Medicare Supplement Insurance AI Visibility Ranking Trends - November 2026

Answer capsule

The November 2026 Medicare Supplement Insurance benchmark compares 10 companies across 95 AI answers that met its inclusion rules. UnitedHealthcare Vision leads with 73 recommendations (76.84% of answers). At least one tracked company was recommended in 76 answers; some answers recommended several companies.

The rankings distinguish being mentioned from receiving an affirmative recommendation, then examine placement and the wording used about each company. Earlier monthly results show how counts and rates changed, with each month using its own answer total. These results describe the answers reviewed, not product quality or customer satisfaction. Differences between monthly samples limit comparisons and do not establish why a result changed.

For the strategic interpretation of this benchmark, read CiteWorks Studio's analysis of How AI Search Is Recommending Medicare Supplement Insurance

Industry leaderboard

Questions This Section Answers

• How do Medicare Supplement Insurance rank by recorded AI recommendations in November 2026?

The leaderboard orders companies by how many reviewed AI answers affirmatively recommended them. That count is not the same as appearing in an answer, and it is not the same as being placed near the top of a list. A company can be mentioned often yet recommended less often, so the columns answer different questions.

Ties are decided by equal recommendation counts, not by framing or placement. Top-three and first-place results sit inside the recommendation set rather than beside it, so they should be read as position within endorsements, not as extra wins.

Key findings

Tracked-company answer coverage

Questions This Section Answers

• How often did the November 2026 Medicare Supplement Insurance answer sample recommend any tracked company?

76 distinct answers recommended at least one tracked company. Counting each company recommendation separately gives 359, because an answer can recommend several companies. Answers with no tracked recommendation may still have recommended companies outside this comparison.

Almost every reviewed answer named at least one tracked company, and most recommended one. Many answers recommended several companies at once, which is why company-level recommendation totals exceed the number of answers carrying any recommendation.

This overlap means coverage describes how often tracked names appear across answers, not market share or dominance. An answer with no tracked recommendation may still have named companies outside this comparison, so absence here is not evidence that no recommendation occurred.

Reach and affirmative recommendation

UnitedHealthcare Vision ranks 1 by recommendation count. Mentions: 90 (94.74%); recommendations: 73 (76.84%). Top 3 placements: 63 (66.32%); first-place placements: 38 (40.00%).

Wording about the company: 73 positive, 17 neutral, 0 negative mentions. The proportion of mentions that also included a recommendation was 81.1%. The net framing score was 0.81 (defined in Methodology).

17 mentions had no recorded recommendation. Of recorded recommendations, 86.30% were Top 3 and 52.05% were first-place.

Mention measures whether a company appeared in an answer; recommendation requires an affirmative endorsement with positive wording. UnitedHealthcare Vision leads on recommendation count, but its mentions outnumber its recommendations, so reach and endorsement diverge even for the top name.

A tie in recommendation counts is a tie, not a hidden winner. The gap between mentions and recommendations shows that being named is a weaker signal than being endorsed, and neither establishes why an answer took that form.

Recommendation order and placement

Placement describes where a recommended company sat within an answer's ordering. Top-three and first-place counts are subsets of recommendations, not separate achievements, and they share the same answer denominator as the other rates.

A high recommendation-to-mention ratio means most mentions of that company also carried an endorsement in the recorded answers. It does not describe customers, sales or conversion, and framing wording is not evidence of company quality or of why placement occurred.

Classified framing in context

Framing classifies the wording used about a company in the reviewed answers as positive, neutral or negative. Most tracked companies drew largely positive or neutral wording, with negative wording rare in the recorded set.

Neutral wording is not a negative signal, and positive wording does not establish that a recommendation was earned or deserved. Framing reflects how answers phrased things, not customer sentiment, reputation or the reasons behind recommendation differences.

Company results in detail

UnitedHealthcare Vision

Questions This Section Answers

• What do the November 2026 AI answer results show about UnitedHealthcare Vision mentions, recommendations and placement?

UnitedHealthcare Vision ranks 1 by recommendation count. Mentions: 90 (94.74%); recommendations: 73 (76.84%). Top 3 placements: 63 (66.32%); first-place placements: 38 (40.00%).

Wording about the company: 73 positive, 17 neutral, 0 negative mentions. The proportion of mentions that also included a recommendation was 81.1%. The net framing score was 0.81 (defined in Methodology).

17 mentions had no recorded recommendation. Of recorded recommendations, 86.30% were Top 3 and 52.05% were first-place.

From October 2026 to November 2026, UnitedHealthcare Vision's mention count fell from 245 to 90, while its recommendation count fell from 211 to 73. The recommendation rate was 82.75% and 76.84% respectively.

