Best Health Insurance Companies In New York
After 15 years in the health insurance field and 12 years in New York, I’ve seen Aetna consistently offer great value in healthcare coverage. Their plans are affordable and come with solid benefits.
New Yorkers pay an average of $740 per month for an Aetna Silver plan, though rates can fluctuate. A 40-year-old, for instance, might pay about $600.
Aetna’s vast provider network and extras like CVS Health discounts enhance its appeal. They also have a lower-than-average complaint rate, showing strong customer satisfaction.
Best Health Insurance Companies In New York 2025
Compare The Best Health Insurance Companies In New York
| Overall Rating | Best Suited For | J.D. Power Rating | AM Best Rating | Online Buying Experience | |
|---|---|---|---|---|---|
| Aetna |
|
Best Overall |
616 |
A (Excellent) |
9.7/10 |
| Blue Cross/Blue Shield |
|
Best PPO/HMO Plans |
593 |
A (Excellent) |
9.5/10 |
| Humana |
|
Best Provider Network |
582 |
A- (Excellent) |
9.6/10 |
| Cigna |
|
Best Policyholder Service |
581 |
A (Excellent) |
9.7/10 |
| MetLife |
|
Best Add-On Coverages |
N/A |
A+ (Superior) |
9.5/10 |
Best Health Insurance Companies in New York2025
Best Overall
Key Statistics
Why We Like Them
⇅Aetna is New York’s top choice for health insurance, thanks to its affordability, broad provider network, and comprehensive coverage. It’s a reliable option for individuals, families, and employers.
Offering HMOs, PPOs, and EPOs, Aetna accommodates diverse healthcare needs. It also includes wellness and telehealth services for added convenience.
With the CVS Health partnership, Aetna policyholders enjoy discounts on prescriptions and wellness programs, making quality healthcare more affordable.
Benefits & Drawbacks
⇅- Budget-friendly options compared to many competitors.
- A diverse set of providers across all regions of New York.
- Lower prescription prices available through CVS partnerships. ✓
- A referral is often needed for specialist visits in some plans.
- Limited selection of short-term medical insurance plans.
- Expect longer wait periods for customer service during times when they receive a lot of calls. ✘
Best PPO-HMO Plans
Key Statistics
Why We Like Them
⇅Blue Cross Blue Shield (BCBS) of New York is a top choice for those seeking a variety of PPO and HMO plans with strong in-network coverage. Their extensive network provides access to healthcare across New York and the U.S., making them ideal for individuals who need flexibility.
BCBS New York offers comprehensive health plans with different deductible and co-pay options. Many plans include telemedicine, wellness programs, and chronic disease management. PPO plans offer more provider choices, while HMOs are a budget-friendly option.
For frequent travelers or those needing nationwide care, BCBS’s BlueCard® program ensures coverage across multiple states, making it an excellent choice for those seeking broad healthcare access.
Benefits & Drawbacks
⇅- The BlueCard® initiative allows you to have access anywhere in the country.
- Plans featuring flexibility with PPO and HMO options.
- Known for having a solid system for claims and providing great help to customers. ✓
- Higher rates in relation to some of our competition.
- Certain low-priced plans restrict access to a smaller range of healthcare professionals.
- Expenses can be high when you seek treatment from providers outside of your plan. ✘
Best Provider Network
Key Statistics
Why We Like Them
⇅Humana is a top health insurance provider in New York for those who want extensive provider access. Their plans cover a wide range of hospitals, specialists, and primary care doctors, ensuring in-network access to quality care.
Medicare Advantage is where Humana excels, making them a favorite among seniors. Their employer-sponsored plans also include wellness programs and preventive care incentives. The Value-Based Care model lowers costs by focusing on proactive health management.
Although individual plan choices are somewhat restricted, Humana’s Medicare and employer plans are among New York’s best, especially for seniors and employees.
Benefits & Drawbacks
⇅- With a large selection of providers, out-of-network challenges are diminished.
- Solid Medicare Advantage plan choices available.
- Well-rounded wellness and health protection efforts. ✓
- Individual health insurance plans are not readily available.
- A few plans have premiums that are above what you'd typically expect.
- Often, customer service doesn’t reply as quickly as one would hope. ✘
Best Policyholder Service
Key Statistics
Why We Like Them
⇅Cigna stands out in New York for its strong customer support and fast claims processing. Their digital tools make policy management easy, and their service team is always available to assist members.
With extensive health coverage that includes worldwide emergency care, Cigna is perfect for those who travel often. They also offer excellent mental health benefits, ensuring members have access to essential behavioral healthcare.
