SilverScript Complete		094	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	095	0		29	10	S5601_095_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	095	2007	10	29		SilverScript Complete		095	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	096	0		29	10	S5601_096_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	096	2007	10	29		SilverScript Complete		096	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	097	0		29	10	S5601_097_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	097	2007	10	29		SilverScript Complete		097	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	098	0		29	10	S5601_098_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	098	2007	10	29		SilverScript Complete		098	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	099	0		29	10	S5601_099_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	099	2007	10	29		SilverScript Complete		099	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	100	0		29	10	S5601_100_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	100	2007	10	29		SilverScript Complete		100	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	101	0		29	10	S5601_101_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	101	2007	10	29		SilverScript Complete		101	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	102	0		29	10	S5601_102_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	102	2007	10	29		SilverScript Complete		102	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	103	0		29	10	S5601_103_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	103	2007	10	29		SilverScript Complete		103	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	104	0		29	10	S5601_104_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	104	2007	10	29		SilverScript Complete		104	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	105	0		29	10	S5601_105_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	105	2007	10	29		SilverScript Complete		105	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	106	0		29	10	S5601_106_0	5		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	106	2007	10	29		SilverScript Complete		106	2	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	801	0		29	10	S5601_801_0	3		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	801	2007	10	29		SilverScript Group - Calendar		National SilverScript Group	1	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5601	802	0		29	10	S5601_802_0	3		SILVERSCRIPT INSURANCE COMPANY	SilverScript	www.SilverScript.com	S5601	802	2007	10	29		SilverScript Group - Non-Calendar		National SilverScript Group - Non-Calendar	1	0		2											(866)-235-5660	(866)-552-6106	(866)-236-1069	(866)-552-6288
S5609	001	0		29	10	S5609_001_0	3		ASURIS NORTHWEST HEALTH	Asuris Northwest Health	www.asuris.com/medicareScript	S5609	001	2007	10	29		Asuris Medicare Script		Region of Oregon and Washington	2	0		2											(800)-541-8981	(800)-452-2909	(800)-382-1003	(800)-382-1003
S5609	002	0		29	10	S5609_002_0	4		ASURIS NORTHWEST HEALTH	Asuris Northwest Health	www.asuris.com/medicareScript	S5609	002	2007	10	29		Asuris Medicare Script Enhanced		Region of Oregon and Washington	2	0		2											(800)-541-8981	(800)-452-2909	(800)-382-1003	(800)-382-1003
S5617	003	0		29	10	S5617_003_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	003	2007	10	29		CIGNATURE Rx Value Plan		States of New Hampshire and Maine	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	005	0		29	10	S5617_005_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	005	2007	10	29		CIGNATURE Rx Plus Plan		States of New Hampshire and Maine	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	008	0		29	10	S5617_008_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	008	2007	10	29		CIGNATURE Rx Value Plan		States of Connecticut, Massachusetts and Vermont	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	010	0		29	10	S5617_010_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	010	2007	10	29		CIGNATURE Rx Plus Plan		States of Connecticut, Massachusetts and Vermont	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	013	0		29	10	S5617_013_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	013	2007	10	29		CIGNATURE Rx Value Plan		State of New York	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	015	0		29	10	S5617_015_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	015	2007	10	29		CIGNATURE Rx Plus Plan		State of New York	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	018	0		29	10	S5617_018_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	018	2007	10	29		CIGNATURE Rx Value Plan		State of New Jersey	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	020	0		29	10	S5617_020_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	020	2007	10	29		CIGNATURE Rx Plus Plan		State of New Jersey	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	023	0		29	10	S5617_023_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	023	2007	10	29		CIGNATURE Rx Value Plan		States of Delaware and Maryland, and DC	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	025	0		29	10	S5617_025_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	025	2007	10	29		CIGNATURE Rx Plus Plan		States of Delaware and Maryland, and DC	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	028	0		29	10	S5617_028_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	028	2007	10	29		CIGNATURE Rx Value Plan		Pennsylvania and West Virginia	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	030	0		29	10	S5617_030_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	030	2007	10	29		CIGNATURE Rx Plus Plan		Pennsylvania and West Virginia	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	033	0		29	10	S5617_033_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	033	2007	10	29		CIGNATURE Rx Value Plan		Commonwealth of Virginia	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	035	0		29	10	S5617_035_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	035	2007	10	29		CIGNATURE Rx Plus Plan		Commonwealth of Virginia	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	038	0		29	10	S5617_038_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	038	2007	10	29		CIGNATURE Rx Value Plan		State of North Carolina	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	040	0		29	10	S5617_040_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	040	2007	10	29		CIGNATURE Rx Plus Plan		State of North Carolina	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	043	0		29	10	S5617_043_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	043	2007	10	29		CIGNATURE Rx Value Plan		State of South Carolina	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	045	0		29	10	S5617_045_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	045	2007	10	29		CIGNATURE Rx Plus Plan		State of South Carolina	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	048	0		29	10	S5617_048_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	048	2007	10	29		CIGNATURE Rx Value Plan		State of Georgia	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	050	0		29	10	S5617_050_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	050	2007	10	29		CIGNATURE Rx Plus Plan		State of Georgia	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	053	0		29	10	S5617_053_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	053	2007	10	29		CIGNATURE Rx Value Plan		State of Florida	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	055	0		29	10	S5617_055_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	055	2007	10	29		CIGNATURE Rx Plus Plan		State of Florida	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	058	0		29	10	S5617_058_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	058	2007	10	29		CIGNATURE Rx Value Plan		States of Alabama and Tennessee	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	060	0		29	10	S5617_060_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	060	2007	10	29		CIGNATURE Rx Plus Plan		States of Alabama and Tennessee	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	063	0		29	10	S5617_063_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	063	2007	10	29		CIGNATURE Rx Value Plan		State of Michigan	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	065	0		29	10	S5617_065_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	065	2007	10	29		CIGNATURE Rx Plus Plan		State of Michigan	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	068	0		29	10	S5617_068_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	068	2007	10	29		CIGNATURE Rx Value Plan		State of Ohio	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	070	0		29	10	S5617_070_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	070	2007	10	29		CIGNATURE Rx Plus Plan		State of Ohio	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	073	0		29	10	S5617_073_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	073	2007	10	29		CIGNATURE Rx Value Plan		Indiana and Kentucky	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	075	0		29	10	S5617_075_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	075	2007	10	29		CIGNATURE Rx Plus Plan		Indiana and Kentucky	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	078	0		29	10	S5617_078_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	078	2007	10	29		CIGNATURE Rx Value Plan		State of Wisconsin	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	080	0		29	10	S5617_080_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	080	2007	10	29		CIGNATURE Rx Plus Plan		State of Wisconsin	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	083	0		29	10	S5617_083_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	083	2007	10	29		CIGNATURE Rx Value Plan		State of Illinois	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	085	0		29	10	S5617_085_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	085	2007	10	29		CIGNATURE Rx Plus Plan		State of Illinois	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	088	0		29	10	S5617_088_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	088	2007	10	29		CIGNATURE Rx Value Plan		State of Missouri	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	090	0		29	10	S5617_090_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	090	2007	10	29		CIGNATURE Rx Plus Plan		State of Missouri	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	093	0		29	10	S5617_093_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	093	2007	10	29		CIGNATURE Rx Value Plan		State of Arkansas	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	095	0		29	10	S5617_095_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	095	2007	10	29		CIGNATURE Rx Plus Plan		State of Arkansas	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	098	0		29	10	S5617_098_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	098	2007	10	29		CIGNATURE Rx Value Plan		State of Mississippi	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	100	0		29	10	S5617_100_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	100	2007	10	29		CIGNATURE Rx Plus Plan		State of Mississippi	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	103	0		29	10	S5617_103_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	103	2007	10	29		CIGNATURE Rx Value Plan		State of Louisiana	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	105	0		29	10	S5617_105_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	105	2007	10	29		CIGNATURE Rx Plus Plan		State of Louisiana	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	108	0		29	10	S5617_108_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	108	2007	10	29		CIGNATURE Rx Value Plan		State of Texas	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	110	0		29	10	S5617_110_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	110	2007	10	29		CIGNATURE Rx Plus Plan		State of Texas	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	113	0		29	10	S5617_113_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	113	2007	10	29		CIGNATURE Rx Value Plan		State of Oklahoma	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	115	0		29	10	S5617_115_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	115	2007	10	29		CIGNATURE Rx Plus Plan		State of Oklahoma	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	118	0		29	10	S5617_118_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	118	2007	10	29		CIGNATURE Rx Value Plan		State of Kansas	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	120	0		29	10	S5617_120_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	120	2007	10	29		CIGNATURE Rx Plus Plan		State of Kansas	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	123	0		29	10	S5617_123_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	123	2007	10	29		CIGNATURE Rx Value Plan		States of IA, MN, MT, ND, NE, SD & WY	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	125	0		29	10	S5617_125_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	125	2007	10	29		CIGNATURE Rx Plus Plan		States of IA, MN, MT, ND, NE, SD & WY	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	128	0		29	10	S5617_128_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	128	2007	10	29		CIGNATURE Rx Value Plan		State of New Mexico	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	130	0		29	10	S5617_130_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	130	2007	10	29		CIGNATURE Rx Plus Plan		State of New Mexico	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	133	0		29	10	S5617_133_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	133	2007	10	29		CIGNATURE Rx Value Plan		State of Colorado	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	135	0		29	10	S5617_135_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	135	2007	10	29		CIGNATURE Rx Plus Plan		State of Colorado	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	138	0		29	10	S5617_138_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	138	2007	10	29		CIGNATURE Rx Value Plan		State of Arizona	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	140	0		29	10	S5617_140_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	140	2007	10	29		CIGNATURE Rx Plus Plan		State of Arizona	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	143	0		29	10	S5617_143_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	143	2007	10	29		CIGNATURE Rx Value Plan		State of Nevada	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	145	0		29	10	S5617_145_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	145	2007	10	29		CIGNATURE Rx Plus Plan		State of Nevada	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	148	0		29	10	S5617_148_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	148	2007	10	29		CIGNATURE Rx Value Plan		States of Oregon and Washington	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	150	0		29	10	S5617_150_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	150	2007	10	29		CIGNATURE Rx Plus Plan		States of Oregon and Washington	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	153	0		29	10	S5617_153_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	153	2007	10	29		CIGNATURE Rx Value Plan		States of Idaho and Utah	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	155	0		29	10	S5617_155_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	155	2007	10	29		CIGNATURE Rx Plus Plan		States of Idaho and Utah	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	158	0		29	10	S5617_158_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	158	2007	10	29		CIGNATURE Rx Value Plan		State of California	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	160	0		29	10	S5617_160_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	160	2007	10	29		CIGNATURE Rx Plus Plan		State of California	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	163	0		29	10	S5617_163_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	163	2007	10	29		CIGNATURE Rx Value Plan		State of Hawaii	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	165	0		29	10	S5617_165_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	165	2007	10	29		CIGNATURE Rx Plus Plan		State of Hawaii	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	168	0		29	10	S5617_168_0	6		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	168	2007	10	29		CIGNATURE Rx Value Plan		State of Alaska	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	170	0		29	10	S5617_170_0	4		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	170	2007	10	29		CIGNATURE Rx Plus Plan		State of Alaska	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	171	0		29	10	S5617_171_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	171	2007	10	29		CIGNATURE Rx Complete Plan		States of New Hampshire and Maine	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	172	0		29	10	S5617_172_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	172	2007	10	29		CIGNATURE Rx Complete Plan		Connecticut, Massachusetts and Vermont	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	173	0		29	10	S5617_173_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	173	2007	10	29		CIGNATURE Rx Complete Plan		State of New York	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	174	0		29	10	S5617_174_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	174	2007	10	29		CIGNATURE Rx Complete Plan		State of New Jersey	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	175	0		29	10	S5617_175_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	175	2007	10	29		CIGNATURE Rx Complete Plan		States of Delaware and Maryland, and DC	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	176	0		29	10	S5617_176_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	176	2007	10	29		CIGNATURE Rx Complete Plan		Pennsylvania and West Virginia	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	177	0		29	10	S5617_177_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	177	2007	10	29		CIGNATURE Rx Complete Plan		Commonwealth of Virginia	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	178	0		29	10	S5617_178_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	178	2007	10	29		CIGNATURE Rx Complete Plan		State of North Carolina	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	179	0		29	10	S5617_179_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	179	2007	10	29		CIGNATURE Rx Complete Plan		State of South Carolina	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	180	0		29	10	S5617_180_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	180	2007	10	29		CIGNATURE Rx Complete Plan		State of Georgia	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	181	0		29	10	S5617_181_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	181	2007	10	29		CIGNATURE Rx Complete Plan		State of Florida	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	182	0		29	10	S5617_182_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	182	2007	10	29		CIGNATURE Rx Complete Plan		States of Alabama and Tennessee	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	183	0		29	10	S5617_183_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	183	2007	10	29		CIGNATURE Rx Complete Plan		State of Michigan	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	184	0		29	10	S5617_184_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	184	2007	10	29		CIGNATURE Rx Complete Plan		State of Ohio	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	185	0		29	10	S5617_185_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	185	2007	10	29		CIGNATURE Rx Complete Plan		Indiana and Kentucky	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	186	0		29	10	S5617_186_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	186	2007	10	29		CIGNATURE Rx Complete Plan		State of Wisconsin	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	187	0		29	10	S5617_187_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	187	2007	10	29		CIGNATURE Rx Complete Plan		State of Illinois	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	188	0		29	10	S5617_188_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	188	2007	10	29		CIGNATURE Rx Complete Plan		State of Missouri	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	189	0		29	10	S5617_189_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	189	2007	10	29		CIGNATURE Rx Complete Plan		State of Arkansas	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	190	0		29	10	S5617_190_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	190	2007	10	29		CIGNATURE Rx Complete Plan		State of Mississippi	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	191	0		29	10	S5617_191_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	191	2007	10	29		CIGNATURE Rx Complete Plan		State of Louisiana	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	192	0		29	10	S5617_192_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	192	2007	10	29		CIGNATURE Rx Complete Plan		State of Texas	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	193	0		29	10	S5617_193_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	193	2007	10	29		CIGNATURE Rx Complete Plan		State of Oklahoma	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	194	0		29	10	S5617_194_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	194	2007	10	29		CIGNATURE Rx Complete Plan		State of Kansas	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	195	0		29	10	S5617_195_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	195	2007	10	29		CIGNATURE Rx Complete Plan		States of IA, MN, MT, ND, NE, SD & WY	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	196	0		29	10	S5617_196_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	196	2007	10	29		CIGNATURE Rx Complete Plan		State of New Mexico	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	197	0		29	10	S5617_197_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	197	2007	10	29		CIGNATURE Rx Complete Plan		State of Colorado	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	198	0		29	10	S5617_198_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	198	2007	10	29		CIGNATURE Rx Complete Plan		State of Arizona	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	199	0		29	10	S5617_199_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	199	2007	10	29		CIGNATURE Rx Complete Plan		State of Nevada	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	200	0		29	10	S5617_200_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	200	2007	10	29		CIGNATURE Rx Complete Plan		States of Oregon and Washington	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	201	0		29	10	S5617_201_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	201	2007	10	29		CIGNATURE Rx Complete Plan		States of Idaho and Utah	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	202	0		29	10	S5617_202_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	202	2007	10	29		CIGNATURE Rx Complete Plan		State of California	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	203	0		29	10	S5617_203_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	203	2007	10	29		CIGNATURE Rx Complete Plan		State of Hawaii	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	204	0		29	10	S5617_204_0	3		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	204	2007	10	29		CIGNATURE Rx Complete Plan		State of Alaska	2	0		2											(800)-222-6700	(800)-735-1459		
S5617	801	0		29	10	S5617_801_0	1		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	801	2007	10	29		Employer Plan CY		Nationwide	1	0		2											(800)-222-6700	(800)-735-1459		
S5617	802	0		29	10	S5617_802_0	1		CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA HealthCare	www.cignature-rx.com	S5617	802	2007	10	29		Employer Plan NCY		Nationwide	1	0		2											(800)-222-6700	(800)-735-1459		
S5644	004	0		29	10	S5644_004_0	6		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	004	2007	10	29		Advantage Star Plan by RxAmerica		NY	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	005	0		29	10	S5644_005_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	005	2007	10	29		Advantage Star Plan by RxAmerica		NJ	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	012	0		29	10	S5644_012_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	012	2007	10	29		Advantage Star Plan by RxAmerica		AL-TN	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	045	0		29	10	S5644_045_0	10		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	045	2007	10	29		Advantage Freedom Plan by RxAmerica		ME-NH	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	047	0		29	10	S5644_047_0	10		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	047	2007	10	29		Advantage Freedom Plan by RxAmerica		MA-RI-VT-CT	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	048	0		29	10	S5644_048_0	10		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	048	2007	10	29		Advantage Freedom Plan by RxAmerica		NY	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	049	0		29	10	S5644_049_0	10		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	049	2007	10	29		Advantage Freedom Plan by RxAmerica		NJ	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	050	0		29	10	S5644_050_0	10		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	050	2007	10	29		Advantage Freedom Plan by RxAmerica		DE-MD-DC	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	051	0		29	10	S5644_051_0	10		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	051	2007	10	29		Advantage Freedom Plan by RxAmerica		PA-WV	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	052	0		29	10	S5644_052_0	10		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	052	2007	10	29		Advantage Freedom Plan by RxAmerica		VA	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	053	0		29	10	S5644_053_0	10		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	053	2007	10	29		Advantage Freedom Plan by RxAmerica		NC	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	054	0		29	10	S5644_054_0	10		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	054	2007	10	29		Advantage Freedom Plan by RxAmerica		SC	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	055	0		29	10	S5644_055_0	10		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	055	2007	10	29		Advantage Freedom Plan by RxAmerica		GA	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	056	0		29	10	S5644_056_0	10		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	056	2007	10	29		Advantage Freedom Plan by RxAmerica		AL-TN	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	057	0		29	10	S5644_057_0	10		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	057	2007	10	29		Advantage Freedom Plan by RxAmerica		MI	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	058	0		29	10	S5644_058_0	10		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	058	2007	10	29		Advantage Freedom Plan by RxAmerica		TX	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	059	0		29	10	S5644_059_0	10		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	059	2007	10	29		Advantage Freedom Plan by RxAmerica		IA-MN-MT-NB-ND-SD-WY	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	060	0		29	10	S5644_060_0	10		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	060	2007	10	29		Advantage Freedom Plan by RxAmerica		AZ	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	061	0		29	10	S5644_061_0	10		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	061	2007	10	29		Advantage Freedom Plan by RxAmerica		NV	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	062	0		29	10	S5644_062_0	10		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	062	2007	10	29		Advantage Freedom Plan by RxAmerica		OR-WA	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	063	0		29	10	S5644_063_0	10		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	063	2007	10	29		Advantage Freedom Plan by RxAmerica		UT-ID	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	064	0		29	10	S5644_064_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	064	2007	10	29		Advantage Freedom Plan by RxAmerica		CA	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	065	0		29	10	S5644_065_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	065	2007	10	29		Advantage Freedom Plan by RxAmerica		HI	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	067	0		29	10	S5644_067_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	067	2007	10	29		Advantage Star Plan by RxAmerica		ME-NH	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	068	0		29	10	S5644_068_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	068	2007	10	29		Advantage Star Plan by RxAmerica		MA-RI-VT-CT	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	071	0		29	10	S5644_071_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	071	2007	10	29		Advantage Star Plan by RxAmerica		DE-DC-MD	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	072	0		29	10	S5644_072_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	072	2007	10	29		Advantage Star Plan by RxAmerica		PA-WV	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	073	0		29	10	S5644_073_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	073	2007	10	29		Advantage Star Plan by RxAmerica		VA	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	074	0		29	10	S5644_074_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	074	2007	10	29		Advantage Star Plan by RxAmerica		NC	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	075	0		29	10	S5644_075_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	075	2007	10	29		Advantage Star Plan by RxAmerica		SC	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	076	0		29	10	S5644_076_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	076	2007	10	29		Advantage Star Plan by RxAmerica		GA	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	078	0		29	10	S5644_078_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	078	2007	10	29		Advantage Star Plan by RxAmerica		MI	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	079	0		29	10	S5644_079_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	079	2007	10	29		Advantage Star Plan by RxAmerica		TX	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	080	0		29	10	S5644_080_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	080	2007	10	29		Advantage Star Plan by RxAmerica		IA-MN-MT-NB-ND-SD-WY	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	081	0		29	10	S5644_081_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	081	2007	10	29		Advantage Star Plan by RxAmerica		AZ	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	082	0		29	10	S5644_082_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	082	2007	10	29		Advantage Star Plan by RxAmerica		NV	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	083	0		29	10	S5644_083_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	083	2007	10	29		Advantage Star Plan by RxAmerica		OR-WA	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	084	0		29	10	S5644_084_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	084	2007	10	29		Advantage Star Plan by RxAmerica		CA	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	085	0		29	10	S5644_085_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	085	2007	10	29		Advantage Star Plan by RxAmerica		HI	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	087	0		29	10	S5644_087_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	087	2007	10	29		Advantage Star Plan by RxAmerica		ID-UT	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	174	0		29	10	S5644_174_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	174	2007	10	29		Advantage Freedom Plan by RxAmerica		FL	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	175	0		29	10	S5644_175_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	175	2007	10	29		Advantage Freedom Plan by RxAmerica		OH	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	176	0		29	10	S5644_176_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	176	2007	10	29		Advantage Freedom Plan by RxAmerica		IN-KY	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	177	0		29	10	S5644_177_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	177	2007	10	29		Advantage Freedom Plan by RxAmerica		WI	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	178	0		29	10	S5644_178_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	178	2007	10	29		Advantage Freedom Plan by RxAmerica		IL	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	179	0		29	10	S5644_179_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	179	2007	10	29		Advantage Freedom Plan by RxAmerica		MO	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	180	0		29	10	S5644_180_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	180	2007	10	29		Advantage Freedom Plan by RxAmerica		AR	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	181	0		29	10	S5644_181_0	10		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	181	2007	10	29		Advantage Freedom Plan by RxAmerica		MS	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	182	0		29	10	S5644_182_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	182	2007	10	29		Advantage Freedom Plan by RxAmerica		LA	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	183	0		29	10	S5644_183_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	183	2007	10	29		Advantage Freedom Plan by RxAmerica		OK	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	184	0		29	10	S5644_184_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	184	2007	10	29		Advantage Freedom Plan by RxAmerica		KS	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	185	0		29	10	S5644_185_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	185	2007	10	29		Advantage Freedom Plan by RxAmerica		NM	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	186	0		29	10	S5644_186_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	186	2007	10	29		Advantage Freedom Plan by RxAmerica		CO	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	187	0		29	10	S5644_187_0	9		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	187	2007	10	29		Advantage Freedom Plan by RxAmerica		AK	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	188	0		29	10	S5644_188_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	188	2007	10	29		Advantage Star Plan by RxAmerica		FL	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	189	0		29	10	S5644_189_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	189	2007	10	29		Advantage Star Plan by RxAmerica		OH	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	190	0		29	10	S5644_190_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	190	2007	10	29		Advantage Star Plan by RxAmerica		IN-KY	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	191	0		29	10	S5644_191_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	191	2007	10	29		Advantage Star Plan by RxAmerica		WI	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	192	0		29	10	S5644_192_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	192	2007	10	29		Advantage Star Plan by RxAmerica		IL	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	193	0		29	10	S5644_193_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	193	2007	10	29		Advantage Star Plan by RxAmerica		MO	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	194	0		29	10	S5644_194_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	194	2007	10	29		Advantage Star Plan by RxAmerica		AR	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	195	0		29	10	S5644_195_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	195	2007	10	29		Advantage Star Plan by RxAmerica		MS	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	196	0		29	10	S5644_196_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	196	2007	10	29		Advantage Star Plan by RxAmerica		LA	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	197	0		29	10	S5644_197_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	197	2007	10	29		Advantage Star Plan by RxAmerica		OK	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	198	0		29	10	S5644_198_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	198	2007	10	29		Advantage Star Plan by RxAmerica		KS	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	199	0		29	10	S5644_199_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	199	2007	10	29		Advantage Star Plan by RxAmerica		NM	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	200	0		29	10	S5644_200_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	200	2007	10	29		Advantage Star Plan by RxAmerica		CO	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	201	0		29	10	S5644_201_0	8		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	201	2007	10	29		Advantage Star Plan by RxAmerica		AK	2	0		2											(800)-429-6686	(877)-279-0370		
S5644	801	0		29	10	S5644_801_0	5		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	801	2007	10	29		Advantage Group Calendar Year by RxAmerica		National	1	0		2											(800)-429-6686	(877)-279-0370		
S5644	802	0		29	10	S5644_802_0	5		RXAMERICA, LLC	RxAmerica	www.Meds4Medicare.com	S5644	802	2007	10	29		Advantage Group Non-Calendar Year by RxA		National	1	0		2											(800)-429-6686	(877)-279-0370		
S5650	001	0		29	10	S5650_001_0	3		SELECT HEALTH OF SOUTH CAROLINA, INC.	PerformRx PDP	www.performrx.com	S5650	001	2007	10	29		PerformRx Option I		South Carolina	2	0		2											(888)-457-3007	(866)-456-1692	(888)-457-3002	(866)-456-1683
S5650	003	0		29	10	S5650_003_0	3		SELECT HEALTH OF SOUTH CAROLINA, INC.	PerformRx PDP	www.performrx.com	S5650	003	2007	10	29		PerformRx Option II		South Carolina	2	0		2											(888)-457-3007	(866)-456-1692	(888)-457-3002	(866)-456-1683
