Best Health Insurance Companies In California

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Written by Bob Phillips
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With 15 years of experience in health insurance and over a decade in California, I’ve observed that Aetna stands out as a strong option for residents looking for comprehensive yet affordable health plans.

On average, Californians pay around $498 per month for an Aetna Silver plan, but rates vary based on factors like age and location. A 40-year-old, for instance, may pay about $508 monthly.

Aetna’s extensive provider network and extra perks, including CVS Health discounts, add value to its plans. Plus, they have a lower complaint rate than most competitors, showing their dedication to service.

Best Health Insurance Companies In California 2025

aetna
Best Overall - Aetna
blue cross
Best PPO/HMO Plans - Blue Cross / Blue Shield

Compare The Best Health Insurance Companies In California

Overall Rating Best Suited For J.D. Power Rating AM Best Rating Online Buying Experience
Aetna
4

Best Overall

616

A (Excellent)

9.7/10

Blue Cross/Blue Shield
3

Best PPO/HMO Plans

593

A (Excellent)

9.5/10

Humana
3

Best Provider Network

582

A- (Excellent)

9.6/10

Cigna
4

Best Policyholder Service

581

A (Excellent)

9.7/10

MetLife
3

Best Add-On Coverages

N/A

A+ (Superior)

9.5/10

Scroll to see comparisons

Best Health Insurance Companies in California 2025


Best Overall

Overall Rating
4

Key Statistics

9/10 Affordability
8/10 Customer Reviews
8/10 Claims
9/10 Coverage Level

Why We Like Them

Aetna ranks as the best overall health insurance provider in California, thanks to its combination of affordability, broad network, and strong coverage options. Its well-designed plans make it a reliable choice for individuals, families, and businesses.

Offering HMOs, PPOs, and EPOs, Aetna caters to diverse consumer needs. Additionally, its wellness initiatives and telehealth services enhance convenience and preventive care.

A key benefit of Aetna’s coverage is its collaboration with CVS Health, which allows policyholders to enjoy prescription savings and wellness perks while keeping their premiums reasonable.

Benefits & Drawbacks

Benefits
  • More budget-friendly premiums than rival providers.
  • A large network of professionals available all over Texas.
  • CVS collaborations offer price reductions on medications.
Drawbacks
  • Some health plans ask for a referral before you can visit a specialist.
  • Limited options available for temporary health coverage.
  • Expect longer delays in customer service wait times when it’s a high-traffic period.

Best PPO-HMO Plans

Overall Rating
3

Key Statistics

7/10 Affordability
8/10 Customer Reviews
9/10 Claims
9/10 Coverage Level

Why We Like Them

For Californians looking for a health insurance provider with broad PPO and HMO options, Blue Cross Blue Shield (BCBS) of California is a top choice. Their extensive provider network ensures access to care statewide and across the country, making them ideal for those who need flexibility.

BCBS California offers a variety of plans with different deductibles and co-pays, along with benefits like telehealth, wellness programs, and chronic disease support. Their PPO plans offer wider provider access, while HMOs keep costs manageable.

Frequent travelers will appreciate BCBS’s BlueCard® program, which extends coverage nationwide, offering seamless access to healthcare across multiple states.

Benefits & Drawbacks

Benefits
  • The BlueCard® program allows for nationwide access.
  • Available plans include both flexible PPO and HMO choices.
  • Recognized for their effective claims management and outstanding customer service.
Drawbacks
  • Costs that are higher than those of a few competing companies.
  • A few of the more affordable plans come with a smaller selection of doctors and facilities.
  • Using services from out-of-network doctors can result in hefty bills.

Best Provider Network

Overall Rating
3

Key Statistics

7/10 Affordability
8/10 Customer Reviews
8/10 Claims
9/10 Coverage Level

Why We Like Them

Californians looking for an expansive provider network will find Humana to be a top choice. Their plans include access to a vast number of hospitals, specialists, and primary care doctors, reducing the hassle of out-of-network costs.

Humana excels in Medicare Advantage offerings, making it a go-to option for seniors. Additionally, their employer-sponsored plans come with valuable wellness programs and preventive health benefits. The Value-Based Care model helps policyholders lower costs by promoting preventive care.

While individual plans are somewhat limited, Humana’s group and Medicare options are some of the best available in California, making them an excellent fit for seniors and employees.

Benefits & Drawbacks

Benefits
  • With a wide range of providers, out-of-network complications are lessened.
  • Top-notch Medicare Advantage plan selections.
  • Robust health and wellness programs aimed at prevention.
Drawbacks
  • There are few options available for personal health insurance plans.
  • Some plans charge premiums that exceed typical rates.
  • Customer service may take a while to respond.

