Marketplace hospital networks vary widely across Oklahoma


Posted On: 10/16/2013


Oklahomans shopping for individual health insurance through the Healthcare.gov marketplace have a choice of plans from as few as two issuers to as many as five, with more options available in the more populous parts of the state. In 50 of Oklahoma’s 77 counties, Blue Cross and Coventry plans are the only choices available in the new marketplace.

Blue Cross and Blue Shield

Blue Cross and Blue Shield has marketplace plans available in all 77 counties of Oklahoma using its broad Blue Choice PPO provider network. Blue Preferred plans, which include fewer than half as many hospitals statewide as Blue Choice, are added in 68 counties. In the Oklahoma City and Lawton metro areas, Blue Cross offers its lower-cost Blue Advantage plans as an alternative. Blue Cross is also making multi-state plans available in all 77 counties.
Blue Cross plan information
Blue Cross provider listings

Coventry

Coventry plans are also available in all 77 counties. Unlike Blue Cross, Coventry is not offering plans with broad PPO networks in the Oklahoma City and Tulsa markets. Coventry CareLink, available in the Tulsa area from Payne County to Wagoner County, uses the Hillcrest Healthcare System, Cleveland Area Hospital, and Wagoner Community Hospital. The Coventry plan for the Oklahoma City area (Canadian, Cleveland, and Oklahoma counties) is limited to the four metro INTEGRIS hospitals and Lakeside Women’s Hospital.
Coventry plan information
Coventry provider listings

Aetna

Aetna is offering marketplace plans in only the Oklahoma City (seven county) and Tulsa (five county) metro areas. The hospital networks for these plans are fairly small. 
Aetna plans
Aetna provider directory

CommunityCare

CommunityCare is offering individual marketplace HMO plans in four Tulsa-area counties, and in Oklahoma and Cleveland County. CommunityCare is using its narrow “Select” network for these plans.
CommunityCare Plans
CommunityCare provider listings

GlobalHealth

GlobalHealth’s individual and family marketplace plans will be available in 27 counties in 2014, covering most of northeast and central Oklahoma, and Grant, Carter, Love and Pontotoc counties.  
GlobalHealth’s Marketplace plans
GlobalHealth provider listings

OHA has an Excel file for members listing the 2014 Marketplace plans available by county. The file includes sample premium rates for individuals and families. For more information and to access this file, click here

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