U.S. Supplemental Health Companies and Market Trends Analysis

Top Companies in the U.S. Supplemental Health Market

• Aflac Inc.
• Cigna Healthcare
• UnitedHealthcare (UnitedHealth Group)
• Humana Inc.
• Elevance Health (Anthem)
• MetLife, Inc.
• Prudential Financial
• Guardian Life Insurance
• Colonial Life (Unum Group)
• Allstate Benefits
• Mutual of Omaha
• Ameritas Life Insurance Corp.
• Delta Dental of America
• VSP Vision Care
• Aetna (CVS Health)
• Assurant, Inc.
• Transamerica Corporation
• ManhattanLife Insurance
• Globe Life Inc.
• National Guardian Life Insurance (NGL)

Market Growth

The U.S. supplemental health market size recorded US$ 38.62 billion in 2024, set to grow to US$ 40.77 billion in 2025 and projected to hit nearly US$ 65.19 billion by 2034, with a CAGR of 5.64% throughout the forecast timeline.

U.S. Supplemental Health Market Trends

Adoption of Inorganic Growth Strategies

• Adopting an inorganic growth strategy, particularly through mergers and acquisitions (M&A), can significantly accelerate the expansion of the U.S. supplemental health market by enabling companies to quickly scale operations, diversify offerings, and enter new markets. Such strategies allow firms to leverage established customer bases, integrate complementary technologies, and enhance service delivery capabilities, thereby improving competitive positioning.
• In 2025 is the acquisition of Cigna's Medicare Advantage and supplemental benefits businesses by Health Care Service Corporation (HCSC) for approximately US$3.7 billion. This strategic move, finalized in March 2025, enabled HCSC to broaden its national presence and enhance its portfolio of supplemental health offerings under the Healthspring brand. The acquisition exemplifies how inorganic growth strategies can facilitate rapid market expansion and the introduction of innovative products to meet evolving consumer needs.

Latest Announcement by Industry Leaders

In October 2024, Chris DeRosa, president, U.S. Government business, stated that Cigna Healthcare provides clients with stable plans, a consistent service area, competitive pricing, and leading value as the Medicare market continues to change quickly. Medicare shoppers can anticipate seeing a variety of options from Cigna Healthcare so they can select a plan with the benefits they value most and that best fits their particular health and lifestyle requirements. In addition to standalone Prescription Drug Plans (PDP) nationwide, as well as in the District of Columbia and Puerto Rico, Cigna Healthcare still offers Medicare Advantage (MA) plans in 29 states and the District of Columbia, Medicare Supplement plans in 48 states and the District of Columbia, and more.

Recent Development in the U.S. Supplemental Health Market

• On July 25, 2025, Arch Capital's launch of a flexible supplemental health suite in July 2025 targets gig workers and independent contractors, offering them customizable coverage options to meet their unique needs. Such innovations exemplify how adaptable plans are catalyzing market expansion and catering to an evolving workforce.
• In February 2025, Aflac Incorporated of the top suppliers of supplemental health insurance in the United States, announced the release of its most recent When dealing with a covered accident, an individual Aflac Accident Insurance product to offer financial peace of mind. Following a covered accident, policyholders of the new Aflac Accident Insurance plan receive cash benefits*, which include medical services like ambulance, emergency room, urgent care, physical therapy, mental health therapy, and more. With a range of coverage options that appeal to customers at every stage of life, the product is offered in 32 states.

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