Net income rose during the same period from about $3.6 million (1991) to nearly $28 million. 2. continued. We reserve the right to block IP addresses that submit excessive requests. Revenues more than doubled again in 1994, moreover, to $721 million. Among Oxfords innovations were new ways to deliver cost-effective care to patients with asthma and other chronic conditions. Links to various non-Aetna sites are provided for your convenience only. WebOxford Health Plans operates business in the Northeast and is owned by its parent UnitedHealthcare and its subsidiaries do not discriminate on the basis of race, color, national origin, age, disability or sex in its Company of New York, or Oxford Health Insurance, Inc. Oxford HMO products are underwritten by Oxford Health Plans (NJ), Inc. Wiggins greatest problem, in fact, became keeping up with a growth rate of more than 50 percent annually. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. WebOxford insurance products are underwritten by Oxford Health Insurance, Inc. Oxford HMO products are underwritten by Oxford Health Plans (CT), Inc. and Oxford Health Plans (NJ), Inc. As of 2019, the Metro Network boasts about 50,000 enrolled members and serves in the following areas: 58%: 5 Boroughs Manhattan, Bronx, Queens, Brooklyn and Staten Island 28%: Nassau/Suffolk 14%: Westchester County. 6/01, WebOxford Health Insurance, Inc. (OHI) Mailing Address: NY Small Group Enrollment Dept. Unlisted, unspecified and nonspecific codes should be avoided. Disclaimer of Warranties and Liabilities. WebThe Company offers its products through its HMO subsidiaries, Oxford Health Plans Treating providers are solely responsible for medical advice and treatment of members. Aetna Inc. and its affiliated companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. HealthPlansNY was formed by 2 independent insurance agents who joined forces to help small business owners save money and improve their group insurance plans. Freedom Freedom plans have the best health care coverage options but they are also the most expensive health plans Oxford has to offer. The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage. UnitedHealthcare of Florida, Inc. (UnitedHealth) Oxford Health Plans of New York, Inc. Oxford Health Insurance, Inc. UnitedHealthcare Plan of the River Valley; Sierra Health And Life Insurance Company, Inc. UnitedHealthcare Insurance Company ; Health Plan of Nevada, Inc. UnitedHealthcare of Wisconsin, Inc. (UnitedHealth) This excerpt is provided for use in connection with the review of a claim for benefits and may not be reproduced or used for any other purpose. On that date, with the Departments approval, Oxford Health Plans, Inc. transferred 100% ownership of OHI to OHP-NY. OXFORD HEALTH PLANS, INC., 02 Civ. Another downside to Oxford health plans is they have some of the most expensive health plans in the region. Oxford is a subsidiary of UHG. Stock Screener License to sue CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. On that date, Oxford transferred 100% ownership of OHI to Oxford Health Plans (NY), Inc. A. Many critics doubted Oxfords ability to profit and sustain growth in the early 1990s. The company primarily provides medical insurance to employer groups with less than 100 employees located in Connecticut, New York, New Jersey, New Hampshire and Pennsylvania. $142.4 By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. The ABA Medical Necessity Guidedoes not constitute medical advice. As a result, OHI became a whollyowned subsidiary- of UHIC effective January 1, 2014. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. EU Endorsed, UK Endorsed; Solicited by or on behalf of the issuer (sell side) Inc. (And Insurance Operating Subsidiaries) Rating Report / Thu 21 Jul, 2005. (203) 852-1442Fax: (203) 851-2464, Public CompanyIncorporated: 1984Employees: 4,400Sales: $1.77 billion (1995)Stock Exchanges: NASDAQSICs: 6324 Hospital & Medical Service Plans; 6321Accident & Health Insurance. plans (314) 770-1666 That number increased rapidly during 1994 and 1995, as Oxford acquired other companies and added members to existing plans. See Claim reconsideration and appeals process found in Chapter 10: Our claims process for general appeal requirements. Health insurance for individuals who are65 or older, or those under 65 who may qualify because of a disability or another special situation. B. Puget Sound. Oxford Benefit Management, Inc. Connecticut : Oxford Health Plans LLC. The Freedom Plan overcame the common objection to HMOs that members were limited to using only the doctors who belonged to the HMO network. Our staff can assist you with group health insurance, group dental, group life insurance, group disability and voluntary benefits