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NCQA Health Insurance Plan Ratings 2017-2018 - 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 2017, 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
4.5
Highmark Choice Company
PA HMO Yes
4.5
3.5
3.5
4.5
UPMC Benefit Management Services, Inc.
PA HMO Yes
4.5
4.5
4.0
4.5
UPMC Benefit Management Services, Inc.
PA PPO Yes
3.5
4.5
4.0
4.5
UPMC Health Coverage, Inc.
PA HMO Yes
4.5
4.5
4.0
4.5
UPMC Health Network, Inc.
PA PPO Yes
3.5
4.5
4.0
4.5
UPMC Health Options, Inc.
PA PPO Yes
3.5
4.5
4.0
4.5
UPMC Health Plan, Inc.
PA HMO Yes
4.5
4.5
4.0
4.0
Aetna Life Insurance Company (Pennsylvania)
PA PPO/EPO Yes
3.0
4.0
3.5
4.0
Capital BlueCross - FEP
Special Project: Federal Employee Program
PA PPO Yes
4.0
3.5
3.0
4.0
First Priority Life Insurance Company Inc. (FPLIC)
PA PPO Yes
3.5
3.5
3.0
4.0
First Priority Life Insurance Company Inc. (FPLIC)
PA EPO Yes
3.5
3.5
3.0
4.0
Geisinger Health Plan
PA HMO/POS Yes
3.0
3.5
4.0
4.0
Geisinger Quality Options
PA PPO Yes
2.5
4.0
4.0
4.0
Highmark Benefits Group Inc.
PA PPO Yes
3.0
3.5
3.5
4.0
Highmark Benefits Group Inc.
PA EPO Yes
3.0
3.5
3.5
4.0
Highmark Coverage Advantage
PA PPO Yes
3.0
3.5
I
4.0
Highmark Health Insurance Company (HHIC)
PA PPO Yes
2.5
3.5
3.5
4.0
Highmark Inc.
PA PPO Yes
4.0
3.5
3.5
4.0
HMO of Northeastern Pennsylvania, Inc. d/b/a First Priority Health
PA HMO Yes
3.0
3.5
3.5
4.0
Independence Hospital Indemnity Plan
PA PPO Yes
4.0
4.0
3.0
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