PreferredOne Community Health Plan
Minnesota Supplement Report #3
ENROLLMENT BY DEMOGRAPHIC GROUPS,
AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION
As of December 31, 2013
Public Information, Minnesota Statutes § 62D.08
Type of Product: Commercial
Age of
Enrollees
Members at End of Period
Male
Female
Member Months
Total
Male
Female
Total
<1
97
92
189
1,079
1,000
2,079
1-4
400
382
782
4,568
4,575
9,143
5-9
527
547
1,074
6,424
6,363
12,787
10-14
539
531
1,070
6,814
6,562
13,376
15-17
340
300
640
4,481
3,508
7,989
18-19
235
230
465
2,742
2,894
5,636
20-24
727
524
1,251
8,518
6,398
14,916
25-29
729
587
1,316
8,342
6,788
15,130
30-34
751
594
1,345
8,543
7,548
16,091
35-39
707
591
1,298
8,088
6,806
14,894
40-44
692
564
1,256
8,284
7,240
15,524
45-49
771
616
1,387
9,033
7,927
16,960
50-54
877
730
1,607
10,268
8,867
19,135
55-59
749
566
1,315
8,723
6,876
15,599
60-64
463
395
858
5,451
4,658
10,109
65-69
74
59
133
882
720
1,602
70-74
14
8
22
199
115
314
75-79
5
1
6
71
4
75
80-84
4
1
5
38
12
50
85-89
1
-
1
12
-
12
90+
NR
NR
Unknown
NR
NR
Total
8,702
7,318
16,020
102,560
88,861
191,421
PreferredOne Community Health Plan
Minnesota Supplement Report #3
ENROLLMENT BY DEMOGRAPHIC GROUPS,
AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION
As of December 31, 2013
Public Information, Minnesota Statutes § 62D.08
Type of Product: Medicare + Choice
Age of
Enrollees
Members at End of Period
Male
Female
Total
Member Months
Male
Female
Total
<1
NR
NR
1-4
NR
NR
5-9
NR
NR
10-14
NR
NR
15-17
NR
NR
18-19
NR
NR
20-24
NR
NR
25-29
NR
NR
30-34
NR
NR
35-39
NR
NR
40-44
NR
NR
45-49
NR
NR
50-54
NR
NR
55-59
NR
NR
60-64
NR
NR
65-69
NR
NR
70-74
NR
NR
75-79
NR
NR
80-84
NR
NR
85-89
NR
NR
90+
NR
NR
Unknown
NR
NR
Total
NR
NR
NR
NR
NR
NR
PreferredOne Community Health Plan
Minnesota Supplement Report #3
ENROLLMENT BY DEMOGRAPHIC GROUPS,
AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION
As of December 31, 2013
Public Information, Minnesota Statutes § 62D.08
Type of Product: Medicare Cost
Age of
Enrollees
Members at End of Period
Male
Female
Total
Member Months
Male
Female
Total
<1
NR
NR
1-4
NR
NR
5-9
NR
NR
10-14
NR
NR
15-17
NR
NR
18-19
NR
NR
20-24
NR
NR
25-29
NR
NR
30-34
NR
NR
35-39
NR
NR
40-44
NR
NR
45-49
NR
NR
50-54
NR
NR
55-59
NR
NR
60-64
NR
NR
65-69
NR
NR
70-74
NR
NR
75-79
NR
NR
80-84
NR
NR
85-89
NR
NR
90+
NR
NR
Unknown
NR
NR
Total
NR
NR
NR
NR
NR
NR
PreferredOne Community Health Plan
Minnesota Supplement Report #3
ENROLLMENT BY DEMOGRAPHIC GROUPS,
AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION
As of December 31, 2013
Public Information, Minnesota Statutes § 62D.08
Type of Product: Minnesota Senior Health Options (MSHO)
Age of
Enrollees
Members at End of Period
Male
Female
Total
Member Months
Male
Female
Total
<1
NR
NR
1-4
NR
NR
5-9
NR
NR
10-14
NR
NR
15-17
NR
NR
18-19
NR
NR
20-24
NR
NR
25-29
NR
NR
30-34
NR
NR
35-39
NR
NR
40-44
NR
NR
45-49
NR
NR
50-54
NR
NR
55-59
NR
NR
60-64
NR
NR
65-69
NR
NR
70-74
NR
NR
75-79
NR
NR
80-84
NR
NR
85-89
NR
NR
90+
NR
NR
Unknown
NR
NR
Total
NR
NR
NR
NR
NR
NR
PreferredOne Community Health Plan
Minnesota Supplement Report #3
ENROLLMENT BY DEMOGRAPHIC GROUPS,
AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION
As of December 31, 2013
Public Information, Minnesota Statutes § 62D.08
Type of Product: Special Needs Basic Care (MA only)
Age of
Enrollees
Members at End of Period
Male
Female
Total
