| Plan Name | Enrollment Code(s) | PDF Version | Accessible Version |
|---|
| Advantage
Care, Inc. |
XW
|
PDF
|
WP5
|
| Advantage Health Plan |
LA, 2A
|
PDF
|
WP5
|
| Advantage Health Plan-OH/WVA |
QL, QJ
|
PDF
|
WP5
|
| AdultCare HMO |
3A
|
PDF
|
WP5
|
| Aetna HPs/Central & Eastrn PA
|
KJ, CT, 4J
|
PDF
|
WP5
|
| Aetna HPs of Arizona, Inc. |
WQ
|
PDF
|
WP5
|
| Aetna HPs of California, Inc. |
BU, 2X
|
PDF
|
WP5
|
| Aetna HPs of Georgia |
F3
|
PDF
|
WP5
|
| Aetna HPs of Louisiana, Inc. |
NG, TK
|
PDF
|
WP5
|
| Aetna HPs of Mid-Atlantic |
V8, ZY, Z1
|
PDF
|
WP5
|
| Aetna HPs of N. Texas |
TS
|
PDF
|
WP5
|
| Aetna HPs of NJ Inc. |
XK,ZR
|
PDF
|
WP5
|
| Aetna HPs of Ohio, Inc. |
RD
|
PDF
|
WP5
|
| Aetna HPs of the Midwest |
XC
|
PDF
|
WP5
|
| Alliance |
YQ
|
PDF
|
WP5
|
| Alliance Hlth Network, Inc. |
5A
|
PDF
|
WP5
|
| American HMO |
RB
|
PDF
|
WP5
|
| American HMO |
AC
|
PDF
|
WP5
|
| AmeriHealth HMO, Inc. |
SP, FK
|
PDF
|
WP5
|
| Antero HealthPlans |
9X
|
PDF
|
WP5
|
| APWU |
47
|
PDF
|
WP5
|
| Arnett HMO |
G2
|
PDF
|
WP5
|
| Association Benefit Plan |
42
|
No brochure
|
No brochure
|
| Atrium (formerly HMO Midwest) |
CV
|
PDF
|
WP5
|
| Av-Med Health Plan |
FJ, HW, GP, EM, H5
|
PDF
|
WP5
|
| BACE |
YD
|
PDF
|
WP5
|
| BCI HMO, Inc. |
3B
|
PDF
|
WP5
|
| Blue Care Network - East MI |
KN, K5
|
PDF
|
WP5
|
| Blue Care Network-Grt Lakes |
KR, KF, G7
|
PDF
|
WP5
|
| Blue Care Network Health Centr |
LN
|
PDF
|
WP5
|
| Blue Care Network SE |
LX
|
PDF
|
WP5
|
| Blue Choice |
MK
|
PDF
|
WP5
|
| Blue Cross and Blue Shield |
10
|
PDF
|
WP5
|
| Blue Shield of CA Access+HMO |
SJ
|
PDF
|
WP5
|
| BlueCHOICE |
M4
|
PDF
|
WP5
|
| BlueChoice Healthcare Plan |
1B
|
PDF
|
WP5
|
| BlueChoice HMO |
5K, 5L, S7
|
PDF
|
WP5
|
| Bluegrass Family Health |
2B
|
PDF
|
WP5
|
| C.D.P.H.P. |
SG
|
PDF
|
WP5
|
| CaliforniaCare |
M5
|
PDF
|
WP5
|
| Capital Health Plan |
EA
|
PDF
|
WP5
|
| CapitalCare |
2G
|
PDF
|
WP5
|
| Care Choices |
KZ, BA, FA
|
PDF
|
WP5
|
| CareAmerica Health Plan |
BG
|
PDF
|
WP5
|
| CareFirst Health Plan |
JQ
|
PDF
|
WP5
|
| Carelink Health Plans |
4C
|
PDF
|
WP5
|
| Chesapeake Health Plan |
BL
|
PDF
|
WP5
|
| Chicago Healthcare HMO |
FJ
|
PDF
|
WP5
|
| CHP/Hudson Valley Region |
QB
|
PDF
|
WP5
|
| CHP of Ohio |
MG
|
PDF
|
WP5
|
| CIGNA CoMED HealthCare |
P4
|
PDF
|
WP5
|
| CIGNA HC of AZ-Phoenix |
