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 logo
Kaiser Permanente: Best and cheapest4.5$481
Blue Cross: Best choice of doctors4.0$604
UnitedHealthcare logo
UHC: Best for self-employed4.0$576
Aetna logo
Aetna: Best for young adults4.0$502
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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.

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216 companies compared
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Recommendations built on real data
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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
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Consistently high ratings for customer satisfaction
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Streamlined access to high-quality medical care
  • Great customer satisfaction: Kaiser Permanente consistently has the most satisfied customers with ratings that are far above other health insurance companies.
  • Affordable rates: Kaiser has the cheapest rates of the major insurance companies. Its average rate of $481 per month is about $100 cheaper than the national average.
  • Easy to manage: With Kaiser Permanente, your health insurance plan and medical care can work together under the same system, which makes it easy to use. That's because Kaiser runs both the health insurance plans and the places where you get medical care. . You can even review your insurance and medical appointments using the same online tool, a perk that's unique to Kaiser.
  • Reliable: Kaiser Permanente is the best major insurance company for paying its medical bills, with less than half as many claim denials as average.
  • Limited network of doctors: In most cases, you can only use your plan at Kaiser's medical offices. However, you can go outside the network for urgent or emergency care.
  • Few plan choices: Most of Kaiser's plans are HMOs. This limits your options to more restrictive plans. Fr example, you'll need a referral from your primary doctor before seeing a specialist.
Kaiser Permanente availability map

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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Editor rating
Rating on HealthCare.gov 3.7 out of 5
NCQA quality rating 3.6 out of 5
Average cost $604/mo
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You can use your insurance with most doctors
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Well-rated coverage with lots of perks and extra benefits
  • Large selection of doctors: The Blue Cross Blue Shield network includes 90% of the country's doctors and hospitals. The exact doctor network varies by plan, but BCBS typically gives you the most flexibility about where you get medical care.
  • High quality and popular: BCBS has strong overall ratings and very high customer satisfaction, earning a near-perfect score when HealthCare.gov surveyed members about their experience. It's also the most popular health insurance company in most states.
  • Variety of plan types: BCBS offers a wide range of plan options and types including HMOs, PPOs and EPOs. These choices can help you get the best type of health coverage to meet your needs.
  • Can be more expensive: BCBS is usually not a good choice if you're on a tight budget. Blue Cross Blue Shield is more expensive than average in about three-quarters of the country. But you're usually getting more for your money because plans often include extras like discounts on eyeglasses, prescriptions and healthy living products.
  • Quality varies by location: Blue Cross companies operate independently in each state or region. That's why plan quality can be very high in some places or below-average in others. This is different from other companies, which usually have central management.
Blue Cross Blue Shield availability map

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
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Many plan options including health, dental and vision
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Highly rated mobile app for managing your health needs
  • Many included extras: Many UHC plans include benefits such as free primary care, low-cost prescriptions, free insulin and access to wellness programs.

  • Variety of plan options, including dental and vision: UHC sells a wide variety of health plans, and you can add on coverage for dental, vision and disability. This lets you customize and combine coverage, which is a nice perk when you're self-employed.
  • Top-rated mobile app: UHC's mobile app helps you manage your coverage, save time and reduce hassle, which is useful if you work for yourself or are busy. The app also gives you extra tools to estimate procedure costs, compare doctors and have telehealth appointments.
  • Costs vary: UHC is cheaper than average in many of the states where it's available. However, sometimes rates can be very high. For example, in New York, UnitedHealthcare costs 71% more than average.
  • Often denies medical claims: UnitedHealthcare is one of the worst companies for denying medical claims. This means you could have the extra hassle of resubmitting paperwork, or you may have to file an appeal to get UHC to pay your medical bills.

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
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Cheap monthly rates can save you money
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Low-cost prescriptions and routine care
  • Cheap prices: Aetna health insurance costs less than average in all of the states where it's available. This makes Aetna a good choice for those who are young and healthy and looking for cheap health insurance.
  • Convenient for routine medical care: Most plans give you cheap, or sometimes free, appointments for routine health issues at CVS MinuteClinics. For young adults, this can make it easy to get care whether you're at college, in your hometown or away for an internship.
  • Average plan quality: Aetna has mediocre customer satisfaction, and the company is not rated as highly as other top health insurance companies. So it may not be a good choice if you have ongoing medical conditions or need an expensive health procedure.

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.

Company
Rating
Oscar logo
Oscar
Ambetter logo
Ambetter
Molina logo
Molina

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.

Find the best health insurance in your state

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.
Cost of health insurance in 2024

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Cost of insurance based on age and coverage

Coverage tier
Age 21
Age 40
Age 60
Bronze$368$462$934
Silver$464$584$1,183
Gold$510$641$1,295
Platinum$669$813$1,533

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
$75,000Full price

Individual

Income
Monthly cost
$25,000$0
$35,000$105
$50,000$295
$75,000Full 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?

You'll get the access to the most doctors and hospitals with a PPO or POS health insurance plan.

  • 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.

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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?

  • All marketplace health insurance plans give you free checkups and preventive care. This includes a free annual checkup, screenings such as a free colonoscopy if it's recommended for your age, and free birth control, which is considered a type of preventive care.Preventive care is covered as soon as your policy begins, without any waiting period.
  • When your plan begins, you'll pay full price for most medical care until you reach the plan's deductible. The deductible is the amount of medical care you must pay for yourself before the plan's full benefits kick in. For example, if you broke your leg, you might have to pay for the first few thousand dollars of medical bills yourself, before your spending reaches the plan's deductible.
  • After you reach the deductible, you'll split the cost of the medical bills with the insurance company. Your portion of costs is called the copay or coinsurance. These amounts will be listed in your plan documents. For example, you could pay $50 to see a cardiologist or 30% of the cost of an MRI.
  • You may get some types of cheap medical care before you meet the deductible. Some plans will exclude certain medical services from the deductible so you can get affordable treatment as soon as the plan begins. For example, if urgent care is excluded from the deductible, you could pay a $75 copay no matter when you go. Otherwise, you'd only get the cheaper $75 rate after you had met the plan's deductible.
  • The out-of-pocket max is the most you'll have to pay for medical care or prescriptions in a year. After you reach this limit, the insurance company will pay for the rest of your medical bills. For example, if you have high medical costs because of childbirth or a cancer diagnosis, your medical costs are capped at your plan's out-of-pocket max.

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.

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More of the best health insurance picks for individuals

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.