Superior HealthPlan

What Superior HealthPlan does

Superior HealthPlan is a Texas-based managed care organization headquartered in Austin and operating as a wholly-owned subsidiary of Centene Corporation (NYSE: CNC). Founded in 1999, the company serves over 1.5 million members across all 254 Texas counties through government-sponsored healthcare programs, including Medicaid managed care (STAR, STAR Health for foster care, STAR Kids for children with disabilities, and STAR+PLUS for seniors and disabled adults), CHIP and CHIP Perinate, Medicare-Medicaid Plans for dual eligibles, Medicare Advantage under the Wellcare brand (in 205 Texas counties for 2026), and Ambetter Health Insurance Marketplace plans. Revenue is generated through capitated per-member-per-month payments from the Texas Health and Human Services Commission, CMS, and federal marketplace channels.

The company's operating technology stack consists of Electronic Visit Verification (EVV), a Health Passport electronic record system for STAR Health foster care members, telehealth platforms compliant with Texas House Bill 4, member mobile apps and portals, and interoperability features allowing third-party app access under the federal Patient Access Rule. Value-added services include a Start Smart for Your Baby maternity program, an OTC mail-order program ($18 million invested 2020-2024), the My Health Pays rewards program, and telehealth. The company operates designation programs for Foster Care Centers of Excellence (14 designated providers) and Mental Health Centers of Excellence (3 inaugural providers) that create tiered provider networks.

Superior HealthPlan acquires members through Texas HHSC enrollment channels (YourTexasBenefits.com, 2-1-1 helpline, local HHS offices), direct enrollment via website and phone, and provider referrals. Marketing emphasizes community engagement through annual grant programs (over $1.3M since 2018, $200K in 2025, $100K for 2026), the $400,000 Centene Foundation food bank investment, school partnership programs (No One Eats Alone at 20 Texas schools), and over 3,000 employee volunteer hours annually. The company maintains mobile apps on both iOS and Android, multilingual support (English, Spanish, Vietnamese, Chinese, and 11 additional languages), and has been recognized as a Best Place for Working Parents for six consecutive years.

Name

Superior HealthPlan

Legal name

Superior HealthPlan

Website

https://superiorhealthplan.com

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Superior HealthPlan is a Texas Medicaid managed care organization and Centene subsidiary serving over 1.5 million members across all 254 counties through STAR, CHIP, Medicare Advantage (Wellcare), and Marketplace (Ambetter) health plans.

Ownership category

akta.pro rank

Product category

Managed Care Health Insurance

NAICS

Direct Health and Medical Insurance Carriers (524114)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

TANF/CHIP Managed Care Plans (HLAEAEAA)

akta.pro secondary industries

Aged, Blind & Disabled (ABD) Managed Care Plans (HLAEAEAC), Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans (HLAEAEAI), MA-PD Plans (Medicare Advantage with Prescription Drug Coverage) (FSAIAGAG), Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage) (BPAIAKAH)

Keywords

• Medicaid managed care
• CHIP insurance plans
• Medicare Advantage
• Healthcare coordination
• Government health programs

Headquarters

HQ city

Austin

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Government Healthcare Contracts: Superior HealthPlan generates revenue through capitated payments from Texas Medicaid, CHIP, STAR, STAR Health, STAR Kids, STAR+PLUS, Medicare Advantage, and Medicare-Medicaid plans administered under contracts with the Texas Health and Human Services Commission (HHSC). Revenue is based on per-member-per-month capitated rates for coordinating healthcare services to enrolled populations.
2. Health Insurance Marketplace Plans: Ambetter from Superior HealthPlan and Ambetter Health offer health insurance plans through the Health Insurance Marketplace for 2026, including expanded benefits for diabetes management and virtual care, generating premium revenue from enrolled members.
3. Medicare Advantage Plans: Wellcare Medicare Advantage and prescription drug plans offered in 205 Texas counties for 2026, including integrated D-SNP plans for dual eligibles, generating premium revenue.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels7 records

Core offering

Superior HealthPlan administers government-sponsored managed healthcare programs for more than 1.5 million members across all 254 Texas counties. Core offerings include Texas Medicaid (STAR, STAR+PLUS, STAR Health for foster care, STAR Kids for children with disabilities), CHIP and CHIP Perinate, Medicare-Medicaid Plans for dual eligibles, Ambetter Health Insurance Marketplace plans, and Wellcare Medicare Advantage plans. The company coordinates care through a statewide provider network supported by digital tools including a member portal, telehealth services, Electronic Visit Verification, and Health Passport electronic records.

