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Top 10 Medicare Supplement Insurance Companies in 2022


When shopping around for a Medicare Supplement (Medigap) policy in 2022, it’s helpful to be familiar with the top 10 Medicare insurance companies. Whether you’re new to Medicare or are now considering supplemental coverage a few years after enrolling, we provide the information you need to make the best decision possible.

For a Medigap insurance company to be considered the best, we consider several elements. This includes consumer reports, AM Best rating, Standard and Poor (S&P) rating, and the company’s number of years in the market. Knowing about a carrier’s reputation will help when comparing Medigap rates to find the best plan for you.

Top 10 Supplemental Medicare Insurance Companies in 2022

  1. Mutual of Omaha – Best Overall
  2. Aetna – High-Quality Nationwide Availability
  3. Cigna – Superior Customer Care
  4. United American – Best Enrollment Experience
  5. Capitol Life – Competitive Premium Cost Nationwide
  6. UnitedHealthcare – Best Underwriting Process
  7. Manhattan Life – Best Website Experience
  8. Humana – Best Value
  9. Blue Cross Blue Shield – Best Mobile App
  10. Bankers Fidelity – Best Senior Experience

Medicare Supplement plans are standardized. This means no matter which company you choose to enroll with, all plan benefits are the same across carriers. However, making sure you enroll with a reputable company is just as important as finding the right plan. You want to be sure your carrier has a history of paying claims properly, providing great customer service, and low rate increases over time.

In the case of Medicare Supplement plans, many factors affect what you’ll pay each month. Demographic information – such as age, location, and tobacco use – affect Medigap premium prices. Indeed, the carrier offering the plan also influences rates across the board. It is important to know where each carrier stands premium-wise, hence the importance of reviewing multiple companies at once.

Each of the top 10 Medicare Supplement carriers on the list above is a private insurance company, which is the only type of entity that offers Medigap policies. Due to the impact the company you choose has for your Medigap plan, researching carrier options is crucial.

Mutual of Omaha: Best Overall Medicare Insurance Company

It’s clear why Mutual of Omaha is at the top of our list. This company has an A+ rating with AM Best and an AA- rating with S&P. Established in 1909, Mutual of Omaha has been a household name for over a century. They pay 98% of Medicare claims within 12 hours, saving clients the hassle of worrying about claim status.

Plus, when using Mutual of Omaha as a Medicare insurance company, you receive various policy options. Aside from Medicare Supplement plans, Mutual of Omaha offers Medicare Part D prescription drug plans, dental coverage, and long-term care insurance – to name a few of their products. Also, household discounts make it beneficial to choose MOO if your spouse already has an active Medigap policy with this company.

Aetna: Widely Available Medicare Insurance Company

Founded in 1853, Aetna proves to be one of the most established insurance companies, nationwide. Over 39 million customers rely on Aetna for health care coverage, including Medicare beneficiaries. When rated, the company earned an A from AM Best and an A+ from S&P. Thus, proving to be a top carrier all around.

As a Medicare insurance company, Aetna offers top Medigap plans in 49 of 50 states. These plans offer major benefits, such as a 12-month rate lock guarantee, household discounts in many of the 49 states they are available, and 30-day free look protection.

Cigna: Best Customer Service From a Medicare Insurance Company

The Insurance Company of North America (INA) began in 1792 as the United States first stockholder-owned insurance company. INA would eventually become the company we know today as Cigna, one of the most renowned health insurance carriers nationwide. Rated as an A company by AM Best and S&P, Cigna has proven themselves a worthy Medicare insurance company.

As a Medicare insurance company, Cigna offers all of the top Medigap plans and a spectacular dental, vision, and hearing plan option for Medicare beneficiaries. Cigna also offers spousal and household discounts in many states nationwide. One of Cigna’s top perks, however, is its top-rated customer service department.

United American: Best User Experience for a Medicare Insurance Company

United American Insurance Company began in 1947 and started offering Medicare insurance options in 1966 . Currently, the company maintains an A+ rating from AM Best and has done so for over 40 years. However, S&P’s rating for United American is AA-.

