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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.

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