The best and worst commercial health plans in 2016

The National Committee for Quality Assurance released its 2016 Health Insurance Plan Ratings providing information on how health insurance plans performed in regards to consumer satisfaction, prevention and treatment.

NCQA studied 1,401 U.S. health plans and rated 503 private health plans. The ratings system is similar to CMS' Star Ratings of Medicare Advantage plans.

Here are the 13 highest ranked health plans, alphabetized by name. All the plans received a 5.0 rating, the highest possible.

  • Blue Cross and Blue Shield of Massachusetts — health maintenance organization/point of service
  • Capital District Physicians' Healthcare Network, New York — HMO/POS
  • Capital District Physicians' Health Plan, New York — HMO
  • Capital Health Plan, Florida — HMO
  • Johns Hopkins U.S. Family Health Plan, Maryland — HMO
  • Kaiser Foundation Health Plan of the Mid-Atlantic States, District of Columbia, Maryland and Virginia — HMO
  • Kaiser Foundation Health Plan of Northern California — HMO
  • Martin's Point U.S. Family Health Plan, Maine — HMO
  • Tufts Associated Health Maintenance Organization, Massachusetts and Rhode Island — HMO/POS
  • Tufts Benefit Administrators, Massachusetts and Rhode Island — preferred provider organization
  • UPMC Benefit Management Services, Pennsylvania – HMO
  • UPMC Health Coverage, Pennsylvania – HMO
  • UPMC Health Plan, Pennsylvania — HMO


Here are the six lowest ranked health plans, alphabetized by name. All the plans received between a 2.0 and 1.5 rating, with 1.0 being the lowest possible.

  • Cigna Health and Life Insurance, New Mexico — PPO
  • Connecticut General Life Insurance, New Mexico — PPO
  • Hawaii Medical Service Association — PPO
  • Humana Health Plans of Puerto Rico — PPO
  • Rocky Mountain Hospital and Medical Services (Anthem), Nevada — PPO
  • UnitedHealthcare of Oklahoma — HMO

 For the full list of NCQA's commercial health plan ratings, click here.  

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