Health Net

Name

Health Net

Legal name

Health Net, LLC

Website

https://healthnetadvantage.com

Company type

Private

Operating status

Operating

Headcount range

51–100 employees

Ownership category

akta.pro rank

Product category

Health Insurance

NAICS

Direct Health and Medical Insurance Carriers (524114), Direct Life, Health, and Medical Insurance Carriers (52411), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Hospital & Medical Service Plans (6324), Insurance Agents, Brokers & Service (6411), Life Insurance (6311)

akta.pro primary industry

Medicare Advantage (MA) Plans (FSAIAGAA)

akta.pro secondary industries

MA-PD Plans (Medicare Advantage with Prescription Drug Coverage) (FSAIAGAG), Medicare Supplement (Medigap) (FSAIAEAG), Medigap Member Support & Care Navigation (Advocacy/Concierge) (HLAEADAH), Small Group Health Insurance (2–50/100) (FSAIAFAD), Large Group Health Insurance (Mid-Market & National Accounts) (FSAIAFAE), Medicare Quality, Risk Adjustment & Stars Analytics/Services (FSAIAGAJ)

Keywords

• Health insurance plans
• Medicare Advantage coverage
• Medi-Cal managed care
• Medicare Supplement insurance
• Employer group benefits

Headquarters

HQ city

Van Nuys

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Health Insurance Premiums: Health Net generates revenue through recurring health insurance premiums paid by members (individuals, employers, government programs like Medicare and Medi-Cal). Premium revenue is collected on a monthly basis and covers healthcare services including medical, pharmacy, dental, and vision benefits.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels6 records

Core offering

Health Net sells health insurance plans across multiple segments, including Medicare Advantage (HMO/PPO) in California, Oregon, and Washington, Medicare Supplement (Medigap) insurance in California, Medi-Cal managed care in California, Individual & Family plans through the Ambetter from Health Net brand on Covered California, and Small/Large Employer group health plans. Coverage extends to medical, pharmacy, dental, vision, and behavioral health benefits, supported by telehealth, member portals, and provider search tools.

Product overview

Health Net is a health insurance company and a subsidiary of Centene Corporation, offering a diversified portfolio of health insurance products across multiple segments. The company operates as a multi-product health insurer with core offerings including Medicare Advantage plans (in California, Oregon, and Washington under the Wellcare by Health Net brand), Medicare Supplement/Medigap plans, Medi-Cal plans, Individual & Family Plans (including Ambetter from Health Net on Covered California), Small Business Plans, and Large Employer Plans. The product portfolio is supported by member-facing digital tools including ProviderSearch (online provider directory), a member portal for account management and claims, telehealth services, behavioral health services, pharmacy benefits, health support programs, and maternity/family planning services. Provider-facing tools include CalAIM resources for California providers, prior authorization tools, medical policies, quality improvement resources, and provider training. Wellcare by Health Net serves as the company's Medicare brand, while Ambetter from Health Net serves the Covered California marketplace.

Differentiator

Problem solved

Functional benefit

Brands

• Wellcare By Health Net: Medicare Advantage plans offered in California under the Wellcare brand
• Wellcare
• Ambetter from Health Net
• CalViva Health

