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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
 		Sierra Health and Life Insurance Company, Inc. (CO,MT,ND,SD,UT,WY)
CMS Contract: H2001
CO, MT, ND, SD, UT, WY PPO Yes
4.0
4.5
3.5
3.5
 		PacificSource Community Health Plans Inc.
CMS Contract: H3864
ID, MT, OR, WA HMO/POS No
3.5
4.0
3.5
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
No Data Reported Blue Cross and Blue Shield of Illinois/Blue Cross Blue Shield of New Mexico
CMS Contract: H3822
IL, MT, NM, OK, TX HMO No
No Data Reported Blue Cross and Blue Shield of Illinois/Blue Cross Blue Shield of New Mexico
CMS Contract: H0107
MT PPO No
No Data Reported Blue Cross and Blue Shield of Illinois/Blue Cross Blue Shield of New Mexico
CMS Contract: H3979
IL, MT, NM, OK, TX HMO No
No Data Reported Blue Cross and Blue Shield of Illinois/Blue Cross Blue Shield of New Mexico
CMS Contract: H8133
IL, MT, NM, OK, TX HMO No