State Plan 

CA Western Health Advantage

CO Rocky Mountain HMO

CT Health Net of Connecticut 

IA SecureCare of Iowa

IN Welborn HMO

NY Univera Healthcare 

NY Univera Healthcare 

NY Health Net of New York 

PA KeystoneBlue

TX HMO Blue Texas 

VA Healthkeepers

WI Unity Health Plans

State Plan Code

IN Aetna Health

KY Aetna Health

NV Aetna Health

NY Aetna Health

PA Health Net of PA

State Plan Code Counties Dropped

AZ Health Net of Arizona A7

CA Aetna Health 2X

CA Health Net LB

CA PacifiCare CY

FL AvMed EM

Code

5Z

DP

7L

Enrollees in these enrollment codes who do not change health plans during open season will not have 

health benefits for 2003.

8L

27

Cococino 

Amador, Colusa, Glenn, Lassen, 

Mariposa, Mendocino, Plumas, Sierra, 

Tehama

San Diego 

Enrollees in the area being dropped who do not change health plans during open season will have to 

travel to their plan’s remaining service area to obtain medical care in order to receive full benefits 

from the plan in 2003.

SECTION 1

PLANS DROPPING OUT OF FEHB 

PLANS REDUCING THEIR SERVICE AREAS BY TERMINATING AN ENROLLMENT CODE

SECTION 2

PLANS REDUCING THEIR SERVICE AREAS WITHOUT TERMINATING AN ENROLLMENT 

CODE 

SECTION 3

TG

Employees in these plans who do not change health plans during open season will not have health 

benefits for 2003.

Gainesville area: Alachua, Bradford, 

Citrus, Columbia, Dixie, Gilchrist, 

Hamilton, Levy, Marion, Putnam, 

Suwannee, Union; Jacksonville area: 

Baker, Clay, Duval, Nassau, St. Johns; 

Orlando area: Orange, Osceola, Seminole; 

Tampa area: Lee, Sarasota

7L

3Q

QE

PD

X8

XJ

YX

EF

W4

SH

H3

Imperial County, City of Blythe (Riverside 

County)

1
MO BlueChoice 9G

IL PersonalCare HMO GE

IN Advantage Health Plan 6Y

KY Aetna Health RD

MI The Wellness Plan K3

MI OmniCare KA

NV Health Plan of Nevada NM

OH Advantage Health Plan 6Y

OK PacifiCare 2N

OH Aetna Health 7D

TX HMO Blue Texas YM

Logan 

Monroe 

Entire state

Allen, Crawdord, Erie, Hancock, Hardin, 

Henry, Lucas, Ottawa, Putnam, Sandusky, 

Seneca, and portions of Auglaize, Fulton, 

Huron, Wood 

Adair, Linn, Putnam, Schuyler, Sullivan, 

Butler, Carter, Ripley, Wayne

St. Clair, Shiawasse

Edgar, Macon, Montgomery, Morgan

Adams, Allen, DeKalb, Gibson, 

Huntington, Kosciusko, LaGrange, Noble, 

Porter, Posey, Vanderburgh, Warrick, 

Wells, Whitley

Defiance

Lyon, Mineral, and Washoe

Arkansas, Ataskosa, Bastrop, Bee, Bell, 

Bexar, Blanco, Bosque, Brazos, Brooks, 

Burleson, Burnet, Caldwell, Cameron, 

Comal, Fayette, Freestone, Gonzales, 

Guadalupe, Hays, Hidalgo, Hill, Jim 

Wells, Karnes, Kendall, Kenedy, Kleberg, 

Lee, Leon, Madison, McLennan, Medina, 

Milam, Navarro, Nueces, Refugio, 

Robertson, San Patricio, Starr, Travis, 

Willacy, Williamson, Wilson 

2
State Plan Code (2002) Code (2003)

NY Univera Healthcare Q8

FL Av-Med EM

State Plan Code

FL Health Plan Southeast 

FL J M H Health Plan 

MT New West Health Plan 

PR Humana Health Plans (POS)

State Plan Code Counties Added

IL Union Health Service 76

IN Physicians Health Plan DQ

IL Health Alliance FX

IL BlueChoice 9G

MA Fallon Community Health Plan JV

MO Coventry Health Care of Kansas HA

MA ConnectiCare TE

MN Avera AV

NY GHI HMO Select 6V

Note: Univera Healthcare will split its service area into two enrollment codes. Univera Healthcare-Sourthern Region 

(Allegany, Cattaraugus and Chautauqua counties) will get a new enrollment code KQ, and Univera Healthcare-Northern 

Region (Erie, Genesee, Niagara, Orleans and Wyoming counties) will retain the current enrollment code Q8. Current 

Federal members enrolled in code Q8 who live or work in the counties designated as the Southern Region must enroll in 

KQ or a new plan during Open Season.

