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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.
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Lower Performance
Higher Performance
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≤1.0
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1.5
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2.0
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2.5
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3.0
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3.5
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4.0
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4.5
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5.0
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| States |
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4.0
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Aetna Life Insurance Company (Kentucky)
CMS Contract: H5521
| KY |
PPO
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Yes
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3.5
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3.5
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3.5
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4.0
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Sierra Health and Life Insurance Company, Inc. (KY)
CMS Contract: H2001
| KY |
PPO
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Yes
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4.0
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4.5
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3.5
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4.0
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UnitedHealthcare of Wisconsin, Inc.(South)-KY/NC/TN/VA H5253
CMS Contract: H5253
| KY, NC, TN, VA |
HMO/POS
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Yes
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3.5
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3.5
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3.0
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3.5
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Aetna Health Inc. (Pennsylvania) - Ohio
CMS Contract: H3931
| KY, OH |
HMO
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Yes
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3.0
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3.0
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3.5
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3.5
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Arcadian Health Plan, Inc.
CMS Contract: H5619
| KY |
HMO
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Yes
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3.0
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3.5
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3.0
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3.5
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Humana Insurance Company (Kentucky)
CMS Contract: H5216
| KY |
PPO
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Yes
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3.5
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3.5
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3.0
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3.5
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UnitedHealthcare Insurance Company (AL,FL,GA,KY,MS,NC,SC,TN)
CMS Contract: H2228
| AL, FL, GA, KY, MS, NC, SC, TN |
PPO
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Yes
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3.0
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3.5
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3.0
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3.0
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Humana Benefit Plan of Illinois, Inc.
CMS Contract: H5525
| AL, GA, IL, IN, KY, LA, ME, MT, NJ, NC, OH, PA, SC, WV |
PPO
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No
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3.5
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3.0
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3.0
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3.0
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WellCare Health Insurance of Illinois, Inc. dba WellCare of Kentucky, Inc.
CMS Contract: H9730
| KY |
HMO/POS
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Yes
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2.5
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2.0
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2.5
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2.0
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University Health Care (UHC) dba Passport Health Plan (PHP) †
CMS Contract: H9870
| KY |
HMO
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No
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2.5
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2.0
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2.0
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No Data Reported
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Anthem Insurance Companies, Inc. dba Anthem Blue Cross and Blue Shield in Indiana (Regional)
CMS Contract: R4487
| IN, KY |
PPO
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No
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No Data Reported
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Gateway Health Plan, Inc. †
CMS Contract: H9190
| KY, NC, OH |
HMO
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No
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