BMC HealthNet Plan
- Company typePrivate
- Founded1997
- HeadquartersCharlestown, United States
- Headcount501–1,000
- GTM typeB2C
- OfferingServices
BMC HealthNet Plan firmographics
Firmographics- Name
- BMC HealthNet Plan
- Legal name
- WellSense Health Plan
- Website
- https://bmchp.org
- Company type
- Private
- Founded year
- 1997
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Ownership category
- akta.pro rank
BMC HealthNet Plan industry classification
Industry- Product category
- Managed Health Insurance
- NAICS
- Direct Health and Medical Insurance Carriers (524114), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Accident & Health Insurance (6321), Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Managed Care Entity Administration for Medicaid (MCO/PHP/PIHP/PAHP) (HLAEAEAJ)
- akta.pro secondary industries
- Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans (HLAEAEAI), MA Prescription Drug Plans (MA-PD) (HLAEACAF)
Keywords
Where BMC HealthNet Plan is headquartered
LocationHeadquarters
- HQ city
- Charlestown
- HQ country
- United States
- HQ region
- North America
Markets served
BMC HealthNet Plan business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure
Revenue model
- Insurance Premiums: Revenue generated from insurance premiums paid by individual and family plan members, employer groups, and government program beneficiaries including Medicaid and Medicare Advantage plans.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Individual and Family Plans (Clarity) |
Go-to-market motion1 record
Distribution channels4 records
Marketing channels5 records
BMC HealthNet Plan product offering
Product offeringCore offering
BMC HealthNet Plan (operating as WellSense Health Plan) is a non-profit managed care organization that underwrites and administers health insurance coverage for individuals, families, and government program beneficiaries in Massachusetts and New Hampshire. It sells individual and family plans (Clarity), state Medicaid plans (MassHealth and NH Medicaid), Medicare Advantage plans, and Senior Care Options for dual-eligible seniors, integrating medical care, mental health, prescription drug coverage, telehealth, and a 24/7 nurse advice line.
Product overview
BMC HealthNet Plan (operating as WellSense Health Plan) is a health insurance provider offering multiple coordinated plan types across Massachusetts and New Hampshire. The portfolio consists of Clarity Plans for individuals and families, MassHealth Medicaid and New Hampshire Medicaid programs, Medicare Advantage plans, and Senior Care Options. All plans include foundational benefits such as medical and mental health care, prescription drug coverage, telehealth, and a 24/7 nurse advice line, with variations in coverage levels and eligibility requirements across plan types.
Differentiator
Problem solved
Functional benefit
Products and services
- Clarity Plans
Companies that use BMC HealthNet Plan
Customer profileSegments4 records
Ideal customer profiles4 records
BMC HealthNet Plan technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
BMC HealthNet Plan partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered core.
- Healthcare Providers NetworkcoreExtensive network of healthcare providers including primary care physicians, specialists, hospitals, and behavioral health providers in Massachusetts and New Hampshire serving WellSense members.
- State Medicaid AgenciescoreFormal partnerships with Massachusetts and New Hampshire state agencies to administer Medicaid (MassHealth) and NH Medicaid programs for eligible beneficiaries.
Scale indicators2 records
Recent moves1 record
Expansion highlights4 records
BMC HealthNet Plan competitors and assessment
Company assessmentDirect peers
- Tufts Health Plan (Point32Health): Massachusetts-based managed care organization offering Medicaid, Medicare Advantage, and commercial plans across MA, NH, and RI. Directly comparable to WellSense given overlapping geographies, product mix (including dual-eligible Senior Care Options), and government-program focus.
- Fallon Health: Massachusetts-based non-profit health plan offering MassHealth Medicaid, Senior Care Options (dual-eligible), and Medicare Advantage plans. Closely comparable to WellSense in geography, product portfolio, and non-profit mission-driven positioning.
