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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
 		Martin's Point US Family Health Plan (NH, NY, PA, VT)
MA, NH, NY, PA, VT HMO Yes
5.0
3.5
3.5
4.5
 		UPMC Benefit Management Services, Inc.
PA HMO Yes
3.5
4.5
3.5
4.5
 		UPMC Health Coverage, Inc.
PA HMO Yes
3.5
4.5
3.5
4.5
 		UPMC Health Plan, Inc.
PA HMO Yes
3.5
4.5
3.5
4.0
 		Aetna Health Inc. (Pennsylvania)
PA HMO/POS Yes
3.0
3.5
3.5
4.0
 		Aetna Life Insurance Company (Pennsylvania)
PA PPO/EPO Yes
3.5
3.5
3.5
4.0
 		Capital Advantage Insurance Company
PA POS Yes
3.5
3.5
3.5
4.0
 		Capital BlueCross - FEP
Special Project: Federal Employee Program
PA PPO Yes
4.5
3.5
3.5
4.0
 		First Priority Life Insurance Company Inc. (FPLIC)
PA PPO Yes
3.0
3.5
3.5
4.0
 		Geisinger Health Plan
PA HMO/POS Yes
2.5
3.5
3.5
4.0
 		Geisinger Quality Options
PA PPO Yes
3.5
3.5
3.5
4.0
 		Highmark Choice Company
PA HMO Yes
4.0
4.0
3.5
4.0
 		Highmark Health Insurance Company (HHIC)
PA PPO/EPO Yes
3.0
3.0
3.5
4.0
 		HMO of Northeastern Pennsylvania, Inc. d/b/a First Priority Health
PA HMO Yes
3.5
3.5
3.5
4.0
 		Independence Hospital Indemnity Plan
PA PPO Yes
4.0
4.0
3.0
4.0
 		Keystone Health Plan Central
PA HMO/POS Yes
3.5
3.5
3.5
4.0
 		Keystone Health Plan East, Inc.
PA HMO/POS Yes
3.5
4.0
3.5
4.0
 		QCC Insurance Company (Personal Choice)
PA PPO Yes
4.0
4.0
3.0
4.0
 		UPMC Benefit Management Services, Inc.
PA PPO/EPO Yes
3.5
4.0
3.5
4.0
 		UPMC Health Options, Inc.
PA PPO/EPO Yes
3.5
4.0
3.5
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