Products and services

• Medicare Advantage Plans - California Medicare Advantage HMO and PPO health insurance plans offered to Medicare-eligible beneficiaries in California, marketed under the Wellcare by Health Net brand. Includes medical, prescription drug, and supplemental benefits.
• Medicare Advantage Plans - Oregon & Washington Medicare Advantage HMO and PPO health insurance plans offered to Medicare-eligible beneficiaries in Oregon and Washington, marketed under the Wellcare by Health Net brand.
• Medicare Supplement Plans (Medigap) - California Medicare Supplement (Medigap) standardized insurance plans (A through N) that help pay healthcare costs not covered by Original Medicare, such as copays, coinsurance, and deductibles, offered in California.
• Medi-Cal Plans California Medicaid managed care plans provided in partnership with state and local agencies at no cost to eligible low-income individuals and families, including Cal MediConnect for dual-eligible beneficiaries in Los Angeles and San Diego.
• Individual & Family Plans (Ambetter from Health Net) Individual and family health insurance plans offered through Covered California marketplace (Ambetter from Health Net) for those qualifying for financial assistance, as well as direct enrollment.
• Small Business Plans Health insurance plans designed for small businesses (typically 1-50 employees), empowering employees to manage wellness and health with various coverage options across multiple states.
• Large Employer Plans Comprehensive health insurance plans for large employer groups with a wide range of coverage options to support employee health across multiple states.
• Wellcare by Health Net (Medicare Sub-Brand) Medicare sub-brand of Health Net (subsidiary of Centene Corporation) offering Medicare Advantage, Medicare Prescription Drug Plans (PDP), and D-SNP plans across multiple states.

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration14 records

Partnerships

Three partnerships are on record, tiered minor and core.

• Berkeley Research Group (BRG)minorOthers · 1 March 2025BRG is a vendor that experienced a data privacy incident. Health Net issued a notice about this vendor incident affecting member data.
• California Attorney General's OfficecoreOthers · 1 January 2025Health Net collaborated with the California Attorney General's Office and the San Diego City Attorney on enhancements to their online Provider Directory to better serve members.
• Centene CorporationcoreOthersHealth Net, LLC is a subsidiary of Centene Corporation. Health Net of California, Inc., Health Net Life Insurance Company, and Health Net Community Solutions, Inc. are subsidiaries of Health Net, LLC and Centene Corporation. The company operates under the Centene enterprise.

Scale indicators3 records

Recent moves6 records

Expansion highlights6 records

Regional players

• L.A. Care Health Plan: Los Angeles County-focused Medi-Cal managed care plan with Medicare and commercial products; competes with Health Net's Medi-Cal franchise and Cal MediConnect in the LA market.
• Sharp Health Plan: San Diego-based regional health plan offering Medicare Advantage, Medi-Cal (CalViva-type models), and commercial coverage — directly competes with Health Net in Southern California county-level markets.

Direct peers

• Kaiser Permanente: California-based integrated payer-provider offering Medicare Advantage, Medi-Cal, and commercial plans; competes with Health Net across the same member segments and provider footprint.
• Blue Shield of California: California-headquartered nonprofit health plan offering Medicare Advantage, Medi-Cal managed care, Individual/Family, and employer plans — directly overlapping Health Net's core product mix and geography.
• Molina Healthcare: Medicaid-heavy managed care insurer with expanding Medicare Advantage presence in California, Oregon, and Washington — directly comparable to Health Net's Medi-Cal and MA book.
• Anthem Blue Cross (California): Major California commercial and Medicare Advantage insurer with Individual/Family, employer, and MA plans; competes head-to-head with Health Net across Covered California and MA segments in CA.

Broad incumbents

• UnitedHealthcare: Largest US health insurer with broad Medicare Advantage, Medicaid, and commercial offerings; competes against Health Net in every segment across CA/OR/WA as part of a much larger national portfolio.
• Humana: National Medicare Advantage leader with growing presence in western states; competes with Health Net primarily in MA and Medicare Supplement, with broader portfolio scale.
• Aetna (CVS Health): National insurer offering MA, Medicare Supplement, individual, and employer plans; competes with Health Net across multiple California and Oregon/Washington segments as part of CVS Health's integrated care portfolio.

Emerging players

• Alignment Healthcare: Medicare Advantage-focused insurer with a strong California and western-US footprint and tech-enabled care model — a closer niche competitor to Health Net's MA franchise than large national carriers.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/healthnet
• YouTubeyoutube.com/user/HealthNetInc
• Facebookfacebook.com/HealthNetInc
• LinkedInlinkedin.com/company/health-net
• Instagraminstagram.com/healthnet

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Subsidiaries5 records

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about Health Net