UnitedHealthcare Vision leads the recommendation count and also appears in nearly every reviewed answer, giving it the broadest reach in this sample. Its endorsements are frequently placed near the top of answer orderings, including a substantial share of first-place positions.

Wording about it was positive or neutral, with no negative mentions recorded. The prior-month comparison shows lower counts and a lower recommendation rate, but the monthly samples differ, so the change is reported rather than explained.

Cigna

Questions This Section Answers

• What do the November 2026 AI answer results show about Cigna mentions, recommendations and placement?

Cigna ranks 2 by recommendation count. Mentions: 77 (81.05%); recommendations: 60 (63.16%). Top 3 placements: 19 (20.00%); first-place placements: 0 (0.00%).

Wording about the company: 60 positive, 16 neutral, 1 negative mentions. The proportion of mentions that also included a recommendation was 77.9%. The net framing score was 0.77 (defined in Methodology).

17 mentions had no recorded recommendation. Of recorded recommendations, 31.67% were Top 3 and 0.00% were first-place.

From October 2026 to November 2026, Cigna's mention count fell from 213 to 77, while its recommendation count fell from 183 to 60. The recommendation rate was 71.76% and 63.16% respectively.

Cigna ranks second on recommendation count with wide mention reach, but its endorsements rarely reach the top of an answer's ordering and none were recorded in first place. That combination separates being recommended from being placed prominently.

Wording was mostly positive with a single negative mention. Counts and the recommendation rate were lower than the previous month, a recorded comparison across different samples that does not establish why the shift occurred.

Mutual of Omaha

Questions This Section Answers

• What do the November 2026 AI answer results show about Mutual of Omaha mentions, recommendations and placement?

Mutual of Omaha ranks 3 by recommendation count. Mentions: 64 (67.37%); recommendations: 59 (62.11%). Top 3 placements: 40 (42.11%); first-place placements: 5 (5.26%).

Wording about the company: 59 positive, 5 neutral, 0 negative mentions. The proportion of mentions that also included a recommendation was 92.2%. The net framing score was 0.92 (defined in Methodology).

5 mentions had no recorded recommendation. Of recorded recommendations, 67.80% were Top 3 and 8.47% were first-place.

From October 2026 to November 2026, Mutual of Omaha's mention count fell from 202 to 64, while its recommendation count fell from 197 to 59. The recommendation rate was 77.25% and 62.11% respectively.

Mutual of Omaha appears in a large share of the recorded answers and receives affirmative endorsement in most of those appearances. Its wording is overwhelmingly positive, with neutral phrasing rare and no negative framing recorded. Endorsements frequently sit within the top three, while first-place positions form a smaller subset.

The recommendation-to-mention ratio describes the recorded answers, not customers or sales. Both counts and the recommendation rate were lower than the prior month; because the monthly samples are separate, that comparison records a change without identifying its cause.

State Farm

Questions This Section Answers

• What do the November 2026 AI answer results show about State Farm mentions, recommendations and placement?

State Farm ranks 4 by recommendation count. Mentions: 64 (67.37%); recommendations: 54 (56.84%). Top 3 placements: 40 (42.11%); first-place placements: 12 (12.63%).

Wording about the company: 54 positive, 10 neutral, 0 negative mentions. The proportion of mentions that also included a recommendation was 84.4%. The net framing score was 0.84 (defined in Methodology).

10 mentions had no recorded recommendation. Of recorded recommendations, 74.07% were Top 3 and 22.22% were first-place.

From October 2026 to November 2026, State Farm's mention count fell from 160 to 64, while its recommendation count fell from 149 to 54. The recommendation rate was 58.43% and 56.84% respectively.

State Farm holds a mid-table recommendation count with mention reach similar to the company just above it, and a solid share of its endorsements appear in the top three. First-place positions occur but are less common than top-three placements overall.

Wording was positive or neutral with no negative mentions. Its recommendation rate was close to the previous month even as raw counts fell, and the differing samples mean the movement is reported, not explained.

Humana Vision

Questions This Section Answers

• What do the November 2026 AI answer results show about Humana Vision mentions, recommendations and placement?

Humana Vision ranks 5 by recommendation count. Mentions: 49 (51.58%); recommendations: 33 (34.74%). Top 3 placements: 12 (12.63%); first-place placements: 2 (2.11%).

Wording about the company: 33 positive, 16 neutral, 0 negative mentions. The proportion of mentions that also included a recommendation was 67.3%. The net framing score was 0.67 (defined in Methodology).

16 mentions had no recorded recommendation. Of recorded recommendations, 36.36% were Top 3 and 6.06% were first-place.

From October 2026 to November 2026, Humana Vision's mention count fell from 115 to 49, while its recommendation count fell from 91 to 33. The recommendation rate was 35.69% and 34.74% respectively.

