
NYSE: UNH
Key Data Points
About the Author
Keith Speights has no position in any of the stocks mentioned. The Motley Fool recommends CVS Health and UnitedHealth Group. The Motley Fool has a disclosure policy.
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Humana markets health insurance products for Medicare (including Medicare Advantage) and Medicaid members, as well as employers and individuals. Like several of its peers, the company also operates a PBM business.
Also, like some of its major rivals, Human has expanded into additional areas. Its CenterWell segment offers pharmacy (excluding PBM), primary care, and home care.
Follow these steps to invest in health insurance stocks:
There are some metrics, such as revenue and earnings growth, that you should evaluate no matter what kind of stock you're buying. There are also a few specific factors to consider when you're choosing health insurance companies on the stock market:
Like all businesses, healthcare companies face risks, including economic downturns and rising competition. However, health insurance companies also have a few unique risks, including those related to:
The benefits of health insurance companies from an investing standpoint include:
Key trends affecting the health insurance industry include:
Over the near term, the outlook for health insurers is negative. This bleak picture is due largely to increasing medical costs, the prospects for paltry Medicare Advantage rate increases, and the expiration of enhanced Affordable Care Act premium subsidies. However, the longer-term outlook for the health insurance industry could be much brighter, with the possibility that AI and other technological advances could help reduce healthcare costs.
Even with the risks health insurers face, major opportunities lie ahead. As baby boomers age, demand for Medicare Advantage and Medicare supplemental plans is increasing. The second Trump administration could especially promote Medicare Advantage plans.
Investing in companies that offer essential products and services can be a smart wealth-building strategy. Like it or not, health insurance ranks as one of the most important necessities for Americans today.
What are the top health insurance stocks to watch? What do you need to know before investing in them? As the major health insurers might say, “We've got you covered.”
Here are six publicly traded health insurance companies likely to perform well over the long term:





| Name and ticker | Current price | Market cap | Dividend yield |
|---|---|---|---|
| UnitedHealth Group (NYSE:UNH) | $367.10 | $330.3 billion | 2.43% |
| Elevance Health (NYSE:ELV) | $374.71 | $80.1 billion | 1.86% |
| CVS Health (NYSE:CVS) | $86.86 | $103.4 billion | 3.30% |
| Centene (NYSE:CNC) | $55.33 | $26.2 billion | 0.00% |
| Cigna Group (NYSE:CI) | $281.98 | $72.7 billion | 2.21% |
| Humana (NYSE:HUM) | $246.33 | $28.8 billion | 1.48% |
UnitedHealth Group (UNH +0.94%) ranks as the biggest health insurer in the world by far. Its UnitedHealthcare business unit offers health plans for employers and individuals. It's also a major player in the markets for Medicare Advantage, Medicare supplemental plans, and Medicaid.
The company's Optum business segment provides information- and technology-enabled health services, including OptumRx pharmacy benefits management (PBM) services. While UnitedHealthcare generates around three-fourths of the company’s total revenue, Optum has been a key growth driver for UnitedHealth Group in the past.
Acquisitions have driven some of UnitedHealth Group's recent growth. For example, the big healthcare company acquired Change Healthcare in October 2022. More recently, UnitedHealth closed its $3.3 billion purchase of home health and hospice provider Amedisys in August 2025.
Although Elevance Health (ELV +1.53%) is only a fraction of the size of UnitedHealth Group in terms of market capitalization, it's still one of the largest health insurers. Elevance, formerly known as Anthem, operates Blue Cross and/or Blue Shield plans in 14 states but is licensed to sell health insurance throughout the country.
It competes in the same arenas as UnitedHealth Group, offering employer-sponsored and individual health plans, Medicare Advantage, Medicare supplements, and Medicaid. Elevance Health's other businesses include pharmacy benefits manager CarelonRx and Carelon Services, which provides healthcare services that include behavioral health, health and wellness programs, integrated care delivery, palliative care, and utilization management.
Elevance's health benefits segment, which includes the company's individual, employer group, BlueCard, Medicare, Medicaid, and federal health businesses, generates more than 80% of total revenue. However, Carelon Services is its fastest-growing unit.
You might think of CVS Health (CVS +7.65%) as just a pharmacy retailer, but the company also runs CVS Caremark, one of the largest PBMs in the country. Thanks to its 2018 acquisition of Aetna, CVS Health is also a top health insurer.
The company's healthcare benefits segment, which consists mainly of Aetna, generates more than one-third of CVS' total revenue. The segment's revenue has grown rapidly, driven primarily by its Medicare and commercial insurance products.
Although several of these top health insurance companies pay dividends, CVS Health offers the most attractive dividend yield in the group.
Centene (CNC +4.44%) focuses largely on the Medicaid market. Traditional participants (including those in the Children's Health Insurance Program and Temporary Assistance for Needy Families program) and participants who need frequent monitoring make up more than half of the company's total membership base. Centene's Medicaid plans generate almost half of the company's total revenue.
Medicaid remains a solid business for Centene. However, its Medicare and commercial insurance businesses are growing much faster.
Centene is particularly targeting two areas for future growth -- individuals eligible for both Medicare and Medicaid (known as dual eligibles) and the Individual Coverage Health Reimbursement Arrangement (ICHRA), an alternative to group insurance.
The Cigna Group ranks among the largest health insurers with its Cigna Healthcare segment. This unit provides health insurance to employers and individuals in the U.S. and markets international healthcare solutions for employees of multinational organizations and individuals who travel globally.
Cigna also served the Medicare market in the past. However, the company sold its Medicare operations to Health Care Services Corporation (HCSG +1.61%), with the deal closing on March 19, 2025.
In addition to its health insurance business, Cigna offers pharmacy benefits management (PBM) services and specialty and care services through its Evernorth Health Services segment. This unit generates roughly 60% of Cigna's total earnings.