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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.

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.

Note: There were no Health Plan Ratings in 2020. See our Health Plan Ratings Marketing and Advertising Guidelines for more information regarding the continued usage of 2019-2020 Health Plan Ratings for advertising and marketing purposes.

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
4.5
 		Capital District Physicians' Healthcare Network, Inc. (CDPHN)
NY PPO Yes
4.5
4.5
4.0
4.5
 		CDPHP Universal Benefits, Inc.
NY PPO Yes
4.5
4.5
4.0
4.5
 		HealthNow New York, Inc.
NY HMO/POS/PPO Yes
4.0
4.0
4.0
4.5
 		Independent Health Association, Inc.
NY HMO/POS Yes
4.0
4.5
4.0
4.5
 		Martin's Point US Family Health Plan (NH, NY, PA, VT)
MA, NH, NY, PA, VT HMO Yes
5.0
3.5
3.5
4.0
 		Excellus Health Plan, Inc. dba Excellus BlueCross BlueShield
NY HMO/POS/PPO/EPO Yes
3.5
4.0
3.5
4.0
 		Excellus Health Plan, Inc. dba Univera Healthcare
NY HMO/POS/PPO/EPO Yes
3.5
4.0
3.5
4.0
 		MVP Health Plan, Inc.
NY HMO/POS Yes
3.5
3.5
3.5
3.5
 		Aetna Life Insurance Company (New York)
NY PPO/EPO Yes
3.0
2.5
3.0
3.5
 		Cigna Health and Life Insurance Company - New York
NY HMO/POS/PPO Yes
2.0
2.5
3.0
3.5
 		Empire HealthChoice HMO, Inc. d/b/a Empire BlueCross BlueShield HMO
NY HMO/POS Yes
4.0
3.0
3.0
3.5
 		YourCare Health Plan
Special Project: Essential Plans
NY HMO No
4.0
 		I
3.0
3.0
 		Empire HealthChoice Assurance, Inc. dba Empire Blue Cross Blue Shield in New York
Special Project: Federal Employee Program
NY PPO Yes
3.5
2.5
2.5
3.0
 		HIP Health Plan of New York
NY HMO/POS Yes
2.0
3.0
2.5
3.0
 		Oscar Insurance Corporation
NY EPO Yes
1.0
2.0
3.0
3.0
 		Oxford Health Insurance Company, Inc. (New York)
NY PPO Yes I
2.5
2.5
3.0
 		UnitedHealthcare Insurance Company of New York
NY PPO Yes
2.0
2.5
3.0
3.0
 		UnitedHealthcare Service, LLC (New York)
NY PPO Yes
2.0
2.5
3.0
12