Health systems across the U.S. are increasingly launching or expanding their own health plans to enhance care coordination, improve patient outcomes and reduce costs.
Becker’s has curated a list of health system-owned and -affiliated health plans from across the country. If you would like to add a health system-affiliated health plan to this list, please contact Allie Woldenberg at awoldenberg@beckershealthcare.com.
Note: This list was compiled using nominations. This list is not exhaustive, nor is it an endorsement of included organizations. Health systems do not and cannot pay for inclusion on this list. This list is not a ranking or rating, and companies are listed in alphabetical order.
Allina Health Aetna (St. Louis Park, Minn.): Allina Health Aetna, established in early 2018, is a Minnesota-based health insurance joint venture combining the local provider network of Allina Health with the national capabilities of Aetna, a CVS Health company. It offers fully insured and self-insured commercial and Medicare Advantage PPO plans across roughly 20 counties around the Twin Cities. The collaboration recently introduced enhanced plan benefits, including flexible fitness reimbursements, Part B premium reductions, OTC and dental allowances delivered via Medicare Payment Cards.
AdventHealth, Health First (Altamonte Springs, Fla.): Formerly AdventHealth Advantage Plans, this consolidated name represents both Health First and AdventHealth health plan. These plans serve Medicare-eligible residents in various Central Florida counties, with provider network access extending across both Health First and AdventHealth systems. Members can benefit from a network of more than 4,000 physicians and access to around 24 hospitals, with no required specialist referrals, and supplemental benefits like vision, dental, fitness allowances and Part D drug coverage.
Aspirus Health Plan (Wausau, Wis.): Founded in 2016 as Aspirus Arise Health Plan and fully owned by Aspirus since 2019, the health plan offers employer group, individual, Marketplace, and Medicare Advantage coverage across approximately 16 counties in north-central Wisconsin. The plan contracts with more than 12,400 providers, including Aspirus clinics and affiliated physicians, and offers care coordination, a member welcome center, quality improvement initiatives and virtual behavioral and medical visits.
AultCare Health Plan (Canton, Ohio): AultCare Health Plan serves approximately 420,000 members, including more than 20,000 Medicare Advantage members enrolled through its PrimeTime Health Plan product. Established in 1985, the plan offers products including employer group HMO/PPO plans, marketplace individual and family plans, Medicare Advantage, dental, vision, disability and wellness services. The plan contracts with more than 16,000 in‑network providers and more than 40 area hospitals.
Avera Health Plans (Sioux Falls, S.D.): Avera Health Plans is a nonprofit insurer serving roughly 88,000 members in South Dakota and Iowa, offering individual, family, employer-sponsored and Medicare supplement plans within a provider-integrated model. Its service area includes select counties in both states, supported by a network of more than 2,000 primary care physicians and 4,300 specialists with access to UnitedHealthcare Options PPO for out-of-area care. Avera Health Plans emerged under Avera Health, a regional integrated system serving nearly 1 million people across five states.
Banner Aetna (Lexington, Ky.): Launched in 2017, this venture combines Banner Health and Aetna, a CVS Health company, blending payer and provider models. Members access a tiered performance network of Banner Health providers, including more than 900 primary care physicians, 5,800 specialists and multiple acute care hospitals. Plan design innovations include virtual care, local service lines, care team interventions for high-risk members and coordinated digital tools that integrate Aetna analytics with Banner’s operational workflow.
Baptist Health Plan (Lexington, Ky.): The plan provides coverage for individuals, families and employers, supported by Baptist Health. While the Baptist Health Plan brand is new, its predecessor, Bluegrass Family Health, delivered employer-based coverage across the Kentucky region for more than two decades. The updated name is designed to reflect a closer alignment with Baptist Health’s mission and its Louisville, Ky.-based parent organization. The plan is dedicated to enhancing the health and wellness of residents with a focus on covering serious health needs and seeking opportunities to lower healthcare costs.
Baylor Scott and White Health Plan (Temple, Texas): Serving nearly 500,000 members across Texas, the plan offers Medicare Advantage, Medicaid STAR/CHIP, employer-sponsored and individual/family marketplace plans. It is fully integrated with Baylor Scott & White Health, which operates 52 hospitals, more than 1,300 care sites and has 7,200 active physicians.
