Aetna vs. Mutual of Omaha Medicare Supplement Plans

Written by: 
Matt Kiggins
Last updated: 
Feb 24, 2026

When you hit Medicare eligibility, one of the biggest decisions you’ll face is choosing a Medicare Advantage plan or a Medicare Supplement (also known as Medigap) plan.

On the surface, Advantage plans – like those offered by big names such as Aetna – might seem attractive: they’re often low-cost, include prescription coverage, and come bundled with perks like dental or gym memberships.

But dig a little deeper, and you might find that Medicare Supplement plans, especially those from Mutual of Omaha, offer more long-term value, freedom, and peace of mind.

Aetna and Mutual of Omaha are two of the most popular Medicare providers in the United States. They both offer great plan options, but let’s dive into the details and see their pros and cons in this review.

In a nutshell:

  • Aetna provides a broader range of plan options, including Medigap, Medicare Advantage, and prescription drug plans.
  • Mutual of Omaha offers fewer plan options but typically at more affordable premiums.

Before we get into the details of each company, let’s take a moment to think about whether a Medicare Supplement or Medicare Advantage plan is the better fit for you.

Medicare Supplement vs. Medicare Advantage

Medicare Advantage (Part C) replaces your Original Medicare coverage with a private plan. It typically comes with provider networks (HMO or PPO), and while the monthly premium may be lower, you may face copays, coinsurance, and prior authorization requirements.

Medicare Supplement plans, on the other hand, work alongside Original Medicare. They don’t replace it – they strengthen it. These plans cover many out-of-pocket costs that Medicare leaves behind, such as deductibles, copays, and coinsurance.

Here’s the truth: Medicare Advantage plans trade simplicity for limitations.

Yes, they bundle your benefits. Yes, they sometimes offer $0 premiums.

But those come with caveats, including:

  • Limited networks
  • Strict referral rules
  • Potentially high out-of-pocket costs

Now contrast that with Medicare Supplement (Medigap) plans. These plans work alongside Original Medicare, covering many out-of-pocket costs that Medicare doesn’t, like coinsurance, copayments, and deductibles.

Let’s look at why Medigap stands out as a better option than Medicare Advantage.

#1. Nationwide Freedom

Medigap policies don’t tie you to a network unlike most Medicare Advantage plans. With a Medigap plan, you can see any doctor or specialist that accepts Medicare, anywhere in the U.S.

That’s especially important if you travel often or live in multiple states throughout the year.

#2. Predictable Costs

Medicare Advantage plans can surprise you with unexpected copays or coinsurance, especially if you need a hospital stay or ongoing care.

With a Medigap plan like Plan G or Plan N, your monthly costs will be more predictable, and there will be significantly fewer billing surprises.

#3. You’re in Control – Not the Insurance Company

With Medigap, there’s no need for referrals or prior authorizations to see specialists. You and your doctor make the decisions, not a third-party insurer reviewing your paperwork.

When investing in your health future, you don’t want guesswork – you want confidence. Medicare Supplement plans give you the flexibility to choose your doctors, the financial protection against big medical bills, and the freedom to travel without worrying about provider networks.

So, while Medicare Advantage plans may sound appealing on the surface, a closer look reveals that Medigap may be the smarter long-term choice, especially when backed by trusted names like Aetna or Mutual of Omaha.

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Aetna vs. Mutual of Omaha: Plan Availability

Aetna and Mutual of Omaha offer Medicare Supplement plans, helping control out-of-pocket expenses for Original Medicare Part A and Part B services.

There are ten standardized Medigap plans, with Plan G being the most popular. Neither company sells Plans C, K, L, or M.

Aetna and Mutual of Omaha both offer prescription drug plans. SilverScript Choice and SilverScript Plus are Aetna’s options, while Mutual of Omaha has Rx Value and Rx Plus.

Aetna’s SilverScript Plus has slightly lower copays for Tier 2 drugs than Mutual of Omaha Rx Plus.

Aetna also offers Medicare Advantage plans, including HMO, PPO, and dual SNPs, with perks like SilverSneakers and a 24/7 hotline. Mutual of Omaha no longer offers Medicare Advantage plans.

Which Is Better for Availability?

  • If you’re looking for a Medicare Advantage plan, Aetna will almost certainly have something available in your area.
  • If you want Medicare Supplement coverage, both Aetna and Mutual of Omaha offer options. Mutual of Omaha typically has stronger Medigap-specific support, better customer service, and more consistent pricing.

Ultimately, the best choice depends on your ZIP code and what type of plan you want.

Medicare Advantage plans are more location-sensitive, while Medigap plans are more stable across state lines, especially from Mutual of Omaha.

Aetna vs. Mutual of Omaha: Medigap Costs

We have compared the premium costs of the most popular Medigap plans from Aetna and Mutual of Omaha in various states for your review:

Medigap Plan Mutual of Omaha Aetna
Plan G $184 $200
Plan N $140 $138
Plan A $185 $161

These sample quotes are for a 65-year-old male non-smoker in Texas ZIP code 78665, without any household discounts.

