CommunityCare's Oklahoma roots run deep as the managed care organization owned and operated by Saint Francis Hospital (founded 1960) and St. John Medical Center (founded 1926).
In 1993, health care reform came into the national spotlight. In response to proposals supported by the Clinton administration, many of the health care providers began forming new alliances. One such alliance was a joint venture between Saint Francis Hospital and St. John Medical Center, which resulted in CommunityCare HMO.
CommunityCare HMO was the first of its kind in Tulsa. As the policies and procedures for CommunityCare HMO were developed, it began to make good business sense to merge Saint Francis' HealthFirst PPO with St. John’s CompMed PPO. As a result of the merger, Preferred CommunityChoice PPO became operational in April 1994.
The first HMO employer contract with The Hardesty Companies was written on June 1, 1994. In July 1994, the State of Oklahoma offered CommunityCare HMO as one of the choices to State employees in the Tulsa area. Later that year, employees from Saint Francis and St. John were offered CommunityCare HMO or Preferred CommunityChoice PPO.
In 1996, CommunityCare began offering a Medicare Advantage plan called Senior Health Plan. Senior Health Plan is a Medicare HMO for Medicare eligible beneficiaries.
In October 1996, we ventured into the Worker’s Compensation arena with our own Worker’s Comp PPO network and a Certified Workplace Medical Plan called WorkNet of Oklahoma.
In July 1997, CommunityCare reached 50,000 HMO members.
Also, in 1997, a holding company, CommunityCare Managed Healthcare Plans of Oklahoma, was formed to be the parent company for all CommunityCare product lines.
In 1999, we also began marketing CommunityCare Plus, a POS product. This product offers HMO style benefits with an out-of-network option. This allows members to receive HMO style benefits but still have access to out-of-network benefits for higher copays and deductibles.
In 2000, CommunityCare began offering CommunityCare Life and Health Insurance Company PPO Plan, a PPO product for employers with 50 or more employees (now also available to small groups), that utilizes the Preferred CommunityChoice network. A partnership with Private Healthcare Systems (PHCS), a national provider network, provides coverage for employees who are located outside the Preferred CommunityChoice network.
Senior Health Plan celebrated the 20,000th member in July 2002.
Also, in 2003, CommunityCare Managed Healthcare Plans of Oklahoma introduced two new products. The first new product was CommunityCare65, a Medicare Supplement for Medicare eligible beneficiaries. The second new product was CommunityCare Employer's Choice, which is a plan that provides managed benefits for self-funded employers.
The Individual Deductible Employer Advantage (IDEA) plans were introduced in 2004. These high deductible health plans are tailored to fit any company’s specific needs and help companies keep their premiums low. CommunityCare HealthShare HRA was introduced in 2005.
CommunityCare began offering a PPO plan for small employer groups in 2006.
In 2009, CommunityCare introduced its Individual Health Plan to the market. This product provides individual healthcare coverage for individuals up to age 64 ½.
In 2013, CommunityCare began offering individual plans through the federal Health Insurance Marketplace and small group plans through the Small Business Health Options Program (SHOP) Marketplace.
CommunityCare Managed Healthcare Plans of Oklahoma now provides health care services to more than 500,000 individuals. We also have over 450 employees in our Tulsa and Oklahoma City offices combined.