Is Elevance Health a good insurance provider?
Elevance Health is a financially stable national provider with solid coverage options, but it tends to have higher costs and lower customer satisfaction scores for digital tools than competitors.
📊 Overview and Ratings
- Financial Stability: AM Best rating of A (Excellent), ensuring claims get paid reliably.
- Industry Standing: Ranked No. 9 among major insurers for 2026 with a score of 4.01 out of 5.
- Network Size: Serves roughly 47 million members, primarily operating Blue Cross Blue Shield plans across 14 states.
✅ The Pros
- Reliable Coverage: Backed by strong financial capitalization and dependable operations.
- Strong Offerings: Features a diverse mix of commercial, Medicaid, and Medicare plans.
- Brand Recognition: Familiar national footprint makes finding in-network local doctors easier.
⚠️ The Cons
- Higher Pricing: Scores lower on affordability, meaning monthly premiums tend to run high.
- Digital Experience: Policyholders give low marks for the mobile app and website tools.
- Customer Satisfaction: Ranks in the lower half for overall customer support and recommendation rates.
Is Elevance Health the same as Anthem?
Yes, Elevance Health is the new corporate name for the company formerly known as Anthem, Inc.
Key Facts About the Rebrand
- Name Change: Anthem, Inc. officially changed its holding company name to Elevance Health on June 28, 2022.
- Stock Ticker: The company trades on the New York Stock Exchange under the ticker symbol ELV.
- Insurance Plans: Your specific health plan, coverage, network, and member ID numbers did not change because of the rename.
- Blue Cross Blue Shield: The company still operates regional health plans under familiar local names like Anthem Blue Cross and Blue Shield in 14 markets.
- Reason for Change: The new name combines "elevate" and "advance" to reflect a shift from a traditional health insurance provider to a broader whole-health company.
What is better, UnitedHealthcare or Anthem?
Choosing between UnitedHealthcare and Anthem Blue Cross Blue Shield depends on your location, coverage needs, and whether you prefer nationwide availability or regional Blue Cross network access. Neither is universally "better," as both carry distinct strengths and drawbacks.
Coverage and Availability
- UnitedHealthcare (UHC): Operates across all 50 states and serves nearly 50 million customers, making it the largest health insurance provider in the United States. It is widely available for individual, employer, and Medicare plans.
- Anthem: Operates in 14 states as a part of the Blue Cross Blue Shield association and serves around 40 million members. When traveling outside Anthem's 14 states, you typically access care through the local BCBS network.
Pros and Cons
UnitedHealthcare
- Pros:
- Massive national footprint with robust coverage for travelers and remote workers.
- Dominant market share and strong ratings for Medicare Advantage plans (often through AARP partnerships).
- User-friendly digital tools and mobile apps.
- Cons:
- General plan costs can be higher.
- Some customer reviews report frustrations or denials regarding specialized care or mental health claims.
Anthem
- Pros:
- Backed by the Blue Cross Blue Shield name, giving smooth access to the broader BCBS network nationwide.
- Often provides competitive pricing and strong local doctor and hospital networks within its operating states.
- Cons:
- Direct coverage is limited to its 14 specific states (relying on partner networks elsewhere).
- Certain plans use restricted or tiered prescription drug formularies.
What type of insurance is Elevance Health?
Elevance Health is a major health benefits and managed care company that provides medical, pharmaceutical, dental, vision, and behavioral health insurance plans. Formerly known as Anthem, Inc., the company rebranded to Elevance Health in June 2022 to reflect a broader focus on whole health. It is the largest for-profit managed care organization in the Blue Cross Blue Shield Association network.
Types of Insurance Plans Offered
- Commercial / Employer-Sponsored: Individual and group market health plans, often sold under the Anthem Blue Cross and Blue Shield brand in 14 states, as well as plans under the Wellpoint brand.
- Medicare: Medicare Advantage and Medicare Supplement plans for older adults and qualifying individuals.
- Medicaid: State-sponsored managed care programs for low-income individuals and families (offered through entities like Amerigroup, Simply Healthcare, and Wellpoint).
- Specialty and Ancillary Benefits: Dental, vision, life, disability, and pharmacy benefit management (via its CarelonRx segment).
What's better, Anthem or Blue Cross?
Neither Anthem nor Blue Cross is universally better, because Anthem is actually a specific company that operates as part of the Blue Cross Blue Shield (BCBS) association.
Choosing between them depends on whether you are looking at Anthem versus other independent BCBS plans, or comparing your local plan options based on cost and flexibility.
