Market overview
Texas is one of the largest commercial insurance markets in the country, led by a Blue that is part of the multi-state HCSC family, with the national carriers competing across its major metros.
Major commercial carriers
The national carriers all operate in Texas — UnitedHealthcare (behavioral health through Optum), Aetna, and Cigna (behavioral health through Evernorth) — competing across the state's large metro markets alongside the state Blue.
Profiles: UnitedHealthcare / Optum · Aetna · Cigna / Evernorth
The state's Blue
Blue Cross and Blue Shield of Texas
Operated by Health Care Service Corporation (HCSC), the multi-state Blue that also runs the plans in Illinois, New Mexico, Oklahoma, and Montana.
See the HCSC / BCBS of Texas guide
More in the Southwest
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