Metropolitan Health Plan Minnesota Supplement Report #6 ENROLLMENT BY DEMOGRAPHIC GROUPS, AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION As of December 31, 2012 Public Information, Minnesota Statutes § 62D.08 Type of Product: Commercial 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 Metropolitan Health Plan Minnesota Supplement Report #6 ENROLLMENT BY DEMOGRAPHIC GROUPS, AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION As of December 31, 2012 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 Metropolitan Health Plan Minnesota Supplement Report #6 ENROLLMENT BY DEMOGRAPHIC GROUPS, AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION As of December 31, 2012 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 Metropolitan Health Plan Minnesota Supplement Report #6 ENROLLMENT BY DEMOGRAPHIC GROUPS, AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION As of December 31, 2012 Public Information, Minnesota Statutes § 62D.08 Type of Product: Minnesota Senior Health Options (MSHO) Age of Enrollees Members at End of Period Male Female Member Months Total 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 1 1 - 1 1 65-69 60 69 129 661 863 1,524 70-74 77 84 161 883 1,063 1,946 75-79 58 105 163 728 1,290 2,018 80-84 45 76 121 491 1,027 1,518 85-89 18 51 69 219 548 767 90+ 6 32 38 90 429 519 Unknown Total NR 264 418 682 NR 3,072 5,221 8,293 Metropolitan Health Plan Minnesota Supplement Report #6 ENROLLMENT BY DEMOGRAPHIC GROUPS, AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION As of December 31, 2012 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 22 5 27 249 66 315 20-24 58 54 112 694 545 1,239 25-29 91 80 171 863 752 1,615 30-34 92 84 176 913 850 1,763 35-39 105 91 196 1,099 932 2,031 40-44 129 113 242 1,286 1,155 2,441 45-49 153 149 302 1,607 1,587 3,194 50-54 267 193 460 2,479 1,942 4,421 55-59 186 168 354 1,796 1,714 3,510 60-64 149 130 279 1,404 1,334 2,738 65-69 20 11 31 102 61 163 70-74 NR NR 75-79 NR NR 80-84 NR NR 85-89 NR NR 90+ NR NR Unknown NR NR Total 1,272 1,078 2,350 12,492 10,938 23,430 Metropolitan Health Plan Minnesota Supplement Report #6 ENROLLMENT BY DEMOGRAPHIC GROUPS, AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION As of December 31, 2012 Public Information, Minnesota Statutes § 62D.08 Type of Product: Special Needs Basic Care Integrated Age of Enrollees Members at End of Period Male Female Member Months Total 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 1 1 6 22 28 25-29 7 4 11 96 60 156 30-34 5 10 15 35 94 129 35-39 6 12 18 90 115 205 40-44 18 13 31 197 160 357 45-49 46 24 70 514 280 794 50-54 52 32 84 558 393 951 55-59 37 30 67 418 333 751 60-64 22 14 36 223 163 386 65-69 6 3 9 68 36 104 70-74 NR NR 75-79 NR NR 80-84 NR NR 85-89 NR NR 90+ NR NR Unknown NR NR Total 199 143 342 2,205 1,656 3,861 Metropolitan Health Plan Minnesota Supplement Report #6 ENROLLMENT BY DEMOGRAPHIC GROUPS, AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION As of December 31, 2012 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 20-24 567 235 802 5,627 2,474 8,101 25-29 784 262 1,046 7,213 2,367 9,580 30-34 574 148 722 5,663 1,489 7,152 35-39 455 105 560 4,274 1,099 5,373 40-44 523 153 676 5,472 1,796 7,268 45-49 581 192 773 6,553 2,220 8,773 50-54 545 231 776 5,752 2,529 8,281 55-59 352 162 514 3,693 1,623 5,316 60-64 166 90 256 1,675 1,004 2,679 65-69 99 140 239 1,233 1,758 2,991 70-74 70 98 168 851 1,287 2,138 75-79 