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USA
UShealth
insurance
rankings2024
AdeepdiveintoAmericans'opinionsonhealthinsurance
andwhattheyconsiderwhenselectingtheirinsuranceplans.
/business
2UShealthinsurancerankings2024ContentsYOUGOV
Contents
01Keytakeaways
02Americans'opinionsonhealthinsurance
03HowareAmericansgettingcoverage?
04Healthinsurancebrandrankings
05Methodology
3
UShealthinsurancerankings2024
Keytakeaways
Confusingcoverage:
Themajorityof
Americans(52%)saytheydon’tfully
understandtheirhealthinsurancecoverage.
Incomeeffect:
Higherincome
individualsaremore
likelytohaveemployer-sponsoredhealth
insurance(72%),whilelowerincomeindividualsaremorelikelyto
becoveredbyMedicare.
Thepriceyoupay:
ForAmericanswhouseindividualhealth
insuranceorAffordable
CareActplans,price
andpremiumsarethemostcommonfactors
takenintoconsiderationwhenselectingaplan.
Considerationking:
BlueCrossBlue
Shieldisthemost
consideredhealth
insurancebrandwith23.9%ofAmericans
whoownprivateinsuranceplansconsideringit.
Satisfactionleader:
eHealthhasthehighestlevelofSatisfaction
amongcustomers,withanetscoreof70.8.
Talktoaresearcher
Exploremoredata
4UShealthinsurancerankings2024YOUGOV
HowAmericansfeelabouthealthinsurance
5UShealthinsurancerankings2024
ThemajorityofAmericansdon’tfullyunderstandtheirhealthinsurancecoverage
Coverageconfusionbycurrentinsurer
52%
Agree:"Ihaveahardtimeunderstandingwhatmy
healthinsurancecovers"
"Ihaveahardtimeunderstandingwhatmyhealthinsurancecovers"
AARPMedicarePlansfromUnitedHealthcare
Aetna AnthemBlueCrossBlueCrossBlueShieldCigna
Humana
KaiserPermanenteUnitedHealthcare
"Ihaveahardtimeunderstandingwhatmyhealthinsurancecovers"
Age
18to2961%
30to44
56%
45to64
49%
65+
39%
6%
9%
18%9%
14%6%
3%
14%
46%46%46%
53%48%
52%48%48%
36%37%39%
49%
44%
42%
48%
38%
AgreeNeitheragreenordisagreeDisagree
Talktoaresearcher
Exploremoredata
YouGovProfiles:November2024.Eachgeneration:n>2,400.CurrentcustomersofAARPMedicarePlansfromUnitedHealthcare(n>325),Aetna(n>400),AnthemBlueCross(n>275),BlueCrossBlueShield(n>925),Cigna(n>250),Humana(n>375),KaiserPermanente(n>150),UnitedHealthcare(n>625).
6UShealthinsurancerankings2024
MostAmericanstendtobelievethathealthinsuranceisimportantandshouldbeprovidedbythegovernment
61%
Agree:"Beinginsuredforeverythingisimportant”
70%
Agree:"Thefederalgovernmentshouldmakesureeveryonehashealthinsurance"
"Thefederalgovernmentshouldmakesure
everyonehashealthinsurance"
Age
Age"Beinginsuredforeverythingisimportant"
18to2964%
30to44
63%
45to64
59%
65+
57%
18to2977%
30to44
73%
45to64
67%
65+
60%
YouGovProfiles:November2024.Age18-29(n>2,400),Age30-44(n>6,000),Age45-64(n>9,400),Age65+(n>9,900).
7UShealthinsurancerankings2024
Youngeradultsmorelikelytohaveaskepticalviewofinsurance
16%
Agree:"Insuranceisforunluckypeople"
43%
Agree:"IfIcouldgetawaywithit,I'dhavenoinsuranceatall"
"IfIcouldgetawaywithit,I'dhavenoinsuranceatall"
Age
Age"Insuranceisforunluckypeople"
18to2927%
30to44
23%
45to64
8%
65+
5%
18to2945%
30to44
46%
45to64
40%
65+
36%
YouGovProfiles:November2024.Age18-29(n>2,400),Age30-44(n>6,000),Age45-64(n>9,400),Age65+(n>9,900).
Talktoaresearcher
Exploremoredata
8UShealthinsurancerankings2024YOUGOV
HowareAmericans
gettingtheir
insurance,andwhy?
9UShealthinsurancerankings2024
Selectinghealthinsurance
provider
Americansaremostlikelytohavetheirinsurancethroughtheiremployer.
YouGovFinancialServicesCategoryView,March–October2024:Healthinsuranceplansowned.Genpop:n>22,000.
Multipleselectionsofinsuranceplansallowed.
