NCQA's Health Insurance Plan Rankings Private Plans October 18, 2010
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- Amos Gaines
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1 1 Harvard Pilgrim Health Care HMO/POS 90.5 Yes MA, ME 2 Tufts Associated Health Maintenance Organization HMO/POS 90.4 Yes MA, NH, RI 3 Harvard Pilgrim Health Care of New England HMO/POS 89.8 Yes NH 4 Capital Health Plan HMO 89.2 Yes FL 5 Geisinger Health Plan HMO/POS 89 Yes PA 6 Grand Valley Health Plan HMO 88.9 Yes MI 7 Group Health Cooperative of South Central Wisconsin HMO 88.4 Yes WI 8 Fallon Community Health Plan HMO/POS 88.1 Yes MA 9 Kaiser Foundation Health Plan of Colorado HMO 87.9 Yes CO 10 Health New England HMO/POS 87.7 Yes MA 11 Blue Cross and Blue Shield of Massachusetts HMO/POS 87.6 Yes MA 12 CIGNA HealthCare of New Hampshire HMO/POS 87.5 Yes NH 13 Priority Health HMO 87.3 Yes MI 14 HealthAmerica Pennsylvania HMO/POS 87.1 Yes PA 15 Health Net of Connecticut HMO/POS 87.1 Yes CT 16 Independent Health Association HMO/POS 87 Yes NY 17 Anthem Blue Cross and Blue Shield in New Hampshire HMO/POS 86.9 Yes NH 17 Anthem Health Plan of New Hampshire HMO/POS 86.9 Yes NH 19 HealthPartners HMO/POS 86.8 Yes MN 20 Anthem Blue Cross and Blue Shield in Maine HMO/POS 86.8 Yes ME 21 Kaiser Foundation Health Plan of Northern California HMO 86.8 Yes CA 22 ConnectiCare HMO/POS 86.7 Yes CT, MA 22 ConnectiCare of Massachusetts HMO/POS 86.7 Yes MA 24 Anthem Blue Cross and Blue Shield - Connecticut HMO/POS 86.7 Yes CT 25 Health Alliance Medical Plans HMO/POS 86.6 Yes IA, IL 26 HealthPlus of Michigan HMO/POS 86.5 Yes MI 27 PersonalCare Insurance of Illinois HMO/POS 86.4 Yes IL 28 Capital District Physicians' Health Plan HMO 86.4 Yes NY 29 CIGNA HealthCare of Maine HMO/POS 86.4 Yes ME 30 Excellus BlueCross BlueShield HMO/POS 86.2 Yes NY 31 Kaiser Foundation Health Plan of Southern California HMO 86.2 Yes CA 32 Blue Cross and Blue Shield of Vermont POS 86.2 Yes VT 33 CIGNA HealthCare of Massachusetts HMO/POS 86.2 Yes MA 34 Capital District Physicians' Healthcare Network HMO/POS 86.1 Yes NY 35 WPS Health Plan HMO/POS 86 Yes WI 36 Security Health Plan of Wisconsin HMO 85.9 Yes WI 37 UPMC Benefit Management Services HMO/POS 85.9 Yes PA 37 UPMC Health Plan HMO/POS 85.9 Yes PA 39 CIGNA HealthCare Mid-Atlantic HMO/POS 85.9 Yes DC, MD, VA 40 Physicians Health Plan of Mid-Michigan HMO/POS 85.8 Yes MI Specific plan demographic data supplied by AIS s Directory of Health Plans ( Page: 1 of 8
2 41 AultCare HMO HMO 85.8 Yes OH 42 Unity Health Plans Insurance HMO/POS 85.7 Yes WI 43 Health Alliance Plan of Michigan HMO 85.7 Yes MI 44 Medical Associates Health Plan HMO/POS 85.6 Yes IA, IL 44 Medical Associates Health Plans HMO/POS 85.6 Yes WI 46 MVP Health Care HMO/POS 85.6 Yes NY, VT 47 Kaiser Foundation Health Plan of Hawaii HMO 85.4 Yes HI 48 Group Health Cooperative HMO 85.3 Yes ID, WA 49 Keystone Health Plan West HMO 85.2 Yes PA 50 Network Health Plan HMO 85.2 Yes WI 51 Empire BlueCross BlueShield HMO/POS 85.2 Yes NY 52 Aetna Health - Connecticut HMO/POS 85.2 Yes CT 53 Kaiser Foundation Health Plan of the Northwest HMO 85.1 Yes OR, WA 54 HealthNow New York HMO/POS 85.1 Yes NY 55 Neighborhood Health Plan HMO 