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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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4.5
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Geisinger Health Plan
CMS Contract: H3954
| PA |
HMO
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Yes
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4.5
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3.5
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3.5
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4.0
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Aetna Health Inc. (Pennsylvania) dba HealthAmerica Pennsylvania, Inc.
CMS Contract: H3959
| PA |
HMO
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Yes
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4.5
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3.5
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3.0
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4.0
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Aetna Life Insurance Company (Pennsylvania)
CMS Contract: H5521
| PA |
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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Keystone Health Plan East, Inc.
CMS Contract: H3952
| PA |
HMO
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Yes
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3.5
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4.0
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3.5
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4.0
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QCC Insurance Company (Personal Choice)
CMS Contract: H3909
| PA |
PPO
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Yes
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4.5
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4.0
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3.0
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4.0
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Sierra Health and Life Insurance Company, Inc.
CMS Contract: H5652
| CO, KS, MD, MA, MI, NJ, PA, TX, VA |
HMO/POS
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No
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3.5
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4.5
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4.0
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4.0
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Sierra Health and Life Insurance Company, Inc. (PA)
CMS Contract: H2001
| PA |
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 New England, Inc.
CMS Contract: H1944
| MA, NH, PA, RI, VT |
HMO
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Yes
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3.5
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3.0
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3.5
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4.0
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UPMC Health Network, Inc.
CMS Contract: H5533
| PA |
PPO
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Yes
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4.5
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4.5
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3.0
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4.0
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UPMC Health Plan, Inc.
CMS Contract: H3907
| PA |
HMO
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Yes
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4.0
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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)
CMS Contract: H3931
| PA |
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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Cigna-HealthSpring Pennsylvania, Inc.
CMS Contract: H3949
| PA |
HMO
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Yes
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2.5
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3.5
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3.0
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3.5
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Geisinger Indemnity Insurance Company
CMS Contract: H3924
| PA |
PPO
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Yes
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3.0
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3.0
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3.0
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3.5
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HealthAssurance Pennsylvania, Inc.
CMS Contract: H5522
| PA |
PPO
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No
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4.0
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3.5
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3.0
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3.5
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Highmark Choice Company
CMS Contract: H3957
| PA |
HMO
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No
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4.0
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4.0
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3.5
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3.5
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Highmark Senior Health Company
CMS Contract: H3916
| PA |
PPO
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No
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4.5
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4.0
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3.5
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3.5
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Keystone Health Plan Central
CMS Contract: H3923
| PA |
PPO
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No
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4.5
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4.0
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3.0
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3.5
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UnitedHealthcare Insurance Company (DC,DE,MD,PA,VA,WV)
CMS Contract: H2228
| DE, DC, MD, PA, VA, WV |
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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Health Partners Plans
CMS Contract: H9207
| PA |
HMO
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No
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2.0
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2.5
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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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