Health Net Health Plan of Oregon, Inc.
Health Net Health Plan of Oregon, Inc. is an Oregon-licensed health insurer (subsidiary of Centene Corporation) providing commercial, Medicare Advantage, and individual health plans, pharmacy benefits, and supplemental coverage through employer groups, brokers, and Medicare channels across Oregon.
- Company typePrivate
- Founded-
- HeadquartersTigard, United States
- Headcount—
- GTM typeB2B and B2C
- OfferingServices
What Health Net Health Plan of Oregon, Inc. does
Health Net Health Plan of Oregon, Inc. is a health insurance company operating exclusively in the state of Oregon, providing commercial and Medicare health insurance plans, pharmacy benefits, and related member and provider support services. The company serves three primary customer segments: individuals and families seeking marketplace or off-marketplace coverage, Medicare-eligible beneficiaries through Medicare Advantage HMO and PPO products branded as Wellcare By Health Net, and small and large employer groups requiring group health benefits. Product offerings span PPO, EPO, CommunityCare tailored network plans, and HSA/HRA-compatible high-deductible plans, with supplemental coverage in dental, vision, behavioral health, and alternative care (acupuncture, chiropractic). Pharmacy benefits are integrated across all plan types, including mail order, generic drug coverage, and prior authorization.
The company operates as a wholly-owned subsidiary of Health Net, LLC, which is itself owned by Centene Corporation, a Fortune 500 managed care enterprise. Its technology platform comprises HIPAA-compliant EDI claims processing (CORE Phase III certified, supporting 837/835/270/271 transactions), member portals, broker portals (Broker Connect), provider portals with regional engagement representatives, Centene Secure Email for PHI communication, and prior authorization tools. The platform integrates with multiple clearinghouses (Change Healthcare, Availity, MD On-Line/Ability, TransUnion) and uses Payspan Health for EFT/ERA delivery. Quality measurement programs include HEDIS, CAHPS, HOS, and the Patient-Centered Medical Home Model.
Revenue is generated through recurring health insurance premiums from employer group plans, individual/family plans, and Medicare Advantage products, plus supplemental coverage premiums. Distribution occurs through a multi-channel model: direct employer sales via a dedicated employer portal, licensed insurance broker networks using the Broker Connect portal, Medicare/Wellcare direct channels, and an individual marketplace. Provider engagement is supported through a regional representative network covering all Oregon counties, with shared infrastructure via partnership with Trillium Community Health Plan. The company holds licenses to operate as a health plan in Oregon under the Health Net and Wellcare By Health Net brands, with Health Net operating as a registered service mark licensed from the parent entity.
Health Net Health Plan of Oregon, Inc. firmographics
Firmographics- Name
- Health Net Health Plan of Oregon, Inc.
- Legal name
- Health Net Health Plan of Oregon, Inc.
- Website
- https://healthnetoregon.com
- Company type
- Private
- Operating status
- Operating
- Short description
- Health Net Health Plan of Oregon, Inc. is an Oregon-licensed health insurer (subsidiary of Centene Corporation) providing commercial, Medicare Advantage, and individual health plans, pharmacy benefits, and supplemental coverage through employer groups, brokers, and Medicare channels across Oregon.
- Ownership category
- akta.pro rank
Health Net Health Plan of Oregon, Inc. 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
- Fully Insured Small Group Plans (HLAEAAAB)
- akta.pro secondary industries
- MA PPO Plans (Local/Regional PPO) (HLAEACAB), Group HMO Plans (FSAIAFAK)
Keywords
Where Health Net Health Plan of Oregon, Inc. is headquartered
LocationHeadquarters
- HQ city
- Tigard
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Health Net Health Plan of Oregon, Inc. 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: Revenue generated from employer group health plans and individual/family plan premiums. Plans include PPO, EPO, CommunityCare, and Medicare Advantage products with various coverage tiers including Platinum, Gold, Silver, and Bronze options.
- Supplemental Coverage: Additional revenue streams from supplemental insurance products including dental plans, vision plans, behavioral health coverage, and alternative care providers offered to employer groups.
Go-to-market motion2 records
Distribution channels4 records
Marketing channels5 records
Health Net Health Plan of Oregon, Inc. product offering
Product offeringCore offering
Health Net Health Plan of Oregon, Inc. provides commercial and Medicare health insurance plans in Oregon, including Individual & Family plans, Small and Large Business Group plans, Medicare Advantage, CommunityCare, PPO, and HSA/HRA-compatible options. The company also offers supplemental coverage such as dental, vision, behavioral health, pharmacy benefits, and alternative care.
Product overview
Health Net Health Plan of Oregon, Inc. offers a comprehensive health insurance platform providing Individual & Family Plans, Medicare Advantage, and Employer Group Plans (Small Business and Large Business). The core product portfolio includes CommunityCare tailored network plans and PPO Plans with options for HSA/HRA-compatible high-deductible plans. The company provides supplemental coverage including Dental Plans, Vision Plans, Behavioral Health, and Alternative Care. A robust Pharmacy Plan with mail order, generic drug coverage, and prior authorization is integrated across all plan types. Member-facing tools include Find a Provider search, Wellness Center, and Same-Day Care resources. Provider tools encompass Prior Authorization (Pre-Auth Check), Electronic Data Interchange (EDI) for HIPAA-compliant claims submission, and Quality Improvement Programs (HEDIS, CAHPS, HOS). The company operates as a subsidiary of Health Net, LLC, which is owned by Centene Corporation.
