Health Plan of Nevada
Las Vegas-based subsidiary of United Healthcare Services, Inc. offering HMO, HMO Balance, POS, Medicaid, and Medicare plans to Nevada individuals, families, and employer groups through direct sales, broker channels, and the state marketplace exchange.
- Company typePrivate
- Founded1982
- HeadquartersLas Vegas, United States
- Headcount101–250
- GTM typeB2B and B2C
- OfferingServices
What Health Plan of Nevada does
Health Plan of Nevada (HPN) is a Las Vegas-based health insurance carrier operating as a subsidiary of United Healthcare Services, Inc., which itself sits within UnitedHealth Group (NYSE: UNH). Founded in 1982, HPN is licensed and operates exclusively in Nevada, serving individuals, families, employer groups, Medicaid beneficiaries (via HPN Medicaid), and Medicare-eligible residents. Its product portfolio is anchored in three core plan architectures—HMO, HMO Balance, and POS (Point of Service)—across Bronze, Silver, and Gold metal tiers, with ancillary dental and vision coverage. Membership is acquired and serviced through four distribution channels: a direct employer sales desk (1-800-873-0004), licensed broker/agent networks, a direct-to-consumer self-service portal (choosehpn.com), and Nevada's public marketplace exchange under the Battle Born State Plans initiative, which carries an expected enrollment of approximately 35,000 members.
The company runs a subscription/premium revenue model with monthly billing; pricing varies materially by plan design, with example deductibles at $10,600 per member for the BBSP MyHPN Bronze 1.4 Tribal product. The technology infrastructure is a health insurance administration platform with integrated provider networks, pharmacy benefits management, and digital member services, including the HPN & SHL mobile app, an Online Member Center, an Online Provider Center, and an Online Broker Center that segment workflows by stakeholder. Beyond core medical coverage, HPN layers on care support modules: 24/7 Virtual Visits (NowClinic), a 24/7 Advice Nurse hotline, disease management programs for asthma, diabetes (Type 1 and Type 2), and Stage 3 chronic kidney disease, the Vital Medication pharmacy program, Care Management for complex cases, One Pass Select fitness benefits, and a Pregnancy Through Childhood family support program. Behavioral health is delivered via partnership with Behavioral Healthcare Options, and provider interoperability is anchored by integration with HealtHIE Nevada, the state health information exchange.
HPN's market positioning rests on three reinforcing pillars: a 40+ year local Nevada operating history, structural affiliation with UnitedHealth Group (alongside sister entities Sierra Health and Life and Southwest Medical), and a multi-channel distribution footprint spanning direct sales, brokers, the online portal, and the marketplace exchange. The company has pursued incremental expansion through marketplace participation, social-determinants pilots (notably a 2023 Mom's Meals food-as-medicine partnership for diabetic members), and community GTM initiatives such as the 2023 Scholastic Book Fairs collaboration. At the same time, HPN has faced regulatory headwinds: Nevada's Division of Insurance identified the company as likely in violation of federal mental health parity law in 2025, and a 2025 policy change to Applied Behavior Analysis therapy coverage for autistic members triggered review by the Governor's Council on Developmental Disabilities. Headcount stands at 101–250 employees, with claims processing and member services routed through a Las Vegas office (P.O. Box 15645, Las Vegas, NV 89114-5645), and contact channels spanning member services (1-800-777-1840), provider services (702-242-7088), and quality/disease management programs.
Health Plan of Nevada firmographics
Firmographics- Name
- Health Plan of Nevada
- Legal name
- United Healthcare Services, Inc.
- Website
- https://healthplanofnevada.com
- Company type
- Private
- Founded year
- 1982
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Las Vegas-based subsidiary of United Healthcare Services, Inc. offering HMO, HMO Balance, POS, Medicaid, and Medicare plans to Nevada individuals, families, and employer groups through direct sales, broker channels, and the state marketplace exchange.
- Ownership category
- akta.pro rank
Health Plan of Nevada industry classification
Industry- Product category
- Health Insurance
- NAICS
- Direct Health and Medical Insurance Carriers (524114)
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Group HMO Plans (FSAIAFAK)
- akta.pro secondary industries
- Small Group Health Insurance (2–50/100) (FSAIAFAD), Large Group Health Insurance (Mid-Market & National Accounts) (FSAIAFAE), Self-Funded Employer POS (ASO/TPA-Administered) (HLAEAOAH)
Keywords
Where Health Plan of Nevada is headquartered
LocationHeadquarters
- HQ city
- Las Vegas
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Health Plan of Nevada business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales, Supply Chain
Revenue model
- Health Insurance Premiums: Revenue generated from monthly premiums paid by individual, family, and employer group members for health insurance coverage. Plans include HMO, HMO Balance, and POS options with various coverage levels including Bronze, Silver, and Gold tiers.
