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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
4.0
 		Aetna Life Insurance Company (Massachusetts)
CMS Contract: H5521
MA PPO Yes
3.5
3.5
3.5
4.0
 		Health New England, Inc.
CMS Contract: H8578
MA HMO/POS Yes
4.0
5.0
3.0
4.0
 		Sierra Health and Life Insurance Company, Inc.
CMS Contract: H5652
CO, KS, MD, MA, MI, NJ, PA, TX, VA HMO/POS No
3.5
4.5
4.0
4.0
 		Sierra Health and Life Insurance Company, Inc.-(CT,MA,ME,NH,RI,VT)
CMS Contract: H2001
CT, ME, MA, NH, RI, VT PPO Yes
4.0
4.5
3.5
4.0
 		UnitedHealthcare of New England, Inc.
CMS Contract: H1944
MA, NH, PA, RI, VT HMO Yes
3.5
3.0
3.5
3.5
 		Aetna Health Inc. (Pennsylvania) - Massachusetts
CMS Contract: H3931
MA HMO Yes
3.0
3.0
3.5
3.5
 		Commonwealth Care Alliance †
CMS Contract: H2225
MA HMO No
3.0
3.5
3.5
3.5
 		Senior Whole Health, LLC †
CMS Contract: H2224
MA HMO Yes
2.5
4.0
3.0
3.5
 		UnitedHealthcare Insurance Company (MASCO) †
CMS Contract: H2226
MA HMO No
3.0
4.0
3.5
3.5
 		UnitedHealthcare Insurance Company (RI/MA)
CMS Contract: H2228
MA, RI PPO Yes
3.0
3.5
3.0
3.0
 		UnitedHealthcare Insurance Company - Regional (CT, MA, RI, VT)
CMS Contract: R7444
CT, MA, RI, VT PPO Yes
2.5
3.5
2.5
2.5
 		Commonwealth Care Alliance
CMS Contract: H0137
MA HMO No
2.0
3.0
3.0
Partial Data Reported Boston Medical Center Health Plan, Inc (d/b/a Boston Medical Center HealthNet Plan) †
CMS Contract: H9585
MA HMO No I
0.5
3.0
No Data Reported Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc.
CMS Contract: H2261
MA HMO No
No Data Reported Blue Cross and Blue Shield of Massachusetts, Inc.
CMS Contract: H2230
MA PPO No
No Data Reported Fallon Community Health Plan
CMS Contract: H9001
MA HMO No
No Data Reported Tufts Associated Health Maintenance Organization, Inc.
CMS Contract: H2256
MA HMO No