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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 (New Mexico)
CMS Contract: H5521
NM PPO Yes
3.5
3.5
3.5
4.0
 		Presbyterian Health Plan, Inc.
CMS Contract: H3204
NM HMO Yes
2.5
4.0
3.5
4.0
 		Sierra Health and Life Insurance Company, Inc. (AR,LA,NM,OK,TX)
CMS Contract: H2001
AR, LA, NM, OK, TX PPO Yes
4.0
4.5
3.5
3.5
 		UnitedHealthcare Insurance Company (NM)
CMS Contract: H2228
NM PPO Yes
3.0
3.5
3.0
3.0
 		Presbyterian Insurance Company
CMS Contract: H3206
NM PPO Yes
2.0
3.0
2.5
3.0
 		UnitedHealthcare Insurance Company (Washington) †
CMS Contract: H5008
AZ, LA, MS, NM, WA HMO No
2.0
3.0
3.0
2.0
 		Molina Healthcare of New Mexico †
CMS Contract: H9082
NM HMO No
1.5
2.5
2.5
Partial Data Reported CHRISTUS Health Plan
CMS Contract: H1189
NM HMO Yes I
1.0
3.0
Partial Data Reported UnitedHealthcare of NEW Mexico, Inc.
CMS Contract: H6526
NM HMO No I
0.5
 		I
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: H3251
NM HMO No
No Data Reported Blue Cross and Blue Shield of Illinois/Blue Cross Blue Shield of New Mexico
CMS Contract: H8634
IL, NM, OK 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