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At Insure.com, we are committed to providing the timely, accurate and expert information consumers need to make smart insurance decisions. All our content is written and reviewed by industry professionals and insurance experts. Our team carefully vets our rate data to ensure we only provide reliable and up-to-date insurance pricing. We follow the highest editorial standards. Our content is based solely on objective research and data gathering. We maintain strict editorial independence to ensure unbiased coverage of the insurance industry.

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Kaiser Permanente
Overall Score
4.42
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Humana
Overall Score
4.23
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Horizon BCBS of New Jersey
Overall Score
4.16
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Blue Cross Blue Shield of Michigan
Overall Score
4.14
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Highmark
Overall Score
4.13
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HCSC
Overall Score
4.09
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Aetna
Overall Score
4.07
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BCBS of Florida
Overall Score
4.06
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Elevance Health
Overall Score
4.01
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Cigna
Overall Score
3.96
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Blue Cross Blue Shield of North Carolina
Overall Score
3.94
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UnitedHealthcare
Overall Score
3.93
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EmblemHealth
Overall Score
3.75
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Blue Shield of California
Overall Score
3.72
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Molina Healthcare
Overall Score
3.72
Learn more
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Methodology

In 2025, Insure.com surveyed more than 2,000 insurance consumers through independent research firm Dynata. Customers named their health insurer and rated it on customer satisfaction, ease of service, policy offerings, affordability, deductibles, provider availability and whether referrals were required. We also asked whether they planned to renew, would recommend their insurer, and trusted their insurer.

For insurers with enough survey responses, we added:

  • NCQA health plan ratings, which evaluate plan quality, outcomes and patient experience
  • NAIC complaint index scores, calculated using weighted complaint data based on each company’s annual written premium

With guidance from Prof. David Marlett, Ph.D., managing director of the Brantley Risk and Insurance Center at Appalachian State University, we applied the following weights to calculate each company’s final rating:

  • Customer survey: 60%
    • 10% customer satisfaction
    • 10% likelihood to recommend
    • 10% likelihood to renew
    • 10% trust
    • 20% affordability
  • NCQA ratings: 25%
  • NAIC complaints: 15%

Each insurer received a rating between 0.5 and 5 stars, with 5 stars representing the highest performance.

The best health insurance companies of 2026, ranked

For the sixth consecutive year, Kaiser Permanente is the top-ranked health insurance company with a rating of 4.42 stars out of 5. Rounding out the top five carriers are Humana, with 4.23 stars; Horizon BCBS of New Jersey, with 4.16 stars; BCBS of Michigan (Blue Care Network), with 4.14 stars; and Highmark (BCBS in Pennsylvania, Delaware, and West Virginia), with 4.13 stars.

Unlike last year, when large insurers with a nationwide footprint dominated the top spots in our ranking, regional carriers took the lead this year. Top-ranked Kaiser Permanente, for instance, operates in only eight states, plus the District of Columbia. The largest insurers in terms of market share – UnitedHealthcare, Elevance, Aetna, and Cigna – finished in the middle of the pack. Two carriers tied for last place: Blue Shield of California and Molina Healthcare.

There were some notable changes in the rankings of health insurance companies for 2026:

  • UnitedHealthcare dropped from No. 1 to No. 12, the steepest decline in our rating. It suggests that many customers are dissatisfied with UHC, particularly in terms of affordability and trustworthiness.
  • Humana rose from No. 5 to No. 2, the most significant improvement. This year’s survey results indicate strong satisfaction with its customer service, billing process, and low deductibles.
  • Aetna dropped from No. 3 to No. 7, while Elevance Health slid from No. 5 to No. 9. Survey results indicate a perceived need for better service and a more robust provider network among customers.

Here are Insure.com’s Best Health Insurance Companies for 2026 with their rankings.

