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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 (Texas)
CMS Contract: H5521
TX PPO Yes
3.5
3.5
3.5
4.0
 		KS Plan Administrators, LLC
CMS Contract: H0332
TX HMO No
4.5
5.0
4.0
4.0
 		Physicians Health Choice of Texas LLC
CMS Contract: H4527
TX HMO Yes
3.0
3.5
3.5
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. (AR,LA,NM,OK,TX)
CMS Contract: H2001
AR, LA, NM, OK, TX PPO Yes
4.0
4.5
3.5
3.5
 		Aetna Health Inc. (Texas)
CMS Contract: H4523
TX HMO Yes
2.5
2.5
3.0
3.5
 		CHA HMO, Inc. (Texas)
CMS Contract: H0028
TX HMO Yes
2.5
3.5
3.0
3.5
 		HealthSpring Life and Health
CMS Contract: H4513
AL, AR, GA, TN, TX HMO No
3.0
4.0
3.5
3.5
 		HealthSpring Life and Health
CMS Contract: H7787
TX PPO No
3.5
3.5
3.0
3.5
 		Humana Insurance Company (Texas)
CMS Contract: H5216
TX PPO Yes
3.5
3.5
3.0
3.5
 		UnitedHealthcare Benefits of Texas, Inc.(Medicare)
CMS Contract: H4590
TX HMO Yes
3.0
4.0
3.0
3.5
 		UnitedHealthcare Insurance Company (AR,LA,OK,TX)
CMS Contract: H2228
AR, LA, OK, TX PPO Yes
3.0
3.5
3.0
3.0
 		Care N' Care Insurance Company, Inc.
CMS Contract: H6328
TX PPO No
3.5
3.0
3.0
3.0
 		HealthSpring Life and Health
CMS Contract: H8423
TX HMO No
2.5
3.0
3.0
3.0
 		SelectCare of Texas, LLC
CMS Contract: H4506
TX HMO No
3.0
3.5
3.0
3.0
 		UnitedHealthcare Community Plan of Texas, LLC
CMS Contract: H4514
TX HMO Yes
2.5
3.0
2.5
2.5
 		Care Improvement Plus of Texas Insurance Company
CMS Contract: R6801
TX PPO No
3.0
3.0
2.5
2.5
 		Molina Healthcare of Texas, Inc. †
CMS Contract: H7678
TX HMO No
2.5
2.5
2.5
2.5
 		Molina Healthcare of Texas, Inc.
CMS Contract: H8197
TX HMO No
2.5
1.5
2.5
2.5
 		SelectCare Health Plans, Inc.
CMS Contract: H5656
TX HMO No
1.5
2.0
2.5
12