Private Health Plan Rankings 2012-2013

Top 20 Private Health Insurance Plans

NCQA evaluated over 538 private health plans and ranked 474 of those based on clinical performance, member satisfaction and NCQA Accreditation. To be eligible for rankings, health plans must authorize public release of their performance information and submit enough data for statistically valid analysis. NCQA’s Health Insurance Plan Rankings 2012-2013 used NCQA’s established rankings methodology, which has been used and widely recognized since 2005. The NCQA Accreditation status in these rankings is as of June 30, 2012. Please click here for the plans' most current Accreditation status.

Click here for a summary list of all private health insurance plan rankings.
Click here for the detailed ranking list of all private health insurance plans.  

1.   Harvard Pilgrim Health Care – HMO/POS (MA, ME)

2.   Tufts Associated Health Maintenance Organization – HMO/POS (MA)

3.   Capital Health Plan – HMO (FL)

4.   Tufts Benefit Administrators – PPO (MA, RI)

5.    Harvard Pilgrim Health Care – PPO (MA)

6.    Kaiser Foundation Health Plan of Colorado – HMO (CO)

7.    Harvard Pilgrim Health Care of New England – HMO/POS (NH)

8.    Kaiser Foundation Health Plan of Northern California – HMO (CA)

9.    Group Health Cooperative of South Central Wisconsin – HMO (WI)

10.  Kaiser Foundation Health Plan of Southern California – HMO (CA)

11.  Health New England – HMO/POS (MA)

12.  Geisinger Health Plan – HMO/POS (PA)

13.  Kaiser Foundation Health Plan of the Northwest – HMO (OR, WA)

14.  Blue Cross and Blue Shield of Massachusetts HMO Blue – HMO/POS (MA)

15.  Kaiser Foundation Health Plan of the Mid-Atlantic States – HMO (DC, MD, VA)

16.  UPMC Benefit Management Services – HMO/POS (PA)

16.  UPMC Health Plan – HMO/POS (PA)

18.  Grand Valley Health Plan – HMO (MI)

19.  Kaiser Foundation Health Plan - Hawaii – HMO (HI)

20.  Capital District Physicians' Healthcare Network (Self-Funded) – PPO (NY)

20.  CDPHP Universal Benefits – PPO (NY)

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A Note from the President

"All the health plans in these rankings are exemplary. First, they measure their quality in ways that help them improve and that make comparing plans possible. Then they take the extra step of revealing their results for the world to see—a true public service.” 

NCQA President
Margaret E. O'Kane

September 2011