Regence BlueCross BlueShield
Regence BlueCross BlueShield is a regional health insurer serving individuals, families, employers, and Medicare beneficiaries across Idaho, Oregon, Utah, and Washington, offering medical, dental, and Medicare Advantage plans through direct, broker, and Costco marketplace channels.
- Company typePrivate
- Founded1991
- HeadquartersSeattle, United States
- Headcount5,001–10,000
- GTM typeB2B and B2C
- OfferingServices
What Regence BlueCross BlueShield does
Regence BlueCross BlueShield is a regional health insurance provider operating as an Independent Licensee of the Blue Cross and Blue Shield Association. Founded in 1991 and headquartered in Seattle, the company employs 5,001-10,000 people and serves members across Idaho, Oregon, Utah, and select counties of Washington through three regional plan brands: Regence BlueCross BlueShield of Oregon and Utah, Regence BlueShield of Idaho, and Regence BlueCross BlueShield of Washington (select counties). It offers individual and family plans, employer-sponsored group coverage, Medicare Advantage plans, and Regence Dental, with a portfolio that also incorporates partner-distributed services such as DispatchHealth in-home medical care and Equip virtual eating disorder treatment.
Its core technology stack includes an AI-powered prior authorization review system that reduced review times by 40% at Regence BlueShield of Idaho, the Availity Essentials provider portal for claims, eligibility, and administrative transactions, and member-facing platforms including the regence.com self-serve enrollment site, employer center portal, and HealthSparq provider search. Distribution operates across four channels: direct enterprise sales to large employers, a producer/agent channel, direct consumer enrollment for individuals and Medicare beneficiaries, and the Costco CBC Health Insurance Marketplace partnership targeting small businesses with up to 55% cost savings.
The business model is subscription-based, generating revenue through recurring health insurance premiums paid by individuals, families, employers, and government programs (Medicare Advantage). Pricing is quote-based and varies by plan type, coverage level, geographic location, and member demographics, with rate increases filed with state insurance commissioners. The company targets four primary segments: small-to-large employers, individuals and families, Medicare beneficiaries, and contracted healthcare providers, with a horizontal segmentation approach that emphasizes brand trust, multi-channel access, and operational efficiency over product specialization.
Regence BlueCross BlueShield firmographics
Firmographics- Name
- Regence BlueCross BlueShield
- Website
- https://regence.com
- Company type
- Private
- Founded year
- 1991
- Operating status
- Operating
- Headcount range
- 5,001–10,000 employees
- Short description
- Regence BlueCross BlueShield is a regional health insurer serving individuals, families, employers, and Medicare beneficiaries across Idaho, Oregon, Utah, and Washington, offering medical, dental, and Medicare Advantage plans through direct, broker, and Costco marketplace channels.
- Ownership category
- akta.pro rank
Where Regence BlueCross BlueShield is headquartered
LocationHeadquarters
- HQ city
- Seattle
- HQ country
- United States
- HQ region
- North America
Offices4 records
Markets served
Regence BlueCross BlueShield business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Operations, Personnel, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Health Insurance Premiums: Regence generates revenue through premium payments from individuals, families, employers, and government programs (Medicare Advantage). Members pay recurring premiums for coverage across medical, dental, and vision benefits.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Employer group health plans with customizable coverage |
Go-to-market motion2 records
Distribution channels4 records
Marketing channels5 records
Regence BlueCross BlueShield product offering
Product offeringCore offering
Regence BlueCross BlueShield provides health insurance plans and coverage to members in Idaho, Oregon, Utah, and select counties of Washington. Core offerings include individual and family plans, employer-sponsored group health plans, Medicare Advantage coverage, and supplementary dental insurance. As an Independent Licensee of the Blue Cross and Blue Shield Association, the company leverages its provider networks and member-facing digital tools to deliver medical, prescription, dental, vision, and life insurance benefits.
Product overview
Regence BlueCross BlueShield operates as a portfolio of regional health insurance plans serving Idaho, Oregon, Utah, and select counties in Washington. The core offerings include individual and family health insurance plans, Medicare Advantage coverage, and employer-sponsored group health plans. The company extends its portfolio through partnerships with specialized service providers: Equip for virtual eating disorder treatment and DispatchHealth for in-home medical care services. Regence Dental provides supplementary dental insurance coverage. The company also provides member-facing digital platforms including provider search portals, secure member accounts, and employer administration tools.
Differentiator
Problem solved
Functional benefit
Products and services
- Regence Individual and Family Health Insurance Plans Health insurance coverage sold to individuals and families through direct consumer enrollment at regence.com, including medical and prescription benefits.
- Regence Employer Group Health Plans B2B group health insurance sold to small, mid-market, and large employers via the Employer Center portal and insurance producers. Plans can be customized with medical, prescription, dental, vision, and life insurance options.
- Regence Medicare Advantage Plans Medicare Advantage coverage offered to seniors and Medicare-eligible individuals across the company's service states, including Idaho where approximately 11,000 Idahoans are covered.
- Regence Dental Insurance Standalone dental insurance services offered through regencedental.com with member portals for finding dentists and accessing dental benefits.
Quantifiable outcome
- 40% reduction in prior authorization review times using AI tools
- +2 more outcomes
Companies that use Regence BlueCross BlueShield
Customer profileNamed customers4 records
Segments4 records
Ideal customer profiles4 records
Regence BlueCross BlueShield technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability1 record
Feature1 record
Regence BlueCross BlueShield partnerships and signals
Strategic signalPartnerships
Four partnerships are on record, tiered core and minor.
