Who are the Major Health Insurance Providers in Texas?

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Getting health insurance, particularly in Texas, is something that any person who values their health would do. It is something that can help people save a lot when it comes to future medical costs. Health insurance is purchased from insurance companies, and there are many options out there for this. These companies offer monetary protection to their clients against losses from accidents, fire, death, and more.

If you are from Texas and looking for good health insurance to avail, we are here to help you. In this post, we are giving you more information about the major health insurance providers in Texas and what each of them can offer. 

What is Health Insurance and Its Different Kinds?

outside the emergency in a hospital

Health insurance is the protection or coverage taken against sickness. It is a type of insurance that helps people in covering their health expenses in case of any sickness, accident, or death. It is among the most important type of insurance that people should have. Health insurance also comes in different kinds, which are enumerated below:

  • Health Maintenance Organizations (HMO): This type of health insurance allows clients to choose from a variety of doctors, hospitals, and facilities. You will need to choose a Primary Care Provider, which is your home base for the medical treatment. This type of insurance is lower compared to the other types of health insurance.
  • Exclusive Provider Organizations (EPO): In this kind of health insurance, you need to pick from the available providers in the network. This is only used when you are within the network. However, full fees will come from your own money once you are outside the network. This health insurance also does not require a referral from a primary care physician. 
  • Point of Service Plan (POS): This kind of health insurance is a combination of HMO and the preferred organization plans. You are required to pick a primary care physician from the network’s doctors and other experts. It gives clients the chance to choose within and outside the network.
  • Preferred Provider Organization (PPO): This kind of health insurance offers a client a wide range of hospitals, doctors, and other experts. However, if you choose to see experts outside of your plan’s network, a big part of the bill will come from your own pocket. Also, a primary care physician is not needed in this plan as you can see an expert without any referral.

Health Insurance in Texas

In Texas, the average cost of health insurance for an individual is $6,324, or a total of $25,294 for a family of four. Some of the major types of health insurance in Texas include Group insurance, Individual insurance, Medicaid insurance, and Medicare insurance. Individual insurance is also referred to as Obamacare or the affordable care act. It is for those who can’t afford the other types of insurance. Group insurance, on the other hand, is also known as employer-sponsored health insurance as it is co-sponsored by the employers and the enrollee.  

The most common forms of health insurance in Texas are the Health Maintenance Organization (HMO) and the Preferred Provider Organization (PPO). 

graphic art of a family health insurance

The Major Health Insurance Providers in Texas

There are many health insurance companies in Texas, and sometimes, choosing one can be a real challenge. If you are looking for one, below are some of the top health insurance providers in Texas that offer the best plans:

Health Insurance Provider Premium Market Share
Blue Cross and Blue Shield of Texas $12,067,425,343 24.5%
United Healthcare Insurance Company $5,999,413,575 12.16%
Humana Insurance Company $5,507,460,643 11.16%
Molina Healthcare of Texas, Inc. $3,135,132,636 7.05%
Superior Healthplan Network $2,435,298,660 4.94%
Aetna Life Insurance Company $2,208,053,512 4.47%
Celtic Insurance Company $2,071,327,119 4.45%
Cigna Health and Life Insurance Company $1,715,280,095 3.48%
Amerigroup Insurance Company $1,243,726,159 2.52%
Metropolitan Life Insurance Company $766,662,313 1.55%
Sierra Health and Life Insurance Company, Inc. $637,035,042 1.29%
Oscar Insurance Company $329,674,247 0.67%

 

1. Blue Cross and Blue Shield of Texas

Blue Cross and Blue Shield of Texas are one of the major health insurance providers in the state. It is also known as a public welfare organization that was founded in 1982. Its headquarters is located in Chicago, Illinois, and has over 100 million people as clients in the U.S. Before, they were two different companies but later on merged. 

2. United Healthcare Insurance Company

This company is another top health insurance provider in Texas. It is bent on helping life better and making the insurance industry safer and better for everyone. Under the United Healthcare Insurance Company network, there are over 1.3 million doctors and around 6,500 hospitals. The company also has about 125,000 employees that are working to make the life of their clients better. 

3. Humana Insurance Company

Humana Insurance Company was founded in 1961 as a profit-oriented company that also provides health insurance services. It is the third-largest health insurance company in the country, which makes it a major medical insurance company in Texas. It has more than 4,000 employees, with services extending to Texas.

4. Molina Healthcare

Molina Healthcare is one of the major health insurance providers not just in Texas but in other parts of the United States. Its headquarters is located in Long Beach, California. It offers healthcare insurance coverage through Medicare and Medicaid. 

5. Superior Health Plan Network

In 1999, Superior Health Plan Network was established in El Paso. It is one of the best health insurance providers in Texas and has more than a million clients in the state. This company also works with Texas Health and Human Services. It also scored high in the National Committee for Quality Assurance, making it among the top healthcare insurance companies in Texas. 

6. Aetna Life Insurance Company

Aetna Life Insurance Company was established in 1853 and is also among the major health insurance providers in Texas. It is also a subsidiary of CVS health and has been doing great so far in the healthcare industry.

7. Celtic Insurance Company

Celtic Insurance Company is among the top-rated health insurance providers in Texas. This company offers great healthcare coverage to its clients, making it one of the major insurance companies that you should check out if you are from Texas.

8. Cigna Health and Life Insurance Company

This is an old insurance provider that has been around for more than 225 years. It is a company that is dedicated to serving the people, and it has more than 180 million customers. It functions in more than 30 places in the world, which includes Texas. It is among the most trusted health insurance providers in the state. 

9. Amerigroup Insurance Company

Originally, Amerigroup Insurance Company was known as AMERIAID when it was established in 1994. However, in 1996, its name was changed to Amerigroup. Its headquarters is located in Virginia, and it has offices across 26 states in the U.S., which includes Texas. In 2006, the company began offering Medicare to low-income earners. It is one of the best health insurance providers that you can find in Texas.

10. Metropolitan Life Insurance Company

This health insurance provider is also known as MetLife. It is one of the largest insurance companies in America, making it one of the top-rated health insurance providers in Texas. The company was founded on March 24, 1868. It has more than 90 million clients in over 60 countries. Its headquarters is located in New York. 

11. Sierra Health and Life Insurance Company, Inc.

Sierra Health and Life Insurance Company, Inc. was founded in 1906. It is owned by PacifiCare Health Systems and Sierra Health Services. It is also one of the top health insurance providers that you can check out in Texas.

12. Oscar Insurance Company

Oscar Insurance Company is one of the major medical insurance providers in Texas. It was founded in 2012 and was built on technology. The company is made that way as it believes that all Americans deserve to have an insurance plan regardless of their job status.

Conclusion

No matter your gender, age, or social status, it is essential to have health insurance. It is something that will help you in case you fall sick, or an accident happens to you. Having looked at the list of the major health insurance in Texas, it is very important to get one that best suits your needs. This way, in case of any health issues, you have something to fall back on. If ever you want to get good plans and services from these providers, taking a look at their websites to learn more about what they offer to clients is also a good idea. We hope this post helped you learn more about the major health insurance providers in Texas. 

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