Health Insurance

Largest Health Insurance Companies of 2021

Largest Health Insurance Companies of 2021

In the United States, there are currently more than 900 health insurance companies that offer medical coverage.

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However, the health insurance industry is dominated by five companies: Anthem, Centene, UnitedHealthcare, Humana and Health Care Service Corporation (HCSC) who control nearly 44% of the market.

All of these providers offer basic health insurance products to individuals and companies, along with other services that include Medicaid and Medicare policies, long-term care insurance, dental insurance and vision benefits.

What are the biggest health insurance companies?

The biggest health insurance companies in the United States include well-known insurance providers. Many of these companies offer similar products, but some tend to specialize in additional products such as Medicaid and Medicare. Below, we break down the largest health insurers by membership, by revenue and by state:

Market share of largest health insurance companies

Top 5 largest health insurance companies by membership

The largest health insurance provider can be defined as the company that has the highest number of members. Also known as covered lives the amount of membership means the number of individuals who have enrolled in a health insurance plan with that provider. You can enroll in a health insurance policy in many different ways. For example, your company’s benefit plan may offer health insurance coverage. Other ways include:

  • Medicare and retirement plans
  • Medicaid services
  • Individual health insurance (through open enrollment)

1. UnitedHealthcare Group

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70 million members

UnitedHealthcare is the largest health insurance company by total covered lives. The provider offers a variety of products from individual health insurance to full employer benefits plans for some of the biggest corporations. Furthermore, its policies can be purchased in all 50 states. UnitedHealthcare is headquartered in Minnetonka, Minnesota.

Along with having the most members, UnitedHealthcare also has a care network of over 1.3 million physicians and health care professionals with more than 6,000 hospitals. This means that if you have UnitedHealthcare, you will have many options to choose from to receive care.

2. Anthem

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39.9 million members

Anthem is the second-largest medical insurance provider by total members, with over 40 million lives covered. The company's Commercial and Business health care segment offers network-based care to large and small businesses, individuals, Medicaid and Medicare markets.

Anthem is a licensee of Blue Cross Blue Shield health insurance products. This means that typically, when searching for Anthem policies on your state marketplace exchange, you will find that its products will be titled BCBS followed by the name of your state, but the insurer you will be buying from will be Anthem.

The company currently operates in California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia and Wisconsin.

3. Aetna

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22.1 million members

Aetna was acquired by CVS Health Corp. in 2018. CVS now operates the company and has been able to seamlessly integrate its provider networks with Aetna's membership base. Founded in 1853, Aetna is the third-largest provider of health insurance and services. However, most of its membership comes from providing health insurance to employers and its employees in the private market. Since 2015, Aetna has removed itself from all Affordable Care Act marketplaces due to a loss in revenue.

4. Cigna

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20.4 million members

Cigna is the fourth-largest major medical insurance company in the United States. Headquartered in Bloomfield, Conn., Cigna offers health insurance and health services to companies throughout the world. In addition to corporate health insurance policies and management of those plans, Cigna also offers dental, behavioral health, vision, supplemental health and Medicare/Medicaid retirement benefits.

Cigna currently offers individual health insurance in 11 states: Arizona, California, Colorado, Florida, Georgia, Maryland, Missouri, North Carolina, South Carolina, Tennessee and Texas.

5. Humana

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16.6 million members

Humana comes in as the fifth-largest health insurance company by membership. The provider was founded in 1961 and originally sold long-term care insurance before expanding into selling health insurance policies. However, in 2017 the company announced that it would no longer be offering individual health insurance in the 11 states where it had previously provided plans. If you still have a policy from Humana, then it will still honor the responsibilities of offering coverage benefits to your plan.

Largest major medical insurance provider by state

In 2020, nearly 11.5 million people purchased a health insurance policy through a state marketplace. Also known as individual health insurance, these policies can be purchased if you currently do not receive health care through an employer or have a federally funded policy like Medicaid or Medicare. Below is the biggest health insurance provider in each state.

