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

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
Kaiser Foundation Health Plan - Hawaii HI HMO Yes
4.0
4.5
4.0
4.5
Capital District Physicians' Health Plan NY HMO Yes
4.0
4.0
4.0
4.5
Fallon Health MA HMO Yes
4.0
4.5
4.0
4.5
Jai Medical Systems MD HMO Yes I
4.0
4.0
4.5
Neighborhood Health Plan MA HMO Yes
3.5
4.5
4.0
4.5
Neighborhood Health Plan of Rhode Island RI HMO Yes
4.0
4.5
4.0
4.5
Priority Health MI HMO Yes
4.0
4.0
3.5
4.5
Security Health Plan of Wisconsin WI HMO Yes
4.0
3.5
4.0
4.5
THP-Network Health MA HMO Yes
3.0
4.5
4.0
4.5
UnitedHealthcare Community Plan RI HMO Yes
3.5
4.5
4.0
4.5
Upper Peninsula Health Plan MI HMO Yes
4.0
4.0
4.0
4.0
AMERIGROUP Maryland MD HMO Yes
3.0
3.5
3.0
4.0
AMERIGROUP New York NY HMO Yes
2.0
4.0
4.0
4.0
AmeriHealth Caritas Pennsylvania PA HMO Yes
3.5
4.0
3.5
4.0
Blue Cross Complete of Michigan MI HMO Yes
3.5
3.5
3.5
4.0
Blue Plus (MN Care) MN HMO Yes
3.5
2.5
4.0
4.0
Blue Plus (PMAP) MN HMO Yes
4.0
3.0
3.5
4.0
Boston Medical Center HealthNet Plan MA HMO Yes
3.0
4.0
3.5
4.0
CalOptima CA HMO Yes
2.0
4.0
3.5
4.0
Excellus BlueCross BlueShield NY HMO Yes
3.5
4.0
3.0
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