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NCQA Health Insurance Plan Ratings 2019-2020 - Summary Report (Medicaid)

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
 		Alameda Alliance for Health
CA HMO Yes
3.0
4.5
3.0
4.0
 		Community Health Group
CA HMO Yes
3.0
4.0
3.5
4.0
 		Local Initiative Health Authority, dba L.A. Care Health Plan
CA HMO Yes
2.0
3.5
3.5
4.0
 		Orange County Health Authority - dba CalOptima
CA HMO Yes
2.5
4.0
3.5
4.0
 		San Francisco Community Health Authority
CA HMO Yes
3.0
4.0
3.5
3.5
 		Contra Costa Health Plan
CA HMO Yes
2.0
3.5
3.0
3.5
 		Inland Empire Health Plan
CA HMO Yes
3.0
3.5
3.0
3.5
 		Molina Healthcare of California Partner Plan Inc.
CA HMO Yes
1.5
3.5
3.0
3.0
 		Blue Cross of California Partnership Plan
CA HMO Yes
1.5
3.0
2.5
3.0
 		Blue Shield of California Promise Health Plan
CA HMO Yes
2.0
3.5
2.0
3.0
 		California Health & Wellness
CA HMO Yes
2.5
2.0
3.0
3.0
 		Health Net of California, Inc.
CA HMO Yes
1.5
2.5
2.5
2.5
 		San Joaquin County Health Commission dba Health Plan of San Joaquin
CA HMO Yes
1.5
2.5
2.5
1.5
 		Santa Clara County Health Authority, dba Santa Clara Family Health Plan (SCFHP)
Special Project / Area: CA Medicaid / Santa Clara
CA HMO No
1.5
2.5
1.0
Partial Data Reported Gold Coast Health Plan
CA HMO No I
1.5
1.0
Partial Data Reported Partnership HealthPlan of California
Special Area: Napa/Solano/Yolo (Southeast)
CA HMO No (In process) I
2.0
1.5
Partial Data Reported Partnership HealthPlan of California
Special Area: Humboldt/Del Norte (Northwest)
CA HMO No (In process) I
1.0
1.0
Partial Data Reported Partnership HealthPlan of California
Special Area: Modoc/Lassen/Shasta/Siskiyou/Trinity (Northeast)
CA HMO No (In process) I
1.0
1.5
Partial Data Reported Partnership HealthPlan of California
Special Area: Sonoma/Lake/Marin/Mendocino (Southwest)
CA HMO No (In process) I
2.0
1.5
Partial Data Reported San Mateo Health Commission dba Health Plan of San Mateo
CA HMO Yes I I I
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