Puerto Rico

HealthCare COMPARE Corp.

3200 Highland Ave., Downers Grove, Ill. 60515; 630-241-7900; fax: 630-241-7856

Staff/Facilities

Primary practitioners*23

Specialists18

Hospitals**3

Service area: Puerto Rico: cities of Aibonito, Guayanilla, Guaynabo, Humacao, Jayuya, Mayaguez, Penuelas, Ponce, San Juan, Santa Isabel, Villalba and Yabucoa.

**Includes some specialists.

***Includes specialty hospitals.

See HealthCare COMPARE Corp./The AFFORDABLE Medical Networks consolidated listing under Illinois.

MedPlus Inc.

22 Ortegon St., Suite 210, Caparra Office Center Building, Caparra, Puerto Rico 00920; 787-793-3100; fax: 787-793-1565

Staff/Facilities

Primary practitioners2,359

Specialists4,019

Hospitals59

Pharmacies650

Users: Group Health

Employer/payer groups36

Single coverage2,182

Family coverage5,077

Employees & dependents20,000

Total Users20,000

Ownership: Union Equity Corp.

Operational date: January 1985.

For profit.

Service area: Puerto Rico.

Contracts with Pharmaceutical Card Systems for prescription drug in Puerto Rico.

Services: General medical, dental, vision, prescription drug, mental health, chiropractic. Services available unbundled. May be customized to meet employer specifications.

Compensation: Negotiates hospital charges by per diem; is compensated by employers/payers, insurers; charges flat fee per employee.

UR: Standard procedures, including drug utilization. UR provided by the PPO.

Officers: Guillermo Hernandez Boissen, president; Benjamin J. Van Blake, executive director; Dr. Julio R. Badillo, medical director; Juan Cruz-Resto, marketing director.

Contact: Robert L. Cook, 1480 Renaissance Drive, Park Ridge, Ill. 60068; 708-803-1300.

MultiPlan Inc.

115 Fifth Ave., New York, N.Y. 10003; 212-780-2000; fax: 212-843-3517

Staff/Facilities

Primary practitioners*NA

Specialists*NA

Hospitals49

Users: Group Health

Employer/payer groups3

Employees & dependents7,266

Service area: Puerto Rico: cities of Arecibo, Bayamon, Guyama, Humacao, Manati, Moca, Mayaguez, Ponce, San Juan, Utuado and Vieques.

**Practitioner network not yet established.

See MultiPlan Inc. consolidated listing under New York.

National Ear Care Plan

6825 E. Tennessee Ave., Suite 415, Denver, Colo. 80224-1632; 303-399-1212; fax: 303-399-7719

Specialty: hearing

Staff/Facilities

Primary practitioners2

Service area: Puerto Rico: cities of Caguas, Guaynabo and San Juan.

See National Ear Care Plan consolidated listing under Colorado.

United HealthCare Plans of Puerto

Rico Inc.

Rexco Office Park, St. 1, Corner Road 165, Guaynabo, Puerto Rico 00968; 787-782-5792; fax: 787-781-9394

Staff/Facilities

Primary practitioners3,365

Specialists3,649

Hospitals64

Pharmacies700

Users

Employer/payer groups262

Total Users271,917

Model type: IPA.

Services: General medical, prescription drug, mental health/substance abuse.

Rating options: Community rating; experience rating.

Offers self-insured products.

Contact: Ivan Rios, sales director.

See United HealthCare Corp. HMO consolidated listing under Minnesota.