Anthem vs blue cross medigap is one of the most common comparisons among Medicare beneficiaries. The confusion is understandable. Anthem operates as a Blue Cross Blue Shield licensee under its parent company, Elevance Health.
However, it functions as a distinct entity from the 33 other independent BCBS affiliates nationwide. Each company sets its own Medigap rates, plan availability, and customer service standards. Understanding the anthem vs blue cross medigap differences helps you pick the right carrier for your budget and coverage needs. This guide breaks down their plans, pricing, ratings, and extra benefits side by side so you can make a confident decision.
Anthem Vs Blue Cross Medigap: Quick Comparison
| Feature | Anthem (Elevance Health) | Blue Cross Blue Shield (Other Affiliates) |
|---|---|---|
| Company Type | Single BCBS licensee under Elevance Health | Association of 33+ independent licensees |
| AM Best Rating | A (Excellent) | A to A+ (varies by affiliate) |
| CMS Star Rating (MA avg.) | 3.62 stars | 3.97 stars (weighted by enrollment) |
| NAIC Complaint Ratio | 1% below average (better than average) | Varies by affiliate; some below, some above average |
| Medigap Plans Offered | Plans A, F, G, N | Up to all 10 standardized plans (A through N) |
| MA Plan Types | HMO, PPO, HMO-POS, Regional PPO | HMO, PPO, HMO-POS, PFFS, SNPs |
| Available States | 14 states | All 50 states via local affiliates |
| Dental/Vision/Hearing | Available through MA plans | Available through MA plans; varies by affiliate |
| SilverSneakers | Yes (Medigap and select MA) | Yes (varies by affiliate and plan) |
The anthem vs blue cross medigap comparison often surprises people. Anthem is technically part of the BCBS family. However, it operates independently with its own pricing and plan selection. Other BCBS affiliates like Blue Cross of Illinois or Blue Cross of Michigan set completely different rates and benefits.
For example, Anthem only sells four Medigap plan letters in most states. Many other BCBS affiliates offer all ten standardized options. This distinction matters if you want a plan letter that Anthem does not carry in your area.
Medicare Plan Options: Anthem vs Blue Cross
Anthem offers Medigap Plans A, F, G, and N across its 14-state footprint. Plan G is the most popular choice for new enrollees. It covers everything except the Part B deductible, which is $257 in 2026. Plan F remains available to beneficiaries who became eligible before January 2020. In Ohio, Anthem only offers Plans A, F, and G. Anthem does not sell high-deductible versions of Plan F or Plan G.
On the other hand, independent BCBS affiliates typically offer a wider selection. Many sell all ten standardized Medigap plans including Plans B, C, D, K, L, and M. Some affiliates also offer high-deductible Plan G. This gives beneficiaries more flexibility when comparing anthem vs blue cross medigap options in states where both are available.
Both Anthem and BCBS affiliates offer Medicare Advantage plans. Anthem’s MA portfolio includes HMO, PPO, and HMO-POS options. According to data from CMS star ratings, Anthem’s HMO plans average 3.89 stars while its PPO plans average 3.8 stars. BCBS affiliates collectively average 3.97 stars, with 47% of their rated plans earning 4 stars or higher. Some affiliates also offer Part D standalone prescription drug plans and Special Needs Plans.
Rates and Enrollment: Anthem vs Blue Cross
Anthem uses attained-age pricing in most states. This means your premium increases as you get older. However, Anthem’s Plan G rates are among the most competitive in the market. In most cases, new enrollees at age 65 find Anthem’s pricing attractive compared to national averages. Rate increases tend to be steady and predictable year over year.
Independent BCBS affiliates use different pricing methods depending on the state. Some use attained-age pricing like Anthem. Others use issue-age pricing, which locks your rate based on your age at enrollment. A few use community-rated pricing where everyone pays the same base rate. When comparing anthem vs blue cross medigap premiums, the pricing method matters as much as the dollar amount.
Enrollment is straightforward with both carriers. Anthem allows you to enroll online, by phone, or through a licensed insurance agent. Most BCBS affiliates offer similar enrollment channels. Both honor the federal Medigap Open Enrollment Period. This six-month window starts when you turn 65 and enroll in Part B. During this period, neither carrier can deny you coverage or charge more due to health conditions. You can verify your enrollment rights at medicare.gov.
Additional Benefits Compared
The anthem vs blue cross medigap comparison extends beyond basic plan coverage. Both carriers offer extra perks that add value. However, the specific benefits differ between Anthem and independent BCBS affiliates.