16
|
PDF
|
WP5
|
| CIGNA Healthcare of CO |
1C
|
PDF
|
WP5
|
| CIGNA HealthCare of CA |
SK
|
PDF
|
WP5
|
| CIGNA HealthCare of NC |
U1, XP
|
PDF
|
WP5
|
| CIGNA HealthCare of NY |
HU
|
PDF
|
WP5
|
| CIGNA HealthCare of PA |
XU
|
PDF
|
WP5
|
| CIGNA HealthCare of VA |
W3, W2
|
PDF
|
WP5
|
| CIGNA HlthCare Mid-Atlantic |
XF
|
PDF
|
WP5
|
| CIGNA of Ohio |
R4
|
PDF
|
WP5
|
| Columbia Medical Plan |
67
|
PDF
|
WP5
|
| Community Blue |
J7, 6Z
|
PDF
|
WP5
|
| Community Health Plan |
PW
|
PDF
|
WP5
|
| Community Hlth Ntwrk of LA |
RY, S6, S8
|
PDF
|
WP5
|
| Companion HealthCare |
SE
|
PDF
|
WP5
|
| Compcare Health Services |
69
|
PDF
|
WP5
|
| ConnectiCare |
TE
|
PDF
|
WP5
|
| Coordinated Health Partners |
DA
|
PDF
|
WP5
|
| DayMed Hlth Maintenance
Plan |
Q3
|
PDF
|
WP5
|
| DeanCareHMO |
WD
|
PDF
|
WP5
|
| Doctors Health Plan, Inc. |
6D
|
PDF
|
WP5
|
| Exclusive Healthcare
|
9Y
|
PDF
|
WP5
|
| Fallon Community
Health Plan |
JV
|
PDF
|
WP5
|
| Family Health Plan |
WH
|
PDF
|
WP5
|
| FHP |
A3, JK, K9
|
PDF
|
WP5
|
| FHP Health Care |
CY
|
PDF
|
WP5
|
| FHP NM |
P2
|
PDF
|
WP5
|
| FHP of Colorado |
D6
|
PDF
|
WP5
|
| FHP of Illinois, Inc. |
FY
|
PDF
|
WP5
|
| FHP of Ohio, Inc. |
R8
|
PDF
|
WP5
|
| FHP of Texas, Inc. |
4F
|
PDF
|
WP5
|
| FHP Utah |
KU
|
PDF
|
WP5
|
| First Option Hlth Plan of NJ |
2F
|
PDF
|
WP5
|
| First Priority Health |
C8
|
PDF
|
WP5
|
| FIRSTCARE |
CK
|
PDF
|
WP5
|
| Foreign Service |
40
|
PDF
|
WP5
|
| Foundation Health |
5C
|
PDF
|
WP5
|
| Free State Health Plan |
LD
|
PDF
|
WP5
|
| Frontier Community Health Plan |
6F
|
PDF
|
WP5
|
| GEHA |
31
|
PDF
|
WP5
|
| Geisinger Health Plan |
N9
|
PDF
|
WP5
|
| George Washington Univ HP |
E5
|
PDF
|
WP5
|
| GHI Health Plan |
80
|
PDF
|
WP5
|
| Grand Valley Health Plan |
RL
|
PDF
|
WP5
|
| Group Health Coop |
WJ
|
PDF
|
WP5
|
| Group Health Coop |
54
|
PDF
|
WP5
|
| Group Health Northwest |
VR
|
PDF
|
WP5
|
| Group Health Plan |
MM
|
PDF
|
WP5
|
| Group Hlth Coop/Eau Claire |
WT
|
PDF
|
WP5
|
| Guam Memorial Health Plan |
ZA
|
PDF
|
WP5
|
| Gulf South Health Plan, Inc. |
LY
|
PDF
|
WP5
|
| Harris Methodist
|
SC
|
PDF
|
WP5
|
| Harvard Community Hlth Plan |
68
|
PDF
|
WP5
|
| Harvard Pilgrim Hlth Care-NE |
70
|
PDF
|
WP5
|
| Health Alliance |
52
|
PDF
|
WP5
|
| Health Alliance HMO |
FX
|
PDF
|
WP5
|
| HealthFirst, Inc. |