- Public Marketplace Plans: Revenue from Battle Born State Plans offered through Nevada's health insurance marketplace, with expected enrollment of approximately 35,000 people through federal and state initiatives.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | BBSP MyHPN Bronze 1.4 - Tribal: $25/0%/0%/0% - HMO plan with $10,600 individual deductible |
Go-to-market motion2 records
Distribution channels4 records
Marketing channels4 records
Health Plan of Nevada product offering
Product offeringCore offering
Health Plan of Nevada is a Nevada-based health insurance provider offering HMO, HMO Balance, and POS health plans to individuals, families, employer groups, and Medicaid recipients. The company also delivers integrated ancillary benefits including prescription drug coverage, dental, vision, mental health and substance use services, 24/7 virtual visits, disease management, and care management programs. Operating as a subsidiary of UnitedHealth Group, it leverages an integrated provider network across Nevada and digital member, provider, and broker portals.
Product overview
Health Plan of Nevada is a health insurance provider offering a portfolio of health plan products and wellness services primarily for Nevada residents. The core product portfolio includes HMO Plans, HMO Balance Plans, and POS (Point of Service) Plans, all operating on a calendar year schedule. These can be enhanced with ancillary products including Vision Plans and Dental Plans. The company also provides a range of support modules including Mental Health and Substance Use Benefits, 24/7 Virtual Visits (NowClinic), Disease Management Programs (for asthma, diabetes, and chronic kidney disease), Health Education and Wellness, One Pass Select fitness benefits, Digital Health Tools and Apps, the Vital Medication Program, Pregnancy Through Childhood support, Care Management, 24/7 Advice Nurse, and Urgent Care at Home. Digital member engagement is facilitated through the Online Member Center, Online Provider Center, and Online Broker Center portals.
Differentiator
Problem solved
Functional benefit
Products and services
- HMO Plans Health Maintenance Organization plans requiring members to choose a primary care provider and stay within a defined network of providers for coverage, except for emergency and urgent care. PCP referrals are required for specialist visits. Offered to individuals, families, and employer groups.
- HMO Balance Plans Plans providing more first-dollar coverage to simplify the healthcare experience with more predictable cost share, using the full HMO network and HPN HMO Balance Pharmacy Network. Offered to individuals, families, and employer groups.
- POS (Point of Service) Plans The most flexible plan option combining HMO and PPO features with three tiers: Tier I (HMO) for most coverage at lowest cost, Tier II (PPO) for in-network specialist visits with shared costs, and Tier III (Out-of-Network) for any licensed provider with highest member responsibility.
- HPN Medicaid Medicaid managed care plan for Nevada Medicaid recipients, providing comprehensive benefits through HPN's network of providers and integrated care delivery.
- Dental Plans Ancillary dental coverage available as an add-on to enhance employer or individual health benefit packages.
- Vision Plans Ancillary vision coverage that can be added to enhance the benefits package, providing eye exam and eyewear coverage.
- Mental Health and Substance Use Benefits Mental health and substance use benefits meeting member needs, available both in-person and online, covering behavioral health and substance abuse services through integrated providers such as Behavioral Healthcare Options.
- 24/7 Virtual Visits (NowClinic) Round-the-clock virtual healthcare visits allowing members to connect with healthcare providers remotely at any time.
- One Pass Select Fitness and wellness program providing members access to gym memberships and fitness resources.
- Disease Management Program Programs for members with chronic conditions including pediatric and adult asthma, adult Type 1 and Type 2 diabetes, and Stage 3 chronic kidney disease, providing education and support from registered nurses.
Companies that use Health Plan of Nevada
Customer profileNamed customers2 records
Segments4 records
Ideal customer profiles4 records
Health Plan of Nevada technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
Health Plan of Nevada partnerships and signals
Strategic signalPartnerships
Seven partnerships are on record, tiered minor and core.
- Scholastic Book FairsminorCommunity partnership supporting Scholastic Book Fairs to help Nevada children grow as readers. Part of corporate social responsibility and community engagement initiatives.
- Mom's MealsminorPilot program partnership to deliver nutritious meals to diabetic members to improve health outcomes. The collaboration aims to address social determinants of health through food delivery services.
- Sierra Health and LifecoreAffiliated health insurance company under the UnitedHealth Group umbrella, offering complementary health plans and services in Nevada. Both entities share infrastructure, networks, and administrative services.
- Southwest MedicalcorePart of the UnitedHealth Group network providing medical services and integrated care delivery within the HPN provider network.
- Behavioral Healthcare OptionscoreBehavioral health services provider integrated into HPN's mental health and substance use benefit network.
- HealtHIE NevadacoreHealth information exchange enabling interoperability and care coordination across Nevada healthcare providers within the HPN network.
