Compare Aetna Health Insurance Plans with Cigna and Oscar.

Are you looking to find the best health insurance

plan for your needs? 

Comparing Aetna, Cigna, and Oscar can help you make an informed decision.

These three major players in the health insurance market offer a range of options, but understanding their differences is critical to choosing the right coverage for you and your family.

This article breaks down the coverage options, network sizes, and costs of Aetna, Cigna, and Oscar health insurance plans.

You'll learn about their unique features, from Aetna's extensive provider network to Cigna's wellness programs and Oscar's tech-savvy approach.

By the end, you'll have a clear picture of how these insurers stack up, making it easier to pick the plan that fits your healthcare needs and budget.

Coverage Options

Understanding each company's coverage options is crucial when comparing Aetna, Cigna, and Oscar health insurance plans. Let's examine what you can expect from these insurers.

Aetna Coverage

Aetna provides a wide range of health insurance plans to meet different needs.

You can choose from individual Affordable Care Act (ACA) plans, Medicare plans (including Medicare Advantage and prescription drug plans), dental insurance, and vision insurance.

Aetna also offers employer health insurance and group supplemental coverage for accidents and critical illnesses if you're employed.

One standout feature of Aetna's coverage is its partnership with CVS MinuteClinics.

This collaboration allows you to get care at any CVS MinuteClinic, even while traveling in other states.

 This can be especially helpful for young adults who might be away from home for college or internships.

Aetna's ACA plans come in various metal levels, from expanded bronze to gold, giving you flexibility in choosing a plan that fits your budget and healthcare needs.

Additionally, Aetna offers plans with all three of the most common provider networks, increasing your chances of finding a plan that includes your preferred doctors and hospitals.

Cigna Coverage

Cigna, a global insurance company serving over 178 million customers, offers similar health insurance options.

These include individual ACA health insurance plans, Medicare plans (Medicare Advantage and prescription drug plans), dental insurance, vision insurance, and supplemental health plans.

Cigna stands out with its behavioral health and wellness plans, which can be particularly beneficial if mental health coverage is a priority for you.

The company also runs a TakeControl rewards program to encourage healthier lifestyles.

Regarding ACA plans, Cigna offers a slightly more comprehensive range of metal levels than Aetna, including a bronze option.

However, Cigna's plans are limited to HMO or EPO provider networks, which might restrict your choice of healthcare providers.

Oscar Coverage

Oscar takes a unique approach to health insurance, focusing on simplicity and technology.

All Oscar plans include Oscar Care, which offers $0 Virtual Urgent Care.

This feature can be particularly appealing if you value the convenience of getting care from home or on-the-go.

Oscar's plans cover the ten essential benefits the ACA requires: ambulatory services, emergency services, hospitalization, maternity and newborn care, mental health and substance use services, prescription drugs, rehabilitative services, laboratory services, preventive care, and pediatric services.

One of Oscar's strengths is its user-friendly online portal and mobile app, which make it easy to manage your healthcare, from finding providers to refilling prescriptions. Oscar also prides itself on having a supportive Care Team to help you navigate your healthcare journey.

Comparison of Coverage

Each of these three insurers has strengths.

Aetna stands out for its wide range of plan types and its partnership with CVS MinuteClinics.

Cigna offers a good selection of ACA plans and emphasizes wellness programs.

Oscar shines with its tech-savvy approach and focuses on virtual care.

Regarding costs, Aetna and Cigna are similar for ACA plans, with Aetna generally having lower premiums and deductibles, especially for younger applicants. Conversely, Oscar has one of the lowest overall costs for bronze plans, which could be attractive if you're looking for low-premium coverage with higher out-of-pocket costs.

Remember, the best coverage for you depends on your specific healthcare needs, budget, and preferences.

When making your decision, consider factors like network size, prescription drug coverage, and additional benefits.

It's also worth noting that availability varies by state, so not all options may be available in your area.

Network Size and Accessibility

When choosing a health insurance plan, it's crucial to consider the size and accessibility of the provider network.

Let's compare the networks of Aetna, Cigna, and Oscar to help you understand what each company offers.

Aetna's Network

Aetna boasts one of the largest fully integrated networks in the country.

Their extensive network includes about 1.86 million healthcare professionals, over 800,000 physicians, and 6,300 hospitals ^[1].

This wide-reaching network gives you a good chance of finding in-network providers in your area.

