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NCQA Health Insurance Plan Ratings 2019-2020 - Summary Report (Private/Commercial)

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 2019, NCQA rated more than 1,000 health insurance plans based on clinical quality, member satisfaction and NCQA Accreditation Survey results. Ratings emphasize care outcomes (the results of care) and what patients say about their care.

Note: The overall rating is the weighted average of all measures, not the average of the three composites (Consumer Satisfaction, Prevention, Treatment). For more information about the ratings, including how they are calculated, visit our 2019 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
Capital District Physicians' Health Plan, Inc. (CDPHP)
NY HMO Yes
5.0
4.5
4.0
5.0
Capital District Physicians' Healthcare Network, Inc. (CDPHN)
NY HMO/POS Yes
5.0
4.5
4.0
5.0
Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.
DC, MD, VA HMO Yes
3.5
5.0
4.5
5.0
Tufts Associated Health Maintenance Organization, Inc.
MA, RI HMO/POS/EPO Yes
4.0
4.5
4.5
5.0
Tufts Benefit Administrators, Inc.
MA PPO Yes
4.0
4.5
4.5
4.5
Anthem Health Plans, Inc. dba Anthem Blue Cross and Blue Shield - Connecticut
CT HMO/POS Yes
4.0
4.5
3.5
4.5
AultCare Insurance Company
OH HMO Yes
5.0
I I
4.5
Blue Care Network of Michigan
MI HMO Yes
3.5
4.5
3.5
4.5
Blue Cross & Blue Shield of Rhode Island
RI PPO Yes
3.0
4.5
3.5
4.5
Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc.
MA HMO/POS Yes
3.0
4.5
4.0
4.5
Blue Cross and Blue Shield of Massachusetts, Inc.
MA PPO Yes
3.5
4.5
4.0
4.5
Capital District Physicians' Healthcare Network, Inc. (CDPHN)
NY PPO Yes
4.5
4.5
4.0
4.5
Capital Health Plan, Inc.
FL HMO Yes
4.0
4.0
3.5
4.5
CDPHP Universal Benefits, Inc.
NY PPO Yes
4.5
4.5
4.0
4.5
Dean Health Plan, Inc.
WI HMO Yes
4.0
4.5
4.0
4.5
Fallon Community Health Plan
MA HMO/POS Yes
3.0
4.5
4.0
4.5
Group Health Cooperative of South Central Wisconsin
WI HMO Yes
3.5
4.5
4.0
4.5
Group Health Plan, Inc.
MN HMO/POS/PPO Yes
3.5
4.5
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
4.0
3.5
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