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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
Anthem Health Plans of Maine, Inc. dba Anthem Blue Cross and Blue Shield in Maine
ME 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
Martin's Point US Family Health Plan (ME)
ME HMO Yes
5.0
4.0
4.0
4.0
Cigna Health and Life Insurance Company - Maine
ME HMO/POS/PPO Yes
3.0
3.5
3.5
3.0
Aetna Life Insurance Company (Maine)
ME PPO/EPO Yes
2.5
2.0
3.0
3.0
Anthem Health Plans of Maine, Inc. dba Anthem Blue Cross and Blue Shield in Maine
Special Project: Federal Employee Program
ME PPO Yes
4.0
2.0
2.5
3.0
Maine Community Health Options DBA Community Health Options
ME PPO Yes
2.0
3.0
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. (Maine)
ME HMO/POS Yes I I I
Partial Data Reported Maine Community Health Options DBA Community Health Options
ME HMO Yes I I I
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