RF
|
PDF
|
WP5
|
| Health Maintenance Life |
28
|
PDF
|
WP5
|
| Health Maintenance of Oregon |
6B
|
PDF
|
WP5
|
| Health Maintenance Plan |
R5
|
PDF
|
WP5
|
| Health Net |
LB
|
PDF
|
WP5
|
| Health New England |
DJ
|
PDF
|
WP5
|
| Health Options |
E8, XN, D7, TH, FN
|
PDF
|
WP5
|
| Health Partners of Alabama |
DF, Z9, 5F
|
PDF
|
WP5
|
| Health Plan of NV |
NM
|
PDF
|
WP5
|
| Health Plan Upper OH Valley |
U4
|
PDF
|
WP5
|
| Health Power HMO |
XR, 3R
|
PDF
|
WP5
|
| Health Advantage |
3D
|
PDF
|
WP5
|
| HealthAmerica Pennsylvania |
26, ZN, SW, 4N, 1N
|
PDF
|
WP5
|
| Healthcare Oklahoma, Inc. |
6W
|
PDF
|
WP5
|
| HealthCarePlan |
Q8
|
PDF
|
WP5
|
| HealthGuard |
NQ
|
PDF
|
WP5
|
| HealthPartners Health Plan |
HQ
|
PDF
|
WP5
|
| HealthPartners Select |
53
|
PDF
|
WP5
|
| Healthplan Southeast |
3E
|
PDF
|
WP5
|
| HealthPlus MI |
X5
|
PDF
|
WP5
|
| Healthsource Arkansas |
1H
|
PDF
|
WP5
|
| Healthsource CMHC |
J1
|
PDF
|
WP5
|
| Healthsource HMO of NY |
XL
|
PDF
|
WP5
|
| Healthsource ME |
MY
|
PDF
|
WP5
|
| Healthsource Ohio |
3H
|
PDF
|
WP5
|
| Healthsource Savannah |
2H
|
PDF
|
WP5
|
| Healthsource Tennessee, Inc. |
HT
|
PDF
|
WP5
|
| HealthSource of Georgia |
7H
|
PDF
|
WP5
|
| HealthSource of Kentucky |
8H
|
PDF
|
WP5
|
| HEALTHSOURCE of North Texas |
6H
|
PDF
|
WP5
|
| HealthWise of Kentucky |
DU
|
PDF
|
WP5
|
| Heart of America HMO |
RU
|
PDF
|
WP5
|
| Heritage National Healthplan |
3I, 3J, 3K, 3L, 3X
|
PDF
|
WP5
|
| Heritage National of TN |
3T, 4T
|
PDF
|
WP5
|
| HIP Health Plan of FL |
K7
|
PDF
|
WP5
|
| HIP Health Plan of NJ |
P9
|
PDF
|
WP5
|
| HIP Health Plan of Pennsylvania |
5J
|
PDF
|
WP5
|
| HIP of Greater New York |
51
|
PDF
|
WP5
|
| HMO Arizona BlueSelect |
5T, 5V
|
PDF
|
WP5
|
| HMO Blue |
4Z, 4Y
|
PDF
|
WP5
|
| Blue Cross of Idaho Coordinated Care Services |
GM, ZL, ZK
|
PDF
|
WP5
|
| HMOBlue |
AH
|
PDF
|
WP5
|
| HMO Blue |
5R
|
PDF
|
WP5
|
| HMO Blue, SouthWest TX |
5Q
|
PDF
|
WP5
|
| HMO-CNY |
EB, 4E, CE
|
PDF
|
WP5
|
| HMO Colorado/Nevada |
L2, VS
|
PDF
|
WP5
|
| HMO Health Ohio |
L4, OH, MD
|
PDF
|
WP5
|
| HMO MAINE |
CU
|
PDF
|
WP5
|
| HMO New Mexico |
5H
|
PDF
|
WP5
|
| HMO Oregon |
7A
|
PDF
|
WP5
|
| HMO Texas, L.C. |
2T
|
PDF
|
WP5
|
| HMO Virginia |
V7, X8, 4V
|
PDF
|
WP5
|
| HMOBlue, TH Healthcare |
6C
|
PDF
|
WP5
|
| HMSA |
4H
|
PDF
|
