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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
4.5
 		Capital District Physicians' Health Plan, Inc. (CDPHP)
CMS Contract: H3388
NY HMO Yes
4.0
4.5
4.0
4.5
 		Excellus Health Plan, Inc. dba Excellus BlueCross BlueShield
CMS Contract: H3351
NY HMO Yes
4.0
4.5
4.0
4.5
 		Excellus Health Plan, Inc. dba Univera Healthcare
CMS Contract: H3351
NY HMO Yes
4.0
4.5
4.0
4.0
 		Aetna Life Insurance Company (New York)
CMS Contract: H5521
NY PPO Yes
3.5
3.5
3.5
4.0
 		CDPHP Universal Benefits, Inc.
CMS Contract: H5042
NY PPO No
5.0
5.0
4.0
4.0
 		Excellus Health Plan, Inc. dba Excellus BlueCross BlueShield
CMS Contract: H3335
NY PPO Yes
3.5
4.0
3.5
4.0
 		Excellus Health Plan, Inc. dba Univera Healthcare
CMS Contract: H3335
NY PPO Yes
3.5
4.0
3.5
4.0
 		HealthNow New York, Inc.
CMS Contract: H3384
NY HMO Yes
3.5
4.0
3.5
4.0
 		HealthNow New York, Inc.
CMS Contract: H5526
NY PPO Yes
4.0
4.5
3.5
4.0
 		Independent Health Association, Inc.
CMS Contract: H3344
NY PPO No
4.0
4.5
3.5
4.0
 		Sierra Health and Life Insurance Company, Inc.-(NY)
CMS Contract: H2001
NY PPO Yes
4.0
4.5
3.5
4.0
 		UnitedHealthcare Insurance Company of New York (Medicare)
CMS Contract: H1537
NY PPO No
4.5
5.0
3.5
3.5
 		Aetna Health Inc. (New York)
CMS Contract: H3312
NY HMO Yes
2.5
2.5
3.5
3.5
 		American Progressive Life & Health Insurance Company of New York
CMS Contract: H2775
ME, NY PPO No
3.5
3.0
3.0
3.5
 		Independent Health Association, Inc.
CMS Contract: H3362
NY HMO No
4.0
4.0
3.5
3.5
 		MVP Health Plan, Inc.
CMS Contract: H3305
NY, VT HMO/POS No
4.0
4.5
3.0
3.5
 		MVP Health Plan, Inc.
CMS Contract: H9615
NY, VT PPO No
4.5
4.5
3.0
3.5
 		UnitedHealthcare Insurance Company (NJ,NY)
CMS Contract: H2228
NJ, NY PPO Yes
3.0
3.5
3.0
3.5
 		UnitedHealthcare of New York, Inc.
CMS Contract: H3379
NY HMO Yes
2.5
2.0
3.0
3.0
 		Affinity Health Plan
CMS Contract: H5991
NY HMO No
2.0
2.5
3.0
123