Member Months
Male
Female
Total
<1
NR
NR
1-4
NR
NR
5-9
NR
NR
10-14
NR
NR
15-17
NR
NR
18-19
NR
NR
20-24
NR
NR
25-29
NR
NR
30-34
NR
NR
35-39
NR
NR
40-44
NR
NR
45-49
NR
NR
50-54
NR
NR
55-59
NR
NR
60-64
NR
NR
65-69
NR
NR
70-74
NR
NR
75-79
NR
NR
80-84
NR
NR
85-89
NR
NR
90+
NR
NR
Unknown
NR
NR
Total
NR
NR
NR
NR
NR
NR
PreferredOne Community Health Plan
Minnesota Supplement Report #3
ENROLLMENT BY DEMOGRAPHIC GROUPS,
AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION
As of December 31, 2013
Public Information, Minnesota Statutes § 62D.08
Type of Product: Special Needs Basic Care Integrated
Age of
Enrollees
Members at End of Period
Male
Female
Total
Member Months
Male
Female
Total
<1
NR
NR
1-4
NR
NR
5-9
NR
NR
10-14
NR
NR
15-17
NR
NR
18-19
NR
NR
20-24
NR
NR
25-29
NR
NR
30-34
NR
NR
35-39
NR
NR
40-44
NR
NR
45-49
NR
NR
50-54
NR
NR
55-59
NR
NR
60-64
NR
NR
65-69
NR
NR
70-74
NR
NR
75-79
NR
NR
80-84
NR
NR
85-89
NR
NR
90+
NR
NR
Unknown
NR
NR
Total
NR
NR
NR
NR
NR
NR
PreferredOne Community Health Plan
Minnesota Supplement Report #3
ENROLLMENT BY DEMOGRAPHIC GROUPS,
AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION
As of December 31, 2013
Public Information, Minnesota Statutes § 62D.08
Type of Product: Prepaid Medical Assistance Program (PMAP)
Age of
Enrollees
Members at End of Period
Male
Female
Total
Member Months
Male
Female
Total
<1
NR
NR
1-4
NR
NR
5-9
NR
NR
10-14
NR
NR
15-17
NR
NR
18-19
NR
NR
20-24
NR
NR
25-29
NR
NR
30-34
NR
NR
35-39
NR
NR
40-44
NR
NR
45-49
NR
NR
50-54
NR
NR
55-59
NR
NR
60-64
NR
NR
65-69
NR
NR
70-74
NR
NR
75-79
NR
NR
80-84
NR
NR
85-89
NR
NR
90+
NR
NR
Unknown
NR
NR
Total
NR
NR
NR
NR
NR
NR
PreferredOne Community Health Plan
Minnesota Supplement Report #3
ENROLLMENT BY DEMOGRAPHIC GROUPS,
AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION
As of December 31, 2013
Public Information, Minnesota Statutes § 62D.08
Type of Product: MNCare
Age of
Enrollees
Members at End of Period
Male
Female
Total
Member Months
Male
Female
Total
<1
NR
NR
1-4
NR
NR
5-9
NR
NR
10-14
NR
NR
15-17
NR
NR
18-19
NR
NR
20-24
NR
NR
25-29
NR
NR
30-34
NR
NR
35-39
NR
NR
40-44
NR
NR
45-49
NR
NR
50-54
NR
NR
55-59
NR
NR
60-64
NR
NR
65-69
NR
NR
70-74
NR
NR
75-79
NR
NR
80-84
NR
NR
85-89
NR
NR
90+
NR
NR
Unknown
NR
NR
Total
NR
NR
NR
NR
NR
NR
PreferredOne Community Health Plan
Minnesota Supplement Report #3
ENROLLMENT BY DEMOGRAPHIC GROUPS,
AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION
As of December 31, 2013
Public Information, Minnesota Statutes § 62D.08
Type of Product: Other:
Age of
Enrollees
Members at End of Period
Male
Female
Total
Member Months
Male
Female
Total
<1
NR
NR
1-4
NR
NR
5-9
NR
NR
10-14
NR
NR
15-17
NR
NR
18-19
NR
NR
20-24
NR
NR
25-29
NR
NR
30-34
NR
NR
35-39
NR
NR
40-44
NR
NR
45-49
NR
NR
50-54
NR
NR
55-59
NR
NR
60-64
NR
NR
65-69
NR
NR
70-74
NR
NR
75-79
NR
NR
80-84
NR
NR
85-89
NR
NR
90+
NR
NR
Unknown
NR
NR
Total
NR
NR
NR
NR
NR
NR
PreferredOne Community Health Plan
Minnesota Supplement Report #3
ENROLLMENT BY DEMOGRAPHIC GROUPS,
AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION
As of December 31, 2013
Public Information, Minnesota Statutes § 62D.08
Type of Product: Administrative Services Only
Age of
Enrollees
Members at End of Period
Male
Female
Total
Member Months
Male
Female
Total
<1
NR
NR
1-4
NR
NR
5-9
NR
NR
10-14
NR
NR
15-17
NR
NR
18-19
NR
NR
20-24
NR
NR
25-29
NR
NR
30-34
NR
NR
35-39
NR
NR
40-44
NR
NR
45-49
NR