WP5
|
| HMSA's CHP |
HR, 18
|
PDF
|
WP5
|
| Hometown Health Plan |
4H
|
PDF
|
WP5
|
| Humana Care Plan |
HR, 18
|
PDF
|
WP5
|
| Humana Group Health Plan |
5Q
|
PDF
|
WP5
|
| Humana Health Plan |
D2
|
PDF
|
WP5
|
| Humana Health Plan of NV |
TL
|
PDF
|
WP5
|
| Humana Health Plan of CH |
75
|
PDF
|
WP5
|
| Humana Health Plan of AZ |
DY
|
PDF
|
WP5
|
| Humana Health Plan of Texas |
S5, UV, UE, UR
|
PDF
|
WP5
|
| Humana HealthChicago |
GQ
|
PDF
|
WP5
|
| Humana Kansas City, Inc. |
MS, 7S
|
PDF
|
WP5
|
| Humana Medical Plan |
P7, P5, EE, JH
|
PDF
|
WP5
|
| Humana of Corpus Christi |
TX
|
PDF
|
WP5
|
| Humana Wisconsin Hlth Org |
X1
|
PDF
|
WP5
|
| IHC SelectMed |
6S
|
PDF
|
WP5
|
| Independent Health Assoc |
QA, C1
|
PDF
|
WP5
|
| Intergroup of Arizona, Inc. |
A7
|
PDF
|
WP5
|
| John Deere Family
Healthplan |
1J
|
PDF
|
WP5
|
| Kaiser HI |
63
|
PDF
|
WP5
|
| Kaiser Permanente Southern California |
62
|
PDF
|
WP5
|
| Kaiser Permanente Northern California |
59
|
PDF
|
WP5
|
| Kaiser Permanente Mid-Atlantic |
E3
|
PDF
|
WP5
|
| Kaiser Permanente Texas |
UK
|
PDF
|
WP5
|
| Kaiser Permanente Georgia |
F8
|
PDF
|
WP5
|
| Kaiser Permanente Ohio |
64
|
PDF
|
WP5
|
| Kaiser Permanente Mass. |
K1
|
PDF
|
WP5
|
| Kaiser Permanente Colorado |
65
|
PDF
|
WP5
|
| Kaiser Permanente New York |
QH
|
PDF
|
WP5
|
| Kaiser Permanente Connecticut |
DM
|
PDF
|
WP5
|
| Kaiser Permanente Kansas City |
HA
|
PDF
|
WP5
|
| Kaiser Permanente Northwest |
57
|
PDF
|
WP5
|
| Keystone Health Plan Central |
ST, S4, Z3
|
PDF
|
WP5
|
| Keystone Health Plan East |
ED
|
PDF
|
WP5
|
| KeystoneBlue |
EF, ZT, ZU
|
PDF
|
WP5
|
| Kitsap Physicians Service |
VT
|
PDF
|
WP5
|
| Lovelace Health Plan
|
Q1
|
PDF
|
WP5
|
| M-Care |
EG
|
PDF
|
WP5
|
| M.D. Health Plan |
1M
|
PDF
|
WP5
|
| Mail Handlers |
45
|
PDF
|
WP5
|
| Matthew Thornton Health Plan |
NX
|
PDF
|
WP5
|
| Maxicare Illinois |
FV, VG
|
PDF
|
WP5
|
| Maxicare Indiana |
GK
|
PDF
|
WP5
|
| Maxicare Louisiana |
JA
|
PDF
|
WP5
|
| Maxicare North Carolina |
Q5
|
PDF
|
WP5
|
| Maxicare Northern California |
CX
|
PDF
|
WP5
|
| Maxicare South Carolina |
TA
|
PDF
|
WP5
|
| Maxicare Wisconsin |
WG
|
PDF
|
WP5
|
| MD-IPA |
JP
|
PDF
|
WP5
|
| MEDFIRST |
2M
|
PDF
|
WP5
|
| Medica Primary |
11
|
PDF
|
WP5
|
| Medical Value Plan |
EV
|
PDF
|
WP5
|
| MetraHealth Care Plan |
WA
|
