4 Best Health Insurance Companies of 2024
The best health insurance companies are Kaiser Permanente, Blue Cross Blue Shield, UnitedHealthcare and Aetna.
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Best health insurance companies
Best companies | Editor rating |
Cost
| |
|---|---|---|---|
| Kaiser Permanente: Best and cheapest | 4.5 | $481 |
| Blue Cross: Best choice of doctors | 4.0 | $604 |
| UHC: Best for self-employed | 4.0 | $576 |
| Aetna: Best for young adults | 4.0 | $502 |
Kaiser Permanente is the best overall health insurance company. It has satisfied customers and affordable rates that average $481 per month before discounts.
Use HealthCare.gov to shop for affordable health insurance for yourself or your family, if you don't get insurance through a job.
You can compare health plans where you live and see if you can qualify for discounted rates based on your income.
| 216 companies compared |
| Recommendations built on real data |
| Strong editorial integrity |
ValuePenguin's insurance experts use data to help you understand how good an insurance company actually is, despite what the marketing says. We don't make money by promoting any specific companies. Instead, our analysis helps you comparison shop. See our full methodology.
Best affordable health insurance: Kaiser Permanente
| Editor rating | |
| Rating on HealthCare.gov | 4.9 out of 5 |
| NCQA quality rating | 4.2 out of 5 |
| Average cost | $481/mo |
| Consistently high ratings for customer satisfaction |
| Streamlined access to high-quality medical care |
Kaiser Permanente sells insurance in eight states — California, Colorado, Georgia, Hawaii, Maryland, Oregon, Virginia and Washington — and Washington, D.C.
Even though you can't get it in many places, it's still one of the largest health insurance companies in the U.S. because it's popular in the states where it is available.
If having access to a wide selection of doctors is important to you, consider Blue Cross Blue Shield, which lets you use your insurance with many of the doctors in the country.
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Best choice of doctors: Blue Cross Blue Shield
| Editor rating | |
| Rating on HealthCare.gov | 3.7 out of 5 |
| NCQA quality rating | 3.6 out of 5 |
| Average cost | $604/mo |
| You can use your insurance with most doctors |
| Well-rated coverage with lots of perks and extra benefits |
Blue Cross Blue Shield is available in all 50 states and Washington, D.C.
However, depending on which BCBS subsidiary operates in your state, the company could be called Florida Blue, Empire Blue Cross, Anthem or another name.
If you're looking for a lower-cost option, consider Aetna, which costs about $100 less per month, on average. But you'll have a smaller network of doctors and fewer perks.
Best health insurance for the self-employed: UnitedHealthcare
| Editor rating | |
| Rating on HealthCare.gov | 3.5 out of 5 |
| NCQA quality rating | 3.5 out of 5 |
| Average cost | $576/mo |
| Many plan options including health, dental and vision |
| Highly rated mobile app for managing your health needs |
UnitedHealthcare sells health insurance on the marketplace in 24 states.
Aetna costs less than UnitedHealthcare and also has a good mobile app. But its resources and tools are more basic.
Best health insurance for young adults: Aetna
| Editor rating | |
| Rating on HealthCare.gov | 3.0 out of 5 |
| NCQA quality rating | 3.5 out of 5 |
| Average cost | $502/mo |
| Cheap monthly rates can save you money |
| Low-cost prescriptions and routine care |
If you expect to need ongoing medical care, it's usually worth it to pay more for a plan from Kaiser Permanente, Blue Cross Blue Shield or UnitedHealthcare, as these options have better customer satisfaction.
Worst health insurance companies
Oscar is the worst health insurance company of 2024 because of its low HealthCare.gov rating.
Oscar's health insurance plans have a low rating on HealthCare.gov, with poor ratings for medical care. Oscar used to have cheap health insurance, but its prices have risen and are now more expensive than average in 2024.
Ambetter's overall rating on HealthCare.gov is somewhat low, and it only gets 2.5 out of 5 stars for its medical care. Customers often complain that it's difficult to find doctors that accept Ambetter plans. However, it does have cheap plans.
Molina also has poor ratings for its medical quality. Even though Molina tends to be cheap in the states where it is available, most people will get better insurance with an affordable plan from one of the best health insurance companies.
How to find the best affordable health insurance
- Get health insurance through work: For most people, the best affordable health insurance is through a job. That's because when you enroll in what's called a group health insurance plan, you split the cost of the plan with your employer.