One standout feature of Aetna's network is its partnership with CVS MinuteClinics.

This collaboration allows you to receive discounted care at any CVS MinuteClinic, even while traveling in other states ^[2].

This can be particularly beneficial if you're often on the move or value the convenience of walk-in clinics.

Aetna's plans through the marketplace are typically HMOs that are geographically restricted.

However, unlike traditional HMOs, you usually don't need a referral to a specialist with Aetna ^[3].

This can make it easier and quicker to access specialized care when needed.

Cigna's Network

Cigna, a global insurance company serving over 178 million customers, also offers a substantial network ^[2].

However, it's important to note that Cigna only offers plans using an HMO or EPO provider network.

This means that if a doctor is not part of the Cigna network, you cannot see them except for emergencies ^[2].

One thing to remember with Cigna is to be careful about receiving care while traveling out of network.

 Its ACA plan types do not cover seeing out-of-network providers except for emergencies ^[2].

This could be a significant drawback if you travel frequently or live in an area with limited in-network options.

Oscar's Network

Oscar takes a unique approach to healthcare, focusing on simplicity and technology.

While specific network size figures weren't provided, Oscar is known for its user-friendly online portal and mobile app, which make it easy to manage your healthcare, from finding providers to refilling prescriptions.

In 2020, Oscar's EPO network in Colorado included 290 PCPs, 765 specialists, 1,755 behavioral health, mental health, substance abuse providers and facilities, 16 hospitals, 289 pharmacies, 54 pediatricians, and 133 OB/GYNs ^[4].

While this data is specific to Colorado, it gives an idea of the network size Oscar might offer in other areas.

Oscar also offers unlimited, free telemedicine benefits and a dedicated concierge team of nurses, social workers, and on-call physicians who help members access the network in real-time ^[4].

This can be particularly helpful if you value easy access to care and personalized support.

Network Comparison

When comparing these networks, each has its strengths.

Aetna stands out for its vast network and CVS MinuteClinic partnership, which can offer convenience and flexibility.

Cigna's network is also substantial, but the restrictions on out-of-network care could be limiting for some.

Oscar, while potentially smaller in network size, offers a tech-savvy approach and a robust support system that many find appealing.

It's worth noting that network size and accessibility can vary significantly by location.

Aetna sells ACA plans in 12 states, while Cigna offers them in 17 states ^[2].

Oscar's availability may also be limited depending on your area.

Remember, the best network for you depends on your specific healthcare needs, location, and preferences.

Consider factors like whether your current doctors are in-network, the availability of specialists you might need, and how vital features like telemedicine or walk-in clinic access are to you.

Costs and Affordability

When comparing Aetna, Cigna, and Oscar health insurance plans, it's crucial to understand the costs and affordability of each option.

Let's break down the expenses associated with these insurers to help you make an informed decision.

Aetna's Costs

Aetna offers a range of plans with varying costs.

The average monthly premium for an Aetna bronze plan is $420 for a 40-year-old ^[5].

This cost can change based on factors like your age, location, and the specific plan you choose.

Aetna generally has lower overall premiums and deductibles than some competitors, especially for younger applicants ^[2].

One of Aetna's standout features is its partnership with CVS Health.

As an Aetna member, you get a $25 monthly allowance to shop at CVS Health and a 20% discount on CVS Health brand products ^[3].

This perk can help offset some of your healthcare costs.

Cigna's Costs

Cigna's costs for ACA plans are comparable to Aetna's.

However, Cigna tends to have slightly higher overall premiums and deductibles ^[2].

The cost difference becomes more noticeable for younger applicants, with Aetna offering lower rates for 25, 35, and 45-year-olds.

One area where Cigna shines is its copayments.

Cigna quoted lower overall copays than Aetna, which could lead to significant savings if you frequently visit your doctor ^[2].

This is an essential factor to consider when calculating your potential out-of-pocket expenses.

Oscar's Costs

Oscar takes a unique approach to health insurance costs.

The average monthly premium for an Oscar bronze plan is $373 for a 30-year-old ^[5].

For a 40-year-old, this increases to $420 ^[5]. Oscar has one of the lowest overall costs for bronze plans, making it an attractive option for affordable coverage ^[3].

Oscar also offers some cost-saving features.

For instance, many commonly prescribed drugs are available for as little as $3 ^[6].