PDF
|
WP5
|
| MetraHealth Care Plan of NY |
3M
|
PDF
|
WP5
|
| MetraHealth Care Plan TX |
U3
|
PDF
|
WP5
|
| MetraHealth of Georgia |
WE
|
PDF
|
WP5
|
| MetraHealth of Kansas City |
4M
|
PDF
|
WP5
|
| MetraHealth of LA, Inc. |
X7
|
PDF
|
WP5
|
| MVP Health Plan |
GA, M9, MX, VW
|
PDF
|
WP5
|
| NALC |
32
|
PDF
|
WP5
|
| National HMO Health Plan |
MN
|
PDF
|
WP5
|
| Northern Plains Health Plan |
2R
|
PDF
|
WP5
|
| NYLCare Health Plans |
HV, HK
|
PDF
|
WP5
|
| NYLCare Health Plans SW |
V2
|
PDF
|
WP5
|
| NYLCare HP of the Midwest |
XA
|
PDF
|
WP5
|
| NYLCARE HP of the Gulf Coast |
UM, ZE, ZF
|
PDF
|
WP5
|
| NYLCARE/Mid-Atlantic |
JN
|
PDF
|
WP5
|
| NYLCARE Northwest |
8N
|
PDF
|
WP5
|
| Ochsner/Sisters of
Charity |
4S, 4W, 4R, RQ
|
PDF
|
WP5
|
| Omni Healthcare |
HN
|
PDF
|
WP5
|
| OmniCare |
KA
|
PDF
|
WP5
|
| OPTIMA Health Plan |
V9
|
PDF
|
WP5
|
| Oxford Health Plans |
ZW, GC, 3W
|
PDF
|
WP5
|
| PACC HMO |
2P
|
PDF
|
WP5
|
| PacifiCare CA |
CQ
|
PDF
|
WP5
|
| PacifiCare OK |
2N, N1
|
PDF
|
WP5
|
| PacifiCare of Oregon |
SS
|
PDF
|
WP5
|
| PacifiCare of Texas |
GF, T6, VN
|
PDF
|
WP5
|
| PacifiCare of Washington |
WB
|
PDF
|
WP5
|
| Panama Canal Area |
43
|
PDF
|
WP5
|
| Paramount Health Care |
U2
|
PDF
|
WP5
|
| PARTNERS Health Plan of AZ |
TD, QS
|
PDF
|
WP5
|
| PARTNERS HMO |
RN, ZM
|
PDF
|
WP5
|
| PARTNERS National HPs of IN |
MC
|
PDF
|
WP5
|
| PARTNERS NHP of NC |
EQ
|
PDF
|
WP5
|
| PCA Family Health Plan of FL |
FQ
|
PDF
|
WP5
|
| PCA Health Plans of Alabama |
WV, XY, XS
|
PDF
|
WP5
|
| PCA Health Plans of Florida |
PJ
|
PDF
|
WP5
|
| PCA Health Plans of GA |
WV
|
PDF
|
WP5
|
| PCA Health Plans of Texas |
TW
|
PDF
|
WP5
|
| PCA Health Plans/Puerto Rico |
5P
|
PDF
|
WP5
|
| Personal Care Plan of NC |
4X
|
PDF
|
WP5
|
| Personal Physician Care |
PL
|
PDF
|
WP5
|
| PersonalCare's HMO |
GE
|
PDF
|
WP5
|
| PHP, Inc. |
XM
|
PDF
|
WP5
|
| PHP/Slocum-Dickson |
SH
|
PDF
|
WP5
|
| Physicians Health Plan |
U5, U6, U7, U8
|
PDF
|
WP5
|
| Physicians Hlth Srvs/CT |
DP
|
PDF
|
WP5
|
| Physicians Hlth Srvs of NY |
PD
|
PDF
|
WP5
|
| Physicians HP of N. Indiana |
DQ
|
PDF
|
WP5
|
| Physicians Plus HMO |
7P
|
PDF
|
WP5
|
| Postmasters |
36
|
PDF
|
WP5
|
| Preferred Care |
GV
|
PDF
|
WP5
|
| Preferred Health Network |
4P
|
PDF
|
WP5
|
| Preferred Plus of Kansas |
VA
|
PDF
|
WP5
|
