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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, Inc. - Northern California
Special Project / Area: Accreditation / North
CMS Contract: H0524
CA HMO Yes
3.5
5.0
4.5
4.0
 		Aetna Life Insurance Company (California)
CMS Contract: H5521
CA PPO Yes
3.5
3.5
3.5
4.0
 		Sierra Health and Life Insurance Company, Inc. (AZ,CA,NV)
CMS Contract: H2001
AZ, CA, NV PPO Yes
4.0
4.5
3.5
3.5
 		Aetna Health of California Inc.
CMS Contract: H0523
CA HMO Yes
2.5
3.0
3.5
3.5
 		Blue Shield of California
CMS Contract: H0504
CA HMO Yes
2.5
3.5
3.5
3.5
 		Chinese Community Health Plan
CMS Contract: H0571
CA HMO No
1.5
3.0
4.0
3.5
 		Easy Choice Health Plan, Inc.
CMS Contract: H5087
CA HMO Yes
2.0
2.5
3.0
3.5
 		Health Net of California, Inc.
CMS Contract: H0562
CA HMO Yes
2.5
3.5
3.0
3.5
 		Inter Valley Health Plan
CMS Contract: H0545
CA HMO No
2.5
3.5
3.5
3.5
 		SCAN Health Plan
CMS Contract: H5425
CA HMO No
3.0
3.5
3.5
3.5
 		Stanford Health Care Advantage
CMS Contract: H2986
CA HMO No
3.5
4.5
3.5
3.5
 		UnitedHealthcare Insurance Company (AZ,CA,NV)
CMS Contract: H2228
AZ, CA, NV PPO Yes
3.0
3.5
3.0
3.5
 		UnitedHealthcare of California -Medicare
CMS Contract: H0543
CA HMO Yes
3.0
4.0
3.0
3.0
 		Blue Shield of California Promise Health Plan
Special Project / Area: Accreditation / California
CMS Contract: H5928
CA HMO Yes
2.0
3.0
3.0
3.0
 		Community Health Group
CMS Contract: H5172
CA HMO No
2.5
3.0
3.0
3.0
 		Local Initiative Health Authority, dba L.A. Care Health Plan
CMS Contract: H8258
CA HMO Yes
1.5
2.0
2.5
3.0
 		Santa Clara County Health Authority, dba Santa Clara Family Health Plan (SCFHP)
CMS Contract: H7890
CA HMO Yes
1.0
3.0
2.5
2.5
 		Central Health Plan of California, Inc.
CMS Contract: H5649
CA HMO No
1.0
2.5
3.0
2.5
 		Inland Empire Health Plan
CMS Contract: H5355
CA HMO No
2.0
2.0
2.5
12