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NCQA Health Insurance Plan Ratings 2017-2018 - Summary Report (Medicare)

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
5.0
Group Health Plan, Inc.
CMS Contract: H2462
MN, WI HMO Yes
4.5
5.0
4.0
5.0
Gundersen Health Plan, Inc.
CMS Contract: H5262
IA, WI HMO Yes
5.0
5.0
4.5
5.0
Kaiser Foundation Health Plan Inc. - Southern California
Special Project: Accreditation
CMS Contract: H0524
CA HMO Yes
4.0
5.0
4.5
5.0
Kaiser Foundation Health Plan of the Northwest, Inc.
CMS Contract: H9003
OR, WA HMO Yes
4.0
5.0
4.5
5.0
Kaiser Foundation Health Plan of Washington
CMS Contract: H5050
WA HMO Yes
4.5
5.0
4.0
5.0
Kaiser Foundation Health Plan, Inc. - Hawaii
CMS Contract: H1230
HI HMO Yes
4.0
4.5
4.5
5.0
Kaiser Foundation Health Plan, Inc. - Northern California
Special Project / Area: Accreditation / North
CMS Contract: H0524
CA HMO Yes
4.0
5.0
4.5
5.0
Medical Associates Clinic Health Plan of Wisconsin dba Medical Associates Health Plans
CMS Contract: H5256
WI HMO Yes
5.0
4.0
I
5.0
Medical Associates Health Plan, Inc.
CMS Contract: H1651
IL, IA HMO Yes
5.0
4.5
I
4.5
Aetna Health Inc. (Maine)
CMS Contract: H3597
ME HMO Yes
4.0
4.5
4.0
4.5
Aetna Life Insurance Company (Alabama)
CMS Contract: H5521
AL PPO Yes
3.5
4.0
4.0
4.5
Aetna Life Insurance Company (Arizona)
CMS Contract: H5521
AZ PPO Yes
3.5
4.0
4.0
4.5
Aetna Life Insurance Company (California)
CMS Contract: H5521
CA PPO Yes
3.5
4.0
4.0
4.5
Aetna Life Insurance Company (Colorado)
CMS Contract: H5521
CO PPO Yes
3.5
4.0
4.0
4.5
Aetna Life Insurance Company (Connecticut)
CMS Contract: H5521
CT PPO Yes
3.5
4.0
4.0
4.5
Aetna Life Insurance Company (Delaware)
CMS Contract: H5521
DE PPO Yes
3.5
4.0
4.0
4.5
Aetna Life Insurance Company (Florida)
CMS Contract: H5521
FL PPO Yes
3.5
4.0
4.0
4.5
Aetna Life Insurance Company (Georgia)
CMS Contract: H5521
GA PPO Yes
3.5
4.0
4.0
4.5
Aetna Life Insurance Company (Illinois)
CMS Contract: H5521
IL PPO Yes
3.5
4.0
4.0
4.5
Aetna Life Insurance Company (Indiana)
CMS Contract: H5521
IN PPO Yes
3.5
4.0
4.0
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