For New Yorkers seeking reliable service and smooth claims handling, Cigna is a top option.
Benefits & Drawbacks
⇅- Quality assistance for customers and help with claims.
- Sound mental wellness and the advantages of remote healthcare.
- Global services designed for frequent flyers. ✓
- Certain plans could require you to pay more from your own money.
- For individuals, the expenses of PPO plans can add up quickly.
- Self-employed professionals have a narrower range of plans to pick from. ✘
Best Add-On Coverages
Key Statistics
Why We Like Them
⇅MetLife offers a variety of supplemental insurance plans, including dental, vision, disability, and additional health coverage. While not a full health insurer, they specialize in add-ons that complement existing policies.
Their plans provide extra financial security by covering medical expenses that standard insurance might leave out. MetLife’s supplemental options help reduce out-of-pocket costs.
For individuals and families looking to enhance their current health benefits, MetLife’s offerings are a reliable choice.
Benefits & Drawbacks
⇅- Fitting for complementary coverage necessities.
- Respected for its dependable financial status.
- Accessible pricing for ancillary insurance policies. ✓
- Few alternatives for essential health insurance coverage.
- Not as varied as the options provided by full-service companies
- Some add-ons may require a certain amount of time before their advantages are available. ✘
How Much Does Health Insurance Cost In New York?
The cost of health insurance in New York varies by age, region, and plan selection. In 2025, the average monthly premium for a Silver plan is $722, with Bronze plans at $570 and Gold plans at $920. Catastrophic plans, suited for younger, healthy individuals, average $375 per month.
A 40-year-old might pay about $600 for a Silver plan. Costs can be reduced through employer-sponsored plans, subsidies, and marketplace discounts. Many New Yorkers qualify for ACA assistance.
Average Cost By Coverage Level
Health insurance pricing in New York is based on the plan tier you choose. Options include Bronze, Silver, Gold, and Platinum, each with its own balance of premium payments and out-of-pocket costs.
Bronze plans come with the lowest monthly rates but require more out-of-pocket spending, while Platinum plans have the highest premiums but provide the most coverage. Below is an overview of the average premium costs per plan.
| Coverage Level | Average Monthly Premium |
| Bronze | $570 |
| Silver | $722 |
| Gold | $920 |
| Platinum | $1,020 |
Average Cost By Family Size
Health insurance in New York isn’t one-size-fits-all—its cost depends on the number of people enrolled. Individual plans have lower premiums, but costs rise as dependents are added. Family plans, which cover spouses and children, are priced according to household size. Below is an outline of typical monthly premiums.
| Family Size | Average Monthly Premium |
| Individual (Single Adult) | $600 |
| Couple (Two Adults) | $1,196 |
| Family of Three | $1,798 |
| Family of Four | $2,398 |
| Family of Five | $2,998 |
Average Cost Of Health Insurance Plans By City
The price of health insurance in New York is not the same everywhere. Location plays a big role, with city-specific costs influenced by local healthcare rates, insurance market competition, and public health factors. Below is a summary of Silver plan premiums in five major New York cities.
| City | Average Monthly Premium (Silver Plan) |
|
Syracuse |
$860 |
|
Rochester |
$718 |
|
Buffalo |
$670 |
|
Yonkers |
$965 |
|
New York City (Brooklyn) |
$958 |
Factors Affecting Health Insurance Costs In New York
- Age: Older individuals usually pay more because they require more medical care.
- Location: Premiums in cities are higher due to costly healthcare, while rural areas may have limited providers.
- Coverage Level: More benefits mean higher premiums.
- Family Size: The more dependents, the greater the cost.
- Tobacco Use: Smokers face increased insurance costs.
- Insurance Provider: Rates vary depending on the insurer.
Health Insurance Options In New York If You Have A Low Income
New Yorkers struggling with healthcare costs can benefit from a variety of programs designed to make coverage more affordable.
Medicaid – A state and federal program that helps low-income individuals get medical insurance at no or low cost.
CHIP – Provides children with health insurance if their family earns too much for Medicaid.
ACA Subsidies – Reduce insurance costs for qualifying low-income individuals.
FQHCs – Clinics that adjust costs based on what a patient can afford.
Charity Care – Hospitals sometimes offer financial aid to those without insurance.
Short-Term Health Plans – Temporary insurance with restricted benefits.
Taking advantage of these options can provide affordable healthcare for families and individuals.
How To Save On Health Insurance In New York
Choosing the most suitable plan, taking advantage of subsidies, and making cost-conscious healthcare choices can help New Yorkers lower their insurance expenses. Here’s how to reduce your overall costs.
- Consider an HDHP: These plans have lower monthly costs and can be combined with an HSA for tax-free savings.
