Aetna vs Anthem Blue Cross Blue Shield

An honest side-by-side comparison of two of our top health insurance picks — pricing, strengths, weaknesses, and who each one is really for.

Aetna

Aetna

Ranked #4 of 15 in this directory

Major health insurer now part of CVS Health offering integrated care

Paid
Anthem Blue Cross Blue Shield

Anthem Blue Cross Blue Shield

Ranked #3 of 15 in this directory

Major Blue Cross Blue Shield affiliate serving 14 states with comprehensive plans

Paid

Our pick: Anthem Blue Cross Blue Shield. Our editors rank Anthem Blue Cross Blue Shield higher overall in Health Insurance — but Aetna can be the better fit depending on your budget and use case below. How we review

Compare the details

AetnaAnthem Blue Cross Blue Shield
Pricing modelPaidPaid
Starting priceSee websiteSee website
CategoryEmployerEmployer
Editorial rank#4 of 15#3 of 15

Strengths

Aetna

  • Integration with CVS provides convenient pharmacy and clinic access
  • Strong Medicare Advantage offerings in many markets
  • Comprehensive wellness and disease management programs
  • Good digital tools through the Aetna Health app
  • Competitive pricing for employer-sponsored group plans

Anthem Blue Cross Blue Shield

  • Access to the massive Blue Cross Blue Shield provider network
  • Available across 14 states with strong regional presence
  • Sydney Health app provides comprehensive digital health management
  • Wide range of plan types across individual, group, and government markets
  • Strong preventive care programs and wellness incentives

Watch out for

Aetna

  • !Provider network may be smaller than UnitedHealthcare or BCBS in some areas
  • !CVS integration benefits are most valuable near CVS locations
  • !Customer satisfaction scores are average compared to top-rated insurers
  • !Some plans have restrictive referral requirements

Anthem Blue Cross Blue Shield

  • !Only available in its 14 operating states, not nationwide
  • !Premium costs can vary significantly by region
  • !Claims processing times can be lengthy for complex cases
  • !Network adequacy varies between urban and rural areas

Best use cases

Aetna

  • Employee whose company offers Aetna group health insurance
  • Senior near CVS locations who can benefit from MinuteClinic access
  • Employer wanting integrated health and pharmacy benefits for workers

Anthem Blue Cross Blue Shield

  • Employer in Anthem's operating states seeking BCBS-network coverage
  • Individual wanting the security of the Blue Cross Blue Shield brand
  • Family looking for comprehensive marketplace plans with strong digital tools

About each tool

Aetna

Aetna, now a subsidiary of CVS Health, serves approximately 34 million medical members with a comprehensive range of health insurance products. The integration with CVS Health has enabled Aetna to offer unique benefits including MinuteClinic access, CVS pharmacy discounts, and HealthHUB locations that combine insurance services with clinical care. Aetna provides employer-sponsored, individual, Medicare, and Medicaid plans with a focus on whole-person health and affordability.

Anthem Blue Cross Blue Shield

Anthem is one of the largest health insurers in the US and the biggest affiliate of the Blue Cross Blue Shield Association, serving members across 14 states. The company offers a full range of health plans including individual marketplace, employer group, Medicare, and Medicaid coverage. Anthem leverages the trusted Blue Cross Blue Shield brand and its extensive provider network, while investing heavily in digital health tools and virtual care through its Sydney Health app.

Still deciding? Browse all 15 options with honest pros, cons, and pricing.

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