Aetna vs. Cigna

There are so many different health insurance companies from which to choose, and each has their own pros and cons. Two of the largest and most popular insurers are Aetna and Cigna, and in this review, we’ll break down a comparison of these two companies to help you make a more informed decision about your coverage. 

Aetna: More Plans Offered in More Places

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Aetna has Cigna beat in one respect: availability.

Aetna offers a larger variety of Medicare health plans and other types of health insurance plans in more states than Cigna.¹ Depending on where you live, you may only have access to Aetna plans and not to any plans offered by Cigna.

Cigna: Top-Rated Medicare Plans

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While Cigna and Aetna are both respected insurance companies, Cigna has a higher rate of Medicare Advantage plans rated 4 stars or higher by Medicare in 2023.

• In 2023, 67% of Cigna Medicare Advantage plan members will be enrolled in a plan rated 4 stars or higher.²
• 21% of Aetna Medicare Advantage plan members will be enrolled in a 2023 plan rated 4 stars or higher by Medicare.³

Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans using a 5-star rating system. These star ratings can change each year, and individual plan star ratings may vary depending on where you live.

Aetna vs. Cigna: Insurance Products Offered

The product lineups of both Aetna and Cigna cover many of the basics when it comes to health insurance. Both companies offer:

• Individual and group health insurance
• Medicare Advantage plans (Medicare Part C)
• Medicare Part D prescription drug plans
• Medicare Supplement Insurance
• Standalone dental and vision plans
• Disability insurance
• Life insurance

About the only area where the product lineups for these two companies differ is with short-term care insurance: Aetna offers short-term care coverage while Cigna does not. 

Plan Access

The availability of Aetna and Cigna insurance products varies slightly, with the biggest difference being in traditional health insurance and Medicare Advantage plans.

• Aetna sells Medicare Advantage plans and traditional health insurance in every state
• Cigna Medicare Advantage plans are offered in just 23 states, and the company sells traditional health insurance in only 18 states 

Both Aetna and Cigna sell Medicare Part D plans and Medicare Supplement Insurance plans (also called Medigap) in most all states, along with other insurance products. 

Provider Access

Around 1.5 million health care professionals are part of the Aetna network, including primary care doctors, specialists and hospitals.⁴ Aetna’s provider reach is bolstered by its merger with CVS Health, which makes it easy for Aetna members to fill a prescription practically anywhere. 

The Cigna provider network is extensive and global. Cigna is also contracted with over 65,000 pharmacies in the U.S., which represents more than 99% of all pharmacies in the country.

Financial Strength Ratings

Both Aetna (which is a CVS Health company) and Cigna maintain strong financial rankings from the top credit rating agencies.^3,5

Customer Experience

Today’s Medicare beneficiaries value ease of use and mobile support, and both Aetna and Cigna have heeded that call. 

Aetna and Cigna both feature online portals where members can log in to find a doctor, pay a premium, check on a claim, view their coverage and more. Both companies even offer mobile apps available for both Apple and Android users that are rated highly among users:

• Aetna mobile apps
  
  
  
  • The Aetna Health app is rated 4.6 stars out of 5 on the Apple App Store, based on 179,000 ratings.
  • The Attain by Aetna app is rated 4.7 stars out of 5, based on almost 34,000 ratings.
• Cigna mobile apps
  
  
  
  • The myCigna app is rated 4.8 stars out of 5, based on 124,600 reviews.
  • The Cigna Wellbeing app is rated 1.8 stars out of 5, based on 31 reviews.
  • The Cigna Envoy app is rated 1.9 stars out of 5, based on 223 ratings.

The Verdict

Both Aetna and Cigna are popular and well-known insurance companies. Each company offers a diverse lineup of insurance products that are accepted by a large number of health care providers and a contemporary customer experience.  

Aetna’s footprint is a little larger, with medical insurance and Medicare Advantage plans available in more states than Cigna. 

While both companies maintain strong financial ratings, Cigna’s Medicare plans fare a little better in terms of quality, based on the Medicare Star Ratings for 2023.