There are several key criteria to consider when choosing from among the best health insurance companies, including the company’s financial strength, plan pricing, coverage benefits, the claims process, and what existing customers have to say. All of these will help you pick the best health insurance provider for your needs.
Where you live also determines which health insurance companies are available to you, as coverage varies between states. To start selecting the best health insurance company for you, first take stock of your existing health conditions and any changes you foresee in the next year. This alone will dictate which health insurance provider is better able to support you, in addition to any prescription drugs coverage needed from the best Medicare Part D plans.
Finding the best health insurance company can be complicated and stressful. HealthInsurance.net tries to make it easier by providing custom quotes, based on your needs, from multiple health insurance providers. It's a great place to start looking.
VIEW DEAL ON HealthInsurance.net
Monthly costs also play a big role in narrowing down your choice of the best health insurance companies. Because of the coronavirus pandemic, many have also lost employer sponsored insurance (ESI). If that includes you, you may be eligible for Medicaid.
With so many health insurance providers to pick from, it’s understandable if you’re feeling a little confused or overwhelmed. That’s why we have chosen companies that offer a versatile range of health insurance plans at fair prices, with easy to understand, hassle free quotes. To help you secure a great deal from whichever of the best health insurance companies you choose, we've also included a link to FirstChoiceHealth alongside each entry.
1. Blue Cross Blue Shield: Best health insurance company overall
The expansive nature of the Blue Cross Blue Shield network works both for and against the company. The vast amount of resources available to customers and the accessibility across all 50 states is definitely a huge plus, and the company goes to some lengths to make its customer-facing operations as easy to use as possible. The fact that customers will be serviced by the local healthcare partner does mean that experiences can vary significantly depending on which state they live in. These regional differences are definitely a factor in choosing a health insurance plan, but in general, the fact that BCBS is accepted at such a large number of medical facilities is the winning factor. This makes it our top pick when it comes to best health insurance companies.
- Read our Blue Cross Blue Shield review
2. Aetna: Best value
Aetna’s unrivaled history as a health insurance provider puts it in good stead both in goodwill towards the brand name and in terms of financial robustness. Both of these factors mean that the polices offered to customers rate especially well when it comes to value for money. The quotes received from Aetna regularly came in at a much better price than its main competitors, and its savings plans are also a real boon for people looking to manage their healthcare expenses more effectively. There isn’t too much in the way of downsides, one small caveat being that Aetna have fewer short-term healthcare policy options than some of the other bigger insurance companies.
- Read our Aetna review
3. Humana: Best for older customers
Humana is ranked the 5th largest healthcare insurance provider in the United States, meaning that it has a reassuring amount of financial capital behind it. The policies are relatively affordable, though this only really applies to their HMO plans, but if a customer is happy with that and doesn’t mind a specific range of pharmacy options, then Humana is well worth considering. Their policies for more elderly customers are especially attractive as many of their competitors hike up their prices substantially the older their customers get.
- Read our Humana review
4. United Healthcare: Best online portal
The United Healthcare name is well recognized and the company certainly has the financial muscle to deliver many benefits to its customers. Its premiums are slightly higher than average but many customers may feel that the extra outlay is worth access to the huge, nationwide network and the many features that come with the very impressive online access and mobile app that UHC offers. In short, it’s worth looking at its plan quotes no matter where customers may be based, and though they may find that the prices quoted are a touch higher than some of its competitors, the extra features and discounts should be factored in.
- Read our United Healthcare review
5. Molina: Best for wellness care
Molina Healthcare is generally very well regarded, thanks to its focus on helping underserved populations and lower-income customers. It also runs good wellness services that complement the healthcare offerings, with discounts for weight loss and smoking cessation programs, for example. Molina’s insurance is available to residents of some fifteen states, meaning that the network is slightly more limited compared to nationally-available polices, but premium levels of customer satisfaction levels make it an attractive proposition where it is available. Molina operates a number of physical clinics and health centers in the states where it operates.
- Read our Molina Healthcare review
6. National General: Best for short term policies
National General’s history in the industry and financial clout puts it in a good position, and specializing in short-term policies means that it is one of the industry leaders in this field. Although their policies come it at above the industry average in terms of pricing, it is backed up by excellent ratings, additional programs and discounts and flexibility. Its plans are perfect for anyone temporarily without health insurance whether it is due to an employment situation or missing a sign-up window, and coverage is good for routine doctor visits, labs, x-rays, ER visits, ambulance usage and urgent care facilities.
- Read our National General review
7. Cigna: Best for telehealth
Cigna performs well when compared to many of its competitors, with average premiums, clear and intuitive websites and apps and a good range of added benefits, particularly their commitment to telehealth. The lack of complete nationwide coverage could be a drawback for some people. However, Cigna performs well in the States in which it has a presence and has a consistently high level of customer satisfaction, making it worth considering for potential customers in those regions. Its financial health is similarly reassuring.