State
Company
AlabamaBlue Cross Blue Shield of Alabama
AlaskaPremera Blue Cross
ArizonaCentene Corp.
ArkansasArkansas Blue Cross Blue Shield
CaliforniaBlue Cross Blue Shield California
ColoradoKaiser Foundation
ConnecticutEmblem Health
DelawareHighmark
District of ColumbiaCarefirst Inc.
FloridaGuidewell Mutual Health
GeorgiaCentene Corp.
HawaiiHawaii Medical Service
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href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-arkansas\"\u003EArkansas\u003C\/a\u003E\u003C\/span\u003E","Arkansas Blue Cross Blue Shield"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"California\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-california\"\u003ECalifornia\u003C\/a\u003E\u003C\/span\u003E","Blue Cross Blue Shield California"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Colorado\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-colorado\"\u003EColorado\u003C\/a\u003E\u003C\/span\u003E","Kaiser Foundation"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Connecticut\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-connecticut\"\u003EConnecticut\u003C\/a\u003E\u003C\/span\u003E","Emblem Health"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Delaware\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-delaware\"\u003EDelaware\u003C\/a\u003E\u003C\/span\u003E","Highmark"],["District of Columbia","Carefirst Inc."],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Florida\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-florida\"\u003EFlorida\u003C\/a\u003E\u003C\/span\u003E","Guidewell Mutual Health"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Georgia\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-georgia\"\u003EGeorgia\u003C\/a\u003E\u003C\/span\u003E","Centene Corp."],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Hawaii\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-hawaii\"\u003EHawaii\u003C\/a\u003E\u003C\/span\u003E","Hawaii Medical Service"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Idaho\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-idaho\"\u003EIdaho\u003C\/a\u003E\u003C\/span\u003E","Blue Cross of Idaho"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Illinois\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-illinois\"\u003EIllinois\u003C\/a\u003E\u003C\/span\u003E","Health Care Service Corp."],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Indiana\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-indiana\"\u003EIndiana\u003C\/a\u003E\u003C\/span\u003E","Caresource"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Iowa\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-iowa\"\u003EIowa\u003C\/a\u003E\u003C\/span\u003E","Wellmark Inc."],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Kansas\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-kansas\"\u003EKansas\u003C\/a\u003E\u003C\/span\u003E","Blue Cross Blue Shield of Kansas"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Kentucky\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-kentucky\"\u003EKentucky\u003C\/a\u003E\u003C\/span\u003E","Anthem Inc."],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Louisiana\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-louisiana\"\u003ELouisiana\u003C\/a\u003E\u003C\/span\u003E","Louisiana Medical Serv"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Maine\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-maine\"\u003EMaine\u003C\/a\u003E\u003C\/span\u003E","Maine Comm Health Options"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Maryland\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-maryland\"\u003EMaryland\u003C\/a\u003E\u003C\/span\u003E","Carefirst Inc."],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Massachusetts\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-massachusetts\"\u003EMassachusetts\u003C\/a\u003E\u003C\/span\u003E","Tufts"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Michigan\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-michigan\"\u003EMichigan\u003C\/a\u003E\u003C\/span\u003E","Blue Cross Blue Shield of Michigan"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Minnesota\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-minnesota\"\u003EMinnesota\u003C\/a\u003E\u003C\/span\u003E","HealthPartners"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Mississippi\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-mississippi\"\u003EMississippi\u003C\/a\u003E\u003C\/span\u003E","Centene Corp."],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Missouri\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-missouri\"\u003EMissouri\u003C\/a\u003E\u003C\/span\u003E","Cigna Health"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Montana\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-montana\"\u003EMontana\u003C\/a\u003E\u003C\/span\u003E","Montana Health Cooperative"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Nebraska\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-nebraska\"\u003ENebraska\u003C\/a\u003E\u003C\/span\u003E","Medica"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Nevada\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-nevada\"\u003ENevada\u003C\/a\u003E\u003C\/span\u003E","UnitedHealth"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"New Hampshire\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-new-hampshire\"\u003ENew Hampshire\u003C\/a\u003E\u003C\/span\u003E","Anthem Inc."],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"New Jersey\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-new-jersey\"\u003ENew Jersey\u003C\/a\u003E\u003C\/span\u003E","Blue Cross Blue Shield of New Jersey"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"New