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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
Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc.
MA HMO/POS Yes
3.5
4.5
4.0
4.5
Blue Cross and Blue Shield of Massachusetts, Inc.
MA PPO Yes
3.5
4.0
4.5
4.5
Fallon Community Health Plan
MA HMO/POS Yes
3.5
4.0
4.0
4.5
Harvard Pilgrim Health Care, Inc.
ME, MA HMO/POS Yes
3.5
4.5
3.5
4.5
Harvard Pilgrim Health Care, Inc.
MA PPO Yes
3.5
4.5
3.5
4.5
Martin's Point US Family Health Plan (NH, NY, PA, VT)
MA, NH, NY, PA, VT HMO Yes
5.0
4.0
3.5
4.5
Tufts Associated Health Maintenance Organization, Inc.
MA, RI HMO/POS/EPO Yes
3.0
4.5
4.5
4.5
Tufts Benefit Administrators, Inc.
MA PPO Yes
3.0
4.5
4.5
4.0
Cigna Health and Life Insurance Company - Massachusetts
MA HMO/POS/PPO Yes
3.0
4.0
3.5
4.0
Neighborhood Health Plan, Inc.
MA HMO Yes
2.5
4.5
3.5
4.0
United HealthCare Services, Inc. (Massachusetts)
MA PPO Yes
2.0
3.5
3.5
4.0
UnitedHealthcare Insurance Company (Massachusetts)
MA PPO Yes
2.0
3.5
3.5
3.5
Aetna Life Insurance Company (Massachusetts)
MA PPO/EPO Yes
2.0
3.0
3.5
3.5
ConnectiCare of Massachusetts Inc.
MA HMO/POS Yes
2.5
3.5
3.0
3.5
Health New England, Inc.
MA HMO/POS Yes
3.0
3.5
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
Partial Data Reported Aetna Health Inc. (Pennsylvania) - Massachusetts
MA HMO/POS Yes I I I
No Data Reported Brighton Marine US Family Health Plan
MA, RI POS No
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
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