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Anthem vs. Humana Insurance
Which health insurance company is the best option for you and your family? Compare Anthem and Humana side by side.
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 Written & Edited by Fran Majidi Fran MajidiFran Majidi manages content on SmartFinancial's website. She's had nearly a decade's worth of experience writing about i... Read more |
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Anthem vs. Humana: What You Need to Know
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.
Humana is a leading managed health care company founded by David A. Jones Sr in 1961 as a nursing home company called Extendicare. In 1972 Extendicare divested the nursing home business and moved into the hospital business. They changed the name to Humana in 1974.
To learn more about each company, you can check out the Anthem Overview and Humana Overview.
What is Anthem and Humana Insurance Rating?
Which health insurance company is better? We've made it easy to compare companies side by side. See how Anthem and Humana ranked among the industry ratings.
| Comparison | Anthem | Humana |
|---|---|---|
| Year Founded | 2004 | 1961 |
| Medicare Star Rating | 3 stars (out of 5) | |
| BBB Rating | A+ | A+ |
| NAIC Complaint Index | 0.30% for individual health insurance | 0.40% for individual health |
| Market Share Percentage | 6.3% | |
| Financial Strength | Excellent |
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Pros & Cons of Anthem or Humana
Pros
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.
Humana
- Humana Health Insurance is a trusted and reliable source for Medicare Supplements and Medicare Advantage.
- Humana offers commercial health insurance options.
Cons
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.
Humana
- Humana Health Insurance no longer offers individual and family health plans.
Anthem and Humana Mobile Apps Options
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.
The MyHumana app allows users to find doctors, hospitals, and pharmacies, view claims, and pay your bill. They also offer an app called Humana Pharmacy which helps you to manage your prescriptions.
| Anthem Mobile App | ||
|---|---|---|
| iOS | 2.2 | 42 users |
| Android | 2.9 | 101 users |
| Humana Mobile App | ||
|---|---|---|
| iOS | 3.1 | 561 users |
| Android | 3.9 | 3,372 users |
Anthem and Humana Enrollment Process
Anthem
Anthem is available through the health insurance marketplace or you can get several free quotes here. Each state has their own marketplace. If you’re not sure where to begin, visit https://www.healthcare.gov/.
Humana
You can begin the enrollment process here or you can have an agent assist you for several free health insurance quotes here.
How to File a Claim with Anthem and Humana Insurance
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.
Humana
To submit electronic claims, you or your billing agent need to use a third-party claims clearinghouse vendor, like Availity. For paper claims, you need to complete the right claim forms.
Paper claims and encounters submission addresses for Humana medical claims:
Humana Claims: P.O. Box 14601, Lexington, KY 40512-4601
HumanaDental® claims: P.O. Box 14611, Lexington, KY 40512-4611
Humana encounters: P.O. Box 14605, Lexington, KY 40512-4605
Claim overpayments: Humana, P.O. Box 931655, Atlanta, GA 31193-1655
HumanaOne® claim submissions: HumanaOne, P.O. Box 14635, Lexington, KY 40512-4633
Common Questions About Humana and Anthem Insurance
Anthem
How many members does Anthem have?
Anthem Inc. has about 40 million members and is ranked #33 on the Fortune 500.
Does Anthem offer individual health insurance?
Yes, Anthem Inc. offers individual and family health insurance plans.
What is Catastrophic coverage plans by Anthem health insurance?
Catastrophic health insurance is designed to cover young people, under the age of 30. Catastrophic health plans have low monthly payments and high deductibles. People over the age of 30 may also be eligible for a hardship or affordability exemption (e.g. hardships due to homelessness or death of a family member).
Does Anthem have a wellness program?
As a member of Anthem health insurance you have access to health and wellness resources and preventive care.
Humana
Is Humana a good healthcare insurance company?
Humana is one of the better-known health insurance companies in the U.S. IT is financially strong and was rated A- by A.M Best, a respected insurance rating organization. Humana has been awarded by several organizations, like the Dorland Health Award for exceptional service. It also won the J.D Power and Associates Award for Highest Member Satisfaction for group health insurance in several states.
What states offer Humana Insurance?
Humana offers insurance in all 50 states but coverages vary by state.
Is Humana Insurance only for seniors?
Humana Insurance offers Medicare plans and group plans for employers. Currently, it is not offering individual & family plans (2020).
What are the different types of Humana plans?
For Medicare plans, Humana offers Medicare coverage options outside Medicare Parts A and B, long-term care, dental care, vision care, some transportation services, prescription coverage, DME coverage, overage for deductibles for Medicare Part A and Part B and more. It offers Medicare Advantage and Medicare Supplement plans.
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Anthem and Humana Insurance Contact Info
| Anthem Contact Info | |
|---|---|
| Address | 220 Virginia Avenue Indianapolis, IN 46204 |
| Phone | 1 (800) 331-1476 |
| Website | https://www.anthem.com/ |
| https://www.facebook.com/AnthemBlueCrossBlueShield/ | |
| Youtube | https://www.youtube.com/channel/UCInrJqNqrSpvHwNErijbVyg |
| https://twitter.com/AnthemInc | |
| https://www.linkedin.com/company/antheminc/ | |
| Humana Contact Info | |
|---|---|
| Address | 300 E. Randolph St. Chicago, IL 60601 |
| Phone | 1 (800) 654-7385 |
| Website | https://www.humana.com/ |
| https://www.facebook.com/Humana/ | |
| Youtube | https://www.youtube.com/humana |
| https://twitter.com/Humana | |
| https://www.linkedin.com/company/humana/ | |
Fran Majidi manages content on SmartFinancial's website. She's had nearly a decade's worth of experience writing about insurance-related topics. Prior, she was an arts and entertainment editor in New York City. She has a B.A. from Barnard College and an M.F.A. in writing from The New School. She writes books under her given name, Afarin Majidi.
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