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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
4.5
 		Blue Care Network of Michigan
MI HMO Yes
3.5
4.5
3.5
4.0
 		Blue Cross Blue Shield of Michigan
MI PPO Yes
4.0
3.5
3.5
4.0
 		Health Alliance Plan of Michigan
MI HMO/POS Yes
3.5
3.5
3.5
4.0
 		Priority Health
MI HMO/POS Yes
3.0
4.5
3.5
4.0
 		Priority Health Insurance Company
MI PPO Yes
3.0
3.5
3.5
3.5
 		Alliance Health and Life
MI PPO Yes
3.0
2.5
3.0
3.5
 		McLaren Health Plan Community
MI HMO/POS Yes
2.0
3.0
3.0
3.5
 		Physicians Health Plan
MI HMO/POS No
2.5
4.5
3.5
3.5
 		United HealthCare Services, Inc. (Michigan)
MI PPO Yes
1.5
3.5
3.0
3.5
 		UnitedHealthcare Insurance Company (Michigan)
MI PPO Yes
1.5
3.5
3.0
3.0
 		Aetna Life Insurance Company (Michigan)
MI PPO/EPO Yes
3.0
2.0
3.0
3.0
 		Total Health Care USA, Inc.
MI 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 Oscar Insurance Company (Michigan)
MI EPO Yes (Interim) I I I
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
No Data Reported Government Employees Health Association, Inc.
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
No Data Reported National Association of Letter Carriers Health Benefit 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, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY PPO No
No Data Reported Special Agents Mutual Benefit Association
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, VA, WA, WV, WI, WY PPO No