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NCQA Health Insurance Plan Ratings 2017-2018 - 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 2017, NCQA rated more than 1,000 health insurance plans based on clinical quality, member satisfaction and NCQA Accreditation Survey results. This way of rating plans emphasizes care outcomes (the results of care people receive) and what patients say about their care.

Information about the ratings, including how they are calculated, is available here. To license the underlying data, go here.

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 Northwest, Inc.
CMS Contract: H9003
OR, WA HMO Yes
4.0
5.0
4.5
5.0
Kaiser Foundation Health Plan of Washington
CMS Contract: H5050
WA HMO Yes
4.5
5.0
4.0
4.5
Aetna Life Insurance Company (Washington)
CMS Contract: H5521
WA PPO Yes
3.5
4.0
4.0
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: H5009
WA PPO Yes
3.5
4.0
3.0
4.0
Regence BlueShield (Washington)
CMS Contract: H1997
WA HMO Yes
3.0
4.0
3.5
4.0
Sierra Health and Life Insurance Company, Inc. (ID,OR,WA)
CMS Contract: H2001
ID, OR, WA PPO Yes
3.5
4.0
3.5
3.5
Asuris Northwest Health
CMS Contract: H5010
WA PPO Yes
3.0
3.0
3.0
3.5
UnitedHealthcare Insurance Company - Oregon / Washington
CMS Contract: H1286
OR, WA HMO Yes
3.0
4.0
3.0
3.0
Community Health Plan of Washington
CMS Contract: H5826
WA HMO Yes
1.5
3.0
3.0
3.0
Health Alliance Northwest Health Plan, Inc.
CMS Contract: H3471
WA HMO No
3.0
3.0
3.5
3.0
Soundpath Health
CMS Contract: H9302
WA HMO No
3.0
3.0
3.0
3.0
UnitedHealthcare Insurance Company (Washington) 
CMS Contract: H5008
WA HMO No
1.5
3.0
3.0
2.5
Humana Insurance Company
CMS Contract: R5826
AL, AZ, AR, FL, GA, IL, IN, KS, KY, LA, MI, MS, MO, NC, OH, OK, PA, SC, TN, TX, VA, WA, WV, WI PPO No
2.5
2.5
3.0
2.5
Molina Healthcare of Washington, Inc. 
CMS Contract: H5823
WA HMO No
1.5
2.0
3.0
No Data Reported Premera Blue Cross
CMS Contract: H7245
WA HMO/POS No