- Shop for marketplace health insurance plans: If you don't get insurance through a job, shop on HealthCare.gov to get the best cheap health insurance for you or your family. All plans on the Affordable Care Act (ACA) marketplace will provide essential benefits including free checkups and screenings as soon as the plan begins.
- Find out if you can get discounted rates: You may qualify for cheaper rates on health insurance if you earn less than $58,320 as an individual or less than $78,880 as a family of four. You can only get these health insurance subsidies if you buy a plan on HealthCare.gov or your state marketplace. The size of your discount is based on your income, and many people can get plans for $10 or less.
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What does health insurance cover?
A health insurance plan will cover medical care, tests, treatment and prescriptions.
- Doctor visits
- Checkups and screenings
- Medical treatment
- Lab tests
- Hospital care and emergencies
- Prescription drugs
- Mental health
- Vision and dental for children
- Pregnancy
- Birth control
What does health insurance not cover?
- The full cost of your medical bills: You'll still have some medical costs, even when you have insurance. How much you'll pay for medical care is listed in the plan's paperwork as the deductible, copay or coinsurance.
- Vision and dental if you're an adult: You'll nearly always need to get separate plans for dental insurance and vision insurance. However, you may be able to use the same company for all plans, which can simplify your coverage.
- Elective, cosmetic or experimental treatments: Insurance won't cover drugs that haven't been approved by the FDA or any treatment you get voluntarily, such as Lasik.
How much does health insurance cost?
The average cost of health insurance is $584 per month before discounts.
How much you pay is based on:
- Your age: Health insurance gets more expensive as you get older.
- The level of coverage: It costs more for a plan that pays for more of your medical costs.
- Your income: The size of your health insurance discount is based on how much you earn.
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Cost of insurance based on age and coverage
You'll get the cheapest rates if you're young and choose a Bronze plan. Rates can get expensive as you get older or if you choose a high tier of coverage.
Affordable health insurance rates after discounts
The average cost of health insurance is $74 per month if you qualify for health insurance discounts, which are called subsidies.
If you shop on HealthCare.gov, you won't pay more than 8.5% of your income for health insurance, and those with low incomes can pay less than $10 for a plan.
Typical health insurance costs after subsidies
Individual
Family of four
Income |
Monthly cost
|
|---|---|
| $25,000 | $0 |
| $35,000 | $105 |
| $50,000 | $295 |
| $75,000 | Full price |
Individual
Income |
Monthly cost
|
|---|---|
| $25,000 | $0 |
| $35,000 | $105 |
| $50,000 | $295 |
| $75,000 | Full price |
Family of four
Income |
Monthly cost
|
|---|---|
| $40,000 | $0 |
| $65,000 | $145 |
| $80,000 | $311 |
| $100,000 | $569 |
| $130,000 | $921 |
How to choose the best affordable health insurance
The best health insurance plan isn't always the cheapest you can find. Compare your options by coverage, extra perks and flexibility.
-
What's the best coverage level for you? Your medical needs usually determine the best level of coverage.
- Silver plans are a good middle ground for most people.
- If you expect to need expensive medical care or prescriptions, it's often worth it to get a Gold plan with better coverage. By paying more each month, you'll pay less at the doctor.
- If you're young and healthy, a Bronze plan can be a good way to save money and still have coverage if you get very sick.
- Do company extras help you save money? More expensive health insurance companies may give extra benefits like gym memberships, discounts and even cash rewards for healthy activities like exercising and checkups. Consider the value of these extras when comparing plans.
Which types of insurance plans give you the best choice about your doctors?
- How coverage works: PPO and POS plans give you some level of coverage for any doctor or medical facility, even if it's not specifically listed on the plan. This is called having access to out-of-network medical care.
- Cost: You'll usually pay much more for PPO and POS plans. You'll also pay more when you go to an out-of-network doctor.
- When it's worth it: The extra cost for a PPO or POS plan is worth it if you want more flexibility about your medical care, need specialized treatment, or travel often and want access to routine care anywhere in the country.
Alternative to PPO and POS plans
Get an HMO or EPO plan if you're on a tight budget and are willing to give up some flexibility about which doctors you can use. These plans are cheaper and will usually only cover medical care if you go to a doctor that's in the plan's network.
Watch out for HMO or EPO plans that have a very small list of doctors. With these plans, it can be difficult to find a doctor near you or to get appointments.