32 51 83 395 633 1,028 80-84 16 26 42 193 311 504 85-89 14 31 45 163 390 553 90+ 10 20 30 120 241 361 Unknown Total NR 4,788 1,944 6,732 NR 48,877 21,221 70,098 Metropolitan Health Plan Minnesota Supplement Report #6 ENROLLMENT BY DEMOGRAPHIC GROUPS, AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION As of December 31, 2012 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 Metropolitan Health Plan Minnesota Supplement Report #6 ENROLLMENT BY DEMOGRAPHIC GROUPS, AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION As of December 31, 2012 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 Metropolitan Health Plan Minnesota Supplement Report #6 ENROLLMENT BY DEMOGRAPHIC GROUPS, AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION As of December 31, 2012 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 Metropolitan Health Plan Minnesota Supplement Report #6 ENROLLMENT BY COUNTY AND PRODUCT TYPE As of December 31, 2012 Public Information, Minnesota Statutes § 62D.08 Other: County (code) Aitkin 1 Anoka 2 Becker 3 Commercial Medicare + Choice Medicare Cost MN Senior Health Options (MSHO) Special Needs Basic Care (MA Only) 24 6 Special Needs Basic Care Integrated Prepaid Medical Assistance Program (PMAP) MNCare Please Specify on Demog Page Administrative Services Only Total Enrollees NR 27 57 NR Beltrami 4 Benton 5 1 NR 1 Big Stone 6 NR Blue Earth 7 NR Brown 8 Carlton 9 Carver 10 Cass 11 NR Chippewa 12 NR Chisago 13 NR Clay 14 NR Clearwater 15 NR Cook 16 NR Cottonwood 17 NR Crow Wing 18 Dakota 19 Dodge 20 NR Douglas 21 NR Faribault 22 NR Fillmore 23 NR Freeborn 24 NR Goodhue 25 NR Grant 26 Hennepin 27 Houston 28 NR Hubbard 29 NR Isanti 30 NR Itasca 31 NR Jackson 32 NR Kanabec 33 Kandiyohi 34 Kittson 35 NR 5 2 3 3 4 11 NR 4 3 4 11 NR 637 2,327 338 6,669 9,971 NR 1 1 NR Koochiching 36 NR Lac Qui Parle 37 NR Lake 38 NR Metropolitan Health Plan 2012 Page 11 of 13 Metropolitan Health Plan Minnesota Supplement Report #6 ENROLLMENT BY COUNTY AND PRODUCT TYPE As of December 31, 2012 Public Information, Minnesota Statutes § 62D.08 Other: County (code) Commercial Medicare + Choice 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 Lake of the Woods 39 NR Le Sueur 40 NR Lincoln 41 NR Lyon 42 NR McLeod 43 NR Mahnomen 44 NR Marshall 45 NR Martin 46 NR Meeker 47 NR Mille Lacs 48 NR Morrison 49 NR Mower 50 NR Murray 51 Nicollett 52 Nobles 53 NR Norman 54 NR Olmsted 55 NR Otter Tail 56 NR Pennington 57 NR Pine 58 NR Pipestone 59 NR Polk 60 NR Pope 61 Ramsey 62 Red Lake 63 NR Redwood 64 NR Renville 65 NR Rice 66 NR Rock 67 NR Roseau 68 NR Saint Louis 69 Scott 70 Sherburne 71 Sibley 72 NR Stearns 73 NR Steele 74 NR Stevens 75 NR Swift 76 NR Metropolitan Health Plan 2012 NR 1 1 NR 4 9 2 11 26 NR 8 1 8 1 1 Page 12 of 13 17 2 Metropolitan Health Plan Minnesota Supplement Report #6 ENROLLMENT BY COUNTY AND PRODUCT TYPE As of December 31, 2012 Public Information, Minnesota Statutes § 62D.08 Other: County (code) Commercial Medicare + Choice 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 Todd 77 NR Traverse 78 NR Wabasha 79 NR Wadena 80 NR Waseca 81 Washington 82 Watonwan 83 NR Wilkin 84 NR Winona 85 Wright Yellow Medicine 86 87 State Total 88 Outside State 89 Unknown SUBTOTAL 90 91 Metropolitan Health Plan 2012 NR 1 1 1 3 NR 1 1 NR NR NR NR NR NR NR 682 682 2,350 2,350 Page 13 of 13 341 NR 10,105 1 6,732 1 342 NR NR 10,106 6,732 NR NR NR NR
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