S5660	001	0		29	10	S5660_001_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	001	2007	10	29		Medco YOURx PLAN		Northern New England	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	003	0		29	10	S5660_003_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	003	2007	10	29		Medco YOURx PLAN		Central New England	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	004	0		29	10	S5660_004_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	004	2007	10	29		Medco YOURx PLAN		Mid-Atlantic	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	005	0		29	10	S5660_005_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	005	2007	10	29		Medco YOURx PLAN		States of Pennsylvania and West Virginia	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	006	0		29	10	S5660_006_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	006	2007	10	29		Medco YOURx PLAN		State of Virginia	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	007	0		29	10	S5660_007_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	007	2007	10	29		Medco YOURx PLAN		State of North Carolina	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	008	0		29	10	S5660_008_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	008	2007	10	29		Medco YOURx PLAN		State of South Carolina	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	009	0		29	10	S5660_009_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	009	2007	10	29		Medco YOURx PLAN		State of Georgia	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	010	0		29	10	S5660_010_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	010	2007	10	29		Medco YOURx PLAN		State of Florida	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	012	0		29	10	S5660_012_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	012	2007	10	29		Medco YOURx PLAN		States of Alabama and Tennessee	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	013	0		29	10	S5660_013_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	013	2007	10	29		Medco YOURx PLAN		State of Michigan	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	014	0		29	10	S5660_014_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	014	2007	10	29		Medco YOURx PLAN		State of Ohio	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	015	0		29	10	S5660_015_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	015	2007	10	29		Medco YOURx PLAN		States of Indiana and Kentucky	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	016	0		29	10	S5660_016_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	016	2007	10	29		Medco YOURx PLAN		State of Wisconsin	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	017	0		29	10	S5660_017_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	017	2007	10	29		Medco YOURx PLAN		State of Illinois	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	018	0		29	10	S5660_018_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	018	2007	10	29		Medco YOURx PLAN		State of Missouri	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	019	0		29	10	S5660_019_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	019	2007	10	29		Medco YOURx PLAN		State of Arkansas	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	020	0		29	10	S5660_020_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	020	2007	10	29		Medco YOURx PLAN		State of Mississippi	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	021	0		29	10	S5660_021_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	021	2007	10	29		Medco YOURx PLAN		State of Louisiana	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	022	0		29	10	S5660_022_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	022	2007	10	29		Medco YOURx PLAN		State of Texas	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	023	0		29	10	S5660_023_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	023	2007	10	29		Medco YOURx PLAN		State of Oklahoma	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	024	0		29	10	S5660_024_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	024	2007	10	29		Medco YOURx PLAN		State of Kansas	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	025	0		29	10	S5660_025_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	025	2007	10	29		Medco YOURx PLAN		Upper Midwest and Northern Plains	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	026	0		29	10	S5660_026_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	026	2007	10	29		Medco YOURx PLAN		State of New Mexico	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	027	0		29	10	S5660_027_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	027	2007	10	29		Medco YOURx PLAN		State of Colorado	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	028	0		29	10	S5660_028_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	028	2007	10	29		Medco YOURx PLAN		State of Arizona	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	029	0		29	10	S5660_029_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	029	2007	10	29		Medco YOURx PLAN		State of Nevada	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	030	0		29	10	S5660_030_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	030	2007	10	29		Medco YOURx PLAN		States of Oregon and Washington	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	031	0		29	10	S5660_031_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	031	2007	10	29		Medco YOURx PLAN		States of Idaho and Utah	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	032	0		29	10	S5660_032_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	032	2007	10	29		Medco YOURx PLAN		State of California	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	033	0		29	10	S5660_033_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	033	2007	10	29		Medco YOURx PLAN		State of Hawaii	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	034	0		29	10	S5660_034_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	034	2007	10	29		Medco YOURx PLAN		State of Alaska	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	035	0		29	10	S5660_035_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	035	2007	10	29		Medco YOURx PLAN		State of New Jersey	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	103	0		29	10	S5660_103_0	4		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	103	2007	10	29		Medco YOURx PLAN		Puerto Rico	2	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	801	0		29	10	S5660_801_0	1		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	801	2007	10	29		Medco YOURx PLAN		National Plan - Employer, Calendar Year	1	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	802	0		29	10	S5660_802_0	1		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	802	2007	10	29		Medco YOURx PLAN		National Plan - Employer, Non-Calendar Year	1	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	803	0		29	10	S5660_803_0	1		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	803	2007	10	29		Medco YOURx PLAN		National Plan K - Calendar Year	1	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	804	0		29	10	S5660_804_0	1		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	804	2007	10	29		Medco YOURx PLAN		National Plan OF - Calendar Year	1	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	805	0		29	10	S5660_805_0	1		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	805	2007	10	29		Medco YOURx PLAN		National Plan N1 - Calendar Year	1	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	806	0		29	10	S5660_806_0	1		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	806	2007	10	29		Medco YOURx PLAN		National Plan N2 - Calendar Year	1	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5660	807	0		29	10	S5660_807_0	1		MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco YOURx PLAN	www.yourxplan.com	S5660	807	2007	10	29		Medco YOURx PLAN		National Plan K - Non-Calendar Year	1	0		2											(800)-758-4574	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5670	027	0		29	10	S5670_027_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	027	2007	10	29		AdvantraRx Value		AdvantraRx Value Mid-Atlantic	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	028	0		29	10	S5670_028_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	028	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Mid-Atlantic	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	030	0		29	10	S5670_030_0	4		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	030	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Mid-Atlantic	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	033	0		29	10	S5670_033_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	033	2007	10	29		AdvantraRx Value		AdvantraRx Value Pennsylvania, West Virginia	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	034	0		29	10	S5670_034_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	034	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Pennsylvania, West Virginia	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	036	0		29	10	S5670_036_0	4		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	036	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Pennsylvania, W. Virginia	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	039	0		29	10	S5670_039_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	039	2007	10	29		AdvantraRx Value		AdvantraRx Value Virginia	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	040	0		29	10	S5670_040_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	040	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Virginia	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	042	0		29	10	S5670_042_0	4		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	042	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Virginia	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	045	0		29	10	S5670_045_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	045	2007	10	29		AdvantraRx Value		AdvantraRx Value North Carolina	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	046	0		29	10	S5670_046_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	046	2007	10	29		AdvantraRx Premier		AdvantraRx Premier North Carolina	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	048	0		29	10	S5670_048_0	4		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	048	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus North Carolina	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	051	0		29	10	S5670_051_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	051	2007	10	29		AdvantraRx Value		AdvantraRx Value South Carolina	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	052	0		29	10	S5670_052_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	052	2007	10	29		AdvantraRx Premier		AdvantraRx Premier South Carolina	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	054	0		29	10	S5670_054_0	4		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	054	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus South Carolina	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	057	0		29	10	S5670_057_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	057	2007	10	29		AdvantraRx Value		AdvantraRx Value Georgia	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	058	0		29	10	S5670_058_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	058	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Georgia	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	060	0		29	10	S5670_060_0	4		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	060	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Georgia	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	063	0		29	10	S5670_063_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	063	2007	10	29		AdvantraRx Value		AdvantraRx Value Alabama, Tennessee	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	064	0		29	10	S5670_064_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	064	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Alabama, Tennessee	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	066	0		29	10	S5670_066_0	4		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	066	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Alabama, Tennessee	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	069	0		29	10	S5670_069_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	069	2007	10	29		AdvantraRx Value		AdvantraRx Value Michigan	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	070	0		29	10	S5670_070_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	070	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Michigan	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	072	0		29	10	S5670_072_0	4		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	072	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Michigan	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	075	0		29	10	S5670_075_0	4		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	075	2007	10	29		AdvantraRx Value		AdvantraRx Value Ohio	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	076	0		29	10	S5670_076_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	076	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Ohio	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	078	0		29	10	S5670_078_0	4		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	078	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Ohio	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	081	0		29	10	S5670_081_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	081	2007	10	29		AdvantraRx Value		AdvantraRx Value Wisconsin	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	082	0		29	10	S5670_082_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	082	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Wisconsin	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	084	0		29	10	S5670_084_0	4		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	084	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Wisconsin	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	087	0		29	10	S5670_087_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	087	2007	10	29		AdvantraRx Value		AdvantraRx Value Illinois	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	088	0		29	10	S5670_088_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	088	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Illinois	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	090	0		29	10	S5670_090_0	4		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	090	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Illinois	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	093	0		29	10	S5670_093_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	093	2007	10	29		AdvantraRx Value		AdvantraRx Value Missouri	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	094	0		29	10	S5670_094_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	094	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Missouri	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	096	0		29	10	S5670_096_0	4		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	096	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Missouri	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	099	0		29	10	S5670_099_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	099	2007	10	29		AdvantraRx Value		AdvantraRx Value Arkansas	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	100	0		29	10	S5670_100_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	100	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Arkansas	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	102	0		29	10	S5670_102_0	5		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	102	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Arkansas	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	105	0		29	10	S5670_105_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	105	2007	10	29		AdvantraRx Value		AdvantraRx Value Mississippi	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	106	0		29	10	S5670_106_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	106	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Mississippi	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	108	0		29	10	S5670_108_0	4		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	108	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Mississippi	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	111	0		29	10	S5670_111_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	111	2007	10	29		AdvantraRx Value		AdvantraRx Value Louisiana	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	112	0		29	10	S5670_112_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	112	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Louisiana	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	114	0		29	10	S5670_114_0	4		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	114	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Louisiana	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	117	0		29	10	S5670_117_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	117	2007	10	29		AdvantraRx Value		AdvantraRx Value Texas	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	118	0		29	10	S5670_118_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	118	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Texas	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	120	0		29	10	S5670_120_0	4		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	120	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Texas	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	123	0		29	10	S5670_123_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	123	2007	10	29		AdvantraRx Value		AdvantraRx Value Oklahoma	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	124	0		29	10	S5670_124_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	124	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Oklahoma	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	126	0		29	10	S5670_126_0	4		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	126	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Oklahoma	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	129	0		29	10	S5670_129_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	129	2007	10	29		AdvantraRx Value		AdvantraRx Value Kansas	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	130	0		29	10	S5670_130_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	130	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Kansas	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	132	0		29	10	S5670_132_0	4		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	132	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Kansas	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	135	0		29	10	S5670_135_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	135	2007	10	29		AdvantraRx Value		AdvantraRx Value Colorado	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	136	0		29	10	S5670_136_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	136	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Colorado	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	138	0		29	10	S5670_138_0	6		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	138	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Colorado	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	141	0		29	10	S5670_141_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	141	2007	10	29		AdvantraRx Value		AdvantraRx Value Arizona	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	142	0		29	10	S5670_142_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	142	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Arizona	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	144	0		29	10	S5670_144_0	4		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	144	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Arizona	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	147	0		29	10	S5670_147_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	147	2007	10	29		AdvantraRx Value		AdvantraRx Value Nevada	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	148	0		29	10	S5670_148_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	148	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Nevada	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	150	0		29	10	S5670_150_0	4		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	150	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Nevada	2	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	801	0		29	10	S5670_801_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	801	2007	10	29		AdvantraRx Group CY		AdvantraRx Group	1	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	802	0		29	10	S5670_802_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	802	2007	10	29		AdvantraRx Group NCY		AdvantraRx Group	1	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	803	0		29	10	S5670_803_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	803	2007	10	29		AdvantraRx Group CY		AdvantraRx Group	1	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	804	0		29	10	S5670_804_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	804	2007	10	29		AdvantraRx Group NCY		AdvantraRx Group	1	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	805	0		29	10	S5670_805_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	805	2007	10	29		AdvantraRx Group CY		AdvantraRx Group	1	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5670	806	0		29	10	S5670_806_0	3		COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5670	806	2007	10	29		AdvantraRx Group NCY		AdvantraRx Group	1	0		2											(866)-823-5177	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	002	0		29	10	S5674_002_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	002	2007	10	29		AdvantraRx Value		AdvantraRx Value Northern New England	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	003	0		29	10	S5674_003_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	003	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Northern New England	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	005	0		29	10	S5674_005_0	4		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	005	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Northern New England	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	008	0		29	10	S5674_008_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	008	2007	10	29		AdvantraRx Value		AdvantraRx Value Central New England	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	009	0		29	10	S5674_009_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	009	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Central New England	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	011	0		29	10	S5674_011_0	4		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	011	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Central New England	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	014	0		29	10	S5674_014_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	014	2007	10	29		AdvantraRx Value		AdvantraRx Value New Jersey	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	015	0		29	10	S5674_015_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	015	2007	10	29		AdvantraRx Premier		AdvantraRx Premier New Jersey	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	017	0		29	10	S5674_017_0	4		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	017	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus New Jersey	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	020	0		29	10	S5674_020_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	020	2007	10	29		AdvantraRx Value		AdvantraRx Value Florida	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	021	0		29	10	S5674_021_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	021	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Florida	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	023	0		29	10	S5674_023_0	4		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	023	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Florida	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	026	0		29	10	S5674_026_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	026	2007	10	29		AdvantraRx Value		AdvantraRx Value Indiana, Kentucky	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	027	0		29	10	S5674_027_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	027	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Indiana, Kentucky	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	029	0		29	10	S5674_029_0	4		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	029	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Indiana, Kentucky	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	032	0		29	10	S5674_032_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	032	2007	10	29		AdvantraRx Value		AdvantraRx Value Upper Midwest and Northern Plains	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	033	0		29	10	S5674_033_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	033	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Upper Midwest and No Plains	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	035	0		29	10	S5674_035_0	6		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	035	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Upper Midwest, No Plains	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	038	0		29	10	S5674_038_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	038	2007	10	29		AdvantraRx Value		AdvantraRx Value New Mexico	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	039	0		29	10	S5674_039_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	039	2007	10	29		AdvantraRx Premier		AdvantraRx Premier New Mexico	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	041	0		29	10	S5674_041_0	4		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	041	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus New Mexico	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	044	0		29	10	S5674_044_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	044	2007	10	29		AdvantraRx Value		AdvantraRx Value Oregon, Washington	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	045	0		29	10	S5674_045_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	045	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Oregon, Washington	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	047	0		29	10	S5674_047_0	4		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	047	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Oregon, Washington	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	050	0		29	10	S5674_050_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	050	2007	10	29		AdvantraRx Value		AdvantraRx Value Idaho, Utah	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	051	0		29	10	S5674_051_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	051	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Idaho, Utah	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	053	0		29	10	S5674_053_0	4		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	053	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Idaho, Utah	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	056	0		29	10	S5674_056_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	056	2007	10	29		AdvantraRx Value		AdvantraRx Value California	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	057	0		29	10	S5674_057_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	057	2007	10	29		AdvantraRx Premier		AdvantraRx Premier California	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	059	0		29	10	S5674_059_0	4		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	059	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus California	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	062	0		29	10	S5674_062_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	062	2007	10	29		AdvantraRx Value		AdvantraRx Value Hawaii	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	063	0		29	10	S5674_063_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	063	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Hawaii	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	065	0		29	10	S5674_065_0	4		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	065	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Hawaii	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	068	0		29	10	S5674_068_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	068	2007	10	29		AdvantraRx Value		AdvantraRx Value Alaska	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	069	0		29	10	S5674_069_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	069	2007	10	29		AdvantraRx Premier		AdvantraRx Premier Alaska	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	071	0		29	10	S5674_071_0	4		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	071	2007	10	29		AdvantraRx Premier Plus		AdvantraRx Premier Plus Alaska	2	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	801	0		29	10	S5674_801_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	801	2007	10	29		AdvantraRx Group CY		AdvantraRx Group	1	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	802	0		29	10	S5674_802_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	802	2007	10	29		AdvantraRx Group NCY		AdvantraRx Group	1	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	803	0		29	10	S5674_803_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	803	2007	10	29		AdvantraRx Group CY		AdvantraRx Group	1	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	804	0		29	10	S5674_804_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	804	2007	10	29		AdvantraRx Group NCY		AdvantraRx Group	1	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	805	0		29	10	S5674_805_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	805	2007	10	29		AdvantraRx Group CY		AdvantraRx Group	1	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5674	806	0		29	10	S5674_806_0	3		FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.advantrarx.com	S5674	806	2007	10	29		AdvantraRx Group NCY		AdvantraRx Group	1	0		2											(866)-823-5178	(800)-882-3822	(866)-236-1069	(800)-508-9548
S5678	001	0		29	10	S5678_001_0	6		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	001	2007	10	29		Health Net Orange Option 1		Arizona	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	002	0		29	10	S5678_002_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	002	2007	10	29		Health Net Orange Option 1		California	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	003	0		29	10	S5678_003_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	003	2007	10	29		Health Net Orange Option 1		New York	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	004	0		29	10	S5678_004_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	004	2007	10	29		Health Net Orange Option 1		Central New England	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	005	0		29	10	S5678_005_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	005	2007	10	29		Health Net Orange Option 1		New Jersey	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	006	0		29	10	S5678_006_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	006	2007	10	29		Health Net Orange Option 1		Oregon, Washington	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	007	0		29	10	S5678_007_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	007	2007	10	29		Health Net Orange Option 2		Arizona	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	008	0		29	10	S5678_008_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	008	2007	10	29		Health Net Orange Option 2		California	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	009	0		29	10	S5678_009_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	009	2007	10	29		Health Net Orange Option 2		New York	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	010	0		29	10	S5678_010_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	010	2007	10	29		Health Net Orange Option 2		Central New England	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	011	0		29	10	S5678_011_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	011	2007	10	29		Health Net Orange Option 2		New Jersey	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	012	0		29	10	S5678_012_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	012	2007	10	29		Health Net Orange Option 2		Oregon, Washington	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	013	0		29	10	S5678_013_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	013	2007	10	29		Health Net Orange Option 2		Northern New England (NH and ME)	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	014	0		29	10	S5678_014_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	014	2007	10	29		Health Net Orange Option 1		Northern New England (NH and ME)	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	015	0		29	10	S5678_015_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	015	2007	10	29		Health Net Orange Option 2		Mid-Atlantic (DE, DC and MD)	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	016	0		29	10	S5678_016_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	016	2007	10	29		Health Net Orange Option 1		Mid-Atlantic (DE, DC and MD)	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	017	0		29	10	S5678_017_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	017	2007	10	29		Health Net Orange Option 2		Pennsylvania (WV)	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	018	0		29	10	S5678_018_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	018	2007	10	29		Health Net Orange Option 1		Pennsylvania (WV)	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	019	0		29	10	S5678_019_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	019	2007	10	29		Health Net Orange Option 2		Virginia	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	020	0		29	10	S5678_020_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	020	2007	10	29		Health Net Orange Option 1		Virginia	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	021	0		29	10	S5678_021_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	021	2007	10	29		Health Net Orange Option 2		North Carolina	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	022	0		29	10	S5678_022_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	022	2007	10	29		Health Net Orange Option 1		North Carolina	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	023	0		29	10	S5678_023_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	023	2007	10	29		Health Net Orange Option 2		South Carolina	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	024	0		29	10	S5678_024_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	024	2007	10	29		Health Net Orange Option 1		South Carolina	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	025	0		29	10	S5678_025_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	025	2007	10	29		Health Net Orange Option 2		Georgia	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	026	0		29	10	S5678_026_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	026	2007	10	29		Health Net Orange Option 1		Georgia	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	027	0		29	10	S5678_027_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	027	2007	10	29		Health Net Orange Option 2		Florida	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	028	0		29	10	S5678_028_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	028	2007	10	29		Health Net Orange Option 1		Florida	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	029	0		29	10	S5678_029_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	029	2007	10	29		Health Net Orange Option 2		Alabama, Tenessee	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	030	0		29	10	S5678_030_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	030	2007	10	29		Health Net Orange Option 1		Alabama, Tennessee	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	031	0		29	10	S5678_031_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	031	2007	10	29		Health Net Orange Option 2		Michigan	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	032	0		29	10	S5678_032_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	032	2007	10	29		Health Net Orange Option 1		Michigan	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	033	0		29	10	S5678_033_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	033	2007	10	29		Health Net Orange Option 2		Ohio	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	034	0		29	10	S5678_034_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	034	2007	10	29		Health Net Orange Option 1		Ohio	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	035	0		29	10	S5678_035_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	035	2007	10	29		Health Net Orange Option 2		Indiana, Kentucky	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	036	0		29	10	S5678_036_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	036	2007	10	29		Health Net Orange Option 1		Indiana, Kentucky	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	037	0		29	10	S5678_037_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	037	2007	10	29		Health Net Orange Option 2		Wisconsin	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	038	0		29	10	S5678_038_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	038	2007	10	29		Health Net Orange Option 1		Wisconsin	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	039	0		29	10	S5678_039_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	039	2007	10	29		Health Net Orange Option 2		Illinois	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	040	0		29	10	S5678_040_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	040	2007	10	29		Health Net Orange Option 1		Illinois	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	041	0		29	10	S5678_041_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	041	2007	10	29		Health Net Orange Option 2		Missouri	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	042	0		29	10	S5678_042_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	042	2007	10	29		Health Net Orange Option 1		Missouri	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	043	0		29	10	S5678_043_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	043	2007	10	29		Health Net Orange Option 2		Arkansas	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	044	0		29	10	S5678_044_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	044	2007	10	29		Health Net Orange Option 1		Arkansas	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	045	0		29	10	S5678_045_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	045	2007	10	29		Health Net Orange Option 2		Mississippi	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	046	0		29	10	S5678_046_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	046	2007	10	29		Health Net Orange Option 1		Mississippi	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	047	0		29	10	S5678_047_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	047	2007	10	29		Health Net Orange Option 2		Louisiana	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	048	0		29	10	S5678_048_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	048	2007	10	29		Health Net Orange Option 1		Louisiana	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	049	0		29	10	S5678_049_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	049	2007	10	29		Health Net Orange Option 2		Texas	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	050	0		29	10	S5678_050_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	050	2007	10	29		Health Net Orange Option 1		Texas	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	051	0		29	10	S5678_051_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	051	2007	10	29		Health Net Orange Option 2		Oklahoma	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	052	0		29	10	S5678_052_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	052	2007	10	29		Health Net Orange Option 1		Oklahoma	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	053	0		29	10	S5678_053_0	1		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	053	2007	10	29		Health Net Orange Option 2		Kansas	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	054	0		29	10	S5678_054_0	3		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	054	2007	10	29		Health Net Orange Option 1		Kansas	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	055	0		29	10	S5678_055_0	1		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	055	2007	10	29		Health Net Orange Option 2		IA, MN, MT, NE, ND, SD, WY	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	056	0		29	10	S5678_056_0	3		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	056	2007	10	29		Health Net Orange Option 1		IA, MN, MT, NE, ND, SD, WY	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	057	0		29	10	S5678_057_0	1		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	057	2007	10	29		Health Net Orange Option 2		New Mexico	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	058	0		29	10	S5678_058_0	3		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	058	2007	10	29		Health Net Orange Option 1		New Mexico	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	059	0		29	10	S5678_059_0	1		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	059	2007	10	29		Health Net Orange Option 2		Colorado	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	060	0		29	10	S5678_060_0	3		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	060	2007	10	29		Health Net Orange Option 1		Colorado	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	061	0		29	10	S5678_061_0	1		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	061	2007	10	29		Health Net Orange Option 2		Nevada	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	062	0		29	10	S5678_062_0	3		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	062	2007	10	29		Health Net Orange Option 1		Nevada	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	063	0		29	10	S5678_063_0	1		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	063	2007	10	29		Health Net Orange Option 2		Idaho, Utah	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	064	0		29	10	S5678_064_0	3		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	064	2007	10	29		Health Net Orange Option 1		Idaho, Utah	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	065	0		29	10	S5678_065_0	1		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	065	2007	10	29		Health Net Orange Option 2		Hawaii	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	066	0		29	10	S5678_066_0	3		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	066	2007	10	29		Health Net Orange Option 1		Hawaii	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	067	0		29	10	S5678_067_0	1		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	067	2007	10	29		Health Net Orange Option 2		Alaska	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	068	0		29	10	S5678_068_0	3		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	068	2007	10	29		Health Net Orange Option 1		Alaska	2	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	069	0		29	10	S5678_069_0	4		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	069	2007	10	29		Health Net Orange Option 3		Arizona	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	070	0		29	10	S5678_070_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	070	2007	10	29		Health Net Orange Option 3		California	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	071	0		29	10	S5678_071_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	071	2007	10	29		Health Net Orange Option 3		New York	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	072	0		29	10	S5678_072_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	072	2007	10	29		Health Net Orange Option 3		Central New England	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	073	0		29	10	S5678_073_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	073	2007	10	29		Health Net Orange Option 3		New Jersey	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	074	0		29	10	S5678_074_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	074	2007	10	29		Health Net Orange Option 3		Oregon, Washington	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	075	0		29	10	S5678_075_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	075	2007	10	29		Health Net Orange Option 3		Northern New England	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	077	0		29	10	S5678_077_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	077	2007	10	29		Health Net Orange Option 3		Mid-Atlantic (DE, DC and MD)	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	078	0		29	10	S5678_078_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	078	2007	10	29		Health Net Orange Option 3		Pennsylvania, West Virginia	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	079	0		29	10	S5678_079_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	079	2007	10	29		Health Net Orange Option 3		Virginia	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	080	0		29	10	S5678_080_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	080	2007	10	29		Health Net Orange Option 3		North Carolina	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	081	0		29	10	S5678_081_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	081	2007	10	29		Health Net Orange Option 3		South Carolina	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	082	0		29	10	S5678_082_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	082	2007	10	29		Health Net Orange Option 3		Georgia	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	083	0		29	10	S5678_083_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	083	2007	10	29		Health Net Orange Option 3		Florida	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	084	0		29	10	S5678_084_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	084	2007	10	29		Health Net Orange Option 3		Alabama, Tennessee	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	085	0		29	10	S5678_085_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	085	2007	10	29		Health Net Orange Option 3		Michigan	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	086	0		29	10	S5678_086_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	086	2007	10	29		Health Net Orange Option 3		Ohio	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	087	0		29	10	S5678_087_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	087	2007	10	29		Health Net Orange Option 3		Indiana, Kentucky	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	088	0		29	10	S5678_088_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	088	2007	10	29		Health Net Orange Option 3		Wisconsin	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	089	0		29	10	S5678_089_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	089	2007	10	29		Health Net Orange Option 3		Illinois	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	090	0		29	10	S5678_090_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	090	2007	10	29		Health Net Orange Option 3		Missouri	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	091	0		29	10	S5678_091_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	091	2007	10	29		Health Net Orange Option 3		Arkansas	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	092	0		29	10	S5678_092_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	092	2007	10	29		Health Net Orange Option 3		Mississippi	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	093	0		29	10	S5678_093_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	093	2007	10	29		Health Net Orange Option 3		Louisiana	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	094	0		29	10	S5678_094_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	094	2007	10	29		Health Net Orange Option 3		Texas	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	095	0		29	10	S5678_095_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	095	2007	10	29		Health Net Orange Option 3		Oklahoma	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	096	0		29	10	S5678_096_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	096	2007	10	29		Health Net Orange Option 3		Kansas	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	097	0		29	10	S5678_097_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	097	2007	10	29		Health Net Orange Option 3		IA, MN, MT, NE, ND, SD, WY	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	098	0		29	10	S5678_098_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	098	2007	10	29		Health Net Orange Option 3		New Mexico	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	099	0		29	10	S5678_099_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	099	2007	10	29		Health Net Orange Option 3		Colorado	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	100	0		29	10	S5678_100_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	100	2007	10	29		Health Net Orange Option 3		Nevada	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	101	0		29	10	S5678_101_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	101	2007	10	29		Health Net Orange Option 3		Idaho, Utah	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	102	0		29	10	S5678_102_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	102	2007	10	29		Health Net Orange Option 3		Hawaii	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	103	0		29	10	S5678_103_0	2		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	103	2007	10	29		Health Net Orange Option 3		Alaska	2	0		2											(800)-806-8811	(800)-606-3604	(800)-929-9955	(800)-929-9955
