Insure.com ranks 2025’s best insurers. See the winners.

Cigna health insurance review and ratings 2025

Cigna, whose customers rated it well for customer satisfaction, is ranked No. 8 among Insure.com’s 2025 Best Health Insurance Companies – earning 3.84 stars out of 5.
Please enter valid zip Compare top carriers in your area
 | Updated on:
insure logo

Why you can trust Insure.com

quality icon

Quality Verified

At Insure.com, we are committed to providing the timely, accurate and expert information consumers need to make smart insurance decisions. All our content is written and reviewed by industry professionals and insurance experts. Our team carefully vets our rate data to ensure we only provide reliable and up-to-date insurance pricing. We follow the highest editorial standards. Our content is based solely on objective research and data gathering. We maintain strict editorial independence to ensure unbiased coverage of the insurance industry.

Our take

Cigna is a good health insurer for people who want access to a big provider network and strong integration with pharmacy benefits. It’s No. 8 on Insure.com’s list of the Best Health Insurance Companies for 2025, earning 3.84 stars out of 5. 

Customers give it good marks for its network size and the company has a strong 3.24 out of 5 stars rating from the National Committee for Quality Assurance. NCQA evaluates healthcare plans on, among other things, member satisfaction.

Cigna received a very good complaint index score of 0.79 from the National Association of Insurance Commissioners. The NAIC gives insurers a score based on a ratio of the number of customer complaints they receive to the expected number for a company its size. A ratio below 1.0 indicates the carrier received fewer complaints than typical for a company its size.

The company, however, didn’t score as well as other companies on our list for affordability and policy offerings.

Cigna
Cigna Ratings
Overall Rating: 3.84
Price/Affordability: 3.96
NCQA: 3.24
Customer Satisfaction: 4.13
AM Best Rating: A
Effective date:

Pros and Cons

Pros:
  • Large provider network
  • Strong integration with drug and dental with dental plans offered in all 50 states
  • Ranked highly for customer satisfaction
Cons:
  • A big footprint, but its individual and family plans are limited to just more than a dozen states
  • Didn’t rate as highly as other companies in the ranking for affordability and policy offerings

Below is Insure.com’s review of the company. It’s based on third-party metrics and an in-depth survey of insurance customers. Find the full methodology here, including an explanation of our survey scores.

How much does Cigna health insurance cost?

Cigna received 3.96 out of 5 stars in this category, a good score but below most other companies on our list. Molina led the pack when it came to affordability with 4.54 stars out of 5.

CompanyPrice/affordability stars 
Cigna3.96
Kaiser Permanente4.19
Aetna4.14

Below is a look at how a Cigna HMO plan in Georgia compares with similar plans from Aetna and Kaiser Permanente. These are 2025 healthcare exchange rates for a single, 40-year-old male in excellent health with an annual income of $70,000.

CompanyRate/MonthPlan
Cigna $656Connect Silver 3700 Indiv Med Deductible
Kaiser Permanente$551KP GA Signature Silver 4500/35 
Aetna$648Silver S: Aetna 

How Cigna scores for customer satisfaction

Cigna fared well when we asked customers to rate it for customer satisfaction. It received 4.13 out of 5 stars. In J.D. Power’s 2024 U.S. Commercial Member Health Plan Study, Cigna had some mixed results.  However, the company received the highest score in Texas.

CompanyCustomer satisfaction starsJ.D. Power overall satisfaction score in Texas (out of 1,000)
Cigna4.13581
UnitedHealthcare4.09568
Aetna4.07568

How Cigna scores for policy offerings

Cigna does have a large portfolio of offerings, and nearly eight in 10 customers rated it highly here. However, a number of companies scored higher in this category, which Molina led.

CompanyPercent of customers who score their insurance company highly for policy offerings
Cigna79%
Molina92%
Kaiser Permanente79%

Would current customers recommend Cigna to others?

Yes, 83% of Cigna customers said they would recommend the company to others. The overall winner was Highmark, with all the customers we surveyed saying they would tell their friends and family about the company. 

CompanyPercent of customers who would recommend their health insurance company to others
Cigna83%
Highmark100%
Aetna85%

How trustworthy is Cigna?

Most customers trust Cigna. Of the customers we surveyed, 77% rated it as trustworthy, although several competitors ranked higher. UnitedHealthcare led this category, with 89% of customers saying the company can be trusted.

CompanyPercent of customers who say they trust their health insurance company
Cigna77%
UnitedHealthcare89%
Kaiser Permanente72%

Do current Cigna customers plan to renew?

The majority say yes. Of the customers we surveyed, 79% said they planned to renew their Cigna policy. Molina was the winner in this category.