85 Yes MA 56 Aetna Health (New Jersey) - Southern New Jersey HMO/POS 85 Yes NJ 57 CIGNA HealthCare of Connecticut HMO/POS 85 Yes CT 58 Health Net of New York (HMO) HMO 84.8 Yes NY 58 Health Net of New York (HMO/POS) HMO/POS 84.8 Yes NY 60 UnitedHealthcare of New England HMO/POS 84.7 Yes CT, MA, NH, RI 61 Kaiser Foundation Health Plan of Georgia (HMO) HMO 84.7 Yes GA 62 Dean Health Plan HMO 84.7 Yes WI 63 Oxford Health Plans (CT) HMO/POS 84.7 Yes CT 64 Medica HMO/POS 84.7 Yes MN, ND, WI 65 CIGNA HealthCare of Georgia HMO/POS 84.6 Yes GA 66 Blue Care Network of Michigan HMO 84.5 Yes MI 67 CIGNA HealthCare of Pennsylvania HMO/POS 84.4 Yes PA 68 SummaCare HMO/POS 84.4 Yes OH 69 Keystone Health Plan Central HMO 84.4 Yes PA 70 CIGNA HealthCare of New Jersey HMO/POS 84.4 Yes NJ 71 CIGNA HealthCare of North Carolina HMO/POS 84.4 Yes NC 72 Capital Advantage Insurance POS 84.3 Yes PA 73 Kaiser Foundation Health Plan of the Mid-Atlantic States HMO 84.3 Yes DC, MD, VA 74 CIGNA HealthCare of Colorado HMO/POS 84.3 Yes CO 75 Aetna Health (Pennsylvania) - Massachusetts HMO/POS 84.3 Yes MA 76 Southern Health Services HMO/POS 84.3 Yes VA 77 Optima Health Plan HMO/POS 84.3 Yes VA 78 Aetna Health - Maine HMO/POS 84.2 Yes ME 79 Wellmark Health Plan of Iowa HMO/POS 84.1 Yes IA 80 Health First Health Plans HMO 84.1 Yes FL Specific plan demographic data supplied by AIS s Directory of Health Plans ( Page: 2 of 8
3 81 Univera Healthcare HMO/POS 84.1 Yes NY 82 Vermont Health Plan, The HMO/POS 84.1 Yes VT 83 CIGNA HealthCare of St. Louis HMO/POS 84 Yes IL, MO 84 CIGNA HealthCare of Tennessee HMO/POS 83.9 Yes TN 85 Kaiser Foundation Health Plan of Ohio HMO 83.8 Yes OH 86 CIGNA HealthCare of New York HMO/POS 83.7 Yes NY 87 Blue Cross Blue Shield of Delaware HMO/POS 83.7 Yes DE 88 Anthem Blue Cross and Blue Shield in Kentucky HMO/POS 83.7 Yes KY 89 Anthem Blue Cross and Blue Shield in Ohio HMO/POS 83.6 Yes OH 90 UnitedHealthcare of Wisconsin HMO/POS 83.5 Yes WI 91 CIGNA HealthCare of Florida HMO/POS 83.4 Yes FL 92 Aetna Health (Pennsylvania) - Delaware HMO/POS 83.4 Yes DE 93 Blue Cross and Blue Shield of Kansas City, Good Health HMO HMO 83.4 Yes KS, MO 94 Paramount Health Care HMO 83.3 Yes OH 95 Anthem Blue Cross and Blue Shield in Indiana HMO/POS 83.3 Yes IN 96 MercyCare HMO 83.3 Yes WI 97 Aetna Health - Pennsylvania HMO/POS 83.2 Yes PA 98 HealthKeepers HMO/POS 83.2 Yes VA 98 Peninsula Health Care HMO/POS 83.2 Yes VA 98 Priority Health Care HMO/POS 83.2 Yes VA UnitedHealthcare of New York POS 83.1 Yes NY Oxford Health Plans (NY) HMO/POS 83.1 Yes NY First Priority Health HMO 83 Yes PA Connecticut General Life Insurance Company (CIGNA OH HMO/POS 83 Yes IN, KY, OH Managed Care) 105 Humana Wisconsin Health Organization Insurance HMO/POS 83 Yes WI UnitedHealthcare Plan of the River Valley HMO 82.9 Yes IA, IL, TN, VA UnitedHealthcare Services of the River Valley HMO 82.9 Yes IA, IL, TN, VA Hawaii Medical Service Association (HMSA) HMO 82.8 Yes HI PreferredOne Community Health Plan POS 82.7 Yes MN Aetna Health - New York HMO/POS 82.7 Yes NY AvMed Health Plans HMO/POS 82.7 Yes FL CIGNA HealthCare of Kansas/Missouri HMO/POS 82.7 Yes KS, MO UnitedHealthcare of North Carolina HMO/POS 82.7 Yes NC, SC Medical Mutual of Ohio HMO/POS 82.7 Yes OH Humana Health Plan of Ohio HMO/POS 82.6 Yes IN, KY, OH Kaiser Foundation Health Plan of Georgia (POS) POS 82.6 Yes GA BlueChoice HealthPlan of South Carolina HMO/POS 82.6 Yes SC CIGNA HealthCare of Indiana HMO/POS 82.6 Yes IN Health Net of Arizona HMO 82.6 Yes AZ Specific plan demographic data supplied by AIS s Directory of Health Plans ( Page: 3 of 8