Humana Vision sits in the middle of the table: a moderate mention reach, fewer affirmative recommendations, and relatively few top-three or first-place placements among those endorsements. Its recommendation-to-mention ratio is lower than the leaders'.

Wording was positive or neutral, with a notable share of neutral mentions. Its recommendation rate was nearly steady against the prior month while counts fell, a comparison across different samples that does not establish cause.

Aetna Vision Preferred

Questions This Section Answers

• What do the November 2026 AI answer results show about Aetna Vision Preferred mentions, recommendations and placement?

Aetna Vision Preferred ranks 6 by recommendation count. Mentions: 47 (49.47%); recommendations: 32 (33.68%). Top 3 placements: 9 (9.47%); first-place placements: 0 (0.00%).

Wording about the company: 32 positive, 15 neutral, 0 negative mentions. The proportion of mentions that also included a recommendation was 68.1%. The net framing score was 0.68 (defined in Methodology).

15 mentions had no recorded recommendation. Of recorded recommendations, 28.13% were Top 3 and 0.00% were first-place.

From October 2026 to November 2026, Aetna Vision Preferred's mention count fell from 111 to 47, while its recommendation count fell from 82 to 32. The recommendation rate was 32.16% and 33.68% respectively.

Aetna Vision Preferred appears in roughly half the recorded answers and receives endorsement in a smaller portion of them. Its endorsements are seldom placed in the top three, and no first-place positions were recorded. Wording was positive or neutral throughout, with no negative framing.

The recommendation rate was close to the prior month while counts declined. These are separate monthly samples, so the comparison records the two snapshots and its limits rather than explaining the movement.

Blue Cross Blue Shield

Questions This Section Answers

• What do the November 2026 AI answer results show about Blue Cross Blue Shield mentions, recommendations and placement?

Blue Cross Blue Shield ranks 7 by recommendation count. Mentions: 46 (48.42%); recommendations: 28 (29.47%). Top 3 placements: 6 (6.32%); first-place placements: 2 (2.11%).

Wording about the company: 28 positive, 18 neutral, 0 negative mentions. The proportion of mentions that also included a recommendation was 60.9%. The net framing score was 0.61 (defined in Methodology).

18 mentions had no recorded recommendation. Of recorded recommendations, 21.43% were Top 3 and 7.14% were first-place.

From October 2026 to November 2026, Blue Cross Blue Shield's mention count fell from 170 to 46, while its recommendation count fell from 143 to 28. The recommendation rate was 56.08% and 29.47% respectively.

Blue Cross Blue Shield has moderate mention reach but a comparatively low recommendation count, and few of its endorsements were placed in the top three. Its recommendation-to-mention ratio is among the lower ones in the tracked set.

Wording was positive or neutral, with neutral mentions forming a large share. Its recommendation rate was markedly lower than the prior month, a change recorded across different samples that does not establish why it occurred.

Anthem Blue View Vision

Questions This Section Answers

• What do the November 2026 AI answer results show about Anthem Blue View Vision mentions, recommendations and placement?

Anthem Blue View Vision ranks 8 by recommendation count. Mentions: 31 (32.63%); recommendations: 19 (20.00%). Top 3 placements: 8 (8.42%); first-place placements: 4 (4.21%).

Wording about the company: 19 positive, 12 neutral, 0 negative mentions. The proportion of mentions that also included a recommendation was 61.3%. The net framing score was 0.61 (defined in Methodology).

12 mentions had no recorded recommendation. Of recorded recommendations, 42.11% were Top 3 and 21.05% were first-place.

From October 2026 to November 2026, Anthem Blue View Vision's mention count fell from 44 to 31, while its recommendation count fell from 28 to 19. The recommendation rate was 10.98% and 20.00% respectively.

Anthem Blue View Vision has the smallest reach among the more frequently mentioned companies, yet a fair share of its endorsements were placed in the top three, including some first-place positions. That makes its placement pattern notable relative to its count.

Wording was positive or neutral. Its recommendation rate was higher than the prior month while counts were similar, and the differing samples mean the shift is reported without a causal reading.

Bankers Life

Questions This Section Answers

• What do the November 2026 AI answer results show about Bankers Life mentions, recommendations and placement?

Bankers Life ranks 9 by recommendation count. Mentions: 1 (1.05%); recommendations: 1 (1.05%). Top 3 placements: 0 (0.00%); first-place placements: 0 (0.00%).

Wording about the company: 1 positive, 0 neutral, 0 negative mentions. The proportion of mentions that also included a recommendation was 100.0%. The net framing score was 1.00 (defined in Methodology).

0 mentions had no recorded recommendation. Of recorded recommendations, 0.00% were Top 3 and 0.00% were first-place.

From October 2026 to November 2026, Bankers Life's mention count stayed at 1, while its recommendation count rose from 0 to 1. The recommendation rate was 0.00% and 1.05% respectively.