S5678	801	0		29	10	S5678_801_0	1		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	801	2007	10	29		Health Net Orange		50 United States and District of Columbia	1	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5678	803	0		29	10	S5678_803_0	1		HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	S5678	803	2007	10	29		Health Net Orange		50 United States and District of Columbia	1	0		2											(800)-806-8811	(800)-806-8811	(800)-929-9955	(800)-929-9955
S5704	001	0		29	10	S5704_001_0	3		GLOBALHEALTH, INC.	Generations Healthcare	www.generationshealthcare.cc	S5704	001	2007	10	29		Generations Healthcare Standard PDP		State of Oklahoma	2	0		2											(877)-280-5600	(866)-609-6322	(800)-522-8506	(800)-522-8506
S5704	002	0		29	10	S5704_002_0	4		GLOBALHEALTH, INC.	Generations Healthcare	www.generationshealthcare.cc	S5704	002	2007	10	29		Generations Healthcare Enhanced PDP		State of Oklahoma	2	0		2											(877)-280-5600	(877)-280-5600	(800)-522-8506	(800)-522-8506
S5715	001	0		29	10	S5715_001_0	2		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	S5715	001	2007	10	29		Blue Medicare Rx - Value		State of Illinois	2	0		2											(888)-285-2249	(888)-285-2249	(888)-285-2252	(888)-285-2252
S5715	002	0		29	10	S5715_002_0	2		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	S5715	002	2007	10	29		Blue Medicare Rx - Plus		State of Illinois	2	0		2											(888)-285-2249	(888)-285-2249	(888)-285-2252	(888)-285-2252
S5715	003	0		29	10	S5715_003_0	2		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	S5715	003	2007	10	29		Blue Medicare Rx - Value		State of New Mexico	2	0		2											(888)-285-2254	(888)-285-2254	(888)-884-3757	(888)-884-3757
S5715	004	0		29	10	S5715_004_0	2		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	S5715	004	2007	10	29		Blue Medicare Rx - Plus		State of New Mexico	2	0		2											(888)-285-2254	(888)-285-2254	(888)-884-3757	(888)-884-3757
S5715	005	0		29	10	S5715_005_0	2		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	S5715	005	2007	10	29		Blue Medicare Rx - Value		State of Texas	2	0		2											(888)-579-9373	(888)-579-9373	(888)-579-9375	(888)-579-9375
S5715	006	0		29	10	S5715_006_0	2		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	S5715	006	2007	10	29		Blue Medicare Rx - Plus		State of Texas	2	0		2											(888)-579-9373	(888)-579-9373	(888)-579-9375	(888)-579-9375
S5715	007	0		29	10	S5715_007_0	1		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	S5715	007	2007	10	29		Blue Medicare Rx - Standard		State of Illinois	2	0		2											(888)-285-2249	(888)-285-2249	(888)-285-2252	(888)-285-2252
S5715	008	0		29	10	S5715_008_0	1		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	S5715	008	2007	10	29		Blue Medicare Rx - Standard		State of New Mexico	2	0		2											(888)-285-2254	(888)-285-2254	(888)-884-3757	(888)-884-3757
S5715	009	0		29	10	S5715_009_0	1		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	S5715	009	2007	10	29		Blue Medicare Rx - Standard		State of Texas	2	0		2											(888)-579-9373	(888)-579-9373	(888)-579-9375	(888)-579-9375
S5715	801	0		29	10	S5715_801_0	1		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	S5715	801	2007	10	29		Blue Medicare Rx		State of Illinois	1	0		2											(800)-718-2031	(866)-308-4781	(888)-844-5530	
S5715	802	0		29	10	S5715_802_0	1		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	S5715	802	2007	10	29		Blue Medicare Rx		State of New Mexico	1	0		2											(800)-718-2031	(866)-308-4781	(888)-844-5530	
S5715	803	0		29	10	S5715_803_0	1		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	S5715	803	2007	10	29		Blue Medicare Rx		State of Texas	1	0		2											(800)-718-2031	(866)-308-4781	(888)-844-5530	
S5715	804	0		29	10	S5715_804_0	1		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	S5715	804	2007	10	29		Blue Medicare Rx		State of Illinois	1	0		2											(800)-718-2031	(866)-308-4781	(888)-844-5530	
S5715	805	0		29	10	S5715_805_0	1		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	S5715	805	2007	10	29		Blue Medicare Rx		State of New Mexico	1	0		2											(800)-718-2031	(866)-308-4781	(888)-844-5530	
S5715	806	0		29	10	S5715_806_0	1		HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	S5715	806	2007	10	29		Blue Medicare Rx		State of Texas	1	0		2											(800)-718-2031	(866)-308-4781	(888)-844-5530	
S5726	013	0		29	10	S5726_013_0	4		BLUE CROSS BLUE SHIELD OF KANSAS	Blue MedicareRx	www.bmedicarerx.com	S5726	013	2007	10	29		Blue MedicareRx Value		Kansas	2	0		2											(866)-755-2776	(877)-471-4121	(866)-798-7026	(800)-430-1270
S5726	014	0		29	10	S5726_014_0	4		BLUE CROSS BLUE SHIELD OF KANSAS	Blue MedicareRx	www.bmedicarerx.com	S5726	014	2007	10	29		Blue MedicareRx Plus		Kansas	2	0		2											(866)-755-2776	(877)-471-4121	(866)-798-7026	(800)-430-1270
S5726	015	0		29	10	S5726_015_0	5		BLUE CROSS BLUE SHIELD OF KANSAS	Blue MedicareRx	www.bmedicarerx.com	S5726	015	2007	10	29		Blue MedicareRx Premier		Kansas	2	0		2											(866)-755-2776	(877)-471-4121	(866)-798-7026	(800)-430-1270
S5726	805	0		29	10	S5726_805_0	4		BLUE CROSS BLUE SHIELD OF KANSAS	Blue MedicareRx	www.bmedicarerx.com	S5726	805	2007	10	29		Blue MedicareRx Group		Kansas	1	0		2											(866)-755-2776	(877)-471-4121	(866)-798-7026	(800)-430-1270
S5741	001	0		29	10	S5741_001_0	7		HIP HEALTH PLAN OF NEW YORK	HIP Insurance Company of New York	www.HIPusa.com	S5741	001	2007	10	29		HIP Standard Part D New York		New York Metropolitain Area	2	0		2											(800)-447-8255	(800)-447-9169	(888)-447-4833	(888)-447-4833
S5741	003	0		29	10	S5741_003_0	7		HIP HEALTH PLAN OF NEW YORK	HIP Insurance Company of New York	www.HIPusa.com	S5741	003	2007	10	29		HIP Enhanced Part D New York		New York State	2	0		2											(800)-447-8255	(800)-447-9169	(888)-447-4833	(888)-447-4833
S5741	801	0		29	10	S5741_801_0	6		HIP HEALTH PLAN OF NEW YORK	HIP Insurance Company of New York	www.HIPusa.com	S5741	801	2007	10	29		HIP Part D New York Calendar Employer		Greater New York Metropolitain Area	1	0		2											(800)-447-8255	(800)-447-8255	(888)-447-4833	(888)-447-4833
S5743	001	0		29	10	S5743_001_0	1		BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	Blue Cross Blue Shield Northern Plains Alliance	www.YourMedicareSolutions.com	S5743	001	2007	10	29		MedicareBlue Rx Option 1		States of IA, MN, MT, NE, ND, SD, WY	2	0		2											(888)-832-0075	(866)-456-3725	(888)-249-1556	(866)-456-1550
S5743	003	0		29	10	S5743_003_0	2		BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	Blue Cross Blue Shield Northern Plains Alliance	www.YourMedicareSolutions.com	S5743	003	2007	10	29		MedicareBlue Rx Option 2		States of IA, MN, MT, NE, ND, SD, WY	2	0		2											(888)-832-0075	(866)-456-3725	(888)-249-1556	(866)-456-1550
S5743	004	0		29	10	S5743_004_0	1		BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	Blue Cross Blue Shield Northern Plains Alliance	www.YourMedicareSolutions.com	S5743	004	2007	10	29		MedicareBlue Rx Option 3		States of IA, MN, MT, NE, ND, SD, WY	2	0		2											(888)-832-0075	(866)-456-3725	(888)-249-1556	(866)-456-1550
S5743	801	0		29	10	S5743_801_0	1		BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	Blue Cross Blue Shield Northern Plains Alliance	www.YourMedicareSolutions.com	S5743	801	2007	10	29		Group MedicareBlue Rx		Nationwide	1	0		2											(888)-832-0075	(866)-456-3725	(888)-249-1556	(866)-456-1550
S5743	802	0		29	10	S5743_802_0	1		BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	Blue Cross Blue Shield Northern Plains Alliance	www.YourMedicareSolutions.com	S5743	802	2007	10	29		Group MedicareBlue Rx		Nationwide	1	0		2											(888)-832-0075	(866)-456-3725	(888)-249-1556	(866)-456-1550
S5743	803	0		29	10	S5743_803_0	1		BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	Blue Cross Blue Shield Northern Plains Alliance	www.YourMedicareSolutions.com	S5743	803	2007	10	29		Group MedicareBlue Rx Max		Nationwide	1	0		2											(888)-832-0075	(866)-456-3725	(888)-249-1556	(866)-456-1550
S5743	804	0		29	10	S5743_804_0	1		BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	Blue Cross Blue Shield Northern Plains Alliance	www.YourMedicareSolutions.com	S5743	804	2007	10	29		Group MedicareBlue Rx Max		Nationwide	1	0		2											(888)-832-0075	(866)-456-3725	(888)-249-1556	(866)-456-1550
S5753	006	0		29	10	S5753_006_0	3		WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION	WPS Health Insurance	www.wpsmedicaredrugs.com	S5753	006	2007	10	29		WPS MedicareRx Plan 1		WPS Medicare Rx Plan 1	2	0		2											(800)-688-1604	(800)-731-0459	(800)-716-3231	(866)-841-6577
S5753	007	0		29	10	S5753_007_0	4		WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION	WPS Health Insurance	www.wpsmedicaredrugs.com	S5753	007	2007	10	29		WPS MedicareRx Plan 2		WPS Medicare Rx Plan 2	2	0		2											(800)-688-1604	(800)-731-0459	(800)-716-3231	(866)-841-6577
S5753	801	0		29	10	S5753_801_0	1		WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION	WPS Health Insurance	www.wpsmedicaredrugs.com	S5753	801	2007	10	29		WPS Employer Plan - Calendar Year		WPS Employer Plan - Calendar Year	1	0		2											(800)-688-1604	(800)-731-0459	(800)-716-3231	(866)-841-6577
S5753	803	0		29	10	S5753_803_0	1		WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION	WPS Health Insurance	www.wpsmedicaredrugs.com	S5753	803	2007	10	29		WPS Employer Plan Non-Calendar Year		WPS Employer Plan Non-Calendar Year	1	0		2											(800)-688-1604	(800)-731-0459	(800)-716-3231	(866)-841-6577
S5755	005	0		29	10	S5755_005_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	005	2007	10	29		UA Medicare Part D Prescription Drug Cov		States of Maine and New Hampshire	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	006	0		29	10	S5755_006_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	006	2007	10	29		UA Medicare Part D Prescription Drug Cov		States of CT, MA, RI and VT	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	007	0		29	10	S5755_007_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	007	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of New Jersey	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	008	0		29	10	S5755_008_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	008	2007	10	29		UA Medicare Part D Prescription Drug Cov		States of Delaware and Maryland plus DC	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	009	0		29	10	S5755_009_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	009	2007	10	29		UA Medicare Part D Prescription Drug Cov		States of Pennsylvania and West Virginia	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	010	0		29	10	S5755_010_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	010	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of Virginia	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	011	0		29	10	S5755_011_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	011	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of North Carolina	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	012	0		29	10	S5755_012_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	012	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of South Carolina	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	013	0		29	10	S5755_013_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	013	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of Georgia	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	014	0		29	10	S5755_014_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	014	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of Florida	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	015	0		29	10	S5755_015_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	015	2007	10	29		UA Medicare Part D Prescription Drug Cov		States of Alabama and Tennessee	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	016	0		29	10	S5755_016_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	016	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of Michigan	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	017	0		29	10	S5755_017_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	017	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of Ohio	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	018	0		29	10	S5755_018_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	018	2007	10	29		UA Medicare Part D Prescription Drug Cov		States of Indiana and Kentucky	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	019	0		29	10	S5755_019_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	019	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of Wisconsin	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	020	0		29	10	S5755_020_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	020	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of Illinois	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	021	0		29	10	S5755_021_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	021	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of Missouri	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	022	0		29	10	S5755_022_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	022	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of Arkansas	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	023	0		29	10	S5755_023_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	023	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of Mississippi	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	024	0		29	10	S5755_024_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	024	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of Louisiana	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	025	0		29	10	S5755_025_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	025	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of Texas	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	026	0		29	10	S5755_026_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	026	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of Oklahoma	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	027	0		29	10	S5755_027_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	027	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of Kansas	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	028	0		29	10	S5755_028_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	028	2007	10	29		UA Medicare Part D Prescription Drug Cov		States of IA, MN, MT, NE, ND, SD and WY	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	029	0		29	10	S5755_029_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	029	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of New Mexico	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	030	0		29	10	S5755_030_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	030	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of Colorado	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	031	0		29	10	S5755_031_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	031	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of Arizona	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	032	0		29	10	S5755_032_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	032	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of Nevada	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	033	0		29	10	S5755_033_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	033	2007	10	29		UA Medicare Part D Prescription Drug Cov		States of Oregon and Washington	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	034	0		29	10	S5755_034_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	034	2007	10	29		UA Medicare Part D Prescription Drug Cov		States of Idaho and Utah	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	035	0		29	10	S5755_035_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	035	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of California	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	038	0		29	10	S5755_038_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	038	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of Hawaii	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	039	0		29	10	S5755_039_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	039	2007	10	29		UA Medicare Part D Prescription Drug Cov		State of Alaska	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	040	0		29	10	S5755_040_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	040	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		States of New Hampshire and Maine	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	041	0		29	10	S5755_041_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	041	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		States of CT, MA, RI and VT	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	042	0		29	10	S5755_042_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	042	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of New Jersey	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	043	0		29	10	S5755_043_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	043	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		States of Delaware and Maryland plus DC	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	044	0		29	10	S5755_044_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	044	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		States of Pennsylvania and West Virginia	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	045	0		29	10	S5755_045_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	045	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of Virginia	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	046	0		29	10	S5755_046_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	046	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of North Carolina	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	047	0		29	10	S5755_047_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	047	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of South Carolina	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	048	0		29	10	S5755_048_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	048	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of Georgia	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	049	0		29	10	S5755_049_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	049	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of Florida	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	050	0		29	10	S5755_050_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	050	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		States of Alabama and Tennessee	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	051	0		29	10	S5755_051_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	051	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of Michigan	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	052	0		29	10	S5755_052_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	052	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of Ohio	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	053	0		29	10	S5755_053_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	053	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		States of Indiana and Kentucky	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	054	0		29	10	S5755_054_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	054	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of Wisconsin	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	055	0		29	10	S5755_055_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	055	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of Illinois	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	056	0		29	10	S5755_056_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	056	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of Missouri	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	057	0		29	10	S5755_057_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	057	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of Arkansas	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	058	0		29	10	S5755_058_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	058	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of Mississippi	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	059	0		29	10	S5755_059_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	059	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of Louisiana	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	060	0		29	10	S5755_060_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	060	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of Texas	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	061	0		29	10	S5755_061_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	061	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of Oklahoma	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	062	0		29	10	S5755_062_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	062	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of Kansas	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	063	0		29	10	S5755_063_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	063	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		States of IA, MN, MT, NE, ND, SD and WY	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	064	0		29	10	S5755_064_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	064	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of New Mexico	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	065	0		29	10	S5755_065_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	065	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of Colorado	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	066	0		29	10	S5755_066_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	066	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of Arizona	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	067	0		29	10	S5755_067_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	067	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of Nevada	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	068	0		29	10	S5755_068_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	068	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		States of Oregon and Washington	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	069	0		29	10	S5755_069_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	069	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		States of Idaho and Utah	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	070	0		29	10	S5755_070_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	070	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of California	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	071	0		29	10	S5755_071_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	071	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of Hawaii	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	072	0		29	10	S5755_072_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	072	2007	10	29		UA Medicare Part D Rx Covg - Silver Plan		State of Alaska	2	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	801	0		29	10	S5755_801_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	801	2007	10	29		United American Employer Calendar Plan		National	1	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5755	802	0		29	10	S5755_802_0	1		UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.unitedamerican.com/	S5755	802	2007	10	29		United American Employer Non-Cal Drug Plan		National	1	0		2											(866)-524-4169	(866)-524-4169	(866)-524-4170	(866)-524-4170
S5766	002	0		29	10	S5766_002_0	3		FIRST CARE, INC.	Medi-CareFirst BlueCross BlueShield	www.medi-carefirst.com	S5766	002	2007	10	29		Blue Rx Standard		Delaware, District of Columbia and Maryland	2	0		2											(800)-693-1434	(888)-784-0790	(800)-693-0765	(888)-784-0868
S5766	003	0		29	10	S5766_003_0	3		FIRST CARE, INC.	Medi-CareFirst BlueCross BlueShield	www.medi-carefirst.com	S5766	003	2007	10	29		Blue Rx Enhanced		Delaware, District of Columbia and Maryland	2	0		2											(800)-693-1434	(888)-784-0790	(800)-693-0765	(888)-784-0868
S5768	005	0		29	10	S5768_005_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	005	2007	10	29		First Health Premier		First Health Premier of Maine&New Hampshire	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	007	0		29	10	S5768_007_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	007	2007	10	29		First Health Premier		First Health Premier of New Jersey	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	008	0		29	10	S5768_008_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	008	2007	10	29		First Health Premier		First Health Premier of D.C, MD and DE	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	009	0		29	10	S5768_009_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	009	2007	10	29		First Health Premier		First Health Premier of PA & W.Virginia	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	010	0		29	10	S5768_010_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	010	2007	10	29		First Health Premier		First Health Premier of Virginia	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	012	0		29	10	S5768_012_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	012	2007	10	29		First Health Premier		First Health Premier of South Carolina	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	015	0		29	10	S5768_015_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	015	2007	10	29		First Health Premier		First Health Premier of Alabama & Tennessee	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	016	0		29	10	S5768_016_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	016	2007	10	29		First Health Premier		First Health Premier of Michigan	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	017	0		29	10	S5768_017_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	017	2007	10	29		First Health Premier		First Health Premier of Ohio	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	018	0		29	10	S5768_018_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	018	2007	10	29		First Health Premier		First Health Premier of Indiana & Kentucky	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	021	0		29	10	S5768_021_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	021	2007	10	29		First Health Premier		First Health Premier of Missouri	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	031	0		29	10	S5768_031_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	031	2007	10	29		First Health Premier		First Health Premier of Nevada	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	038	0		29	10	S5768_038_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	038	2007	10	29		First Health Premier		First Health Premier of Central New England	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	039	0		29	10	S5768_039_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	039	2007	10	29		First Health Premier		First Health Premier of North Carolina	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	040	0		29	10	S5768_040_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	040	2007	10	29		First Health Premier		First Health Premier of Georgia	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	041	0		29	10	S5768_041_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	041	2007	10	29		First Health Premier		First Health Premier of Florida	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	042	0		29	10	S5768_042_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	042	2007	10	29		First Health Premier		First Health Premier of Illinois	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	043	0		29	10	S5768_043_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	043	2007	10	29		First Health Premier		First Health Premier of Arkansas	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	044	0		29	10	S5768_044_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	044	2007	10	29		First Health Premier		First Health Premier of Louisiana	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	045	0		29	10	S5768_045_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	045	2007	10	29		First Health Premier		First Heatlh Premier of Texas	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	046	0		29	10	S5768_046_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	046	2007	10	29		First Health Premier		First Health Premier of Oklahoma	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	047	0		29	10	S5768_047_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	047	2007	10	29		First Health Premier		First Health Premier of Kansas	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	048	0		29	10	S5768_048_0	2		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	048	2007	10	29		First Health Premier		First Health Premier of New Mexico	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	049	0		29	10	S5768_049_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	049	2007	10	29		First Health Select		First Health Select of Northern New England	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	050	0		29	10	S5768_050_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	050	2007	10	29		First Health Select		First Health Select  of Central New England	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	051	0		29	10	S5768_051_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	051	2007	10	29		First Health Select		First Heatlh Select of New Jersey	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	052	0		29	10	S5768_052_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	052	2007	10	29		First Health Select		First Health Select of the Mid-Atlantic	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	053	0		29	10	S5768_053_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	053	2007	10	29		First Health Select		First Health Select of PA and WV	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	054	0		29	10	S5768_054_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	054	2007	10	29		First Health Select		First Heatlh Select of Virginia	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	055	0		29	10	S5768_055_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	055	2007	10	29		First Health Select		First Health Select of North Carolina	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	056	0		29	10	S5768_056_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	056	2007	10	29		First Health Select		First Health Select of South Carolina	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	057	0		29	10	S5768_057_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	057	2007	10	29		First Health Select		First Health Select of Georgia	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	058	0		29	10	S5768_058_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	058	2007	10	29		First Health Select		First Heatlh Select of Florida	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	059	0		29	10	S5768_059_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	059	2007	10	29		First Health Select		First Health Select of Alabama and Tennessee	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	060	0		29	10	S5768_060_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	060	2007	10	29		First Health Select		First Health Select of Michigan	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	061	0		29	10	S5768_061_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	061	2007	10	29		First Health Select		First Health Select of Ohio	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	062	0		29	10	S5768_062_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	062	2007	10	29		First Health Select		First Health Select of Indian and Kentucky	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	063	0		29	10	S5768_063_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	063	2007	10	29		First Health Select		First Health Select of Wisconsin	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	064	0		29	10	S5768_064_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	064	2007	10	29		First Health Select		First Health Select of Illinois	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	065	0		29	10	S5768_065_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	065	2007	10	29		First Health Select		First Health Select of Missouri	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	066	0		29	10	S5768_066_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	066	2007	10	29		First Health Select		First Health Select of Arkansas	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	067	0		29	10	S5768_067_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	067	2007	10	29		First Health Select		First Health Select of Mississippi	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	068	0		29	10	S5768_068_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	068	2007	10	29		First Health Select		First Health Select of Louisiana	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	069	0		29	10	S5768_069_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	069	2007	10	29		First Health Select		First Health Select of Texas	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	070	0		29	10	S5768_070_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	070	2007	10	29		First Health Select		First Health Select of Oklahoma	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	071	0		29	10	S5768_071_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	071	2007	10	29		First Health Select		First Health Select of Kansas	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	072	0		29	10	S5768_072_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	072	2007	10	29		First Health Select		First Health Select of the Upper Midwest and No Pl	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	073	0		29	10	S5768_073_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	073	2007	10	29		First Health Select		First Health Select of New Mexico	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	074	0		29	10	S5768_074_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	074	2007	10	29		First Health Select		First Health Select of Colorado	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	075	0		29	10	S5768_075_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	075	2007	10	29		First Health Select		First Health Select of Arizona	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	076	0		29	10	S5768_076_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	076	2007	10	29		First Health Select		First Health Select of Nevada	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	077	0		29	10	S5768_077_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	077	2007	10	29		First Health Select		First Health Select of Oregon and Washington	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	078	0		29	10	S5768_078_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	078	2007	10	29		First Health Select		First Health Select of Idaho and Utah	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	079	0		29	10	S5768_079_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	079	2007	10	29		First Health Select		First Health Select of California	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	080	0		29	10	S5768_080_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	080	2007	10	29		First Health Select		First Health Select of Hawaii	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5768	081	0		29	10	S5768_081_0	4		FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	First Health Premier	http://www.firsthealthpremier.com	S5768	081	2007	10	29		First Health Select		First Health Select of Alaska	2	0		2											(866)-865-0662	(800)-588-3322	(866)-236-1069	(800)-508-9548
S5775	001	0		29	10	S5775_001_0	7		PHARMACY INSURANCE CORPORATION OF AMERICA	Pharmacy Insurance Corporation of America - PICA	www.picapr.com	S5775	001	2007	10	29		PICA		Puerto Rico	2	0		2											(866)-990-7422	(866)-990-7422		
S5775	002	0		29	10	S5775_002_0	10		PHARMACY INSURANCE CORPORATION OF AMERICA	Pharmacy Insurance Corporation of America - PICA	www.picapr.com	S5775	002	2007	10	29		PICA-002		PICA Puerto Rico	2	0		2											(866)-990-7422	(866)-990-7422		
S5775	003	0		29	10	S5775_003_0	10		PHARMACY INSURANCE CORPORATION OF AMERICA	Pharmacy Insurance Corporation of America - PICA	www.picapr.com	S5775	003	2007	10	29		PICA-003		PICA-003	2	0		2											(866)-990-7422	(866)-990-7422		
S5775	801	0		29	10	S5775_801_0	2		PHARMACY INSURANCE CORPORATION OF AMERICA	Pharmacy Insurance Corporation of America - PICA	www.picapr.com	S5775	801	2007	10	29		PICA- Employer		PICA-Employer	1	0		2											(866)-990-7422	(866)-990-7422		
S5795	002	0		29	10	S5795_002_0	1		ARKANSAS BCBS, A MUTUAL INS CO	Arkansas Blue Cross and Blue Shield	www.arkansasbluecross.com	S5795	002	2007	10	29		Medi-Pak Rx Premier		State of Arkansas	2	0		2											(800)-698-8397	(800)-392-2583	(800)-756-6493	
S5795	003	0		29	10	S5795_003_0	2		ARKANSAS BCBS, A MUTUAL INS CO	Arkansas Blue Cross and Blue Shield	www.arkansasbluecross.com	S5795	003	2007	10	29		Medi-Pak Rx Basic		State of Arkansas	2	0		2											(800)-698-8397	(800)-392-2583	(800)-756-6493	
S5795	006	0		29	10	S5795_006_0	1		ARKANSAS BCBS, A MUTUAL INS CO	Arkansas Blue Cross and Blue Shield	www.arkansasbluecross.com	S5795	006	2007	10	29		Medi-Pak Rx Classic		State of Arkansas	2	0		2											(800)-698-8397	(800)-392-2583	(800)-756-6493	
S5795	802	0		29	10	S5795_802_0	1		ARKANSAS BCBS, A MUTUAL INS CO	Arkansas Blue Cross and Blue Shield	www.arkansasbluecross.com	S5795	802	2007	10	29		Arkansas BCBS Std Def Employer CY 2		Employer Group Plan	1	0		2											(800)-698-8397	(800)-392-2583	(800)-756-6493	
S5795	804	0		29	10	S5795_804_0	1		ARKANSAS BCBS, A MUTUAL INS CO	Arkansas Blue Cross and Blue Shield	www.arkansasbluecross.com	S5795	804	2007	10	29		Arkansas BCBS Std Def Employer CY 4		Employer Group Plan	1	0		2											(800)-698-8397	(800)-392-2583	(800)-756-6493	
S5795	805	0		29	10	S5795_805_0	1		ARKANSAS BCBS, A MUTUAL INS CO	Arkansas Blue Cross and Blue Shield	www.arkansasbluecross.com	S5795	805	2007	10	29		Arkansas BCBS Std Def Employer CY 5		Employer Group Plan	1	0		2											(800)-698-8397	(800)-392-2583	(800)-756-6493	
S5795	807	0		29	10	S5795_807_0	1		ARKANSAS BCBS, A MUTUAL INS CO	Arkansas Blue Cross and Blue Shield	www.arkansasbluecross.com	S5795	807	2007	10	29		Arkansas BCBS Std Def Employer NCY 2		Employer Group Plan	1	0		2											(800)-698-8397	(800)-392-2583	(800)-756-6493	
S5795	809	0		29	10	S5795_809_0	1		ARKANSAS BCBS, A MUTUAL INS CO	Arkansas Blue Cross and Blue Shield	www.arkansasbluecross.com	S5795	809	2007	10	29		Arkansas BCBS Std Def Employer NCY 4		Employer Group Plan	1	0		2											(800)-698-8397	(800)-392-2583	(800)-756-6493	
S5795	810	0		29	10	S5795_810_0	1		ARKANSAS BCBS, A MUTUAL INS CO	Arkansas Blue Cross and Blue Shield	www.arkansasbluecross.com	S5795	810	2007	10	29		Arkansas BCBS Std Def Employer NCY 5		Employer Group Plan	1	0		2											(800)-698-8397	(800)-392-2583	(800)-756-6493	