Anthem includes SilverSneakers gym membership with its Medigap plans. Members also get ScriptSave and WellRx prescription drug discount cards. A 24/7 nurse hotline provides round-the-clock health support. Through Medicare Advantage plans, Anthem offers dental, vision, and hearing coverage in most markets. Many Anthem MA plans also include OTC allowances and telehealth services.
| Benefit | Anthem | Blue Cross Blue Shield (Varies by Affiliate) |
|---|---|---|
| SilverSneakers | Included with Medigap | Available with select plans |
| Rx Discount Card | ScriptSave / WellRx | Varies; some offer similar programs |
| 24/7 Nurse Line | Yes | Yes (most affiliates) |
| Dental (MA) | Preventive and comprehensive | Preventive and comprehensive |
| Vision (MA) | Routine exams and eyewear allowance | Routine exams and eyewear allowance |
| Hearing (MA) | Annual exams and hearing aid discounts | Annual exams and hearing aid coverage |
| OTC Allowance (MA) | Quarterly allowance in most plans | Quarterly or monthly; varies by plan |
| Telehealth (MA) | $0 copay virtual visits | $0 copay in most plans |
| Transportation (MA) | Limited rides to medical appointments | Available in select plans |
| Meal Delivery (MA) | Post-discharge meals in some plans | Post-discharge and chronic condition meals |
Many Medicare beneficiaries also carry a life insurance policy to protect their family during retirement. If you are reviewing your overall coverage, you can compare life insurance rates at Life Insure Guide to ensure your loved ones are financially protected alongside your Medicare choices.
Financial Strength and Stability
Financial strength is critical when choosing a Medigap carrier. You need a company that can pay claims for decades. Both Anthem and independent BCBS affiliates score well in this category. Anthem holds an A (Excellent) rating from AM Best, affirmed in late 2024. This rating reflects strong financial stability under parent company Elevance Health.
Most independent BCBS affiliates also carry AM Best ratings of A or higher. Some regional affiliates like Blue Cross of Arizona earn A+ ratings. Typically, the BCBS brand carries strong financial backing regardless of the specific affiliate. The anthem vs blue cross medigap financial comparison shows both are reliable long-term carriers.
In terms of customer satisfaction, BCBS affiliates perform well regionally. Blue Cross of Michigan earned a J.D. Power score of 675 for Medicare Advantage satisfaction. Blue Cross of Texas scored 639 and ranked highest in its state for a third consecutive year. Anthem’s J.D.
Power scores are competitive but vary by market. The NAIC complaint ratio for Anthem sits 1% below the national average. This means Anthem members file slightly fewer complaints than typical Medigap policyholders. Independent BCBS complaint ratios vary widely, so checking your local affiliate’s record is important. Retirees should also review their homeowners coverage alongside Medicare choices. You can compare home insurance rates at Home Insure Guide to make sure your property is properly protected.
Which Medicare Carrier Should You Choose?
Choose Anthem if: You live in one of Anthem’s 14 states and want competitive Plan G rates. You prefer a single large national carrier with consistent service standards. You value included SilverSneakers and prescription discount perks with your Medigap plan. You want an attained-age pricing model with historically stable rate increases.
Choose Blue Cross Blue Shield if: You live outside Anthem’s service area and need local BCBS coverage. You want access to all ten standardized Medigap plan letters. You prefer issue-age or community-rated pricing options where available. You want a local affiliate with strong regional J.D. Power satisfaction scores and community presence.
The anthem vs blue cross medigap decision ultimately depends on your location. Anthem offers a streamlined experience with competitive pricing in its 14 states. Independent BCBS affiliates provide broader plan selection and nationwide availability. Both carry strong AM Best financial ratings. Both honor standardized Medigap benefits required by federal law.
For most beneficiaries, the best approach is to compare quotes from both carriers in your state. Anthem’s Plan G pricing often beats the competition at age 65. However, your local BCBS affiliate may offer better rates at older ages or provide plan letters Anthem does not sell. The anthem vs blue cross medigap comparison is not about which brand is better overall. It is about which carrier offers the best value in your specific zip code and health situation. Review your options carefully during your Medigap Open Enrollment Period to lock in guaranteed-issue coverage at the best available rate.
Frequently Asked Questions
Is Anthem the same company as Blue Cross Blue Shield?
Anthem is a licensed Blue Cross Blue Shield affiliate, but it operates independently. It is owned by Elevance Health and serves 14 states. However, the other 33 BCBS affiliates are separate companies with their own rates and plan options. In most cases, anthem vs blue cross medigap comparisons treat them as distinct carriers.
Can I switch from Anthem Medigap to a local Blue Cross plan?
Yes, you can switch Medigap carriers at any time. However, outside your Open Enrollment Period, medical underwriting may apply. For example, your local BCBS affiliate could deny coverage or charge higher rates based on your health history. Typically, the best time to switch is during a guaranteed-issue period.
Which company has better anthem vs blue cross medigap rates for Plan G?
Anthem’s Plan G rates rank among the lowest nationally for new enrollees at age 65. On the other hand, some local BCBS affiliates offer issue-age pricing that may save you money over time. The best approach is to request quotes from both carriers in your zip code and compare total costs over a five-to-ten-year period.
Compare More Medicare Insurance Companies
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Official Sources & Resources
For verified information on Medicare plans, ratings, and enrollment:
- Medicare.gov (Official): medicare.gov
- CMS.gov (Centers for Medicare & Medicaid): cms.gov
- AM Best (Financial Strength Ratings): ambest.com
- NAIC (Complaint Ratios): naic.org
- State Health Insurance Assistance Program (SHIP): shiphelp.org
- Kaiser Family Foundation (KFF): kff.org
Content last reviewed April 2026. If you notice any outdated information, please contact us.