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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
4.5
 		Health Partners Plans
PA HMO Yes
3.0
4.5
3.5
4.5
 		Vista Health Plan DBA AmeriHealth Caritas Pennsylvania
PA HMO Yes
4.5
3.5
4.0
4.0
 		Gateway Health Plan, Inc.
Special Project: PA Medicaid
PA HMO Yes
3.5
3.0
3.5
4.0
 		Geisinger Health Plan
Special Project: GHP Family
PA HMO Yes
3.5
3.0
4.0
4.0
 		UPMC For You, Inc.
Special Project: PA Medicaid
PA HMO Yes
3.0
3.0
3.5
4.0
 		Vista Health Plan DBA AmeriHealth Caritas Northeast
PA HMO Yes
3.5
3.0
3.5
4.0
 		Vista Health Plan DBA Keystone First
Special Project: PA Medicaid
PA HMO Yes
2.5
4.0
3.5
3.5
 		Aetna Better Health Inc., a Pennsylvania Corporation
PA HMO Yes
2.5
2.5
3.0
3.5
 		UnitedHealthcare of Pennsylvania, Inc. dba UnitedHealthcare Community Plan (PA)
Special Project: PA Medicaid
PA HMO Yes
2.0
3.5
3.5
Partial Data Reported Vista Health Plan, Inc. aka AmeriHealth Caritas Health Plan (operating as AmeriHealth Caritas Pennsylvania Community HealthChoices)
PA HMO No (Scheduled) I I I
No Data Reported Pennsylvania Health & Wellness
PA HMO No (Scheduled)
No Data Reported Vista Heath Plan, Inc., aka Keystone Family Health Plan (operating as Keystone First Community HealthChoices)
PA HMO No (Scheduled)