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NCQA Health Insurance Plan Ratings 2019-2020 - Summary Report (Medicare)

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
4.5
Geisinger Health Plan
CMS Contract: H3954
PA HMO Yes
4.5
3.5
3.5
4.0
Aetna Health Inc. (Pennsylvania) dba HealthAmerica Pennsylvania, Inc.
CMS Contract: H3959
PA HMO Yes
4.5
3.5
3.0
4.0
Aetna Life Insurance Company (Pennsylvania)
CMS Contract: H5521
PA PPO Yes
3.5
3.5
3.5
4.0
Keystone Health Plan East, Inc.
CMS Contract: H3952
PA HMO Yes
3.5
4.0
3.5
4.0
QCC Insurance Company (Personal Choice)
CMS Contract: H3909
PA PPO Yes
4.5
4.0
3.0
4.0
Sierra Health and Life Insurance Company, Inc.
CMS Contract: H5652
CO, KS, MD, MA, MI, NJ, PA, TX, VA HMO/POS No
3.5
4.5
4.0
4.0
Sierra Health and Life Insurance Company, Inc. (PA)
CMS Contract: H2001
PA PPO Yes
4.0
4.5
3.5
4.0
UnitedHealthcare of New England, Inc.
CMS Contract: H1944
MA, NH, PA, RI, VT HMO Yes
3.5
3.0
3.5
4.0
UPMC Health Network, Inc.
CMS Contract: H5533
PA PPO Yes
4.5
4.5
3.0
4.0
UPMC Health Plan, Inc.
CMS Contract: H3907
PA HMO Yes
4.0
3.5
3.0
3.5
Aetna Health Inc. (Pennsylvania)
CMS Contract: H3931
PA HMO Yes
3.0
3.0
3.5
3.5
Cigna-HealthSpring Pennsylvania, Inc.
CMS Contract: H3949
PA HMO Yes
2.5
3.5
3.0
3.5
Geisinger Indemnity Insurance Company
CMS Contract: H3924
PA PPO Yes
3.0
3.0
3.0
3.5
HealthAssurance Pennsylvania, Inc.
CMS Contract: H5522
PA PPO No
4.0
3.5
3.0
3.5
Highmark Choice Company
CMS Contract: H3957
PA HMO No
4.0
4.0
3.5
3.5
Highmark Senior Health Company
CMS Contract: H3916
PA PPO No
4.5
4.0
3.5
3.5
Keystone Health Plan Central
CMS Contract: H3923
PA PPO No
4.5
4.0
3.0
3.5
UnitedHealthcare Insurance Company (DC,DE,MD,PA,VA,WV)
CMS Contract: H2228
DE, DC, MD, PA, VA, WV PPO Yes
3.0
3.5
3.0
3.0
Health Partners Plans
CMS Contract: H9207
PA HMO No
2.0
2.5
3.0
3.0
Humana Benefit Plan of Illinois, Inc.
CMS Contract: H5525
AL, GA, IL, IN, KY, LA, ME, MT, NJ, NC, OH, PA, SC, WV PPO No
3.5
3.0
3.0
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