- Shop Around for Plans: Comparing different policies ensures you get the best deal.
- Look Into ACA Assistance: Depending on income, you might qualify for premium reductions.
- Use Workplace Insurance: Employer-provided plans are usually the most affordable.
- Stick with In-Network Providers: This helps reduce out-of-pocket costs.
- Get Preventive Services: Most plans cover routine checkups, vaccines, and screenings at no cost.
- Request Generic Medications: They offer the same benefits as brand-name drugs but at a fraction of the price.
By making well-informed decisions, New Yorkers can enjoy excellent health coverage without high costs.
Cheapest Health Insurance Companies In New York
Finding a reasonably priced health insurance plan in New York requires looking at multiple providers. These five insurers offer some of the most affordable Silver plans, based on average premiums.
| Insurance Company | Average Monthly Premium (Silver Plan) |
| Blue Cross Blue Shield | $420 |
| MetLife | $480 |
| Humana | $458 |
| Aetna | $493 |
| Cigna | $500 |
FYI: These insurance rates are based on a 40-year-old individual’s estimated premium. Actual prices will vary depending on personal factors like age, location, and subsidy eligibility.
Want to save more? You may qualify for ACA subsidies, which help many New Yorkers pay less for health coverage.
How To Sign Up For A Health Insurance Policy
Health insurance enrollment in New York is hassle-free, but proper planning and deadline tracking are needed.
- Find Out Your Eligibility – See if you can get employer-based insurance, Medicare, Medicaid, or an ACA plan.
- Access the Marketplace – Register on the official website to view available plans.
- Compare Insurance Policies – Look at plan features, pricing, and in-network providers.
- Check for Discounts – You may qualify for ACA subsidies to lower costs.
- Select Your Plan – Choose the one that meets your healthcare and financial needs.
- Enroll – Complete the required paperwork and submit your application.
- Pay Your First Bill – Your coverage becomes active after making the first payment.
Certain life events, including job loss and marriage, can qualify you for special enrollment in a health insurance plan.
Health Insurance Coverage Levels
The four health insurance tiers provide different levels of affordability and benefits. New Yorkers can compare them to find the best plan for their situation.
Bronze Plan – Pay less each month but more when you need care. Ideal for those with minimal medical expenses.
Silver Plan – A good balance of cost and coverage, especially for those who qualify for savings.
Gold Plan – Costs more upfront but saves you money if you need regular doctor visits.
Platinum Plan – Most expensive but offers the best coverage for people with serious health conditions.
Your medical needs, available budget, and ability to handle unexpected costs should guide your plan selection.
Common Health Insurance Terms
With so many unfamiliar words, health insurance can be tricky. Here are some common terms New Yorkers should understand.
Premium – Your monthly payment to keep health insurance active.
Deductible – The amount you must pay before insurance contributes.
Copay – A small, set fee for doctor appointments or prescriptions.
Coinsurance – The percentage of medical costs you share with your insurer.
Out-of-Pocket Maximum – The most you’ll pay in a year before full coverage kicks in.
HMO – A plan with lower costs but requires referrals and in-network doctors.
PPO – A more flexible plan that comes with higher premiums.
Mastering these terms can make dealing with health insurance much simpler.
Our Methodology
Our Approach to Health Insurance Reviews in New York
We evaluate insurance providers using several essential criteria:
Price – We assess affordability by looking at premiums, deductibles, and costs.
Customer Feedback – We review satisfaction ratings and complaint records.
Claims Efficiency – We check how fast and smooth the claims process is.
Coverage Flexibility – We analyze benefits, provider choices, and plan variety.
Financial Security – We confirm whether insurers have strong financial backing.
Additional Perks – We include digital tools, rewards, and virtual healthcare services.
Quotes Analyzed
Years Of Industry Experience
Brands Reviewed
Research Hours
Sources
⇅- Health Insurance Plans. Aetna. https://www.aetna.com
- Health Insurance in Texas. Blue Cross Blue Shield. https://www.bcbstx.com
- Find Medicare Plans and Health Insurance. Humana. https://www.humana.com
- Health Insurance. Cigna. https://www.cigna.com
- Insurance and Employee Benefits. MetLife. https://www.metlife.com
About Bob Phillips
Related Content
How To Choose Health Insurance Health Insurance Options For The Self-Employed Cheap Renters Insurance In New York Best Life Insurance Companies In New York Small Business Insurance In New York Cheapest Car Insurance In New York Best Homeowners Insurance In New York Best Condo Insurance In New York Cheapest Home And Auto Insurance Bundles In New York Best Pet Insurance In New York