- Read our Cigna review
8. Kaiser Permanente: Best customer service
Kaiser Permanente stacks up well against its peers, with relatively low premiums easy quotation process, straightforward websites and a well-liked mobile app. The lack of nationwide coverage could be a drawback for some people, even if they live within the coverage area (families that have children attending college out of state, for example) and Kaiser Permanente is definitely one of the more localized health insurance providers. However, it performs well and has a consistently high level of customer satisfaction, and it is well worth considering for potential customers in those regions and states where it is operational. Kaiser Permanente scored the highest ratings possible in customer satisfaction during the 2017 Health Insurance Plan Study put on by JD Power and Associates. Kaiser ranked the highest in six regions, Maryland, South Atlantic, California, Virginia, Northwest and Colorado.
- Read our Kaiser Permanente review
To find out more, why not read our how to choose a health insurance plan guide, while if you're looking for a more specific of health insurance companies, we rate the best dental insurance options, as well as the best vision insurance. Planning further ahead and we round-up the best life insurance options and best Medicare Part D plans.
Key health insurance numbers to consider
Average bronze-level health insurance plan: $2,570 per year for individual insurance.
Shared responsibility payment: $325 per adult and $162.50 per child (up to $975 for a family), or 2 percent of your household income, above the tax return filing threshold for your filing status – whichever is greater.
Cost of non-subsidized, individual health insurance: $300 - $600 per month, or $3,600 - $7,200 per year.
How do I obtain a health insurance quote?
If your employer does not offer an affordable health insurance option and you do not qualify for subsidized insurance or Medicare, you can shop the open market for medical insurance. The health insurance companies we reviewed will allow you to request a quote online rather easily. Premium rates vary significantly by multiple factors. You'll learn that the monthly rates increase quite a bit as you age. Smoking also increases the premium rate. In most cases you can select non-smoking if you have not smoked in over six months.
Services such as eHealthInsurance are simple to use and provide a variety of quotes but may not always show every option available. You may find more plan options by requesting plan information directly from the insurance company's website. Before purchasing new insurance it is always a good idea to ensure that your preferred doctor accepts the insurance you are looking to purchase. While your doctor may be listed on the insurance company's website, it is smart to call your doctor's office directly to verify.
Even if the open-enrollment period has passed for signing up for insurance via one of the exchanges, you might still be able to purchase subsidized insurance if you've had a qualifying life event. Qualifying events include moving to a new state, change in income, change in family, loss of coverage and others. You may even be able to apply simply because you did not understand that open-enrollment ended or you did not understand the health care law. If your income qualifies you for subsidized health care, you'll want to purchase through your state exchange.
Considerations for comparing health insurance plans
Even plans of the best health insurance companies can vary greatly. But the general rule of thumb is that the less you pay per month, the higher your deductible is. Higher premiums are usually associated with lower deductibles. Generally it is beneficial for those with existing health issues to opt to pay more per month and less out-of-pocket for services. Those in good health often opt for a high deductible option in hopes that they never have to actually pay the deductible but would mostly be covered if something major happened.
A prescription plan is another important consideration when looking for the best health insurance. If you need to take medications regularly you'll want to choose a plan with a good prescription plan. If you need to insure your entire family, you'll want to look at family deductibles and maximums. Only full-coverage options will satisfy the minimal essential health care insurance required to get around paying the fine.
Major points to compare:
This is your monthly payment for health insurance. It may be worth asking if you can get discounts for paying in advance or if you set up direct payments from your bank account.
The amount you are required to pay, not counting preventive care, before the insurance company starts paying out. Low-deductible plans offer deductibles of about $500, whereas high-deductible plans might be as much as $6600.
This is the maximum you'll have to pay out-of-pocket. Sometimes this is more than the deductible. It is not uncommon to have a deductible of $1200 and a maximum out-of-pocket limit of $1500. This of course does not count your premiums.
Preventive Care Covered
Most insurance policies now cover preventive-care visits 100 percent. However, some may limit the number of checkups or how often certain procedures such as mammograms are covered.
If you need to take maintenance medications you'll want to find an insurance plan with an above-average prescription plan. You should check to see if it covers the medications you are currently taking satisfactorily or if it covers suitable generics.
In-Network vs. Out-of-Network Coverage
While in-network providers are discounted, you usually pay significantly more for out-of-network health care. This is a good reason to contact your primary doctors to ensure they are preferred providers.
Types of Plans Available
While looking for insurance you many notice a wide variety of plans. Some may provide coverage for a large selection of doctors whereas others may provide increased coverage to preferred providers.
The most common insurance plans explained:
Preferred Provider Organization (PPO)
This type of insurance provides better coverage to providers within their network. Usually the insurance company and the provider have agreed in advance to the billing costs for common procedures. Out-of-network providers, or those without an agreement, might not be covered or will cost the patient more out-of-pocket.
Health Maintenance Organization (HMO)
With an HMO plan, you have to work with one primary doctor and all additional procedures or testing is routed through them. You have to have a referral from your primary doctor before seeing a specialist unless it is an emergency situation.
Exclusive Provider Organization (EPO)
This type of plan limits the network of doctors and hospitals covered in order to help control costs. Out-of-network doctors and hospitals are not covered at all.