S5803	070	0		29	10	S5803_070_0	6		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	070	2007	10	29		Community Care Rx BASIC		CCRX BASIC   - STATES OF N HAMPSHIRE & MAINE	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	071	0		29	10	S5803_071_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	071	2007	10	29		Community Care Rx BASIC		CCRX BASIC   - CENTRAL NEW ENGLAND REGION	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	072	0		29	10	S5803_072_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	072	2007	10	29		Community Care Rx BASIC		CCRX BASIC   - STATE OF NEW YORK	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	073	0		29	10	S5803_073_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	073	2007	10	29		Community Care Rx BASIC		CCRX BASIC  - STATE OF NEW JERSEY	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	074	0		29	10	S5803_074_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	074	2007	10	29		Community Care Rx BASIC		CCRX BASIC   - MID-ATLANTIC REGION	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	075	0		29	10	S5803_075_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	075	2007	10	29		Community Care Rx BASIC		CCRX BASIC  - STATES OF PENNSYLVANIA, & W VIRGINIA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	076	0		29	10	S5803_076_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	076	2007	10	29		Community Care Rx BASIC		CCRX BASIC   - STATE OF VIRGINIA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	077	0		29	10	S5803_077_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	077	2007	10	29		Community Care Rx BASIC		CCRX BASIC   - STATE OF N CAROLINA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	078	0		29	10	S5803_078_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	078	2007	10	29		Community Care Rx BASIC		CCRX BASIC   - STATE OF S CAROLINA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	079	0		29	10	S5803_079_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	079	2007	10	29		Community Care Rx BASIC		CCRX BASIC   - STATE OF GEORGIA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	080	0		29	10	S5803_080_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	080	2007	10	29		Community Care Rx BASIC		CCRX BASIC  - STATE OF FLORIDA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	081	0		29	10	S5803_081_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	081	2007	10	29		Community Care Rx BASIC		CCRX BASIC  - STATES OF ALABAMA & TENNESSEE	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	082	0		29	10	S5803_082_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	082	2007	10	29		Community Care Rx BASIC		CCRX BASIC   - STATE OF MICHIGAN	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	083	0		29	10	S5803_083_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	083	2007	10	29		Community Care Rx BASIC		CCRX BASIC   - STATE OF OHIO	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	084	0		29	10	S5803_084_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	084	2007	10	29		Community Care Rx BASIC		CCRX BASIC   - STATES OF INDIANA & KENTUCKY	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	085	0		29	10	S5803_085_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	085	2007	10	29		Community Care Rx BASIC		CCRX BASIC   - STATE OF WISCONSIN	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	086	0		29	10	S5803_086_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	086	2007	10	29		Community Care Rx BASIC		CCRX BASIC   - STATE OF ILLINOIS	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	087	0		29	10	S5803_087_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	087	2007	10	29		Community Care Rx BASIC		CCRX BASIC   - STATE OF MISSOURI	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	088	0		29	10	S5803_088_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	088	2007	10	29		Community Care Rx BASIC		CCRX BASIC   - STATE OF ARKANSAS	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	089	0		29	10	S5803_089_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	089	2007	10	29		Community Care Rx BASIC		CCRX BASIC  - STATE OF MISSISSIPPI	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	090	0		29	10	S5803_090_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	090	2007	10	29		Community Care Rx BASIC		CCRX BASIC   - STATE OF LOUISIANA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	091	0		29	10	S5803_091_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	091	2007	10	29		Community Care Rx BASIC		CCRX BASIC   - STATE OF TEXAS	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	092	0		29	10	S5803_092_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	092	2007	10	29		Community Pharmacists Care Rx BASIC		CCRX BASIC  - STATE OF OKLAHOMA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	093	0		29	10	S5803_093_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	093	2007	10	29		Community Care Rx BASIC		CCRX BASIC   - STATE OF KANSAS	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	094	0		29	10	S5803_094_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	094	2007	10	29		Community Care Rx BASIC		CCRX BASIC   - UPPER MIDWEST & NORTHERN PLAINS	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	095	0		29	10	S5803_095_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	095	2007	10	29		Community Care Rx BASIC		CCRX BASIC   - STATE OF NEW MEXICO	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	096	0		29	10	S5803_096_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	096	2007	10	29		Community Care Rx BASIC		CCRX BASIC  - STATE OF COLORADO	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	097	0		29	10	S5803_097_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	097	2007	10	29		Community Care Rx BASIC		CCRX BASIC   - STATE OF ARIZONA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	098	0		29	10	S5803_098_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	098	2007	10	29		Community Care Rx BASIC		CCRX BASIC  - STATE OF NEVADA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	099	0		29	10	S5803_099_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	099	2007	10	29		Community Care Rx BASIC		CCRX BASIC  - STATE OF OREGON & WASHINGTON	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	100	0		29	10	S5803_100_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	100	2007	10	29		Community Care Rx BASIC		CCRX BASIC   - STATES OF IDAHO & UTAH	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	101	0		29	10	S5803_101_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	101	2007	10	29		Community Care Rx BASIC		CCRX BASIC  - STATE OF CALIFORNIA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	102	0		29	10	S5803_102_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	102	2007	10	29		Community Care Rx BASIC		CCRX BASIC  - STATE OF HAWAII	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	103	0		29	10	S5803_103_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	103	2007	10	29		Community Care Rx BASIC		CCRX BASIC  - STATE OF ALASKA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	138	0		29	10	S5803_138_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	138	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE  - STATES OF N HAMPSHIRE & MAINE	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	139	0		29	10	S5803_139_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	139	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE  - CENTRAL NEW ENGLAND REGION	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	140	0		29	10	S5803_140_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	140	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE - STATE OF NEW YORK	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	141	0		29	10	S5803_141_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	141	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE - STATE OF NEW JERSEY	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	142	0		29	10	S5803_142_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	142	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE  - MID-ATLANTIC REGION	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	143	0		29	10	S5803_143_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	143	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE  - STATES OF PENNSYLVANIA & W VIRGINIA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	144	0		29	10	S5803_144_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	144	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE - STATE OF VIRGINIA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	145	0		29	10	S5803_145_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	145	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE - STATE OF N CAROLINA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	146	0		29	10	S5803_146_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	146	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE - STATE OF S CAROLINA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	147	0		29	10	S5803_147_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	147	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE - STATE OF GEORGIA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	148	0		29	10	S5803_148_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	148	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE  - STATE OF FLORIDA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	149	0		29	10	S5803_149_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	149	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE - STATES OF ALABAMA & TENNESSEE	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	150	0		29	10	S5803_150_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	150	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE  - STATE OF MICHIGAN	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	151	0		29	10	S5803_151_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	151	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE - STATE OF OHIO	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	152	0		29	10	S5803_152_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	152	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE  - STATES OF INDIANA & KENTUCKY	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	153	0		29	10	S5803_153_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	153	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE  - STATE OF WISCONSIN	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	154	0		29	10	S5803_154_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	154	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE  - STATE OF ILLINOIS	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	155	0		29	10	S5803_155_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	155	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE  - STATE OF MISSOURI	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	156	0		29	10	S5803_156_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	156	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE - STATE OF ARKANSAS	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	157	0		29	10	S5803_157_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	157	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE - STATE OF MISSISSIPPI	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	158	0		29	10	S5803_158_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	158	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE - STATE OF LOUISIANA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	159	0		29	10	S5803_159_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	159	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE - STATE OF TEXAS	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	160	0		29	10	S5803_160_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	160	2007	10	29		Community Pharmacists Care Rx CHOICE		CCRX CHOICE  - STATE OF OKLAHOMA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	161	0		29	10	S5803_161_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	161	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE  - STATE OF KANSAS	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	162	0		29	10	S5803_162_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	162	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE - UPPER MIDWEST & NORTHERN PLAINS	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	163	0		29	10	S5803_163_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	163	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE - STATE OF NEW MEXICO	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	164	0		29	10	S5803_164_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	164	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE  - STATE OF COLORADO	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	165	0		29	10	S5803_165_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	165	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE  - STATE OF ARIZONA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	166	0		29	10	S5803_166_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	166	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE - STATE OF NEVADA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	167	0		29	10	S5803_167_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	167	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE  - STATES OF OREGON & WASHINGTON	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	168	0		29	10	S5803_168_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	168	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE  - STATES OF IDAHO & UTAH	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	169	0		29	10	S5803_169_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	169	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE - STATE OF CALIFORNIA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	170	0		29	10	S5803_170_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	170	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE - STATE OF HAWAII	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	171	0		29	10	S5803_171_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	171	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE  - STATE OF ALASKA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	210	0		29	10	S5803_210_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	210	2007	10	29		Community Care Rx BASIC		CCRX BASIC  - PUERTO RICO	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	211	0		29	10	S5803_211_0	5		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	211	2007	10	29		Community Care Rx BASIC		CCRX BASIC  - U.S. VIRGIN ISLANDS	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	214	0		29	10	S5803_214_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	214	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE - PUERTO RICO	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	215	0		29	10	S5803_215_0	4		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	215	2007	10	29		Community Care Rx CHOICE		CCRX CHOICE - U.S. VIRGIN ISLANDS	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	218	0		29	10	S5803_218_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	218	2007	10	29		Community Care Rx GOLD		CCRX GOLD  - STATES OF N HAMPSHIRE & MAINE	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	219	0		29	10	S5803_219_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	219	2007	10	29		Community Care Rx GOLD		CCRX GOLD  - CENTRAL NEW ENGLAND REGION	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	220	0		29	10	S5803_220_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	220	2007	10	29		Community Care Rx GOLD		CCRX GOLD  - STATE OF NEW YORK	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	221	0		29	10	S5803_221_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	221	2007	10	29		Community Care Rx GOLD		CCRX GOLD  - STATE OF NEW JERSEY	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	222	0		29	10	S5803_222_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	222	2007	10	29		Community Care Rx GOLD		CCRX GOLD  - MID-ATLANTIC REGION	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	223	0		29	10	S5803_223_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	223	2007	10	29		Community Care Rx GOLD		CCRX GOLD - STATES OF PENNSYLVANIA & WEST VIRGINIA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	224	0		29	10	S5803_224_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	224	2007	10	29		Community Care Rx GOLD		CCRX GOLD - STATE OF VIRGINIA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	225	0		29	10	S5803_225_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	225	2007	10	29		Community Care Rx GOLD		CCRX GOLD  - STATE OF N CAROLINA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	226	0		29	10	S5803_226_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	226	2007	10	29		Community Care Rx GOLD		CCRX GOLD - STATE OF S CAROLINA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	227	0		29	10	S5803_227_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	227	2007	10	29		Community Care Rx GOLD		CCRX GOLD  - STATE OF GEORGIA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	228	0		29	10	S5803_228_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	228	2007	10	29		Community Care Rx GOLD		CCRX GOLD - STATE OF FLORIDA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	229	0		29	10	S5803_229_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	229	2007	10	29		Community Care Rx GOLD		CCRX GOLD - STATES OF ALABAMA & TENNESSEE	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	230	0		29	10	S5803_230_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	230	2007	10	29		Community Care Rx GOLD		CCRX GOLD - STATE OF MICHIGAN	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	231	0		29	10	S5803_231_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	231	2007	10	29		Community Care Rx GOLD		CCRX GOLD - STATE OF OHIO	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	232	0		29	10	S5803_232_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	232	2007	10	29		Community Care Rx GOLD		CCRX GOLD - STATES OF INDIANA & KENTUCKY	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	233	0		29	10	S5803_233_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	233	2007	10	29		Community Care Rx GOLD		CCRX GOLD - STATE OF WISCONSIN	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	234	0		29	10	S5803_234_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	234	2007	10	29		Community Care Rx GOLD		CCRX GOLD  - STATE OF ILLINOIS	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	235	0		29	10	S5803_235_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	235	2007	10	29		Community Care Rx GOLD		CCRX GOLD - STATE OF MISSOURI	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	236	0		29	10	S5803_236_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	236	2007	10	29		Community Care Rx GOLD		CCRX GOLD  - STATE OF ARKANSAS	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	237	0		29	10	S5803_237_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	237	2007	10	29		Community Care Rx GOLD		CCRX GOLD  - STATE OF MISSISSIPPI	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	238	0		29	10	S5803_238_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	238	2007	10	29		Community Care Rx GOLD		CCRX GOLD - STATE OF LOUISIANA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	239	0		29	10	S5803_239_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	239	2007	10	29		Community Care Rx GOLD		CCRX GOLD  - STATE OF TEXAS	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	240	0		29	10	S5803_240_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	240	2007	10	29		Community Pharmacists Care Rx GOLD		CCRX GOLD  - STATE OF OKLAHOMA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	241	0		29	10	S5803_241_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	241	2007	10	29		Community Care Rx GOLD		CCRX GOLD - STATE OF KANSAS	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	242	0		29	10	S5803_242_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	242	2007	10	29		Community Care Rx GOLD		CCRX GOLD  - UPPER MIDWEST & NORTHERN PLAINS	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	243	0		29	10	S5803_243_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	243	2007	10	29		Community Care Rx GOLD		CCRX GOLD  - STATE OF N MEXICO	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	244	0		29	10	S5803_244_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	244	2007	10	29		Community Care Rx GOLD		CCRX GOLD - STATE OF COLORADO	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	245	0		29	10	S5803_245_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	245	2007	10	29		Community Care Rx GOLD		CCRX GOLD  - STATE OF ARIZONA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	246	0		29	10	S5803_246_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	246	2007	10	29		Community Care Rx GOLD		CCRX GOLD  - STATE OF NEVADA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	247	0		29	10	S5803_247_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	247	2007	10	29		Community Care Rx GOLD		CCRX GOLD - STATES OF OREGON & WASHINGTON	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	248	0		29	10	S5803_248_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	248	2007	10	29		Community Care Rx GOLD		CCRX GOLD  - STATES OF IDAHO & UTAH	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	249	0		29	10	S5803_249_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	249	2007	10	29		Community Care Rx GOLD		CCRX GOLD  - STATE OF CALIFORNIA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	250	0		29	10	S5803_250_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	250	2007	10	29		Community Care Rx GOLD		CCRX GOLD  - STATE OF HAWAII	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	251	0		29	10	S5803_251_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	251	2007	10	29		Community Care Rx GOLD		CCRX GOLD - STATE OF ALASKA	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	252	0		29	10	S5803_252_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	252	2007	10	29		Community Care Rx GOLD		CCRX GOLD  - PUERTO RICO	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	253	0		29	10	S5803_253_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	253	2007	10	29		Community Care Rx GOLD		CCRX GOLD  - U.S. VIRGIN ISLANDS	2	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	801	0		29	10	S5803_801_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	801	2007	10	29		Community Pharmacists Care Rx BASIC		National	1	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5803	802	0		29	10	S5803_802_0	3		MEMBERHEALTH, INC.	MEMBERHEALTH	www.communitycarerx.com	S5803	802	2007	10	29		Community Pharmacists Care Rx BASIC		National	1	0		2											(866)-684-5353	(866)-684-5353	(866)-684-5351	(866)-684-5351
S5805	001	0		29	10	S5805_001_0	2		UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK	UnitedHealthcare	www.AARPMedicareRx.com	S5805	001	2007	10	29		AARP MedicareRx Plan		New York	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5805	004	0		29	10	S5805_004_0	3		UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK	UnitedHealthcare	www.AARPMedicareRx.com	S5805	004	2007	10	29		UnitedHealth Rx Extended		New York	2	0		2											(888)-556-7047	(888)-867-5561	(888)-556-7065	(877)-730-4203
S5805	801	0		29	10	S5805_801_0	5		UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK	UnitedHealthcare	www.AARPMedicareRx.com	S5805	801	2007	10	29		AARP MedicareRx Employer Group Plan		National	1	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5805	802	0		29	10	S5805_802_0	5		UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK	UnitedHealthcare	www.AARPMedicareRx.com	S5805	802	2007	10	29		AARP MedicareRx Employer Group Plan		National	1	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5805	803	0		29	10	S5805_803_0	5		UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK	UnitedHealthcare	www.AARPMedicareRx.com	S5805	803	2007	10	29		United MedicareRx Employer Group Plan		National	1	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5805	804	0		29	10	S5805_804_0	5		UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK	UnitedHealthcare	www.AARPMedicareRx.com	S5805	804	2007	10	29		United MedicareRx Employer Group Plan		National	1	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5810	035	0		29	10	S5810_035_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	035	2007	10	29		Aetna Medicare Rx Essentials		Northern New England (NH, ME)	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	036	0		29	10	S5810_036_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	036	2007	10	29		Aetna Medicare Rx Essentials		Central New England  (CT,RI, MA,VT)	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	037	0		29	10	S5810_037_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	037	2007	10	29		Aetna Medicare Rx Essentials		New  York	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	038	0		29	10	S5810_038_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	038	2007	10	29		Aetna Medicare Rx Essentials		New Jersey	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	039	0		29	10	S5810_039_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	039	2007	10	29		Aetna Medicare Rx Essentials		Mid-Atlantic (DE,DC,MD)	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	040	0		29	10	S5810_040_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	040	2007	10	29		Aetna Medicare Rx Essentials		Pennsylvania, West Virginia	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	041	0		29	10	S5810_041_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	041	2007	10	29		Aetna Medicare Rx Essentials		Virginia	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	042	0		29	10	S5810_042_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	042	2007	10	29		Aetna Medicare Rx Essentials		North Carolina	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	043	0		29	10	S5810_043_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	043	2007	10	29		Aetna Medicare Rx Essentials		South Carolina	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	044	0		29	10	S5810_044_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	044	2007	10	29		Aetna Medicare Rx Essentials		Georgia	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	045	0		29	10	S5810_045_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	045	2007	10	29		Aetna Medicare Rx Essentials		Florida	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	046	0		29	10	S5810_046_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	046	2007	10	29		Aetna Medicare Rx Essentials		Alabama, Tennessee	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	047	0		29	10	S5810_047_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	047	2007	10	29		Aetna Medicare Rx Essentials		Michigan	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	048	0		29	10	S5810_048_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	048	2007	10	29		Aetna Medicare Rx Essentials		Ohio	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	049	0		29	10	S5810_049_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	049	2007	10	29		Aetna Medicare Rx Essentials		Indiana, Kentucky	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	050	0		29	10	S5810_050_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	050	2007	10	29		Aetna Medicare Rx Essentials		Wisconsin	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	051	0		29	10	S5810_051_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	051	2007	10	29		Aetna Medicare Rx Essentials		Illinois	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	052	0		29	10	S5810_052_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	052	2007	10	29		Aetna Medicare Rx Essentials		Missouri	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	053	0		29	10	S5810_053_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	053	2007	10	29		Aetna Medicare Rx Essentials		Arkansas	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	054	0		29	10	S5810_054_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	054	2007	10	29		Aetna Medicare Rx Essentials		Mississippi	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	055	0		29	10	S5810_055_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	055	2007	10	29		Aetna Medicare Rx Essentials		Louisiana	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	056	0		29	10	S5810_056_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	056	2007	10	29		Aetna Medicare Rx Essentials		Texas	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	057	0		29	10	S5810_057_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	057	2007	10	29		Aetna Medicare Rx Essentials		Oklahoma	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	058	0		29	10	S5810_058_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	058	2007	10	29		Aetna Medicare Rx Essentials		Kansas	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	059	0		29	10	S5810_059_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	059	2007	10	29		Aetna Medicare Rx Essentials		Upper MW & N Plains (IA,MN,NE,SD,ND,WY,MT)	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	060	0		29	10	S5810_060_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	060	2007	10	29		Aetna Medicare Rx Essentials		New Mexico	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	061	0		29	10	S5810_061_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	061	2007	10	29		Aetna Medicare Rx Essentials		Colorado	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	062	0		29	10	S5810_062_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	062	2007	10	29		Aetna Medicare Rx Essentials		Arizona	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	063	0		29	10	S5810_063_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	063	2007	10	29		Aetna Medicare Rx Essentials		Nevada	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	064	0		29	10	S5810_064_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	064	2007	10	29		Aetna Medicare Rx Essentials		Oregon, Washington	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	065	0		29	10	S5810_065_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	065	2007	10	29		Aetna Medicare Rx Essentials		Idaho, Utah	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	066	0		29	10	S5810_066_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	066	2007	10	29		Aetna Medicare Rx Essentials		California	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	067	0		29	10	S5810_067_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	067	2007	10	29		Aetna Medicare Rx Essentials		Hawaii	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	068	0		29	10	S5810_068_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	068	2007	10	29		Aetna Medicare Rx Essentials		Alaska	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	137	0		29	10	S5810_137_0	5		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	137	2007	10	29		Aetna Medicare Rx Plus		Northern New England (NH, ME)	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	138	0		29	10	S5810_138_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	138	2007	10	29		Aetna Medicare Rx Plus		Central New England  (CT,RI, MA,VT)	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	139	0		29	10	S5810_139_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	139	2007	10	29		Aetna Medicare Rx Plus		New York	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	140	0		29	10	S5810_140_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	140	2007	10	29		Aetna Medicare Rx Plus		New Jersey	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	141	0		29	10	S5810_141_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	141	2007	10	29		Aetna Medicare Rx Plus		Mid-Atlantic (DE,DC,MD)	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	142	0		29	10	S5810_142_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	142	2007	10	29		Aetna Medicare Rx Plus		Pennsylvania, West Virginia	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	143	0		29	10	S5810_143_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	143	2007	10	29		Aetna Medicare Rx Plus		Virginia	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	144	0		29	10	S5810_144_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	144	2007	10	29		Aetna Medicare Rx Plus		North Carolina	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	145	0		29	10	S5810_145_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	145	2007	10	29		Aetna Medicare Rx Plus		South Carolina	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	146	0		29	10	S5810_146_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	146	2007	10	29		Aetna Medicare Rx Plus		Georgia	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	147	0		29	10	S5810_147_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	147	2007	10	29		Aetna Medicare Rx Plus		Florida	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	148	0		29	10	S5810_148_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	148	2007	10	29		Aetna Medicare Rx Plus		Alabama, Tennessee	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	149	0		29	10	S5810_149_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	149	2007	10	29		Aetna Medicare Rx Plus		Michigan	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	150	0		29	10	S5810_150_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	150	2007	10	29		Aetna Medicare Rx Plus		Ohio	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	151	0		29	10	S5810_151_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	151	2007	10	29		Aetna Medicare Rx Plus		Indiana, Kentucky	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	152	0		29	10	S5810_152_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	152	2007	10	29		Aetna Medicare Rx Plus		Wisconsin	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	153	0		29	10	S5810_153_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	153	2007	10	29		Aetna Medicare Rx Plus		Illinois	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	154	0		29	10	S5810_154_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	154	2007	10	29		Aetna Medicare Rx Plus		Missouri	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	155	0		29	10	S5810_155_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	155	2007	10	29		Aetna Medicare Rx Plus		Arkansas	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	156	0		29	10	S5810_156_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	156	2007	10	29		Aetna Medicare Rx Plus		Mississippi	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	157	0		29	10	S5810_157_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	157	2007	10	29		Aetna Medicare Rx Plus		Louisiana	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	158	0		29	10	S5810_158_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	158	2007	10	29		Aetna Medicare Rx Plus		Texas	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	159	0		29	10	S5810_159_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	159	2007	10	29		Aetna Medicare Rx Plus		Oklahoma	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	160	0		29	10	S5810_160_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	160	2007	10	29		Aetna Medicare Rx Plus		Kansas	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	161	0		29	10	S5810_161_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	161	2007	10	29		Aetna Medicare Rx Plus		Upper MW & N Plains (IA,MN,NE,SD,ND,WY,MT)	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	162	0		29	10	S5810_162_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	162	2007	10	29		Aetna Medicare Rx Plus		New Mexico	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	163	0		29	10	S5810_163_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	163	2007	10	29		Aetna Medicare Rx Plus		Colorado	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	164	0		29	10	S5810_164_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	164	2007	10	29		Aetna Medicare Rx Plus		Arizona	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	165	0		29	10	S5810_165_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	165	2007	10	29		Aetna Medicare Rx Plus		Nevada	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	166	0		29	10	S5810_166_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	166	2007	10	29		Aetna Medicare Rx Plus		Oregon, Washington	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	167	0		29	10	S5810_167_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	167	2007	10	29		Aetna Medicare Rx Plus		Idaho, Utah	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	168	0		29	10	S5810_168_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	168	2007	10	29		Aetna Medicare Rx Plus		California	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	169	0		29	10	S5810_169_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	169	2007	10	29		Aetna Medicare Rx Plus		Hawaii	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	170	0		29	10	S5810_170_0	4		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	170	2007	10	29		Aetna Medicare Rx Plus		Alaska	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	171	0		29	10	S5810_171_0	3		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	171	2007	10	29		Aetna Medicare Rx Premier		Northern New England (NH, ME)	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	172	0		29	10	S5810_172_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	172	2007	10	29		Aetna Medicare Rx Premier		Central New England  (CT,RI, MA,VT)	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	173	0		29	10	S5810_173_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	173	2007	10	29		Aetna Medicare Rx Premier		New  York	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	174	0		29	10	S5810_174_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	174	2007	10	29		Aetna Medicare Rx Premier		New Jersey	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	175	0		29	10	S5810_175_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	175	2007	10	29		Aetna Medicare Rx Premier		Mid-Atlantic (DE,DC,MD)	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	176	0		29	10	S5810_176_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	176	2007	10	29		Aetna Medicare Rx Premier		Pennsylvania, West Virginia	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	177	0		29	10	S5810_177_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	177	2007	10	29		Aetna Medicare Rx Premier		Virginia	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	178	0		29	10	S5810_178_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	178	2007	10	29		Aetna Medicare Rx Premier		North Carolina	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	179	0		29	10	S5810_179_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	179	2007	10	29		Aetna Medicare Rx Premier		South Carolina	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	180	0		29	10	S5810_180_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	180	2007	10	29		Aetna Medicare Rx Premier		Georgia	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	181	0		29	10	S5810_181_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	181	2007	10	29		Aetna Medicare Rx Premier		Florida	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	182	0		29	10	S5810_182_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	182	2007	10	29		Aetna Medicare Rx Premier		Alabama, Tennessee	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	183	0		29	10	S5810_183_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	183	2007	10	29		Aetna Medicare Rx Premier		Michigan	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	184	0		29	10	S5810_184_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	184	2007	10	29		Aetna Medicare Rx Premier		Ohio	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	185	0		29	10	S5810_185_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	185	2007	10	29		Aetna Medicare Rx Premier		Indiana, Kentucky	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	186	0		29	10	S5810_186_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	186	2007	10	29		Aetna Medicare Rx Premier		Wisconsin	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	187	0		29	10	S5810_187_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	187	2007	10	29		Aetna Medicare Rx Premier		Illinois	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	188	0		29	10	S5810_188_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	188	2007	10	29		Aetna Medicare Rx Premier		Missouri	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	189	0		29	10	S5810_189_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	189	2007	10	29		Aetna Medicare Rx Premier		Arkansas	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	190	0		29	10	S5810_190_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	190	2007	10	29		Aetna Medicare Rx Premier		Mississippi	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	191	0		29	10	S5810_191_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	191	2007	10	29		Aetna Medicare Rx Premier		Louisiana	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	192	0		29	10	S5810_192_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	192	2007	10	29		Aetna Medicare Rx Premier		Texas	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	193	0		29	10	S5810_193_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	193	2007	10	29		Aetna Medicare Rx Premier		Oklahoma	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	194	0		29	10	S5810_194_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	194	2007	10	29		Aetna Medicare Rx Premier		Kansas	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	195	0		29	10	S5810_195_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	195	2007	10	29		Aetna Medicare Rx Premier		Upper MW & N Plains (IA,MN,NE,SD,ND,WY,MT)	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	196	0		29	10	S5810_196_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	196	2007	10	29		Aetna Medicare Rx Premier		New Mexico	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	197	0		29	10	S5810_197_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	197	2007	10	29		Aetna Medicare Rx Premier		Colorado	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	198	0		29	10	S5810_198_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	198	2007	10	29		Aetna Medicare Rx Premier		Arizona	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	199	0		29	10	S5810_199_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	199	2007	10	29		Aetna Medicare Rx Premier		Nevada	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	200	0		29	10	S5810_200_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	200	2007	10	29		Aetna Medicare Rx Premier		Oregon, Washington	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	201	0		29	10	S5810_201_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	201	2007	10	29		Aetna Medicare Rx Premier		Idaho, Utah	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	202	0		29	10	S5810_202_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	202	2007	10	29		Aetna Medicare Rx Premier		California	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	203	0		29	10	S5810_203_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	203	2007	10	29		Aetna Medicare Rx Premier		Hawaii	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	204	0		29	10	S5810_204_0	2		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	204	2007	10	29		Aetna Medicare Rx Premier		Alaska	2	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	801	0		29	10	S5810_801_0	1		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	801	2007	10	29		Aetna ER Medicare Prescription Part D Plan		Employer National	1	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5810	802	0		29	10	S5810_802_0	1		AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	S5810	802	2007	10	29		Aetna ER Medicare Prescription Part D Plan		Employer National	1	0		2											(877)-238-6211	(800)-445-1796	(888)-760-4748	(800)-628-3323
