BlueShield of Northeastern New York
BlueShield of Northeastern New York is a regional health insurer operated by Highmark Inc. providing Individual, Medicare, Medicaid, CHIP, and Employer Group health plans across 13 counties in Northeastern New York.
- Company typePrivate
- Founded1946
- HeadquartersLatham, United States
- Headcount101–250
- GTM typeB2B and B2C
- OfferingServices
What BlueShield of Northeastern New York does
BlueShield of Northeastern New York is a regional health insurer operating as Highmark Western and Northeastern New York Inc., a subsidiary of Highmark Inc. and an independent licensee of the Blue Cross Blue Shield Association. The company provides health insurance coverage across 13 counties in Northeastern New York, including Albany, Glens Falls, Saratoga, and Schenectady. Its product portfolio spans Individual and Family ACA-compliant plans, Medicare Advantage (HMO, PPO, and Part D), Medicaid managed care, the Children's Health Insurance Program (CHIP / Highmark Healthy Kids), Employer Group plans, and Dual Special Needs Plans (D-SNP). Supplementary offerings include dental plans, vision care through Davis Vision, prescription drug coverage, and tax-advantaged spending accounts (HSA, FSA, HRA, Commuter Benefits). The company also participates in the Federal Employee Program for federal workers in the region.
The underlying technology stack centers on a member portal and the My Highmark mobile application (available on iOS and Android), enabling self-service capabilities such as claims management, bill payment, ID card access, and form downloads. Integrated third-party tools include the HealthSparq provider finder for in-network doctor, hospital, and lab searches, and a pharmacy formulary directory for prescription coverage lookups. The platform is a Highmark-developed digital property rather than a BSNENY-native build, consistent with the parent's role as the central technology operator.
Revenue is generated entirely through recurring monthly premium subscriptions across multiple payer segments — individual/family, employer-sponsored group, Medicare, Medicaid, and CHIP. Distribution is multi-channel: the New York State of Health marketplace for ACA plans, direct member sales via member services (1-844-639-2440), Medicare enrollment through medicare.highmark.com and licensed agents, the FEPBlue.org federal employee channel, and direct employer group sales. Customer segmentation is horizontal — serving consumers, seniors, low-income populations, children, and employer groups — without a single dominant segment.
BlueShield of Northeastern New York firmographics
Firmographics- Name
- BlueShield of Northeastern New York
- Legal name
- Highmark Western and Northeastern New York Inc.
- Website
- https://bsneny.com
- Company type
- Private
- Founded year
- 1946
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- BlueShield of Northeastern New York is a regional health insurer operated by Highmark Inc. providing Individual, Medicare, Medicaid, CHIP, and Employer Group health plans across 13 counties in Northeastern New York.
- Ownership category
- akta.pro rank
BlueShield of Northeastern New York industry classification
Industry- Product category
- Health Insurance
- NAICS
- Direct Life, Health, and Medical Insurance Carriers (52411), Health Care and Social Assistance (62)
- SIC
- Accident & Health Insurance (6321), Insurance Agents, Brokers & Service (6411)
- akta.pro primary industry
- Large Group Health Insurance (Mid-Market & National Accounts) (FSAIAFAE)
- akta.pro secondary industries
- Dual-Eligible Special Needs Plans (D-SNP) (FSAIAGAD), D-SNP Care Management (Medical) (HLAEAFAC), Behavioral Health Managed Care (Medicaid) / BH Carve-In-Carve-Out Plans (HLAEAEAE)
Keywords
Where BlueShield of Northeastern New York is headquartered
LocationHeadquarters
- HQ city
- Latham
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
BlueShield of Northeastern New York business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Others
Revenue model
- Health Insurance Premiums: Monthly premiums collected from individual/family members, employer groups, Medicare beneficiaries, Medicaid recipients, and CHIP enrollees. Revenue is recurring on a monthly or annual basis depending on plan type.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Individual and Family Plans - ACA Compliant |
| Subscription | Monthly | Medicare Plans |
| Subscription | Monthly | Medicaid Plans |
| Subscription | Monthly | CHIP - Highmark Healthy Kids |
| Subscription | Monthly | Employer Group Plans |
Go-to-market motion2 records
Distribution channels5 records
Marketing channels4 records
BlueShield of Northeastern New York product offering
Product offeringCore offering
BlueShield of Northeastern New York provides health insurance coverage and administrative services across multiple plan types including Individual and Family ACA-compliant plans, Medicare Advantage (HMO, PPO, Part D, D-SNP), Medicaid managed care, CHIP (Highmark Healthy Kids), and Employer Group plans. The company serves 13 counties in Northeastern New York including Albany, Glens Falls, Saratoga, and Schenectady under a subsidiary structure of Highmark Western and Northeastern New York Inc., as part of the Blue Cross Blue Shield Association and Highmark Inc. network.