- Harvard Pilgrim Health Care (Point32Health): New England regional health plan operating across MA, NH, and ME with commercial and Medicare Advantage offerings. Directly comparable to WellSense in regional footprint and managed care model.
- Mass General Brigham Health Plan (formerly Neighborhood Health Plan): Massachusetts-based health plan focused on MassHealth Medicaid and commercial members, affiliated with a major academic medical center. Directly comparable to WellSense in Medicaid MCO focus and BMC-style hospital affiliation.
- Molina Healthcare: National Medicaid-focused managed care organization serving government-sponsored programs across multiple states. Directly comparable to WellSense in Medicaid MCO model, member demographic focus, and revenue concentration in government contracts.
Broad incumbents
- Blue Cross Blue Shield of Massachusetts: Largest health insurer in Massachusetts offering commercial, Medicare Advantage, and Medicaid plans. Competes with WellSense across most product lines and geographies as a broad incumbent with greater scale and brand recognition.
- Centene Corporation: Largest US Medicaid managed care insurer with significant MA and NH Medicaid contracts. Comparable as a Medicaid-focused broad incumbent that competes head-to-head with WellSense for state government contracts.
- UnitedHealthcare: Largest US health insurer offering commercial, Medicare Advantage, and Medicaid plans nationally, with significant MA and NH presence. Broad incumbent peer competing with WellSense across all product lines.
- Humana: Major Medicare Advantage-focused insurer with growing Medicaid presence. Comparable to WellSense as a competitor in the NH Medicare Advantage market and as a scaled incumbent in government health programs.
Others
- Boston Medical Center (Health System): Academic medical center from which WellSense originated and with which it maintains a close historical and likely operational relationship. Relevant adjacent ecosystem participant that shapes WellSense's provider network and member referral dynamics.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights7 records
Customer concentration
BMC HealthNet Plan social profiles
Digital presenceBMC HealthNet Plan financial estimates
Financial estimateRevenue estimate
Valuation estimate
BMC HealthNet Plan leadership team
Management profileNumber of profiles
Profiles2 records
BMC HealthNet Plan funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
BMC HealthNet Plan 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 BMC HealthNet Plan
What does BMC HealthNet Plan do?
BMC HealthNet Plan (operating as WellSense Health Plan) is a non-profit managed care organization that underwrites and administers health insurance coverage for individuals, families, and government program beneficiaries in Massachusetts and New Hampshire. It sells individual and family plans (Clarity), state Medicaid plans (MassHealth and NH Medicaid), Medicare Advantage plans, and Senior Care Options for dual-eligible seniors, integrating medical care, mental health, prescription drug coverage, telehealth, and a 24/7 nurse advice line.
Is BMC HealthNet Plan a public or private company?
BMC HealthNet Plan is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was BMC HealthNet Plan founded?
BMC HealthNet Plan was founded in 1997. It employs 501 to 1,000 people.
Where is BMC HealthNet Plan based?
BMC HealthNet Plan is headquartered in Charlestown, United States, in the North America region.
How does BMC HealthNet Plan make money?
One revenue line is on record: insurance Premiums.
Who are BMC HealthNet Plan's main competitors?
Direct peers on record are Tufts Health Plan (Point32Health), Fallon Health, Harvard Pilgrim Health Care (Point32Health), Mass General Brigham Health Plan (formerly Neighborhood Health Plan) and Molina Healthcare. Broad incumbents are Blue Cross Blue Shield of Massachusetts, Centene Corporation, UnitedHealthcare and Humana. Boston Medical Center (Health System) is listed as an others.
Does BMC HealthNet Plan have an API?
No public API is recorded for BMC HealthNet Plan.
What industry is BMC HealthNet Plan in?
BMC HealthNet Plan's product category is Managed Health Insurance. Its primary akta.pro industry code is HLAEAEAJ, Managed Care Entity Administration for Medicaid (MCO/PHP/PIHP/PAHP), with a secondary code of HLAEAEAI, Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans. Its NAICS code is 524114 and its SIC code is 6321.