Best health insurance companies

2026 Rank 2025 Rank Company Overall Ranking Customer Survey Read full review
2026 Rank:  1 2025 Rank:  1(t) Kaiser Permanente Overall rating
4.42
Customer survey rating: 
4.22
2026 Rank:  2 2025 Rank:  5(t) Humana Overall rating
4.23
Customer survey rating: 
4.42
2026 Rank:  3 2025 Rank:  NR Horizon BCBS of New Jersey Overall rating
4.16
Customer survey rating: 
4.28
2026 Rank:  4 2025 Rank:  NR Blue Cross Blue Shield of Michigan Overall rating
4.14
Customer survey rating: 
4.10
2026 Rank:  5 2025 Rank:  4 Highmark Overall rating
4.13
Customer survey rating: 
4.21
2026 Rank:  6 2025 Rank:  5(t) HCSC Overall rating
4.09
Customer survey rating: 
4.25
2026 Rank:  7 2025 Rank:  3 Aetna Overall rating
4.07
Customer survey rating: 
4.05
2026 Rank:  8 2025 Rank:  NR BCBS of Florida Overall rating
4.06
Customer survey rating: 
4.29
2026 Rank:  9 2025 Rank:  5(t) Elevance Health Overall rating
4.01
Customer survey rating: 
4.06
2026 Rank:  10 2025 Rank:  8 Cigna Overall rating
3.96
Customer survey rating: 
4.14
2026 Rank:  11 2025 Rank:  NR Blue Cross Blue Shield of North Carolina Overall rating
3.94
Customer survey rating: 
4.01
2026 Rank:  12 2025 Rank:  1(t) UnitedHealthcare Overall rating
3.93
Customer survey rating: 
3.93
2026 Rank:  13 2025 Rank:  NR EmblemHealth Overall rating
3.75
Customer survey rating: 
4.17
2026 Rank:  14 (t) 2025 Rank:  NR Blue Shield of California Overall rating
3.72
Customer survey rating: 
4.08
2026 Rank:  14 (t) 2025 Rank:  9 Molina Healthcare Overall rating
3.72
Customer survey rating: 
4.04

What the experts say…

“Consumers certainly want to save money and receive a low premium when choosing an insurance company. However, it is important to also consider factors such as financial ratings, regulatory compliance and customer satisfaction,” says David Marlett, managing director of the Brantley Risk & Insurance Center at Appalachian State University and an Insure.com editorial advisor. “These rankings incorporate all of these issues and provide the consumer with a more comprehensive approach to evaluating insurance options.”

What are the top-rated health insurance companies of 2026?

The top health insurers are: Kaiser Permanente, Humana, Horizon BCBS of New Jersey, BCBS of Michigan (Blue Care Network), Highmark, HCSC – HealthCare Services Corp., Aetna (CVS Health), BCBS of Florida (Florida Blue), Elevance Health (formerly Anthem BCBS), Cigna, BCBS of North Carolina UnitedHealthcare, EmblemHealth, Blue Shield of California and Molina Healthcare.

1
Kaiser Permanente
4.42 Insure.com Score
Price/Affordability
Customer Survey
NCQA
AM Best Rating
NR
Overview

Kaiser Permanente is the No. 1 health insurance company for 2026, retaining the top spot for the sixth consecutive year. While Kaiser didn’t rank first in any single survey category, it consistently finished near the top in areas that matter most to shoppers, including customer service, ease of payment, and low deductibles. It also ranked No. 3 for price and affordability, showing that many policyholders view it as a good option even when it isn’t the cheapest in every market.

Kaiser also earned the highest NCQA score in our rating and posted a very low NAIC complaint index, both signs of high-quality care and a solid member experience. If you’re comfortable with an HMO structure and want an easy-to-manage plan at a fair price, Kaiser is hard to beat.

Pros and cons
Pros:
  • Rated highly for price/affordability and low deductibles
  • Billing process scores near the top
Cons:
  • Provider network rating trails many competitors
  • Younger adults and seniors report lower satisfaction
2
Humana
4.23 Insure.com Score
Price/Affordability
Customer Survey
NCQA
AM Best Rating
A
Effective date:
Overview

Humana is the No. 2 best health insurance company for 2026. Humana ranks No. 1 for price and affordability and is a strong choice for shoppers seeking affordable coverage backed by exceptional customer service and policyholder loyalty. In our survey, 83% of members rate Humana positively for customer service – the best score among all insurers. Humana also finishes at or near the top in our survey for customer recommendations, trust, and renewals, showing policyholders believe in the brand and plan to stick with it.

