Aetna vs. Anthem Insurance

Which health insurance company is the best option for you and your family? Compare Aetna and Anthem side by side.

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Aetna vs. Anthem: What You Need to Know

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.

To learn more about each company, you can check out the Aetna Overview and Anthem Overview.

What is Aetna and Anthem Insurance Rating?

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.

ComparisonAetnaAnthem
Year Founded18532004
BBB RatingA+A+
NAIC Complaint Index6.27 for individual health insurance0.30% for individual health insurance
Market Share Percentage4.53%6.3%
Financial StrengthExcellentExcellent
A.M. Best RatingA+A-

Pros & Cons of Aetna or Anthem

Pros

Aetna
  • Aetna is one of the largest insurance carriers and has a vast network of providers.
Anthem
  • Anthem Inc. is one of the largest providers of health insurance plans in the country, serving approximately 40 million members
  • Anthem Inc. is a financially secure health insurance carrier.

Cons

Aetna
  • It’s not very easy to buy Aetna Insurance unless it’s offered by an employer.
Anthem
  • Anthem received some bad press in 2014, for refusing to cover the hospitalization of a man with stage 4 cancers. Anthem ended up paying for coverage after public outcry.
  • In 2017, Anthem was fined for untimely responses to complaints.

Aetna and Anthem Mobile Apps Options

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
iOS     4.529.3K users
Android     3.42,316 users
Anthem Mobile App
iOS     2.242 users
Android     2.9101 users

Aetna and Anthem Enrollment Process

Aetna

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

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/.

How to File a Claim with Aetna and Anthem Insurance

Aetna

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.

Anthem

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.

Common Questions About Anthem and Aetna Insurance

Aetna

What type of health plans does Aetna offer?

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.

What pharmacy accepts Aetna insurance?

Medicare Part D plans have a network of participating pharmacies you can find here. For all other types of plans, visit here to find a pharmacy.

Does Aetna insurance cover hearing aids?

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.

Is Aetna insurance Medicaid?

Aetna offers Medicaid plans, which vary according to individual state Medicaid programs and has a different name in each state.

Anthem

Are the Anthem Insurance reviews positive or negative?

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.

Is Anthem medical insurance good?

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.

How does Anthem deductible work?

Like most health care plans, Anthem has an annual flat-dollar deductible you must meet before your plan begins to pay your medical expenses.

Is Anthem Blue Cross the same as Blue Shield?

Anthem offers health insurance as a Blue Cross Blue Shield affiliate.

Aetna and Anthem Insurance Contact Info

Aetna Contact Info
Address151 Farmington Ave., Hartford, CT 06156
Phone1 (800)-872-3862
Websitehttps://www.aetna.com/
Facebookhttps://www.facebook.com/aetna/
Youtubehttps://www.youtube.com/aetna
Twitterhttps://twitter.com/Aetna
Linkedinhttps://www.linkedin.com/company/aetna/
Anthem Contact Info
Address220 Virginia Avenue Indianapolis, IN 46204
Phone1 (800) 331-1476
Websitehttps://www.anthem.com/
Facebookhttps://www.facebook.com/AnthemBlueCrossBlueShield/
Youtubehttps://www.youtube.com/channel/UCInrJqNqrSpvHwNErijbVyg
Twitterhttps://twitter.com/AnthemInc
Linkedinhttps://www.linkedin.com/company/antheminc/

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