Additionally, Oscar provides $0 preventive care, which means your annual checkup, vaccines, and screenings are fully covered ^[6].

Cost Comparison

When comparing the three insurers, each has its strengths in terms of affordability:

1. Aetna generally offers lower premiums and deductibles, especially for younger applicants ^[2].

2. Cigna provides lower copayments, which can lead to savings for those who frequently use medical services ^[2].

3. Oscar stands out with its low-cost bronze plans and affordable prescription drug options ^{[3] [6]}.

It's important to note that the average cost of an ACA health insurance marketplace plan for unsubsidized plans is $635 a month ^[3].

However, costs can vary significantly based on factors like your age, location, and the mental tier of the plan you choose.

Remember, bronze and silver plans typically have lower premiums but higher out-of-pocket costs, while gold plans have higher premiums but lower out-of-pocket expenses ^[5].

Your choice should depend on your healthcare needs and budget.

When deciding, consider the monthly premium, deductible, copayments, and potential out-of-pocket maximum.

Also, check if you qualify for subsidies or premium tax credits, which can significantly reduce your costs.

Ultimately, the most affordable option will depend on your circumstances and healthcare needs.

 Before deciding, it's recommended that you get quotes from each insurer and carefully compare the total potential costs.

Conclusion

Choosing the right health insurance plan significantly impacts your healthcare experience and financial well-being.

Aetna, Cigna, and Oscar each bring unique strengths, from Aetna's extensive network and CVS partnership to Cigna's wellness programs and Oscar's tech-savvy approach.

By comparing their coverage options, network sizes, and costs, you can find a plan that aligns with your needs and budget.

Ultimately, the best plan for you depends on your circumstances, including your health needs, preferred doctors, and financial situation.

To make an informed decision, it's crucial to carefully weigh the pros and cons of each insurer, consider your priorities, and get personalized quotes.

Remember, investing time to choose the right health insurance plan can lead to better health outcomes and financial security in the long run.

FAQs

1. How do Aetna and Cigna health insurance plans differ? Aetna, owned by CVS, offers its policyholders benefits such as discounted services at CVS MinuteClinics and savings on prescriptions and wellness products. Conversely, Cigna operates solely as a health insurance provider without these additional retail benefits.

2. Is there any affiliation between Oscar and Aetna? Oscar Health is distinct in its approach by providing a Concierge Team dedicated to guiding members, managing customer service inquiries, and coordinating clinical care. For detailed information, you can review the overviews provided by each company, Aetna and Oscar.

3. Do Oscar and Cigna offer the same insurance products? The Cigna + Oscar insurance plans are underwritten by Cigna Health and Life Insurance Company, with benefits managed by Oscar Health Administrators and pharmacy benefits handled by Express Scripts, Inc. It's important to note that these plans may have specific exclusions and limitations.

4. What distinguishes Oscar Health from other insurers?

5. Oscar Health is unique because it offers many common prescriptions at no cost when prescribed through Oscar Virtual Urgent Care. Additionally, Oscar provides a user-friendly tool to help members easily find top-rated hospitals and doctors in their area.

Schedule convenient and Private Appointments by phone and online or mobile Zoom meetings—local Help with joining or enrolling. O'Neal Insurance Group agency Broker Free help and education for all New to Medicare Turning 65 Understanding 2025 Plan. Aetna, Humana, Devoted, BlueCross BlueShield of Illinois, AARP, UnitedHealthcare, Cigna, Clover Health, Essence HealthCare, KCA, Kelsey Care Medicare Advantage, Scan Health, Select Health, Alabama, Arizona, Chicago Illinois, Indiana, New Orleans Louisiana, Jackson, Hattiesburg, Gulfport, Mississippi, Missouri, Las Vegas, Summerlin, Henderson Nevada, Huston Texas, Utah.

References

[1] - https://amazon.aetna.com/our-network
[2] - https://www.investopedia.com/aetna-vs-cigna-5190415
[3] - https://www.forbes.com/advisor/health-insurance/best-health-insurance-companies/
[4] - https://assets.ctfassets.net/plyq12u1bv8a/77ph1WVONdA0BD32iYRmF7/f3c79a0844299d1a855051f4e175a653/CO--QHP-Network--PY2020-Network-Access-Plan.pdf
[5] - https://www.forbes.com/advisor/health-insurance/how-much-does-health-insurance-cost/
[6] - https://www.hioscar.com/individuals