YOUGOV
IndividualHealthInsurance
AffordableCareAct(ACA)MarketplacePlans(Obamacare)
TriCare
Whichofthefollowinghealthinsurance
plansdoyoucurrentlyhave?
Children'sHealthInsuranceProgram(CHIP)
Short-TermHealthInsurance
Employer-SponsoredHealthInsurance
Medicare
Medicaid
43%
40%
11%
18%
2%
3%
8%
1%
Talktoaresearcher
Exploremoredata
10UShealthinsurancerankings2024
Highincomeindividualsarelikelytohaveemployer-sponsoredhealthinsurance
Top5insuranceplansowned:Income
Rank
LowerIncome:<75%Median
MiddleIncome:75%to200%Median
HigherIncome:>200%Median
1
Medicare
Employer-SponsoredHealthInsurance
57%
Employer-SponsoredHealthInsurance
51%
72%
2
Medicaid
Medicare
Medicare
34%
35%
24%
3
Employer-SponsoredHealthInsurance
IndividualHealthInsurance
IndividualHealthInsurance
18%
11%
11%
4
ACA
Medicaid
9%
ACA
6%
10%
5
IndividualHealthInsurance
ACA
7%
Medicaid
4%
10%
YouGovFinancialServicesCategoryView,March–October2024:Healthinsuranceplansowned.Lowincome:n>7,300.Middleincome:n>10,500.Highincome:n>2,500.
11UShealthinsurancerankings2024
AmericanswithACAcoveragemorepricesensitivethanthosewithindividualhealthinsurance
Whatisimportanttoyouwhenchoosinganinsuranceprovider?
PriceandpremiumsPrescriptiondrugcoverageDeductibles
NetworkofhealthcareprovidersCopaymentsandcoinsurance Out-of-PocketmaximumCoverageoptions
CoveragelimitsandexclusionsPreventivecareandwellnessprograms CoverageforspecialservicesTelehealthservices
76%
72%
61%
63%
53%
63%
57%
59%
47%
58%
46%
55%
56%
52%
46%
45%43%
42%
35%38%
21%
22%
IndividualHealthInsuranceACA
Talktoaresearcher
Exploremoredata
YouGovFinancialServicesCategoryView,March–October2024:Importantfeaturesinhealthinsurance.Adults18+withindividualhealthcareplans:n>2,700.18+ACAplanholders:n>1,500.
12UShealthinsurancerankings2024
Americanswithindividualhealthinsurancearemore
likelytopayforadd-onsthanthosewithACAcoverage
Add-ons/Ridersinhealthinsurance
52%
Prescriptiondrugcoverage Dentalcoverage VisioncoverageWellnessprograms
MentalhealthcoverageAccidentcoverage
HospitalindemnitycoverageCriticalillnesscoverage MaternitycoverageChiropracticcare
44%
42%
35%
38%
30%
34%
26%
30%29%
30%
18%
23%
15%
23%
14%
12%10%
12%13%
IndividualHealthInsuranceACA
YouGovFinancialServicesCategoryView,March–October2024:Add-ons/Ridersinhealthinsurance.Adults18+withindividualhealthcareplans:n>2,700.18+ACAplanholders:n>1,500.
13UShealthinsurancerankings2024
Howdoclaimtypesdifferbyagegroup?
Insuranceclaimsmadeinthelast12months
86%
81%
75%
68%
56%
50%
43%
39%
36%
31%
23%
19%
6%
29%24%
25%20%
23%21%
45%
44%
45%
42%
25%
26%
24%
37%
33%
66%
50%
51%
57%
55%
52%
18%
PrescriptionmedicationDiagnostictestsand
imaging
EmergencycareservicesMentalhealthservices
PreventivecareSpecialistvisitsIllnesscarewithprimary
careprovider
18-29yearolds30-44yearolds45-64yearolds65andolderAll
Talktoaresearcher
Exploremoredata
YouGovFinancialServicesCategoryView,March–October2024:Healthinsuranceclaimsmadeinthelast12months.18-29yearolds:n>1,300.30-44yearolds:n>3,400.45-64yearoldsn>6,900.65+:n>10,200.
14UShealthinsurancerankings2024
Higherincomegroupsaremorelikelytomakeclaimsforpreventativecare
Insuranceclaimsmadeinthelast12months
65%65%66%
55%
47%46%
39%
33%
22%
18%18%
14%
44%44%
38%
38%
35%
34%
35%
18%
16%
PrescriptionmedicationDiagnostictestsand
imaging
EmergencycareservicesMentalhealthservices
PreventivecareSpecialistvisitsIllnesscarewithprimary
careprovider
uLowerincome:lessthan75%ofthemedianuMiddleincome:between75%and200%ofthemedianuHigherincome:higherthan200%ofthemedian
YouGovFinancialServicesCategoryView,March–October2024:Healthinsuranceclaimsmadeinthelast12months.Lowerincome:n>9,200.Middleincome:n>11,900.Higherincome:n>2,700.