Point of Service (POS)
These types of plans are a mixture of HMO and PPO. You would need to use a primary doctor to coordinate your care, but there is more freedom to visit the health care provider of your choosing. If you visit a provider outside of the network, you have to pay the bill and then submit a claim to the insurance company for partial reimbursement.
High-Deductible Health Plan (HDHP)
These types of plans usually have lower monthly premiums but higher deductibles. In many cases the deductible is $6,600.
Flexible Spending & Health Savings Accounts
These are not insurance plans, but ways of assisting with medical costs with pre-tax money. Often these accompany a high-deductible plan in order to help cover the high deductible easier. Flexible spending accounts are often use-it-or-lose-it, but health savings accounts typically can roll over to the next year.
Short-term medical plans are designed to fill the gap between insurance coverage. So if you are going to be changing jobs, for example, and might have a gap before your new insurance takes over, short-term might help you.
The Patient Protection and Affordable Care Act of 2010, more commonly known as Obamacare, impacted healthcare in the United States in numerous ways. The act's effects vary by person, but you'll need to have health insurance for at least nine months out of every 12 or be subject to a tax. There are exceptions to this rule based on financial hardship, your income and living situation. But in general, whether it's through Obamacare or not, you should have health insurance.
Non-compliant options to consider
If you decide to opt out instead of acquiring compliant health insurance, you do have a few options. These options probably won't qualify to relieve you of having to pay the shared responsibility payment, but they can still lower your health care costs. Many insurance companies offer short-term insurance plans that might help you between coverage periods or after losing insurance. Catastrophic insurance usually has a high deductible, but can help if you need expensive treatment. Another option is Direct Primary Care (DPC) or "concierge medicine." These are not standard insurance models but involve a direct payment to the provider as an annual fee or retainer for services. This type of arrangement is not common, but it's an option for some. Boutique offices are becoming increasingly popular as well. These medical practices do not bother with insurance and simply make cash-price arrangements with patients. Many offer quite competitive rates for routine services. However, keep in mind that this alternative option does not satisfy the requirement to have minimal compliant health insurance and that you may need to pay the fine unless you are somehow otherwise exempt.
While obtaining suitable health insurance requires a bit of effort, health insurance is now affordable to more Americans than before. Increasing the parental coverage to 26 years old and introducing the medical exchanges has helped, especially for younger Americans who can now acquire affordable coverage. It only takes a few minutes using our health insurance tools to discover the plans available in your area. To find the best plan for your specific needs, we recommend comparing plans from at least three insurance companies that offer coverage in your area.
“But I never go to the doctor!”
If you find yourself unable to remember the last time you were in a doctor’s office and think you don’t need health insurance, think again. You should definitely have health insurance, and there are plans that are cost effective for healthy people. For example, you can opt for a high deductible health insurance plan – you pay more for things like doctor visits, but you pay less overall for your health insurance plan. This is ideal if you only go to the doctor once or twice a year. These plans also work well in partnership with flexible spending accounts (FSA) or health savings accounts (HSA). You can put pre-tax dollars into these accounts and use the money later on medical expenses.
Even if you consider yourself healthy, it’s important to see a doctor on occasion for a checkup. U.S. News and World Report says if you can't remember the last time you went, it has definitely been too long. You should also go for a checkup if anything has changed since the last time you saw a doctor. Are you coughing more than usual? Is that mole bigger? Even minor things can reflect larger underlying health problems. The earlier you catch any health problem, the better. An annual checkup can help with that. There are also age-related milestone checkups you shouldn't skip like an annual mammogram for women starting at age 40 or a colon cancer screening starting at age 50. These are some of the many reasons it’s important to have health insurance, as many plans cover preventative health screening services. Depending on the company and the checkup, you might not have to pay anything out of pocket.
In case of emergency
It might be the most difficult thing you’ll ever do, but it’s important to advocate for yourself during an emergency room visit. If possible, ask all the questions you can think of and make sure to get answers before agreeing to have any procedures done. And just because you’re at an in-network facility doesn’t mean you’ll always be treated by an in-network doctor, so make sure to talk to whoever is providing the care if you can. Obviously this isn’t possible if you’re incapacitated, but if you can, you should make clear what your health insurance does and does not cover. This can help you avoid an unexpectedly large bill later. If you do end up with a huge emergency room bill even though you have insurance, contact your provider and ask if there are any programs available for bill reduction.
Vox published an analysis of more than 1,100 emergency room bills in December 2018 that found emergency rooms often charge a lot for items you could buy at a drugstore such as bandages and low-grade pain medication. If you’re at the doctor for something relatively minor, consider asking if you’ll be charged for these supplies, and if so, turn them down. You can always stop at the store on the way home and get them for far less money. Whatever private health insurance you have, it’s important to know your benefits well.
Finding the best health insurance provider can be complicated and stressful. HealthInsurance.net tries to make it easier by providing custom quotes, based on your needs, from multiple health insurance providers. It's a great place to start looking.