Tip to make health care more affordable
Check that the doctors you usually use are in the plan's network, no matter what type of health insurance plan you choose.
Even if you have a PPO plan that will help pay for appointments with any doctor, it will be cheaper to see your doctors if they're in the plan's network.
How much will you pay at the doctor when using health insurance?
How to compare medical costs to find the best affordable health insurance
-
If you need basic or moderate amounts of health care, first compare plans by their deductible.
A plan with a reasonably low deductible will help you start getting the plan's full benefits as soon as possible.
For example, say you are in good health, see the doctor a few times per year, and have an unexpected injury of a broken leg. If the plan's deductible is too high, you might end up having to pay for all of the medical bills yourself. But with a lower deductible plan, your medical spending could reach the deductible, and you'll start splitting your bills with your insurance.
-
If you expect to have costly medical procedures, compare plans by the out-of-pocket max.
Choosing a plan with a low out-of-pocket max will help you save the most by giving you a low cap to your medical expenses. This will be useful if you have ongoing or expensive medical needs.
But if you don't expect to need lots of medical care, you may not reach your plan's out-of-pocket max, which is why it could be better to compare plans by their deductible.
More of the best health insurance picks for individuals
- Best health insurance for seniors: Medicare
- Best health insurance when unemployed: Medicaid
- Best health insurance for pregnancy: Blue Cross Blue Shield
- Best health insurance for mental health: UnitedHealthcare
Frequently asked questions
Which health insurance company is the best?
The best overall health insurance company is Kaiser Permanente because its plans are cheap and highly rated. If you can't get Kaiser, Blue Cross Blue Shield is also a good health insurance company that offers more flexibility in its coverage.
What are the best and worst health insurance companies?
Kaiser Permanente is the best-rated health insurance company in the U.S. Good insurance companies include Blue Cross Blue Shield, UnitedHealthcare, Humana, Aetna and Cigna. The worst-rated health insurance companies are Oscar, Molina and Ambetter. These ratings reflect each company's performance on the national level, but the best health insurance company can vary by state.
How do I pick the best health insurance plan?
First, choose a well-rated company that sells plans in your area. Then, compare plans to match the level of medical coverage to the amount of medical care you expect to need. A good rule of thumb is that a Bronze plan is a good choice for someone young and healthy. Silver is a middle ground that's good for most people. If you expect to need a lot of medical care, a Gold-tier plan could help you save money on health care.
Methodology and data sources
To find the best health insurance companies, ValuePenguin experts compared thousands of plans based on independent rankings for:
- Affordability
- Quality of medical care
- Customer satisfaction
- Rate of complaints
The best companies get 4 stars or more from ValuePenguin editors. Avoid choosing a company with fewer than 3 stars because you could have problems with bad service and delayed claims processing.
ValuePenguin evaluated the largest health insurance companies across the following rankings:
- HealthCare.gov star ratings: HealthCare.gov assigns plans a score between 1 and 5 that reflects care quality and customer satisfaction. We averaged the overall performance rating of each state and company where data was available.
- NCQA star ratings: The overall performance ratings from the National Committee for Quality Assurance (NCQA) compare company performance on customer satisfaction, quality of medical care, preventive care and quality scoring from the NCQA accreditation process. Our averages are calculated for available state ratings of private, commercial health insurance companies.
- AM Best: We also considered the financial health of companies. AM Best rankings were averaged based on each subsidiary's ability to pay medical claims. AM Best is a credit rating agency that gives health insurance companies a financial health score. A++ or "superior" is the top grade available. Usually, any company above A- is in an above-average financial situation.
- NAIC complaint index: The National Association of Insurance Commissioners (NAIC) complaint index calculates if a company received fewer complaints than a typical company of its size. The ratio of complaints was calculated as a weighted average of all subsidiaries by total annual rates.
The costs of health insurance plans use data from the Centers for Medicare & Medicaid Services (CMS) about private health insurance plans sold on HealthCare.gov as well as rates collected from state marketplaces. Costs are for a 40-year-old choosing a Silver health insurance plan.
Information on claim denials is from the CMS coverage transparency data for individual qualified health plans sold on the marketplace. Additional estimates about rates after subsidies are from KFF.
Editorial note: The content of this article is based on the author's opinions and recommendations alone. It has not been previewed, commissioned or otherwise endorsed by any of our network partners.