If you’re focused on value, want dependable service and an insurer with strong customer trust and retention, Humana is one of the best choices for 2026.

Pros and cons
Pros:
  • Best-in-class customer service
  • Very strong member loyalty
Cons:
  • Lower satisfaction among younger adults
  • Trails some competitors on ease of accessing policy documents
3
Horizon BCBS of New Jersey
4.16 Insure.com Score
Price/Affordability
Customer Survey
NCQA
AM Best Rating
NR
Overview

Horizon BCBS of New Jersey ranks No. 3 in our Best Health Insurance Companies of 2026 list. It’s a strong option for shoppers who want plan variety and who value a positive customer experience, even if that means paying a bit more. Horizon’s greatest distinction is its 100% recommendation score, the best result in any category across the entire study. It also leads all carriers in policy offerings, making it especially appealing if you need a wide range of plan choices to match specific health needs or budget preferences.

Horizon is a great fit if you prize plan choice and strong member sentiment, but it may not be ideal if your top priority is a low deductible or premium.

Pros and cons
Pros:
  • Most-recommended insurer in our survey
  • Excellent policy offerings
Cons:
  • Low deductibles are a clear weak spot
  • Web/app experience could be better
4
Blue Cross Blue Shield of Michigan
4.14 Insure.com Score
Price/Affordability
Customer Survey
NCQA
AM Best Rating
A
Effective date:
Overview

BCBS of Michigan (Blue Care Network) lands at No. 4 in our Best Health Insurance Companies of 2026 rating. In our survey, Blue Care Network tied for second place in both customer service and policy offerings (highest among carriers in our survey that operate in the state), demonstrating its performance in day-to-day support and providing members with numerous ways to tailor coverage. BCBS of Michigan also earned positive marks for its provider network.

Consumer sentiment is another plus. Policyholders rate the company highly for recommendations and trust, and its renewal score ranks near the top of all carriers we reviewed, signaling customer loyalty.

Pros and cons
Pros:
  • Very good customer service
  • Robust policy offerings
Cons:
  • Lowest affordability rating in the study
  • Weak low-deductible performance
5
Highmark
4.13 Insure.com Score
Price/Affordability
Customer Survey
NCQA
AM Best Rating
A
Effective date:
Overview

Highmark (BCBS in Pennsylvania, Delaware, West Virginia) is the No. 5 health insurance company for 2026. Highmark tied for second-best customer service, indicating that most members are satisfied with the support they receive. Its standout strength is its network. Highmark tied for first place for its provider access, a major plus for people who value choice, need specialists, or want convenient care options.

Customer loyalty is also solid, with high marks for recommendations and a strong renewal rate, indicating that policyholders are comfortable sticking with the insurer in the long term.

Pros and cons
Pros:
  • Top-tier provider network
  • Very good customer service
Cons:
  • Other providers may be cheaper
  • Deductibles may be higher than category leaders
6
HCSC
4.09 Insure.com Score
Price/Affordability
Customer Survey
NCQA
AM Best Rating
A+
Effective date:
Overview

HCSC – HealthCare Services Corp (BCBS of Illinois, Montana, New Mexico, Oklahoma, and Texas) is No. 6 in our Best Health Insurance Companies of 2026. It’s a financially strong Blue Cross carrier that placed second in customer recommendations and renewals, indicating that members are willing to vouch for the company and remain loyal to it.

HCSC also scored near the top for low deductibles and a strong provider network, appealing to consumers who want broad access and more manageable upfront costs. Individuals seeking good value, strong provider access, and a seamless digital experience, particularly those in the younger and older age groups, may wish to consider HCSC as an option.

