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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
4.5
Kaiser Foundation Health Plan of Georgia, Inc.
CMS Contract: H1170
GA HMO Yes
3.5
4.5
4.0
4.0
Aetna Life Insurance Company (Georgia)
CMS Contract: H5521
GA PPO Yes
3.5
3.5
3.5
4.0
Sierra Health and Life Insurance Company, Inc. (GA)
CMS Contract: H2001
GA PPO Yes
4.0
4.5
3.5
3.5
Aetna Health Inc. (Georgia)
CMS Contract: H1109
GA HMO Yes
3.0
2.5
3.0
3.5
HealthSpring Life and Health
CMS Contract: H4513
AL, AR, GA, TN, TX HMO No
3.0
4.0
3.5
3.5
Humana Employers Health Plan of Georgia, Inc.
CMS Contract: H4141
GA HMO Yes
3.5
2.5
3.0
3.5
UnitedHealthcare Insurance Company (AL,FL,GA,KY,MS,NC,SC,TN)
CMS Contract: H2228
AL, FL, GA, KY, MS, NC, SC, TN PPO Yes
3.0
3.5
3.0
3.5
UnitedHealthcare Insurance Company-South Carolina
CMS Contract: H8748
GA, SC HMO Yes
3.0
3.5
3.0
3.0
Care Improvement Plus South Central Insurance Company
CMS Contract: H5322
AL, FL, GA, IN, NH, NJ, OH, VA HMO/POS No
3.0
3.0
3.0
3.0
Cigna HealthCare of Georgia, Inc.
CMS Contract: H0439
GA HMO No
3.0
3.5
3.0
3.0
Coventry Health and Life Insurance Company (Iowa)
CMS Contract: H1608
AR, GA, IL, IA, KS, MO, NE, OH, OK, SD, WV PPO No
4.0
3.0
3.0
3.0
Humana Benefit Plan of Illinois, Inc.
CMS Contract: H5525
AL, GA, IL, IN, KY, LA, ME, MT, NJ, NC, OH, PA, SC, WV PPO No
3.5
3.0
3.0
3.0
UnitedHealthCare Insurance Company (Regional FL, GA, SC)
CMS Contract: R7444
FL, GA, SC PPO Yes
2.5
3.5
2.5
3.0
UnitedHealthcare of Georgia, Inc.
CMS Contract: H1111
GA HMO Yes
2.5
2.5
2.5
2.5
Care Improvement Plus South Central Insurance Company
CMS Contract: H6528
GA PPO No
3.5
3.0
2.5
2.5
Humana Insurance Company (Georgia)
CMS Contract: R3392
GA, SC PPO No
3.0
2.5
2.5
2.5
WellCare of Georgia, Inc.
CMS Contract: H1112
GA HMO/POS Yes
1.5
2.0
2.0
Partial Data Reported Aetna Health Inc. (Georgia) dba Coventry Health Care of Georgia Inc.
CMS Contract: H5302
GA HMO No I
1.5
3.0
Partial Data Reported WellCare of Georgia, Inc.
CMS Contract: H0111
GA PPO No I
1.5
2.0