15UShealthinsurancerankings2024
Introducing:
YouGovFinancial
ServicesCategoryView
Exploredetailedinsightsfromthefinancialservicessectorwithournewtool.
?Consumer:Navigatethedynamic
landscapeofconsumerfinancetrends,fromdatasharingtotechnology
preferences.
?Credit:Uncovervaluableinsightsinto
creditcardpreferenceanduptakeof
deferredpaymentservices,suchasBuyNowPayLater(BNPL).
?Insurance:Diveintothefeaturesthat
mattermosttoconsumersacrossdifferentinsurancetypesandunderstandthe
triggersforswitchinginsuranceproviders.
?Investment:Identifyandunderstandthebarrierspreventingpotentialinvestors
fromenteringthemarket.
Getstarted
16UShealthinsurancerankings2024YOUGOV
Healthinsurancebuzzand
impressionleaders
EvaluatinginsurancebrandbuzzandimpressionamongallAmericans
17UShealthinsurancerankings2024
Buzziestinsurancebrands:top10
Rank
Healthinsurancebrand
Netbuzzscore(genpop)
1
BlueCrossBlueShield
9.9
2
UnitedHealthcare
9.9
3
Humana
7.8
4
AARPMedicarePlansfromUnitedHealthcare
7.0
5
Aetna
5.7
6
Cigna
4.0
7
AnthemBlueCross
3.4
8
eHealth
2.8
9
BlueShieldofCalifornia
2.2
10KaiserPermanente1.6
YouGovBrandIndexUSA:November1,2023–October31,2024(Genpop:n>26,150).
Explorebrandtracking
Q:Overthepasttwoweeks,whichofthefollowinginsurancecarriershaveyouheardsomethingPOSITIVE/NEGATIVEabout(whetherinthenews,throughadvertising,ortalkingtofriendsandfamily)?
18UShealthinsurancerankings2024
Mostimproved:netbuzzscore
YOUGOV
2024
netbuzz(genpop)
2023
netbuzz(genpop)
Changein
netbuzz
(genpop)
Rank
Health
insurancebrand
1Aetna5.73.4+2.3
2
UnitedHealthcare
9.9
7.7
+2.2
3
Cigna
4.0
1.9
+2.1
4
Humana
7.8
6.3
+1.5
5
BlueCrossBlueShield
9.9
8.5
+1.4
YouGovBrandIndexUS:November1,2023–October31,2024vsNovember1,2022–October31,2023(Genpop:n>26,150).
Q:Overthepasttwoweeks,whichofthefollowinginsurancecarriershaveyouheardsomethingPOSITIVE/NEGATIVEabout(whetherinthenews,throughadvertising,ortalkingtofriendsandfamily)?
19UShealthinsurancerankings2024
Highestnetimpressionscores:top10
Rank
Healthinsurancebrand
Netimpressionscore(genpop)
1
BlueCrossBlueShield
24.8
2
UnitedHealthcare
16.0
3
Aetna
10.9
4
Humana
10.1
5
AARPMedicarePlansfromUnitedHealthcare
9.3
6
AnthemBlueCross
7.7
7
Cigna
6.9
8
BlueShieldofCalifornia
3.3
9
eHealth
3.2
10KaiserPermanente2.4
YouGovBrandIndexUS:November1,2023–October31,2024(Genpop:n>26,150).
Q:Overall,ofwhichofthefollowinginsurancecarriersdoyouhaveaPOSITIVE/NEGATIVEimpression?
Explorebrandtracking
20UShealthinsurancerankings2024
Mostimproved:netimpressionscore
YOUGOV
2024netimpression (genpop)
2023netimpression (genpop)
Changein
netimpression
(genpop)
Rank
Health
insurancebrand
1Aetna5.73.4+2.3
2
UnitedHealthcare
9.9
7.7
+2.2
3
Cigna
4.0
1.9
+2.1
4
Humana
7.8
6.3
+1.5
5
BlueCrossBlueShield
9.9
8.5
+1.4
YouGovBrandIndexUS:November1,2023–October31,2024vs.November1,2022–October31,2024.(Genpop:n>26,150).
Q:Overall,ofwhichofthefollowinginsurancecarriersdoyouhaveaPOSITIVE/NEGATIVEimpression?