Pros and cons
Pros:
  • Excellent web/app user experience
  • No. 2 for recommendations and renewals
Cons:
  • Customer service isn’t as strong as that of leading insurers
  • Other carriers offer a smoother billing experience
7
Aetna
4.07 Insure.com Score
Price/Affordability
Customer Survey
NCQA
AM Best Rating
A
Effective date:
Overview

Aetna is ranked No. 7 among health insurance companies for 2026. It offers convenient everyday care options through CVS MinuteClinic, plus a digital experience that makes coverage easier to manage. Aetna scored especially well for ease of accessing policy documents and services, which is key for members who prefer handling their insurance online. It also enjoys solid underlying stability, backed by an excellent AM Best financial strength rating and a lower-than-average NAIC complaint index.

Aetna is a good fit for individuals who value easy access to routine care and robust online account tools, and who are less concerned with top-tier customer sentiment rankings.

Pros and cons
Pros:
  • Second-highest score for accessing policy documents/services
  • Financially stable insurer with fewer complaints than average.
Cons:
  • Not available on the 2026 Health Insurance Marketplace
  • Low scores for policyholder recommendations, trust, and renewals
8
BCBS of Florida
4.06 Insure.com Score
Price/Affordability
Customer Survey
NCQA
AM Best Rating
A+
Effective date:
Overview

BCBS of Florida (Florida Blue) comes in at No. 8 in our Best Health Insurance Companies of 2026. Florida Blue shines in consumer sentiment, finishing No. 1 for renewals and near the top for trust, clear signs that members see enough value to stay year after year. Access to care is another standout. Florida Blue ties for the best provider network score, offering wide in-network availability and easier access to specialists.

BCBS of Florida (Florida Blue) enjoys exceptional member loyalty, strong provider access, and top-tier financial stability, making it a reliable choice for individuals seeking comprehensive in-network care.

Pros and cons
Pros:
  • Highest customer renewal score in the survey
  • Superior financial strength
Cons:
  • Among the lowest digital experience scores
  • Policy offerings are only midpack
9
Elevance Health
4.01 Insure.com Score
Price/Affordability
Customer Survey
NCQA
AM Best Rating
A
Effective date:
Overview

Elevance Health (formerly Anthem BCBS) ranks No. 9 in our Best Health Insurance Companies of 2026 list. It’s a reasonable pick for shoppers who want a well-known national carrier with decent scores for plan offerings and provider network. The insurer’s excellent financial strength rating and decent NCQA score point to good, if not standout, performance.

Elevance is a good fit for individuals who prioritize a familiar brand and broad availability over low premiums and polished online tools.

Pros and cons
Pros:
  • Good plan availability and policy offerings
  • Decent provider network
Cons:
  • One of the least affordable options
  • Lowest website/app score in the survey
10
Cigna
3.96 Insure.com Score
Price/Affordability
Customer Survey
NCQA
AM Best Rating
A
Effective date:
Overview

Cigna is the No. 10-ranked health insurer of 2026. In our survey, Cigna tied for the second-highest customer service score and posted one of the better digital experience ratings, indicating that members generally find its website and app easy to use. It also stands out for its handling of billing, and its low-deductible score tied for second place, which can help reduce early out-of-pocket expenses.

For shoppers who want easy online management, helpful customer service and plans with relatively low deductibles, Cigna is a good option.

Pros and cons
Pros:
  • Smooth billing and payment experience
  • Relatively low deductibles
Cons:
  • Affordability trails many competitors
  • Policy offerings aren’t a standout
11
Blue Cross Blue Shield of North Carolina
3.94 Insure.com Score
Price/Affordability
Customer Survey
NCQA
AM Best Rating
NR
Overview

BCBS of North Carolina comes in at No. 11 in our Best Health Insurance Companies of 2026 rating. This regional Blue Cross lands midpack for recommendations, trust, and renewals, meaning many customers view it as a stable choice worth keeping year after year. It also enjoyed relatively high satisfaction scores from younger members. Another plus is its NAIC complaint index score, which is lower than expected for a carrier of its size, suggesting it handles member issues reasonably well.

