Health Care Service Corporation (HCSC) has the Blues in Chicago and the Southwest. A licensee of the Blue Cross and Blue Shield Association, HCSC consists of four regional Blue health plans: Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Texas, Blue Cross and Blue Shield of New Mexico, and Blue Cross and Blue Shield of Oklahoma. The mutually owned company provides group and individual health plans -- including traditional indemnity plans, managed care programs, and Medicare supplemental coverage -- to more than 12 million members, a majority of them in Illinois and Texas. Through some non-Blue subsidiaries, HCSC sells dental, life, disability, and property/casualty insurance.

Health First Health Plans (HFHP), a subsidiary of Health First, provides health insurance and related services to about 64,000 members in Florida's Space Coast (Brevard County and north Indian River County). Its provider network includes about 750 physicians working at three area hospitals. Among the 70 different health plans are HMO, POS, high-deductible plans, Medicare Advantage (for individuals), and Group Medicare. The company also offers preventative health services such as health assessments for adults, as well as programs for women and children. HFHP also has its own pharmacy department to manage prescription drug benefits.

Health Management Systems (HMS) specializes in squeezing pennies for Uncle Sam's health insurers. Health Management Systems company supplies information management services and software used by government health agencies and government-sponsored managed care firms to recover money from health care providers that were either overpaid or paid in error. The company's services include retroactive insurance claims reprocessing and third-party liability recovery, as well as pharmacy recovery services for the overpayment of pharmaceuticals. HMS operates nationwide out of more than two-dozen regional offices. Health Management Systems is a subsidiary of HMS Holdings Corp.

Health Net Federal Services provides health insurance and related services to some 3 million US military personnel and their families via the military's TRICARE program. TRICARE is the result of 1988 legislation known as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS). Health Net Federal Services serves TRICARE's north region, which covers about 25 states (and the District of Columbia) in the Northeast, New England, Mid-Atlantic, and Midwest regions. Health Net Federal Services also provides Veterans Affairs services including preferred pricing, claims validation, and outpatient clinic contracting. The company is a subsidiary of US insurance firm Health Net.

Health New England provides medical coverage to about 100,000 members in Western and Central Massachusetts. It sells its plans, including HMO and PPO offerings, to some 5,000 employers and directly to individuals and families. Among its offerings are low-cost plans in line with Massachusetts' health care reform law, passed in 2006, as well as private Medicare Advantage plans for seniors. For employers, it provides coverage on either a fully insured or administrative services only (ASO) basis. Health New England is a majority-owned subsidiary of Baystate Health System.

Health Plan of Nevada, a subsidiary of UnitedHealth, is a Nevada health maintenance organization (HMO) offering health care coverage to the state's residents. Its offerings include various HMO and point-of-service (POS) plans, as well as prescription drug coverage. It also gives members access to its affiliated multi-specialty medical group, Southwest Medical Associates, and other health care and wellness services. Established in 1982, Health Plan of Nevada offers plans through employer groups as well as to individuals. It sells its Senior Dimensions HMO plans to Medicare beneficiaries.

HealthAmerica Pennsylvania is doing its part. HealthAmerica Pennsylvania, a subsidiary of Coventry Health , provides health insurance products and related services to more than 700,000 members in Pennsylvania and Ohio. The company offers HMO and PPO benefit plans to small, medium, and large businesses under the HealthAmerica and HealthAssurance brands. Its provider network includes more than 21,000 providers and about 170 hospitals. HealthAmerica Pennsylvania was founded in 1975 and acquired by Coventry Health in 1988.

Healthfirst is a hospital-owned, not-for-profit health care management organization that serves some 560,000 members throughout New York City and Long Island, as well as northern New Jersey. The company offers a variety of government-sponsored health insurance programs, including Medicaid, Medicare, Family Health Plus, and Child Health Plus plans, to low-income and special needs clients. It also offers commercial HMO and point-of-service plans to individuals and small employer groups. Healthfirst company was formed in 1993 and is owned by about 40 New York-area hospitals. Its plans are administered by HF Management Services.

HealthPlan Holdings is the wind beneath the wings of health insurers across the US. HealthPlan Holdings company, through its subsidiaries, is a third-party administrator of health plans; it processes claims, supports sales and distribution operations, and provides enrollment, customer service, and billing services for some 2 million consumers belonging to health plans offered by the likes of CIGNA and Humana. The firm's HealthPlan Services subsidiary primarily serves insurers in the small business, individual, and voluntary markets, and its American Benefit Plan Administrators unit caters to union trust benefit plans. The company is controlled by private equity firm Water Street Healthcare Partners.

Healthplex, Inc. company provides dental benefits and administrative services for insurance companies, HMOs, school districts, individuals and families, municipalities, and businesses of all sizes in New York and New Jersey. In New Jersey it underwrites and operates its own managed care plan through subsidiary International Healthcare Services. Additionally, Healthplex maintains a regional PPO of dental practitioners and offers provider credentialing services to other health plans. Healthplex also administers government funded plans such as Medicaid and Medicare. It is helmed by CEO Martin Kane.

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