4 120 Aetna Health - Georgia HMO/POS 82.5 Yes GA HMO Colorado HMO/POS 82.5 Yes CO CIGNA HealthCare of Texas HMO/POS 82.5 Yes TX Oxford Health Plans (NJ) HMO/POS 82.4 Yes NJ Keystone Health Plan East HMO/POS 82.4 Yes PA Western Health Advantage HMO 82.3 Yes CA CIGNA HealthCare of Illinois HMO/POS 82.3 Yes IL, IN CIGNA HealthCare of South Carolina HMO/POS 82.2 Yes SC Health Plan of the Upper Ohio Valley, The HMO 82.2 Yes OH, WV CIGNA HealthCare of Arizona HMO/POS 82.2 Yes AZ Aetna Health (New Jersey) - Northern New Jersey HMO/POS 82.1 Yes NJ Aetna Health (Pennsylvania) - Missouri HMO/POS 82.1 Yes KS, MO Aetna Health (Pennsylvania) - Colorado HMO/POS 82.1 Yes CO UnitedHealthcare of the Midwest HMO/POS 82 Yes IL, KS, MO Aetna Health (Pennsylvania) - Ohio HMO/POS 82 Yes IN, KY, OH Health Options HMO 82 Yes FL SelectHealth HMO/POS 82 Yes ID, UT UnitedHealthcare of New Jersey POS 82 Yes NJ UnitedHealthcare of Florida HMO/POS 81.9 Yes FL AmeriHealth HMO (New Jersey) HMO/POS 81.9 Yes NJ HIP Health Plan of New York HMO/POS 81.9 Yes NY Health Net of New Jersey HMO/POS 81.9 Yes NJ MD - Individual Practice Association HMO/POS 81.9 Yes DC, MD, VA Total Health Care HMO/POS 81.9 Yes MI Aetna Health (Pennsylvania) - North Carolina HMO/POS 81.8 Yes NC, SC UnitedHealthcare of Texas HMO/POS 81.8 Yes TX Anthem Blue Cross and Blue Shield in Missouri HMO/POS 81.7 Yes MO Humana Health Benefit Plan of Louisiana HMO 81.7 Yes LA UnitedHealthcare of Colorado HMO/POS 81.7 Yes CO Anthem Blue Cross and Blue Shield of Wisconsin HMO/POS 81.6 Yes WI Aetna Health (Pennsylvania) - Maryland HMO/POS 81.6 Yes DC, MD, VA Aetna Health - Florida HMO/POS 81.6 Yes FL Humana Employers Health Plan of Georgia HMO/POS 81.5 Yes GA UnitedHealthcare of Tennessee HMO/POS 81.5 Yes TN UnitedHealthcare of the Midlands HMO/POS 81.4 Yes IA, NE HMO Illinois and Blue Advantage HMO 81.4 Yes IL, IN, WI UnitedHealthcare of Ohio HMO/POS 81.4 Yes KY, OH Horizon HMO HMO 81.3 Yes NJ ADVANTAGE Health Solutions HMO/POS 81.3 Yes IN Health Net of California HMO/POS 81.3 Yes CA Specific plan demographic data supplied by AIS s Directory of Health Plans ( Page: 4 of 8
5 160 AmeriHealth HMO (Delaware) HMO/POS 81.2 Yes DE UnitedHealthcare of the Mid-Atlantic HMO/POS 81.1 Yes DC, MD, VA UnitedHealthcare of Illinois HMO/POS 81.1 Yes IL, IN Humana Health Plan of Kentucky HMO/POS 81 Yes IN, KY Humana Health Plan of Kansas City (HMO) HMO 81 Yes KS, MO Humana Health Plan of Kansas City (POS) POS 81 Yes KS, MO UnitedHealthcare of Georgia HMO/POS 81 Yes GA Aetna Health - Texas HMO/POS 80.9 Yes TX Carelink Health Plans HMO 80.9 Yes WV UnitedHealthcare of Kentucky HMO/POS 80.9 Yes IN, KY Cariten Health Plan HMO/POS 80.8 Yes TN Aetna Health (Pennsylvania) - Tennessee HMO/POS 80.8 Yes TN CareFirst BlueChoice HMO/POS 80.6 Yes DC, MD, VA Blue Cross Blue Shield Healthcare Plan of