- HPN MedicaidcoreSeparate Medicaid managed care plan operated by Health Plan of Nevada serving Nevada Medicaid recipients.
Scale indicators3 records
Recent moves6 records
Expansion highlights5 records
Health Plan of Nevada competitors and assessment
Company assessmentBroad incumbents
- Aetna (CVS Health): Aetna is a national health insurer operating across the U.S., including Nevada, offering HMO, POS, and PPO plans to employers and individuals. It competes directly with HPN in the Nevada group and individual markets as a national incumbent carrier.
- Humana: Humana is a major national health insurer with strong Medicare Advantage and individual market positions, including Nevada. It is comparable as a broad incumbent competing with HPN's Medicare and individual product lines.
- Cigna Healthcare: Cigna is a national health insurer with employer-sponsored plans sold nationally, including Nevada. It overlaps with HPN in employer group benefits and serves similar customers with comparable managed care products.
Others
- UnitedHealthcare: UnitedHealthcare is the parent brand and direct national affiliate of HPN, providing umbrella-scale technology, claims platforms, and network contracting. While not a peer in the traditional sense, it is the parent ecosystem against which HPN's capabilities and customer experience are benchmarked.
Emerging players
- Kaiser Permanente: Kaiser Permanente is an integrated, closed-network HMO model that has limited Nevada presence but represents a differentiated competitor in markets where it expands. It is comparable in HMO-centric product strategy and integrated care delivery.
Direct peers
- Molina Healthcare: Molina is a leading Medicaid managed care insurer with significant Nevada Medicaid contracts, directly competing with HPN Medicaid for Nevada Medicaid beneficiaries. It is highly comparable in business model and member focus on government-sponsored coverage.
- Hometown Health Plan: Hometown Health is a regional Nevada-based health plan offering commercial and Medicare Advantage products in northern Nevada. It is a direct local competitor to HPN's commercial group and Medicare lines within the same state.
- Prominence Health Plan: Prominence Health Plan is a Nevada-based health insurer offering HMO and PPO products to individuals, families, and employer groups across the state. It is a direct competitor with overlapping product portfolio and geographic focus.
- Anthem Blue Cross Blue Shield Nevada: Anthem is the other major commercial health insurance carrier competing head-to-head with HPN in Nevada across employer group, individual, and marketplace segments. It is the closest direct competitor on product portfolio (HMO/POS), broker channel, and geographic footprint.
- Sierra Health and Life: Sierra Health and Life is an affiliated carrier under the UnitedHealth Group umbrella in Nevada, sharing infrastructure and networks with HPN. While sister companies, they jointly shape the Nevada competitive landscape and are highly comparable in operations.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat5 records
Key risks5 records
Key highlights7 records
Customer concentration
Health Plan of Nevada social profiles
Digital presenceHealth Plan of Nevada financial estimates
Financial estimateRevenue estimate
Valuation estimate
Health Plan of Nevada leadership team
Management profileNumber of profiles
Health Plan of Nevada funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Health Plan of Nevada 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 Health Plan of Nevada
What does Health Plan of Nevada do?
Health Plan of Nevada is a Nevada-based health insurance provider offering HMO, HMO Balance, and POS health plans to individuals, families, employer groups, and Medicaid recipients. The company also delivers integrated ancillary benefits including prescription drug coverage, dental, vision, mental health and substance use services, 24/7 virtual visits, disease management, and care management programs. Operating as a subsidiary of UnitedHealth Group, it leverages an integrated provider network across Nevada and digital member, provider, and broker portals.
Is Health Plan of Nevada a public or private company?
Health Plan of Nevada is a private company. It is classified as corporate owned and is currently operating.
When was Health Plan of Nevada founded?
Health Plan of Nevada was founded in 1982. It employs 101 to 250 people.
Where is Health Plan of Nevada based?
Health Plan of Nevada is headquartered in Las Vegas, United States, in the North America region.
How does Health Plan of Nevada make money?
Two revenue lines are on record. Health Insurance Premiums are the primary driver. The others are public Marketplace Plans.
Who are Health Plan of Nevada's main competitors?
Broad incumbents on record are Aetna (CVS Health), Humana and Cigna Healthcare. UnitedHealthcare is listed as an others. Kaiser Permanente is listed as an emerging player. Direct peers are Molina Healthcare, Hometown Health Plan, Prominence Health Plan, Anthem Blue Cross Blue Shield Nevada and Sierra Health and Life.
Does Health Plan of Nevada have an API?
No public API is recorded for Health Plan of Nevada.
What industry is Health Plan of Nevada in?
Health Plan of Nevada's product category is Health Insurance. Its primary akta.pro industry code is FSAIAFAK, Group HMO Plans, with a secondary code of FSAIAFAD, Small Group Health Insurance (2–50/100). Its NAICS code is 524114 and its SIC code is 6324.