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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
 		Dean Health Plan, Inc.
WI HMO Yes
4.0
4.5
4.0
4.5
 		Group Health Cooperative of South Central Wisconsin
WI HMO Yes
3.5
4.5
4.0
4.5
 		HealthPartners Administrators Inc.
IA, MN, WI HMO/POS/PPO Yes
3.5
4.5
4.0
4.5
 		Network Health Plan
WI HMO/POS Yes
3.5
4.0
4.0
4.0
 		Aspirus Arise Health Plan of Wisconsin, Inc.
WI HMO/POS Yes
2.5
4.0
3.5
4.0
 		Group Health Cooperative of Eau Claire
WI HMO No
3.5
4.0
4.0
4.0
 		Humana Wisconsin Health Organization Insurance Corporation (Wisconsin)
WI HMO/POS Yes I
3.5
3.5
4.0
 		Medica Health Plans of Wisconsin (MHPW)
MN, WI PPO Yes
3.0
4.0
3.5
4.0
 		Medica Insurance Company (MIC)
MN, ND, SD, WI PPO Yes
3.0
4.0
3.5
4.0
 		Medical Associates Clinic Health Plan of Wisconsin dba Medical Associates Health Plans
Special Project: Accreditation
WI HMO/POS Yes
4.0
3.5
3.5
4.0
 		MercyCare HMO, Inc d/b/a/ MercyCare Health Plans
WI HMO Yes
3.5
4.0
3.5
4.0
 		Quartz Health Benefit Plans Corporation
WI HMO/POS Yes
3.0
4.5
4.0
4.0
 		Security Health Plan of Wisconsin, Inc
WI HMO/POS/EPO Yes
2.5
4.5
3.5
4.0
 		United HealthCare Services, Inc. (Wisconsin)
WI PPO Yes
4.0
3.5
3.5
4.0
 		UnitedHealthcare Insurance Company (Wisconsin)
WI PPO Yes
4.0
3.5
3.5
4.0
 		UnitedHealthcare of Wisconsin, Inc.
WI HMO/POS Yes
2.0
3.5
3.5
3.5
 		Aetna Life Insurance Company (Wisconsin)
WI PPO/EPO Yes
3.0
2.5
3.0
3.5
 		Blue Cross and Blue Shield of Wisconsin dba Anthem Blue Cross and Blue Shield in Wisconsin
Special Project: Federal Employee Program
WI PPO Yes
4.5
2.5
2.5
3.5
 		Compcare Health Services Insurance Corporation dba Anthem Blue Cross and Blue Shield in Wisconsin
WI POS Yes I
3.0
3.5
3.5
 		Humana Insurance Company (Wisconsin)
WI PPO Yes I
3.0
3.0
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