What insurance denies the most claims in the USA?

Asked by: Ms. Viva Denesik V  |  Last update: February 26, 2026
Score: 4.9/5 (8 votes)

While specific rankings vary by year and data source, UnitedHealthcare (UHC) consistently appears at or near the top for high health insurance claim denial rates, particularly in 2023, with rates around one-third of claims denied, alongside companies like AvMed and Blue Cross Blue Shield of Alabama for ACA marketplace plans; however, overall denial rates often depend on the specific plan type (employer-sponsored vs. marketplace) and whether claims are in-network or out-of-network.

What insurance company has the highest denial rate?

There isn't one single company that denies the most claims across all types of insurance, but for health insurance, data from 2023 shows AvMed, UnitedHealthcare (UHC), and Blue Cross Blue Shield of Alabama had some of the highest denial rates (around 33-35%) for Marketplace plans, while Progressive is often cited by lawyers as aggressive in denying other types of claims. Denial rates vary significantly by state, plan type (employer vs. individual), and the specific insurer, with large companies generally having more denials due to their large customer base. 

What are the worst insurance companies for claims?

Here are what some consider to be the ten worst insurance companies in the United States.

  • Allstate. Allstate has provided insurance to Americans since 1931. ...
  • Progressive. Progressive was launched in 1937. ...
  • UnitedHealth. Richard T. ...
  • State Farm. ...
  • Elevance Health (Formerly Anthem) ...
  • Unum. ...
  • Federal Employee Benefits. ...
  • Farmers.

Which insurance company denies the most homeowners claims?

Based on studies by Weiss Ratings, Farmers, USAA, and Allstate have appeared frequently as companies denying a high percentage of homeowners' claims, with some reports showing rates near 50% for homeowners' policies in 2023, though these figures can vary by state and specific circumstances like climate events. Other companies, particularly in Florida, like People's Trust, Kin, and American Integrity, show even higher denial rates (over 60%) often tied to roof and storm damage. 

Which insurance to avoid?

Insurance Coverage You Should Avoid

  • Collision and Comprehensive Auto Insurance. Collision insurance helps pay for your car repairs if you get into an accident. ...
  • Mortgage Life Insurance. Mortgage life insurance pays off your home in the wake of your death. ...
  • Rental Car and Car Rental Damage Insurance. ...
  • Auto Insurance Add-Ons.

Why The U.S. Has A Health Care Claim Denial Problem

41 related questions found

What insurance company has the most complaints?

There isn't one single company with the absolute most complaints, as it varies by year, state, and insurance type (auto/home), but Allstate, Liberty Mutual, Farmers, and Progressive consistently appear among those with high complaint volumes, often related to claim handling, low offers, and denials, while smaller firms like American Bankers (home) and Essentia (auto) can also have high rates of complaints relative to their size. 

What is the 80% rule in insurance?

The "80% insurance rule" in homeowners' policies requires you to insure your home for at least 80% of its total replacement cost to avoid coinsurance penalties and receive full coverage for partial losses; if underinsured (below 80%), the insurer reduces payouts proportionally, making you responsible for more of the cost, a concept also applied to some flood insurance policies. 

Who is the #1 insurance company in the US?

There isn't one single "#1" insurance company, as it depends on the type of insurance; UnitedHealth Group leads in overall health insurance revenue and market share, while State Farm is the largest in property & casualty (P&C) and auto insurance by premiums, with companies like Berkshire Hathaway, Elevance Health, and others also dominating specific sectors like life insurance or customer satisfaction.
 

What is the 80 20 rule in insurance?

The "80/20 rule" in insurance refers to two main concepts: the Medical Loss Ratio (MLR) in health insurance (part of the Affordable Care Act), requiring insurers to spend at least 80% of premiums on care or issue rebates; and the 80% rule in homeowners insurance, which dictates you must insure your home for at least 80% of its replacement cost to avoid coinsurance penalties on claims. The health rule protects consumers by limiting administrative overhead and profit, while the home insurance rule prevents underinsurance. 

What is the most common claim denial?

Claim not filed on time (aka: Timely Filing)

If a proper claim is submitted, but it's not within the timing window, it may result in a denial. It is recommended that you check with your Payers regarding their filing deadlines.