for your New York small business. For language services, please call the number on your member ID card and request an operator. WebASHs subsidiaries have become some of the largest specialty health plans, insurers, U.S.A. THE BOARD OF DIRECTORS RECOMMENDS THAT THE STOCKHOLDERS APPROVE THE OXFORD HEALTH Eastern Washington At the time, the new company faced a difficult, up hill battle by trying to convince doctors and hospitals to embrace the new managed care concept. WebOwners and spouses may enroll in a group health plan only if the business has an eligible common law employee enrolled in the Oxford plan. The examination was conducted at the office of Oxford Health Insurance, Inc., located at 48 Monroe Turnpike, Trumbull, CT. maintenance You are now being directed to the CVS Health site. WebThe Oxford1 Freedom Network has been our premiere provider network for access in Connecticut for more than three decades. Oxford Health Inc. Tabs New President, Fairfield County Business Journal, May 25, 1992, p. 17. Oxford, with its Freedom Plan, was credited with pioneering what became known as point-of-service products in the HMO industry. Refer to each styles convention regarding the best way to format page numbers and retrieval dates. As a result, OHI became a whollyowned subsidiary- of UHIC effective January 1, 2014. Administrative services provided by Oxford Health Plans LLC. The examination was limited to Connecticut business. WebCompany profile page for Oxford Health Plans LLC including stock price, company Liberty The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. If your company insures more than 5 employees, Oxford will allow you to offer up to 3 health plans, as long as one plan includes a Health Savings Account (HSA). 800-234-3702. It obtained its license from New York State to do the business of accident and health insurance on July 1, 1987 and it commenced operations on that date. . WebOxford Health Plans (CT), Inc. Connecticut : Oxford Health Plans LLC. WebOxford insurance products are underwritten by Oxford Health Insurance, Inc. 2Network Report, December 2020. Rally Health provides health and well-being information and support as part of your health plan. By clicking on I Accept, I acknowledge and accept that: The Applied Behavior Analysis (ABA) Medical Necessity Guidehelps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. All services deemed "never effective" are excluded from coverage. Wiggins incorporated the company on September 17, 1984, and Oxford began operations late in 1986. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. They were also working to sustain rapid growth as part of their plan to become a dominant provider of managed care and related products and services in the Northeast United States. Kaiser Permanente is one of the nation's largest not-for-profit health plans, serving 12.7 million members. Within a few years, in fact, he was engrossed in other health care ventures. 116,865952. 5 : 3. With the sudden surge in members, the companys infrastructure became overburdened. Payable for securities 0 0 18. Some benefits have waiting periods. Please log in to your secure account to get what you need. Oxford is a direct, wholly-owned subsidiary of Oxford Health Plans, Inc. Pursuant to N.J.S.A. Southern California Permanente Medical Group. The invention allowed tiny Oxford to compete with such deep-pocketed players in the insurance industry as Prudential and Aetna. Products and services offered are underwritten by Golden Rule Insurance Company, Health Plan of Nevada, Inc., Oxford Health Insurance, Inc., UnitedHealthcare Life Insurance Company, UnitedHealthcare of the Mid-Atlantic, Inc., UnitedHealthcare of New York, Inc. UnitedHealthCare has been ranked by Fortune Magazine seven years in a row as one of the worlds most admired companies in the insurance and managed care sector. Wiggins concern about keeping up with growth intensified going into the mid-1990s. The responsibility for the content of Aetna Clinical Policy Bulletins (CPBs) is with Aetna and no endorsement by the AMA is intended or should be implied. Browse doctors by location. Any use of CPT outside of Aetna Clinical Policy Bulletins (CPBs) should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT), copyright 2015 by the American Medical Association (AMA). WebOn July 30, 2020, the Connecticut Insurance Department published a market conduct exam involving Oxford Health Insurance (dba Oxford HealthPlans) and UnitedHealthcare Insurance Company. Financial Glossary ]. Aetna Inc. and its affiliates are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. Meanwhile, Wiggins continued to try to innovate and stay ahead of the competition. Oxford Health Plans, Inc., The Wall Street Transcript, December 19, 1994, pp. Greater Southern Alameda County Founded in 1984, Oxford Health Plans, Inc. provides health plans to Some subtypes have five tiers of coverage. The overall result was a perceived decline in quality of service, high standards for which had been Oxfords hallmark for nearly a decade. W I T filed by Oxford Health Plans Inc on August 3rd, 2000 However, we want to make you aware of the whole range of individual and family insurance products we have available in your state. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). UnitedHealth Group Inc. said Monday that it will acquire Oxford Health Plans Inc. in a stock and cash transaction worth approximately $4.9 billion. WebAetna is the brand name used for products and services provided by one or more of the No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. As surprising as Oxfords success during the late 1980s was the fact that it had even survived as an independent company. While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. The Humana Building All Oxford plans include 24/7 doctor video chats, virtual weight loss and wellness coaching, and access to personal benefit reflect Amounts due to parent, subsidiaries and affiliates 10,716,065 10,716,065 13,366,955 16. 800 Connecticut AvenueNorwalk, Connecticut 06854U.S.A. WebOxford Health Insurance, Inc. NY : Oxford Health Plans (NY), Inc. Oxford Health Plans 3 Approximate as of January 31, 2023, representing all specialties. extraordinary Greater Sacramento He also implemented a number of innovative cost-reduction and efficiency measures that helped to make the plan attractive to companies seeking lower health insurance rates for their workers. WebWe'll help you find a health plan: Medicare/older adults Individuals/families MassHealth. include Because each style has its own formatting nuances that evolve over time and not all information is available for every reference entry or article, Encyclopedia.com cannot guarantee each citation it generates. Wherever the designation Oxford or OHPI appears herein, without qualification, it should be understood to indicate Oxford Health Plans, Inc., the parent of Oxford Health Plans (NY), Inc. 2 . At Kaiser Permanente, physicians are responsible for medical decisions. See all legal notices. (502) 580-1000 According to press releases issued by the companies, after the merger Oxford will (1) be a wholly-owned subsidiary of UnitedHealthcare and (2) continue to WebOptum Health provides care directly through local medical groups and ambulatory care systems, including primary, specialty, urgent and surgical care to 103 million consumers. The growth also put a strain on employee morale. Eligible Former Employees who may enroll: Former employees eligible for COBRA or state continuation may enroll for the period allowed by law. Thank you for your interest in the U.S. Securities and Exchange Commission. The company has grown rapidly since the mid-1980s by acquiring competitors and increasing enrollment in its cost-efficient health plans. From Los Angeles to San Francisco, San Diego to Sacramento, explore theseCalifornia health insurance options and morethat may be available now. Oxford Health is also known as UnitedHealth Care Oxford. Vancouver, Wash. & Vision Administrators, PacifiCare Dental and Vision Administrators. 26 Jul. I Group gibilitEli y: To be eligible for small group In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. However, some small businesses are willing to pay more to offer their employees Oxfords better health plan coverage along with their extensive network of providers. A major impetus for Wiggins to start ASI, for example, was his best friend in college, who had been paralyzed in a driving accident; observing the treatment his friend received, Wiggins found that existing care for handicapped people was of poor quality. All plans provide coverage to a vast network of doctors and hospitals in the New York region. Pacificare Life and Health Insurance Company; UnitedHealth Group Incorporated; UnitedHealthcare Plan of the River Valley; Oxford Health Insurance, Inc. UHC of California; Oxford Health Plans of New York, Inc. PacifiCare of Arizona, Inc. UnitedHealthcare Insurance Company of New York; Sierra Health And Life Insurance He started his career in 1976 with Health Central, Inc., a company that owned and operated several mid western hospitals. In 1990, in fact, Oxford was the second most profitable HMO in New York. Boulder Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Its reputation helped it to enroll impressive clients such as the respected Fried Frank Harris law firm and the venerable Columbia-Presbyterian Medical Center.
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