Product overview
BlueShield of Northeastern New York (operated by Highmark Inc.) is a regional health insurance provider offering a comprehensive portfolio of health coverage products. The core offering consists of Individual and Family Plans (ACA-compliant), Medicare Advantage plans, Medicaid plans, CHIP (Highmark Healthy Kids), and Employer Group Plans. These are supported by supplementary products including Dental Plans, Vision Care through Davis Vision, Pharmacy/Prescription Drug Coverage with formulary management, and Spending Accounts (HSA, FSA, HRA, Commuter Benefits). Members access services through the My Highmark Mobile App and the member portal platform, which provides claims management, bill payment, care finding, and form access. Mental Health Services are integrated across the plan offerings. The company serves 13 counties in Northeastern New York including Albany, Glens Falls, Saratoga, and Schenectady.
Differentiator
Problem solved
Functional benefit
Products and services
- Individual and Family Health Plans ACA-compliant health insurance plans for individuals and families, including options for special enrollment periods, conversion coverage, and travel health insurance. Pricing varies by metal tier (Bronze, Silver, Gold), age, tobacco use, and county location.
- Medicare Plans Medicare Advantage HMO, PPO, and Part D plans with Medicare contract, including Dual Special Needs Plans (D-SNP) for beneficiaries eligible for both Medicare and Medicaid. Includes prescription drug coverage.
- Medicaid Plans Medicaid health insurance coverage for eligible low-income individuals and families in the Northeastern New York service area under state-funded Medicaid managed care arrangements.
- CHIP - Highmark Healthy Kids Children's Health Insurance Program providing coverage for children in families with incomes too high for Medicaid but too low for private insurance, including access to doctors, drugs, and enhanced case management.
- Employer Health Plans Group health insurance solutions for employers including cost management tools, care management services, and client resources for employee benefits administration.
- My Highmark Mobile App Mobile application enabling members to access plan benefits, view claims, find in-network doctors, hospitals, and labs, pay premiums, and manage their health coverage from a smartphone.
- Member Portal Online member portal for managing health coverage, viewing claims, paying bills, finding doctors, accessing ID cards, and downloading forms.
Companies that use BlueShield of Northeastern New York
Customer profileSegments5 records
Ideal customer profiles4 records
BlueShield of Northeastern New York technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
BlueShield of Northeastern New York partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- Blue Cross Blue Shield AssociationcoreBlueShield of Northeastern New York is an independent licensee of the Blue Cross Blue Shield Association, utilizing the BCBS brand, network access, and shared service mark agreements for operations in Northeastern New York markets.
Scale indicators1 record
Recent moves6 records
Expansion highlights5 records
BlueShield of Northeastern New York competitors and assessment
Company assessmentDirect peers
- Empire BlueCross BlueShield: Fellow BCBS licensee serving New York State with Individual, Medicare, Medicaid, and employer group plans. Directly competes with BSNENY in overlapping New York markets with similar product portfolio and BCBS brand advantages.
- Excellus BlueCross BlueShield: BCBS licensee headquartered in upstate New York offering Individual, Medicare, Medicaid, and group plans. Closely comparable regional NY carrier with similar multi-segment model and BCBS licensing structure.
- MVP Health Care: Regional health insurer serving upstate and Northeastern New York with Individual, Medicare, Medicaid, and employer plans. Direct competitor in BSNENY's Albany/Capital District service area with similar regional not-for-profit/regional for-profit dynamics.
