HealthSpring (formerly Cigna) vs. Anthem: Medicare Advantage Comparison

HealthSpring and Anthem have similar below-average quality ratings from the Centers for Medicare & Medicaid Services (CMS). HealthSpring might offer lower premiums, but Anthem has more $0-copay options for generic drugs.
Many, or all, of the products featured on this page are from our advertising partners who compensate us when you take certain actions on our website or click to take an action on their website. However, this does not influence our evaluations. Our opinions are our own. Here is a list of our partners and here's how we make money.
Oct 21, 2026
Fact Checked
Profile photo of Alex Rosenberg
Written by
Lead Writer & Content Strategist
Profile photo of Holly Carey
Edited by
Managing Editor
Profile photo of Alex Rosenberg
Written by
Lead Writer & Content Strategist
+ 1 more

HealthSpring (formerly Cigna) Medicare Advantage plans are inexpensive. Nearly all of its members have $0 premiums, and the plans that do have monthly premiums are relatively cheap. But HealthSpring’s government quality ratings aren’t great. Its customer complaint rates are high, and departing members report more problems than average with coverage of doctors and hospitals.

Anthem Medicare Advantage plans offer low hospital copays and lots of options for $0-copay generic drugs. But Anthem gets below-average government ratings for quality and member experience, and it offers plans in a limited number of states.

HealthSpring (formerly Cigna) Medicare Advantage
HealthSpring (formerly Cigna)
on NerdWallet
M-F 9AM-9PM, Sat 10AM-6PM ETSpeak to a licensed insurance agent on askchapter.org
IS THIS PROVIDER AVAILABLE IN MY STATE?
Anthem Medicare Advantage
on NerdWallet
M-F 9AM-9PM, Sat 10AM-6PM ETSpeak to a licensed insurance agent on askchapter.org
IS THIS PROVIDER AVAILABLE IN MY STATE?

Here’s a look at how HealthSpring and Anthem Medicare Advantage compare.

45+ Medicare companies and brands analyzed by our team of experts.

30+ years of combined experience covering Medicare and personal finance.

Governed by NerdWallet's strict guidelines for editorial integrity.

NerdWallet’s Medicare content, including articles, reviews and recommendations, is produced by a team of writers and editors who specialize in Medicare. Their work has appeared in The Associated Press, Washington Post, Nasdaq, MSN, MarketWatch, Yahoo! Finance and other national and regional media outlets. They have been cited in publications including Healthline, and appeared on NerdWallet's "Smart Money" podcast.

HealthSpring Medicare Advantage

HealthSpring Medicare Advantage plans are inexpensive, but their quality scores aren’t so good.

Pros

  • About 93% of members have $0 premiums.

  • Plans with premiums are relatively inexpensive.

  • Lower out-of-pocket costs for Tier 2 (most generics) and Tier 3 (preferred brand-names) prescription drugs.

Cons

  • CMS quality ratings are below average.

  • Higher-than-average customer complaint rates.

  • “Problems with coverage of doctors and hospitals” are common on disenrollment surveys.

Other factors to consider

Average government quality rating

3.37 out of 5.

Percent of plans with $0 premium

66%.

Average non-$0 premium

$21.71.

Average maximum out-of-pocket spending cap (MOOP)

$6,210.

Medicare Advantage enrollment

Nearly 700,000.

Averages weighted by enrollment where relevant.

HealthSpring Medicare Advantage plan availability

HealthSpring (formerly Cigna) Medicare Advantage
HealthSpring (formerly Cigna)
on NerdWallet
M-F 9AM-9PM, Sat 10AM-6PM ETSpeak to a licensed insurance agent on askchapter.org
IS THIS PROVIDER AVAILABLE IN MY STATE?

» MORE: Read our full review of HealthSpring (formerly Cigna) Medicare Advantage plans

Anthem Medicare Advantage

Anthem Medicare Advantage plans offer low hospital copays and often have $0 copays for generic prescription drugs, but quality and customer satisfaction are subpar.

Pros

  • Most plans have $0 out-of-pocket costs for Tier 1 and Tier 2 generic drugs.

  • Average hospital copays are considerably cheaper than competitors.

Cons

  • Below-average quality ratings from CMS.

  • Subpar government ratings on measures of member experience.

  • Prescription drugs on plans without $0 copays can be pricey.

Other factors to consider

Average government quality rating

3.33 out of 5.

Percent of plans with $0 premium

70%.

Average non-$0 premium

$38.92.

Average maximum out-of-pocket spending cap (MOOP)

$7,122.

Medicare Advantage enrollment

Nearly 1.3 million.

Averages weighted by enrollment where relevant.

Anthem Medicare Advantage plan availability

Anthem Medicare Advantage
on NerdWallet
M-F 9AM-9PM, Sat 10AM-6PM ETSpeak to a licensed insurance agent on askchapter.org
IS THIS PROVIDER AVAILABLE IN MY STATE?

» MORE: Read our full review of Anthem Medicare Advantage plans

Find the right Medicare Advantage plan

It’s important to do your research before selecting a Medicare Advantage plan for yourself. Here are some questions to consider asking:

  • What are the plan’s costs? Do you understand what the plan’s premium, deductibles, copays and/or coinsurance will be? Can you afford them?

  • Is your doctor in-network? If you have preferred medical providers, make sure they participate in the plan’s network.

  • Are your prescriptions covered? If you’re on medication, it’s crucial to understand how the plan covers it. What tier are your prescription drugs on, and are there any coverage rules that apply to them?

  • Is there dental coverage? Does the plan offer routine coverage for vision, dental and hearing needs?

  • Are there extras? Does the plan offer any extra benefits, such as fitness memberships, transportation benefits or meal delivery?

If you have additional questions about Medicare, visit Medicare.gov or call 800-MEDICARE (800-633-4227, TTY 877-486-2048).

Medicare Advantage review methodology

NerdWallet’s Medicare Advantage ratings are based on premiums, out-of-pocket costs, prescription drug coverage, quality data from the Centers for Medicare & Medicaid Services, consumer experience and more. We analyze and calculate ratings for every Medicare Advantage plan sold throughout the U.S. on a curved 5-point scale.

At the national level, we calculate ratings for companies as the average of their plans’ scores, weighted by enrollment.

NerdWallet’s editorial team analyzed companies covering about 87% of all Medicare Advantage beneficiaries in the United States. We reviewed 23 Medicare Advantage brands, with some insurance companies having more than one brand under their umbrella. (For example, Blue Cross Blue Shield includes the brands Anthem and Highmark.)

The Medicare Advantage marketplace is concentrated among just a handful of companies. In many places, one company serves more than half of the market. At the national level, NerdWallet’s reviews include each of the 10 largest brands by enrollment.

We research and analyze all commercial Medicare Advantage plans and publish reviews for selected companies. At the state level, we review at least one major insurer in every state where Medicare Advantage plans are sold, and we review both of the top two insurers in 40 of those 49 states. (Alaska doesn't offer Medicare Advantage plans.) We also look at online search volume to identify regional and other notable players in the space.

These reviews are a guide, but we encourage you to shop around and compare several plans to find the best coverage and rate for you. NerdWallet does not receive compensation for any reviews. Read our editorial guidelines and full ratings methodology for Medicare Advantage.