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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
 		Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.
DC, MD, VA HMO Yes
3.5
5.0
4.5
4.0
 		Optima Health Plan
VA HMO/POS Yes
3.5
4.0
3.0
3.5
 		Aetna Health Inc. (Pennsylvania) - Maryland
DC, MD, VA HMO/POS Yes
3.5
3.0
3.0
3.5
 		Aetna Life Insurance Company (Virginia)
VA PPO/EPO Yes
3.0
3.0
3.0
3.5
 		Anthem Health Plans of Virginia, Inc. dba Anthem Blue Cross Blue Shield of Virginia
VA PPO/EPO Yes
3.0
3.0
3.0
3.5
 		CareFirst BlueChoice
DC, MD, VA HMO/POS Yes
3.0
3.5
3.0
3.5
 		CareFirst of Maryland, Inc.
DC, MD, VA PPO/EPO Yes
3.5
3.5
3.0
3.5
 		Cigna Health and Life Insurance Company - Virginia/District of Columbia
DC, VA HMO/POS/PPO Yes
2.5
3.0
3.0
3.5
 		Group Hospitalization and Medical Services, Inc. (GHMSI)
DC, MD, VA PPO/EPO Yes
3.5
3.5
3.0
3.5
 		Group Hospitalization and Medical Services, Inc. (GHMSI)
DC, MD, VA HMO/POS Yes
3.0
3.5
3.0
3.5
 		HealthKeepers, Inc.
VA HMO/POS Yes
2.0
3.5
3.0
3.5
 		Innovation Health Insurance Company
DC, MD, VA PPO/EPO Yes
2.5
3.0
3.5
3.5
 		MD - Individual Practice Association, Inc.
DC, MD, VA HMO/POS Yes
3.5
3.5
3.0
3.5
 		United Healthcare Services, Inc (Virginia)
VA PPO Yes
2.5
3.0
3.0
3.5
 		UnitedHealthcare Insurance Company (Virginia)
VA PPO Yes
2.5
3.0
3.0
3.5
 		UnitedHealthcare Plan of the River Valley, Inc.
IL, IA, TN, VA HMO/POS Yes
3.5
3.0
3.5
3.0
 		Innovation Health Plan, Inc.
VA HMO/POS Yes I
2.5
3.0
3.0
 		Optimum Choice, Inc.
DE, DC, MD, VA, WV HMO/POS Yes
2.0
3.0
3.0
3.0
 		UnitedHealthcare of the Mid-Atlantic, Inc.
DC, MD, VA HMO/POS Yes
2.0
2.5
2.5
2.0
 		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
3.5
1.0
1.5
12