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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
 		Dean Health Plan, Inc.
CMS Contract: H5264
WI HMO No
5.0
4.0
5.0
4.5
 		Medical Associates Clinic Health Plan of Wisconsin dba Medical Associates Health Plans
CMS Contract: H5256
WI HMO Yes
4.5
3.0
4.0
4.5
 		Network Health Insurance Corporation (NHIC)
CMS Contract: H5215
WI PPO Yes
4.0
4.0
4.0
4.5
 		Quartz Health Plan Corporation
CMS Contract: H5262
IA, WI HMO Yes
5.0
5.0
3.5
4.0
 		Aetna Life Insurance Company (Wisconsin)
CMS Contract: H5521
WI PPO Yes
3.5
3.5
3.5
4.0
 		Dean Health Plan, Inc.
CMS Contract: H9096
WI HMO/POS No
4.5
4.5
4.0
4.0
 		Security Health Plan of Wisconsin, Inc
CMS Contract: H5211
WI HMO/POS Yes
4.5
4.0
3.5
4.0
 		Sierra Health and Life Insurance Company, Inc. (WI,MN)
CMS Contract: H2001
MN, WI PPO Yes
4.0
4.5
3.5
4.0
 		UnitedHealthcare of Wisconsin, Inc.
CMS Contract: H5253
IL, IA, WI HMO/POS Yes
3.5
3.5
3.0
3.5
 		Care Improvement Plus Wisconsin Insurance Company
CMS Contract: H0294
WI PPO No
3.5
4.0
3.5
3.5
 		Care Improvement Plus Wisconsin Insurance Company †
CMS Contract: H3794
WI HMO No
3.5
4.0
3.5
3.5
 		Humana Insurance Company (Illinois and Wisconsin)
CMS Contract: H5216
IL, WI PPO Yes
3.5
3.5
3.0
3.5
 		Humana Wisconsin Health Organization Insurance Corporation (Wisconsin)
CMS Contract: H6622
WI HMO Yes
3.0
3.5
3.5
3.5
 		UnitedHealthcare Insurance Company (IN,IL,MI,MN,OH,WI)
CMS Contract: H2228
IL, IN, MI, MN, OH, WI PPO Yes
3.0
3.5
3.0
3.0
 		Molina Healthcare of Wisconsin †
CMS Contract: H2879
WI HMO No
2.5
2.5
3.0
Partial Data Reported Community Care Health Plan, Inc. †
CMS Contract: H2034
WI HMO No I
1.5
4.0
No Data Reported Compcare Health Services Insurance Corporation dba Anthem Blue Cross and Blue Shield in Wisconsin
CMS Contract: H4036
WI PPO No
No Data Reported Compcare Health Services Insurance Corporation dba Anthem Blue Cross and Blue Shield in Wisconsin
CMS Contract: H9525
WI HMO No
No Data Reported Medica Health Plans (MHP)
CMS Contract: H2450
MN, ND, SD, WI HMO No