CommunityCare Health Plan (Fresno, Calif.): The plan offers tailored employer-sponsored HMO and EPO plans, as well as dental, vision and pharmacy coverage. Members access a network of more than 2,500 providers, including more than 1,350 physicians, 485 behavioral health professionals, and 400 additional healthcare specialists practicing across more than 700 sites with more than 19 urgent care locations. The plan offers customizable HMO and EPO options for small and large employer groups, traditional and deductible plan designs, bundled medical, dental, and vision coverage and preventive services.
Cook Children’s Health Plan (Fort Worth, Texas): Cook Children’s Health Plan has provided STAR Medicaid, CHIP, CHIP perinatal and STAR Kids coverage since 2000 for low-income children, teens and expectant mothers. It serves over 120,000 members and is affiliated with Cook Children’s Health Care System, a pediatric delivery network anchored by a 443‑bed medical center in Fort Worth. Members are served through a network of primary care physicians, specialists and hospitals with benefits such as no-cost rides, 24/7 nurse advice, asthma disease management and other preventive and wellness incentives.
Driscoll Children’s Health Plan (Corpus Christi, Texas): Driscoll Health Plan, licensed in 1998, is a nonprofit HMO serving children, young adults and expectant mothers across a 14‑county area in South Texas. It operates Medicaid-managed care programs including STAR, STAR Kids, and CHIP, providing pediatric coverage at no cost to those eligible. Member support includes services such as transportation, care coordination, dental and behavioral health benefits, plus nurse coaching for chronic conditions.
Geisinger Health Plan (Danville, Pa.): The nonprofit HMO is affiliated with Geisinger Health System along with its subsidiaries Geisinger Quality Options and Geisinger Indemnity Insurance Co. It serves approximately 600,000 members across commercial, Medicare Advantage, Medicaid, and CHIP lines, operating in more than 40 counties across Central and Northeastern Pennsylvania. The provider network includes more than 51,000 contracted clinicians and more than 200 hospitals with coordinated care support through wellness programs, telehealth, one-on-one health coaching and prescription delivery services via its health navigator framework.
Health Alliance Plan (Henry Ford Health) (Flint, Mich.): Founded more than 60 years ago, HAP is now a nonprofit insurer operating under Henry Ford Health and serving around 460,000 members across Michigan. HAP offers six product lines — commercial, individual, Medicare Advantage, Medicaid, self-funded and network leasing — with commercial coverage accounting for about 65% of its membership. Its provider network includes more than 50,000 healthcare providers statewide, including Henry Ford Health’s hospitals and physician groups.
HealthPartners (Bloomington, Minn.): The nonprofit healthcare provider and insurer serves approximately 1.8 million medical and dental plan members across Minnesota, Wisconsin, Iowa, North Dakota and South Dakota. It offers commercial employer-sponsored plans, individual and family coverage, Medicare Advantage and Medicaid products. The plan is supported by a provider network of more than 1 million physicians and 6,000 hospitals nationwide, including its own clinics and hospitals in Minnesota and Western Wisconsin. HealthPartners also operates Virtuwell, an online care service serving people in five states.
HealthTeam Advantage (Cone Health) (Greensboro, N.C.): Launched in January 2016 by Cone Health as a Medicare Advantage plan, HealthTeam Advantage now covers more than 22,000 members across 33 North Carolina counties with HMO, PPO and Chronic Special Needs plans. HealthTeam Advantage maintains benefits, provider access and network continuity for members, including continued access to Novant Health providers.
Highmark (Pittsburgh): Highmark Health Plans provides insurance to approximately 7.1 million members across Pennsylvania, Delaware, West Virginia and Western/Northeastern New York. The plan offers product lines including commercial employer-sponsored plans, Medicare Advantage, Medicaid, CHIP and BlueCard coverage through networks of more than 190,000 in‑network physicians.
Hometown Health (Renown Health) (Reno, Nev.): Hometown Health Plan, founded in 1988 and owned by Renown Health, is Northern Nevada’s only locally owned, not-for-profit health insurer serving both commercial members and Medicare Advantage enrollees. It covers around 8,801 commercial members and 18,618 Medicare Advantage enrollees, for a total of roughly 27,400 members and grants access to the Renown Health delivery system, including Renown Regional Medical Center, its children’s hospital, rehabilitation and urgent care centers and affiliated providers across Northern Nevada. The plan offers HMO, EPO, and PPO products regionally.