21UShealthinsurancerankings2024YOUGOV
Healthinsuranceconsiderationandintentleaders
EvaluatingconsiderationandintentamongAmericanswithprivate
insurancecoverage
22UShealthinsurancerankings2024
Mostconsideredinsurer:top10
RankHealthinsurancebrand%ofprivateplanownersconsidering
1
BlueCrossBlueShield
23.9%
2
UnitedHealthcare
19.3%
3
Humana
17.0%
4
Cigna
14.3%
5
Aetna
14.2%
6
AnthemBlueCross
10.5%
7
AARPMedicarePlansfromUnitedHealthcare
9.1%
8
KaiserPermanente
5.9%
9
BlueShieldofCalifornia
4.5%
10eHealth1.2%
YouGovBrandIndexUS:November1,2023–October31,2024(Privateplanowners:n>700).
Q:Whenyouareinthemarketnexttoacquireanewinsurancepolicy,fromwhichofthefollowingwouldyouconsideracquiringanewpolicy?
Explorebrandtracking
23UShealthinsurancerankings2024
Highestpurchaseintent:top10
Rank
Healthinsurancebrand
Purchaseintent(%ofprivateplanowners)
1
BlueCrossBlueShield
10.2%
2
UnitedHealthcare
5.4%
3
Humana
5.1%
4
Aetna
4.1%
5
AnthemBlueCross
3.3%
6
AARPMedicarePlansfromUnitedHealthcare
2.9%
7
Cigna
2.8%
8
KaiserPermanente
1.5%
9
BlueShieldofCalifornia
0.8%
10eHealth0.1%
YouGovBrandIndexUS:November1,2023–October31,2024(Privateplanowners:n>700).
Q:Fromwhichof[thebrandsyouselectedforyourconsiderationset]wouldyoubemostlikelytoacquireanewpolicy?
Explorebrandtracking
24UShealthinsurancerankings2024YOUGOV
Healthinsurance
customer
satisfactionleaders
Evaluatingcustomersatisfaction
amongcurrentandformercustomersofeachbrand
25UShealthinsurancerankings2024
Mostsatisfiedcustomers:top10
Rank
Healthinsurancebrand
Netcustomersatisfactionscore
1
eHealth
70.8
2
AARPMedicarePlansfromUnitedHealthcare
61.7
3
Humana
43.9
4
KaiserPermanente
39.5
5
UnitedHealthcare
39.1
6
BlueCrossBlueShield
38.8
7
BlueShieldofCalifornia
37.3
8
Aetna
34.8
9
AnthemBlueCross
32.8
10Cigna31.4
YouGovBrandIndexUS:November1,2023–October31,2024(Currentandformercustomers:n>500).
Q:Ofwhichofthefollowinginsurancecarrierswouldyousaythatyouarea“SATISFIED/DISSATISFIEDCUSTOMER”?
Explorebrandtracking
26UShealthinsurancerankings2024
Mostimproved:netsatisfaction
score
YOUGOV
2
Cigna
31.4
21.7
+9.7
3
KaiserPermanente
39.5
30.5
+9.0
4
Aetna
34.8
31.2
+3.6
5
UnitedHealthcare
39.1
35.9
+3.2
1BlueShieldofCalifornia37.325.2+12.1
2024
Customer
satisfaction
netscore
2023
Customer
satisfaction
netscore
Changein
customer
satisfaction
netscore
RankHealthinsurancebrand
YouGovBrandIndexUS:November1,2023–October31,2024vs.November1,2022–October31,2023.
(Currentandformercustomers:n>500).
Q:Ofwhichofthefollowinginsurancecarrierswouldyousaythatyouarea“SATISFIED/DISSATISFIEDCUSTOMER”?
27
UShealthinsurancerankings2024
Buildacomplete
pictureofyourbrand
GainadeepunderstandingofyourbrandhealthandperformanceagainsttopcompetitorsinyourindustrywithYouGov'sbrandandcampaigntrackingsolutions.
Trackkeymetrics,measurecampaigneffectiveness,andaccessreal-timeinsightsintowhatpeoplethink,feel,andsayaboutyourbrand.
Explorebrandtracking
28UShealthinsurancerankings2024
Methodology
Theinsightsinthisreporthavebeensourcedviasyndicateddatasets
YouGovProfiles
,
YouGovCategoryView,
and
YouGovBrandIndex
.
TheconsumerinsightsinthisreportaresourcedviaYouGovProfilesand
YouGovFinancialServicesCategoryView,whilethebrandrankingscomefromYouGovBrandIndex.
TheattitudestatementsattheonsetofthereportcomefromYouGovProfiles,representinga52-weekrollingaverageofconsumerviewsdatingbackto
November2023.
ThehealthinsuranceusageandclaimsdataweredrawnfromYouGovFinancialServicesCategoryView,withthereferenceddatacollected
continuouslyfromMarchthroughtoOctober2024.ThetargetgroupincludesAmericanswhoare18+andfiltersfurtherbasedonagerange,incomelevels,andhealthinsurancecoverage.
Thehealthinsuranceb
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