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| HMO | Local Headquarters | Parent, Owner or Manager | Year Certified as HMO | June 2006 Illinois Enrollment Change 2005/2004 |
2006 Net Income (Margin) | Notes and History |
|---|---|---|---|---|---|---|
| Aetna Health of Illinois | Chicago | Aetna Health, Blue Bell, PA | 1982 | 60,115 13.4% |
$11,289,176 6.1% | Acquired NYLCare and Prudential Health Plan operations in 1997 and 1999, not including the former Rush-Prudential HMO |
| AmeriGroup Illinois | Chicago | AMERIGROUP Corporation, Virginia Beach, VA | 1996 | 37,610 9.7% |
-$6,177,154 -11.5% | |
| Aveta Health
Illinois, Inc. |
Hillside |
North American Medical Management |
2005 |
47 |
141,196 |
Medicare Advantage Special Needs plan offered under
name Aveta CarePartners |
| CIGNA Healthcare of Illinois | Chicago | CIGNA Health Plans, Philadelphia, PA | 1986 | 4,626 -7.3% |
$343,914 2.4% |
|
| CIGNA Healthcare of St. Louis | St. Louis, MO |
CIGNA Health Plans, Philadelphia, PA | 1986 | 590 -56.3% |
$1,535,999 9.5% |
|
| Essence,
Inc. |
St. Louis, MO |
Physician owned |
2005 |
302 |
New Medicare Advantage plan in St. Louis area |
|
| Great-West Health Care of Illinois | Rosemont | Great-West Life Insurance, Englewood, CO | 1996 | 5,403 -29.9% |
$113,834 1.9% |
Formerly known as One Health Plan |
| Group Health Plan | Earth City, MO | Coventry Health Care, Inc., Bethesda, MD | 26,254 | 27,781 17.2% |
$40,283,277 7.7% |
Acquired commercial business of HealthPartners of the
Midwest |
| Harmony Health Plan of Illinois | Chicago | 1996 | 78,110 37.0% |
-$10,636,423 -4.5% |
Acquired Family First (University of Chicago) Medicaid plan in 1998 and Neighborly Care in 2000 | |
| Health Alliance Medical Plans | Urbana | Carle Clinic Association | 1979 | 143,960 -6.8% |
$33,836,410 4.8% |
Also operates under second license as Health Alliance Midwest, mostly in Iowa. |
| HealthSpring
of Illinois |
HealthSpring, Nashville, TN |
2004 |
4,166 |
NA |
New Medicare Advantage Plan |
|
| HMO Illinois | Chicago | Blue Cross Blue Shield of Illinois | 1976 | 717,753 -2.3% |
$165,628,199 8.2% | Operated under three state licenses: BCI-HMO, Health Care Service Corp. - Blue Advantage and Health Care Service Corp.- HMO Illinois. Acquired Dreyer Health Plan in 1996 and Oxford Health Plan of Illinois (founded as Compass Health Plan) in 1998. |
| Humana Health Plan, Inc. | Chicago | Humana, Louisville, KY | 1972 | 136,208 -35.4% |
-$6,824,661 - 0.4% |
Acquired Michael Reese Health Plan; and combined with second HMO license in Illinois. |
| John Deere Health Plan, Inc. | Moline | John Deere | 1992 | 30,191 -9.7% |
$22,430,613 3.4% |
Includes Heritage National Health Plans in Illinois and Iowa, previously a separate HMO |
| Medical Associates Health Plan | Dubuque, IA | Medical Associates Clinics and Health Plans CO | 1987 |
3,110 -0.4% |
$2,171,951 3.4% |
|
| Mercy Health Plan of Missouri | Chesterfield, MO | Mercy Health | 1995 |
4,231 -31.1% |
||
| NevadaCare |
Las Vegas, NV |
i/mx Companies, Tempe, AZ |
1996 |
603 -2.1% |
$130,587 0.1% |
|
| OSF Health Plans | Peoria | OSF Healthcare System | 1993 | 66,959 0.7% |
$5,918,226 2.2% | |
| Personal Care Insurance of Illinois | Champaign | Coventry Health, Bethesda, MD |
1988 | 56,580 -3.2% |
$18,314,926
7.9%
|
Coventry Health Care acquired HMO in 2003. |
| UNICARE Health Plans of the Midwest, Inc. | Chicago | Wellpoint , Inc., Indianapolis, IN |
1973 | 128,556 -3.7% |
$2,000,000 0.5% | Rush-Presbyterian-St. Luke's Medical Center founded Anchor Health Plan and Access Health. Prudential acquired NorthCare in 1982. Acquired by Wellpoint Health Networks and operated under UniCare name |
| Union Health Service | Chicago | Non-profit | 1955 | 36,734 -1.7% |
$600,536 1.5% | |
| UnitedHealthcare of Illinois | Chicago | United HealthCare, Minnetonka, MN | 1976 | 30,293 -217% |
$5,247,177 3.5% | Incorporated MetraHealth of Greater Chicago (established 1986), MetraHealth of Illinois, Chicago HMO (founded as Roosevelt Health Plan in 1976) and Share Health Plan (1983). Also operates as United HealthCare of the Midwest in St. Louis area. |
| UnitedHealthcare of the Midwest | St. Louis | United HealthCare, Minnetonka, MN | 1985 |
8,947 -18.0% |
$32,550,335 6.2% |
Net income for operations in Illinois and other states for CIGNA St. Louis,
Group Health Plan, Health Alliance Midwest, Humana, John Deere, Medical
Associates, Mercy Health Plan of Missouri, NevadaCare and UnitedHealthcare of
the Midwest
These HMOs are licensed in Illinois but had no enrollees as of December 2005:
HealthLink, HMO Missouri, MercyCare Co., Premier Medical Insurance Group,
Wellmark Health Plan of Northern Illinois, Inc., Elgin (Blue Cross Blue Shield
of Iowa).
These HMOs have gone out of business in recent years: Accord Health Plan
(Westmont); American Health Care Providers (Richton, which had acquired all or
parts of Principal Health of Illinois, Maxicare and Community Health Choice);
Unity HMO; University of Illinois HMO, Rockford Health Plan and Benchmark
Health Plan (Rockford, HMO line of business); Community Health Plan of Sarah
Bush Lincoln (Charleston), Country Health Plan (part of Country Companies),
Bloomington, and Illinois Masonic Health Plan (Chicago).
updated January 2007
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