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NCQA Health Insurance Plan Ratings 2018-2019 - 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 2018, 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.

Note: The overall rating score is the weighted average of all measures, not an average of the three composites (Consumer Satisfaction, Prevention, Treatment). For more information about the ratings, including how they are calculated, visit our 2018 ratings page.

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
Kaiser Foundation Health Plan Inc. - Southern California
CA HMO Yes
3.0
5.0
4.5
4.5
Kaiser Foundation Health Plan, Inc. - Northern California
CA HMO Yes
3.0
5.0
4.5
4.5
Sharp Health Plan
CA HMO Yes
3.0
4.5
4.0
4.0
Western Health Advantage
CA HMO Yes
3.5
4.0
3.0
3.5
Anthem Blue Cross Life and Health Insurance Company
CA PPO/EPO Yes
2.0
3.0
3.0
3.5
Blue Cross of California dba Anthem Blue Cross
CA HMO/POS Yes
2.0
3.5
3.0
3.5
Blue Cross of California dba Anthem Blue Cross
CA PPO/EPO Yes
2.0
3.0
3.0
3.5
Blue Shield of California
CA HMO/POS Yes
2.5
3.5
3.0
3.5
Cigna HealthCare of California, Inc.
CA HMO/POS Yes
2.0
3.5
2.5
3.5
Health Net Life Insurance Company - California
CA PPO Yes
2.5
3.0
3.5
3.5
Health Net of California, Inc.
CA HMO/POS Yes
2.5
3.5
3.0
3.5
United HealthCare Services, Inc. (California)
CA PPO Yes
2.0
3.5
3.0
3.5
UnitedHealthcare Insurance Company (California)
CA PPO Yes
2.0
3.5
3.0
3.5
UnitedHealthcare of California (formerly PacifiCare of California)
CA HMO Yes
3.0
3.5
3.0
3.0
Aetna Health of California, Inc.
CA HMO/POS Yes I
3.0
3.0
3.0
Aetna Life Insurance Company (California)
CA PPO/EPO Yes
2.0
2.5
3.0
3.0
Blue Shield of California
CA PPO Yes I
2.5
3.0
3.0
Blue Shield of California Life & Health Insurance Company
CA PPO Yes I
2.5
3.0
3.0
Chinese Community Health Plan
CA HMO No
2.0
4.0
I
3.0
Cigna Health and Life Insurance Company - California
CA PPO/EPO Yes
2.0
3.5
3.0
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