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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
5.0
Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.
DC, MD, VA HMO Yes
2.5
5.0
4.5
4.0
CareFirst BlueChoice
DC, MD, VA HMO/POS Yes
3.0
3.5
3.0
4.0
CareFirst of Maryland, Inc.
DC, MD, VA PPO/EPO Yes
3.0
3.5
3.5
4.0
Group Hospitalization and Medical Services, Inc. (GHMSI)
DC, MD, VA PPO/EPO Yes
3.0
3.5
3.5
4.0
Group Hospitalization and Medical Services, Inc. (GHMSI)
DC, MD, VA HMO/POS Yes
3.0
3.5
3.0
4.0
MD - Individual Practice Association, Inc.
DC, MD, VA HMO/POS Yes
4.0
3.5
3.5
3.5
Aetna Health Inc. (Pennsylvania) - Maryland
DC, MD, VA HMO/POS Yes
3.5
3.0
3.0
3.5
Aetna Life Insurance Company (MD/DC)
DC, MD PPO/EPO Yes
3.5
3.5
3.0
3.5
Innovation Health Insurance Company
DC, MD, VA PPO/EPO Yes
3.0
3.0
3.0
3.5
United Healthcare Services, Inc  (District of Columbia)
DC PPO Yes
2.0
3.5
2.5
3.5
UnitedHealthcare Insurance Company (Washington, DC)
DC PPO Yes
2.0
3.5
2.5
3.5
UnitedHealthcare of the Mid-Atlantic, Inc.
DC, MD, VA HMO/POS Yes
3.0
3.0
3.0
3.0
Cigna Health and Life Insurance Company - Virginia/District of Columbia
DC, VA HMO/POS/PPO Yes
2.0
3.0
3.0
3.0
Optimum Choice, Inc.
DE, DC, MD, VA, WV HMO/POS Yes
2.0
2.5
3.0
1.5
American Postal Workers Union Health Plan
AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VI, VA, WA, WV, WI, WY PPO No
4.0
0.5
1.5
No Data Reported Compass Rose Health Plan
AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY PPO No
No Data Reported Government Employees Health Association, Inc.
AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VI, VA, WA, WV, WI, WY PPO No
No Data Reported National Association of Letter Carriers Health Benefit Plan
AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY PPO No
No Data Reported Special Agents Mutual Benefit Association
AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY PPO No