United American offers many top Medicare Supplement plans but is most well-known for its Medicare Supplement High Deductible Plan F and High Deductible Plan G policies. A key reason why many beneficiaries enroll with United American is their two-year policy anniversary rule. This rule allows those who enrolled in a high-deductible plan to switch to the standard version of their plan on the two-year anniversary of the policy with no underwriting health questions.

Capitol Life: Most Widely Affordable Medicare Insurance Company

Capitol Life is an American insurance company founded in 1905, specializing in Medicare supplements and life insurance. The company proves to be highly successful insurance company receiving an A- rating by AM Best and an A rating by S&P. After over a century in business, Capitol Life continues to be a reliable Medicare insurance company.

Capitol Life is committed to bringing low-cost Medicare supplements to as many beneficiaries possible.

UnitedHealthcare: Simplest Medicare Insurance Company Underwriting Process

UnitedHealthcare has been providing Medicare beneficiaries with Medigap options since the late 1970s. As one of the top two largest insurance companies in the country, UnitedHealthcare is an excellent option when searching for a Medicare insurance company.

UnitedHealthcare is rated as an A company by AM Best and an A+ company by S&P. These ratings are an accurate representation of the company overall. With one of the simplest Medicare Supplement underwriting processes, UHC provides quality health care to Medicare beneficiaries nationwide.

Manhattan Life: Best Website Experience From a Medicare Insurance Company

Manhattan Life has been insuring Americans for over 170 years. As one of the longest continuously operating insurance companies in the U.S., Manhattan life continues to satisfy policyholders. Manhattan life holds a B++ rating from AM Best and an A rating from S&P.

Manhattan Life offers five Medigap plans and a comprehensive dental, vision, and hearing plan available to all beneficiaries. The company is a successful Medicare insurance company with 30+ years of experience. Manhattan Life is dedicated to progressing their technology for an easier user experience.

Humana: Best Value Medicare Insurance Company

Humana insurance company has been providing Americans with health care coverage since 1961. Rated as an A- company by AM Best and a B++ company by S&P, Humana prides itself on affordable health care for all enrollees.

As a top-rated Medicare insurance company, Humana offers policyholders various additional benefits. These benefits include SilverSneakers memberships in 47 states and 24/7 access to telehealth doctors.

Blue Cross Blue Shield: Best Medicare Insurance Company Mobile App

Blue Cross Blue Shield has been a prominent insurance company since 1929. Receiving an A rating from AM Best and a B rating from S&P, BCBS is one of the most highly recognized Medicare insurance companies.

Blue Cross Blue Shield focuses on on customer satisfaction. The company offers typical Medigap plans and plans that bundle dental, vision, and hearing coverage. One of their best assets is an easy-to-use mobile app for customers to track their claim histories and payments.

Bankers Fidelity: Highest Rated Senior Experience with a Medicare Insurance Company

Bankers Fidelity has been serving Seniors on Medicare for over 65 years. With an A- rating from both AM Best and S&P, Bankers Fidelity continues to be a successful Medicare insurance company.

Choosing the Best Medicare Supplement Company for You

The policy with the lowest premium rate when enrolling isn’t necessarily the best policy for you in the long run. Although the monthly premium is an important factor when enrolling in a Medicare Supplement plan, it shouldn’t be the only factor you consider.

It’s crucial to think about your future experience with the company when enrolling. In some cases, you can be stuck in your plan due to health issues that will not allow you to pass underwriting health questions. If this is the case, you want to be sure your plan will stand the test of time.

Overall, you’ll benefit from selecting a policy from an established company. The insurance companies that you choose are just as important as the standardized Medigap plan in which you choose to enroll.

How to Choose the Top Medicare Supplement Company in Your Area

While every top carrier is competitive, not every carrier is right for you. There are many top-rated Medicare Supplement companies to choose from in 2022, and when you speak with one of our Medicare experts, we do our best to help you make the right decision.

Our agents can access the most popular Medigap plans for you! So, instead of calling each company for a quote, our agents can help you explore all your options at the same time. If you are considering buying a Medicare Supplement plan, call our agents at the number above to get the best coverage in your area.