S5820	001	0		29	10	S5820_001_0	2		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	001	2007	10	29		AARP MedicareRx Plan		Northern New England (NH, ME)	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	002	0		29	10	S5820_002_0	2		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	002	2007	10	29		AARP MedicareRx Plan		Central New England (CT, MA, RI, VT)	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	003	0		29	10	S5820_003_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	003	2007	10	29		AARP MedicareRx Plan		New Jersey	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	004	0		29	10	S5820_004_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	004	2007	10	29		AARP MedicareRx Plan		Mid-Atlantic (DE, DC, MD)	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	005	0		29	10	S5820_005_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	005	2007	10	29		AARP MedicareRx Plan		Pennsylvania, West Virginia	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	006	0		29	10	S5820_006_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	006	2007	10	29		AARP MedicareRx Plan		Virginia	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	007	0		29	10	S5820_007_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	007	2007	10	29		AARP MedicareRx Plan		North Carolina	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	008	0		29	10	S5820_008_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	008	2007	10	29		AARP MedicareRx Plan		South Carolina	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	009	0		29	10	S5820_009_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	009	2007	10	29		AARP MedicareRx Plan		Georgia	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	010	0		29	10	S5820_010_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	010	2007	10	29		AARP MedicareRx Plan		Florida	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	011	0		29	10	S5820_011_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	011	2007	10	29		AARP MedicareRx Plan		Alabama, Tennessee	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	012	0		29	10	S5820_012_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	012	2007	10	29		AARP MedicareRx Plan		Michigan	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	013	0		29	10	S5820_013_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	013	2007	10	29		AARP MedicareRx Plan		Ohio	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	014	0		29	10	S5820_014_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	014	2007	10	29		AARP MedicareRx Plan		Indiana, Kentucky	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	015	0		29	10	S5820_015_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	015	2007	10	29		AARP MedicareRx Plan		Wisconsin	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	016	0		29	10	S5820_016_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	016	2007	10	29		AARP MedicareRx Plan		Illinois	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	017	0		29	10	S5820_017_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	017	2007	10	29		AARP MedicareRx Plan		Missouri	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	018	0		29	10	S5820_018_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	018	2007	10	29		AARP MedicareRx Plan		Arkansas	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	019	0		29	10	S5820_019_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	019	2007	10	29		AARP MedicareRx Plan		Mississippi	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	020	0		29	10	S5820_020_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	020	2007	10	29		AARP MedicareRx Plan		Louisiana	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	021	0		29	10	S5820_021_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	021	2007	10	29		AARP MedicareRx Plan		Texas	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	022	0		29	10	S5820_022_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	022	2007	10	29		AARP MedicareRx Plan		Oklahoma	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	023	0		29	10	S5820_023_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	023	2007	10	29		AARP MedicareRx Plan		Kansas	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	024	0		29	10	S5820_024_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	024	2007	10	29		AARP MedicareRx Plan		Upper Midwest and Northern Plains	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	025	0		29	10	S5820_025_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	025	2007	10	29		AARP MedicareRx Plan		New Mexico	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	026	0		29	10	S5820_026_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	026	2007	10	29		AARP MedicareRx Plan		Colorado	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	027	0		29	10	S5820_027_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	027	2007	10	29		AARP MedicareRx Plan		Arizona	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	028	0		29	10	S5820_028_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	028	2007	10	29		AARP MedicareRx Plan		Nevada	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	029	0		29	10	S5820_029_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	029	2007	10	29		AARP MedicareRx Plan		Oregon, Washington	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	030	0		29	10	S5820_030_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	030	2007	10	29		AARP MedicareRx Plan		Idaho, Utah	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	031	0		29	10	S5820_031_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	031	2007	10	29		AARP MedicareRx Plan		California	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	032	0		29	10	S5820_032_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	032	2007	10	29		AARP MedicareRx Plan		Hawaii	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	033	0		29	10	S5820_033_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	033	2007	10	29		AARP MedicareRx Plan		Alaska	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	034	0		29	10	S5820_034_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	034	2007	10	29		AARP MedicareRx Plan		American Samoa	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	035	0		29	10	S5820_035_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	035	2007	10	29		AARP MedicareRx Plan		Guam	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	036	0		29	10	S5820_036_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	036	2007	10	29		AARP MedicareRx Plan		Northern Mariana Islands	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	037	0		29	10	S5820_037_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	037	2007	10	29		AARP MedicareRx Plan		Puerto Rico	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	038	0		29	10	S5820_038_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	038	2007	10	29		AARP MedicareRx Plan		US Virgin Islands	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	105	0		29	10	S5820_105_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	105	2007	10	29		UnitedHealth Rx Extended		Northern New England (NH, ME)	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	106	0		29	10	S5820_106_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	106	2007	10	29		UnitedHealth Rx Extended		Central New England (CT, MA, RI, VT)	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	107	0		29	10	S5820_107_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	107	2007	10	29		UnitedHealth Rx Extended		New Jersey	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	108	0		29	10	S5820_108_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	108	2007	10	29		UnitedHealth Rx Extended		Mid-Atlantic (DE, DC, MD)	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	109	0		29	10	S5820_109_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	109	2007	10	29		UnitedHealth Rx Extended		Pennsylvania, West Virginia	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	110	0		29	10	S5820_110_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	110	2007	10	29		UnitedHealth Rx Extended		Virginia	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	111	0		29	10	S5820_111_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	111	2007	10	29		UnitedHealth Rx Extended		North Carolina	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	112	0		29	10	S5820_112_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	112	2007	10	29		UnitedHealth Rx Extended		South Carolina	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	113	0		29	10	S5820_113_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	113	2007	10	29		UnitedHealth Rx Extended		Georgia	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	114	0		29	10	S5820_114_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	114	2007	10	29		UnitedHealth Rx Extended		Florida	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	115	0		29	10	S5820_115_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	115	2007	10	29		UnitedHealth Rx Extended		Alabama, Tennessee	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	116	0		29	10	S5820_116_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	116	2007	10	29		UnitedHealth Rx Extended		Michigan	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	117	0		29	10	S5820_117_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	117	2007	10	29		UnitedHealth Rx Extended		Ohio	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	118	0		29	10	S5820_118_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	118	2007	10	29		UnitedHealth Rx Extended		Indiana, Kentucky	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	119	0		29	10	S5820_119_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	119	2007	10	29		UnitedHealth Rx Extended		Wisconsin	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	120	0		29	10	S5820_120_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	120	2007	10	29		UnitedHealth Rx Extended		Illinois	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	121	0		29	10	S5820_121_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	121	2007	10	29		UnitedHealth Rx Extended		Missouri	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	122	0		29	10	S5820_122_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	122	2007	10	29		UnitedHealth Rx Extended		Arkansas	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	123	0		29	10	S5820_123_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	123	2007	10	29		UnitedHealth Rx Extended		Mississippi	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	124	0		29	10	S5820_124_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	124	2007	10	29		UnitedHealth Rx Extended		Louisiana	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	125	0		29	10	S5820_125_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	125	2007	10	29		UnitedHealth Rx Extended		Texas	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	126	0		29	10	S5820_126_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	126	2007	10	29		UnitedHealth Rx Extended		Oklahoma	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	127	0		29	10	S5820_127_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	127	2007	10	29		UnitedHealth Rx Extended		Kansas	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	128	0		29	10	S5820_128_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	128	2007	10	29		UnitedHealth Rx Extended		Upper Midwest and Northern Plains	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	129	0		29	10	S5820_129_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	129	2007	10	29		UnitedHealth Rx Extended		New Mexico	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	130	0		29	10	S5820_130_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	130	2007	10	29		UnitedHealth Rx Extended		Colorado	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	131	0		29	10	S5820_131_0	2		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	131	2007	10	29		UnitedHealth Rx Extended		Arizona	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	132	0		29	10	S5820_132_0	2		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	132	2007	10	29		UnitedHealth Rx Extended		Nevada	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	133	0		29	10	S5820_133_0	2		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	133	2007	10	29		UnitedHealth Rx Extended		Oregon, Washington	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	134	0		29	10	S5820_134_0	2		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	134	2007	10	29		UnitedHealth Rx Extended		Idaho, Utah	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	135	0		29	10	S5820_135_0	2		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	135	2007	10	29		UnitedHealth Rx Extended		California	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	136	0		29	10	S5820_136_0	2		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	136	2007	10	29		UnitedHealth Rx Extended		Hawaii	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	137	0		29	10	S5820_137_0	2		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	137	2007	10	29		UnitedHealth Rx Extended		Alaska	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	142	0		29	10	S5820_142_0	2		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	142	2007	10	29		AARP MedicareRx Plan - Enhanced		American Samoa	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	143	0		29	10	S5820_143_0	2		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	143	2007	10	29		AARP MedicareRx Plan - Enhanced		Guam	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	144	0		29	10	S5820_144_0	2		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	144	2007	10	29		AARP MedicareRx Plan - Enhanced		Northern Mariana Islands	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	145	0		29	10	S5820_145_0	2		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	145	2007	10	29		AARP MedicareRx Plan - Enhanced		Puerto Rico	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	146	0		29	10	S5820_146_0	2		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	146	2007	10	29		AARP MedicareRx Plan - Enhanced		U.S. Virgin Islands	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	147	0		29	10	S5820_147_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	147	2007	10	29		AARP MedicareRx Plan - Saver		American Samoa	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5820	148	0		29	10	S5820_148_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	148	2007	10	29		AARP MedicareRx Plan - Saver		Guam	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5820	149	0		29	10	S5820_149_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	149	2007	10	29		AARP MedicareRx Plan - Saver		Northern Mariana Islands	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5820	150	0		29	10	S5820_150_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	150	2007	10	29		AARP MedicareRx Plan - Saver		Puerto Rico	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5820	151	0		29	10	S5820_151_0	3		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	151	2007	10	29		AARP MedicareRx Plan - Saver		U.S. Virgin Islands	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5820	801	0		29	10	S5820_801_0	2		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	801	2007	10	29		AARP MedicareRx Employer Group Plan		National	1	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	802	0		29	10	S5820_802_0	2		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	802	2007	10	29		AARP MedicareRx Employer Group Plan		National	1	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5820	803	0		29	10	S5820_803_0	2		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	803	2007	10	29		United MedicareRx Employer Group Plan		National	1	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5820	804	0		29	10	S5820_804_0	2		UNITED HEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5820	804	2007	10	29		United MedicareRx Employer Group Plan		National	1	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5822	001	0		29	10	S5822_001_0	2		ELDER HEALTH MID-ATLANTIC, INC.	Elder Health PDP Mid Atlantic	www.elderhealth.com	S5822	001	2007	10	29		Elder Health PDP Select		Mid Atlantic Region PDP Select	2	0		2											(800)-593-0324	(888)-787-0272	(800)-716-3231	(800)-964-2561
S5822	004	0		29	10	S5822_004_0	3		ELDER HEALTH MID-ATLANTIC, INC.	Elder Health PDP Mid Atlantic	www.elderhealth.com	S5822	004	2007	10	29		Elder Health PDP Platinum		Mid Atlantic Elder Health PDP Platinum	2	0		2											(800)-593-0324	(888)-787-0272	(800)-716-3231	(800)-964-2561
S5822	005	0		29	10	S5822_005_0	1		ELDER HEALTH MID-ATLANTIC, INC.	Elder Health PDP Mid Atlantic	www.elderhealth.com	S5822	005	2007	10	29		Elder Health PDP Select		Illinois Elder Health PDP Select	2	0		2											(800)-593-0324	(888)-787-0272	(800)-716-3231	(800)-964-2561
S5822	006	0		29	10	S5822_006_0	3		ELDER HEALTH MID-ATLANTIC, INC.	Elder Health PDP Mid Atlantic	www.elderhealth.com	S5822	006	2007	10	29		Elder Health PDP Platinum		Illinois Elder Health Platinum	2	0		2											(800)-593-0324	(888)-787-0272	(800)-716-3231	(800)-964-2561
S5825	017	0		29	10	S5825_017_0	1		AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	American Progressive Life & Health Ins Co of NY	www.RxPathway.com	S5825	017	2007	10	29		Prescription Pathway Gold Plan Reg 3		State of New York	2	0		2											(800)-698-8396	(800)-825-8200	(800)-756-3575	(866)-222-3904
S5825	045	0		29	10	S5825_045_0	2		AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	American Progressive Life & Health Ins Co of NY	www.RxPathway.com	S5825	045	2007	10	29		Prescription Pathway Bronze Plan Reg 3		State of New York	2	0		2											(800)-698-8396	(800)-825-8200	(800)-756-3575	(866)-222-3904
S5825	085	0		29	10	S5825_085_0	2		AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	American Progressive Life & Health Ins Co of NY	www.RxPathway.com	S5825	085	2007	10	29		Prescription Pathway Platinum Plan Reg 3		State of New York	2	0		2											(800)-698-8396	(800)-825-8200	(800)-756-3575	(866)-222-3904
S5825	802	0		29	10	S5825_802_0	1		AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	American Progressive Life & Health Ins Co of NY	www.RxPathway.com	S5825	802	2007	10	29		American Progressive Employer Std Def CY2		National Plan	1	0		2											(800)-698-8396	(800)-825-8200	(800)-756-3575	(866)-222-3904
S5825	804	0		29	10	S5825_804_0	1		AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	American Progressive Life & Health Ins Co of NY	www.RxPathway.com	S5825	804	2007	10	29		American Progressive Employer Std Def CY4		National Plan	1	0		2											(800)-698-8396	(800)-825-8200	(800)-756-3575	(866)-222-3904
S5825	805	0		29	10	S5825_805_0	1		AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	American Progressive Life & Health Ins Co of NY	www.RxPathway.com	S5825	805	2007	10	29		American Progressive Employer Std Def CY5		National Plan	1	0		2											(800)-698-8396	(800)-825-8200	(800)-756-3575	(866)-222-3904
S5825	807	0		29	10	S5825_807_0	1		AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	American Progressive Life & Health Ins Co of NY	www.RxPathway.com	S5825	807	2007	10	29		American Progressive Employer Std Def NCY2		National Plan	1	0		2											(800)-698-8396	(800)-825-8200	(800)-756-3575	(866)-222-3904
S5825	809	0		29	10	S5825_809_0	1		AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	American Progressive Life & Health Ins Co of NY	www.RxPathway.com	S5825	809	2007	10	29		American Progressive Employer Std Def NCY4		National Plan	1	0		2											(800)-698-8396	(800)-825-8200	(800)-756-3575	(866)-222-3904
S5825	810	0		29	10	S5825_810_0	1		AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	American Progressive Life & Health Ins Co of NY	www.RxPathway.com	S5825	810	2007	10	29		American Progressive Employer Std Def NCY5		National Plan	1	0		2											(800)-698-8396	(800)-825-8200	(800)-756-3575	(866)-222-3904
S5825	811	0		29	10	S5825_811_0	1		AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	American Progressive Life & Health Ins Co of NY	www.RxPathway.com	S5825	811	2007	10	29		American Progressive Employer CY Hp Group		National	1	0		2											(800)-698-8396	(800)-825-8200	(800)-756-3575	(866)-222-3904
S5825	812	0		29	10	S5825_812_0	1		AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	American Progressive Life & Health Ins Co of NY	www.RxPathway.com	S5825	812	2007	10	29		American Progressive Employer CY PC		National	1	0		2											(800)-698-8396	(800)-825-8200	(800)-756-3575	(866)-222-3904
S5825	813	0		29	10	S5825_813_0	1		AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	American Progressive Life & Health Ins Co of NY	www.RxPathway.com	S5825	813	2007	10	29		American Progressive Employer CY VP		National	1	0		2											(800)-698-8396	(800)-825-8200	(800)-756-3575	(866)-222-3904
S5825	814	0		29	10	S5825_814_0	1		AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	American Progressive Life & Health Ins Co of NY	www.RxPathway.com	S5825	814	2007	10	29		American Progressive Employer CY Generics		National	1	0		2											(800)-698-8396	(800)-825-8200	(800)-756-3575	(866)-222-3904
S5825	815	0		29	10	S5825_815_0	1		AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	American Progressive Life & Health Ins Co of NY	www.RxPathway.com	S5825	815	2007	10	29		American Progressive Employer NCY Hp Group		National	1	0		2											(800)-698-8396	(800)-825-8200	(800)-756-3575	(866)-222-3904
S5825	816	0		29	10	S5825_816_0	1		AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	American Progressive Life & Health Ins Co of NY	www.RxPathway.com	S5825	816	2007	10	29		American Progressive Employer NCY PC		National	1	0		2											(800)-698-8396	(800)-825-8200	(800)-756-3575	(866)-222-3904
S5825	817	0		29	10	S5825_817_0	1		AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	American Progressive Life & Health Ins Co of NY	www.RxPathway.com	S5825	817	2007	10	29		American Progressive Employer NCY VP		National	1	0		2											(800)-698-8396	(800)-825-8200	(800)-756-3575	(866)-222-3904
S5825	818	0		29	10	S5825_818_0	1		AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	American Progressive Life & Health Ins Co of NY	www.RxPathway.com	S5825	818	2007	10	29		American Progressive Employer NCY Generics		National	1	0		2											(800)-698-8396	(800)-825-8200	(800)-756-3575	(866)-222-3904
S5840	001	0		29	10	S5840_001_0	2		FIRST MEDICAL HEALTH PLAN, INC	First Medical Health Plan, Inc.	www.firstpluspr.com	S5840	001	2007	10	29		First Plus Standard Prescription Drug Plan		Entire Island Puerto Rico	2	0		2											(866)-515-5885	(866)-515-5885	(877)-672-4242	(877)-672-4242
S5840	002	0		29	10	S5840_002_0	2		FIRST MEDICAL HEALTH PLAN, INC	First Medical Health Plan, Inc.	www.firstpluspr.com	S5840	002	2007	10	29		First Plus Enhanced Prescription Drug Plan		Entire Island Puerto Rico	2	0		2											(866)-515-5885	(866)-515-5885	(877)-672-4242	(877)-672-4242
S5840	801	0		29	10	S5840_801_0	2		FIRST MEDICAL HEALTH PLAN, INC	First Medical Health Plan, Inc.	www.firstpluspr.com	S5840	801	2007	10	29		Employer Group Prescription Drug Plan 1		Entire Island Puerto Rico	1	0		2											(866)-515-5885	(866)-515-5885	(877)-672-4242	(877)-672-4242
S5840	802	0		29	10	S5840_802_0	2		FIRST MEDICAL HEALTH PLAN, INC	First Medical Health Plan, Inc.	www.firstpluspr.com	S5840	802	2007	10	29		Employer Group Prescription Drug Plan 2		Entire Island Puerto Rico	1	0		2											(866)-515-5885	(866)-515-5885	(877)-672-4242	(877)-672-4242
S5857	001	0		29	10	S5857_001_0	1		PRIORITY HEALTH INSURANCE COMPANY	Priority Medicare Rx	www.priorityhealth.com	S5857	001	2007	10	29		PriorityMedicareRx		State of Michigan	2	0		2											(888)-389-6648	(888)-389-6676	(888)-551-6761	(888)-551-6761
S5857	802	0		29	10	S5857_802_0	1		PRIORITY HEALTH INSURANCE COMPANY	Priority Medicare Rx	www.priorityhealth.com	S5857	802	2007	10	29		PriorityMedicareRx EG Non-Calendar Year		United States	1	0		2											(888)-389-6648	(888)-389-6676	(888)-551-6761	(888)-551-6761
S5857	803	0		29	10	S5857_803_0	1		PRIORITY HEALTH INSURANCE COMPANY	Priority Medicare Rx	www.priorityhealth.com	S5857	803	2007	10	29		PriorityMedicareRx EG Calendar Year		United States	1	0		2											(888)-389-6648	(888)-389-6676	(888)-551-6761	(888)-551-6761
S5860	001	0		29	10	S5860_001_0	2		ROCKY MOUNTAIN  HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	S5860	001	2007	10	29		RMHP Defined Standard Medicare PDP Plan		Colorado	2	0		2											(800)-346-4643	(800)-346-4643	(800)-704-6340	(800)-704-6340
S5860	002	0		29	10	S5860_002_0	1		ROCKY MOUNTAIN  HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	S5860	002	2007	10	29		RMHP Enhanced Alternative Medicare PDP		Colorado	2	0		2											(800)-346-4643	(800)-346-4643	(800)-704-6340	(800)-704-6340
S5877	004	0		29	10	S5877_004_0	3		EDUCATORS MUTUAL INSURANCE ASSOCIATION	Educators Mutual Insurance Association	www.educatorsmutual.com	S5877	004	2007	10	29		Educators Rx Basic		State of Utah and State of Idaho	2	0		2											(800)-316-9176	(800)-662-5851		
S5877	007	0		29	10	S5877_007_0	3		EDUCATORS MUTUAL INSURANCE ASSOCIATION	Educators Mutual Insurance Association	www.educatorsmutual.com	S5877	007	2007	10	29		Educators Rx Advantage		State of Utah and State of Idaho	2	0		2											(800)-316-9176	(800)-662-5851		
S5877	008	0		29	10	S5877_008_0	3		EDUCATORS MUTUAL INSURANCE ASSOCIATION	Educators Mutual Insurance Association	www.educatorsmutual.com	S5877	008	2007	10	29		Educators Rx Complete		State of Utah and State of Idaho	2	0		2											(800)-316-9176	(800)-662-5851		
S5884	001	0		29	10	S5884_001_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	001	2007	10	29		Humana PDP Enhanced S5884-001		States of Alabama and Tennessee	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	002	0		29	10	S5884_002_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	002	2007	10	29		Humana PDP Enhanced S5884-002		States of CT, MA, RI, VT	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	003	0		29	10	S5884_003_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	003	2007	10	29		Humana PDP Enhanced S5884-003		State of New Jersey	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	004	0		29	10	S5884_004_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	004	2007	10	29		Humana PDP Enhanced S5884-004		States of DC, DE, MD	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	005	0		29	10	S5884_005_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	005	2007	10	29		Humana PDP Enhanced S5884-005		States of Pennsylvania and West Virginia	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	006	0		29	10	S5884_006_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	006	2007	10	29		Humana PDP Enhanced S5884-006		State of Virginia	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	007	0		29	10	S5884_007_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	007	2007	10	29		Humana PDP Enhanced S5884-007		State of North Carolina	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	008	0		29	10	S5884_008_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	008	2007	10	29		Humana PDP Enhanced S5884-008		State of South Carolina	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	009	0		29	10	S5884_009_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	009	2007	10	29		Humana PDP Enhanced S5884-009		State of Georgia	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	010	0		29	10	S5884_010_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	010	2007	10	29		Humana PDP Enhanced S5884-010		State of Florida	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	011	0		29	10	S5884_011_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	011	2007	10	29		Humana PDP Enhanced S5884-011		State of Michigan	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	012	0		29	10	S5884_012_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	012	2007	10	29		Humana PDP Enhanced S5884-012		State of Ohio	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	013	0		29	10	S5884_013_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	013	2007	10	29		Humana PDP Enhanced S5884-013		States of Indiana and Kentucky	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	014	0		29	10	S5884_014_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	014	2007	10	29		Humana PDP Enhanced S5884-014		State of Wisconsin	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	015	0		29	10	S5884_015_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	015	2007	10	29		Humana PDP Enhanced S5884-015		State of Illinois	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	016	0		29	10	S5884_016_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	016	2007	10	29		Humana PDP Enhanced S5884-016		State of Missouri	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	017	0		29	10	S5884_017_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	017	2007	10	29		Humana PDP Enhanced S5884-017		State of Arkansas	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	018	0		29	10	S5884_018_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	018	2007	10	29		Humana PDP Enhanced S5884-018		State of Mississippi	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	019	0		29	10	S5884_019_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	019	2007	10	29		Humana PDP Enhanced S5884-019		State of Louisiana	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	020	0		29	10	S5884_020_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	020	2007	10	29		Humana PDP Enhanced S5884-020		State of Texas	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	021	0		29	10	S5884_021_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	021	2007	10	29		Humana PDP Enhanced S5884-021		State of Oklahoma	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	022	0		29	10	S5884_022_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	022	2007	10	29		Humana PDP Enhanced S5884-022		State of Kansas	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	023	0		29	10	S5884_023_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	023	2007	10	29		Humana PDP Enhanced S5884-023		States of IA, MN, MT, ND, NE, SD, WY	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	024	0		29	10	S5884_024_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	024	2007	10	29		Humana PDP Enhanced S5884-024		State of New Mexico	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	025	0		29	10	S5884_025_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	025	2007	10	29		Humana PDP Enhanced S5884-025		State of Colorado	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	026	0		29	10	S5884_026_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	026	2007	10	29		Humana PDP Enhanced S5884-026		State of Arizona	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	027	0		29	10	S5884_027_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	027	2007	10	29		Humana PDP Enhanced S5884-027		State of Nevada	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	028	0		29	10	S5884_028_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	028	2007	10	29		Humana PDP Enhanced S5884-028		States of Oregon and Washington	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	029	0		29	10	S5884_029_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	029	2007	10	29		Humana PDP Enhanced S5884-029		States of Idaho and Utah	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	030	0		29	10	S5884_030_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	030	2007	10	29		Humana PDP Enhanced S5884-030		State of California	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	031	0		29	10	S5884_031_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	031	2007	10	29		Humana PDP Complete S5884-031		States of CT, MA, RI, VT	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	032	0		29	10	S5884_032_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	032	2007	10	29		Humana PDP Complete S5884-032		State of New Jersey	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	033	0		29	10	S5884_033_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	033	2007	10	29		Humana PDP Complete S5884-033		States of DC, DE, MD	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	034	0		29	10	S5884_034_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	034	2007	10	29		Humana PDP Complete S5884-034		States of Pennsylvania and West Virginia	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	035	0		29	10	S5884_035_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	035	2007	10	29		Humana PDP Complete S5884-035		State of Virginia	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	036	0		29	10	S5884_036_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	036	2007	10	29		Humana PDP Complete S5884-036		State of North Carolina	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	037	0		29	10	S5884_037_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	037	2007	10	29		Humana PDP Complete S5884-037		State of South Carolina	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	038	0		29	10	S5884_038_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	038	2007	10	29		Humana PDP Complete S5884-038		State of Georgia	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	039	0		29	10	S5884_039_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	039	2007	10	29		Humana PDP Complete S5884-039		State of Florida	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	040	0		29	10	S5884_040_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	040	2007	10	29		Humana PDP Complete S5884-040		States of Alabama and Tennessee	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	041	0		29	10	S5884_041_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	041	2007	10	29		Humana PDP Complete S5884-041		State of Michigan	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	042	0		29	10	S5884_042_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	042	2007	10	29		Humana PDP Complete S5884-042		State of Ohio	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	043	0		29	10	S5884_043_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	043	2007	10	29		Humana PDP Complete S5884-043		States of Indiana and Kentucky	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	044	0		29	10	S5884_044_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	044	2007	10	29		Humana PDP Complete S5884-044		State of Wisconsin	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	045	0		29	10	S5884_045_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	045	2007	10	29		Humana PDP Complete S5884-045		State of Illinois	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	046	0		29	10	S5884_046_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	046	2007	10	29		Humana PDP Complete S5884-046		State of Missouri	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	047	0		29	10	S5884_047_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	047	2007	10	29		Humana PDP Complete S5884-047		State of Arkansas	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	048	0		29	10	S5884_048_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	048	2007	10	29		Humana PDP Complete S5884-048		State of Mississippi	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	049	0		29	10	S5884_049_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	049	2007	10	29		Humana PDP Complete S5884-049		State of Louisiana	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	050	0		29	10	S5884_050_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	050	2007	10	29		Humana PDP Complete S5884-050		State of Texas	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	051	0		29	10	S5884_051_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	051	2007	10	29		Humana PDP Complete S5884-051		State of Oklahoma	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	052	0		29	10	S5884_052_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	052	2007	10	29		Humana PDP Complete S5884-052		State of Kansas	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	053	0		29	10	S5884_053_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	053	2007	10	29		Humana PDP Complete S5884-053		States of IA, MN, MT, ND, NE, SD, WY	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	054	0		29	10	S5884_054_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	054	2007	10	29		Humana PDP Complete S5884-054		State of New Mexico	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	055	0		29	10	S5884_055_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	055	2007	10	29		Humana PDP Complete S5884-055		State of Colorado	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	056	0		29	10	S5884_056_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	056	2007	10	29		Humana PDP Complete S5884-056		State of Arizona	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	057	0		29	10	S5884_057_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	057	2007	10	29		Humana PDP Complete S5884-057		State of Nevada	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	058	0		29	10	S5884_058_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	058	2007	10	29		Humana PDP Complete S5884-058		States of Oregon and Washington	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	059	0		29	10	S5884_059_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	059	2007	10	29		Humana PDP Complete S5884-059		States of Idaho and Utah	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	060	0		29	10	S5884_060_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	060	2007	10	29		Humana PDP Complete S5884-060		State of California	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	061	0		29	10	S5884_061_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	061	2007	10	29		Humana PDP Standard S5884-061		States of CT, MA, RI, VT	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	062	0		29	10	S5884_062_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	062	2007	10	29		Humana PDP Standard S5884-062		State of New Jersey	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	063	0		29	10	S5884_063_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	063	2007	10	29		Humana PDP Standard S5884-063		States of DC, DE, MD	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	064	0		29	10	S5884_064_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	064	2007	10	29		Humana PDP Standard S5884-064		States of Pennsylvania and West Virginia	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	065	0		29	10	S5884_065_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	065	2007	10	29		Humana PDP Standard S5884-065		State of Virginia	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	066	0		29	10	S5884_066_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	066	2007	10	29		Humana PDP Standard S5884-066		State of North Carolina	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	067	0		29	10	S5884_067_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	067	2007	10	29		Humana PDP Standard S5884-067		State of South Carolina	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	068	0		29	10	S5884_068_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	068	2007	10	29		Humana PDP Standard S5884-068		State of Georgia	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	069	0		29	10	S5884_069_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	069	2007	10	29		Humana PDP Standard S5884-069		State of Florida	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	070	0		29	10	S5884_070_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	070	2007	10	29		Humana PDP Standard S5884-070		States of Alabama and Tennessee	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	071	0		29	10	S5884_071_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	071	2007	10	29		Humana PDP Standard S5884-071		State of Michigan	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	072	0		29	10	S5884_072_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	072	2007	10	29		Humana PDP Standard S5884-072		State of Ohio	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	073	0		29	10	S5884_073_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	073	2007	10	29		Humana PDP Standard S5884-073		States of Indiana and Kentucky	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	074	0		29	10	S5884_074_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	074	2007	10	29		Humana PDP Standard S5884-074		State of Wisconsin	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	075	0		29	10	S5884_075_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	075	2007	10	29		Humana PDP Standard S5884-075		State of Illinois	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	076	0		29	10	S5884_076_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	076	2007	10	29		Humana PDP Standard S5884-076		State of Missouri	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	077	0		29	10	S5884_077_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	077	2007	10	29		Humana PDP Standard S5884-077		State of Arkansas	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	078	0		29	10	S5884_078_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	078	2007	10	29		Humana PDP Standard S5884-078		State of Mississippi	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	079	0		29	10	S5884_079_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	079	2007	10	29		Humana PDP Standard S5884-079		State of Louisiana	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	080	0		29	10	S5884_080_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	080	2007	10	29		Humana PDP Standard S5884-080		State of Texas	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	081	0		29	10	S5884_081_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	081	2007	10	29		Humana PDP Standard S5884-081		State of Oklahoma	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	082	0		29	10	S5884_082_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	082	2007	10	29		Humana PDP Standard S5884-082		State of Kansas	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	083	0		29	10	S5884_083_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	083	2007	10	29		Humana PDP Standard S5884-083		States of IA, MN, MT, ND, NE, SD, WY	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	084	0		29	10	S5884_084_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	084	2007	10	29		Humana PDP Standard S5884-084		State of New Mexico	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	085	0		29	10	S5884_085_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	085	2007	10	29		Humana PDP Standard S5884-085		State of Colorado	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	086	0		29	10	S5884_086_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	086	2007	10	29		Humana PDP Standard S5884-086		State of Arizona	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	087	0		29	10	S5884_087_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	087	2007	10	29		Humana PDP Standard S5884-087		State of Nevada	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	088	0		29	10	S5884_088_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	088	2007	10	29		Humana PDP Standard S5884-088		States of Oregon and Washington	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	089	0		29	10	S5884_089_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	089	2007	10	29		Humana PDP Standard S5884-089		States of Idaho and Utah	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	090	0		29	10	S5884_090_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	090	2007	10	29		Humana PDP Standard S5884-090		State of California	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	092	0		29	10	S5884_092_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	092	2007	10	29		Humana PDP Standard S5884-092		States of Maine and New Hampshire	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	093	0		29	10	S5884_093_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	093	2007	10	29		Humana PDP Standard S5884-093		State of Hawaii	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	094	0		29	10	S5884_094_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	094	2007	10	29		Humana PDP Standard S5884-094		State of Alaska	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	095	0		29	10	S5884_095_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	095	2007	10	29		Humana PDP Enhanced S5884-095		States of Maine and New Hampshire	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	096	0		29	10	S5884_096_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	096	2007	10	29		Humana PDP Enhanced S5884-096		State of Hawaii	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	097	0		29	10	S5884_097_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	097	2007	10	29		Humana PDP Enhanced S5884-097		State of Alaska	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	098	0		29	10	S5884_098_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	098	2007	10	29		Humana PDP Complete S5884-098		States of Maine and New Hampshire	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	099	0		29	10	S5884_099_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	099	2007	10	29		Humana PDP Complete S5884-099		State of Hawaii	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	100	0		29	10	S5884_100_0	1		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	100	2007	10	29		Humana PDP Complete S5884-100		State of Alaska	2	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	834	0		29	10	S5884_834_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	834	2007	10	29		Humana PDP Employer Sponsored		All Regions	1	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5884	835	0		29	10	S5884_835_0	2		HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	S5884	835	2007	10	29		Humana PDP Employer Sponsored Non-CY		All Regions	1	0		2											(800)-281-6918	(800)-706-0872	(800)-833-3301	(877)-833-4486