Medigap Plan Mutual of Omaha Aetna
Plan G $305 $360
Plan N $222 $260
Plan A $281 $285

These sample quotes are for a 65-year-old female non-smoker in Florida ZIP code 33311, without any household discounts.

Based on the above research, we’ve found:

Mutual of Omaha’s Medigap premiums are:

  • 10% higher in Georgia
  • 4% higher in Pennsylvania

Aetna’s Medigap premiums are:

  • 7% lower in Texas
  • 10% higher in Florida

Aetna vs. Mutual of Omaha: Ratings

When choosing a Medicare plan, it’s not just about premiums and coverage – it’s also about trust.

You want to know the company you’re enrolling with is financially strong, easy to work with, and consistently delivers on its promises.

Financial Strength

Both companies are financially stable, but Mutual of Omaha’s A+ from AM Best reflects a slightly stronger position in the Medicare Supplement space.

Aetna also performs well, particularly given its backing by CVS Health.

Medicare Star Ratings (CMS)

Aetna’s Medicare Advantage and Part D plans earn solid ratings, averaging around four stars in most regions.

Mutual of Omaha does not offer Advantage plans, so CMS star ratings do not apply. Medigap plans are standardized and not rated by CMS, but reputation plays a big role.

Customer Satisfaction and Complaints

Aetna

  • Mixed reviews depending on plan type and location
  • Some complaints involve prior authorizations and network issues (common with Advantage plans)
  • Better satisfaction reported with standalone Part D and Medigap options

Mutual of Omaha

  • Consistently strong reviews, especially for Medicare Supplement
  • Known for prompt claims processing and helpful support staff
  • Fewer complaints overall, likely due to the simplicity of Medigap coverage

Takeaway: While Aetna is a larger company with a broader range of plans, often resulting in a higher volume of mixed reviews, Mutual of Omaha’s narrower focus on Medigap allows for a more consistently positive customer experience.

Bottom Line

Aetna and Mutual of Omaha have been in the insurance industry for over 100 years, providing quality coverage and service to their members. Choosing between the two depends heavily on your specific healthcare requirements and preferences.

Aetna stands out for its vast network and flexible plan options, offering members a wide range of providers and the added benefits of their Medicare Advantage plans.

Mutual of Omaha Medigap plans offer several key benefits, including household discounts (7–12%), a simple claims process, and strong customer support.

Both companies offer Medigap plans that allow customers to choose any provider that accepts Medicare, foreign travel emergency coverage, guaranteed renewable coverage, and wellness discounts in select states.

We have a team of professional agents who can assist you in comparing various health plans, prices, and policies. We’ll ensure you’re well-informed so you can choose a plan that perfectly suits your needs.

Sources: Aetna | Mutual of Omaha | How to Enroll

FAQ

Aetna does. They offer Special Needs Plans (SNPs) for people with chronic health conditions or dual-eligible for Medicare and Medicaid. These plans often include care coordination and enhanced benefits tailored to specific illnesses. Mutual of Omaha does not offer Medicare Advantage or SNPs, so they don’t have plans for specific chronic conditions.

‍Can either plan help if I need home health services? Depending on the plan and approval process, Aetna Medicare Advantage plans may cover various in-home services, including short-term home health care. Mutual of Omaha’s Medigap plans don’t offer home health services directly. Still, they will cover any services approved under Original Medicare, and there’s no need to get prior approval from the Medigap provider.

Aetna has more developed digital tools, including member portals, mobile apps, and online access to pharmacy benefits, provider directories, and telehealth services. Mutual of Omaha’s Medigap offerings are simpler and don’t require as much digital management, but their online account tools are more limited by comparison.

Yes, but there are conditions. If you’re switching from an Aetna Medicare Advantage plan to a Mutual of Omaha Medigap plan, you may have to pass medical underwriting unless you’re in your Medigap Open Enrollment window or have a guaranteed issue right. It’s important to time any switch carefully and understand the eligibility rules before making a move.

Both Aetna and Mutual of Omaha have a strong track record in the Medicare Supplement market. Mutual of Omaha has been in the Medigap space for decades, with one of the largest member bases nationwide, while Aetna has shown consistent rate stability and reliability across many states.

Matt Kiggins
Matt Kiggins
Senior Editor
SimpleAdvisor.com

For over 15 years, Matt Kiggins has been the senior editor at Simple Advisor, giving detailed advice on Medicare, life insurance, and dental coverage to thousands of clients in more than forty states. His demonstrated expertise in assisting people with their health plan selection is remarkable — it’s evident that he stands out among competitors as the go-to source for knowledge and support.

Matt holds a resident 2–15 Florida Health & Life (Including Annuities & Variable Contracts) Agent License in Florida, his state license number is P116762 (Issued 10/1/2007).

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Matt Kiggins
Matt Kiggins
Senior Editor
SimpleAdvisor.com
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