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NCQA Health Insurance Plan Ratings 2016-2017 - Summary Report (Private)

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

In 2016, NCQA rated more than 1,000 health insurance plans based on clinical quality, member satisfaction and NCQA Accreditation Survey results. This 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 available 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
Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc.
MA HMO/POS Yes
3.5
4.5
4.5
5.0
Capital District Physicians' Health Plan, Inc. (CDPHP)
NY HMO Yes
5.0
4.5
4.0
5.0
Capital District Physicians' Healthcare Network, Inc. (CDPHN)
NY HMO/POS Yes
5.0
4.5
4.0
5.0
Capital Health Plan, Inc.
FL HMO Yes
4.5
4.5
4.0
5.0
Johns Hopkins US Family Health Plan
MD HMO Yes
4.5
4.0
4.5
5.0
Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.
DC, MD, VA HMO Yes
4.0
4.5
4.5
5.0
Kaiser Foundation Health Plan, Inc. - Northern California
CA HMO Yes
3.5
4.5
4.5
5.0
Martin's Point US Family Health Plan (ME)
ME HMO Yes
5.0
4.0
4.5
5.0
Tufts Associated Health Maintenance Organization, Inc.
MA, RI HMO/POS Yes
3.5
4.5
4.5
5.0
Tufts Benefit Administrators, Inc.
MA, RI PPO Yes
4.0
4.5
4.5
5.0
UPMC Benefit Management Services, INC.
PA HMO Yes
4.5
4.5
4.0
5.0
UPMC Health Coverage, Inc.
PA HMO Yes
4.5
4.5
4.0
5.0
UPMC Health Plan, Inc.
PA HMO Yes
4.5
4.5
4.0
4.5
Anthem Health Plans of Maine, Inc. dba Anthem Blue Cross and Blue Shield in Maine
ME HMO/POS Yes
4.0
4.0
4.0
4.5
Anthem Health Plans of New Hampshire, Inc. d/b/a/ Anthem Blue Cross and Blue Shield in New Hampshire
NH HMO/POS Yes
4.0
4.5
4.0
4.5
Anthem Health Plans, Inc. dba Anthem Blue Cross and Blue Shield - Connecticut
CT HMO/POS Yes
4.5
4.5
4.0
4.5
AultCare Insurance Company
OH HMO Yes
5.0
I
3.5
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, Inc.
MA PPO Yes
4.0
4.5
4.0
4.5
Capital District Physicians' Healthcare Network, Inc. (CDPHN)
NY PPO Yes
4.0
4.0
4.0
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