Differentiator
Problem solved
Functional benefit
Brands
- CommunityCare: A tailored network plan built on strategic partnership with Portland-Metro providers, delivering benefits through a unique blend of tailored network and personal whole health support.
- Decision Power
Products and services
- Individual & Family Health Plans Commercial health insurance plans designed for individuals and families in Oregon, offering coverage for routine, preventive, and major medical needs with multiple plan designs.
- Medicare Advantage Plans Medicare Advantage health plans that combine medical and prescription drug coverage with supplemental benefits for Medicare-eligible individuals in Oregon.
- Small Business Group Plans Group health insurance plans tailored for small employers in Oregon, offering flexible plan designs and supplemental coverage options for employee benefits packages.
- Large Business Group Plans Comprehensive group health insurance plans for large Oregon employers, with customizable plan designs and broad network access for diverse workforces.
- CommunityCare Plans Community-rated health plan options for individuals and families in Oregon, providing an alternative network design within the Individual & Family portfolio.
- PPO Health Plans Preferred Provider Organization (PPO) health plans offered across multiple segments, allowing members to access in-network providers without referrals for specialists.
- EPO Health Plans Exclusive Provider Organization (EPO) health plans offered as part of the portfolio, providing coverage through a defined in-network provider set.
- HSA / HRA Compatible Health Plans High-deductible health plans compatible with Health Savings Account (HSA) and Health Reimbursement Arrangement (HRA) structures for individuals, families, and employer groups.
- Pharmacy Plan Coverage Prescription drug coverage integrated with the company's health insurance plans, providing outpatient pharmacy benefits to members.
- Dental Coverage Supplemental dental insurance coverage offered alongside medical plans for individuals, families, and employer groups.
- Vision Coverage Supplemental vision insurance coverage offered alongside medical plans, including routine eye exams and vision hardware benefits.
- Behavioral Health Coverage Behavioral health and substance use disorder coverage integrated with the company's medical plans to support mental health care access for members.
- Alternative Care Coverage Supplemental coverage for alternative care services such as chiropractic, acupuncture, and naturopathy offered alongside the medical plans.
Companies that use Health Net Health Plan of Oregon, Inc.
Customer profileNamed customers8 records
Segments4 records
Ideal customer profiles4 records
Health Net Health Plan of Oregon, Inc. technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration9 records
Feature3 records
Health Net Health Plan of Oregon, Inc. partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- Trillium Community Health PlancoreTrillium Community Health Plan provides provider engagement support services for Health Net Health Plan of Oregon, Inc. including regional representative management and provider support email addresses ([email protected]). The two organizations share provider engagement infrastructure for Oregon operations.
Scale indicators2 records
Recent moves6 records
Expansion highlights6 records
Health Net Health Plan of Oregon, Inc. competitors and assessment
Company assessmentMarket position
Competitive moat6 records
Key risks5 records
Key highlights7 records
Customer concentration
Health Net Health Plan of Oregon, Inc. social profiles
Digital presenceHealth Net Health Plan of Oregon, Inc. compliance and trust
Trust signalCompliance2 records
Health Net Health Plan of Oregon, Inc. financial estimates
Financial estimateRevenue estimate
Valuation estimate
Health Net Health Plan of Oregon, Inc. leadership team
Management profileNumber of profiles
Health Net Health Plan of Oregon, Inc. funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Health Net Health Plan of Oregon, Inc. 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 Net Health Plan of Oregon, Inc.
What does Health Net Health Plan of Oregon, Inc. do?
Health Net Health Plan of Oregon, Inc. provides commercial and Medicare health insurance plans in Oregon, including Individual & Family plans, Small and Large Business Group plans, Medicare Advantage, CommunityCare, PPO, and HSA/HRA-compatible options. The company also offers supplemental coverage such as dental, vision, behavioral health, pharmacy benefits, and alternative care.
Is Health Net Health Plan of Oregon, Inc. a public or private company?
Health Net Health Plan of Oregon, Inc. is a private company. It is classified as corporate owned and is currently operating.
When was Health Net Health Plan of Oregon, Inc. founded?
Health Net Health Plan of Oregon, Inc. was founded in -1.
Where is Health Net Health Plan of Oregon, Inc. based?
Health Net Health Plan of Oregon, Inc. is headquartered in Tigard, United States, in the North America region.
How does Health Net Health Plan of Oregon, Inc. make money?
Two revenue lines are on record. Health Insurance Premiums are the primary driver. The others are supplemental Coverage.
Does Health Net Health Plan of Oregon, Inc. have an API?
No public API is recorded for Health Net Health Plan of Oregon, Inc..
What industry is Health Net Health Plan of Oregon, Inc. in?
Health Net Health Plan of Oregon, Inc.'s product category is Health Insurance. Its primary akta.pro industry code is HLAEAAAB, Fully Insured Small Group Plans, with a secondary code of HLAEACAB, MA PPO Plans (Local/Regional PPO). Its NAICS code is 524114 and its SIC code is 6324.