Don't have time to call today? Fill out an online rate comparison form, and an agent will call you to discuss the top Medicare Supplement companies in your area.

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Jagger Esch

Jagger Esch is the Medicare expert for MedicareFAQ and the founder, president, and CEO of Elite Insurance Partners and MedicareFAQ.com. Since the inception of his first company in 2012, he has been dedicated to helping those eligible for Medicare by providing them with resources to educate themselves on all their Medicare options. He is featured in many publications as well as writes regularly for other expert columns regarding Medicare.

25 thoughts on “Top 10 Medicare Supplement Insurance Companies in 2022

  1. I will be 65 in November and am looking at Medigap plans. When I initially enroll in a Medigap plan during my enrollment eligibility period, will I need to go through underwriting? Does underwriting apply if I change plans during a subsequent enrollment period? Does underwriting apply to Medicare Advantage plans?

    1. Susan, when you initially enroll in a Medigap plan during your Medicare Supplement Open Enrollment Period, you will not need to go through underwriting. This is your once in a lifetime chance to enroll in the plan of your choice regardless of your health. If you decide to change plans, you can do so up to six months after your 65th birthday without medical underwriting.

  2. What insurance company is noted for low / steady increases in their premiums historically between Aetna and Aarp UnitedHealth Care. I live in Ohio and is community rated better then attained?

    1. Carol, Aetna and AARP are both great supplemental carriers. Depending on your zip code, premium prices could differ. If you are interested in the exact rates for your area, our licensed agents can help give you those quotes. Fill out our rate form to compare!

  3. What are your thoughts on UnitedHealthcare AARP? I’m currently with them as an Advantage PPO plan. I understand I can switch to a Plan F or G, correct?

    1. Ana, each carrier has different strengths and the best way to find the right carrier for you is to determine your individual needs with a licensed agent. Changing from a Medicare Advantage Plan can only be done during an enrollment period. If you plan on changing to a Medigap, you would generally need to pass underwriting health questions. To be sure of your eligibility, complete our online form to speak with a licensed agent.

  4. No mention of premiums. Mutual of Omaha raises their rates annually and they are crooks. Mine stared at $97/mo at 65 increases amount to at $174/mo at 69. Large increases last two years 2020 increased by $34/mo now for 2021 increased by $28/mo these increases are alot. From the $97/mo to the $174/mo in four years. Take a look at those rates when you rate these insurance companies.

    1. Hi Charlotte! Thank you so much for sharing this information. This is very useful for others who are researching carriers. It’s important to keep in mind that rate increases are based on many different factors. It’s possible that you saw a rate increase this high, but others in a different state did not.

  5. I’m turning 65 in March and am domiciled in TX, but spend a lot of time in AZ. We get all our medical care in AZ. I signed up for Medicare part A and B. Both will be effective March 2021. I have 2 questions:
    1. Do I have to get a Medigap plan G in TX or can I choose to get one in AZ (especially considering issue-age pricing in AZ gives me better pricing especially long-term)?
    2. If I do have to sign up in TX, and I go with a company that offers plan G in both states (TX & AZ) can I at some point in the future if we change our domicile switch from the TX plan G to the AZ plan G without underwriting if is with the same company, i.e. just get new pricing?

    1. Hello Pa Le! Thank you for your question. 1) You’ll want to sign up in the state you do your taxes. 2) Most carriers will take the plan with you across state lines and the price will adjust over time accordingly. It’s important to go with a larger carrier, such as Mutual of Omaha, Aetna, or Cigna, to get this option. We have another FAQ article that goes over dual-residency for Medicare beneficiaries that provides additional information. I hope this helps!

      1. Thank you! One follow-up question: If I move from one state (TX) where I have a plan G to another state (AZ), can a get a new Plan G in AZ WITHOUT Medical underwriting? I.e. Does an out-of-state move give me Guaranteed Issue rights for a plan G?