S5902	001	0		29	10	S5902_001_0	4		PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian Prescription Drug Plan	www.phs.org	S5902	001	2007	10	29		Presbyterian Prescription Drug Plan 1		New Mexico	2	0		2											(800)-797-5343	(800)-347-4766	(888)-625-6429	(888)-625-6429
S5902	002	0		29	10	S5902_002_0	3		PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian Prescription Drug Plan	www.phs.org	S5902	002	2007	10	29		Presbyterian Prescription Drug Plan  2		New Mexico	2	0		2											(800)-797-5343	(800)-347-4766	(888)-625-6429	(888)-625-6429
S5902	801	0		29	10	S5902_801_0	3		PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian Prescription Drug Plan	www.phs.org	S5902	801	2007	10	29		Pres Employer Group Prescription Drug Plan		New Mexico	1	0		2											(800)-797-5343	(800)-347-4766	(888)-625-6429	(888)-625-6429
S5902	802	0		29	10	S5902_802_0	3		PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian Prescription Drug Plan	www.phs.org	S5902	802	2007	10	29		Pres Employer Group Prescription Drug NC		New Mexico	1	0		2											(800)-797-5343	(800)-347-4766	(888)-625-6429	(888)-625-6429
S5904	001	0		29	10	S5904_001_0	4		BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.bcbsfl.com	S5904	001	2007	10	29		MedicareBlue Rx-Option 1		State of Florida	2	0		2											(877)-352-2583	(800)-876-2227	(800)-955-1339	(800)-955-1339
S5904	002	0		29	10	S5904_002_0	3		BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.bcbsfl.com	S5904	002	2007	10	29		MedicareBlue Rx-Option 2		State of Florida	2	0		2											(877)-352-2583	(800)-876-2227	(800)-955-1339	(800)-955-1339
S5904	003	0		29	10	S5904_003_0	5		BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.bcbsfl.com	S5904	003	2007	10	29		MedicareBlue Rx-Option 3		State of Florida	2	0		2											(877)-352-2583	(800)-876-2227	(800)-955-1339	(800)-955-1339
S5904	801	0		29	10	S5904_801_0	2		BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.bcbsfl.com	S5904	801	2007	10	29		MedicareBlue Group Rx		State of Florida with National Coverage	1	0		2											(877)-352-2583	(800)-876-2227	(800)-955-1339	(800)-955-1339
S5904	802	0		29	10	S5904_802_0	2		BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.bcbsfl.com	S5904	802	2007	10	29		MedicareBlue Group Rx		State of Florida with National Coverage	1	0		2											(877)-352-2583	(800)-876-2227	(800)-955-1339	(800)-955-1339
S5907	001	0		29	10	S5907_001_0	4		TRIPLE-S, INC.	Triple-S	www.ssspr.com	S5907	001	2007	10	29		Triple-S FarmaMed		Island of Puerto Rico	2	0		2											(800)-510-0722	(800)-510-0722	(800)-383-4457	(800)-383-4457
S5907	002	0		29	10	S5907_002_0	4		TRIPLE-S, INC.	Triple-S	www.ssspr.com	S5907	002	2007	10	29		Triple-S FarmaMed Plus		Island of Puerto Rico	2	0		2											(800)-510-0722	(800)-510-0722	(800)-383-4457	(800)-383-4457
S5907	003	0		29	10	S5907_003_0	3		TRIPLE-S, INC.	Triple-S	www.ssspr.com	S5907	003	2007	10	29		Triple-S FarmaMed Superior		Island of Puerto Rico	2	0		2											(800)-510-0722	(800)-510-0722	(800)-383-4457	(800)-383-4457
S5907	801	0		29	10	S5907_801_0	2		TRIPLE-S, INC.	Triple-S	www.ssspr.com	S5907	801	2007	10	29		Triple-S FarmaMed A		Island of Puerto Rico	1	0		2											(800)-510-0722	(800)-510-0722	(800)-383-4457	(800)-383-4457
S5907	802	0		29	10	S5907_802_0	2		TRIPLE-S, INC.	Triple-S	www.ssspr.com	S5907	802	2007	10	29		Triple-S FarmaMed B		Island of Puerto Rico	1	0		2											(800)-510-0722	(800)-510-0722	(800)-383-4457	(800)-383-4457
S5915	001	0		29	10	S5915_001_0	1		SCOTT AND WHITE HEALTH PLAN	Texas Rx Plan	www.swhp.org	S5915	001	2007	10	29		Scott & White Health Plan Texas RX Basic		Texas	2	0		2											(866)-334-3141	(866)-334-3141		
S5915	002	0		29	10	S5915_002_0	3		SCOTT AND WHITE HEALTH PLAN	Texas Rx Plan	www.swhp.org	S5915	002	2007	10	29		Scott & White Health PlanTexas RX Enhanced		Texas	2	0		2											(866)-334-3141	(866)-334-3141		
S5915	003	0		29	10	S5915_003_0	4		SCOTT AND WHITE HEALTH PLAN	Texas Rx Plan	www.swhp.org	S5915	003	2007	10	29		Scott & White Health Plan Texas Rx Value		Texas	2	0		2											(866)-334-3141	(866)-334-3141		
S5916	001	0		29	10	S5916_001_0	3		REGENCE LIFE AND HEALTH INSURANCE COMPANY	Regence Life and Health	www.regence.com/medicareScript	S5916	001	2007	10	29		Regence Medicare Script		Region of Idaho and Utah	2	0		2											(800)-541-8981	(800)-452-2909	(800)-382-1003	(800)-382-1003
S5916	002	0		29	10	S5916_002_0	3		REGENCE LIFE AND HEALTH INSURANCE COMPANY	Regence Life and Health	www.regence.com/medicareScript	S5916	002	2007	10	29		Regence Medicare Script Enhanced		Region of Idaho and Utah	2	0		2											(800)-541-8981	(800)-452-2909	(800)-382-1003	(800)-382-1003
S5917	001	0		29	10	S5917_001_0	4		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	001	2007	10	29		SierraRx		Texas	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	002	0		29	10	S5917_002_0	4		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	002	2007	10	29		SierraRx		New Mexico	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	003	0		29	10	S5917_003_0	4		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	003	2007	10	29		SierraRx		Colorado	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	004	0		29	10	S5917_004_0	3		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	004	2007	10	29		SierraRx		Arizona	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	005	0		29	10	S5917_005_0	4		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	005	2007	10	29		SierraRx		Nevada	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	006	0		29	10	S5917_006_0	4		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	006	2007	10	29		SierraRx		Oregon & Washington	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	007	0		29	10	S5917_007_0	4		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	007	2007	10	29		SierraRx		Idaho & Utah	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	008	0		29	10	S5917_008_0	4		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	008	2007	10	29		SierraRx		California	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	009	0		29	10	S5917_009_0	3		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	009	2007	10	29		SierraRx Basic		New Jersey	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	010	0		29	10	S5917_010_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	010	2007	10	29		SierraRx Basic		Delaware, District of Columbia and Maryland	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	011	0		29	10	S5917_011_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	011	2007	10	29		SierraRx Basic		Pennsylvania and West Virginia	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	012	0		29	10	S5917_012_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	012	2007	10	29		SierraRx Basic		Virginia	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	014	0		29	10	S5917_014_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	014	2007	10	29		SierraRx Basic		South Carolina	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	015	0		29	10	S5917_015_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	015	2007	10	29		SierraRx Basic		Georgia	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	016	0		29	10	S5917_016_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	016	2007	10	29		SierraRx Basic		Alabama and Tennessee	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	017	0		29	10	S5917_017_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	017	2007	10	29		SierraRx Basic		Ohio	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	018	0		29	10	S5917_018_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	018	2007	10	29		SierraRx Basic		Indiana and Kentucky	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	019	0		29	10	S5917_019_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	019	2007	10	29		SierraRx Basic		Illinois	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	020	0		29	10	S5917_020_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	020	2007	10	29		SierraRx Basic		Missouri	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	021	0		29	10	S5917_021_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	021	2007	10	29		SierraRx Basic		Arkansas	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	022	0		29	10	S5917_022_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	022	2007	10	29		SierraRx Basic		Mississippi	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	023	0		29	10	S5917_023_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	023	2007	10	29		SierraRx Basic		Louisiana	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	024	0		29	10	S5917_024_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	024	2007	10	29		SierraRx Basic		Oklahoma	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	025	0		29	10	S5917_025_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	025	2007	10	29		SierraRx Basic		Kansas	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	026	0		29	10	S5917_026_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	026	2007	10	29		SierraRx Basic		Texas	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	027	0		29	10	S5917_027_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	027	2007	10	29		SierraRx Basic		New Mexico	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	028	0		29	10	S5917_028_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	028	2007	10	29		SierraRx Basic		Colorado	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	029	0		29	10	S5917_029_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	029	2007	10	29		SierraRx Basic		Arizona	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	030	0		29	10	S5917_030_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	030	2007	10	29		SierraRx Basic		Nevada	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	031	0		29	10	S5917_031_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	031	2007	10	29		SierraRx Basic		Oregon and Washington	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	032	0		29	10	S5917_032_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	032	2007	10	29		SierraRx Basic		Idaho and Utah	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	033	0		29	10	S5917_033_0	3		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	033	2007	10	29		SierraRx Basic		California	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	034	0		29	10	S5917_034_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	034	2007	10	29		SierraRx Plus		New Jersey	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	035	0		29	10	S5917_035_0	2		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	035	2007	10	29		SierraRx Plus		Delaware, District of Clumbia and Maryland	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	036	0		29	10	S5917_036_0	1		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	036	2007	10	29		SierraRx Plus		Pennsylvania and West Virginia	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	037	0		29	10	S5917_037_0	1		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	037	2007	10	29		SierraRx Plus		Virginia	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	039	0		29	10	S5917_039_0	1		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	039	2007	10	29		SierraRx Plus		South Carolina	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	040	0		29	10	S5917_040_0	1		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	040	2007	10	29		SierraRx Plus		Georgia	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	041	0		29	10	S5917_041_0	1		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	041	2007	10	29		SierraRx Plus		Alabama and Tennessee	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	042	0		29	10	S5917_042_0	1		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	042	2007	10	29		SierraRx Plus		Ohio	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	043	0		29	10	S5917_043_0	1		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	043	2007	10	29		SierraRx Plus		Indiana and Kentucky	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	044	0		29	10	S5917_044_0	1		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	044	2007	10	29		SierraRx Plus		Illinois	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	045	0		29	10	S5917_045_0	1		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	045	2007	10	29		SierraRx Plus		Missouri	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	046	0		29	10	S5917_046_0	1		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	046	2007	10	29		SierraRx Plus		Arkansas	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	047	0		29	10	S5917_047_0	1		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	047	2007	10	29		SierraRx Plus		Mississippi	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	048	0		29	10	S5917_048_0	1		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	048	2007	10	29		SierraRx Plus		Louisiana	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	049	0		29	10	S5917_049_0	1		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	049	2007	10	29		SierraRx Plus		Oklahoma	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	050	0		29	10	S5917_050_0	1		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	050	2007	10	29		SierraRx Plus		Kansas	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	051	0		29	10	S5917_051_0	1		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	051	2007	10	29		SierraRx Plus		Texas	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	052	0		29	10	S5917_052_0	1		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	052	2007	10	29		SierraRx Plus		New Mexico	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	053	0		29	10	S5917_053_0	1		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	053	2007	10	29		SierraRx Plus		Colorado	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	054	0		29	10	S5917_054_0	1		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	054	2007	10	29		SierraRx Plus		Arizona	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	055	0		29	10	S5917_055_0	1		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	055	2007	10	29		SierraRx Plus		Nevada	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	056	0		29	10	S5917_056_0	1		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	056	2007	10	29		SierraRx Plus		Oregon and Washington	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	057	0		29	10	S5917_057_0	1		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	057	2007	10	29		SierraRx Plus		Idaho and Utah	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5917	058	0		29	10	S5917_058_0	1		SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	SierraRx	www.sierrarx.com	S5917	058	2007	10	29		SierraRx Plus		California	2	0		2											(866)-789-1522	(866)-789-0565	(866)-789-1530	(866)-789-0572
S5921	001	0		29	10	S5921_001_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	001	2007	10	29		AARP MedicareRx Plan - Saver		California	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	002	0		29	10	S5921_002_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	002	2007	10	29		UnitedHealth Rx Basic		California	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	003	0		29	10	S5921_003_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	003	2007	10	29		AARP MedicareRx Plan - Enhanced		California	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	011	0		29	10	S5921_011_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	011	2007	10	29		AARP MedicareRx Plan - Saver		Alaska	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	012	0		29	10	S5921_012_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	012	2007	10	29		UnitedHealth Rx Basic		Alaska	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	013	0		29	10	S5921_013_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	013	2007	10	29		AARP MedicareRx Plan - Enhanced		Alaska	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	021	0		29	10	S5921_021_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	021	2007	10	29		AARP MedicareRx Plan - Saver		Oregon and Washington	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	022	0		29	10	S5921_022_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	022	2007	10	29		UnitedHealth Rx Basic		Oregon and Washington	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	023	0		29	10	S5921_023_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	023	2007	10	29		AARP MedicareRx Plan - Enhanced		Oregon and Washington	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	031	0		29	10	S5921_031_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	031	2007	10	29		AARP MedicareRx Plan - Saver		Idaho and Utah	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	032	0		29	10	S5921_032_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	032	2007	10	29		UnitedHealth Rx Basic		Idaho and Utah	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	033	0		29	10	S5921_033_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	033	2007	10	29		AARP MedicareRx Plan - Enhanced		Idaho and Utah	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	041	0		29	10	S5921_041_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	041	2007	10	29		AARP MedicareRx Plan - Saver		Hawaii	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	042	0		29	10	S5921_042_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	042	2007	10	29		UnitedHealth Rx Basic		Hawaii	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	043	0		29	10	S5921_043_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	043	2007	10	29		AARP MedicareRx Plan - Enhanced		Hawaii	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	051	0		29	10	S5921_051_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	051	2007	10	29		AARP MedicareRx Plan - Saver		Ohio	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	052	0		29	10	S5921_052_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	052	2007	10	29		UnitedHealth Rx Basic		Ohio	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	053	0		29	10	S5921_053_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	053	2007	10	29		AARP MedicareRx Plan - Enhanced		Ohio	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	061	0		29	10	S5921_061_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	061	2007	10	29		AARP MedicareRx Plan - Saver		Indiana and Kentucky	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	062	0		29	10	S5921_062_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	062	2007	10	29		UnitedHealth Rx Basic		Indiana and Kentucky	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	063	0		29	10	S5921_063_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	063	2007	10	29		AARP MedicareRx Plan - Enhanced		Indiana and Kentucky	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	071	0		29	10	S5921_071_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	071	2007	10	29		AARP MedicareRx Plan - Saver		Wisconsin	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	072	0		29	10	S5921_072_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	072	2007	10	29		UnitedHealth Rx Basic		Wisconsin	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	073	0		29	10	S5921_073_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	073	2007	10	29		AARP MedicareRx Plan - Enhanced		Wisconsin	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	081	0		29	10	S5921_081_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	081	2007	10	29		AARP MedicareRx Plan - Saver		Illinois	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	082	0		29	10	S5921_082_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	082	2007	10	29		UnitedHealth Rx Basic		Illinois	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	083	0		29	10	S5921_083_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	083	2007	10	29		AARP MedicareRx Plan - Enhanced		Illinois	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	091	0		29	10	S5921_091_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	091	2007	10	29		AARP MedicareRx Plan - Saver		Pennsylvania and West Virginia	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	092	0		29	10	S5921_092_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	092	2007	10	29		UnitedHealth Rx Basic		Pennsylvania and West Virginia	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	093	0		29	10	S5921_093_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	093	2007	10	29		AARP MedicareRx Plan - Enhanced		Pennsylvania and West Virginia	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	101	0		29	10	S5921_101_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	101	2007	10	29		AARP MedicareRx Plan - Saver		Virginia	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	102	0		29	10	S5921_102_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	102	2007	10	29		UnitedHealth Rx Basic		Virginia	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	103	0		29	10	S5921_103_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	103	2007	10	29		AARP MedicareRx Plan - Enhanced		Virginia	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	111	0		29	10	S5921_111_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	111	2007	10	29		AARP MedicareRx Plan - Saver		North Carolina	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	112	0		29	10	S5921_112_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	112	2007	10	29		UnitedHealth Rx Basic		North Carolina	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	113	0		29	10	S5921_113_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	113	2007	10	29		AARP MedicareRx Plan - Enhanced		North Carolina	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	121	0		29	10	S5921_121_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	121	2007	10	29		AARP MedicareRx Plan - Saver		South Carolina	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	122	0		29	10	S5921_122_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	122	2007	10	29		UnitedHealth Rx Basic		South Carolina	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	123	0		29	10	S5921_123_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	123	2007	10	29		AARP MedicareRx Plan - Enhanced		South Carolina	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	131	0		29	10	S5921_131_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	131	2007	10	29		AARP MedicareRx Plan - Saver		Georgia	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	132	0		29	10	S5921_132_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	132	2007	10	29		UnitedHealth Rx Basic		Georgia	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	133	0		29	10	S5921_133_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	133	2007	10	29		AARP MedicareRx Plan - Enhanced		Georgia	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	141	0		29	10	S5921_141_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	141	2007	10	29		AARP MedicareRx Plan - Saver		Florida	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	142	0		29	10	S5921_142_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	142	2007	10	29		UnitedHealth Rx Basic		Florida	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	143	0		29	10	S5921_143_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	143	2007	10	29		AARP MedicareRx Plan - Enhanced		Florida	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	151	0		29	10	S5921_151_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	151	2007	10	29		AARP MedicareRx Plan - Saver		Alabama and Tennessee	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	152	0		29	10	S5921_152_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	152	2007	10	29		UnitedHealth Rx Basic		Alabama and Tennessee	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	153	0		29	10	S5921_153_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	153	2007	10	29		AARP MedicareRx Plan - Enhanced		Alabama and Tennessee	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	161	0		29	10	S5921_161_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	161	2007	10	29		AARP MedicareRx Plan - Saver		Michigan	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	162	0		29	10	S5921_162_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	162	2007	10	29		UnitedHealth Rx Basic		Michigan	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	163	0		29	10	S5921_163_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	163	2007	10	29		AARP MedicareRx Plan - Enhanced		Michigan	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	171	0		29	10	S5921_171_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	171	2007	10	29		AARP MedicareRx Plan - Saver		New Hampshire and Maine	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	172	0		29	10	S5921_172_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	172	2007	10	29		UnitedHealth Rx Basic		New Hampshire and Maine	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	173	0		29	10	S5921_173_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	173	2007	10	29		AARP MedicareRx Plan - Enhanced		New Hampshire and Maine	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	181	0		29	10	S5921_181_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	181	2007	10	29		AARP MedicareRx Plan - Saver		Connecticut, Massachusetts, Rhode Island, Vermont	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	182	0		29	10	S5921_182_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	182	2007	10	29		UnitedHealth Rx Basic		Connecticut, Massachusetts, Rhode Island, Vermont	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	183	0		29	10	S5921_183_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	183	2007	10	29		AARP MedicareRx Plan - Enhanced		Connecticut, Massachusetts, Rhode Island, Vermont	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	191	0		29	10	S5921_191_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	191	2007	10	29		AARP MedicareRx Plan - Saver		Texas	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	192	0		29	10	S5921_192_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	192	2007	10	29		UnitedHealth Rx Basic		Texas	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	193	0		29	10	S5921_193_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	193	2007	10	29		AARP MedicareRx Plan - Enhanced		Texas	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	201	0		29	10	S5921_201_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	201	2007	10	29		AARP MedicareRx Plan - Saver		Oklahoma	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	202	0		29	10	S5921_202_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	202	2007	10	29		UnitedHealth Rx Basic		Oklahoma	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	203	0		29	10	S5921_203_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	203	2007	10	29		AARP MedicareRx Plan - Saver		New York	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	207	0		29	10	S5921_207_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	207	2007	10	29		UnitedHealth Rx Basic		New York	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	213	0		29	10	S5921_213_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	213	2007	10	29		AARP MedicareRx Plan - Enhanced		New York	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	221	0		29	10	S5921_221_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	221	2007	10	29		AARP MedicareRx Plan - Saver		Colorado	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	222	0		29	10	S5921_222_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	222	2007	10	29		UnitedHealth Rx Basic		Colorado	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	223	0		29	10	S5921_223_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	223	2007	10	29		AARP MedicareRx Plan - Enhanced		Colorado	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	231	0		29	10	S5921_231_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	231	2007	10	29		AARP MedicareRx Plan - Saver		Arizona	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	232	0		29	10	S5921_232_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	232	2007	10	29		UnitedHealth Rx Basic		Arizona	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	233	0		29	10	S5921_233_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	233	2007	10	29		AARP MedicareRx Plan - Enhanced		Arizona	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	235	0		29	10	S5921_235_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	235	2007	10	29		AARP MedicareRx Plan - Enhanced		Oklahoma	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	237	0		29	10	S5921_237_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	237	2007	10	29		AARP MedicareRx Plan - Saver		Delaware, Maryland and Washington D.C.	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	238	0		29	10	S5921_238_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	238	2007	10	29		UnitedHealth Rx Basic		Delaware, Maryland and Washington D.C.	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	239	0		29	10	S5921_239_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	239	2007	10	29		AARP MedicareRx Plan - Enhanced		Delaware, Maryland and Washington D.C.	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	247	0		29	10	S5921_247_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	247	2007	10	29		AARP MedicareRx Plan - Saver		IA, MN, MT, ND, ND, SD & WY	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	248	0		29	10	S5921_248_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	248	2007	10	29		UnitedHealth Rx Basic		IA, MN, MT, ND, ND, SD & WY	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	249	0		29	10	S5921_249_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	249	2007	10	29		AARP MedicareRx Plan - Enhanced		IA, MN, MT, ND, ND, SD & WY	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	261	0		29	10	S5921_261_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	261	2007	10	29		AARP MedicareRx Plan - Saver		New Mexico	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	262	0		29	10	S5921_262_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	262	2007	10	29		UnitedHealth Rx Basic		New Mexico	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	263	0		29	10	S5921_263_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	263	2007	10	29		AARP MedicareRx Plan - Enhanced		New Mexico	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	265	0		29	10	S5921_265_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	265	2007	10	29		AARP MedicareRx Plan - Saver		Nevada	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	266	0		29	10	S5921_266_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	266	2007	10	29		UnitedHealth Rx Basic		Nevada	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	273	0		29	10	S5921_273_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	273	2007	10	29		AARP MedicareRx Plan - Enhanced		Nevada	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	281	0		29	10	S5921_281_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	281	2007	10	29		AARP MedicareRx Plan - Saver		Kansas	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	282	0		29	10	S5921_282_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	282	2007	10	29		UnitedHealth Rx Basic		Kansas	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	283	0		29	10	S5921_283_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	283	2007	10	29		AARP MedicareRx Plan - Enhanced		Kansas	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	286	0		29	10	S5921_286_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	286	2007	10	29		AARP MedicareRx Plan - Saver		New Jersey	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	288	0		29	10	S5921_288_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	288	2007	10	29		UnitedHealth Rx Basic		New Jersey	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	293	0		29	10	S5921_293_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	293	2007	10	29		AARP MedicareRx Plan - Enhanced		New Jersey	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	301	0		29	10	S5921_301_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	301	2007	10	29		AARP MedicareRx Plan - Saver		Missouri	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	302	0		29	10	S5921_302_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	302	2007	10	29		UnitedHealth Rx Basic		Missouri	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	303	0		29	10	S5921_303_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	303	2007	10	29		AARP MedicareRx Plan - Enhanced		Missouri	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	311	0		29	10	S5921_311_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	311	2007	10	29		AARP MedicareRx Plan - Saver		Arkansas	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	312	0		29	10	S5921_312_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	312	2007	10	29		UnitedHealth Rx Basic		Arkansas	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	313	0		29	10	S5921_313_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	313	2007	10	29		AARP MedicareRx Plan - Enhanced		Arkansas	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	321	0		29	10	S5921_321_0	4		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	321	2007	10	29		AARP MedicareRx Plan - Saver		Mississippi	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	322	0		29	10	S5921_322_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	322	2007	10	29		UnitedHealth Rx Basic		Mississippi	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	323	0		29	10	S5921_323_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	323	2007	10	29		AARP MedicareRx Plan - Enhanced		Mississippi	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	331	0		29	10	S5921_331_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	331	2007	10	29		AARP MedicareRx Plan - Saver		Louisiana	2	0		2											(888)-867-5575	(800)-745-0922	(877)-730-4192	(877)-730-4192
S5921	332	0		29	10	S5921_332_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	332	2007	10	29		UnitedHealth Rx Basic		Louisiana	2	0		2											(888)-867-5562	(888)-867-5561	(877)-730-4203	(877)-730-4203
S5921	333	0		29	10	S5921_333_0	2		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	333	2007	10	29		AARP MedicareRx Plan - Enhanced		Louisiana	2	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	802	0		29	10	S5921_802_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	802	2007	10	29		United MedicareRx Employer Group Plan		National	1	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5921	837	0		29	10	S5921_837_0	3		PACIFICARE LIFE AND HEALTH INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	S5921	837	2007	10	29		United MedicareRx Employer Group Plan		National	1	0		2											(888)-867-5575	(888)-867-5564	(877)-730-4192	(877)-730-4192