Product overview

Superior HealthPlan is a Texas-based managed care organization and subsidiary of Centene Corporation offering a comprehensive portfolio of government-sponsored health insurance products. The core offerings include Medicaid managed care programs (STAR for families and children, STAR+PLUS for seniors and people with disabilities, STAR Health for foster care children, and STAR Kids for children with disabilities), CHIP and CHIP Perinate for children, Medicare-Medicaid Plans for dual eligibles, and Wellcare Medicare Advantage plans. The company also offers Ambetter Marketplace plans. These products are supported by value-added services including Health Passport electronic records, Electronic Visit Verification, telehealth, the Start Smart maternity program, an OTC mail-order program, and the My Health Pays rewards program. Superior also operates designation programs for Foster Care Centers of Excellence and Mental Health Centers of Excellence, and runs a Community Investment Grant Program. The organization serves over 1.5 million members across all 254 Texas counties.

Differentiator

Problem solved

Functional benefit

Brands

• Ambetter Health: Health Insurance Marketplace Plans offered by Superior HealthPlan in Texas for 2026, including various options with expanded benefits such as diabetes management and virtual care.

Products and services

• STAR (Medicaid) Texas Medicaid program providing health coverage for families and children who meet income eligibility requirements, administered by Superior HealthPlan under contract with Texas HHSC.
• STAR+PLUS Texas Medicaid program providing health coverage and long-term services and supports for adults 21 or older with disabilities and seniors who receive both Medicaid and Medicare benefits.
• STAR Health (Foster Care) Texas Medicaid program providing comprehensive health services for children and youth in foster care, including trauma-informed care and care coordination across multiple providers.
• STAR Kids Texas Medicaid program providing health coverage for children and youth 20 years or younger with disabilities, special needs, or chronic conditions requiring comprehensive care, therapies, medical equipment, and care coordination.
• CHIP (Children's Health Insurance Program) Low-cost health coverage for children up to age 19 whose families earn too much to qualify for Medicaid but cannot afford private insurance.
• CHIP Perinate Health coverage for unborn children of pregnant women who do not qualify for Medicaid due to immigration status but meet income requirements.
• Medicare-Medicaid Plan (MMP) Integrated plan for individuals who qualify for both Medicare and Medicaid, providing coordinated care coordination across both programs.
• Ambetter from Superior HealthPlan (Marketplace) Health Insurance Marketplace plans offering affordable health insurance options for individuals and families not qualifying for Medicaid, with expanded benefits such as diabetes management, virtual care, and wellness rewards.
• Wellcare By Superior HealthPlan (Medicare Advantage) Medicare Advantage and prescription drug plans available to Medicare beneficiaries in 205 Texas counties for 2026, including integrated D-SNP plans for dual eligibles.

Quantifiable outcome

• Over 1.5 million members served across all 254 Texas counties
• +4 more outcomes

Named customers10 records

Segments7 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Eleven partnerships are on record, tiered core and minor.

