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

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
5.0
 		Kaiser Foundation Health Plan Inc. - Southern California
Special Project: Accreditation
CMS Contract: H0524
CA HMO Yes
3.5
5.0
4.5
5.0
 		Kaiser Foundation Health Plan of Colorado
CMS Contract: H0630
CO HMO Yes
3.5
5.0
4.5
5.0
 		Kaiser Foundation Health Plan, Inc. - Northern California
Special Project / Area: Accreditation / North
CMS Contract: H0524
CA HMO Yes
3.5
5.0
4.5
5.0
 		Medical Associates Health Plan, Inc.
CMS Contract: H1651
IL, IA HMO Yes
5.0
5.0
4.0
4.5
 		Aetna Health Inc. (Connecticut)
CMS Contract: H5793
CT HMO Yes
3.5
3.5
4.0
4.5
 		Aetna Health Inc. (Maine)
CMS Contract: H3597
ME HMO Yes
4.0
4.0
4.0
4.5
 		Capital District Physicians' Health Plan, Inc. (CDPHP)
CMS Contract: H3388
NY HMO Yes
4.0
4.5
4.0
4.5
 		Capital Health Plan, Inc.
CMS Contract: H5938
FL HMO Yes
4.5
4.5
3.5
4.5
 		Dean Health Plan, Inc.
CMS Contract: H5264
WI HMO No
5.0
4.0
5.0
4.5
 		Excellus Health Plan, Inc. dba Excellus BlueCross BlueShield
CMS Contract: H3351
NY HMO Yes
4.0
4.5
4.0
4.5
 		Excellus Health Plan, Inc. dba Univera Healthcare
CMS Contract: H3351
NY HMO Yes
4.0
4.5
4.0
4.5
 		Geisinger Health Plan
CMS Contract: H3954
PA HMO Yes
4.5
3.5
3.5
4.5
 		Group Health Plan, Inc.
CMS Contract: H2462
MN HMO Yes
4.5
5.0
4.0
4.5
 		HealthSun Health Plans, Inc.
CMS Contract: H5431
FL HMO No
4.5
3.0
4.5
4.5
 		Kaiser Foundation Health Plan of Georgia, Inc.
CMS Contract: H1170
GA HMO Yes
3.5
4.5
4.0
4.5
 		Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.
CMS Contract: H2150
DC, MD, VA HMO Yes
3.5
5.0
4.5
4.5
 		Kaiser Foundation Health Plan of the Northwest, Inc.
CMS Contract: H9003
OR, WA HMO Yes
3.5
5.0
4.0
4.5
 		Kaiser Foundation Health Plan of Washington
CMS Contract: H5050
WA HMO Yes
3.5
5.0
4.5
4.5
 		Kaiser Foundation Health Plan, Inc. - Hawaii
CMS Contract: H1230
HI HMO Yes
4.0
4.5
4.0
4.5
 		Medical Associates Clinic Health Plan of Wisconsin dba Medical Associates Health Plans
CMS Contract: H5256
WI HMO Yes
4.5
3.0
4.0
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