SPRINGFIELD AREA MANAGED CARE PRODUCTS

RESEARCHED BY: BRYAN J. SMITH

Type Profit

Name Total Policy Primary Specialists of Hospitals and Clinics Business Ownership or Top Year Address SW MO Holders Care Phy in Plan Available Entry or Parent Not For Local Estab Telephone / Fax Enrollment in SW MO in SW MO SW MO Offered In Network Requirements Company Profit Official Locally

Alliance BlueCross BlueShield 1 HMO-Freeman, Freeman Neosho, HMO-2 or

3265 S National Ste 100 / 65807 Cox Hospitals, So Barry Co more; PPO- Right Choice

800-392-8740 / 314-923-4769 70,600 33,600 280 327 PPO, HMO, POS PPO- all above + Skaggs, Barton individual & Managed Profit Tom 1994

Co, Cedar Co, Citizens Memorial group 2 or more Care Inc Montileone

CCO Inc Local certified MCO; contracts St John's Health System, Skaggs

2740 S. Glenstone Ste 202 / 65804 w/ businesses, trusts, Comm, Citizens Memorial, Locally- John L

881-0601 ? 800-242-5517 / 71,550 2,648 534 806 insurance companies, TPAs to Freeman, Columbia, Breech, Lake None owned Profit Tummons, 1997

886-7081 provide PPO & case mgmt for of the Ozarks General, over 80 CCO Inc PhD

plans & regional workers' comp hospitals in MO, KS and AR

Cox-Freeman HealthPlans Inc Cox Hospitals, Skaggs, So Barry, Cox Health

1443 N Robberson Ste 700 / 65802 Freeman, Texas Co, Cedar Co, & Freeman

269-2900 / 269-2925 12,155 5,715 235 512 HMO, HMO with Barton Co, over 40 clinics & Groups of Health Profit Gary 1997

POS physicians in southwest MO 2 or more Systems Jacobs

Cox Health Systems Ins Co Cox Hospitals, Cedar Co, Texas

3800 S National Ste 720 / 65807 Triple Option- Co, Ozarks Medical, Skaggs,

269-4679 / 269-4667 15,166 7,484 235 512 Select Plan, EPO, Freeman, S Barry Co, Ferrell- Groups of Cox Health Profit Gary 1995

PPO, Traditional Duncan, Breech, over 40 clinics 2 or more Systems Jacobs

Health Link So Barry Co, Cox Hospitals,

788 Office Pkwy, St Louis / 63141 40,000 13,500 200 500 HMO, PPO, POS, Lake of the Ozarks, Primrose, None Right Choice Profit David 1989

800-624-2356 / 314-872-9634 Workers' Comp PPO Freeman, Barton Co, Memorial, Managed Ott

Cedar Co, McCune-Brooks Care, Inc

Humana Med-Pay Inc Fully insured HMO Aurora Community, Breech,

1650 E Battlefield, 300 / 65804 HMO and PPO Cedar Co, Citizens Memorial,

886-6886 / 886-2276 66,000 32,318 336 748 self-funded TPA plans Texas Co, Skaggs, St John's, 3 non-related Humana Profit Gordon 1994

available S Barry Co, 30 hospitals statewide employees Inc Kinne

Missouri Advantage LLC HMO group or Citizens Memorial, Fitzgibbon, Jeremy

113 E Broadway, PO Box 479 3,000 1,400 250 500 individual, Boone, Audrain Medical, Lake of 2 or more Missouri Profit McLaughlin, 1996

Bolivar / 65613 POS the Ozarks, St John's Hospitals, non-related Advantage Lesa

777-6000 / 777-4603 Cox Hospitals, St Mary's employees LLC Sturtevant

Premier Health Plans HMO, POS, St John's, Aurora Community, Mercy

1949 E Sunshine Ste 2-316 / 65804 long-term disability, Cedar Co, Breech, Citizen's Health Lisa

836-0450 / 836-0457 45,000 21,000 220 630 short-term disability, Memorial, Ozarks Medical, 2 non-related Plans of Profit Posey 1995

vision, dental, life McCune-Brooks, Skaggs employees Missouri Jenkins

Private Healthcare Systems, Inc Cox Hospitals, Golden Valley, Private

2405 Grand Ave, Ste 1240 22,000 n/a 297 374 PPO Skaggs, Freeman, Columbia, Varies by Health Care Profit Shirley B 1985

Kansas City / 64108 Citizens Memorial, Barton Co, carrier Systems Cady

816-221-4455 ? 800-268-7427 Cedar Memorial Inc

Primrose Healthcare Srvs Inc Self-funded PPO, Cox Hospitals, Skaggs, Freeman, Primrose Not

1000 E Primrose Ste 310 / 65807 135,000 54,000 258 501 EPO, HMO, insured So Barry Co, Aurora Community, None Health Care for Mary Ann 1994

269-6270 / 269-6744 PPO, EPO, HMO Texas Co, Ozarks Medical, BJC Services Inc Profit Beranek

United Health Care of Midwest Inc Cox Hospitals, So Barry Co, United

1949 E Sunshine Ste 3-305 / 65804 22,357 n/a 145 345 HMO, PPO, POS Freeman Hospitals, 2 or more Healthcare Profit Doug 1995 841-7100 / 841-7118 Phelps employees Corporation Myers

1. Alliance BlueCross BlueShield offers two products: Alliance is PPO, while BlueChoice is HMO and POS.

The above list is comprised of a variety of managed care products, so they have not been compared and ranked. Every effort was made to include the managed care products in the area.

The above SBJ list was compiled from data provided by representatives of the managed care providers. Some providers that deserve to be mentioned may not have been included due to lack of information, deadline or space restrictions.

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