• The Centene FoundationcoreStrategic or Co-development Partner · 1 January 2025The Centene Foundation partners with Superior HealthPlan on community investment initiatives including the $400,000 food bank investment, No One Eats Alone program sponsorship, and company-matched employee donations.
• Centene CorporationcoreStrategic or Co-development PartnerSuperior HealthPlan is a subsidiary of Centene Corporation, operating as a managed care organization under the Centene umbrella. The relationship enables shared resources, technology platforms, and corporate governance including The Centene Foundation partnership for charitable giving.
• Sandy Hook PromiseminorStrategic or Co-development PartnerSuperior HealthPlan partnered with Sandy Hook Promise and The Centene Foundation to deliver the No One Eats Alone program at 20 Texas schools, using interactive lessons and peer leadership to address social isolation among 5th-8th grade students.
• Arrow Child & Family MinistriescoreStrategic or Co-development PartnerDesignated as Mental Health Rehabilitation and Targeted Case Management Center of Excellence, one of three inaugural providers recognized for meeting elevated clinical quality, compliance, and coordinated care delivery standards for children with complex behavioral health needs.
• CK Family ServicescoreStrategic or Co-development PartnerDesignated as Mental Health Rehabilitation and Targeted Case Management Center of Excellence, recognized for multi-specialty provider capabilities serving children and youth with complex behavioral health needs covered by Texas Medicaid.
• Pathways Youth and Family ServicescoreStrategic or Co-development PartnerDesignated as Mental Health Rehabilitation and Targeted Case Management Center of Excellence, enabling streamlined behavioral health services for children and youth with complex needs.
• CommUnityCare Health CenterscoreStrategic or Co-development PartnerFirst Austin providers designated as Foster Care Centers of Excellence, part of the program to improve care quality for children in foster care through comprehensive health services and support.
• Dell Children's Medical Group Primary Care Pediatrics Mueller and Cedar ParkcoreStrategic or Co-development PartnerFirst Austin providers designated as Foster Care Centers of Excellence for comprehensive pediatric healthcare services supporting foster care children.
• Cute PediatricscoreStrategic or Co-development PartnerDesignated as the 14th Foster Care Center of Excellence in Texas, signifying adherence to quality improvement criteria for supporting foster care children through comprehensive healthcare services.
• Texas Health and Human Services Commission (HHSC)coreStrategic or Co-development PartnerPrimary government partner administering managed care contracts for STAR, STAR Health, STAR Kids, STAR+PLUS, and CHIP programs across Texas.
• Nine Food Banks Across TexasminorStrategic or Co-development Partner$400,000 investment through Superior HealthPlan and Centene Foundation to support food banks enhancing access to healthy food for communities facing increased food insecurity.

Scale indicators14 records

Recent moves7 records

Expansion highlights6 records

Regional players

• Cook Children's Health Plan: Regional Texas Medicaid CHIP and STAR MCO serving the Tarrant County service area; directly comparable government-sponsored MCO model for pediatric and family populations.
• Parkland Community Health Plan: Texas-based regional Medicaid MCO anchored to Parkland Health; competes with Superior in North Texas STAR service areas under the same HHSC capitated contract framework.
• Texas Children's Health Plan: Houston-anchored regional Medicaid MCO operated by Texas Children's Hospital; offers STAR, CHIP, and STAR Kids — directly overlapping Superior's flagship products in Southeast Texas.
• Blue Cross and Blue Shield of Texas (HCSC): Texas-wide commercial and government health plan under Health Care Service Corporation; competes with Superior's Ambetter Marketplace product and influences Medicaid/MA network dynamics in Texas.

Direct peers

• Molina Healthcare: Direct competitor in Texas Medicaid managed care (STAR, CHIP, STAR+PLUS) operating alongside Superior with similar government-contract capitation model and Texas-wide footprint.
• UnitedHealthcare Community & State (UnitedHealth Group): Direct Texas Medicaid MCO competitor offering STAR, CHIP, and Medicare D-SNP plans; overlapping product set and statewide network competes head-to-head with Superior for HHSC contracts and members.
• Amerigroup Texas (WellPoint/Anthem): Direct Texas Medicaid MCO competitor holding STAR and CHIP contracts under the Anthem Elevance umbrella; materially comparable product portfolio and government-sponsored capitation model.

Broad incumbents

• Humana Inc. Large national incumbent offering Medicare Advantage and dual-eligible plans that overlap with Superior's Wellcare MA and D-SNP products; relevant peer for value-based MA contracting strategies.
• Elevance Health (Anthem): Diversified healthcare payer owning Amerigroup (Texas Medicaid) and Carelon; broader portfolio peer for government-sponsored managed care at scale and shared services benchmarking.
• Aetna (CVS Health): National incumbent offering Medicare Advantage and Medicaid products that overlap with Superior's Wellcare MA expansion; relevant comparator on integrated payer-provider and PBM economics.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCgLMAYyMJF9IMhCZd_fDMeA
• Facebookfacebook.com/SuperiorHealthPlan
• LinkedInlinkedin.com/company/superior-health-plan-inc

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments27 records

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Superior HealthPlan