Best Health Insurance Companies In New York

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Written by Bob Phillips
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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

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

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
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 New York2025


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 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

Benefits
  • 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.
Drawbacks
  • 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

Overall Rating
3

Key Statistics

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

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

Benefits
  • 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.
Drawbacks
  • 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

Overall Rating
3

Key Statistics

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

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

Benefits
  • 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.
Drawbacks
  • 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

Overall Rating
4

Key Statistics

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

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

Benefits
  • Quality assistance for customers and help with claims.
  • Sound mental wellness and the advantages of remote healthcare.
  • Global services designed for frequent flyers.
Drawbacks
  • 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

Overall Rating
3

Key Statistics

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

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

Benefits
  • Fitting for complementary coverage necessities.
  • Respected for its dependable financial status.
  • Accessible pricing for ancillary insurance policies.
Drawbacks
  • 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.

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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