Orlando Harmon
When choosing between Aetna and Humana, it is important to consider the specific needs and requirements one has. Both are large health insurance carriers with millions of members and billions in revenue each year. They offer similar types of health plans, including Medicare Advantage Plans, Prescription Drug Plans (PDPs), and Medigap plans (Medicare supplement insurance). However, there are some key differences to note. For instance, Humana has a larger market share and offers a more diverse selection of special needs plans, while Aetna has a more expansive network and more affordable pricing for Medicare Part D plans.
| Characteristics | Values |
|---|---|
| Network size | Aetna has a larger network |
| Market share | Humana has a larger market share |
| App user-friendliness | Aetna's primary app has better ratings than Humana's |
| App for Medicaid members | Aetna has a secondary app for Medicaid members with poor reviews |
| App for prescription drug coverage plans | CenterWell Pharmacy, operated by Humana, is generally well-reviewed |
| Medicare Advantage footprint | Humana has the largest Medicare Advantage footprint, with plans available in 90% of US counties |
| Medicare Advantage enrollment rates in 2024 | Humana: 18% of all Medicare Advantage beneficiaries; Aetna: 12% |
| Medicare Advantage plan costs | Plan costs vary based on ZIP code and type of plan |
| Medicare Part D plan costs | Aetna's pricing is more affordable |
| Medicare Part A and Part B | Both companies provide the same level of coverage at the same price |
| Medicare Part D | Both companies sell Part D plans nationwide with a lineup of three distinct plans for low, medium, and high premiums and deductibles |
| Medicare Advantage Special Needs Plans (SNP) | Both companies offer SNPs, which include benefits tailored to specific health needs or dual eligibility for Medicare and Medicaid |
| Dual Special Needs Plans (D-SNPs) | Aetna offers D-SNPs for people who qualify for Medicaid |
| Special Needs Plans (SNPs) for chronic conditions | Humana offers SNPs for people with eligible chronic conditions |
| Private-Fee-For-Service (PFFS) plans | Humana offers PFFS plans |
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What You'll Learn
Medicare Advantage Plans
Aetna offers several kinds of Medicare Advantage Plans, including Health Maintenance Organization (HMO), Health Maintenance Organization-Point-of-Service (HMO-POS), and Preferred Provider Organization (PPO) plans. Each type of plan has a different network and cost-sharing structure. Aetna also offers Dual Special Needs Plans (D-SNPs) for people who also qualify for Medicaid. Aetna's pricing for Medicare Part D options is more affordable than Humana's.
Humana offers Private-Fee-For-Service (PFFS) plans and Special Needs Plans (SNPs) for people with eligible chronic conditions. Humana has the largest Medicare Advantage footprint of any insurance company, with plans available in 90% of all counties in the US. In 2024, 18% of all Medicare Advantage beneficiaries were members of a Humana Medicare plan, compared to 12% for Aetna. Humana holds a larger share of the Medicare Advantage market in terms of enrollment rates and plan availability, while also offering a more diverse selection of special needs plans.
Both companies offer similar Medicare Part D options, but Aetna's pricing is more affordable. Both companies also offer good general information about their plans, though you need to enter your zip code for more specific details and to see options in your area.
When deciding between the two, it will ultimately come down to which company has a plan that best meets your needs.
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Prescription Drug Plans
When it comes to prescription drug plans, both Aetna and Humana offer Medicare Advantage Plans, Prescription Drug Plans (PDPs), and Medigap plans (Medicare supplement insurance). Both companies partner with major pharmacy chains like Walmart, Walgreens, and CVS. Aetna's Medicare Part D prescription drug plan is called SilverScript, and members can manage their prescriptions on the Caremark.com website. Humana members can manage their prescription drug coverage plans on the CenterWell Pharmacy app, which has received favorable reviews.
Aetna offers Part D plans in partnership with SilverScript, and members can manage prescriptions, sign up for mail delivery, view order status, find drug pricing, and identify savings options on the Caremark.com website. Aetna also offers a Dual Special Needs Plan that features additional benefits, such as more prescription drug coverage.
Humana offers two kinds of Special Needs Plans (SNPs): one for people with eligible chronic conditions and one for people with dual Medicare and Medicaid eligibility. Humana also offers mail delivery with some of its plans and a few more options than Aetna.
Both companies have a lineup of three distinct plans to allow shoppers to choose from low, medium, and high premiums and deductibles.
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Medigap plans
Medicare Supplement Insurance, or Medigap, is extra insurance you can buy from a private health insurance company to help pay your share of out-of-pocket costs in Original Medicare. Medigap plans generally help cover your share of costs for services that are covered by Original Medicare (Part A and Part B). The benefits are different for each plan, and you can buy the one that meets your needs.
