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Humana vs Aetna

H

Humana

Leading Medicare Advantage insurer focusing on senior and individual health plans

Medicare-eligible seniors, individual plan shoppers, and those prioritizing supplemental coverage

VS
A

Aetna

Diversified health insurer with CVS Health integration covering employer, individual, Medicare and Medicaid

Families with employer coverage, individuals seeking integrated pharmacy benefits, and those needing Medicaid or multistate coverage

Short Answer

Humana and Aetna are both major US health insurers, but differ in market focus and plan offerings. Humana emphasizes Medicare Advantage and individual plans, while Aetna (CVS Health subsidiary) offers broader coverage including employer, individual, and Medicaid options with integrated pharmacy benefits.

Our Verdict

AI-assisted

Both insurers are major players with distinct strengths: Humana dominates Medicare Advantage with superior enrollment and senior-focused benefits, while Aetna offers broader employer coverage and integrated healthcare through CVS ownership. Choose Humana for Medicare optimization or Aetna for comprehensive family/employer coverage with pharmacy integration.

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Humana6.4
8.6Aetna

Choose Humana if

Medicare-eligible seniors, individual plan shoppers, and those prioritizing supplemental coverage

Choose Aetna if

Families with employer coverage, individuals seeking integrated pharmacy benefits, and those needing Medicaid or multistate coverage

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Key Differences at a Glance

๐Ÿ”น
Primary Market Focus: Aetna wins (Employer, Individual, Medicare & Medicaid vs Medicare Advantage & Individual Plans)
๐Ÿ“…
Medicare Advantage Plans: Humana wins (3.7+ million enrollees vs 2.5+ million enrollees)
๐Ÿ”น
Parent Company: Aetna wins (Subsidiary of CVS Health vs Independent publicly traded company)
See all 8 differences

Key Facts & Figures

MetricHumanaAetnaDiff
Total Medical Membership(millions)19.1 million23.4 million-18%
Medicare Advantage Enrollees(millions)3.7 million2.5 million+48%
Average Premium Increase(percent)5.2% annually5.8% annually-10%
Pharmacy Network Size(locations)65,000+ retail pharmacies98,000+ (incl. CVS stores)-34%
States with Coverage(count)50 states + territories50 statesโ€”
Customer Satisfaction Score(Percentage)3.5 stars3.7 stars-5%
Average Out-of-Pocket Maximum(USD per year)$7,050 (individual)$6,900 (individual)+2%
Founded Year18531853โ€”
Total Enrollment(millions)47 million members47 million membersโ€”
Average Individual Premium(USD/year)$7,100$7,100โ€”
Retail Clinic Locations(locations)11,000+ CVS MinuteClinic11,000+ CVS MinuteClinicโ€”
US Member Base(millions)23 million23 millionโ€”
Countries with Operations(countries)Primarily US onlyPrimarily US onlyโ€”
J.D. Power Customer Satisfaction (2025)(score)7474โ€”
Plan Types Offered(count)HMO, PPO, CDHP, Dental, Vision (5)HMO, PPO, CDHP, Dental, Vision (5)โ€”
Average Individual Plan Deductible(USD)$1,450$1,450โ€”

All figures sourced from publicly available data. Last updated Jun 2026.

Key Differences

Primary Market Focus

Humana

Medicare Advantage & Individual Plans

Aetna

Employer, Individual, Medicare & Medicaid๐Ÿ†

Medicare Advantage Plans

Humana

3.7+ million enrollees๐Ÿ†

Aetna

2.5+ million enrollees

Parent Company

Humana

Independent publicly traded company

Aetna

Subsidiary of CVS Health๐Ÿ†

Integrated Pharmacy Network

Humana

Partner networks only

Aetna

CVS pharmacy integration๐Ÿ†

Total Medical Membership

Humana

19+ million members

Aetna

23+ million members๐Ÿ†

Customer Service Rating

Humana

3.5/5 stars

Aetna

3.7/5 stars๐Ÿ†

Network Coverage Areas

Humana

50 US states plus Puerto Rico

Aetna

All 50 US states

Telehealth Services

Humana

24/7 virtual care included

Aetna

24/7 virtual care with CVS MinuteClinic๐Ÿ†

Full Comparison

Humana
Aetna
Total Medical Membership(millions)
19.1 million
23.4 million
Medicare Advantage Enrollees(millions)
3.7 million
2.5 million
Annual Revenue(billions USD)
$89.2B
$156.8B (CVS Health)
Average Premium Increase(percent)
5.2% annually
5.8% annually
Pharmacy Network Size(locations)
65,000+ retail pharmacies
98,000+ (incl. CVS stores)
States with Coverage(count)
50 states + territories
50 states
Customer Satisfaction Score(Percentage)
3.5 stars
3.7 stars
Average Out-of-Pocket Maximum(USD per year)
$7,050 (individual)
$6,900 (individual)
Founded Year
1853
โ€”
Total Enrollment(millions)
47 million members
โ€”
Provider Network Size
1.2 million
โ€”
Average Individual Premium(USD/year)
$7,100
โ€”
Average Individual Plan Deductible(USD)
$1,450
โ€”
Customer Satisfaction Rating(relative ranking)
7.5
โ€”
Retail Clinic Locations(locations)
11,000+ CVS MinuteClinic
โ€”
Digital Health Integration
Aetna app, CVS pharmacy integration, telehealth
โ€”
Geographic Coverage(states)
49 states + DC (limited in some regions)
โ€”
Pharmacy Cost Management
Direct CVS control, typically lower copays
โ€”
US Member Base(millions)
23 million
โ€”
Countries with Operations(countries)
Primarily US only
โ€”
J.D. Power Customer Satisfaction (2025)(score)
74
โ€”
Pharmacy Network Integration
Direct CVS/Walgreens integration
โ€”
Plan Types Offered(count)
HMO, PPO, CDHP, Dental, Vision (5)
โ€”
Telemedicine Availability
24/7 virtual care + MinuteClinic in-person options
โ€”

Visual Comparison

Side-by-side comparison of numeric attributes

Pros & Cons

Humana

5 pros3 cons

Pros

  • Largest Medicare Advantage provider with extensive senior-focused benefits
  • Strong supplemental and standalone dental/vision plans
  • Wellness programs and fitness benefits included in many plans
  • Competitive pricing on individual marketplace plans
  • Established brand trust in Medicare segment

Cons

  • Limited employer group health plan offerings compared to competitors
  • No integrated pharmacy chain ownership
  • Slightly lower customer satisfaction ratings

Aetna

5 pros3 cons

Pros

  • CVS pharmacy integration offers medication convenience and cost savings
  • Largest network of covered pharmacies nationally
  • Comprehensive employer health plan portfolio
  • Strong Medicaid and government program options
  • Higher customer satisfaction and seamless telehealth through MinuteClinic

Cons

  • Smaller Medicare Advantage enrollment than Humana
  • Premium pricing reflects broader network and services
  • More complex plan structures for average consumers

Frequently Asked Questions

Humana is superior for Medicare Advantage with 3.7 million senior enrollees and specialized plans including dental, vision, and hearing benefits. Aetna offers solid Medicare options but with smaller enrollment and less senior-focused specialization.

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Last updated: May 28, 2026AI generated