There are several private healthcare insurance experts in the US. However, as noted by the Insurance Information Institute, life/annuity and property/casualty insurers also issue similar coverage, which is typically referred to as accident and health insurance.
Direct written premiums for accident and health insurance rose from $680 billion in 2011 to $1.25 trillion in 2020, an increase of about 84%. According to the National Association of Insurance Commissioners, the top ten insurers combined wrote 55.3% of the US market (NAIC). Although that is not surprising given that health insurance is one of the most popular types of insurance, that is a sizable figure.
1. Direct Written Premiums
The main competencies of UnitedHealth Group, a diverse health and wellness firm, are clinical knowledge, cutting-edge technology, and data and health information.Through two unique platforms, UnitedHealth Group provides customers and consumers with services in the US and more than 130 other countries: UnitedHealthcare offers healthcare coverage and benefits services, while Optum offers informational and technologically enhanced health services. The company conducts almost 1.1 trillion transactions annually and invests more than $4 billion in technology and innovation.
2. Kaiser Foundation
Direct Written Premiums: $104.2 billion
Market Share: 8.3%
A non-profit provider of healthcare, Kaiser Foundation Health Plan, Inc. The company provides services in dermatology, oncology, allergy, audiology, cardiology, hospice, dermatology, occupational therapy, pain management, pediatric rehabilitation, and pharmacy. Patients in the US are served by the business.
3. Anthem, Inc.
Direct Written Premiums: $76.9 billion
Market Share: 6.2%
Health benefits provider Anthem, Inc. is dedicated to enhancing people’s lives, strengthening communities, and streamlining the healthcare system. Through its connected businesses, Anthem provides services to approximately 106 million customers, 42 million of whom are covered by its family of health insurance plans. It strives to be the most creative, beneficial, and open-minded partner.
A variety of HMOs, PPOs, network-based dental products, hybrid and speciality products, and health plan services have been developed by the group’s associated health plans that combine appealing features for consumers with efficient cost-control strategies. To suit their unique needs, both individual members and corporate groups can choose between basic and comprehensive plans. A vast array of related specialist goods and other services are also available.
4. Direct Written Premiums of Centene Corporation: $75 billion
Fortune 500 firm Centene Corporation is a diverse, international healthcare provider that offers a range of services to government-sponsored healthcare programs with an emphasis on the uninsured and underinsured. It has more than 25 million managed care members and operates in 50 states as well as three overseas markets.
A variety of health insurance options are offered by Centene, which also manages neighborhood health programs. Additionally, it enters into agreements with other healthcare and business organizations to provide specialty services, such as care management software, correctional healthcare services, in-home health services, managed vision, specialty pharmacy, and telehealth services, in addition to behavioral health, dental benefits, life and health, and pharmacy benefits management.
Direct Written Premiums: $73.9 billion
Market Share: 5.9%
The cultural tenet of Humana is to support members in achieving their optimal health by offering individualized, straightforward, whole-person healthcare experiences. Humana develops cutting-edge tools and solutions to assist people in living their healthiest lives on their terms – when and when they need it. This is done in recognition of the fact that each person’s, family’s, and community’s healthcare needs continue to grow.
Market Share: 5.5%
The mission of CVS Health, a leader in healthcare innovation, is to assist individuals in achieving better health. It pioneers a new approach to complete health through its health plans, services, and community pharmacists.With over 9,900 retail locations, almost 1,100 walk-in clinics, a pharmacy benefits manager with about 100 million plan members, a diversified healthcare benefits company with about 23.4 million medical members, a senior pharmacy care business serving over one million patients annually, expanding specialty pharmacy services, and a stand-alone Medicare Part D prescription drug plan, CVS has a wide range of services.
Direct Written Premiums: $42 billion
Market Share: 3.4%
The biggest US customer-owned health insurance provider is Health Care Service Corporation (HCSC), a mutual legal reserve corporation. The corporation employs more than 23,000 employees in more than 60 local offices and provides services to more than 16 million members across five states (Illinois, Montana, New Mexico, Oklahoma, and Texas).
Through its affiliates and subsidiaries, including Dearborn Group, Dental Network of America, HCSC Insurance Service Company, Medecision, Availity, Prime Therapeutics, and TriWest Healthcare Alliance, HCSC provides a comprehensive range of life and health insurance products as well as related services.
8. Cigna Health
Direct Written Premiums: $31.8 billion
Market Share: 2.5%
The Cigna Corporation is a multinational provider of health services with more than 165 million patient and customer contacts across more than 30 nations. Healthcare insurance for individuals and families, dental insurance plans, Medicare plans, Medicare supplementary plans, other supplemental insurance, and overseas health insurance are among its insurance plans and goods.
9. Molina Healthcare, Inc.
Direct Written Premiums: $21.4 billion
Market Share: 1.7%
For eligible people and families, Molina Healthcare, a Fortune 500 firm, exclusively concentrates on government-sponsored healthcare programs. The business has agreements with state governments and acts as a health plan, offering people and families a wide range of high-quality healthcare services.
California, Florida, Illinois, Michigan, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Washington, Wisconsin, and Puerto Rico are among the states where Molina offers health insurance. The business also provides a Medicare product, and many states have chosen it to participate in dual demonstration programs to coordinate treatment for those who qualify for both Medicaid and Medicare.
10. Independence Health Group
Direct Written Premiums: $20.1 billion
Market Share: 1.6%
Independence Health Group, with its corporate headquarters in Philadelphia, and its affiliates provide healthcare services to over 10 million people in 27 states and the District of Columbia. Southeast Pennsylvania is home to a fourth of its client base. The business offers services to a range of employer types, including small and midsize businesses and multinational firms.
Commercial, Medicare and Medicaid coverage, pharmacy benefits management, workers’ compensation, and third-party benefits administration are a few of the services the insurer provides. The business holds a Blue Cross and Blue Shield Association independent license.