CompanyPercent of customers who plan to renew with their health insurance company
Cigna79%
Molina89%
Kaiser Permanente74%

How Cigna scores for digital experience

Of the nine companies we ranked, Cigna had the fifth-highest score in this category. Of the respondents, 82% said they were satisfied with the company’s digital experience, which includes its website and mobile apps. Molina led this category.

CompanyPercent of customers who highly rank the company’s digital experience
Cigna82%
Molina87%
Aetna80%

How Cigna scores for low deductibles

Cigna scored in the bottom half of our study for low deductibles. A deductible is the amount of money you have to pay out-of-pocket for health care services before your health insurance plan begins to pay. The winner in this category was Molina, followed by Humana and Elevance.

CompanyPercent of customers who highly rank the company for low deductibles
Cigna74%
Molina87%
HCSC65%

How Cigna scores for its provider network

The company says it has one of the biggest provider networks in the business, and customers seem to agree. It scored in the top half of our study for this category. Elevance won this category, with 88% of customers saying they were happy with the company’s provider network.

CompanyPercent of customers who highly rank the company’s provider network
Cigna84%
Elevance88%
Kaiser Permanente79%

Cigna health insurance coverage options

  • Plans for individuals and families
  • Medicare and Medicaid plans
  • Plans for employers
  • Pharmacy plans

Additional Cigna services

  • Dental
  • Vision
  • Savings and spending accounts

States where Cigna offers coverage

Graph
Table
States where Cigna offers coverage
Arizona
Colorado
Florida
Georgia
Illinois
Indiana
Mississippi
North Carolina
Pennsylvania
South Carolina
Tennessee
Texas
Utah
Virginia
AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Available
Not available

Company background

Cigna

Cigna’s history dates back to the years following the American Revolution. In 1792, at a meeting in Philadelphia’s Independence Hall, a group of prominent citizens formed the Insurance Company of North America (INA). INA was one of the first marine insurance companies formed in the United States.

It had an illustrious history, including playing a big role in helping the great Chicago fire survivors rebuild their homes. Fast forward to 1982, when Cigna was formed with the merger of the Connecticut General Life Insurance Company and INA. The name is a mix of the letters of the merged companies. Until 1997, Cigna was also a big player in the life insurance business, but it sold most of those operations to Lincoln National to focus on healthcare and dental insurance.

Today, Cigna offers individual and family health insurance plans in 14 states. In 2018, Cigna acquired Express Scripts in a deal valued at $67 billion, combining health insurance with drug plans to join competitors such as CVS Health (Aetna) and UnitedHealthcare.

Resources and Methodology

Sources:

Cigna health care “Cigna” Accessed March 2025.

Methodology

Insure.com in the fall of 2024 surveyed more than 1,750 insurance consumers (almost 1,500 of which had health insurance). The survey was conducted by online market research company Slice MR.

Respondents were asked to name their health insurer and then grade it in a number of categories, including:

  • Customer satisfaction
  • Ease of service
  • Policy offerings
  • The cost of insurance/affordability
  • Low deductible
  • Preferred providers available
  • Not needing a referral

The percentage of respondents who said they were satisfied or very satisfied with their insurer is presented in the results.

We then asked respondents to provide a yes or no response to indicate their agreement with the following statements:

  1. I plan to keep my coverage with my current health insurance company
  2. I would recommend my health insurance company to others
  3. I trust my health insurance company

The percentage of respondents who said yes is presented in the results.

The editors compiled the survey results and then selected – based on the number of survey responses – the top companies for further evaluation.

We then collected data from the National Committee for Quality Assurance (NCQA), which evaluates and rates health plans, and National Association of Insurance Commissioners’ complaint data, which ranks a company by the number of customer complaints it receives. The Insure.com team identified the NAIC codes of each underwriting company for each carrier and calculated a weighted average complaint index, weighted by the annual written premium. The associated NAIC complaint index score was used in the calculations.

With the help of Prof. David Marlett, Ph.D., Managing Director of the Brantley Risk and Insurance Center at Appalachian State University, the editors created a rating system to determine which insurance companies were best in each sector. For life insurers, we took the following and gave each a weight.

  • Survey: 60% of the total score (10% customer satisfaction, 10% recommended, 10% policy retention, 10% trust, and 20% affordability)
  • NCQA: 25% of total score
  • NAIC: 15% of total score

Each insurer was awarded between half a star and 5 stars. No company in the ranking received less than half a star in any category, and 5 stars was the most any insurer could receive.

author image
Mel Duvall
Contributing Researcher

 
  

Mel Duvall is an award-winning senior business writer and communications professional. Mel also served a three-year term on the Mount Royal University Journalism Committee.

Similar Companies

ZIP Code Please enter valid ZIP
On this page