Which insurance company has chaos?

Dean Winters brings chaos to regular people in Allstate's Mayhem commercials, but the star of this long-running ad campaign has had a tough life himself.

Who is the most trusted insurance company?

There's no single "most trusted" insurer, as it varies by survey and insurance type, but State Farm frequently appears at the top for overall trust and market share in property/casualty, while companies like USAA (for military families), Chubb, MetLife, and Travelers also rank highly for customer satisfaction and reputation in specific areas like auto or overall business. Trust often comes down to claims satisfaction, customer service, and financial strength, with different companies excelling in different metrics, notes Insurance Business America. 

Is Blue Cross or UnitedHealthcare better?

Neither UnitedHealthcare (UHC) nor Blue Cross Blue Shield (BCBS) is definitively "better"; the best choice depends on your specific location, plan type (Medicare, employer, individual), budget, and doctor network, with UHC often having a larger national presence and BCBS offering strong regional networks, though both have high ratings in some areas and face criticism in others, requiring direct comparison of costs and benefits. 

What are the three most common mistakes on a claim that will cause denials?

Here, we discuss the first five most common medical coding and billing mistakes that cause claim denials so you can avoid them in your business:

  • Claim is not specific enough. ...
  • Claim is missing information. ...
  • Claim not filed on time (aka: Timely Filing)

Does Blue Cross Blue Shield have a high denial rate?

Anthem Blue Cross Blue Shield has been noted for rejection rates ranging between 20% to 30%, depending on plan specifics and regions3.

How much is a $500,000 life insurance policy for a 60 year old man?

A $500,000 life insurance policy for a 60-year-old man varies significantly by policy type, but expect roughly $270-$400+ monthly for 20-year term and potentially $1,400+ monthly for whole life, depending heavily on health, smoking status, and specific coverage length/features. Term policies offer lower rates for a set period, while whole life insurance costs much more but builds cash value. 

At what point is full coverage not worth it?

Full coverage isn't worth it when your car's value is low (often under $4,000-$5,000), the annual cost of premiums plus your deductible approaches or exceeds the car's actual cash value (ACV), you can afford to replace the car with cash, or your car is paid off and you have a solid emergency fund for potential repairs or replacement. It's a trade-off between premium cost and your financial ability to cover damages out-of-pocket if the car is totaled or significantly damaged. 

What is the new medicare rule for 2025 for seniors?

For 2025, the biggest Medicare change is a $2,000 annual out-of-pocket cap for prescription drugs (Part D), eliminating the donut hole and providing $0 drug costs after the cap. Other key changes include Medicare Advantage plans sending mid-year unused benefit notices, new rules for broker pay, improved mental health access, and potential plan changes (fewer options, different benefits) as insurers adapt to the Part D cap. 

Who is bigger, Geico or Progressive?

Who is bigger, Geico or Progressive? Progressive is a larger car insurance company than Geico.

At what age should you stop paying term life insurance?

You should stop term life insurance when you no longer have significant financial obligations like a mortgage or dependents relying on your income, typically in your 60s or 70s, after retirement, though it depends on personal finances; many people find less need as their kids are grown, debts are paid, and assets cover final expenses, but some keep it for estate planning or final costs. 

How much should homeowners insurance cost on a $300,000 house?

Homeowners insurance for a $300,000 house typically costs around $2,500 to $2,600 per year, or roughly $210-$220 per month nationally, for $300,000 in dwelling coverage with a $1,000 deductible, but rates vary significantly by location, insurer, and home characteristics like age and claims history, with some states and companies offering much lower or higher premiums. 

What does it mean if the coverage limits are $250000 / $500,000?

Coverage limits of $250,000/$500,000 in auto insurance refer to split liability limits, meaning your insurer pays up to $250,000 for bodily injury to any one person and up to $500,000 total for all bodily injuries in a single accident, with a separate third number (often $100k or $250k) covering property damage. This provides strong financial protection, covering extensive medical bills and damages if you're at fault, but you're personally liable for amounts exceeding these limits, making higher coverage worthwhile if you have significant assets.