- DispatchHealthcoreRegence BlueCross BlueShield of Utah partnered with DispatchHealth to deliver in-home medical care services to members in Salt Lake County. This collaboration offers Recovery Care at Home for high-risk patients transitioning from ER or hospital care, and Urgent Medical Care at Home that can treat 95% of common ER diagnoses at significantly lower costs than emergency room visits. Utah is the first state where DispatchHealth's Recovery Care at Home service is available through Regence.
- CostcocoreRegence participates in Costco's CBC Health Insurance Marketplace program that helps small businesses manage employee healthcare plans and reduce costs by up to 55%. The service includes various insurance plans, prescription reimbursement options, and additional coverage for dental, vision, and life insurance. Businesses can choose from major insurers like UnitedHealthcare and Regence.
- EquipminorRegence health plan members have access to Equip, a virtual eating disorder treatment provider offering multidisciplinary care teams including therapists, dietitians, and mentors with lived experience. Equip provides treatment for conditions including anorexia, bulimia, binge eating, and co-existing mental health issues with typically no waitlist. Eating disorders affect approximately 29 million Americans.
- Saint Alphonsus Health SystemminorSaint Alphonsus Health System, owned by Trinity Health, participated in BoiseDev's Intersection Health event alongside Regence BlueShield of Idaho where healthcare AI adoption was discussed. Saint Alphonsus has adopted 15-20 AI tools including one that identified an unknown patient via their heart stent on an X-ray.
Scale indicators5 records
Recent moves6 records
Expansion highlights6 records
Regence BlueCross BlueShield competitors and assessment
Company assessmentBroad incumbents
- Humana: A leading Medicare Advantage and group benefits carrier; directly comparable to Regence on the Medicare Advantage side, where Regence has established presence in Idaho, Oregon, Utah, and Washington.
- Kaiser Permanente: An integrated payer-provider system with significant Pacific Northwest presence (especially Oregon/Washington); competes with Regence for employer groups and individual members on integrated care and total cost of care.
- Blue Shield of California: A larger nonprofit BCBS licensee offering commercial, individual, and Medi-Cal coverage in California; comparable as a state-level BCBS payer with similar product breadth and provider-network economics.
- UnitedHealthcare: The largest U.S. health insurer, offering employer, individual, and Medicare Advantage plans; competes head-to-head with Regence in the Pacific Northwest and Mountain West, including directly on the Costco marketplace platform.
- Aetna (CVS Health): A national health benefits carrier owned by CVS Health, offering employer, individual, and Medicare products; overlaps with Regence in employer-sponsored and Medicare Advantage segments.
- Cigna: A national health services and insurance company offering employer and individual plans; competes with Regence in the group/employer segment and in select states via Evernorth-adjacent partnerships.
- Anthem Blue Cross Blue Shield: A national BCBS-licensed carrier with multi-state commercial, individual, and Medicare Advantage products; overlaps directly with Regence's group and individual offerings in markets where BCBS plans compete.
Regional players
- Molina Healthcare: A government-program-focused health plan (Medicaid, Medicare, Marketplace) operating across multiple states including the Pacific Northwest and Mountain West; competes with Regence on individual/ACA and Medicare Advantage lines.
- Blue Cross Blue Shield of Montana: Another regional BCBS licensee operating in an adjacent Mountain West state, sharing a similar nonprofit BCBS licensee structure, group/individual product mix, and reliance on rural/small-metro provider networks.
Direct peers
- Premera Blue Cross: Premera is the most direct comparable: a Pacific Northwest-based BCBS licensee serving Washington and Alaska, with overlapping commercial, individual, and Medicare lines and a similar employer/member profile to Regence.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat6 records
Key risks5 records
Key highlights6 records
Customer concentration
Regence BlueCross BlueShield social profiles
Digital presenceRegence BlueCross BlueShield financial estimates
Financial estimateRevenue estimate
Valuation estimate
Regence BlueCross BlueShield leadership team
Management profileNumber of profiles
Profiles1 record
Regence BlueCross BlueShield funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Regence BlueCross BlueShield M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Regence BlueCross BlueShield
What does Regence BlueCross BlueShield do?
Regence BlueCross BlueShield provides health insurance plans and coverage to members in Idaho, Oregon, Utah, and select counties of Washington. Core offerings include individual and family plans, employer-sponsored group health plans, Medicare Advantage coverage, and supplementary dental insurance. As an Independent Licensee of the Blue Cross and Blue Shield Association, the company leverages its provider networks and member-facing digital tools to deliver medical, prescription, dental, vision, and life insurance benefits.
Is Regence BlueCross BlueShield a public or private company?
Regence BlueCross BlueShield is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was Regence BlueCross BlueShield founded?
Regence BlueCross BlueShield was founded in 1991. It employs 5,001 to 10,000 people.
Where is Regence BlueCross BlueShield based?
Regence BlueCross BlueShield is headquartered in Seattle, United States, in the North America region.
How does Regence BlueCross BlueShield make money?
One revenue line is on record: health Insurance Premiums.
Who are Regence BlueCross BlueShield's main competitors?
Broad incumbents on record are Humana, Kaiser Permanente, Blue Shield of California, UnitedHealthcare, Aetna (CVS Health), Cigna and Anthem Blue Cross Blue Shield. Regional players are Molina Healthcare and Blue Cross Blue Shield of Montana. Premera Blue Cross is listed as a direct peer.
Does Regence BlueCross BlueShield have an API?
No public API is recorded for Regence BlueCross BlueShield.