|
| |
|
|
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
|
|
|
|
| States |
|
|
|
|
|
|
5.0
|
Medical Associates Health Plan, Inc.
CMS Contract: H1651
| IL, IA |
HMO
|
Yes
|
5.0
|
5.0
|
4.0
|
|
4.0
|
Aetna Life Insurance Company (Illinois)
CMS Contract: H5521
| IL |
PPO
|
Yes
|
3.5
|
3.5
|
3.5
|
|
4.0
|
Essence Healthcare, Inc.
CMS Contract: H2610
| IL, MO |
HMO
|
No
|
4.5
|
4.5
|
3.5
|
|
4.0
|
Health Alliance Connect
CMS Contract: H1463
| IL |
HMO/POS
|
Yes
|
4.0
|
4.5
|
3.0
|
|
4.0
|
Humana Benefit Plan of Illinois, Inc.
CMS Contract: H1468
| IL |
HMO
|
Yes
|
4.5
|
4.0
|
3.5
|
|
4.0
|
Sierra Health and Life Insurance Company, Inc. (IL)
CMS Contract: H2001
| IL |
PPO
|
Yes
|
4.0
|
4.5
|
3.5
|
|
4.0
|
UnitedHealthcare of Wisconsin, Inc.
CMS Contract: H5253
| IL, IA, WI |
HMO/POS
|
Yes
|
3.5
|
3.5
|
3.0
|
|
3.5
|
Aetna Health Inc. (Pennsylvania) - Illinois
CMS Contract: H3931
| IL |
HMO
|
Yes
|
3.0
|
3.0
|
3.5
|
|
3.5
|
Coventry Health Care of Missouri, Inc.
CMS Contract: H2663
| AR, IL, KS, MO, OK |
HMO/POS
|
No
|
3.5
|
3.5
|
3.5
|
|
3.5
|
HealthSpring of Tennessee dba Cigna-HealthSpring of Illinois
CMS Contract: H1415
| IL |
HMO
|
Yes
|
2.5
|
3.0
|
3.5
|
|
3.5
|
Humana Health Plan, Inc. (Illinois)
CMS Contract: H0336
| IL |
HMO
|
Yes
|
1.5
|
2.0
|
3.5
|
|
3.5
|
Humana Insurance Company (Illinois and Wisconsin)
CMS Contract: H5216
| IL, WI |
PPO
|
Yes
|
3.5
|
3.5
|
3.0
|
|
3.5
|
UnitedHealthcare Insurance Company (IN,IL,MI,MN,OH,WI)
CMS Contract: H2228
| IL, IN, MI, MN, OH, WI |
PPO
|
Yes
|
3.0
|
3.5
|
3.0
|
|
3.5
|
UnitedHealthcare of the Midlands, Inc. - IL/IN
CMS Contract: H2802
| IL, IN |
HMO/POS
|
Yes
|
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
|
Coventry Health Care of Illinois, Inc.
CMS Contract: H7301
| IL |
PPO
|
No
|
3.5
|
2.5
|
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
|
Meridian Health Plan of Illinois, Inc.
CMS Contract: H5779
| IL |
HMO
|
No
|
3.0
|
2.5
|
3.0
|
|
2.5
|
Aetna Better Health of Illinois
CMS Contract: H2506
| IL |
HMO
|
Yes
|
1.5
|
1.0
|
2.5
|
|
2.5
|
Community Care Alliance of Illinois
CMS Contract: H3071
| IL |
HMO
|
No
|
1.5
|
2.5
|
2.5
|
|
|
|