Cigna vs. UnitedHealthcare Medicare Plans

Cigna and UnitedHealthcare are two leading Medicare insurance providers in the US, each with its own pros and cons.

They both offer Medicare Advantage (Part C), Medicare Part D drug plans, and Medicare Supplement insurance (Medigap).

In a nutshell:

  • UnitedHealthcare offers more plan options than Cigna and has a larger network of providers.
  • Cigna offers, on average, lower monthly premiums than UnitedHealthcare.

Cigna Plan Highlights


  • Coverage available in 48 states (varies by state and insurance plan)
  • Premium discounts of up to 25% on select plans
  • Rewards program providing up to 25% off on health and wellness products and services
  • Convenient option to bundle policies


  • Premiums are typically 2.4% to 9% higher than those of most competitors
  • Some members have expressed dissatisfaction with Cigna’s service, pointing to unresponsive representatives, claim rejections, and high out-of-pocket expenses
  • Medigap plans are not available in Massachusetts or New York

UnitedHealthcare Plan Highlights


  • Available in all 50 states (coverage varies by state and insurance plan)
  • Access to over 1.3 million primary care physicians and specialists
  • Benefits include virtual doctor visits, gym memberships, and vision and hearing care discounts
  • Policy management can be done through the website, phone, and mobile app


  • Customers may feel overwhelmed by the company’s large size and numerous affiliates
  • Premiums are significantly higher in certain regions
  • Member experience ratings are only average

Cigna vs. UHC: Medicare Plan Availability

Medicare Advantage Plans

UnitedHealthcare, the largest Medicare Advantage provider, boasts 8.9 million members. Meanwhile, Cigna, ranked seventh, aims to expand its current 600,000 memberships by 22% and enhance plan benefits through network expansion.

Both Cigna and UnitedHealthcare offer various types of Medicare Advantage plans, including HMO plans (Health Maintenance Organization), PPO plans (Preferred Provider Organization), and SNPs (Special Needs Plans).

Medicare Supplement Plans

Cigna and UnitedHealthcare offer guaranteed renewable Medigap policies with no network restrictions – meaning you can see any doctor who accepts Medicare.

UnitedHealthcare offers 9 out of the 10 standardized Medigap plans, including A, B, C, D, FG, K, L, and NCigna offers Medigap plans A, F, G, and N, plus high-deductible versions of G and F (in some locations).

UnitedHealthcare provides discounts on household and electronic funds transfers, depending on your location and household status.

Cigna offers up to a 20% premium discount on Medigap plans, with an additional 5% discount if you apply online.

Prescription Drug Plans

Cigna provides three nationwide drug plan options: Cigna Saver RX, Cigna Secure RX, and Cigna Extra RX. Premiums range between $18 and $116 per month, and each plan includes the option of a $0 copay on Tier 1 generic drugs.

UnitedHealthcare offers two national prescription drug plans and two additional state-specific plans, with monthly premiums ranging from $31 to $124.

UnitedHealthcare boasts a wide network of in-network pharmacy locations, partnering with popular pharmacies like Walgreens and offering mail-order prescriptions through OptumRx.

Cigna vs. UHC: Medigap Plan Costs

We compared premium costs of popular Cigna and UHC Medigap plans in different states for your review:

  • Florida:

    Medigap PlanCignaUHC
    Sample quotes are for a 65 y/o nonsmoking male in FL zip code 32503.
  • Illinois:

    Medigap PlanCignaUHC
    Sample quotes are for a 65 y/o nonsmoking female in IL zip code 60629.
  • Alabama:

    Medigap PlanCignaUHC
    Sample quotes are for a 65 y/o nonsmoking male in AL zip code 35405.
  • Texas:

    Medigap PlanCignaUHC
    Sample quotes are for a 65 y/o nonsmoking female in TX zip code 77494.

Premium Analysis

In summary, our research revealed that on average:

  • Cigna premiums are 11% lower than UHC in Florida
  • Cigna premiums are 5% lower than UHC in Illinois
  • Cigna premiums are 20% lower than UHC in Alabama
  • Cigna premiums are 8.5% lower than UHC in Texas

It’s important to know that actual premiums will vary depending on your age, gender, location, and tobacco status.

Cigna vs. UHC: Extra Perks

UnitedHealthcare Medicare Advantage plans provide annual home visits with licensed clinicians, $0 copays for telehealth, and rewards for health tasks. Dual plan members may also get allowances for healthy food, over-the-counter items, and utility bills.

Cigna offers the Healthy Rewards program, which offers up to 25% discounts on health products and services. It also provides standalone and bundled dental, vision, and hearing plans starting at $32/month. UnitedHealthcare has a similar program called Renew Active.

Cigna vs. UHC: Ratings

Medicare beneficiaries can use an impartial rating system, the Medicare Star Ratings, to check out healthcare plans and see how well providers are doing.

According to the 2023 Medicare Star Ratings, Cigna and UnitedHealthcare’s Medicare Advantage plans received an average rating of 4.5 out of 5 stars.

Cigna has an A+ financial rating from A.M. Best, indicating stable financial health. UnitedHealthcare has an A rating from Moody’s and A.M. Best and an AA from Fitch Ratings.

Bottom Line

When it comes to picking between Cigna and UnitedHealthcare for Medicare plans, there isn’t a one-size-fits-all answer. Both providers offer a range of plans, each with unique features and benefits.

Your decision should be based on various factors, including your healthcare needs, budget, and the availability of plans in your area.

Our team of licensed agents is here to help you navigate this process, making sure your chosen provider fits your needs perfectly.

Sources:  UHC Medicare Plan Info  |  Cigna Medicare Plans  |


Mark Prip

Since 2003, Mark Prip has been leading  Policy Guide, Inc., providing knowledgeable information about Medicare, life insurance, and dental coverage to clients in over forty states. With his unparalleled hands-on experience aiding countless Medicare beneficiaries in selecting an appropriate health plan, he is a prime example amongst other competitors for expertise and assistance. Mark has held his Florida Health & Life Insurance License (E051889) since 2003. View his license profile on the Florida Department of Insurance website.