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HealthSpring provides Medicare Advantage plans in seven US states. The company has more than 190,000 members in Alabama, Florida, Georgia, Illinois, Mississippi, Tennessee, and Texas. Its Medicare Advantage plans offer the support of Medicare with additional benefits such as Medicare Part D prescription benefits, vision and hearing benefits, and transportation programs. In addition, HealthSpring runs a nationwide prescription drug plan with more than 310,000 members, and offers management services to independent physician associations in Alabama, Tennessee, and Texas.

HFN offers a variety of managed care products and services for members throughout the Prairie State. The company provides health plans (PPO), long term care, and workers compensation insurance, as well as a Medicare Select product for seniors. HFN also offers an Internet-based claims repricing system for clients. HFN company opened its doors in 1985.

Highmark has staked its claim as the largest health insurer in the Keystone state. A licensee of the Blue Cross and Blue Shield Association, the not-for-profit firm covers some 3.9 million people in central and western Pennsylvania, as well as the Lehigh Valley. It serves another 800,000 customers in West Virginia and other areas of Pennsylvania through affiliations and partnerships with other insurers, and it provides administrative and network-access services nationally. In addition, Highmark sells Medicare Advantage and prescription drug plans to seniors in both states. Other subsidiaries (not operating under the BCBS license) provide dental insurance, vision care, and other products and services nationwide.

Horizon NJ Health, a subsidiary of Horizon Blue Cross Blue Shield of New Jersey, is a managed health care organization, providing health coverage to some 350,000 publicly insured residents of the Garden State. Its members are beneficiaries of state programs such as Medicaid and NJ FamilyCare, a state-funded children's insurance program. The company's health plans cover routine office visits, prenatal care, vision and dental care, and medications. It also provides transportation and case management services. Horizon NJ Health was formed in 1993.

Independence Blue Cross (IBC) provides health insurance and related services to some 3.3 million members in Philadelphia and surrounding areas. The company's plans include Personal Choice (PPO), Keystone Health Plan East (HMO and POS), and traditional indemnity options for groups, families, and individuals. It also offers supplemental Medicare, dental, vision, life, and disability insurance. Through subsidiary AmeriHealth Administrators, IBC provides third-party administration (TPA) services. IBC, which was founded as the Associated Hospital Service of Philadelphia in 1938, is an independent licensee of the Blue Cross and Blue Shield Association.

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