Understanding the Difference
- Blue Cross Blue Shield (BCBS): This is a national association of 36 independent, local health insurance companies across the United States.
- Anthem: This is the largest for-profit company within the BCBS association. It provides coverage under the Anthem name in specific states (like California, New York, and others) and uses the national BCBS network.
- Network Access: Most BCBS and Anthem plans give you access to the national BlueCard network, meaning out-of-state routine care is widely supported.
How to Choose Your Plan
- Anthem (EPO/HMO): Often features slightly lower premiums and gives you out-of-state network access through EPO plans without needing specialist referrals. However, it may have more restrictive local hospital lists in certain regions compared to independent non-profit local plans.
- Other Blue Cross / Blue Shield Plans: Depending on your state (such as Blue Shield of California), local non-profit sister companies may offer broader true PPO networks and access to specific top-tier academic medical centers, though usually for a higher monthly price.
- Ratings: According to NerdWallet, Anthem's Medicare plans sometimes score lower on government quality and member experience ratings than other independent BCBS regional counterparts, though prices can be cheaper.
Elevance Health Review: Features, Strengths & Weaknesses (Health Insurance)
What was Elevance Health called before?
Elevance Health was named Anthem, Inc. before June 2022. Before it was called Anthem, the company was known as WellPoint, Inc. (following a 2004 merger between Anthem and WellPoint, before briefly adopting the Anthem name exclusively in 2014).
Which health insurance company denies the most claims?
Oscar Health denied the highest percentage of in-network Affordable Care Act (ACA) marketplace claims nationally at approximately 25.3%, according to federal transparency data.
Highest Claim Denial Rates
Recent federal data for major national ACA marketplace insurers shows the following denial rates:
- Oscar Health: 25.3% denial rate
- Molina Healthcare: 22% denial rate
- Ambetter (Celtic): 21% denial rate
- Cigna: 21% denial rate
- UnitedHealthcare: 20% denial rate (down from 33% previously)
- Kaiser Permanente: ~6% denial rate (lowest among major carriers)
Common Reasons for Denials
- Administrative issues: Errors in paperwork or coding.
- Lack of prior authorization: Treatments performed without prior approval.
- Medical necessity: The insurer decides the care is not required.
Is $500 a month normal for health insurance?
Yes, $500 a month is a normal and common cost for an individual health insurance premium if you buy it on your own, but it is very high if you get it through an employer.
Individual vs. Employer Plans
- Marketplace Plans (ACA): The average cost for an individual plan on the public health insurance marketplace without subsidies is roughly $590 to $625 a month. Paying around $500 gets you a standard individual plan, such as a mid-tier Silver or Bronze plan, depending on your age and location.
- Employer-Sponsored Plans: If your insurance comes from a job, the average employee contribution is much lower—typically around $114 a month for a single person because the employer pays the rest of the cost. A $500 monthly deduction through an employer usually means you are paying for a family plan or a high-tier premium.
Factors That Change the Cost
- Subsidies: Many people do not pay the full sticker price on the marketplace; income-based tax credits often lower the monthly bill.
- Age and Location: Older adults and people living in states with higher healthcare costs pay much higher rates.
- Coverage Tier: Bronze plans have lower monthly costs but higher deductibles, while Gold and Platinum plans cost much more per month but cover more of your medical bills.
Who is the #1 insurance company in the USA?
State Farm Group is the #1 overall property and casualty (P&C) and auto insurance company in the United States by market share and net premiums written.
Because "insurance" covers several different sectors, the top spot changes depending on the specific type of coverage:
- Auto and Home (Property & Casualty): State Farm Group ranks #1 with over $113 billion in net written premiums.
- Health Insurance: UnitedHealth Group is the largest provider in the U.S., controlling over 16% of the health market.
- Group Benefits / Life & Health: MetLife is the top U.S. group benefits provider, serving a large majority of Fortune 500 companies.
Where does Anthem rank in health insurance?
Anthem (now officially operating as Elevance Health) ranks as the second-largest health insurance company in the United States by enrollment, direct premiums written, and overall market share.
National Rankings and Market Share
- Overall Size: Ranked #2 in the U.S. behind UnitedHealth Group.
- Market Share: Holds approximately 7% to 7.1% of the national health insurance market.
- Direct Premiums Written: Generates over $107 billion annually in direct premiums.
- Blue Cross Blue Shield: Operates as the largest for-profit member company within the Blue Cross Blue Shield Association, serving roughly 42 to 47 million medical members across 14 state-specific plans (such as California, New York, Ohio, and Virginia).