Georgia HMO/POS 80.5 Yes GA UnitedHealthcare of Arizona HMO/POS 80.5 Yes AZ Scott and White Health Plan HMO 80.4 Yes TX Blue Shield of California HMO/POS 80.4 Yes CA Presbyterian Health Plan HMO/POS 80.3 Yes NM PacifiCare of California HMO/POS 80.3 Yes CA Aetna Health (Pennsylvania) - Arizona HMO/POS 80.3 Yes AZ, NV Neighborhood Health Partnership HMO/POS 80.2 Yes FL Humana Medical Plan of Florida HMO/POS 80.2 Yes FL PacifiCare of Texas HMO 80.2 Yes TX Humana Health Plan of Texas (South) HMO/POS 80 Yes TX AmeriHealth HMO (Pennsylvania) HMO/POS 80 Yes DE, NJ, PA Aetna Health (Pennsylvania) - Illinois HMO/POS 79.9 Yes IL, IN CIGNA HealthCare of California HMO/POS 79.7 Yes CA Saint Mary's HealthFirst HMO/POS 79.7 Yes NV Lovelace Health Plan HMO/POS 79.7 Yes NM Humana Health Plan of Arizona HMO/POS 79.6 Yes AZ Optimum Choice HMO/POS 79.6 Yes DC, DE, MD, VA, WV Aetna Health (Pennsylvania) - Oklahoma HMO/POS 79.2 Yes OK Anthem Blue Cross HMO/POS 79.2 Yes CA Humana Health Plan of Texas (Austin) HMO/POS 79 Yes TX UnitedHealthcare of Louisiana HMO/POS 78.7 Yes LA PacifiCare of Oklahoma HMO 78.2 Yes OK Humana Health Plan of Texas (Houston) HMO/POS 78.2 Yes TX Blue Cross and Blue Shield of New Mexico HMO 78.1 Yes NM UnitedHealthcare of Utah HMO/POS 78 Yes UT UnitedHealthcare of Arkansas HMO/POS 78 Yes AR Specific plan demographic data supplied by AIS s Directory of Health Plans ( Page: 5 of 8
6 200 Humana Health Plan - Chicago Market HMO/POS 77.9 Yes IL UnitedHealthcare of Mississippi POS 76.7 Yes MS UnitedHealthcare of Alabama HMO/POS 76.3 Yes AL Aetna Health of California HMO/POS 76.2 Yes CA Health Plan of Nevada HMO/POS 75.7 Yes NV Martin's Point Health Care HMO 74.8 No ME, NH, NY, VT Gundersen Lutheran Health Plan HMO 71.4 No IA, WI Group Health Cooperative of Eau Claire HMO 71.3 No WI Brighton Marine US Family Health Plan HMO 70.3 No MA, RI Florida Health Care Plans HMO 69.2 No FL Group Health Plan HMO/POS 68.8 No IL, MO Sanford Health Plan HMO 68.6 No IA, ND, SD Providence Health Plans - Oregon HMO/POS 68.5 No OR, WA Group Health Options (Alliant) HMO/POS 68.1 No ID, WA CHRISTUS Health US Family Health Plan HMO 68 No LA, TX US Family Health Plan at Pacific Medical Centers HMO 67.4 No WA Humana Benefit Plan of Illinois HMO/POS 67.3 No IL Group Health Options (Options) HMO/POS 67 No ID, WA Preferred Health Systems HMO/POS 66.7 No KS Rocky Mountain Health Plans HMO 66.6 No CO Welborn Health Plans and Health Care Solutions HMO/POS 66.6 No IN, KY Coventry Health Care of Kansas HMO/POS 66.5 No KS, MO Vista Healthplan HMO/POS 64 No FL Coventry Health Care of Louisiana HMO/POS 64 No LA Coventry Health Plan of Florida HMO 63.9 No FL Coventry Health Care of Delaware HMO/POS 63.9 No DE, MD Denver Health Medical Plan HMO 62.7 No CO Community Health Plan of Washington HMO 58.4 No WA Insufficient Data CIGNA HealthCare of Delaware HMO/POS Yes DE Insufficient Data Health Advantage - Arkansas HMO/POS No AR Insufficient Data PacifiCare of Colorado HMO/POS Yes CO Insufficient Data PacifiCare of Oregon HMO No OR Insufficient Data PacifiCare of Washington HMO No WA Insufficient Data Vantage Health Plan HMO No LA No Data Reported Alliant Health Plans HMO No GA No Data Reported Altius Health Plans HMO/POS No ID, UT, WY No Data Reported Athens Area Health Plan Select HMO/POS No GA No Data Reported Atlantis Health Plan HMO No NY No Data Reported Avera Health Plans HMO No SD No Data Reported Blue Cross and Blue Shield of Montana HMO No MT Specific plan demographic data supplied by AIS s Directory of Health Plans ( Page: 6 of 8