Jefferson Health Plan (Philadelphia): Founded in 1985 as Health Partners Plans and rebranded in 2023 after sole ownership was assumed by Jefferson Health, Jefferson Health Plans is a Pennsylvania‑licensed, nonprofit managed care organization. The plan offers Medicaid, CHIP (KidzPartners), Medicare Advantage and individual and family plans in Pennsylvania and New Jersey. As of early 2025, it serves approximately 396,000 members.
Johns Hopkins Health Plans (Anne Arundel County, Md.): Johns Hopkins Health Plans was formerly Johns Hopkins HealthCare; it administers four physician-sponsored insurance products. Priority Partners, Employer Health Programs, US Family Health Plan and Advantage MD in Maryland and the broader Mid‑Atlantic region, including recent expansion into Southeast Virginia . As of mid‑2023, the plan serves more than 470,000 members across Medicaid, Medicare, Tricare, and employer-based coverage lines .
Kaiser Permanente (Oakland, Calif.): Kaiser Permanente serves approximately 12.6 million members in eight states and Washington, D.C., with membership growing to more than 13 million across Kaiser and its Risant Health affiliates. Its payer mix includes commercial employer plans, Medicare Advantage, Medicaid, individual/family and Tricare programs, all managed through regional Kaiser Foundation Health Plans and supported by Permanente Medical Groups and Kaiser Foundation Hospitals. The integrated care network comprises 55 owned hospitals, 841 medical offices, 40 retail and employee clinics and thousands of physicians and nurses across regions offering advanced coordinated care, wellness programs and preventive services.
Lifespan Health Plan (Providence, R.I.): LifeSpan offers Medicare Advantage Institutional Special Needs Plans designed for individuals residing in long-term care or assisted living settings, coordinated through its Provider Partners care model. The program is designed to enable small provider organizations to access major PPO networks, administrative services and insurance purchasing.
Mass Advantage (UMass Memorial Health) (Worcester County, Mass.): Mass Advantage, founded in 2021 and based in Worcester County, MA, is a Medicare Advantage plan created in collaboration with UMass Memorial Health physicians to serve Medicare-eligible residents of Central Massachusetts. It offers both HMO and PPO plan options, all designed around coordination with the UMass Memorial Health system, including features such as no referral requirements and minimal prior authorization for in-network care. The plan includes additional benefits, such as dental, vision, hearing, fitness and transportation services. It also extends nationwide PPO provider access, including in Florida and Arizona.
Mass General Brigham Health Plan (Somerville, Mass.): Mass General Brigham Health Plan was formerly AllWays Health Partners and is the insurance arm of Mass General Brigham. The plan covers a mix of commercial fully insured, managed Medicaid, self-insured and Medicare Advantage populations. Its provider network includes access to the full system of Mass General Brigham hospitals and physicians as well as affiliated regional providers in Massachusetts, offering coordinated care across inpatient and outpatient settings.
Marshfield Health Plan (Marshfield, Wis.): This plan is also known as the Security Health Plan, a Wisconsin-based nonprofit health maintenance organization founded in 1986 and originating in 1971 as Greater Marshfield Community Health Plan. It provides coverage to more than 200,000 members across all 72 Wisconsin counties. It offers a variety of insurance products, including employer-group commercial plans, individual and family coverage, and Medicare Advantage and supplement plans.
Memorial Hermann Health Plan (Houston): Memorial Hermann Health Plan is the insurance arm of the Memorial Hermann Health System, offering commercial HMO and PPO plans for employers across eight greater Houston counties. Medicare Advantage options, including HMO and D‑SNP plans, are available in select Houston-area counties. The plan aligns coverage with the broader health system’s delivery network spanning 17 hospitals, urgent care centers, specialty institutes and more than 3,000 physicians in the Houston region. It serves nearly 50,000 health plan members through its physician network models.
MemorialCare Select Health Plan (Fountain Valley, Calif.): MemorialCare Select is a California-licensed managed care plan operated by MemorialCare, launched in 2013 to serve Medi‑Cal, Medicare Advantage, and commercial members in Los Angeles and Orange counties. With coverage through Covered California and employer-sponsored plans, the health plan offers access to more than 100 primary care physicians, more than 1,200 specialists, and a network of MemorialCare hospitals, including Long Beach Memorial, Miller Children’s & Women’s, Orange Coast and Saddleback Medical Centers.
