Health Net vs Anthem Blue Cross: Which Company is Best in 2021?

Health Net vs Anthem Blue Cross: Which company is most popular..!

Health Net is a US-based health care insurance provider headquartered in Los Angeles, California. It is a Centene company that provides behavioral health, substance abuse, and employee assistance, and other health care plans. It has over 7.3 million members across various states of the United States.

Anthem Inc. is a US-based health insurance company. It was founded in 2004 and headquartered in Indianapolis, Indiana. Anthem is the largest managed health care company in the Blue Cross Blue Shield Association. It operates as Anthem Blue Cross in California and has over 40 million members.

Here is a brief comparison between Health Net and Anthem Blue Cross:

Health Net vs Anthem Blue Cross:

Types of Plans

Both Health Net and Anthem Blue Cross offer a wide range of HMO, PPO, and EPO plans in the three major segments of the marketplace. The HMOs offer you the cheaper price with limitations of in-network doctors and hospitals. This means, if you are an HMO recipient, you have to visit a doctor and hospital within the companies’ network.

The PPO plans are more expensive compared to other health care plans. This is because a PPO plan allows members to see doctors and visit hospitals even outside their network. Moreover, members do not need a referral from their primary care physician.

An EPO or Exclusive Provider Organisation plan is like that of an HMO plan. It allows members to get services from in-network doctors, hospitals, and other health care providers. The company will not pay any coverage if you visit a doctor or hospital outside their local network.

Health Net and Anthem Blue Cross are tough competitors against each other in the three sectors of the marketplace –

  • Individual and Family
  • Small Business
  • Senior (Medicare Supplement and Advantage Plans)

Individual and Family

Health Net focuses more on the HMO plans whereas Anthem Blue Cross focuses on EPOs/PPOs. Both companies participate in the Covered California market. Health Net’s HMO plans are comparatively less expensive. However, their price is just a little more than regional HMOs like Molina and LA Care. Although they have PPO and EPO plans, they do not perform well in their respective price segment.

In a given region, it has been observed that the competition is mostly between Blue Shield PPO and Blue Cross EPO. If you need more flexibility with the doctor and hospital networks, you should definitely opt for PPO or EPO plans. Sometimes, Anthem EPOs are comparatively cheaper than other plans.

Small Business

In the small business market segment, both the Health Net and Anthem Blue Cross are aggressive. They compete with each other in terms of pricing and network. As mentioned earlier, Health Net is stronger in their HMO plans. They offer one of the lower-priced HMOs; however, they cannot beat Kaiser for its benefits. Moreover, if employees want local network doctors and save costs, then Health Net HMO is the best option. On the contrary, Anthem Blue Cross is better in their PPO and EPO plans. Their price is better than Health Net’s PPO networks.

Medicare

Both the Health Net and Anthem Blue Cross are very aggressive in the Medicare market. Since Health Net is stronger in the HMO network, they focus more on the Medicare Advantage market. In terms of Medicare Supplement, Health Net is aggressive with the F plan, whereas Anthem Blue Cross is aggressive with the G plan. However, it is your decision to choose a carrier between the two based on network and pricing.

Health Net and Anthem Blue Cross have various benefits and robust health care plans. In some regions, Health Net HMO performs better, whereas in other regions Anthem PPO/EPPO is the best. You should go through individual plans and make a decision of selecting the right one that meets your requirements.

Frequently Ask Questions:

Is Health Net PPO or HMO?

Health Net offers HMO, PPO, EPO, and HSP plans. Health Net of California, Inc. offers HMO and HSP plans, whereas Health Net Life Insurance Company offers PPOs and EPOs. In an HMO plan, a primary care physician deals with all your medical care. If you want to see another doctor, you need a referral from your primary physician.

Is Anthem a good health insurance?

Anthem scored 82.33 and ranked 8th place in the 2020 Best Health Insurance Company Survey. For customer service, it scored 4th place whereas it ranked 12th place for their easy-to-use website and mobile apps. So, Anthem is a good insurance provider overall.

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