Highest-Rated Health Plans in the Nation

Highest-Rated Health Plans in the Nation

Each year, NCQA rates commercial, Medicare and Medicaid health plans in all 50 states, U.S. territories and the District of Columbia. Ratings offer valuable insights into how well plans perform on key health measures and how satisfied members are with their care. By making this information publicly available, NCQA aims to empower consumers, employers and policymakers to make informed health care decisions and to encourage health plans to improve performance and prioritize member needs.

How Ratings Work

Health plans are rated on a scale of 0-5 stars. NCQA considers plans with 4.5 and 5 stars to be the highest-rated health plans in the nation. Ratings are based on three types of quality:

  • Measures of clinical quality from HEDIS® and the Health Outcomes Survey (HOS).
  • Measures of patient experience using the Consumer Assessment of Healthcare Providers and Systems (CAHPS®).
  • Results from NCQA's review of a health plan's structure and quality processes (NCQA Health Plan Accreditation).

The overall rating is the weighted average of a plan's HEDIS, CAHPS and HOS measure ratings, plus Accreditation bonus points, if the plan is Accredited by NCQA.

Highest-Rated Plans

Below are the highest-rated health plans in the Nation. View more details about each plan on NCQA's website.

Plan Name States Product Line & Reporting Product Overall Rating
Blue Cross and Blue Shield of Massachusetts, Inc. MA Commercial PPO 5
Independent Health Association, Inc. NY Commercial HMO/POS Combined 5
Kaiser Foundation Health Plan Inc. - Southern California CA Commercial HMO 5
Kaiser Foundation Health Plan Inc. - Southern California CA Medicare HMO 5
Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. DC, MD, VA Commercial HMO 5
Kaiser Foundation Health Plan, Inc. - Northern California CA Commercial HMO 5
Kaiser Foundation Health Plan, Inc. - Northern California CA Medicare HMO 5
Network Health Insurance Corporation (NHIC) WI Medicare PPO 5
UPMC Benefit Management Services, Inc. PA Commercial HMO 5
UPMC Health Coverage, Inc. PA Commercial HMO 5
UPMC Health Plan, Inc. PA Commercial HMO 5
Allina Health and Aetna Insurance Company MN Medicare PPO 4.5
Anthem Health Plans, Inc. dba Anthem Blue Cross and Blue Shield - Connecticut CT Commercial HMO/POS Combined 4.5
BCBSM, Inc. (dba Blue Cross Blue Shield of Minnesota) MN Commercial PPO 4.5
Blue Care Network of Michigan MI Medicare HMO/POS Combined 4.5
Blue Cross & Blue Shield of Rhode Island RI Commercial POS 4.5
Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. MA Commercial HMO/POS Combined 4.5
Blue Plus (HMO Minnesota dba Blue Plus) MN Medicaid HMO 4.5
CDPHP Universal Benefits, Inc. NY Commercial PPO 4.5
CDPHP Universal Benefits, Inc. NY Medicare PPO 4.5
Capital Advantage Insurance Company PA Commercial HMO/POS Combined 4.5
Capital District Physicians' Health Plan, Inc. (CDPHP) NY Commercial HMO 4.5
Capital District Physicians' Health Plan, Inc. (CDPHP) NY Medicare HMO 4.5
Capital District Physicians' Healthcare Network, Inc. (CDPHN) NY Commercial PPO 4.5
Capital District Physicians' Healthcare Network, Inc. (CDPHN) NY Commercial HMO/POS Combined 4.5
Capital Health Plan, Inc. FL Commercial HMO 4.5
Contra Costa Health Plan CA Medicaid HMO 4.5
Fallon Community Health Plan MA Medicaid HMO 4.5
Geisinger Health Plan PA Medicare HMO 4.5
Geisinger Indemnity Insurance Company PA Medicare PPO 4.5
Group Health Cooperative of South Central Wisconsin WI Commercial HMO 4.5
Harvard Pilgrim Health Care, Inc. ME, MA Commercial HMO/POS Combined 4.5
HealthPartners Administrators Inc. IA, MN, WI Commercial HMO/POS/PPO Combined 4.5
HealthPartners, Inc. MN Commercial HMO/POS/PPO Combined 4.5
Kaiser Foundation Health Plan Inc. - Southern California CA Medicaid HMO 4.5
Kaiser Foundation Health Plan of Colorado CO Commercial HMO 4.5
Kaiser Foundation Health Plan of Colorado CO Medicare HMO 4.5
Kaiser Foundation Health Plan of Georgia, Inc. GA Commercial HMO 4.5
Kaiser Foundation Health Plan of Georgia, Inc. GA Medicare HMO 4.5
Kaiser Foundation Health Plan of Washington WA Medicare HMO 4.5
Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. DC, MD, VA Medicare HMO 4.5
Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. MD Medicaid HMO 4.5
Kaiser Foundation Health Plan of the Northwest, Inc. OR, WA Commercial HMO 4.5
Kaiser Foundation Health Plan of the Northwest, Inc. OR, WA Medicare HMO 4.5
Kaiser Foundation Health Plan, Inc. - Hawaii HI Commercial HMO 4.5
Kaiser Foundation Health Plan, Inc. - Hawaii HI Medicare HMO 4.5
Kaiser Foundation Health Plan, Inc. - Northern California CA Medicaid HMO 4.5
Keystone Health Plan Central PA Commercial HMO/POS Combined 4.5
Managed Health Services Insurance Corp. dba MHS Health Wisconsin WI Medicaid HMO 4.5
Mass General Brigham Health Plan, Inc. MA Medicaid HMO 4.5
Medical Associates Clinic Health Plan of Wisconsin dba Medical Associates Health Plans WI Medicare HMO 4.5
Medical Associates Health Plan, Inc. IL, IA Medicare HMO 4.5
MercyCare HMO, Inc d/b/a/ MercyCare Health Plans WI Commercial HMO/EPO Combined 4.5
Neighborhood Health Plan of Rhode Island RI Medicaid HMO 4.5
Network Health Plan WI Commercial HMO/POS Combined 4.5
Pennsylvania Health & Wellness, Inc. PA Medicaid HMO 4.5
Priority Health MI Medicare HMO/POS Combined 4.5
Sanford Health Plan IA, ND, SD Commercial HMO 4.5
SelectHealth Inc. UT Medicaid HMO 4.5
UCare Health Inc. MN, WI Medicare PPO 4.5
UPMC Benefit Management Services, Inc. PA Commercial PPO/EPO Combined 4.5
UPMC For You, Inc. PA Medicaid HMO 4.5
UnitedHealthcare Insurance Company (H1537) AL, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VA, WA, WV, WI, WY Medicare PPO 4.5
Vista Health Plan DBA AmeriHealth Caritas Pennsylvania PA Medicaid HMO 4.5
Vista Health Plan, Inc. aka AmeriHealth Caritas Health Plan (operating as AmeriHealth Caritas Pennsylvania Community HealthChoices) PA Medicaid HMO 4.5
Wellmark Health Plan of Iowa, Inc. IA Commercial HMO/POS Combined 4.5

Ratings are based on NCQA's 2025 Health Plan Ratings. Plans that reported partial or no data did not receive a rating.

  • HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
  • CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
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