S5932	001	0		29	10	S5932_001_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	001	2007	10	29		HealthSpring Prescription Drug Plan		Alabama, Tennessee	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	002	0		29	10	S5932_002_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	002	2007	10	29		HealthSpring Prescription Drug Plan -Reg 1		Northern New England	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	003	0		29	10	S5932_003_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	003	2007	10	29		HealthSpring Prescription Drug Plan -Reg 2		Central New England	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	004	0		29	10	S5932_004_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	004	2007	10	29		HealthSpring Prescription Drug Plan -Reg 3		New York	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	005	0		29	10	S5932_005_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	005	2007	10	29		HealthSpring Prescription Drug Plan -Reg 4		New Jersey	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	006	0		29	10	S5932_006_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	006	2007	10	29		HealthSpring Prescription Drug Plan -Reg 6		Pennsylvania, West Virginia	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	007	0		29	10	S5932_007_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	007	2007	10	29		HealthSpring Prescription Drug Plan -Reg 7		Virginia	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	008	0		29	10	S5932_008_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	008	2007	10	29		HealthSpring Prescription Drug Plan -Reg 8		North Carolina	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	009	0		29	10	S5932_009_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	009	2007	10	29		HealthSpring Prescription Drug Plan -Reg 9		South Carolina	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	010	0		29	10	S5932_010_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	010	2007	10	29		HealthSpring Prescription Drug Plan-Reg 10		Georgia	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	011	0		29	10	S5932_011_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	011	2007	10	29		HealthSpring Prescription Drug Plan-Reg 11		Florida	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	012	0		29	10	S5932_012_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	012	2007	10	29		HealthSpring Prescription Drug Plan-Reg 13		Michigan	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	013	0		29	10	S5932_013_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	013	2007	10	29		HealthSpring Prescription Drug Plan-Reg 14		Ohio	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	014	0		29	10	S5932_014_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	014	2007	10	29		HealthSpring Prescription Drug Plan-Reg 15		Indiana, Kentucky	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	015	0		29	10	S5932_015_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	015	2007	10	29		HealthSpring Prescription Drug Plan-Reg 16		Wisconsin	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	016	0		29	10	S5932_016_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	016	2007	10	29		HealthSpring Prescription Drug Plan-Reg 17		Illinois	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	017	0		29	10	S5932_017_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	017	2007	10	29		HealthSpring Prescription Drug Plan-Reg 18		Missouri	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	018	0		29	10	S5932_018_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	018	2007	10	29		HealthSpring Prescription Drug Plan-Reg 19		Arkansas	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	019	0		29	10	S5932_019_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	019	2007	10	29		HealthSpring Prescription Drug Plan-Reg 20		Mississippi	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	020	0		29	10	S5932_020_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	020	2007	10	29		HealthSpring Prescription Drug Plan-Reg 21		Louisiana	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	021	0		29	10	S5932_021_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	021	2007	10	29		HealthSpring Prescription Drug Plan-Reg 22		Texas	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	022	0		29	10	S5932_022_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	022	2007	10	29		HealthSpring Prescription Drug Plan-Reg 23		Oklahoma	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	023	0		29	10	S5932_023_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	023	2007	10	29		HealthSpring Prescription Drug Plan-Reg 24		Kansas	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	024	0		29	10	S5932_024_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	024	2007	10	29		HealthSpring Prescription Drug Plan-Reg 25		Upper Midwest and Northern Plains	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	025	0		29	10	S5932_025_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	025	2007	10	29		HealthSpring Prescription Drug Plan-Reg 26		New Mexico	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	026	0		29	10	S5932_026_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	026	2007	10	29		HealthSpring Prescription Drug Plan-Reg 27		Colorado	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	027	0		29	10	S5932_027_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	027	2007	10	29		HealthSpring Prescription Drug Plan-Reg 28		Arizona	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	028	0		29	10	S5932_028_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	028	2007	10	29		HealthSpring Prescription Drug Plan-Reg 29		Nevada	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	029	0		29	10	S5932_029_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	029	2007	10	29		HealthSpring Prescription Drug Plan-Reg 30		Oregon, Washington	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	030	0		29	10	S5932_030_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	030	2007	10	29		HealthSpring Prescription Drug Plan-Reg 31		Idaho, Utah	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	031	0		29	10	S5932_031_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	031	2007	10	29		HealthSpring Prescription Drug Plan-Reg 32		California	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	032	0		29	10	S5932_032_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	032	2007	10	29		HealthSpring Prescription Drug Plan-Reg 33		Hawaii	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	033	0		29	10	S5932_033_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	033	2007	10	29		HealthSpring Prescription Drug Plan-Reg 34		Alaska	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	034	0		29	10	S5932_034_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	034	2007	10	29		HealthSpring Prescription Drug Plan -Reg 5		Mid-Atlantic	2	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	802	0		29	10	S5932_802_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	802	2007	10	29		HealthSpring Retiree Prescription Plan		National	1	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5932	803	0		29	10	S5932_803_0	1		HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.myhealthspring.com	S5932	803	2007	10	29		HealthSpring Retiree Drug Plan		National	1	0		2											(866)-845-6941	(888)-802-2415	(886)-206-5565	(800)-391-9806
S5937	001	0		29	10	S5937_001_0	1		LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY	Blue Cross and Blue Shield of Louisiana	www.bcbsla.com	S5937	001	2007	10	29		RxBLUE		Louisiana	2	0		2											(888)-223-2583	(800)-593-9735	(800)-947-5277	(800)-947-5277
S5937	801	0		29	10	S5937_801_0	1		LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY	Blue Cross and Blue Shield of Louisiana	www.bcbsla.com	S5937	801	2007	10	29		RxBLUE-Grp		Louisiana	1	0		2											(888)-223-2583	(800)-593-9735	(800)-947-5277	(800)-947-5277
S5937	803	0		29	10	S5937_803_0	1		LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY	Blue Cross and Blue Shield of Louisiana	www.bcbsla.com	S5937	803	2007	10	29		RxBLUE-Grp2		Louisiana	1	0		2											(888)-223-2583	(800)-593-9735	(800)-947-5277	(800)-947-5277
S5946	001	0		29	10	S5946_001_0	4		INSTIL HEALTH INSURANCE COMPANY	InStil Health Insurance Company	www.myinstil.com	S5946	001	2007	10	29		InStil Rx		South Carolina	2	0		2											(877)-897-2783	(877)-446-7845	(800)-503-3118	(800)-503-3118
S5946	002	0		29	10	S5946_002_0	4		INSTIL HEALTH INSURANCE COMPANY	InStil Health Insurance Company	www.myinstil.com	S5946	002	2007	10	29		InStil Rx		Georgia	2	0		2											(877)-897-2783	(877)-446-7845	(800)-503-3118	(800)-503-3118
S5946	003	0		29	10	S5946_003_0	4		INSTIL HEALTH INSURANCE COMPANY	InStil Health Insurance Company	www.myinstil.com	S5946	003	2007	10	29		InStil Rx Plus		South Carolina	2	0		2											(877)-897-2783	(877)-446-7845	(800)-503-3118	(800)-503-3118
S5946	004	0		29	10	S5946_004_0	4		INSTIL HEALTH INSURANCE COMPANY	InStil Health Insurance Company	www.myinstil.com	S5946	004	2007	10	29		InStil Rx Plus		Georgia	2	0		2											(877)-897-2783	(877)-446-7845	(800)-503-3118	(800)-503-3118
S5946	801	0		29	10	S5946_801_0	3		INSTIL HEALTH INSURANCE COMPANY	InStil Health Insurance Company	www.myinstil.com	S5946	801	2007	10	29		InStil Senior Group Rx		Georgia and South Carolina	1	0		2											(877)-897-2783	(877)-446-7845	(800)-503-3118	(800)-503-3118
S5946	802	0		29	10	S5946_802_0	3		INSTIL HEALTH INSURANCE COMPANY	InStil Health Insurance Company	www.myinstil.com	S5946	802	2007	10	29		InStil Senior Group Rx		Georgia and South Carolina	1	0		2											(877)-897-2783	(877)-446-7845	(800)-503-3118	(800)-503-3118
S5953	001	0		29	10	S5953_001_0	3		BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	BlueCross BlueShield of South Carolina	www.southcarolinablues.com/marx	S5953	001	2007	10	29		MedBlue Rx		South Carolina	2	0		2											(888)-645-6025	(800)-930-2836	(888)-645-6023	(800)-681-3846
S5953	002	0		29	10	S5953_002_0	3		BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	BlueCross BlueShield of South Carolina	www.southcarolinablues.com/marx	S5953	002	2007	10	29		MedBlue Rx Plus		South Carolina	2	0		2											(888)-645-6025	(800)-930-2836	(888)-645-6023	(800)-681-3846
S5953	801	0		29	10	S5953_801_0	5		BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	BlueCross BlueShield of South Carolina	www.southcarolinablues.com/marx	S5953	801	2007	10	29		Group Blue Rx Plus		South Carolina	1	0		2											(800)-605-3256	(800)-930-2836	(888)-300-7215	(800)-681-3846
S5953	802	0		29	10	S5953_802_0	5		BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	BlueCross BlueShield of South Carolina	www.southcarolinablues.com/marx	S5953	802	2007	10	29		Group Blue Rx Plus		South Carolina	1	0		2											(800)-605-3256	(800)-930-2836	(888)-300-7215	(800)-681-3846
S5954	004	0		29	10	S5954_004_0	6		DEAN HEALTH INSURANCE, INC.	Dean Health Insurance, Inc.	www.deancare.com/deancarerx	S5954	004	2007	10	29		DeanCare Rx Classic		DeanCare Rx	2	0		2											(888)-422-3326	(888)-422-3326	(877)-733-6456	(877)-733-6456
S5954	005	0		29	10	S5954_005_0	5		DEAN HEALTH INSURANCE, INC.	Dean Health Insurance, Inc.	www.deancare.com/deancarerx	S5954	005	2007	10	29		DeanCare Rx Enhanced		DeanCare Rx	2	0		2											(888)-422-3326	(888)-422-3326	(877)-733-6456	(877)-733-6456
S5954	801	0		29	10	S5954_801_0	1		DEAN HEALTH INSURANCE, INC.	Dean Health Insurance, Inc.	www.deancare.com/deancarerx	S5954	801	2007	10	29		DeanCare Rx Employer		DeanCare Rx	1	0		2											(888)-422-3326	(888)-422-3326	(877)-733-6456	(877)-733-6456
S5954	803	0		29	10	S5954_803_0	1		DEAN HEALTH INSURANCE, INC.	Dean Health Insurance, Inc.	www.deancare.com/deancarerx	S5954	803	2007	10	29		DeanCare Rx Employer II		DeanCare Rx	1	0		2											(888)-422-3326	(888)-422-3326	(877)-733-6456	(877)-733-6456
S5960	001	0		29	10	S5960_001_0	3		UNICARE	Unicare	www.unicare.com	S5960	001	2007	10	29		MedicareRx Rewards Value		Region 1 (NH & ME)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	002	0		29	10	S5960_002_0	3		UNICARE	Unicare	www.unicare.com	S5960	002	2007	10	29		MedicareRx Rewards Value		Central New England (CT, MS, RI, VT)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	003	0		29	10	S5960_003_0	3		UNICARE	Unicare	www.unicare.com	S5960	003	2007	10	29		MedicareRx Rewards Value		New York	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	004	0		29	10	S5960_004_0	3		UNICARE	Unicare	www.unicare.com	S5960	004	2007	10	29		MedicareRx Rewards Value		New Jersey	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	005	0		29	10	S5960_005_0	3		UNICARE	Unicare	www.unicare.com	S5960	005	2007	10	29		MedicareRx Rewards Value		Mid-Atlantic (DC, DE, MD)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	006	0		29	10	S5960_006_0	3		UNICARE	Unicare	www.unicare.com	S5960	006	2007	10	29		MedicareRx Rewards Value		Pennsylvania, West Virginia (PA, WV)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	007	0		29	10	S5960_007_0	3		UNICARE	Unicare	www.unicare.com	S5960	007	2007	10	29		MedicareRx Rewards Value		Virginia (VA)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	008	0		29	10	S5960_008_0	3		UNICARE	Unicare	www.unicare.com	S5960	008	2007	10	29		MedicareRx Rewards Value		North Carolina (NC)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	009	0		29	10	S5960_009_0	3		UNICARE	Unicare	www.unicare.com	S5960	009	2007	10	29		MedicareRx Rewards Value		South Carolina (SC)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	010	0		29	10	S5960_010_0	3		UNICARE	Unicare	www.unicare.com	S5960	010	2007	10	29		MedicareRx Rewards Value		Georgia (GA)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	011	0		29	10	S5960_011_0	3		UNICARE	Unicare	www.unicare.com	S5960	011	2007	10	29		MedicareRx Rewards Value		Florida (FL)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	012	0		29	10	S5960_012_0	3		UNICARE	Unicare	www.unicare.com	S5960	012	2007	10	29		MedicareRx Rewards Value		Alabama, Tennessee (AL, TN)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	013	0		29	10	S5960_013_0	3		UNICARE	Unicare	www.unicare.com	S5960	013	2007	10	29		MedicareRx Rewards Value		Michigan (MI)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	014	0		29	10	S5960_014_0	3		UNICARE	Unicare	www.unicare.com	S5960	014	2007	10	29		MedicareRx Rewards Value		Ohio (OH)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	015	0		29	10	S5960_015_0	3		UNICARE	Unicare	www.unicare.com	S5960	015	2007	10	29		MedicareRx Rewards Value		Indiana, Kentucky (IN, KY)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	016	0		29	10	S5960_016_0	3		UNICARE	Unicare	www.unicare.com	S5960	016	2007	10	29		MedicareRx Rewards Value		Wisconsin (WI)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	017	0		29	10	S5960_017_0	3		UNICARE	Unicare	www.unicare.com	S5960	017	2007	10	29		MedicareRx Rewards Value		Illinois (IL)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	018	0		29	10	S5960_018_0	3		UNICARE	Unicare	www.unicare.com	S5960	018	2007	10	29		MedicareRx Rewards Value		Missouri (MO)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	019	0		29	10	S5960_019_0	3		UNICARE	Unicare	www.unicare.com	S5960	019	2007	10	29		MedicareRx Rewards Value		Arkansas (AR)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	020	0		29	10	S5960_020_0	3		UNICARE	Unicare	www.unicare.com	S5960	020	2007	10	29		MedicareRx Rewards Value		Mississippi (MS)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	021	0		29	10	S5960_021_0	3		UNICARE	Unicare	www.unicare.com	S5960	021	2007	10	29		MedicareRx Rewards Value		Louisiana (LA)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	022	0		29	10	S5960_022_0	3		UNICARE	Unicare	www.unicare.com	S5960	022	2007	10	29		MedicareRx Rewards Value		Texas (TX)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	023	0		29	10	S5960_023_0	3		UNICARE	Unicare	www.unicare.com	S5960	023	2007	10	29		MedicareRx Rewards Value		Oklahoma (OK)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	024	0		29	10	S5960_024_0	3		UNICARE	Unicare	www.unicare.com	S5960	024	2007	10	29		MedicareRx Rewards Value		Kansas (KS)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	025	0		29	10	S5960_025_0	3		UNICARE	Unicare	www.unicare.com	S5960	025	2007	10	29		MedicareRx Rewards Value		Upper Midwest and Northern Plains	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	026	0		29	10	S5960_026_0	3		UNICARE	Unicare	www.unicare.com	S5960	026	2007	10	29		MedicareRx Rewards Value		New Mexico (NM)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	027	0		29	10	S5960_027_0	3		UNICARE	Unicare	www.unicare.com	S5960	027	2007	10	29		MedicareRx Rewards Value		Colorado (CO)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	028	0		29	10	S5960_028_0	3		UNICARE	Unicare	www.unicare.com	S5960	028	2007	10	29		MedicareRx Rewards Value		Arizona (AZ)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	029	0		29	10	S5960_029_0	3		UNICARE	Unicare	www.unicare.com	S5960	029	2007	10	29		MedicareRx Rewards Value		Nevada (NV)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	030	0		29	10	S5960_030_0	3		UNICARE	Unicare	www.unicare.com	S5960	030	2007	10	29		MedicareRx Rewards Value		Oregon, Washington (OR, WA)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	031	0		29	10	S5960_031_0	3		UNICARE	Unicare	www.unicare.com	S5960	031	2007	10	29		MedicareRx Rewards Value		Idaho, Utah (ID, UT)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	032	0		29	10	S5960_032_0	3		UNICARE	Unicare	www.unicare.com	S5960	032	2007	10	29		MedicareRx Rewards Value		California (CA)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	033	0		29	10	S5960_033_0	3		UNICARE	Unicare	www.unicare.com	S5960	033	2007	10	29		MedicareRx Rewards Value		Hawaii (HI)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	034	0		29	10	S5960_034_0	3		UNICARE	Unicare	www.unicare.com	S5960	034	2007	10	29		MedicareRx Rewards Value		Alaska (AK)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	039	0		29	10	S5960_039_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	039	2007	10	29		MedicareRx Rewards Plus		New York (NY)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	040	0		29	10	S5960_040_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	040	2007	10	29		MedicareRx Rewards Plus		New Jersey (NJ)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	041	0		29	10	S5960_041_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	041	2007	10	29		MedicareRx Rewards Plus		Mid-Atlantic (DC, DE, MD)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	042	0		29	10	S5960_042_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	042	2007	10	29		MedicareRx Rewards Plus		Pennsylvania, West Virginia (PA, WV)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	044	0		29	10	S5960_044_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	044	2007	10	29		MedicareRx Rewards Plus		North Carolina (NC)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	045	0		29	10	S5960_045_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	045	2007	10	29		MedicareRx Rewards Plus		South Carolina (SC)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	047	0		29	10	S5960_047_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	047	2007	10	29		MedicareRx Rewards Plus		Florida (FL)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	048	0		29	10	S5960_048_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	048	2007	10	29		MedicareRx Rewards Plus		Alabama, Tennessee (AL, TN)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	049	0		29	10	S5960_049_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	049	2007	10	29		MedicareRx Rewards Plus		Michigan (MI)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	053	0		29	10	S5960_053_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	053	2007	10	29		MedicareRx Rewards Plus		Illinois (IL)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	055	0		29	10	S5960_055_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	055	2007	10	29		MedicareRx Rewards Plus		Arkansas (AR)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	056	0		29	10	S5960_056_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	056	2007	10	29		MedicareRx Rewards Plus		Mississippi (MS)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	057	0		29	10	S5960_057_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	057	2007	10	29		MedicareRx Rewards Plus		Louisiana (LA)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	058	0		29	10	S5960_058_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	058	2007	10	29		MedicareRx Rewards Plus		Texas	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	059	0		29	10	S5960_059_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	059	2007	10	29		MedicareRx Rewards Plus		Oklahoma	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	061	0		29	10	S5960_061_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	061	2007	10	29		MedicareRx Rewards Plus		Upper Midwest and Northern Plains	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	062	0		29	10	S5960_062_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	062	2007	10	29		MedicareRx Rewards Plus		New Mexico	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	064	0		29	10	S5960_064_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	064	2007	10	29		MedicareRx Rewards Plus		Arizona	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	066	0		29	10	S5960_066_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	066	2007	10	29		MedicareRx Rewards Plus		Oregon, Washington	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	067	0		29	10	S5960_067_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	067	2007	10	29		MedicareRx Rewards Plus		Idaho, Utah	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	069	0		29	10	S5960_069_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	069	2007	10	29		MedicareRx Rewards Plus		Hawaii	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	070	0		29	10	S5960_070_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	070	2007	10	29		MedicareRx Rewards Plus		Alaska	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	071	0		29	10	S5960_071_0	3		UNICARE	Unicare	www.unicare.com	S5960	071	2007	10	29		MedicareRx Rewards Premier		Northern New England (New Hampshire and Maine)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	072	0		29	10	S5960_072_0	3		UNICARE	Unicare	www.unicare.com	S5960	072	2007	10	29		MedicareRx Rewards Premier		Central New England	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	073	0		29	10	S5960_073_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	073	2007	10	29		MedicareRx Rewards Premier		New York	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	074	0		29	10	S5960_074_0	3		UNICARE	Unicare	www.unicare.com	S5960	074	2007	10	29		MedicareRx Rewards Premier		New Jersey	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	075	0		29	10	S5960_075_0	4		UNICARE Life and Health Insurance Company	Unicare	www.unicare.com	S5960	075	2007	10	29		MedicareRx Rewards Premier		Mid-Atlantic (DC, DE, MD)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	076	0		29	10	S5960_076_0	3		UNICARE	Unicare	www.unicare.com	S5960	076	2007	10	29		MedicareRx Rewards Premier		Pennsylvania, West Virginia (PA, WV)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	078	0		29	10	S5960_078_0	3		UNICARE	Unicare	www.unicare.com	S5960	078	2007	10	29		MedicareRx Rewards Premier		North Carolina (NC)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	079	0		29	10	S5960_079_0	3		UNICARE	Unicare	www.unicare.com	S5960	079	2007	10	29		MedicareRx Rewards Premier		South Carolina (SC)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	080	0		29	10	S5960_080_0	3		UNICARE	Unicare	www.unicare.com	S5960	080	2007	10	29		MedicareRx Rewards Premier		Georgia (GA)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	081	0		29	10	S5960_081_0	3		UNICARE	Unicare	www.unicare.com	S5960	081	2007	10	29		MedicareRx Rewards Premier		Florida (FL)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	082	0		29	10	S5960_082_0	3		UNICARE	Unicare	www.unicare.com	S5960	082	2007	10	29		MedicareRx Rewards Premier		Alabama, Tennessee (AL, TN)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	083	0		29	10	S5960_083_0	3		UNICARE	Unicare	www.unicare.com	S5960	083	2007	10	29		MedicareRx Rewards Premier		Michigan (MI)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	084	0		29	10	S5960_084_0	3		UNICARE	Unicare	www.unicare.com	S5960	084	2007	10	29		MedicareRx Rewards Premier		Indiana, Kentucky (IN, KY)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	085	0		29	10	S5960_085_0	3		UNICARE	Unicare	www.unicare.com	S5960	085	2007	10	29		MedicareRx Rewards Premier		Wisconsin (WI)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	086	0		29	10	S5960_086_0	3		UNICARE	Unicare	www.unicare.com	S5960	086	2007	10	29		MedicareRx Rewards Premier		Wisconsin (WI)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	087	0		29	10	S5960_087_0	3		UNICARE	Unicare	www.unicare.com	S5960	087	2007	10	29		MedicareRx Rewards Premier		Illinois (IL)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	088	0		29	10	S5960_088_0	3		UNICARE	Unicare	www.unicare.com	S5960	088	2007	10	29		MedicareRx Rewards Premier		Missouri (MO)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	089	0		29	10	S5960_089_0	3		UNICARE	Unicare	www.unicare.com	S5960	089	2007	10	29		MedicareRx Rewards Premier		Arkansas (AR)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	090	0		29	10	S5960_090_0	3		UNICARE	Unicare	www.unicare.com	S5960	090	2007	10	29		MedicareRx Rewards Premier		Mississippi (MS)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	091	0		29	10	S5960_091_0	3		UNICARE	Unicare	www.unicare.com	S5960	091	2007	10	29		MedicareRx Rewards Premier		Louisiana (LA)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	092	0		29	10	S5960_092_0	3		UNICARE	Unicare	www.unicare.com	S5960	092	2007	10	29		MedicareRx Rewards Premier		Texas (TX)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	093	0		29	10	S5960_093_0	3		UNICARE	Unicare	www.unicare.com	S5960	093	2007	10	29		MedicareRx Rewards Premier		Oklahoma (OK)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	094	0		29	10	S5960_094_0	3		UNICARE	Unicare	www.unicare.com	S5960	094	2007	10	29		MedicareRx Rewards Premier		Kansas (KS)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	095	0		29	10	S5960_095_0	3		UNICARE	Unicare	www.unicare.com	S5960	095	2007	10	29		MedicareRx Rewards Premier		Upper Midwest and Northern Plains	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	096	0		29	10	S5960_096_0	3		UNICARE	Unicare	www.unicare.com	S5960	096	2007	10	29		MedicareRx Rewards Premier		New Mexico (NM)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	097	0		29	10	S5960_097_0	3		UNICARE	Unicare	www.unicare.com	S5960	097	2007	10	29		MedicareRx Rewards Premier		Colorado (CO)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	098	0		29	10	S5960_098_0	3		UNICARE	Unicare	www.unicare.com	S5960	098	2007	10	29		MedicareRx Rewards Premier		Arizona (AZ)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	099	0		29	10	S5960_099_0	3		UNICARE	Unicare	www.unicare.com	S5960	099	2007	10	29		MedicareRx Rewards Premier		Nevada (NV)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	100	0		29	10	S5960_100_0	3		UNICARE	Unicare	www.unicare.com	S5960	100	2007	10	29		MedicareRx Rewards Premier		Oregon, Washington (OR, WA)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	101	0		29	10	S5960_101_0	3		UNICARE	Unicare	www.unicare.com	S5960	101	2007	10	29		MedicareRx Rewards Premier		Idaho, Utah (ID, UT)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	102	0		29	10	S5960_102_0	3		UNICARE	Unicare	www.unicare.com	S5960	102	2007	10	29		MedicareRx Rewards Premier		California (CA)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	103	0		29	10	S5960_103_0	3		UNICARE	Unicare	www.unicare.com	S5960	103	2007	10	29		MedicareRx Rewards Premier		Hawaii (HI)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	104	0		29	10	S5960_104_0	3		UNICARE	Unicare	www.unicare.com	S5960	104	2007	10	29		MedicareRx Rewards Premier		Alaska (AK)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	106	0		29	10	S5960_106_0	3		UNICARE	Unicare	www.unicare.com	S5960	106	2007	10	29		MedicareRx Rewards Premier		Virginia (VA)	2	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	801	0		29	10	S5960_801_0	4		UNICARE	Unicare	www.unicare.com	S5960	801	2007	10	29		MedicareRx Rewards Group Plan I		Nationwide	1	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5960	803	0		29	10	S5960_803_0	4		UNICARE	Unicare	www.unicare.com	S5960	803	2007	10	29		MedicareRx Rewards Group Plan II		Nationwide	1	0		2											(800)-928-6201	(866)-892-5335	(877)-247-1657	(877)-247-1657
S5966	001	0		29	10	S5966_001_0	1		GROUP HEALTH INCORPORATED	GHI Medicare Prescription Drug Plan	www.ghi.com	S5966	001	2007	10	29		GHI Medicare Prescription Drug Plan		New York State	2	0		2											(800)-585-5786	(800)-611-8454		
S5966	801	0		29	10	S5966_801_0	1		GROUP HEALTH INCORPORATED	GHI Medicare Prescription Drug Plan	www.ghi.com	S5966	801	2007	10	29		GHI Medicare Group Select Drug Plan		United States	1	0		2											(800)-585-5786	(800)-611-8454		
S5966	803	0		29	10	S5966_803_0	1		GROUP HEALTH INCORPORATED	GHI Medicare Prescription Drug Plan	www.ghi.com	S5966	803	2007	10	29		GHI Medicare Group National Drug Plan		United States	1	0		2											(800)-585-5786	(800)-611-8454		
S5967	035	0		29	10	S5967_035_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	035	2007	10	29		WellCare Signature		Northern New England	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	036	0		29	10	S5967_036_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	036	2007	10	29		WellCare Signature		Central New England	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	037	0		29	10	S5967_037_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	037	2007	10	29		WellCare Signature		New York	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	038	0		29	10	S5967_038_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	038	2007	10	29		WellCare Signature		New Jersey	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	039	0		29	10	S5967_039_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	039	2007	10	29		WellCare Signature		Mid-Atlantic	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	040	0		29	10	S5967_040_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	040	2007	10	29		WellCare Signature		Pennsylvania, West Virginia	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	041	0		29	10	S5967_041_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	041	2007	10	29		WellCare Signature		Virginia	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	042	0		29	10	S5967_042_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	042	2007	10	29		WellCare Signature		North Carolina	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	043	0		29	10	S5967_043_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	043	2007	10	29		WellCare Signature		South Carolina	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	044	0		29	10	S5967_044_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	044	2007	10	29		WellCare Signature		Georgia	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	045	0		29	10	S5967_045_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	045	2007	10	29		WellCare Signature		Florida	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	046	0		29	10	S5967_046_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	046	2007	10	29		WellCare Signature		Alabama, Tennessee	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	047	0		29	10	S5967_047_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	047	2007	10	29		WellCare Signature		Michigan	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	048	0		29	10	S5967_048_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	048	2007	10	29		WellCare Signature		Ohio	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	049	0		29	10	S5967_049_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	049	2007	10	29		WellCare Signature		Indiana, Kentucky	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	050	0		29	10	S5967_050_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	050	2007	10	29		WellCare Signature		Wisconsin	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	051	0		29	10	S5967_051_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	051	2007	10	29		WellCare Signature		Illinois	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	052	0		29	10	S5967_052_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	052	2007	10	29		WellCare Signature		Missouri	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	053	0		29	10	S5967_053_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	053	2007	10	29		WellCare Signature		Arkansas	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	054	0		29	10	S5967_054_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	054	2007	10	29		WellCare Signature		Mississippi	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	055	0		29	10	S5967_055_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	055	2007	10	29		WellCare Signature		Louisiana	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	056	0		29	10	S5967_056_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	056	2007	10	29		WellCare Signature		Texas	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	057	0		29	10	S5967_057_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	057	2007	10	29		WellCare Signature		Oklahoma	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	058	0		29	10	S5967_058_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	058	2007	10	29		WellCare Signature		Kansas	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	059	0		29	10	S5967_059_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	059	2007	10	29		WellCare Signature		Upper Midwest and Northern Plains	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	060	0		29	10	S5967_060_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	060	2007	10	29		WellCare Signature		New Mexico	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	061	0		29	10	S5967_061_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	061	2007	10	29		WellCare Signature		Colorado	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	062	0		29	10	S5967_062_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	062	2007	10	29		WellCare Signature		Arizona	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	063	0		29	10	S5967_063_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	063	2007	10	29		WellCare Signature		Nevada	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	064	0		29	10	S5967_064_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	064	2007	10	29		WellCare Signature		Oregon, Washington	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	065	0		29	10	S5967_065_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	065	2007	10	29		WellCare Signature		Idaho, Utah	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	066	0		29	10	S5967_066_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	066	2007	10	29		WellCare Signature		California	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	067	0		29	10	S5967_067_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	067	2007	10	29		WellCare Signature		Hawaii	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	068	0		29	10	S5967_068_0	4		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	068	2007	10	29		WellCare Signature		Alaska	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	069	0		29	10	S5967_069_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	069	2007	10	29		WellCare Complete		Northern New England	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	070	0		29	10	S5967_070_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	070	2007	10	29		WellCare Complete		Central New England	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	071	0		29	10	S5967_071_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	071	2007	10	29		WellCare Complete		New York	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	072	0		29	10	S5967_072_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	072	2007	10	29		WellCare Complete		New Jersey	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	073	0		29	10	S5967_073_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	073	2007	10	29		WellCare Complete		Mid-Atlantic	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	074	0		29	10	S5967_074_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	074	2007	10	29		WellCare Complete		Pennsylvania, West Virginia	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	075	0		29	10	S5967_075_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	075	2007	10	29		WellCare Complete		Virginia	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	076	0		29	10	S5967_076_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	076	2007	10	29		WellCare Complete		North Carolina	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	077	0		29	10	S5967_077_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	077	2007	10	29		WellCare Complete		South Carolina	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	078	0		29	10	S5967_078_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	078	2007	10	29		WellCare Complete		Georgia	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	079	0		29	10	S5967_079_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	079	2007	10	29		WellCare Complete		Florida	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	080	0		29	10	S5967_080_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	080	2007	10	29		WellCare Complete		Alabama, Tennessee	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	081	0		29	10	S5967_081_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	081	2007	10	29		WellCare Complete		Michigan	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	082	0		29	10	S5967_082_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	082	2007	10	29		WellCare Complete		Ohio	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	083	0		29	10	S5967_083_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	083	2007	10	29		WellCare Complete		Indiana, Kentucky	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	084	0		29	10	S5967_084_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	084	2007	10	29		WellCare Complete		Wisconsin	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	085	0		29	10	S5967_085_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	085	2007	10	29		WellCare Complete		Illinois	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	086	0		29	10	S5967_086_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	086	2007	10	29		WellCare Complete		Missouri	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	087	0		29	10	S5967_087_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	087	2007	10	29		WellCare Complete		Arkansas	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	088	0		29	10	S5967_088_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	088	2007	10	29		WellCare Complete		Mississippi	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	089	0		29	10	S5967_089_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	089	2007	10	29		WellCare Complete		Louisiana	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	090	0		29	10	S5967_090_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	090	2007	10	29		WellCare Complete		Texas	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	092	0		29	10	S5967_092_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	092	2007	10	29		WellCare Complete		Oklahoma	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	093	0		29	10	S5967_093_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	093	2007	10	29		WellCare Complete		Kansas	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	094	0		29	10	S5967_094_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	094	2007	10	29		WellCare Complete		Upper Midwest and Northern Plains	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	095	0		29	10	S5967_095_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	095	2007	10	29		WellCare Complete		New Mexico	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	096	0		29	10	S5967_096_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	096	2007	10	29		WellCare Complete		Colorado	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	097	0		29	10	S5967_097_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	097	2007	10	29		WellCare Complete		Arizona	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	098	0		29	10	S5967_098_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	098	2007	10	29		WellCare Complete		Nevada	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	099	0		29	10	S5967_099_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	099	2007	10	29		WellCare Complete		Oregon, Washington	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	100	0		29	10	S5967_100_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	100	2007	10	29		WellCare Complete		Idaho, Utah	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	101	0		29	10	S5967_101_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	101	2007	10	29		WellCare Complete		California	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	102	0		29	10	S5967_102_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	102	2007	10	29		WellCare Complete		Hawaii	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	103	0		29	10	S5967_103_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	103	2007	10	29		WellCare Complete		Alaska	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	138	0		29	10	S5967_138_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	138	2007	10	29		WellCare Classic		Northern New England	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	139	0		29	10	S5967_139_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	139	2007	10	29		WellCare Classic		Central New England	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	140	0		29	10	S5967_140_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	140	2007	10	29		WellCare Classic		New York	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	141	0		29	10	S5967_141_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	141	2007	10	29		WellCare Classic		New Jersey	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	142	0		29	10	S5967_142_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	142	2007	10	29		WellCare Classic		Mid-Atlantic	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	143	0		29	10	S5967_143_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	143	2007	10	29		WellCare Classic		Pennsylvania, West Virginia	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	144	0		29	10	S5967_144_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	144	2007	10	29		WellCare Classic		Virginia	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	145	0		29	10	S5967_145_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	145	2007	10	29		WellCare Classic		North Carolina	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	146	0		29	10	S5967_146_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	146	2007	10	29		WellCare Classic		South Carolina	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	147	0		29	10	S5967_147_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	147	2007	10	29		WellCare Classic		Georgia	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	148	0		29	10	S5967_148_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	148	2007	10	29		WellCare Classic		Florida	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	149	0		29	10	S5967_149_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	149	2007	10	29		WellCare Classic		Alabama, Tennessee	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	150	0		29	10	S5967_150_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	150	2007	10	29		WellCare Classic		Michigan	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	151	0		29	10	S5967_151_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	151	2007	10	29		WellCare Classic		Ohio	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	152	0		29	10	S5967_152_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	152	2007	10	29		WellCare Classic		Indiana, Kentucky	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	153	0		29	10	S5967_153_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	153	2007	10	29		WellCare Classic		Wisconsin	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	154	0		29	10	S5967_154_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	154	2007	10	29		WellCare Classic		Illinois	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	155	0		29	10	S5967_155_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	155	2007	10	29		WellCare Classic		Missouri	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	156	0		29	10	S5967_156_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	156	2007	10	29		WellCare Classic		Arkansas	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	157	0		29	10	S5967_157_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	157	2007	10	29		WellCare Classic		Mississippi	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	158	0		29	10	S5967_158_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	158	2007	10	29		WellCare Classic		Louisiana	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	159	0		29	10	S5967_159_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	159	2007	10	29		WellCare Classic		Texas	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	160	0		29	10	S5967_160_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	160	2007	10	29		WellCare Classic		Oklahoma	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	161	0		29	10	S5967_161_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	161	2007	10	29		WellCare Classic		Kansas	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	162	0		29	10	S5967_162_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	162	2007	10	29		WellCare Classic		Upper Midwest and Northern Plains	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	163	0		29	10	S5967_163_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	163	2007	10	29		WellCare Classic		New Mexico	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	164	0		29	10	S5967_164_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	164	2007	10	29		WellCare Classic		Colorado	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	165	0		29	10	S5967_165_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	165	2007	10	29		WellCare Classic		Arizona	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	166	0		29	10	S5967_166_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	166	2007	10	29		WellCare Classic		Nevada	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	167	0		29	10	S5967_167_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	167	2007	10	29		WellCare Classic		Oregon, Washington	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	168	0		29	10	S5967_168_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	168	2007	10	29		WellCare Classic		Idaho, Utah	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	169	0		29	10	S5967_169_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	169	2007	10	29		WellCare Classic		California	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	170	0		29	10	S5967_170_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	170	2007	10	29		WellCare Classic		Hawaii	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	171	0		29	10	S5967_171_0	2		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	171	2007	10	29		WellCare Classic		Alaska	2	0		2											(888)-550-5252	(888)-423-5252		