Bankers Life appears in a single reviewed answer, which also carried an affirmative recommendation, so its recommendation-to-mention ratio rests on a very small base and should be read with caution. No top-three or first-place placements were recorded.

Its mention count was unchanged from the prior month while its recommendation count moved from zero to one. That is a recorded comparison across different samples, not evidence of a trend.

Colonial Penn

Questions This Section Answers

• What do the November 2026 AI answer results show about Colonial Penn mentions, recommendations and placement?

Colonial Penn ranks 10 by recommendation count. Mentions: 0 (0.00%); recommendations: 0 (0.00%). Top 3 placements: 0 (0.00%); first-place placements: 0 (0.00%).

Wording about the company: 0 positive, 0 neutral, 0 negative mentions. The proportion of mentions that also included a recommendation was Unavailable. The net framing score was Unavailable (defined in Methodology).

0 mentions had no recorded recommendation. Of recorded recommendations, Unavailable were Top 3 and Unavailable were first-place.

From October 2026 to November 2026, Colonial Penn's mention count fell from 1 to 0, while its recommendation count stayed at 0. The recommendation rate was 0.00% and 0.00% respectively.

Colonial Penn recorded no mentions and no recommendations in the reviewed answers, so its placement counts are also zero. These are measured results, not missing observations, and ratios requiring a nonzero base are undefined rather than zero.

Its mention count fell from a single mention the prior month while recommendations stayed at zero. With such sparse figures, the comparison carries little interpretive weight and does not establish why the change occurred.

Earlier ranking snapshot context

Questions This Section Answers

• How do the available Medicare Supplement Insurance snapshots from July 2026 to November 2026 differ in recommendation coverage and measurement scope?

Only months with verified results are shown. Monthly sample coverage is listed in Methodology.

The monthly tables show separate samples of AI answers, each with its own answer total, so counts and rates should be read together rather than compared as if sampling were identical. A lower count can accompany a steady rate, and a higher rate can appear alongside fewer answers.

Rank positions are shown for context only. The comparisons describe how recorded results differed across months; they do not establish rank stability, equivalent sampling or the reasons behind any movement.

What the November Rankings Show

The November results answer several distinct questions. Reach asks how often a company appeared; recommendation asks whether an answer affirmatively endorsed it; placement asks where an endorsement sat within an answer's ordering; framing asks how the wording was classified. A company can be strong on one and weaker on another.

Reading them together shows that visibility and endorsement are not interchangeable, and that prominent placement is a subset of recommendation rather than a separate win. None of these measures describes customers, sales or company quality, and the recorded patterns do not explain why answers took the form they did.

Methodology

Questions This Section Answers

• How were the November 2026 Medicare Supplement Insurance AI visibility measures counted, and what do they not establish?

This benchmark has partial coverage: 2 of 3 planned question categories contributed usable observations; 1 contributed none. This describes question-category coverage, not demonstrated platform outages. Findings apply to the available answer set.

The month in the title is the reporting period. The exact dates when the original AI answers were collected have not been verified.

Each company is counted at most once in each answer that meets the benchmark rules. A recommendation requires both an affirmative endorsement and positive wording. Mention, recommendation, Top 3 and first-place rates use the full benchmark answer total. Top 3 and first-place results are included within recommendations, not added to them.

The recommendation-to-mention ratio divides recommendations by mentions. It describes AI answer wording, not customer conversion. Net framing is positive minus negative mentions, divided by all mentions, on a scale from -1 to +1. It does not measure customer satisfaction or company quality.

Market: US; 10 tracked companies. AI services represented: ChatGPT, Copilot, Gemini, Google AI Mode, Google AI Overviews, Perplexity.

Research screening totals (answer observations can include repeated questions):

The source does not provide a reader-facing definition of “reserved”; that screening label is reported without inferring a reason for exclusion. Only the included benchmark answers form the rate denominator.

One answer can mention or recommend several companies. Adding company totals would therefore count some answers more than once. The results describe the AI answers reviewed, not independently verified facts about the companies or their products.

Monthly sample coverage:

July 2026 measured a different set of companies, so it is excluded from this comparison. August 2026 measured a different set of companies, so it is excluded from this comparison.

The answer samples differ between months. These comparisons show how the recorded results changed; they do not establish why they changed.

Coverage is partial: only some planned question categories contributed usable answers, so findings apply to the available answer set, and the exact collection dates were not verified. Each company is counted at most once per answer, and one answer can name several companies, so company totals overlap.

Recommendation requires affirmative endorsement with positive wording. Top-three and first-place results sit inside recommendations, not alongside them. Ratios and framing scores describe answer wording, not customer conversion, satisfaction or company quality. Monthly samples differ, so comparisons show recorded change without establishing cause.