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Hawaii Medical Service Association (HMSA) is Hawaii's largest health insurance company. The not-for-profit company serves more than 700,000 members and is an independent licensee of the Blue Cross and Blue Shield Association. Hawaii Medical Service Association's insurance plans include preferred provider plans (PPOs), Health Plan Hawaii (HMO), and traditional indemnity. Hawaii Medical Service Association company serves both employer groups and individual members. In addition to medical coverage, the company covers dental and vision services and prescription drugs. It also provides Medicare supplemental coverage and Part D prescription coverage. Through its Care Connection program, HMSA provides disease management and health education services.

Health Alliance Plan of Michigan (HAP) provides health insurance products and related services to around 500,000 members. A subsidiary of the Henry Ford Health System, the not-for-profit corporation offers managed care plans (including HMO, PPO, and consumer-directed plans) to individuals and companies throughout its service area, which covers all of Michigan and portions of Indiana and Ohio. It also offers Medicare Advantage plans and Medicare prescription drug coverage to retirees. In addition, the company offers disease management, behavioral health, and wellness programs.

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.

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