There are 10 types of standardized Medigap plans that may be available in most states. These plans are known by the letters A, B, C, D, F, G, K, L, M, and N. Plans with the same letter must provide the same basic benefits regardless of the insurer or location. For example, a 65-year-old nonsmoking man in Fort Myers, Florida, could pay $64 a month for a Plan K policy or $263 for Plan D. A 65-year-old nonsmoking woman in Wichita, Kansas, might pay $32 a month for a high-deductible Plan G policy versus $455 for a regular Plan G.
Aetna and Humana are two of the nation's leading providers of Medigap plans. Both companies offer similar Medicare Part D options, although Aetna's pricing is a bit more affordable. Humana has a larger market share than Aetna in the health insurance industry and also sells coverage in Puerto Rico. However, Aetna has a significantly larger network, which may make it more convenient for buying insurance.
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App usability
When it comes to app usability, both Aetna and Humana allow their users to manage their policies using a mobile app or online portal. The apps allow users to see details about their plans, manage their claims, and find in-network doctors, among other benefits.
Aetna's primary app seems to be more user-friendly, as it has a better star rating than Humana's primary app on both Google Play and the App Store. However, Aetna has a secondary app for Medicaid members that has received worse reviews. On the other hand, the CenterWell Pharmacy app, operated by Humana, which allows members to manage their prescription drug coverage plans, is generally more favorably reviewed than the main MyHumana app.
While Aetna has a significantly larger network, Humana has a larger market share in the health insurance industry and sells coverage in Puerto Rico. Aetna is ranked third in the country for health insurance, with over 22 million members and annual revenues of over $60 billion. Humana, ranked fifth, has over 14 million members and revenues of over $50 billion.
Ultimately, when deciding between the two insurance providers, it will come down to which company's app and plan best meet your needs.
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Availability
When it comes to availability, several factors come into play when comparing Aetna and Humana as insurance providers. Firstly, it's worth noting that both companies are major providers of Medicare Advantage insurance plans and offer a range of options to their customers. However, Humana holds a larger share of the Medicare Advantage market in terms of enrollment rates and plan availability. Humana also offers a more diverse selection of Special Needs Plans (SNPs), including plans for people with eligible chronic conditions and those with dual Medicare and Medicaid eligibility. These plans may not be available in every state, so it's essential to check with Humana directly regarding your specific location.
Aetna, on the other hand, offers several types of Medicare Advantage plans, such as Health Maintenance Organization (HMO), Health Maintenance Organization-Point-of-Service (HMO-POS), and Preferred Provider Organization (PPO) plans. Each of these plans has a different network and cost-sharing structure, and their availability may vary depending on your area. Aetna also provides Dual Special Needs Plans (D-SNPs) for individuals who qualify for Medicaid.
In terms of their overall market presence, Aetna is ranked third in the country for health insurance, with over 22 million members, while Humana ranks fifth, with more than 14 million members. This indicates that Aetna has a slightly larger customer base and availability compared to Humana in terms of overall membership.
When it comes to prescription drug plans, both Humana and Aetna offer several options. However, Humana provides mail delivery with some of its plans, and it's important to note that specific plans may vary depending on your location. Therefore, it is advisable to check with both companies directly to determine the exact availability of their prescription drug plans in your area.
Lastly, both Aetna and Humana allow policy management through mobile apps or online portals. Aetna's primary app has received better star ratings on Google Play and the App Store compared to Humana's primary app, indicating that it may be more user-friendly. However, Aetna has a separate app for Medicaid members that has received less favourable reviews. Humana's CenterWell Pharmacy app, which allows members to manage their prescription drug coverage plans, is generally well-reviewed.
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Frequently asked questions
Aetna and Humana are two of the nation's leading providers of Medicare Advantage plans. Both companies offer Medicare Advantage Plans, Prescription Drug Plans (PDPs), and Medigap plans. However, Humana has a larger market share, while Aetna has a larger network.
Aetna offers several kinds of Medicare Advantage plans, including Health Maintenance Organization (HMO), Health Maintenance Organization-Point-of-Service (HMO-POS), and Preferred Provider Organization (PPO) plans. Aetna also offers Dual Special Needs Plans (D-SNPs) for people who qualify for Medicaid. Aetna's primary app is more user-friendly, with better ratings than Humana's primary app.
Humana offers a more diverse selection of special needs plans and one more type of Medigap plan than Aetna. Humana has the largest Medicare Advantage footprint, with plans available in 90% of all counties in the U.S. Humana also offers Private-Fee-For-Service (PFFS) plans and Special Needs Plans (SNPs) for people with eligible chronic conditions. The app for CenterWell Pharmacy, operated by Humana, has generally favourable reviews.
It depends on your specific needs and location. Both companies offer Medicare Advantage Plans and Medigap plans, but their availability and costs may vary by state and ZIP code. Compare the plans offered by each company in your area and choose the one that best meets your needs.
