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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
Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.
DC, MD, VA HMO Yes
4.0
4.5
4.5
4.0
MD - Individual Practice Association, Inc.
DC, MD, VA HMO/POS Yes
3.5
3.5
3.5
4.0
Optima Health Plan
VA HMO/POS Yes
3.0
3.5
3.0
3.5
Aetna Health Inc. (Pennsylvania) - Maryland
DC, MD, VA HMO/POS Yes
2.0
3.0
3.0
3.5
Aetna Life Insurance Company (Virginia)
VA PPO Yes
3.5
3.0
3.0
3.5
Anthem Health Plans of Virginia, Inc. dba Anthem Blue Cross Blue Shield of Virginia
VA PPO Yes
3.0
3.0
3.0
3.5
CareFirst BlueChoice
DC, MD, VA HMO/POS Yes
2.5
3.0
3.0
3.5
Cigna Health and Life Insurance Company - Virginia/District of Columbia
DC, VA HMO/POS/PPO Yes
2.5
3.0
3.5
3.5
Connecticut General Life Insurance Company - Virginia/District of Columbia
DC, VA HMO/POS/PPO Yes
2.5
3.0
3.5
3.5
Coventry Health Care of Virginia, Inc.
VA HMO/POS Yes
3.0
3.5
3.0
3.5
Group Hospitalization and Medical Services, Inc. (GHMSI)
DC, MD, VA PPO Yes
3.0
3.5
3.0
3.5
Group Hospitalization and Medical Services, Inc. (GHMSI)
DC, MD, VA HMO/POS Yes
2.5
3.0
3.0
3.5
HealthKeepers, Inc.
VA HMO/POS Yes
2.5
3.5
3.0
3.5
UnitedHealthcare of the Mid-Atlantic, Inc.
DC, MD, VA HMO/POS Yes
2.0
3.5
3.0
3.0
Optimum Choice, Inc.
DE, DC, MD, VA, WV HMO/POS Yes
2.0
3.0
3.0
3.0
United Healthcare Services, Inc (Virginia)
VA PPO Yes
2.0
2.5
3.0
3.0
UnitedHealthcare Insurance Company (Virginia)
VA PPO Yes
2.0
2.5
3.0
Partial Data Reported Humana Insurance Company (Virginia)
Special Project: CAHPS Sum Only
VA PPO No I I I
Partial Data Reported Innovation Health Insurance Company
VA PPO Yes I I I
Partial Data Reported Innovation Health Plan, Inc.
VA HMO/POS Yes I I I
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