BlueCross BlueShield vs Cigna

Kaitlyn Short
Kaitlyn Short | Senior Editor

BlueCross BlueShield and Cigna are well-known health insurers. Both offer insurance in many parts of the United States. Both companies have plans for individuals and families, Medicare, international health insurance, and plans for employers to offer employees. Health plan availability for both varies depending on your location.

Unlike Cigna, BlueCross BlueShield works through subsidiaries in the areas it offers health insurance. Because of the differences among its subsidiaries, it’s difficult to compare BlueCross BlueShield to other health insurers.

BlueCross BlueShield logo
#5 BlueCross BlueShield
6.5 Overall Score
1.6
star star_half star_border star_border star_border
(859)
Cigna logo
#11 Cigna
5.1 Overall Score
2.5
star star star_half star_border star_border
(346)

Overview

BlueCross BlueShield

Health Plan Options

Customer Service Options

Perks and Support Programs

Time in Business

Undisclosed

Cigna

Undisclosed

Ratings

BlueCross BlueShield

Overall Score
6.5 of 10
Review Score
1.6
star star_half star_border star_border star_border
Value for Money
3.5
star star star star_half star_border
Quality of Product or Service
3.6
star star star star_half star_border
Company Trustworthiness
3.5
star star star star_half star_border
Likely to Recommend
6.0 of 10

Cigna

5.1 of 10
2.5
star star star_half star_border star_border
2.5
star star star_half star_border star_border
2.4
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2.5
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2.8 of 10

Reviews

BlueCross BlueShield

Number of Reviews
859
Review Breakdown
1.6
star star_half star_border star_border star_border
1 star
22%
2 star
6%
3 star
8%
4 star
22%
5 star
42%

Cigna

346
2.5
star star star_half star_border star_border
1 star
50%
2 star
6%
3 star
8%
4 star
15%
5 star
21%

Reviews for BlueCross BlueShield

Helpful Favorable Review

star star star star star

Tera Agee

November 9th, 2025

DETAILS

I paid claims for them for 30 years and found them to be completely reliable to their insureds, so when I became eligible for Medicare I chose them for mu supplement plan. Since the day I was insured, 02/01/2013, I have never paid a deductible or co-insurance amount. I only pay my premiums and I can go to any doctor or hospital at any time without referrals or pre-approvals. Choose Plan F - you'll be very happy!

Helpful Critical Review

star star_border star_border star_border star_border

Larry Virtue

November 11th, 2025

DETAILS

They are charging me an out of network fee for a skin cancer surgery not available to me in-network. Denied my appeal to bill as tier 1. I received no upfront counseling that my bill would be 500% higher than I thought. They even identify the doctor as in-network.

Reviews for Cigna

Helpful Favorable Review

star star star star star

Heather H

April 27th, 2023

DETAILS

Cigna is an excellent company with decent in-network coverage as well as healthcare providers that widely accept Cigna. The transition my company made to Cigna coverage was exceptionally smooth and transparent.

Helpful Critical Review

star star_border star_border star_border star_border

Carol Eicher

February 20th, 2025

DETAILS

rock bottom worst! Is it incompetence or intended. Failure to read doctor Type 2 Diabetes diagnosis May 1, 2017. Type 2 Diabetes reflected in Active Problems on My Chart. Ongoing treatment & tests results. Current doctor notes on my chart underlined /bolded Type 2 Diabetes. Medications denied. Appeals pending 60 days. Horrible no accountability or standards for service

The Final Word

BlueCross BlueShield and Cigna both offer rewards and discount programs with many of their plans.

BlueCross BlueShield’s program Blue365® offers discounts on products and services that support financial health, nutrition, fitness, and more. Blue365® is not available from all of BlueCross BlueShield’s subsidiaries. Check with your BlueCross BlueShield subsidiary to see if you’d have access to this program.

Cigna’s program Healthy Rewards® offers discounts on alternative medicine, vitamins, fitness, and more. It is included with most of Cigna’s health plans. Most of Cigna’s health plans also include Telehealth, which allows members to schedule virtual appointments with doctors. This feature makes it easy and quick to meet with a doctor for non-emergency situations.

BlueCross BlueShield stands out from Cigna because of its Total Care and Blue Distinction® ratings for health care providers and hospitals. These designations consider both the quality and cost of health services offered by providers and hospitals.

While Cigna and BlueCross BlueShield are fairly similar, the rewards programs offer different kinds of discounts. Learn more specifics on health plans offered by each company in your area and compare coverage and cost before enrolling in a health plan.

Top Choice

BlueCross BlueShield Logo
BlueCross BlueShield

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