Pros and cons
Pros:
  • Lower rates than some competitors
  • Positive scores from younger customers
Cons:
  • Weak customer service score
  • Last-place score for low deductibles
12
UnitedHealthcare
3.93 Insure.com Score
Price/Affordability
Customer Survey
NCQA
AM Best Rating
A
Effective date:
Overview

UnitedHealthcare (UHC) ranks No. 12 in our rating of the Best Health Insurance Companies of 2026. UHC doesn’t lead any survey category, though its best results come in digital experience and ease of payment. A major bright spot is complaints: UHC posts the second-lowest NAIC complaint index in our study, indicating significantly fewer customer complaints than expected for a carrier of its size.

Among big national insurers, UnitedHealthcare is a decent option for people who want simple online account management and a straightforward billing process. Still, it’s a tougher sell for shoppers focused on price.

Pros and cons
Pros:
  • Second-best NAIC complaint index in the study
  • Relatively good scores for digital experience and billing process
Cons:
  • One of the weakest affordability scores in the ranking
  • Lowest trust, recommendation results in the survey
13
EmblemHealth
3.75 Insure.com Score
Price/Affordability
Customer Survey
NCQA
AM Best Rating
C
Effective date:
Overview

EmblemHealth ranks No. 13 in our Best Health Insurance Companies of 2026. The insurer’s calling card is cost: Emblem is No. 1 in our survey for price satisfaction and is ranked No. 2 for price/affordability, making it one of the best options for shoppers who care most about keeping premiums down. Members also give Emblem high marks for its online experience, with a score that puts it near the top for website and app usability.

Pros and cons
Pros:
  • No. 1 for cost satisfaction
  • No. 2 for price/affordability
Cons:
  • Worst NAIC complaint index score by far
  • Lowest AM Best rating in our study
14
Blue Shield of California
3.72 Insure.com Score
Price/Affordability
Customer Survey
NCQA
AM Best Rating
A
Effective date:
Overview

Blue Shield of California ties for No. 14 in our Best Health Insurance Companies of 2026 ranking, the lowest spot on the list. In our survey, Blue Shield posted one of the better provider network scores (No. 3 overall) and a high renewal rate, indicating that many members are satisfied with their access to care and are willing to remain with the insurer. Its customer service score, meanwhile, landed in the middle of the list.

Pros and cons
Pros:
  • Strong provider network
  • High customer loyalty
Cons:
  • Very high NAIC complaint index of score
  • Worst digital experience in the survey
14
Molina Healthcare
3.72 Insure.com Score
Price/Affordability
Customer Survey
NCQA
AM Best Rating
NR
Overview

Molina Healthcare lands in a tie for No. 14 in our Best Health Insurance Companies of 2026 ranking. The company focuses its coverage on Medicaid, Medicare, and marketplace plans. Members gave Molina a 94% digital experience score – the best of any insurer we reviewed. Molina also ranks near the top for price/affordability and finishes in the upper tier for low deductibles.

Pros and cons
Pros:
  • Class-leading digital experience
  • Relatively low deductibles
Cons:
  • Worst score for customer service
  • Lowest provider network score

Which health insurers performed best in specific categories?

No single insurer dominates every category, so the “best” company depends on what matters most to you. In our 2026 survey, Humana led the pack for customer service, billing, low deductibles, and trustworthiness. 

BCBS of Florida (Florida Blue) was best for not needing referrals, renewal intent, satisfaction among younger people, and tied for the best provider network. Horizon BCBS of New Jersey was tops for policy offerings, scored highest among senior customers, and was the most recommended insurer with a perfect 100% score.

Generally speaking, if price is your primary concern, the best insurers are those that members say deliver the strongest value for the premium. If access to care is a priority, look for carriers with the broadest provider networks and strong scores for low deductibles. However, if a seamless member experience is your primary focus, consider health insurance companies with the best scores for digital and billing services. 

Below, we break out the best companies by category.

Best for renewals – BCBS of Florida

Regional insurer BCBS of Florida (Florida Blue) scored highest in this survey category, with 98% of customers indicating they planned to renew their coverage. Molina Healthcare had the lowest satisfaction score in this category, with only 82% of customers saying they planned to renew.