Best Policyholder Service

Overall Rating
4

Key Statistics

8/10 Affordability
9/10 Customer Reviews
9/10 Claims
8/10 Coverage Level

Why We Like Them

For policyholders who prioritize customer service and efficient claims processing, Cigna stands out as a leading choice. Their well-designed online tools and dedicated support team make managing healthcare coverage effortless.

Cigna offers broad health coverage, including global emergency care, making them a great choice for travelers. Their mental health benefits are also among the best, providing strong support for behavioral health needs.

With seamless claims management and excellent customer support, Cigna is one of California’s best health insurance options.

Benefits & Drawbacks

Benefits
  • Exceptional service for customers and help with claims.
  • Positive mental well-being and the perks of virtual healthcare.
  • International support for those who travel often.
Drawbacks
  • Some policies might demand larger personal expenses.
  • For individuals, PPO plans often come with a steep price tag.
  • Self-employed individuals have a smaller selection of plans available.

Best Add-On Coverages

Overall Rating
3

Key Statistics

7/10 Affordability
7/10 Customer Reviews
8/10 Claims
7/10 Coverage Level

Why We Like Them

If you’re looking for extra coverage beyond traditional health insurance, MetLife offers a variety of add-ons such as dental, vision, disability, and supplemental health plans. Though not a major health insurer, their plans help fill important coverage gaps.

MetLife’s supplemental policies are perfect for those who want to reduce out-of-pocket healthcare expenses. They provide additional financial protection for individuals and families needing more comprehensive support.

For those with an existing health plan, MetLife’s add-ons can provide valuable benefits to enhance overall coverage.

Benefits & Drawbacks

Benefits
  • Perfect for extra coverage options.
  • Recognized for its solid financial health.
  • Cost-effective options for supplementary policies.
Drawbacks
  • Restricted options for initial health coverage.
  • Less extensive compared to full-service providers
  • There may be a delay for some add-ons before you can start using their benefits.

How To Sign Up For A Health Insurance Policy

Getting health insurance in California is easy, but you need to be mindful of deadlines and plan carefully.

  • Find Out If You Qualify: Check if you’re eligible for work-based insurance, Medicare, Medicaid, or ACA plans.
  • Go to the Marketplace: Sign up on the official health insurance website.
  • Compare Available Plans: Review different policies based on price, benefits, and doctor networks.
  • See If You Get Financial Help: Subsidies may be available to lower your costs.
  • Select Your Coverage: Choose the best health plan for your needs.
  • Complete Your Application: Submit the required information to enroll.
  • Pay Your Premium: Coverage begins after you make your first payment.

If you’ve had a big life event, such as a job loss or marriage, you may qualify to enroll in health insurance outside the standard enrollment window.

How Much Does Health Insurance Cost In California?

Health insurance rates in California depend on age, plan tier, and location. In 2025, the average monthly premium for a Silver plan is $440, while Bronze plans cost around $340, and Gold plans are about $480. Catastrophic plans, ideal for younger, healthy individuals, average $470 per month.

For a 40-year-old, the typical Silver plan premium is $500 per month. Subsidies, employer-provided insurance, and marketplace choices can all affect the final cost. Many Californians can lower their premiums with ACA financial assistance.

Average Cost By Coverage Level

The price of health insurance in California is influenced by the type of coverage you choose. Insurance plans are classified into Bronze, Silver, Gold, and Platinum tiers, each offering a different balance of premiums and out-of-pocket costs.

Bronze plans feature the lowest monthly rates but higher deductibles, whereas Platinum plans have the highest monthly costs but the lowest out-of-pocket expenses. Below is a summary of the average monthly premium for each plan category in California.

Coverage Level Average Monthly Premium
Bronze $340
Silver $440
Gold $480
Platinum $600

Average Cost By Family Size

In California, the cost of health insurance depends on the number of people covered. Individual plans have lower premiums, but adding family members raises costs. Family plans typically cover spouses and children, with prices varying based on household size. Below is an overview of average premiums for different family sizes.

Family Size Average Monthly Premium
Individual (Single Adult) $573
Couple (Two Adults) $1,146
Family of Three $1,430
Family of Four $1,715
Family of Five $2,000

Average Cost Of Health Insurance Plans By City

The price of health insurance in California varies from city to city, influenced by factors such as local healthcare expenses, insurer competition, and area-specific health risks. Below is a breakdown of average monthly premiums for Silver plans in five major California cities.

City Average Monthly Premium (Silver Plan)

Fresno

$392

San Diego

$355

Los Angeles

$344

San Francisco

$626

San José

$475

Factors Affecting Health Insurance Costs In California

  • Age: Insurance costs rise with age as health risks increase.
  • Location: Urban areas tend to have pricier plans due to higher healthcare costs, while rural areas may have fewer providers.
  • Coverage Level: Higher-tier plans (Gold, Platinum) come with larger premiums.
  • Family Size: The more dependents you add, the more expensive the policy.
  • Tobacco Use: Those who smoke pay extra due to increased health concerns.
  • Insurance Provider: Premiums vary by insurer, based on their pricing and provider networks.

