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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
3.5
 		WellCare of Connecticut, Inc.
CMS Contract: H0712
CT HMO Yes
2.5
2.5
3.0
3.5
 		WellCare of Florida, Inc.
CMS Contract: H1032
FL HMO/POS Yes
3.0
3.0
3.5
3.0
 		WellCare Health Insurance of Arizona, Inc. (Louisiana)
CMS Contract: H2491
LA HMO Yes
2.5
1.5
2.5
3.0
 		WellCare Health Insurance of Arizona, Inc. dba Ohana Health Plan
CMS Contract: H2491
HI HMO Yes
2.5
1.5
2.5
3.0
 		WellCare Health Insurance of Illinois, Inc. dba WellCare of Kentucky, Inc.
CMS Contract: H9730
KY HMO/POS Yes
2.5
2.0
2.5
2.5
 		Harmony Health Plan, Inc. (Illinois)
Other Names: WellCare Value; WellCare Choice; WellCare Essential; WellCare Advance; WellCare Dividend; WellCare Plus
CMS Contract: H1416
IL HMO/POS Yes
2.0
2.0
2.0
2.5
 		Harmony Health Plan, Inc. (Illinois) (Arkansas)
Other Names: WellCare Access; WellCare Liberty
CMS Contract: H1416
AR HMO/POS Yes
2.0
2.0
2.0
2.5
 		Harmony Health Plan, Inc. (Illinois) (Mississippi)
Other Names: WellCare Access; WellCare Liberty
CMS Contract: H1416
MS HMO/POS Yes
2.0
2.0
2.0
2.5
 		Harmony Health Plan, Inc. (Illinois) (South Carolina)
Other Name: WellCare Access
CMS Contract: H1416
SC HMO/POS Yes
2.0
2.0
2.0
2.5
 		Harmony Health Plan, Inc. (Illinois) (Tennessee)
Other Name: WellCare Access
CMS Contract: H1416
TN HMO/POS Yes
2.0
2.0
2.0
2.5
 		WellCare Health Plans of New Jersey, Inc.
CMS Contract: H0913
NJ HMO Yes
1.5
2.0
2.5
2.5
 		WellCare of Georgia, Inc.
CMS Contract: H1112
GA HMO/POS Yes
1.5
2.0
2.0
Partial Data Reported WellCare Health Insurance of Arizona, Inc. dba Ohana Health Plan
CMS Contract: H5199
FL PPO No I
0.0
 		I
Partial Data Reported WellCare of Georgia, Inc.
CMS Contract: H0111
GA PPO No I
1.5
2.0
Partial Data Reported WellCare of New York, Inc.
CMS Contract: H0088
NY PPO No I
0.0
 		I
Partial Data Reported WellCare of New York, Inc.
CMS Contract: H4868
NY HMO/POS Yes I
1.0
2.5
Partial Data Reported WellCare of South Carolina, Inc.
CMS Contract: H7326
SC PPO No I
1.0
 		I
Partial Data Reported WellCare of Texas, Inc.
CMS Contract: H0174
TX HMO/POS Yes I
1.5
2.0