One good way to measure how well an insurer is serving its customers is to look at how many of its policyholders say they’re willing to renew their coverage. If the percentage is high, that’s a good indication that the insurer is meeting its customers’ needs over the long term with consistent, dependable support; reliable coverage and pricing; and a broad range of services.

Company Percent of satisfied customers
BCBS of Florida (Florida Blue) 98%
Humana 97% (tie)
HCSC 97% (tie)

Best for low deductibles – Humana

Among the carriers we examined, Humana earned the highest satisfaction score (75%) from policyholders for the deductibles it offered. BCBS of North Carolina had the lowest score, with just 57% of those surveyed expressing satisfaction with the deductibles offered by that insurer.

A deductible is the amount of money that you must pay out of pocket before your health insurance will begin to cover your medical expenses. Nearly all health insurance plans have a deductible, although the amount will vary from plan to plan. For example, if you have a $2,000 deductible, you will have to pay that amount before your insurer will start contributing to the cost of your care.

Generally speaking, the higher your deductible, the lower your premiums will be. A high-deductible plan may be a good idea if you’re young and healthy and don’t require medical services often, or if you can afford to pay for treatment out of pocket. But if an emergency strikes, you could end up paying far more for care than you would otherwise with a lower-deductible plan.

A low-deductible plan may be a good option if you are older, are planning to become pregnant or have children already, or if you require frequent, costly medical treatment for a chronic condition.

There are other variables as well. If you’re married and have children, your policy may contain both individual and family deductibles, meaning you may have to meet one spending threshold for your own expenses and another limit for your family’s expenses before your insurance kicks in. Other plans may have separate deductibles for medical procedures, prescription drugs, or in-network and out-of-network care.

Company Percent of satisfied customers
Humana 75%
Kaiser Permanente 71% (tie)
HCSC 71% (tie)
Cigna 71% (tie)

Best provider network – BCBS of Florida and Highmark

When we surveyed customers about their provider networks, BCBS of Florida and Highmark tied for the highest satisfaction score at 89%; conversely, Molina Healthcare had the lowest score, just 64% of policyholders rated the company highly for its provider network.

A provider network consists of healthcare professionals, services and facilities that have agreed to provide services at a set amount to a health insurance company and its members. These are commonly known as “in-network” providers, and costs are typically lower – sometimes much lower – than professionals, services and facilities that have not contracted with your insurer, referred to as “out-of-network” providers.

Depending on the type of health insurance plan you have, you may need a referral to obtain out-of-network care, or your insurer may not cover any out-of-network costs. Out-of-network expenses may not be counted toward your deductible.

Choosing a health insurance company with a large provider network means having access to a wider range of healthcare options at lower cost. This can be important if you require frequent or specialized treatment, or if you want to find healthcare that’s conveniently located.

Nothing is worse than needing care but having to travel great distances to obtain it because of network restrictions, or discovering that a doctor you have a longstanding relationship with is no longer accepting your insurance.

Company Percent of satisfied customers
BCBS of Florida (Florida Blue) 89% (tie)
Highmark 89% (tie)
HCSC 86%

Best for NAIC complaint record – Humana

The National Association of Insurance Commissioners (NAIC) ranks insurers by the number of customer complaints they receive. The NAIC industry benchmark is 1.0, and any score below indicates that the carrier receives fewer complaints than the typical company of its size.

In our survey, Humana had a complaint index score of just 0.146, which is exceptionally low. By contrast, EmblemHealth had the highest complaint index, at an abysmally high 10.90.

The complaint index is important because a low score indicates that customers are less likely to encounter problems with issues such as policy management, billing and payments, and dispute resolution, resulting in fewer headaches and greater policyholder satisfaction.

Company NAIC complaint index score
Humana 0.146
HCSC 0.310
BCBS of Florida (Florida Blue) 0.432

Best health insurance companies for price/affordability

Price is a key factor in determining which health insurance company to choose, and Humana dominates this category with a rating of 4.07 out of 5 stars. However, remember that the cheapest health plan may not always be the best. There are other factors to consider, such as a provider’s network, plan variety, quality of service provided, and its overall customer satisfaction rankings.

