Top 15 Medicare Health Insurance Plans

NCQA evaluated over 557 Medicare health plans and ranked 405 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 2013-2014 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, 2013.Click here for the plans' most current Accreditation status.

Click here to view the complete summary and detailed lists.
*Note: Select the "Medicare" option in the search box at the top and then hit "Search" next to it.

1. Kaiser Foundation Health Plan of Southern California - HMO (CA)

2. Kaiser Foundation Health Plan of Northern California - HMO (CA)

3. Kaiser Foundation Health Plan of the Northwest - HMO (OR, WA)

4. Kaiser Foundation Health Plan of Colorado - HMO (CO)

5. Kaiser Foundation Health Plan - Hawaii - HMO (HI)

6. Capital Health Plan - HMO (FL)

7. Geisinger Health Plan - HMO (PA)

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

9. Capital District Physicians' Health Plan - HMO (NY)

10. Security Health Plan of Wisconsin - HMO (WI)

11. Kaiser Foundation Health Plan of Ohio - HMO (OH)

12. Group Health Cooperative - HMO (WA) *

12. Priority Health - HMO (MI)

13. Health New England - HMO (MA)

14. Group Health Plan (Cost) - HMO (MN, WI)

15. Fallon Community Health Plan - HMO (MA)

* Due to a data processing error by NCQA, the November 2013 print edition of Consumer Reports magazine lists Group Health Cooperative as the nation’s 214th ranked Medicare plan. In fact, Group Health Cooperative is tied for 12th nationally in the Medicare rankings.

 

Top 15 Medicaid Health Insurance Plans

NCQA evaluated over 260 Medicaid health plans and ranked 131 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 2013-2014 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, 2013. Click here for the plans' most current Accreditation status.

Click here to view the complete summary and detailed lists.
*Note: Select the "Medicaid" option in the search box at the top and then hit "Search" next to it.

1. Fallon Community Health Plan - HMO (MA)

2. Kaiser Foundation Health Plan - Hawaii - HMO (HI)

3. Network Health - HMO (MA)

4. Neighborhood Health Plan of Rhode Island - HMO (RI)

5. Priority Health - HMO (MI)

6. Neighborhood Health Plan - HMO (MA)

7. Boston Medical Center HealthNet Plan - HMO (MA)

8. UnitedHealthcare Community Plan - HMO (RI)

9. Capital District Physicians' Health Plan - HMO (NY)

10. Blue Cross Complete of Michigan - HMO (MI)

11. Medica - HMO (MN)

12. Security Health Plan of Wisconsin - HMO (WI)

13. HealthPlus of Michigan - HMO (MI)

14. Midwest Health Plan - HMO (MI)

15. UPMC For You - HMO (PA)

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

Rankings Resources

Rankings Information

2013-14 Private Health Plan Rankings

2013 Methodology (Updated July 29, 2013) (PDF)

2013 Advertising and Publicity Guidelines (Updated August 21, 2013)

2013 Rankings Seals 

FAQ