| Premier Blue |
5N
|
PDF
|
WP5
|
| Premier HealthCare of Arizona |
9A, 9B
|
PDF
|
WP5
|
| Prepaid Health Plan |
QE
|
PDF
|
WP5
|
| Presbyterian Health Plan |
WB
|
PDF
|
WP5
|
| PrimeCare Health Plan, Inc. |
WK
|
PDF
|
WP5
|
| PrimeHealth |
AA
|
PDF
|
WP5
|
| PrimeONE |
9W
|
PDF
|
WP5
|
| Principal HC Carolinas |
1P
|
PDF
|
WP5
|
| Principal Health Care of DE |
WS
|
PDF
|
WP5
|
| Principal Health Care of FL |
C2, 2Z
|
PDF
|
WP5
|
| Principal Health Care of IN |
XE
|
PDF
|
WP5
|
| Principal Health Care of KC |
N3, 7W
|
PDF
|
WP5
|
| Principal Health Care of NE |
GU
|
PDF
|
WP5
|
| Principal Health Care of TX |
T5
|
PDF
|
WP5
|
| Principal Health Care of Iowa |
SV
|
PDF
|
WP5
|
| Principal Health Care of LA |
RP
|
PDF
|
WP5
|
| Principal Health Care of St.Louis |
12
|
PDF
|
WP5
|
| Priority Health |
BQ
|
PDF
|
WP5
|
| Priority Health Care, Inc. |
27
|
PDF
|
WP5
|
| Prudential Health HMO MidAtl |
JB
|
PDF
|
WP5
|
| Prudential HealthCare HMO Philadelphia |
VV
|
PDF
|
WP5
|
| Prudential HealthCare HMO South Florida |
HE
|
PDF
|
WP5
|
| Prudential HealthCare HMO Connecticut |
8C
|
PDF
|
WP5
|
| Prudential HealthCare HMO Nashville |
UA
|
PDF
|
WP5
|
| Prudential HealthCare HMO Kansas City |
1K
|
PDF
|
WP5
|
| Prudential HealthCare HMO St. Louis |
VZ
|
PDF
|
WP5
|
| Prudential HealthCare HMO San Antonio |
VX
|
PDF
|
WP5
|
| Prudential HealthCare HMO Jacksonville |
EC
|
PDF
|
WP5
|
| Prudential HealthCare HMO Houston |
UP
|
PDF
|
WP5
|
| Prudential HealthCare HMO Indiana |
WI
|
PDF
|
WP5
|
| Prudential HealthCare HMO Colorado |
9C
|
PDF
|
WP5
|
| Prudential HealthCare HMO Central Florida |
EH
|
PDF
|
WP5
|
| Prudential HealthCare HMO Austin |
UN
|
PDF
|
WP5
|
| Prudential HealthCare HMO Central Ohio |
AY
|
PDF
|
WP5
|
| Prudential HealthCare HMO - MA |
6M
|
PDF
|
WP5
|
| Prudential HealthCare HMO-Memphis |
UB
|
PDF
|
WP5
|
| Prudential HealthCare HMO - NC |
Q4
|
PDF
|
WP5
|
| Prudential HealthCare HMO NJ |
8P
|
PDF
|
WP5
|
| Prudential HealthCare HMO Atlanta |
EZ
|
PDF
|
WP5
|
| Prudential HlthCare HMO AR |
VY
|
PDF
|
WP5
|
| Prudential HlthCare HMO Cin |
S3
|
PDF
|
WP5
|
| Prudential HlthCare HMO ElPaso |
6P
|
PDF
|
WP5
|
| Prudential N. OH |
Q9
|
PDF
|
WP5
|
| Prudential OK City |
RR
|
PDF
|
WP5
|
| Prudential Richmond |
V6
|
PDF
|
WP5
|
| Prudential Tulsa |
RS
|
PDF
|
WP5
|
