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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
4.0
 		Scott & White Care Plans
TX HMO/POS Yes
4.5
3.5
3.5
4.0
 		Scott and White Health Plan
TX HMO/POS Yes
4.5
3.5
3.5
3.5
 		Aetna Health Inc. (Texas)
TX HMO/POS Yes
3.5
2.5
3.0
3.5
 		Community First Health Plans, Inc.
TX HMO/POS Yes
4.0
3.0
2.5
3.5
 		Humana Health Plan of Texas, Inc.
TX HMO/POS Yes I
3.0
2.5
3.0
 		Aetna Life Insurance Company (Texas)
TX PPO/EPO Yes
3.5
2.0
2.5
3.0
 		Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation (FEP)
Special Project: Federal Employee Program
TX PPO Yes
5.0
3.0
2.0
3.0
 		CHRISTUS Health d/b/a US Family Health Plan
LA, TX HMO Yes (Interim)
4.5
1.5
2.5
3.0
 		Cigna Health and Life Insurance Company - Texas
TX PPO Yes
3.0
2.5
2.0
3.0
 		Cigna HealthCare of Texas, Inc.
TX HMO/POS Yes
3.5
3.0
2.5
3.0
 		Humana Insurance Company (Texas)
TX PPO Yes I
3.0
2.5
3.0
 		SHA, LLC dba FIRSTCARE
TX HMO Yes
4.0
2.0
2.5
3.0
 		United HealthCare Services, Inc. (Texas)
TX PPO Yes
2.5
3.5
2.5
3.0
 		UnitedHealthcare Insurance Company (Texas)
TX PPO Yes
2.5
3.5
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 of Texas
TX EPO Yes I I I
Partial Data Reported UnitedHealthcare Benefits of Texas, Inc.
TX HMO Yes I I I
Partial Data Reported UnitedHealthcare of Texas, Inc.
TX HMO/POS Yes 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 Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation
TX PPO No
12