Ochsner Health Plan (New Orleans): Ochsner Health Plan is the Medicare Advantage insurance arm of Ochsner Health, covering Medicare HMO, HMO‑POS, and Dual‑SNP plans across approximately 20 Louisiana parishes in Greater New Orleans and Baton Rouge. The plan operates within Ochsner’s delivery network, which includes 46 hospitals and more than 370 health centers and urgent care sites, staffed by around 38,000 employees across Louisiana and nearby Gulf Coast regions.
Peak Health (WVU Medicine) (Morgantown, W.Va.): Founded in 2021, the insurance services company is jointly owned by three nonprofit health systems: WVU Medicine, Marshall Health Network and Valley Health. The plan employs around 100 people and emphasizes a physician-designed, provider-led model with local coordination and transparent benefits across West Virginia and parts of Western Virginia and Pennsylvania.
Presbyterian Health Plan (Albuquerque, N.M.): Presbyterian Health Plan is the insurance subsidiary of Presbyterian Healthcare Services, a nonprofit integrated delivery system operating nine hospitals, care centers and multi-specialty clinics across New Mexico. The payer mix spans Medicaid (Centennial Care), Medicare Advantage, and commercial group and individual HMO products. The provider access includes more than 1,000 physicians and more than 8,000 practitioners across Presbyterian’s delivery system.
Priority Health (Corewell) (Grand Rapids, Mich.): As a provider-sponsored nonprofit health, Priority Health is wholly owned by Corewell Health, formed in 2022 from the merger of Spectrum Health and Beaumont Health. Serving approximately 1.3 million members across Michigan, Indiana and Ohio. As of early 2025, the plan offers products including commercial employer-sponsored HMO/POS/PPO plans, Medicare Advantage, Medicaid and ACA marketplace individual and family plans.
Providence Health Plan (Beaverton, Ore.): The provider‑sponsored, nonprofit insurer offers commercial group, individual and administrative services plans and operating Medicare Advantage HMO, HMO‑POS and D‑SNP plans in collaboration with the Oregon Health Plan and Medicaid in Washington and Oregon. It serves approximately 600,000 members across its service regions.
Sanford Health Plan (Fargo, N.D.): The provider-owned, nonprofit insurer was established in 1998 and affiliated with Sanford Health. The plan serves approximately 200,000 members across South Dakota, North Dakota, Minnesota, Iowa and Nebraska, offering commercial, individual, Medicaid and Medicare Advantage products. Members have access to more than 38,000 local providers and an extended national network of more than 1.4 million providers and 300 hospitals.
Select Health (Intermountain Health) (Murray, Utah): SelectHealth, a not-for-profit health plan founded in 1983 and wholly owned by Intermountain Health, serves more than 1.1 million members across Utah, Idaho, Nevada and Colorado. It offers a blend of commercial, Medicaid, Medicare Advantage and dental/pharmacy benefit management products. Supported by more than 2,400 caregivers and a provider network of more than 23,000 clinicians, the Select Health plan’s integrated model ties closely to Intermountain’s 33-hospital system and 385 clinics.
Sentara Health Plans (Virginia Beach, Va.): Sentara Health Plans operates as the insurance division of Sentara Health, a nonprofit integrated delivery network serving Virginia, Northeastern North Carolina and parts of Florida. It has more than 1 million members across Medicaid, Medicare and commercial products. The plan emphasizes integrated care coordination with digital engagement tools like MyChart and Sentara eCare Health Network in addition to telehealth innovations, including the eICU system and virtual physician access.
Sharp Health Plan (San Diego): Sharp Health Plan, founded in 1992 and affiliated with the nonprofit Sharp HealthCare system, is a locally based commercial insurer serving San Diego and southern Riverside County with individual, family, employer and Medicare products. It enrolls approximately 140,000 members, offering access to integrated provider networks such as Sharp Rees‑Stealy and Sharp Community Medical Groups through tiered networks, Premier, Performance, Value and Choice, with between 1,200 and 2,400 physicians.