| QualChoice of Virginia |
2Q
|
PDF
|
WP5
|
| QualMed Oregon Health Plan |
AF
|
PDF
|
WP5
|
| QualMed Plans for Health |
AF
|
PDF
|
WP5
|
| QualMed Plans for Health |
PX
|
PDF
|
WP5
|
| QualMed Plans for Health of Colorado |
MT
|
PDF
|
WP5
|
| QualMed Wash Health
Plan |
TM
|
PDF
|
WP5
|
| Queen's Island Care |
F9
|
PDF
|
WP5
|
| Rocky Mountain HMO
|
88
|
PDF
|
WP5
|
| Rural Carrier Benefit Plan |
38
|
PDF
|
WP5
|
| Rush Prudential HMO, Inc. |
17
|
PDF
|
WP5
|
| Samaritan |
2S
|
PDF
|
WP5
|
| SAMBA |
44
|
PDF
|
WP5
|
| Scott and White |
UF
|
PDF
|
WP5
|
| Secret Service |
Y7
|
PDF
|
WP5
|
| SecureCare of Iowa |
3S, 3Q
|
PDF
|
WP5
|
| SelectCare |
SD
|
PDF
|
WP5
|
| SelectCare |
K6
|
PDF
|
WP5
|
| Share Health Plan of IL |
FP
|
PDF
|
WP5
|
| Southern Health Services |
5S
|
PDF
|
WP5
|
| Suburban Health Plan, Inc. |
1S
|
PDF
|
WP5
|
| Super Blue HMO |
5M
|
PDF
|
WP5
|
| The M*Plan |
IN
|
PDF
|
WP5
|
| The Wellness Plan
|
K3
|
PDF
|
WP5
|
| Total Health Care |
N2
|
PDF
|
WP5
|
| Triple-S |
89
|
PDF
|
WP5
|
| Union Health Service
|
76
|
PDF
|
WP5
|
| United HealthCare of Ohio |
VC, 3U
|
PDF
|
WP5
|
| United Health Plan |
C4
|
PDF
|
WP5
|
| United HealthCare Choice |
VB
|
PDF
|
WP5
|
| United HealthCare/Midlands |
NF
|
PDF
|
WP5
|
| United HealthCare of Arkansas |
QC
|
PDF
|
WP5
|
| United HealthCare of FL |
QK, 1X
|
PDF
|
WP5
|
| United HealthCare of Georgia |
UQ
|
PDF
|
WP5
|
| United HealthCare of MS |
QV
|
PDF
|
WP5
|
| United HealthCare of Tennessee |
QR
|
PDF
|
WP5
|
| United HealthCare Select |
H8
|
PDF
|
WP5
|
| United HC Of New England |
VF
|
PDF
|
WP5
|
| United HealthCare of Alabama-FQ |
NY, NJ, NL
|
PDF
|
WP5
|
| Unity Health Plans |
W4
|
PDF
|
WP5
|
| US Healthcare of GA |
2U
|
PDF
|
WP5
|
| US Healthcare of the Carolinas |
3G
|
PDF
|
WP5
|
| US Healthcare of DE |
US, NK
|
PDF
|
WP5
|
| US Healthcare of NY |
9P
|
PDF
|
WP5
|
| US Healthcare of NH |
UJ
|
PDF
|
WP5
|
| US Healthcare of VA |
1U
|
PDF
|
WP5
|
| US Healthcare of MA |
NE, 5U
|
PDF
|
WP5
|
| US Healthcare of PA |
SU, KL
|
PDF
|
WP5
|
| US Healthcare of NJ |
P3
|
PDF
|
WP5
|
| Valley Health Plan
|
VH
|
PDF
|
WP5
|
| Vytra Healthcare |
J6
|
PDF
|
WP5
|
| Welborn HMO |
H3
|
PDF
|
WP5
|
| WellCare of New York |
X4, ZV, GV
|
PDF
|
WP5
|
| WellPath Select |
2E
|
PDF
|
WP5
|
| Yellowstone
Community Health |
2Y
|
PDF
|
WP5
|
