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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
4.5
 		Johns Hopkins US Family Health Plan
MD HMO Yes
4.5
4.0
3.5
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 (MD/DC)
DC, MD 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.
MD 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 - Maryland
MD 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
 		Innovation Health Insurance Company
DC, MD, VA PPO/EPO Yes
2.5
3.0
3.5
3.5
 		Johns Hopkins Employer Health Programs
MD POS Yes
2.5
4.0
3.0
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 (Maryland)
MD PPO Yes
2.5
3.5
2.5
3.5
 		UnitedHealthcare Insurance Company (Maryland)
MD PPO Yes
2.5
3.5
2.5
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
Partial Data Reported Mamsi Life and Health Insurance Company
MD PPO No (Scheduled) I
3.0
3.0
No Data Reported American Postal Workers Union Health Plan
AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, 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, PR, RI, SC, SD, TN, TX, UT, VT, VI, VA, WA, WV, WI, WY PPO No
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