| Name |
Medical Care % |
Administration % |
Operating Margin |
Group Enrollment |
Individual Enrollment |
Medicare Enrollment |
Medicaid Enrollment |
Point of Service
Enrollment |
Total Enrollment |
| Aetna Health Plans of Central &
Eastern PA |
83.03% |
14.56% |
2.41% |
49,366
|
0 |
4,570
|
22,187
|
71,839
|
147,962
|
| Aetna Health Plans of Western PA, Inc |
76.54% |
14.91% |
8.54% |
13,107
|
890
|
0 |
3,179
|
29,052
|
46,228
|
| Alliance Health Network |
89.58% |
15.70% |
-5.29% |
17,759
|
0 |
0 |
0 |
0 |
17,759
|
| AmeriHealth HMO, Inc |
77.63% |
34.81% |
-12.44% |
36,464
|
0 |
0 |
0 |
0 |
36,464
|
| CIGNA Healthcare of PA, Inc |
91.15% |
69.16% |
-60.31% |
3,818
|
10
|
0 |
0 |
0 |
3,828
|
| Central Medical Health Plan |
92.17% |
9.40% |
-1.57% |
13,351
|
0 |
0 |
0 |
0 |
13,351
|
| Geisinger Health Plan |
91.70% |
8.80% |
-0.50% |
133,221
|
15,581
|
8,323
|
0 |
19,278
|
176,403
|
| Greater Atlantic Health Services |
83.34% |
18.92% |
-2.25% |
49,958
|
968
|
13,206
|
28,352
|
0 |
92,484
|
| HIP of Pennsylvania, Inc |
|
|
|
0 |
0 |
0 |
0 |
0 |
0 |
| HMO of Northeastern PA |
83.27% |
14.16% |
2.57% |
99,316
|
0 |
6,283
|
0 |
0 |
105,599
|
| Health Partners of Philadelphia |
87.98% |
12.32% |
-0.30% |
0 |
0 |
0 |
86,277
|
0 |
86,277
|
| HealthAmerica Pennsylvania, Inc |
86.26% |
14.45% |
-0.71% |
262,334
|
1,145
|
5,225
|
0 |
12,449
|
281,153
|
| HealthGuard of Lancaster |
83.11% |
9.91% |
6.97% |
28,017
|
0 |
0 |
0 |
21,222
|
49,239
|
| Healthcare Management Alternatives, Inc |
82.37% |
12.37% |
5.27% |
0 |
0 |
0 |
70,064
|
0 |
70,064
|
| Keystone Health Plan Central, Inc |
74.70% |
13.89% |
11.41% |
129,867
|
31,780
|
0 |
0 |
0 |
161,647
|
| Keystone Health Plan East |
85.19% |
11.52% |
3.29% |
271,207
|
1,781
|
46,210
|
157,852
|
104,332
|
581,382
|
| Keystone Health Plan West |
91.47% |
12.83% |
-4.30% |
175,055
|
0 |
19,320
|
84,615
|
0 |
278,990
|
| Medigroup HMO, Inc |
|
|
|
0 |
0 |
0 |
0 |
0 |
0 |
| Oxford Health Plan (PA), Inc |
81.32% |
17.80% |
0.88% |
849
|
0 |
0 |
46,520
|
0 |
47,369
|
| Prudential Health Care Plan, Inc |
81.03% |
21.62% |
-2.66% |
31,775
|
54
|
0 |
239
|
0 |
32,068
|
| QualMed Plans for Health, Inc |
|
|
|
0 |
0 |
0 |
0 |
0 |
0 |
| Riverside Health Plan, Inc |
|
|
|
0 |
0 |
0 |
0 |
0 |
0 |
| US Health Care Systems, Inc |
81.75% |
16.02% |
2.24% |
692,977
|
14,557
|
65,673
|
1,143
|
76,557
|
850,907
|
| Vista Health Plan |
|
|
|
0 |
0 |
0 |
0 |
0 |
0 |
| 1995 |
83.27% |
14.45% |
-0.30% |
2,008,441
|
66,766
|
168,810
|
500,428
|
334,729
|
3,079,174
|
| Data reported to the Department of Health
and Insurance Department and made available by the Pennsylvania Medical Society and the
Hospital & Health System Association of Pennsylvania |
|
|
|
|
|
|
|
|
|
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