The system allows users to search insurance plans by state, plan name or type, and order their rankings based on combined HCAHPS, Healthcare Effectiveness Data and Information Set measures and NCQA accreditation. Other ratings metrics include prevention, or how well a given plan provides screenings, immunizations and other preventive services, a plan’s performance in treating chronic and acute conditions, and members’ opinions of a plan’s services, care and physicians.
Here are the top 25 private plans with the highest satisfaction scores, based on the database:
1. Capital District Physicians’ Health Plan (N.Y.)
- HMO
- Consumer Satisfaction: 4.5
- Prevention: 4.5
- Treatment: 4
2. Capital District Physicians’ Healthcare Network (N.Y.)
- HMO/POS
- Consumer satisfaction: 4.5
- Prevention: 4.5
- Treatment: 4.0
3. Harvard Pilgrim Health Care (Maine, Mass.)
- HMO/POS
- Consumer satisfaction: 4.0
- Prevention: 4.5
- Treatment: 4.5
4. Harvard Pilgrim Health Care (Mass.)
- HMO/POS
- Consumer satisfaction: 4.0
- Prevention: 4.5
- Treatment: 4.5
5. Harvard Pilgrim Insurance (Mass.)
- PPO
- Consumer satisfaction: 4.0
- Prevention: 4.5
- Treatment: 4.5
6. Kaiser Foundation Health Plan of Northern California (Calif.)
- HMO
- Consumer satisfaction: 3.5
- Prevention: 4.5
- Treatment: 4.5
7. Kaiser Foundation Health Plan of the Mid-Atlantic States (D.C., Md., Va.)
- HMO
- Consumer satisfaction: 4.0
- Prevention: 4.5
- Treatment: 4.5
8. Tufts Associated Health Maintenance Organization (Mass., R.I.)
- HMO/POS
- Consumer satisfaction: 3.5
- Prevention: 4.5
- Treatment: 4.5
9. Tufts Benefit Administrators (Mass., R.I.)
- PPO
- Consumer satisfaction: 4.0
- Prevention: 4.5
- Treatment: 4.5
10. UPMC Benefit Management Services (Pa.)
- HMO
- Consumer satisfaction: 4.5
- Prevention: 4.5
- Treatment: 4.0
11. UPMC Health Coverage (Pa.)
- HMO
- Consumer satisfaction: 4.5
- Prevention: 4.5
- Treatment: 4.0
12. Anthem Blue Cross and Blue Shield in Connecticut
- HMO/POS
- Consumer satisfaction: 4.5
- Prevention: 4.5
- Treatment: 4.0
13. Anthem Blue Cross and Blue Shield in Maine
- HMO/POS
- Consumer satisfaction: 4.0
- Prevention: 4.0
- Treatment: 4.0
14. Anthem Blue Cross and Blue Shield in New Hampshire
- HMO/POS
- Consumer satisfaction: 4.0
- Prevention: 4.5
- Treatment: 3.5
15. Anthem Health Plan of New Hampshire
- HMO/POS
- Consumer satisfaction: 4.0
- Prevention: 4.5
- Treatment: 3.5
16. AultCare HMO (Ohio)
- HMO
- Consumer satisfaction: 4.5
- Prevention: 3.0
- Treatment: 4.0
17. Blue Cross & Blue Shield of Rhode Island
- PPO
- Consumer satisfaction: 3.5
- Prevention: 4.5
- Treatment: 4.0
18. Blue Cross and Blue Shield of Massachusetts
- PPO
- Consumer satisfaction: 3.5
- Prevention: 4.5
- Treatment: 4.5
19. Blue Cross and Blue Shield of Massachusetts HMO Blue
- HMO/POS
- Consumer satisfaction: 3.0
- Prevention: 4.5
- Treatment: 4.5
20. Blue Cross and Blue Shield of Vermont
- HMO/POS
- Consumer satisfaction: 4.0
- Prevention: 4.0
- Treatment: 4.0
21. Capital District Physicians’ Healthcare Network (Self-Funded) (N.Y.)
- PPO
- Consumer satisfaction: 4.0
- Prevention: 4.5
- Treatment: 4.0
22. Capital Health Plan (Fla.)
- HMO
- Consumer satisfaction: 4.5
- Prevention: 4.5
- Treatment: 4.0
23. CDPHP Universal Benefits (N.Y.)
- PPO
- Consumer satisfaction: 4.0
- Prevention: 4.5
- Treatment: 4.0
24. Cigna Health and Life Insurance (N.H.)
- HMO/POS/PPO
- Consumer satisfaction: 4.0
- Prevention: 4.0
- Treatment: 3.5
25. Connecticut General Life Insurance (Cigna) (N.H.)
- HMO/POS/PPO
- Consumer satisfaction: 4.0
- Prevention: 4.0
- Treatment: 3.5
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