- CDPHP: Capital District Physicians' Health Plan serving the Albany region with Individual, Medicare, Medicaid, and employer coverage. Head-to-head competitor in BSNENY's core Northeastern NY territory.
- Fidelis Care: New York-focused health plan owned by Centene with strong Medicaid and Medicare presence across the state, including Northeastern NY. Directly competes on government program lines and individual marketplace products.
- Highmark Blue Cross Blue Shield (Western New York): Sister Highmark-owned BCBS plan operating the Western New York region under the same legal entity (Highmark Western and Northeastern New York Inc.). Closest comparable, sharing parent, technology stack, and operating model.
Broad incumbents
- UnitedHealthcare: Largest US health insurer with national scale and significant New York presence across Individual, Medicare, Medicaid, and employer lines. Competes across all of BSNENY's segments with greater scale, broader networks, and integrated Optum services.
- Anthem (Elevance Health): National BCBS-affiliated carrier offering Individual, Medicare, Medicaid, and employer products across multiple states. Competes with BSNENY in adjacent NY markets and through national employer accounts with broader network and capital base.
- Aetna (CVS Health): National health insurer with Medicare, Medicaid, Individual, and employer plans plus CVS Health's retail care assets. Competes with BSNENY across segments in New York, with differentiated pharmacy and retail health integration.
Emerging players
- Molina Healthcare: Government-program-focused health insurer with strong Medicaid and Medicare presence including New York. Comparable on government program lines (Medicaid, D-SNP, marketplace) where BSNENY competes for dual-eligible and low-income enrollees.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
BlueShield of Northeastern New York social profiles
Digital presenceBlueShield of Northeastern New York financial estimates
Financial estimateRevenue estimate
Valuation estimate
BlueShield of Northeastern New York leadership team
Management profileNumber of profiles
BlueShield of Northeastern New York funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
BlueShield of Northeastern New York M&A and investment
M&A and investmentM&A
Investments1 record
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about BlueShield of Northeastern New York
What does BlueShield of Northeastern New York do?
BlueShield of Northeastern New York provides health insurance coverage and administrative services across multiple plan types including Individual and Family ACA-compliant plans, Medicare Advantage (HMO, PPO, Part D, D-SNP), Medicaid managed care, CHIP (Highmark Healthy Kids), and Employer Group plans. The company serves 13 counties in Northeastern New York including Albany, Glens Falls, Saratoga, and Schenectady under a subsidiary structure of Highmark Western and Northeastern New York Inc., as part of the Blue Cross Blue Shield Association and Highmark Inc. network.
Is BlueShield of Northeastern New York a public or private company?
BlueShield of Northeastern New York is a private company. It is classified as corporate owned and is currently operating.
When was BlueShield of Northeastern New York founded?
BlueShield of Northeastern New York was founded in 1946. It employs 101 to 250 people.
Where is BlueShield of Northeastern New York based?
BlueShield of Northeastern New York is headquartered in Latham, United States, in the North America region.
How does BlueShield of Northeastern New York make money?
One revenue line is on record: health Insurance Premiums.
Who are BlueShield of Northeastern New York's main competitors?
Direct peers on record are Empire BlueCross BlueShield, Excellus BlueCross BlueShield, MVP Health Care, CDPHP, Fidelis Care and Highmark Blue Cross Blue Shield (Western New York). Broad incumbents are UnitedHealthcare, Anthem (Elevance Health) and Aetna (CVS Health). Molina Healthcare is listed as an emerging player.
Does BlueShield of Northeastern New York have an API?
No public API is recorded for BlueShield of Northeastern New York.
What industry is BlueShield of Northeastern New York in?
BlueShield of Northeastern New York's product category is Health Insurance. Its primary akta.pro industry code is FSAIAFAE, Large Group Health Insurance (Mid-Market & National Accounts), with a secondary code of FSAIAGAD, Dual-Eligible Special Needs Plans (D-SNP). Its NAICS code is 52411 and its SIC code is 6321.