BlueCross BlueShield of Tennessee recorded a net income of $168.4 million in 2025, a 62% decline from $446.8 million in 2024, according to regulatory filings.
In its 2025 impact report, the insurer said 89 cents of every premium dollar collected last year was used to pay member claims, and medical and pharmacy claims payments have increased 25% over the past five years.
The company reported total assets of $6.7 billion as of year-end 2025, with capital and surplus of $5.4 billion. Medicare was the company’s largest line of business by direct premiums written at $2.5 billion, followed by the Federal Employees Health Benefits program at $1.1 billion, dental at $172.6 million, Medicare supplement at $153.5 million, and vision at $37.4 million.
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