NR
50-54
NR
NR
55-59
NR
NR
60-64
NR
NR
65-69
NR
NR
70-74
NR
NR
75-79
NR
NR
80-84
NR
NR
85-89
NR
NR
90+
NR
NR
Unknown
NR
NR
Total
NR
NR
NR
NR
NR
NR
PreferredOne Community Health Plan
Minnesota Supplement Report #3
ENROLLMENT BY COUNTY AND PRODUCT TYPE
As of December 31, 2013
Public Information, Minnesota Statutes § 62D.08
Other:
County
(code)
Medicare +
Choice
Commercial
Medicare Cost
MN Senior
Health Options
(MSHO)
Special Needs
Basic Care (MA
Only)
Special Needs
Basic Care
Integrated
Prepaid Medical
Assistance
Program (PMAP)
MNCare
Please Specify
on Demog Page
Administrative
Services Only
Total Enrollees
Aitkin
1
5
5
Anoka
2
823
823
Becker
3
51
51
Beltrami
4
11
11
Benton
5
240
240
Big Stone
6
17
17
Blue Earth
7
29
29
Brown
8
364
364
Carlton
9
81
81
Carver
10
467
467
Cass
11
53
53
Chippewa
12
9
9
Chisago
13
116
116
1
Clay
14
1
Clearwater
15
8
8
Cook
16
23
23
Cottonwood
17
3
3
Crow Wing
18
303
303
Dakota
19
1,353
1,353
Dodge
20
17
17
Douglas
21
354
354
Faribault
22
51
51
Fillmore
23
17
17
Freeborn
24
100
100
Goodhue
25
166
166
Grant
26
39
39
Hennepin
27
3,367
3,367
Houston
28
1
1
Hubbard
29
5
5
Isanti
30
72
72
Itasca
31
110
110
Jackson
32
-
-
Kanabec
33
18
18
Kandiyohi
34
115
115
Kittson
35
-
-
Koochiching
36
6
6
Copy of MN_Supplemental_report_3_enrollment_2014
Page 11 of 13
PreferredOne Community Health Plan
Minnesota Supplement Report #3
ENROLLMENT BY COUNTY AND PRODUCT TYPE
As of December 31, 2013
Public Information, Minnesota Statutes § 62D.08
Other:
County
(code)
Medicare +
Choice
Commercial
Medicare Cost
MN Senior
Health Options
(MSHO)
Special Needs
Basic Care (MA
Only)
Special Needs
Basic Care
Integrated
Prepaid Medical
Assistance
Program (PMAP)
MNCare
Please Specify
on Demog Page
Administrative
Services Only
Total Enrollees
Lac Qui Parle
37
14
14
Lake
38
7
7
Lake of the Woods
39
-
-
Le Sueur
40
76
76
Lincoln
41
4
4
Lyon
42
139
139
Mahnomen
44
1
1
Marshall
45
-
-
Martin
46
6
6
McLeod
43
500
500
Meeker
47
93
93
Mille Lacs
48
86
86
Morrison
49
136
136
Mower
50
27
27
Murray
51
26
26
Nicollett
52
47
47
Nobles
53
2
2
Norman
54
-
-
Olmsted
55
214
214
Otter Tail
56
76
76
Pennington
57
-
-
Pine
58
9
9
Pipestone
59
17
17
Polk
60
59
59
Pope
61
36
36
Ramsey
62
1,047
1,047
Red Lake
63
16
16
Redwood
64
14
14
Renville
65
46
46
Rice
66
312
312
Rock
67
-
-
Roseau
68
1
1
Saint Louis
69
278
278
Scott
70
694
694
Sherburne
71
340
340
Sibley
72
56
56
Copy of MN_Supplemental_report_3_enrollment_2014
Page 12 of 13
PreferredOne Community Health Plan
Minnesota Supplement Report #3
ENROLLMENT BY COUNTY AND PRODUCT TYPE
As of December 31, 2013
Public Information, Minnesota Statutes § 62D.08
Other:
Medicare +
Choice
Commercial
Special Needs
Basic Care (MA
Only)
Special Needs
Basic Care
Integrated
Prepaid Medical
Assistance
Program (PMAP)
Administrative
Services Only
(code)
Stearns
73
876
876
Steele
74
105
105
Stevens
75
51
51
Swift
76
9
9
Todd
77
103
103
Traverse
78
6
6
Wabasha
79
24
24
Wadena
80
84
84
Waseca
81
19
19
Washington
82
589
589
Watonwan
83
29
29
Wilkin
84
-
-
Winona
85
2
2
Wright
Yellow Medicine
86
87
744
60
744
60
State Total
88
15,475
Outside State
89
504
Unknown
SUBTOTAL
90
91
41
16,020
NR
NR
NR
NR
NR
MNCare
Please Specify
on Demog Page
County
NR
Medicare Cost
MN Senior
Health Options
(MSHO)
NR
NR
NR
Total Enrollees
15,475
504
NR
Copy of MN_Supplemental_report_3_enrollment_2014
NR
NR
NR
Page 13 of 13
NR
NR
NR
NR
NR
41
16,020