Company Price/affordability rating
Humana 4.07
EmblemHealth 4.06
Kaiser Permanente 3.99

Best health insurance companies for customer service

Although cost is a major factor with healthcare, so is customer service, and once again, Humana comes out on top for satisfaction. A cheap health insurance plan isn’t very useful if poor claims handling and complaint resolution, a clunky billing and payment process, or a frustrating online experience stymie you.

Company Percent of customers satisfied with service
Humana 83%
Horizon BCBS of New Jersey 80% (tie)
BCBS of Michigan (Blue Care Network) 80% (tie)
Highmark 80% (tie)
BCBS of Florida (Florida Blue) 80% (tie)
Cigna 80% (tie)

Best health insurance companies for policy offerings

Horizon BCBS of New Jersey comes out on top in this category, several percentage points ahead of its closest competitors.

Health insurance isn’t a one-size-fits-all product. A healthy single person in their 20s will have very different needs than a couple in their 40s with kids or retired empty-nesters. That’s why finding a health insurer with a robust selection of policy offerings – including plan types, available add-ons, prescription drugs, alternative treatments and more – is so important.

Company Percent of customers satisfied
Horizon BCBS of New Jersey 90%
Humana 83% (tie)
BCBS of Michigan (Blue Care Network) 83% (tie)

Most recommended health insurance company

According to our survey, no insurer has a more loyal following than Horizon BCBS of New Jersey – 100% of customers surveyed said they would recommend the carrier to others. No other insurer earned a perfect score in any of our survey categories. UnitedHealthcare earned the lowest score in this category with just 80% of customers saying they’d recommend the insurer.

Company Percent of customers who would recommend
Horizon BCBS of New Jersey 100%
HCSC 95%
Humana 94%

How do you get the best health insurance?

If you can get employer-sponsored coverage, that’s typically your strongest option. Employers often pay a significant share of the premium, so you get more coverage for less money than you would on your own. 

If you don’t have coverage at work, or if your employer’s plans don’t meet your needs, look to ACA marketplace plans to buy individual or family coverage. Although rates can be more expensive than coverage through work, you may qualify for income-based subsidies that lower your monthly premiums. 

For people 65 and older, or with specific disabilities, Medicare is usually the right path. Choosing between original Medicare plus a supplement (such as for prescription drugs or to cover other gaps in what Medicare covers) or a Medicare Advantage plan depends on whether you want broader provider choice or a bundled plan with capped costs. Medicaid (and state programs like Medi-Cal) may be available for lower-income households, although eligibility varies by state.

How do you compare health insurance companies?

To compare health insurance companies, take a holistic approach that strikes a balance between price, features and fit, rather than focus on a single factor. Here’s what to look for:

  • Your premium is the amount you pay each month to keep coverage active. Lower premiums can seem like a good deal, but they often come with higher deductibles or narrower networks.
  • Your deductible is the amount you must pay before your insurance starts covering services. Plans with lower deductibles typically cost more upfront each month, but they can save you money in the long run if you require frequent care or expensive treatments.
  • Your copayment is a fixed amount that you’ll pay for services such as office visits, urgent care, or prescriptions. Copayments can add up quickly if you visit the doctor frequently, especially if they’re on the high side.
  • Your out-of-pocket maximum represents the total amount you’ll have to pay during the year for covered services. Once you hit that cap, your insurer pays 100% of covered costs. A lower out-of-pocket maximum can provide stronger protection in the event of a major medical emergency.

Money shouldn’t be your own consideration. What your plan covers (or doesn’t) also matters:

  • Provider networks include the doctors, specialists and hospitals you can use. Cheaper plans may have narrow provider networks, which can limit your options when you need care.
  • Prescription drug coverage is essential, especially if you rely on brand-name or specialty drugs. Look at the plan’s formulary (covered drug list) to see whether your regular prescriptions are included and also check the copayments.
  • Telehealth and other benefits, including dental/vision/hearing coverage, mental health services, wellness programs, and discounts can add value to your coverage but only if you’ll actually use them.