Cheapest Health Insurance Companies In California

If you’re looking for low-cost health insurance in California, checking rates from multiple providers is key. Below are five insurers with some of the most affordable Silver plans, ranked by average monthly premiums.

Insurance Company Average Monthly Premium (Silver Plan)
Blue Cross Blue Shield $390
MetLife $440
Humana $438
Aetna $473
Cigna $484

Important: The rates listed are based on a 40-year-old individual. Your actual premium may vary depending on your age, location, and eligibility for subsidies.

To save even more, check if you qualify for ACA subsidies. Many Californians can lower their monthly premiums with financial assistance programs.

How To Save On Health Insurance In California

Lowering health insurance costs in California is possible by picking the best plan, using financial assistance, and managing healthcare expenses wisely. Here are some practical strategies to reduce premiums, deductibles, and other costs.

  • Consider an HDHP: High-deductible plans have lower monthly premiums and allow HSA contributions for tax-free medical savings.
  • Shop Around for Plans: Comparing different plans ensures you find the most cost-effective option.
  • Apply for ACA Assistance: Based on your income, you might qualify for subsidies to lower your premiums.
  • Use Workplace Insurance: Employer-provided health plans usually offer the best rates.
  • Visit In-Network Doctors: Staying within your provider network helps avoid surprise medical bills.
  • Use Preventive Care Benefits: Many plans offer free check-ups, vaccines, and screenings.
  • Request Generic Medications: Generics are just as effective as name-brand drugs but cost much less.

With careful planning and cost-saving strategies, Californians can find reliable health insurance without paying too much.

Health Insurance Coverage Levels

There are four tiers of health insurance plans, each providing a different mix of costs and benefits. Understanding them helps Californians make informed choices.

Bronze – Low premiums but high deductibles and costs. Best for healthy individuals who rarely need medical care.
Silver – Mid-range premiums and costs. Ideal for people who qualify for cost-sharing reductions or want balanced coverage.
Gold – Higher premiums with lower out-of-pocket costs. Great for those who need medical care often.
Platinum – The highest premiums but the lowest costs for care. Best for those with ongoing health needs.

The ideal plan varies based on your medical requirements, budget, and willingness to take on risk.

Health Insurance Options In California If You Have A Low Income

Several assistance programs are available to help Californians lower their healthcare costs and access affordable coverage.

Medicaid – A government program that offers free or affordable health insurance to low-income individuals, including children, expectant mothers, and people with disabilities.
CHIP – A program that helps kids in low-income families who don’t qualify for Medicaid get health insurance.
ACA Subsidies – Lower monthly payments and medical expenses for those who qualify based on income.
FQHCs – Clinics that adjust their fees according to a person’s income level.
Charity Programs – Some hospitals offer free or discounted healthcare to those without insurance.
Short-Term Insurance – A temporary coverage option with limited benefits, often for those in job transitions.

These programs help people and families get medical care without financial hardship.

Common Health Insurance Terms

Navigating health insurance can be tricky due to complex terminology. Here are some common terms Californians should know.

Premium – The monthly cost of maintaining health insurance.
Deductible – The money you pay upfront before insurance starts covering medical bills.
Copay – A set dollar amount you pay for doctor visits or medications.
Coinsurance – The percentage of medical costs you pay after meeting your deductible.
Out-of-Pocket Maximum – The highest amount you’ll pay before your insurance covers everything.
HMO – A health plan with lower costs but requires using network doctors and referrals.
PPO – A flexible plan that lets you see any doctor but costs more in premiums.

Learning these definitions makes it simpler to evaluate and choose the right insurance plan.

Our Methodology

Our Criteria for Reviewing California Health Insurance Providers

We evaluate insurers based on these important factors:

o Cost – We compare premiums, deductibles, and total expenses for different plans.

o Customer Experience – Reviews, complaints, and customer support quality are considered.

o Claims Handling – We assess how quickly and efficiently claims are processed.

o Coverage Choices – We examine plan benefits, doctor networks, and flexibility.

o Financial Security – We review the insurer’s stability to ensure they can cover claims.

o Extra Features – Digital access, perks, and telehealth options add to our rating.

75

Quotes Analyzed

15+

Years Of Industry Experience

25

Brands Reviewed

35+

Research Hours

Sources

About Bob Phillips

Having spent over fifteen years helping people plan their lives financially, Bob mastered many different financial products to help people achieve their financial goals, including life insurance, disability insurance, mutual funds, and stocks and bonds.
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