RK

J8

Andrew, Carroll, Gentry, Grundy, 

Livingston, Pettis 

Franklin, Hampden. Hampshire

Richmond, Nassau, Suffolk

Amesbury, Erving, Groveland, Merrimac, 

New Salem, Salisbury, Newbury, 

Newburyport, West Newbury, Warwick, 

Wendell

Elkhart

SERVICE AREA EXPANSIONS WITHOUT NEW ENROLLMENT CODES 

St. Clair, Madison

KQ, Q8

Enrollees in this plan under the 2002 enrollment code shown below should check their plan brochure 

to determine which 2003 code they should be under. 

SECTION 5

NEW PLANS ENTERING THE PROGRAM 

SECTION 4

PLANS SPLITTING A SERVICE AREA 

EM, ML 

(Note: Av-Med Health Plan will split their FEHB contract into two separate contracts which will result into two 

enrollment codes. Av-Med Health Plan - South Region will get a new enrollment code ML, and Av-Med Health Plan - 

North Region (Tampa) will retain the current enrollment code EM. Any current Federal members under the enrollment 

code EM who reside in the counties assigned to the South Region must change plans during open season. Federal 

subscribers will not be automatically transferred to the South Region enrollment code ML. Av-Med members in the 

South Region that wish to remain with Av-Med for contract year 2003 must make a positive election into Av-Med Health 

Plan - South Region enrollment code ML during open season

ZJ

NV

DeKalb, Adams, Brown, Pike, LaSalle, 

Grundy, Kendall (Note: The counties of 

Hancock and Schuyler will be moved from 

the Macomb service area to the Quincy 

service area) 

Kane, Kendall, Will

Expands in the state of Minnesota to 

include counties of: Rock, Nobles, 

Jackson, Cottonwood, Murray, Pipestone

SECTION 6

3
NY MVP Healthcare MX

OH Blue HMO (formerly Health Maintenance 

Plan)

R5

PA UMPC 8W

PA Health America 26

UT Altius Health Plan 9K

WA Kitsap Physicians Service VT

VA MD-IPA JP

WI Dean Health Plan WD

State Plan Name (Old) Code Plan Name (New)

OH Health Maintenance Plan R5

NY Univera Healthcare - WNY Q8

Aetna U.S. Healthcare, Inc. 

State Plan Code 

NV Health Plan of Nevada

State Plan Code Option Added

IL Humana 75

NY HIP of New York 51

TN HealthSpring 6K

TX Humana UR

OH

Health Plan of the Upper Ohio 

Valley U4

Nationwide APWU 47

State Plan Code Option Dropped

MN, WI Health Partners Classic 53

Standard Option

Consumer-driven Option

Standard Option

Standard Option

Standard Option

Standard Option

Standard Option

SECTION 10

King County

PLAN NAME CHANGES

SECTION 7

SECTION 9

PLANS ADDING AN OPTION 

NM

Crawford, Erie, Forrest, Venango, Warren

Green, Juneau, Vernon

Expanding into the remainder of Sanpete 

County

PLANS DROPPING A POINT OF SERVICE PRODUCT 

SECTION 8

Sullivan

Aetna Health Inc.

Blue HMO

Univera Healthcare

PLANS DROPPING AN OPTION

Remainder of the following counties: 

Ashtabula, Darke, Highland, Logan, 

Madison, Sandusky, Van Wert. They will 

add the following counties: Adams, 

Auglaize, Belmont, Crawford, Guernsey, 

Hardin, Hocking, Knox, Marion, Mercer, 

Morrow, Muskingum, Perry, Pike, 

Richland, Ross, Scioto, Wyandot 

Culpeper, Greene, Madison, Wise, City of 

Norton

Erie, Crawford, Warren, McKean, Mercer, 

Venango, Forest, Elk, Cameron, 

Lawrence, Butler, Armstrong, Jefferson, 

Clearfield, Beaver, Allegheny, Indiana, 

Cambria, Blair, Washington, 

Westmoreland, Greene, Fayette, Somerset, 

Bedford, Clarion

4