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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.

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
4.5
 		Kaiser Foundation Health Plan of the Northwest, Inc.
CMS Contract: H9003
OR, WA HMO Yes
3.5
5.0
4.0
4.5
 		Kaiser Foundation Health Plan of Washington
CMS Contract: H5050
WA HMO Yes
3.5
5.0
4.5
4.0
 		Aetna Life Insurance Company (Washington)
CMS Contract: H5521
WA PPO Yes
3.5
3.5
3.5
4.0
 		Providence Health Assurance
CMS Contract: H9047
OR, WA HMO/POS No
4.0
5.0
4.0
4.0
 		Regence BlueShield (Washington)
CMS Contract: H1997
WA HMO Yes
3.5
4.5
3.5
4.0
 		Sierra Health and Life Insurance Company, Inc. (ID,OR,WA)
CMS Contract: H2001
ID, OR, WA PPO Yes
4.0
4.5
3.5
4.0
 		UnitedHealthcare Insurance Company - Washington
CMS Contract: H1286
WA HMO Yes
3.5
4.0
3.5
4.0
 		UnitedHealthcare of Oregon, Inc. (formerly PacifiCare of Oregon, Inc.)
CMS Contract: H3805
OR, WA HMO Yes
3.0
4.0
3.5
3.5
 		Aetna Health Inc. - (Pennsylvania) Washington
CMS Contract: H3931
WA HMO Yes
3.0
3.0
3.5
3.5
 		Asuris Northwest Health
CMS Contract: H5010
WA PPO Yes
3.0
4.0
3.0
3.5
 		Community Health Plan of Washington
CMS Contract: H5826
WA HMO Yes
2.0
3.5
3.5
3.5
 		PacificSource Community Health Plans Inc.
CMS Contract: H3864
ID, MT, OR, WA HMO/POS No
3.5
4.0
3.5
3.5
 		Regence BlueShield (Washington)
CMS Contract: H5009
WA PPO Yes
3.5
4.0
3.0
3.0
 		Health Alliance Northwest Health Plan, Inc.
CMS Contract: H3471
WA HMO/POS No
3.0
3.5
3.0
3.0
 		Premera Blue Cross
CMS Contract: H9302
WA HMO No
3.0
3.0
3.0
3.0
 		Premera Blue Cross
CMS Contract: H7245
WA HMO No
3.0
3.5
3.0
3.0
 		UnitedHealthcare Insurance Company (Washington) †
CMS Contract: H5008
AZ, LA, MS, NM, WA HMO No
2.0
3.0
3.0
2.5
 		Molina Healthcare of Washington, Inc. †
CMS Contract: H5823
WA HMO No
1.5
2.0
3.0