Lastly, think about who is being covered and how often you require care:

  • The best plan for a single person may not be the best for a married couple or a family. If you rarely see a doctor, a high-deductible, low-premium plan might be all you need. But if you have a chronic health condition, rely on costly medications, or anticipate needing surgery or other costly procedures, a plan with a lower deductible may be worth the higher premium.

Final thoughts on the best health insurance companies

There is no single “best” health insurance company, as everyone’s healthcare needs are unique. The right insurer for you is the one that fits your healthcare needs, budget, and how you actually use care. Consider these rankings a smart starting point for narrowing the field, rather than a final verdict for every shopper. Before you enroll, take the time to research individual company reviews and compare specific plan details in your area – including premiums, deductibles, provider networks, and drug coverage – to make sure the policy fits you as well on paper as it does in our report on the best health insurance companies of 2026.

Editor’s note: This article includes reporting and subject-matter expertise from Scott Nyerges.

Frequently asked questions: Best health insurance companies

How do NCQA and NAIC ratings impact which health insurance company is best for you?

By choosing a carrier with a high National Committee for Quality Assurance (NCQA) rating and a low National Association of Insurance Commissioners (NAIC) score, you’re more likely to receive quality healthcare and good customer service.

The NCQA is a nonprofit health insurance research and advocacy organization. It uses a five-star rating system to evaluate insurers on the quality of treatment patients receive, how happy policyholders are with their care, and a carrier’s efforts to keep improving.

The NAIC defines standards and best practices for state insurance regulators. It compiles data on consumer complaints lodged against insurers for matters like cost and quality of service. It sets benchmark scores of 1.0 and compares companies of similar size. A score below 1.0 indicates the insurer is doing a good job of getting fewer complaints than average.

Why does the size of a provider network matter when picking a health insurance company?

The size of a healthcare network matters because the more service providers there are (such as doctors, hospitals, pharmacies, and so on), the better your odds are of finding the care you need in a convenient location. It’s particularly important if you or a family member requires specialized treatment, such as for cancer, or if you’ve got growing children and require regular visits to your general practitioner, for example. 

Is it worth paying more for a plan with a lower deductible?

If you require frequent medical treatment, a plan with a lower deductible could be beneficial because you’ll spend less upfront before your coverage kicks in. It can also provide peace of mind, knowing that if you have a serious accident or have a health crisis that requires intensive care, surgery, and/or rehabilitation, you’ll be less vulnerable financially. 

On the other hand, if you’re in good health (particularly if you’re younger), your healthcare needs may be minimal or nonexistent. If you have a low-deductible plan, you may end up spending a small fortune on premiums without ever reaping the benefits of coverage.

How can I tell if a health insurance plan will cover my doctor or my medications before I enroll?

One way to find out if a health insurance plan will cover your doctor and medications is to call the insurer’s customer service line and speak with a representative. You can also do so online; most insurers allow members and guests to search for in-network doctors and other providers, as well as covered drugs (also known as a formulary). If you’re choosing a plan through work, your company’s benefits coordinator should also have resources to help you with this.

If you’re buying insurance through the ACA healthcare marketplace, its website allows you to view benefit summaries, provider directories, and a list of covered drugs (called a formulary) on a plan-by-plan basis. You can also search for doctors and medications by name to see if they’re in a given plan’s network. 

Why do I need health insurance if I’m healthy and rarely go to the doctor?

Unlike auto insurance, which is required by law, you are not obligated to buy health coverage. However, even if you are in good health and rarely, if ever, seek medical care, having insurance can make the difference between being able to afford an unexpected healthcare emergency and being burdened by medical debt. According to the IRS, you may also be subject to fines or penalties if you live in California, Massachusetts, New Jersey, Rhode Island, or the District of Columbia and choose to go uninsured.

What’s the difference between a cheap health insurance plan and a good value plan?

A cheap health insurance plan is one that allows you to pay the least out of pocket for things like premiums, copayments and deductibles. But even if you find a plan that meets these criteria, it may have a very limited provider network or may not cover the drugs, treatments and services you and your family require. A good value plan is one that strikes a balance between cost and coverage. In other words, you may have to pay a little more, but the benefits of the plan outweigh the added expense.

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