      2. You’re welcome! Since Medigap plans travel with you, you would not need to change plans because you moved. Your plan will travel with you from Texas to Arizona. However, you may be able to find a lower rate for the same plan with a different carrier. You can compare rates when you move, but you would have to go through medical underwriting. If you’re overall healthy, you shouldn’t have an issue with switching carriers.

  6. Two questions: (1) Can companies that offer supplement plans deny enrollment on the basis of pre-existing conditions? (2) I am thinking of switching from my Plan J (no longer offered) to a different plan. Is it still true that i can get a plan with the same or fewer benefits, but not one with more benefits? I have had original medicare since 2005. Thanks.

    1. Hi Mary! Thank you for your questions! 1) Yes, supplement companies can deny you coverage due to pre-existing conditions when enrolling outside of your Medigap Open Enrollment Period. 2) Plan J was discontinued because it essentially was the same plan as Plan F, which is the plan that offers the most benefits. You’re eligible to switch to Plan F or any other plan of your choice. However, unless you have state-specific rules that apply to Plan J, you will still have to answer health questions to switch to a different Medigap plan. You could be denied coverage due to a pre-existing condition. Keep in mind, not all carriers will deny you for the same reasons. Just because one carrier denied your coverage doesn’t mean all of them will. I would recommend giving us a call. We can pull all the plans in your area and determine if any pre-existing conditions you have will impact your approval odds. You may find that Plan F has a lower premium than your current Plan J.

  7. I am thinking of having knee replacement surgery. Right now I’m just getting shots every 3 months. They don’t last that long but they do help. My insurance is Humana Choice (PPO). Do you or can you tell me what my out of pocket cost will be if I have the surgery. Or a ball park number. I live in Waco, Tx. I just left my DR.s office. We talked about it and he told me to think about it. If I opt not to have the surgery I can continue with the shots. I would like to have some idea what it would cost me.

    1. Hi Diana! Humana Choice is an Advantage plan. The carrier is who determines how much you will pay out of pocket, it’s not standardized by the federal government like Medicare Supplement plans are. You will need to contact Humana directly to find out how much your out of pocket costs will be for knee replacement surgery. Unfortunately, there is no way for us to look it up for you.

  8. I know that many people still question is United Medicare Advisors a reputable company. Such rating may help better understand the market.

  9. My husband and I currently have Mutual of Omaha Plan G. Rates are going up 16%. Tried switching to Aetna. Was declined due to either my one med, flecainide or my ablation a year ago. Is there an insurance that we could get? Same plan but certainly lower premiums.

    1. Hi Judy! Some carriers will deny you for a reason that another carrier would not. Your best option is to give us a call so we can pull up all the carriers that offer Plan G in your area. Each carrier offers different plans in each state. Our agents will know which carriers will deny your policy for taking those medications & which carriers would approve your policy.

  10. Do these supplemental plans cover Milrinone since our Medicare plan has a $16.58 per day co-pay which we cannot afford

    1. Hi Cynthia! Is Milrinone administered at the doctors’ office? If so, that would probably be covered under Part B. I’m thinking the $16.58 is the 20% copay you’re left responsible for. If this is the case, then yes, a Medigap plan would cover that 20% copay. Any medication taken at home would be covered under Part D.

  11. My wife is 65 and will be as of 12/25/2018. we live in Idaho 6 months and Mississippi 6 months. Humana choice is what we currently have. half the time we are out of network with our insurance. looking for a F plan with 0 copay and deductible, could you please adise.

    1. Hi Jerry! This is a common issue with Medicare Advantage Plans. Regardless of the carrier you go with, all standard Plan F benefits will remain the same and have a $0 copay and deductible. The only difference will be the premium your carrier charges for the plan. You’ll have nationwide coverage, so you can use the plan in Idaho as well as Mississippi.

  12. My husband is retired military with Tricare for Life on both of us as secondary to our required by social security Medicare parts A&B. Who has the best supplement for us to cover dental, vision, hearing.

    1. Hi Joyce! That depends on many factors, like your location. If you give us a call, we’ll be able to collect the information needed to provide you with the carriers that offer dental, vision, and hearing in your area.

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