Mexico\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-new-mexico\"\u003ENew Mexico\u003C\/a\u003E\u003C\/span\u003E","Molina Health Care Inc."],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"New York\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-new-york\"\u003ENew York\u003C\/a\u003E\u003C\/span\u003E","Mulberry Health"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"North Carolina\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-north-carolina\"\u003ENorth Carolina\u003C\/a\u003E\u003C\/span\u003E","Blue Cross Blue Shield of North Carolina"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"North Dakota\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-north-dakota\"\u003ENorth Dakota\u003C\/a\u003E\u003C\/span\u003E","Noridian Mutual Insurance Co."],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Ohio\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-ohio\"\u003EOhio\u003C\/a\u003E\u003C\/span\u003E","Medical Mutual of Ohio"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Oklahoma\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-oklahoma\"\u003EOklahoma\u003C\/a\u003E\u003C\/span\u003E","Health Care Service Corp."],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Oregon\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-oregon\"\u003EOregon\u003C\/a\u003E\u003C\/span\u003E","Providence Health"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Pennsylvania\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-pennsylvania\"\u003EPennsylvania\u003C\/a\u003E\u003C\/span\u003E","Independence Blue Cross"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Rhode Island\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-rhode-island\"\u003ERhode Island\u003C\/a\u003E\u003C\/span\u003E","Neighborhood Health Plan of Rhode Island"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"South Carolina\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-south-carolina\"\u003ESouth Carolina\u003C\/a\u003E\u003C\/span\u003E","Blue Cross Blue Shield of South Carolina"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"South Dakota\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-south-dakota\"\u003ESouth Dakota\u003C\/a\u003E\u003C\/span\u003E","Wellmark Inc."],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Tennessee\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-tennessee\"\u003ETennessee\u003C\/a\u003E\u003C\/span\u003E","Blue Cross Blue Shield of Tennessee"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Texas\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-texas\"\u003ETexas\u003C\/a\u003E\u003C\/span\u003E","Health Care Service Corp."],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Utah\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-utah\"\u003EUtah\u003C\/a\u003E\u003C\/span\u003E","IHC Inc."],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Vermont\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-vermont\"\u003EVermont\u003C\/a\u003E\u003C\/span\u003E","Blue Cross Blue Shield of Vermont"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Virginia\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-virginia\"\u003EVirginia\u003C\/a\u003E\u003C\/span\u003E","Cigna Health"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Washington\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-washington\"\u003EWashington\u003C\/a\u003E\u003C\/span\u003E","Kaiser Foundation"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"West Virginia\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-west-virginia\"\u003EWest Virginia\u003C\/a\u003E\u003C\/span\u003E","Highmark"],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Wisconsin\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-wisconsin\"\u003EWisconsin\u003C\/a\u003E\u003C\/span\u003E","Common Ground Healthcare Corp."],["\u003Cspan\u003E\u003Ca class=\"ShortcodeLink--root ShortcodeLink--black\" title=\"Wyoming\" href=\"https:\/\/www.valuepenguin.com\/best-cheap-health-insurance-wyoming\"\u003EWyoming\u003C\/a\u003E\u003C\/span\u003E","Blue Cross Blue Shield of Wyoming"]],"footnote":"","hasMarginBottom":true,"isExpandable":true,"isSortable":false,"maxWidth":"1215","showSearch":false,"sortColumnIndex":0,"sortDirection":"asc"}

Health insurance company rankings by revenue

Along with membership, the size of a health insurance company can be broken down by the amount of revenue it generates. Revenue is created in a health insurance company by the premiums it charges, the number of policies it writes, the services it sells and the number of businesses it operates in.

Based on our analysis, UnitedHealthcare Group was the largest health insurance company, with a total revenue of over $118 billion during 2019. This made the insurer the largest company by both covered lives and by revenue. Interestingly, although Anthem is the second-largest health care company by membership, it was only the third-largest by revenue.

Rank
Company
Revenue ($bn)
1UnitedHealthcare Group$118
2Kaiser Permanente$110
3Anthem$90
4Centene$79
5Humana$63
6HCSC$39
7CVS$27
8Molina$17
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Methodology

Largest company market share was pulled using the S&P intelligence platform market share tool. Additionally revenue figures for 2019 were found using the same analysis.

Sterling Price

Sterling Price is a research analyst at ValuePenguin specializing in health and life insurance. He graduated from Syracuse University with a bachelors degree in Finance and Accounting and has previous experience as a licensed life insurance representative.

Editorial Note: The content of this article is based on the author’s opinions and recommendations alone. It has not been previewed, commissioned or otherwise endorsed by any of our network partners.