7 No Data Reported Blue Cross and Blue Shield of Rhode Island POS No MA, RI No Data Reported Blue Cross and Blue Shield of Texas HMO No TX No Data Reported Blue Cross Blue Shield of Kansas HMO No KS, MO No Data Reported Blue Cross Blue Shield of Louisiana HMO No LA No Data Reported Blue Plus HMO/POS No MN No Data Reported Bluegrass Family Health HMO/POS No KY No Data Reported BlueLincs HMO HMO No OK No Data Reported Carolina Care Plan HMO/POS No SC No Data Reported Community First Health Plans HMO/POS No TX No Data Reported Community Health Plan HMO/POS No KS, MO No Data Reported CommunityCare Managed Healthcare Plans of Oklahoma HMO No OK No Data Reported Contra Costa Health Plan HMO No CA No Data Reported Coventry Health Care of Georgia HMO/POS No GA No Data Reported Coventry Health Care of Iowa HMO/POS No IA No Data Reported Coventry Health Care of Nebraska HMO/POS No IA, NE No Data Reported Cox Health Systems HMO HMO/POS No MO No Data Reported DAKOTACARE HMO No SD No Data Reported Employer Health Programs HMO/POS No MD No Data Reported Evergreen Health Plan HMO/POS No GA No Data Reported FIRSTCARE (Abilene) HMO No TX No Data Reported FIRSTCARE (Amarillo) HMO No TX No Data Reported FIRSTCARE (Lubbock) HMO No TX No Data Reported FIRSTCARE (Waco) HMO No TX No Data Reported FirstCarolinaCare Insurance HMO/POS No NC No Data Reported GHI HMO HMO/POS No NY No Data Reported GlobalHealth HMO No OK No Data Reported Health Plan Hawaii HMO No HI No Data Reported Health Plan Select HMO/POS No GA No Data Reported Health Plus of Louisiana HMO No LA No Data Reported Health Tradition Health Plan HMO No WI No Data Reported HealthLink HMO HMO/POS No AR, IL, MO No Data Reported Hometown Health - Nevada HMO No NV No Data Reported JMH Health Plan HMO/POS No FL No Data Reported KPS Health Plans HMO No WA No Data Reported Mercy Health Plan of Missouri HMO No IL, MO No Data Reported Mercy Health Plans of Missouri (Southwest) HMO No MO No Data Reported Molina Healthcare of Washington HMO No WA No Data Reported MVP Health Care (Rochester Area) HMO/POS No NY No Data Reported New West Health Services HMO/POS No MT No Data Reported Physicians Health Plan of Northern Indiana HMO/POS No IN Specific plan demographic data supplied by AIS s Directory of Health Plans ( Page: 7 of 8
8 No Data Reported Physicians Plus Insurance Corporation HMO/POS No WI No Data Reported Sharp Health Plan HMO No CA No Data Reported SIMNSA Health Plan HMO No CA No Data Reported Total Health Choice HMO No FL No Data Reported UHA POS No HI No Data Reported Uniformed Services Family Health Plan HMO No MD No Data Reported Ventura County Health Care Plan HMO No CA No Data Reported WellPath Select HMO/POS No NC, SC No Data Reported WINhealth Partners HMO No WY Specific plan demographic data supplied by AIS s Directory of Health Plans ( Page: 8 of 8
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