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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
Highmark Choice Company
PA HMO Yes
4.5
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
UPMC Benefit Management Services, Inc.
PA HMO Yes
4.5
4.5
4.0
4.5
UPMC Health Coverage, Inc.
PA HMO Yes
4.5
4.5
4.0
4.5
UPMC Health Plan, Inc.
PA HMO Yes
4.5
4.5
4.0
4.0
Aetna Life Insurance Company (Pennsylvania)
PA PPO/EPO Yes
3.5
3.0
3.5
4.0
Capital Advantage Insurance Company
PA POS Yes
3.5
3.5
3.5
4.0
Capital BlueCross - FEP
Special Project: Federal Employee Program
PA PPO Yes
4.5
3.5
3.0
4.0
First Priority Life Insurance Company Inc. (FPLIC)
PA PPO Yes
4.0
3.5
3.5
4.0
Geisinger Health Plan
PA HMO/POS Yes
3.5
3.5
3.5
4.0
Geisinger Quality Options
PA PPO Yes
2.5
3.5
3.5
4.0
Highmark Health Insurance Company (HHIC)
PA PPO/EPO Yes
3.0
3.0
4.0
4.0
Highmark Inc.
PA PPO/EPO Yes
4.5
3.0
3.5
4.0
HMO of Northeastern Pennsylvania, Inc. d/b/a First Priority Health
PA HMO Yes
3.5
3.0
3.5
4.0
Independence Hospital Indemnity Plan
PA PPO Yes
4.5
4.0
3.0
4.0
Keystone Health Plan Central
PA HMO/POS Yes
3.5
3.5
3.5
4.0
Keystone Health Plan East, Inc.
PA HMO/POS Yes
3.5
4.0
3.5
4.0
QCC Insurance Company (Personal Choice)
PA PPO Yes
4.5
4.0
3.0
4.0
UPMC Benefit Management Services, Inc.
PA PPO Yes
3.5
4.0
3.5
4.0
UPMC Health Options, Inc.
PA PPO Yes
3.5
4.0
3.5
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