S5967	801	0		29	10	S5967_801_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	801	2007	10	29		WellCare Smart Plan 1		Nationwide	1	0		2											(888)-550-5252	(888)-423-5252		
S5967	802	0		29	10	S5967_802_0	1		WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	S5967	802	2007	10	29		WellCare Smart Plan 2		Nationwide	1	0		2											(888)-550-5252	(888)-423-5252		
S5975	001	0		29	10	S5975_001_0	3		ODS HEALTH PLAN, INC.	ODS Advantage Rx	www.odscompanies.com/odsadvantage	S5975	001	2007	10	29		ODS Advantage Rx		States of Oregon and Washington	2	0		2											(888)-786-7509	(877)-299-9062	(800)-433-6313	(800)-433-6313
S5975	002	0		29	10	S5975_002_0	3		ODS HEALTH PLAN, INC.	ODS Advantage Rx	www.odscompanies.com/odsadvantage	S5975	002	2007	10	29		ODS Advantage Rx Extra		States of Oregon and Washington	2	0		2											(888)-786-7509	(877)-299-9062	(800)-433-6313	(800)-433-6313
S5975	801	0		29	10	S5975_801_0	1		ODS HEALTH PLAN, INC.	ODS Advantage Rx	www.odscompanies.com/odsadvantage	S5975	801	2007	10	29		ODS Advantage Rx Employer Option		National	1	0		2											(888)-786-7509	(877)-299-9062	(800)-433-6313	(800)-433-6313
S5983	001	0		29	10	S5983_001_0	4		MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK	Medco YOURx PLAN	www.yourxplan.com	S5983	001	2007	10	29		Medco YOURx PLAN		State of New York	2	0		2											(800)-758-4570	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5983	801	0		29	10	S5983_801_0	2		MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK	Medco YOURx PLAN	www.yourxplan.com	S5983	801	2007	10	29		Medco YOURx PLAN		National Plan - Employer, Calendar Year	1	0		2											(800)-758-4570	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5983	802	0		29	10	S5983_802_0	2		MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK	Medco YOURx PLAN	www.yourxplan.com	S5983	802	2007	10	29		Medco YOURx PLAN		National Plan - Employer, Non-Calendar Year	1	0		2											(800)-758-4570	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5983	803	0		29	10	S5983_803_0	2		MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK	Medco YOURx PLAN	www.yourxplan.com	S5983	803	2007	10	29		Medco YOURx PLAN		National Plan K - Calendar Year	1	0		2											(800)-758-4570	(800)-758-3605	(800)-716-3231	(800)-716-3231
S5993	001	0		29	10	S5993_001_0	4		HORIZON HEALTHCARE SERVICES DBA HORIZON BCBS NJ	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	S5993	001	2007	10	29		Horizon Medicare Rx Plan 1		New Jersey	2	0		2											(866)-236-7376	(800)-224-1234	(866)-236-1069	
S5993	002	0		29	10	S5993_002_0	4		HORIZON HEALTHCARE SERVICES DBA HORIZON BCBS NJ	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	S5993	002	2007	10	29		Horizon Medicare Rx Plan 2		State of New Jersey	2	0		2											(866)-236-7376	(800)-224-1234	(866)-236-1069	
S5993	801	0		29	10	S5993_801_0	4		HORIZON HEALTHCARE SERVICES DBA HORIZON BCBS NJ	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	S5993	801	2007	10	29		Horizon Medicare Rx Group		New Jersey	1	0		2											(866)-236-7376	(800)-224-1234	(866)-236-1069	
S5993	802	0		29	10	S5993_802_0	4		HORIZON HEALTHCARE SERVICES DBA HORIZON BCBS NJ	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	S5993	802	2007	10	29		Horizon Medicare Rx Group Non-CY		New Jersey	1	0		2											(866)-236-7376	(800)-224-1234	(866)-236-1069	
S5998	001	0		29	10	S5998_001_0	1		ELDER HEALTH INSURANCE COMPANY, INC.	Elder Health Insurance Company, Inc.	www.elderhealth.com	S5998	001	2007	10	29		Elder Health PDP Select		New York Elder Heatlh PDP Select	2	0		2											(888)-888-8888	(888)-888-8888		
S5998	002	0		29	10	S5998_002_0	3		ELDER HEALTH INSURANCE COMPANY, INC.	Elder Health Insurance Company, Inc.	www.elderhealth.com	S5998	002	2007	10	29		Elder Health PDP Platinum		New York Elder Health PDP Platinum	2	0		2											(888)-888-8888	(888)-888-8888		
S5998	003	0		29	10	S5998_003_0	1		ELDER HEALTH INSURANCE COMPANY, INC.	Elder Health Insurance Company, Inc.	www.elderhealth.com	S5998	003	2007	10	29		Elder Health PDP Select		New Jersey Elder Health PDP Select	2	0		2											(888)-888-8888	(888)-888-8888		
S5998	004	0		29	10	S5998_004_0	3		ELDER HEALTH INSURANCE COMPANY, INC.	Elder Health Insurance Company, Inc.	www.elderhealth.com	S5998	004	2007	10	29		Elder Health PDP Platinum		New Jersey Elder Health PDP Platinum	2	0		2											(888)-888-8888	(888)-888-8888		
S5998	005	0		29	10	S5998_005_0	1		ELDER HEALTH INSURANCE COMPANY, INC.	Elder Health Insurance Company, Inc.	www.elderhealth.com	S5998	005	2007	10	29		Elder Health PDP Select		PA/WV Elder Health PDP Select	2	0		2											(888)-888-8888	(888)-888-8888		
S5998	006	0		29	10	S5998_006_0	3		ELDER HEALTH INSURANCE COMPANY, INC.	Elder Health Insurance Company, Inc.	www.elderhealth.com	S5998	006	2007	10	29		Elder Health PDP Platinum		PA/WV Elder Health PDP Platinum	2	0		2											(888)-888-8888	(888)-888-8888		
S5998	007	0		29	10	S5998_007_0	1		ELDER HEALTH INSURANCE COMPANY, INC.	Elder Health Insurance Company, Inc.	www.elderhealth.com	S5998	007	2007	10	29		Elder Health PDP Select		Florida Elder Health  PDP Select	2	0		2											(888)-888-8888	(888)-888-8888		
S5998	008	0		29	10	S5998_008_0	3		ELDER HEALTH INSURANCE COMPANY, INC.	Elder Health Insurance Company, Inc.	www.elderhealth.com	S5998	008	2007	10	29		Elder Health PDP Platinum		Florida Elder Health PDP Platinum	2	0		2											(888)-888-8888	(888)-888-8888		
S5998	009	0		29	10	S5998_009_0	1		ELDER HEALTH INSURANCE COMPANY, INC.	Elder Health Insurance Company, Inc.	www.elderhealth.com	S5998	009	2007	10	29		Elder Health PDP Select		Michigan Elder Health PDP Select	2	0		2											(888)-888-8888	(888)-888-8888		
S5998	010	0		29	10	S5998_010_0	3		ELDER HEALTH INSURANCE COMPANY, INC.	Elder Health Insurance Company, Inc.	www.elderhealth.com	S5998	010	2007	10	29		Elder Health PDP Platinum		Michigan Elder Health PDP Platinum	2	0		2											(888)-888-8888	(888)-888-8888		
S5998	011	0		29	10	S5998_011_0	1		ELDER HEALTH INSURANCE COMPANY, INC.	Elder Health Insurance Company, Inc.	www.elderhealth.com	S5998	011	2007	10	29		Elder Health PDP Select		Ohio Elder Health PDP Select	2	0		2											(888)-888-8888	(888)-888-8888		
S5998	012	0		29	10	S5998_012_0	3		ELDER HEALTH INSURANCE COMPANY, INC.	Elder Health Insurance Company, Inc.	www.elderhealth.com	S5998	012	2007	10	29		Elder Health PDP Platinum		Ohio Elder Health PDP Platinum	2	0		2											(888)-888-8888	(888)-888-8888		
S5998	013	0		29	10	S5998_013_0	1		ELDER HEALTH INSURANCE COMPANY, INC.	Elder Health Insurance Company, Inc.	www.elderhealth.com	S5998	013	2007	10	29		Elder Health PDP Select		California Elder Health PDP Select	2	0		2											(888)-888-8888	(888)-888-8888		
S5998	014	0		29	10	S5998_014_0	3		ELDER HEALTH INSURANCE COMPANY, INC.	Elder Health Insurance Company, Inc.	www.elderhealth.com	S5998	014	2007	10	29		Elder Health PDP Platinum		California Elder Health PDP Platinum	2	0		2											(888)-888-8888	(888)-888-8888		
S6875	801	0		29	10	S6875_801_0	3		QCC INS CO D/B/A AMERIHEALTH INS CO	Select Option	http://www.site65.com	S6875	801	2007	10	29		Select Option		Pennsylvania, West Virginia area	1	0		2											(888)-678-7009	(866)-456-1690	(888)-457-3002	(866)-456-1683
S6875	802	0		29	10	S6875_802_0	3		QCC INS CO D/B/A AMERIHEALTH INS CO	Select Option	http://www.site65.com	S6875	802	2007	10	29		Select Option		Pennsylvania, West Virginia Area	1	0		2											(888)-678-7009	(866)-456-1690	(888)-457-3002	(866)-456-1683
S7694	001	0		29	10	S7694_001_0	3		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	001	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 01	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	002	0		29	10	S7694_002_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	002	2007	10	29		EnvisionRxPlus Standard		EnvsionRxPlus Standard Region 02	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	003	0		29	10	S7694_003_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	003	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 03	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	004	0		29	10	S7694_004_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	004	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 04	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	005	0		29	10	S7694_005_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	005	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 05	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	006	0		29	10	S7694_006_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	006	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 06	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	007	0		29	10	S7694_007_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	007	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 07	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	008	0		29	10	S7694_008_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	008	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 08	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	009	0		29	10	S7694_009_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	009	2007	10	29		EnvisionRxPlus Standard		EnvsionRxPlus Standard Region 09	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	010	0		29	10	S7694_010_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	010	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 10	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	011	0		29	10	S7694_011_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	011	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 11	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	012	0		29	10	S7694_012_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	012	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 12	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	013	0		29	10	S7694_013_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	013	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 13	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	014	0		29	10	S7694_014_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	014	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 14	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	015	0		29	10	S7694_015_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	015	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 15	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	016	0		29	10	S7694_016_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	016	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 16	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	017	0		29	10	S7694_017_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	017	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 17	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	018	0		29	10	S7694_018_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	018	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 18	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	019	0		29	10	S7694_019_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	019	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 19	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	020	0		29	10	S7694_020_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	020	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 20	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	021	0		29	10	S7694_021_0	3		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	021	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 21	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	022	0		29	10	S7694_022_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	022	2007	10	29		EnvisionrxPlus Standard		EnvisionRxPlus Standard Region 22	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	023	0		29	10	S7694_023_0	3		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	023	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 23	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	024	0		29	10	S7694_024_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	024	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 24	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	025	0		29	10	S7694_025_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	025	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 25	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	026	0		29	10	S7694_026_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	026	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 26	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	027	0		29	10	S7694_027_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	027	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 27	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	028	0		29	10	S7694_028_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	028	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 28	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	029	0		29	10	S7694_029_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	029	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 29	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	030	0		29	10	S7694_030_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	030	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 30	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	031	0		29	10	S7694_031_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	031	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 31	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	032	0		29	10	S7694_032_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	032	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 32	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	033	0		29	10	S7694_033_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	033	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 33	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	034	0		29	10	S7694_034_0	2		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	034	2007	10	29		EnvisionRxPlus Standard		EnvisionRxPlus Standard Region 34	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	035	0		29	10	S7694_035_0	6		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	035	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 01	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	036	0		29	10	S7694_036_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	036	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 02	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	037	0		29	10	S7694_037_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	037	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	038	0		29	10	S7694_038_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	038	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 04	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	039	0		29	10	S7694_039_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	039	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 05	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	040	0		29	10	S7694_040_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	040	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 06	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	041	0		29	10	S7694_041_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	041	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 07	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	042	0		29	10	S7694_042_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	042	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 08	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	043	0		29	10	S7694_043_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	043	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 09	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	044	0		29	10	S7694_044_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	044	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 10	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	045	0		29	10	S7694_045_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	045	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 11	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	046	0		29	10	S7694_046_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	046	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 12	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	047	0		29	10	S7694_047_0	6		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	047	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 13	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	048	0		29	10	S7694_048_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	048	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 14	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	049	0		29	10	S7694_049_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	049	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 15	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	050	0		29	10	S7694_050_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	050	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 16	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	051	0		29	10	S7694_051_0	6		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	051	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 17	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	052	0		29	10	S7694_052_0	6		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	052	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 18	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	053	0		29	10	S7694_053_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	053	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 19	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	054	0		29	10	S7694_054_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	054	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlous Gold Region 20	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	055	0		29	10	S7694_055_0	6		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	055	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 21	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	056	0		29	10	S7694_056_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	056	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 22	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	057	0		29	10	S7694_057_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	057	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 23	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	058	0		29	10	S7694_058_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	058	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 24	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	059	0		29	10	S7694_059_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	059	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 25	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	060	0		29	10	S7694_060_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	060	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 26	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	061	0		29	10	S7694_061_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	061	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 27	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	062	0		29	10	S7694_062_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	062	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 28	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	063	0		29	10	S7694_063_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	063	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 29	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	064	0		29	10	S7694_064_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	064	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 30	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	065	0		29	10	S7694_065_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	065	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 31	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	066	0		29	10	S7694_066_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	066	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 32	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	067	0		29	10	S7694_067_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	067	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 33	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7694	068	0		29	10	S7694_068_0	5		ENVISIONRX PLUS, INC	EnvisionRxPlus	www.envisionrxplus.com	S7694	068	2007	10	29		EnvisionRxPlus Gold		EnvisionRxPlus Gold Region 34	2	0		2											(866)-250-2005	(866)-250-2005	(866)-763-9630	(866)-763-9630
S7950	001	0		29	10	S7950_001_0	4		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	001	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	002	0		29	10	S7950_002_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	002	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	003	0		29	10	S7950_003_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	003	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	004	0		29	10	S7950_004_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	004	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	005	0		29	10	S7950_005_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	005	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	006	0		29	10	S7950_006_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	006	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	007	0		29	10	S7950_007_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	007	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	008	0		29	10	S7950_008_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	008	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	009	0		29	10	S7950_009_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	009	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	010	0		29	10	S7950_010_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	010	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	011	0		29	10	S7950_011_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	011	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	012	0		29	10	S7950_012_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	012	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	013	0		29	10	S7950_013_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	013	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	014	0		29	10	S7950_014_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	014	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	015	0		29	10	S7950_015_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	015	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	016	0		29	10	S7950_016_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	016	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	017	0		29	10	S7950_017_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	017	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	018	0		29	10	S7950_018_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	018	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	019	0		29	10	S7950_019_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	019	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	020	0		29	10	S7950_020_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	020	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	021	0		29	10	S7950_021_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	021	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	022	0		29	10	S7950_022_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	022	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	023	0		29	10	S7950_023_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	023	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	024	0		29	10	S7950_024_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	024	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	025	0		29	10	S7950_025_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	025	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	026	0		29	10	S7950_026_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	026	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	027	0		29	10	S7950_027_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	027	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	028	0		29	10	S7950_028_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	028	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	029	0		29	10	S7950_029_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	029	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	030	0		29	10	S7950_030_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	030	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	031	0		29	10	S7950_031_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	031	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	032	0		29	10	S7950_032_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	032	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	033	0		29	10	S7950_033_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	033	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	034	0		29	10	S7950_034_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	034	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	035	0		29	10	S7950_035_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	035	2007	10	29		SAMAScript		SAMAScript	2	0		2											(800)-605-9208	(800)-605-9208		
S7950	801	0		29	10	S7950_801_0	3		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.express-scripts.com/samascript	S7950	801	2007	10	29		SAMAScript		SAMAScript	1	0		2											(800)-605-9208	(800)-605-9208		
S7950	802	0		29	10	S7950_802_0	7		EXPRESS SCRIPTS INSURANCE CO.	SAMAScript	www.samascript.com	S7950	802	2007	10	29		SAMAScript		SAMAScript	1	0		2											(800)-605-9208	(800)-605-9208		
S8067	001	0		29	10	S8067_001_0	4		AVALON HEALTH, LTD	Avalon Insurance Company	www.securerx.com	S8067	001	2007	10	29		SecureRx - Option 3		Region 6 - Pennsylvania, West Virginia	2	0		2											(877)-234-3853	(888)-839-7330	(800)-779-6961	(800)-779-6961
S8067	002	0		29	10	S8067_002_0	4		AVALON HEALTH, LTD	Avalon Insurance Company	www.securerx.com	S8067	002	2007	10	29		SecureRx - Option 2		Region 06 - Pennsylvania & West Virginia	2	0		2											(877)-234-3853	(888)-839-7330	(800)-779-6961	(800)-779-6961
S8067	003	0		29	10	S8067_003_0	5		AVALON HEALTH, LTD	Avalon Insurance Company	www.securerx.com	S8067	003	2007	10	29		SecureRx - Option 1		Region 06 - Pennsylvania & West Virginia	2	0		2											(877)-234-3853	(888)-839-7330	(800)-779-6961	(800)-779-6961
S8067	801	0		29	10	S8067_801_0	1		AVALON HEALTH, LTD	Avalon Insurance Company	www.securerx.com	S8067	801	2007	10	29		SecureRx - ER		National	1	0		2											(877)-234-3853	(888)-839-7330	(800)-779-6961	(800)-779-6961
S8067	802	0		29	10	S8067_802_0	1		AVALON HEALTH, LTD	Avalon Insurance Company	www.securerx.com	S8067	802	2007	10	29		SecureRx - ER - Non-Calendar PY		National	1	0		2											(877)-234-3853	(888)-839-7330	(800)-779-6961	(800)-779-6961
S8201	001	0		29	10	S8201_001_0	1		UPMC HEALTH BENEFITS, INC	UPMC Health Plan	www.upmchealthplan.com	S8201	001	2007	10	29		UPMC for Life Prescription Drug Plan		State of Ohio	2	0		2											(877)-539-3080	(877)-381-3765	(800)-361-2629	(800)-361-2629
S8201	802	0		29	10	S8201_802_0	1		UPMC HEALTH BENEFITS, INC	UPMC Health Plan	www.upmchealthplan.com	S8201	802	2007	10	29		UPMC Employer Group PDP (CY)		State of Ohio	1	0		2											(877)-539-3080	(877)-381-3765	(800)-361-2629	(800)-361-2629
S8201	803	0		29	10	S8201_803_0	1		UPMC HEALTH BENEFITS, INC	UPMC Health Plan	www.upmchealthplan.com	S8201	803	2007	10	29		UPMC Employer Group PDP (FY)		State of Ohio	1	0		2											(877)-539-3080	(877)-381-3765	(800)-361-2629	(800)-361-2629
S8277	001	0		29	10	S8277_001_0	2		CAROLINA CARE PLAN, INC	Carolina Medicare Prime	www.carolinamedicareprime.com	S8277	001	2007	10	29		Carolina Medicare Prime		South Carolina	2	0		2											(800)-879-9080	(800)-879-9080	(800)-735-2905	(800)-735-2905
S8277	002	0		29	10	S8277_002_0	2		CAROLINA CARE PLAN, INC	Carolina Medicare Prime	www.carolinamedicareprime.com	S8277	002	2007	10	29		Carolina Medicare Prime Plus		South Carolina	2	0		2											(800)-879-9080	(800)-879-9080	(800)-735-2905	(800)-735-2905
S8277	801	0		29	10	S8277_801_0	1		CAROLINA CARE PLAN, INC	Carolina Medicare Prime	www.carolinamedicareprime.com	S8277	801	2007	10	29		Employer only calendar PDP Standard		SC Employer Only calendar PDP Standard	1	0		2											(800)-879-9080	(800)-879-9080	(800)-735-2905	(800)-735-2905
S8277	802	0		29	10	S8277_802_0	1		CAROLINA CARE PLAN, INC	Carolina Medicare Prime	www.carolinamedicareprime.com	S8277	802	2007	10	29		Employer Non Calendar Year Standard PDP		SC Employer Non-calendar Standard PDP	1	0		2											(800)-879-9080	(800)-879-9080	(800)-735-2905	(800)-735-2905
S8475	001	0		29	10	S8475_001_0	1		QUALITY HEALTH PLANS, INC	QUALITY HEALTH PLANS	www.qualityhealthplans.com	S8475	001	2007	10	29		Quality Rx		State of Florida	2	0		2											(866)-747-2700	(866)-747-2700	(800)-483-3434	(800)-483-3434
S8475	002	0		29	10	S8475_002_0	1		QUALITY HEALTH PLANS, INC	QUALITY HEALTH PLANS	www.qualityhealthplans.com	S8475	002	2007	10	29		Quality Rx Plus		State of Florida	2	0		2											(866)-747-2700	(866)-747-2700	(800)-483-3434	(800)-483-3434
S8841	001	0		29	10	S8841_001_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	001	2007	10	29		MedIntelligence		Northern New England	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	002	0		29	10	S8841_002_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	002	2007	10	29		MedIntelligence		Central New England	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	003	0		29	10	S8841_003_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	003	2007	10	29		MedIntelligence		New York	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	004	0		29	10	S8841_004_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	004	2007	10	29		MedIntelligence		New Jersey	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	005	0		29	10	S8841_005_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	005	2007	10	29		MedIntelligence		Mid-Atlantic	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	006	0		29	10	S8841_006_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	006	2007	10	29		MedIntelligence		Pennsylvania	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	007	0		29	10	S8841_007_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	007	2007	10	29		MedIntelligence		Virginia	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	008	0		29	10	S8841_008_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	008	2007	10	29		MedIntelligence		North Carolina	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	009	0		29	10	S8841_009_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	009	2007	10	29		MedIntelligence		South Carolina	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	010	0		29	10	S8841_010_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	010	2007	10	29		MedIntelligence		Georgia	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	011	0		29	10	S8841_011_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	011	2007	10	29		MedIntelligence		Florida	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	012	0		29	10	S8841_012_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	012	2007	10	29		MedIntelligence		AL, TN	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	013	0		29	10	S8841_013_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	013	2007	10	29		MedIntelligence		Michigan	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	014	0		29	10	S8841_014_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	014	2007	10	29		MedIntelligence		Ohio	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	015	0		29	10	S8841_015_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	015	2007	10	29		MedIntelligence		IN, KY	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	016	0		29	10	S8841_016_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	016	2007	10	29		MedIntelligence		Wisconsin	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	017	0		29	10	S8841_017_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	017	2007	10	29		MedIntelligence		Illinois	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	018	0		29	10	S8841_018_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	018	2007	10	29		MedIntelligence		Missouri	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	019	0		29	10	S8841_019_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	019	2007	10	29		MedIntelligence		Arkansas	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	020	0		29	10	S8841_020_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	020	2007	10	29		MedIntelligence		Mississippi	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	021	0		29	10	S8841_021_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	021	2007	10	29		MedIntelligence		Louisiana	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	022	0		29	10	S8841_022_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	022	2007	10	29		MedIntelligence		Texas	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	023	0		29	10	S8841_023_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	023	2007	10	29		MedIntelligence		Oklahoma	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	024	0		29	10	S8841_024_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	024	2007	10	29		MedIntelligence		Kansas	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	025	0		29	10	S8841_025_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	025	2007	10	29		MedIntelligence		MidWest	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	026	0		29	10	S8841_026_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	026	2007	10	29		MedIntelligence		New Mexico	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	027	0		29	10	S8841_027_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	027	2007	10	29		MedIntelligence		Colorado	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	028	0		29	10	S8841_028_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	028	2007	10	29		MedIntelligence		Arizona	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	029	0		29	10	S8841_029_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	029	2007	10	29		MedIntelligence		Nevada	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	030	0		29	10	S8841_030_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	030	2007	10	29		MedIntelligence		OR, WA	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	031	0		29	10	S8841_031_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	031	2007	10	29		MedIntelligence		ID, UT	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	032	0		29	10	S8841_032_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	032	2007	10	29		MedIntelligence		California	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	033	0		29	10	S8841_033_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	033	2007	10	29		MedIntelligence		Hawaii	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	034	0		29	10	S8841_034_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	034	2007	10	29		MedIntelligence		Alaska	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	036	0		29	10	S8841_036_0	6		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	036	2007	10	29		MedIntelligence		Puerto Rico	2	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	801	0		29	10	S8841_801_0	3		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	801	2007	10	29		Employer Calendar		National	1	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S8841	802	0		29	10	S8841_802_0	3		NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	S8841	802	2007	10	29		Employer Non-Calendar		National	1	0		2											(866)-443-1095	(866)-443-1095	(866)-443-1094	(866)-443-1094
S9176	001	0		29	10	S9176_001_0	1		CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	CDPHP Medicare Rx	WWW.CDPHP.COM	S9176	001	2007	10	29		CDPHP Medicare Basic RxCare		STATE OF NEW YORK	2	0		2											(188)-824-8652	(188)-824-8652	(518)-641-4000	(518)-641-4000
S9176	002	0		29	10	S9176_002_0	1		CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	CDPHP Medicare Rx	WWW.CDPHP.COM	S9176	002	2007	10	29		CDPHP Medicare RxCare		STATE OF NEW YORK	2	0		2											(188)-824-8652	(188)-824-8652	(518)-641-4000	(518)-641-4000
S9176	003	0		29	10	S9176_003_0	1		CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	CDPHP Medicare Rx	WWW.CDPHP.COM	S9176	003	2007	10	29		CDPHP Medicare Extended RxCare		STATE OF NEW YORK	2	0		2											(188)-824-8652	(188)-824-8652	(518)-641-4000	(518)-641-4000
S9176	801	0		29	10	S9176_801_0	1		CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	CDPHP Medicare Rx	WWW.CDPHP.COM	S9176	801	2007	10	29		CDPHP Group Medicare RxCare Non Cal		New York State	1	0		2											(188)-824-8652	(188)-824-8652	(518)-641-4000	(518)-641-4000
S9176	802	0		29	10	S9176_802_0	1		CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	CDPHP Medicare Rx	WWW.CDPHP.COM	S9176	802	2007	10	29		CDPHP Group Medicare RxCare Cal Yr		New York State	1	0		2											(188)-824-8652	(188)-824-8652	(518)-641-4000	(518)-641-4000
E0654	801	0		30	13	E0654_801_0	3		IBT VOLUNTARY EMPLOYEE BENEFITS TRUST	TEAMStar Medicare Part D Prescription Drug Program	www.teamstarpartd.com	E0654	801	2007	13	30		IBT VEBA		National	1	0		2											(866)-524-4173	(866)-524-4173	(866)-524-4174	(866)-524-4174
E1539	802	0		30	13	E1539_802_0	4		THE PORT OF AUTHORITY OF NEW YORK AND NEW JERSEY	The Port Authority of NY & NJ Retiree Part D Plan	www.panynj.gov	E1539	802	2007	13	30		PANYNJ Retiree Prescription Plan ESI		PANYNJ All	1	0		2											(212)-435-2870	(212)-435-2870		
E2332	801	0		30	13	E2332_801_0	2		NATIONAL RURAL ELECTRIC COOPERATIVE ASSOCIATION	National Rural Electric Cooperative Association	www.nreca.coop	E2332	801	2007	13	30		Basic Plan		Basic Plan	1	0		2											(866)-673-2299	(866)-673-2299		
E2630	801	0		30	13	E2630_801_0	2		C & O EMPLOYEES HOSPITAL ASSOCIATION	C and O Employees Hospital Association	www.cfw.com/~coena	E2630	801	2007	13	30		C and O Employees Hospital Association		Virginia, West VA, Kentucky, Ohio, Indiana	1	0		2											(800)-679-9135	(800)-679-9135		
E2868	801	0		30	13	E2868_801_0	1		CARPENTER'S HEALTH  & WELFARE TRUST FUND OF STL	Carpenters' District Council of St. louis	http://www.carpdc.org/	E2868	801	2007	13	30		Carpenters 2007 Plan		National	1	0		2											(800)-301-3002	(800)-301-3002		
E3014	801	0		30	13	E3014_801_0	2		PSERS HOP PROGRAM	Pennsylvania Public Schools Employee Retirement Sy	http://www.psers.state.pa.us/hop/hop.htm	E3014	801	2007	13	30		PSERS HOP		National	1	0		2											(800)-773-7725	(800)-773-7725		
E4167	801	0		30	13	E4167_801_0	6		HARRIS CORPORATION	Harris Retiree Medical Plan	www.harris.com	E4167	801	2007	13	30		Harris Corporation Medicare PDP		USA Plan	1	0		2											(800)-442-7747	(800)-442-7747		
E4744	801	0		30	13	E4744_801_0	1		MO DOT & MSHP MEDICAL AND LIFE INS PLAN	MISSOURI DEPARTMENT OF TRANSPORTATION	http://www.modot.state.mo.us/	E4744	801	2007	13	30		MODOT's 2007 Plan		National	1	0		2											(800)-601-3002	(800)-601-3002		
E7316	801	0		30	13	E7316_801_0	2		UNION PACIFIC RAILROAD EMPLOYES HEALTH SYSTEMS	Union Pacific RR Employes Health Systems	uphealth.com	E7316	801	2007	13	30		The UPREHS Prime Medicare Plan		National	1	0		2											(800)-547-0421	(800)-547-0421		
E7848	801	0		30	13	E7848_801_0	1		OKLAHOMA STATE & EDUCATION EMP GRP INSURANCE BOARD	HealthChoice	www.sib.ok.gov	E7848	801	2007	13	30		OK State & Education Emp Group Ins Board		State of Oklahoma	1	0		2											(800)-752-9475	(800)-752-9475	(405)-949-2281	(405)-949-2281
