NCQA ratings and report card for 2020 on health insurance plans. Compare quality ratings for HMOs and PPO health insurance plans. Aetna, Anthem Blue Cross, Cigna, Humana, Kaiser, United Healthcare – they’re all here, as are many non-profit regional plans. Star ratings and number of enrollees shown for accredited commercial, Medicare and Medicaid plans. Five private commercial plans received the highest possible 5-point star rating: two Capital District Physicians’ plans (CDPHP and CDPHN), Kaiser Foundation Mid-Atlantic States, and two Tufts plans (Tufts Associated HMO and Tufts Benefit Administrators). Thirty-three (33) plans received ratings of 4.5 stars. NCQA (National Committee for Quality Assurance) is a private nonprofit organization that sets standards for quality of care and service that health plans provide to their members. NCQA Accreditation is a nationally recognized seal of approval. Updated for 2020
Survey of 15 health plans puts Anthem on the bottom (score 82.92), and Horizon BCBS (Blue Cross Blue Shield) of New Jersey (score 89.46) on top; EmblemHealth was a close second (score 80.29). Customer service, claims processing, value for price, website/apps, and those who would recommend and would renew were evaluated. Small survey sample, December 2017 by insure.com (insurance.com). Update on June 2019 still uses the December 2017 data.
J.D. Power and Associates selected Kaiser Foundation Health Plan as its top Medicare Advantage plan for 2019, the only plan to get a 5-star rating. Highmark came in second with 4 stars; Humana also rated 4 stars overall. Other Advantage plans compared (in order of preference) were Aetna, Centene, Anthem, UnitedHealthcare, and Cigna HealthSpring. Two stars went to WellCare, BlueCross BlueShield of Michigan and Blue Cross Blue Shield of MN. Commercial plan ratings are listed by state, for selected states only. Ratings factors were Overall member satisfaction (consumer opinions), Billing and payment, Communication, Costs, Coverage and benefits, Provider choice and Customer service.
What are the best Medicare Advantage Health Insurance companies for 2020, according to usnews.com? Medicare Advantage health insurance companies are shown by state if their plans – together, across the state – have achieved an average of 4.5 of 5 stars by Medicare. Uses Medicare’s 2020 Star Ratings. Advantage plans combine Part A and Part B. Not every state has a highly rated company. For example, there is no top Medicare Advantage company in Arizona…home to nearly 1.3 million seniors. Announcement made in October 2019 by U.S. News & World Report
USnews.com lists Best Medicare Part D (drug) health plan rankings for 2020. Just 12 companies had plans that earned on average, 4.5 or 5 stars from Medicare for Part D (drug) coverage. Eleven companies are some form of Blue Cross drug plan, the other is WPS Health Insurance in Wisconsin. Uses the CMS Star Ratings.
Find individual health insurance plan options and prices at healthcare.gov. This is the ONLY health insurance site to use if you want (and qualify for) the federal subsidies for affordable health insurance AND your state participates in the federal marketplace exchange. Compare plans on monthly premium prices, deductibles, plan features and star quality ratings. The federal marketplace exchange shows Bronze, Silver, Gold and Platinum metal levels. It first opened for 2014. People who don’t get subsidies can also choose a plan and enroll at healthcare.gov. Open enrollment for everybody (except Medicare) between November 1 and December 15, 2019 for 2020. Select Preview Now if you just want to scan the plans before you create an account. At minimum, enter your age, or you may get false prices. If you lose coverage during the year, you may also qualify to enroll outside of the Nov.-Dec. open enrollment. Links are provided to your state marketplace if your state has its own health insurance website. Editor’s Pick.