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NCQA Health Insurance Plan Ratings 2015-2016 - Summary Report (Private)

Search for a health insurance plan by state, plan name or plan type (Private, Medicaid, Medicare). Click a plan name for details.

NCQA rated more than 1,300 health insurance plans based on clinical quality, member satisfaction and NCQA Accreditation Survey results. This new way of rating plans emphasizes care outcomes (the results of care people receive) and what patients say about their care.

Information about the ratings, including how they are calculated, is here. To license the underlying data, go here.

Lower Performance Higher Performance
1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0
Rating
Plan Name
States
Type
NCQA Accreditation
Consumer Satisfaction
Prevention
Treatment
5.0
Capital District Physicians' Health Plan NY HMO Yes
4.5
4.5
4.0
5.0
Capital District Physicians' Healthcare Network NY HMO/POS Yes
4.5
4.5
4.0
5.0
Harvard Pilgrim Health Care ME, MA HMO/POS Yes
4.0
4.5
4.5
5.0
Harvard Pilgrim Health Care MA PPO Yes
4.0
4.5
4.5
5.0
Harvard Pilgrim Insurance MA PPO Yes
4.0
4.5
4.5
5.0
Kaiser Foundation Health Plan of Northern California CA HMO Yes
3.5
4.5
4.5
5.0
Kaiser Foundation Health Plan of the Mid-Atlantic States DC, MD, VA HMO Yes
4.0
4.5
4.5
5.0
Tufts Associated Health Maintenance Organization MA, RI HMO/POS Yes
3.5
4.5
4.5
5.0
Tufts Benefit Administrators MA, RI PPO Yes
4.0
4.5
4.5
5.0
UPMC Benefit Management Services PA HMO Yes
4.5
4.5
4.0
5.0
UPMC Health Coverage PA HMO Yes
4.5
4.5
4.0
4.5
Anthem Blue Cross and Blue Shield in Connecticut CT HMO/POS Yes
4.5
4.5
4.0
4.5
Anthem Blue Cross and Blue Shield in Maine ME HMO/POS Yes
4.0
4.0
4.0
4.5
Anthem Blue Cross and Blue Shield in New Hampshire NH HMO/POS Yes
4.0
4.5
3.5
4.5
Anthem Health Plan of New Hampshire NH HMO/POS Yes
4.0
4.5
3.5
4.5
AultCare HMO OH HMO Yes
4.5
3.0
4.0
4.5
Blue Cross & Blue Shield of Rhode Island RI PPO Yes
3.5
4.5
4.0
4.5
Blue Cross and Blue Shield of Massachusetts MA PPO Yes
3.5
4.5
4.5
4.5
Blue Cross and Blue Shield of Massachusetts HMO Blue MA HMO/POS Yes
3.0
4.5
4.5
4.5
Blue Cross and Blue Shield of Vermont VT HMO/POS Yes
4.0
4.0
4.0
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