Which health insurance company is the best option for you and your family? Compare Aetna and Anthem side by side.
In 1850, Aetna Insurance Company created a fund to sell life insurance. In 1953 the life and health divisions of Aetna separated. The company’s first president was Eliphalet A. Bulkeley. The name “Aetna” was taken from an 11,000-foot volcano in Sicily, Italy, which was also the most active volcano in Europe.
In 2004, WellPoint Health Networks Inc and Anthem, Inc. merged and became the nation’s leading health benefits company. In December 2014 WellPoint Inc. changed its corporate name to Anthem, Inc. The Anthem companies offer health care plans and related services like dental, vision, behavioral health, life insurance and disability insurance benefits as well as long-term care insurance and flexible spending accounts. Anthem has about 40 million members and is ranked 33rd on the Fortune 500.
Which health insurance company is better? We've made it easy to compare companies side by side. See how Aetna and Anthem ranked among the industry ratings.
|NAIC Complaint Index||6.27 for individual health insurance||0.30% for individual health insurance|
|Market Share Percentage||4.53%||6.3%|
|A.M. Best Rating||A+||A-|
The Aetna Health app allows you to find a doctor in your area and see estimates of what certain procedures may cost. You can also view your benefits, review account balances, and manage your claims. The App is available on ios and Android.
The Anthem Medicaid app is only available to policyholders in 5 states. Indiana, Kentucky, Nevada, Wisconsin and Virginia. The app allows users to find doctors, hospitals, and pharmacies, view claims, pay your bill, and manage your prescriptions.
|Aetna Mobile App|
|Anthem Mobile App|
Aetna is available through participating employers. You can also buy an individual or family plan directly from Aetna, the health insurance marketplace or you can get several free quotes here.
At this time, Aetna offers Medicare, Medicaid, student health insurance and international insurance. For individual and family plans, they offer plans through eHealth, which compares rates from several companies for the Affordable Care Act plans, short-term plans, and medical indemnity plans.
Anthem is available through the health insurance marketplace or you can get several free quotes here. Each state has its own marketplace. If you’re not sure where to begin, visit https://www.healthcare.gov/.
If you use a network doctor or hospital, your claims will be submitted by that provider. If you see an out-of-network provider, you need to submit the claim yourself. You must submit a completed claim form or alternative documentation via fax or mailing address. As an alternative to sending a claim form, supply a description of services, a bill of charges from the provider and any medical documents you received from your provider.
Make sure you use the claim form from your benefit plan because each type is different. You’ll need to get procedures codes from your doctor’s office. File the paperwork within the time limit. Include pre-approval if it’s needed.
Aetna offers Aetna Medicare, Aetna Medicaid, student health insurance and international insurance. They offer Affordable Care Act plans, short-term plans and medical indemnity plans through e-Health, which compares insurance partners’ rates for you. Or, you can just visit here for free health insurance quotes.
Most Aetna plans exclude coverage for hearing aids. Any applicable benefit plan exclusions and limitations for coverage of hearing aids would apply to air conduction hearing aids, implantable hearing aids and semi-implantable hearing aids.
Aetna offers Medicaid plans, which vary according to individual state Medicaid programs and has a different name in each state.
The complaint ratio on individual health plans are lower than complaint ratios on group health plans. Both fall below the average number of complaints compared with other carriers.
Anthem is a trusted medical insurance provider which serves millions of Americans. Complaint ratios, however, tend to be a bit higher than average on group insurance plans.
Like most health care plans, Anthem has an annual flat-dollar deductible you must meet before your plan begins to pay your medical expenses.
Anthem offers health insurance as a Blue Cross Blue Shield affiliate.
|Aetna Contact Info|
|Address||151 Farmington Ave., Hartford, CT 06156|
|Anthem Contact Info|
|Address||220 Virginia Avenue Indianapolis, IN 46204|
|Phone||1 (800) 331-1476|
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