Scripps Health Plan (San Diego): Scripps Health Plan is a provider‑owned nonprofit insurer that delivers affordable group HMO coverage anchored within the Scripps Health integrated system, which includes five hospitals and more than 30 outpatient clinics. It supplies employer-sponsored medical coverage throughout San Diego County. Access to hundreds of primary care physicians and specialists within Scripps’ network is supported by coordinated care navigators, telehealth and wellness services.
St. Luke’s Health Plan (Boise, Idaho): St. Luke’s Health Plan launched in January 2023 as a nonprofit subsidiary of St. Luke’s Health System to offer individual and employer health insurance across approximately 20 west and south-central Idaho counties. The plan’s coverage is available through Idaho’s Your Health Marketplace and includes a network featuring more than 1,250 primary care physicians, 3,400 specialists, and 980 in‑network facilities across Idaho.
Sutter Health Plan (Sacramento, Calif.): Sutter Health Plan is the insurance arm of Sutter Health. The plan offerings include traditional, high-deductible and HSA-compatible HMO products for individuals, families and employer groups, with all plans covering hospital stays, outpatient services, prescriptions and no-cost preventive care within a defined network . Spanning more than 8,000 providers, dozens of hospitals and urgent care centers in 14 Northern California counties, with 24/7 member tools that include a cost estimator, nurse advice line and integrated care portal.
Texas Children’s Health Plan (Bellaire, Texas): Established in 1996 by Texas Children’s Hospital, this plan is recognized as the nation’s first child‑focused HMO. It offers STAR Medicaid, CHIP and STAR Kids plans to children, pregnant women, teens and eligible adults in Harris, Jefferson, and Northeast Texas service areas. It has more than 375,000 members served across 54 counties. The provider network is built around more than 1,100 primary care physicians, 3,200 specialists and approximately 118 hospital affiliations.
Tufts Health Plan (Canton, Mass.): Tufts Health Plan, founded in 1979 and merged with Harvard Pilgrim Health Care to form Point32Health in 2021, serves almost 2.4 million members across Massachusetts, Rhode Island, New Hampshire, Maine and Connecticut. The plan offers commercial employer-sponsored, individual plans via the Massachusetts Connector, Medicaid, Medicare Advantage, and dual-eligible products with HMO, PPO and POS plan types. The Tufts Health Plan supports an integrated network of 110 hospitals and more than 51,000 providers across New England.
MediGold (Trinity Health) (Livonia, Mich.): MediGold is a not-for-profit Medicare Advantage plan founded in 1997 and wholly owned by Trinity Health, offering plan coverage designed by physicians with integration across Trinity Health systems. It provides Medicare Advantage HMO and PPO plans in select counties in Ohio, New York, Iowa, Idaho and Connecticut, operating under local branded entities such as Mount Carmel Health Plan of Ohio and Trinity Health Plan of New England.
UCLA Health Medicare Advantage (Los Angeles): UCLA Health launched its first Medicare Advantage HMO plan effective Jan. 1, specifically designed by UCLA clinicians and available to Medicare-eligible residents of Los Angeles County only. The plan features a custom-built network of more than 7,000 in-network physicians, specialists, clinics and hospitals, including UCLA Health’s five hospitals and more than 400 outpatient locations.
UPMC Health Plan (Pittsburgh): UPMC Health Plan, the insurance division of the University of Pittsburgh Medical Center, serves approximately 4.16 million members as of early 2025. It provides plans such as commercial HMO/PPO, Medicare Advantage, Medicaid/CHIP programs and workers’ compensation across Western Pennsylvania and parts of New York, Ohio and Maryland. UPMC operates an integrated delivery network with 40 hospitals, more than 800 outpatient sites and more than 16,500 physicians, which the health plan leverages to deliver coordinated care and national access via networks such as Cigna PPO.
WellSense Health Plan (Boston Medical Center) (Boston): Serving almost 700,000 members across Massachusetts and New Hampshire, WellSense provides Medicare Advantage, Medicaid and individual/family plans tailored to low-income and underserved populations. The plan was founded in 1997 as Boston Medical Center HealthNet Plan and rebranded to WellSense in late 2023, retaining the same nonprofit structure and ownership aligned with Boston Medical Center. Its services emphasize community-focused care with broad contracts under CMS and state Medicaid programs, including ACOs, Clarity, Senior Care Options, and MassHealth MCO offerings.
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