About the rankings Your questions answered 1 Why can’t I find my plan? Not all plans submit data to the National Committee for Quality Assurance (NCQA). Some that do choose not to make the information public. And some plans don’t submit enough data for valid statistical analysis. 1 I purchase insurance on my own instead of getting it through a job. Can I buy all of these plans? You can buy some of the private plans listed, but many are offered only to employers as group plans. Even so, many insurers sell similar health plans to companies and to individuals. But the name of the insurance product or plan and the range of benefits sold to individuals may be different from the group version’s. For more details on plans offered to individuals, we recommend using the plan-finder feature at the federal government’s consumer health website, Healthcare.gov. 1 What about the Medicare and Medicaid plans? If you are a Medicare beneficiary, you can obtain any of the Medicare Advantage plans ranked in your state when you initially sign up or during Medicare’s annual open enrollment period, which this year runs from Oct. 15 to Dec. 7. Medicaid plans are available only to households that meet their state’s eligibility requirements. 1 What goes into the scores on treatment, prevention, and customer satisfaction? Treatment scores reflect how well a plan takes care of common conditions such as diabetes and heart disease. Prevention scores cover services such as prenatal care, cancer screenings, and immunizations. Consumer satisfaction looks at satisfaction with a plan’s doctors and services, such as customer service. 1 How can I use the scores and rankings to pick a good plan? Don’t focus too much on minor differences, such as between plans with scores of, say, 82 and 86. Instead, pay attention to larger differences. The same goes for the performance scores for treatment, prevention, and consumer satisfaction. The difference between 2 and 3 is not as telling as the difference between 1 or 2 and 5. If you have a particular condition, look at our online rankings for scores pertinent to that condition, if available. Healthy individuals and families with children might want to pay close attention to how well plans do on prevention. 1 Why are HMOs and PPOs ranked together but listed separately? PPOs score lower than HMOs on average. That is most likely because PPOs collect performance data somewhat differently than HMOs do. And fewer PPOs are accredited, which lowers their scores. Differences may also reflect actual lower performance. 1 Why is information missing for some plans? Some plans don’t offer some measured services or have too few enrollees using them. And a plan can choose not to submit data for a particular measure. Private health plan rankings HMO In rank order, within states and categories. 77 UnitedHealthcare Insurance (Alabama) 77 Aetna Life Insurance Company (Alabama) 77 Connecticut ConnectiCare 87 Anthem Blue Cross and Blue Shield-Connecticut 87 Cigna HealthCare of Connecticut 85 Oxford Health Plans (CT) 84 Aetna Health-Connecticut *Not accredited by the NCQA. 84 2 1 1 1 1 1 3 1 1 1 1 1 3 1 1 1 1 1 3 1 5 1 3 1 3 1 3 1 5 1 5 1 4 1 4 1 4 1 5 1 4 1 4 1 4 1 4 1 Overall Performance score connecticut continued UnitedHealthcare of New England 84 307 Aetna Life Insurance Company (Connecticut) 84 305 UnitedHealthcare Insurance (New England) 83 310 Oxford Health Insurance-Connecticut 81 Cigna (CT)* 70 31 DelAware 34 Blue Cross Blue Shield of Delaware 84 73 AmeriHealth HMO (Delaware) 83 92 Aetna Health (Pennsylvania)-Delaware 83 94 Optimum Choice 81 National rank UnitedHealthcare of Alabama Better than average Treatment National rank Treatment Prevention Alabama 1 12 13 14 15 1 Worse than average Prevention Plan name Overall Performance score Consumer satisfaction Plan name PPO Consumer satisfaction These rankings of private, Medicare, and Medicaid health-insurance plans (HMOs and PPOs) are based on data and calculations from the National Committee for Quality Assurance (NCQA), an independent nonprofit group. A total of 830 plans are ranked in three categories: 390 private plans that people enroll in through work or on their own, 341 that serve Medicare beneficiaries in the Medicare Advantage program, and 99 that Medicaid beneficiaries enroll in. Because of space considerations, we are presenting the rankings of health plans in three regional editions. Within categories, plans are listed by state. A complete national list is available at ConsumerReports.org/ health, where consumers can also access additional details on insurance plans and compare up to five at a time free of charge until Nov. 15. Overall score on a scale of 1 to 100 (higher is better) is based on performance on dozens of measures encompassing consumer satisfaction, treatment, and prevention. Whether a plan is accredited by the NCQA is also part of its score. Non-accredited plans, marked with an asterisk (*), score lower on average because accreditation can add up to 15 points. Accreditation is a plus but is no guarantee of quality care. Plans pay a fee to the NCQA to be evaluated for accreditation; the amount varies by plan size. Performance covers the subcategories of treatment, prevention, and consumer satisfaction, scored from 1 to 5. National rank shows where each plan stands among all plans nationwide in that category. A lower number signifies a higher ranking and better performance. 2 1 3 1 3 1 1 1 4 1 4 1 4 1 4 1 3 1 4 1 4 1 4 1 4 1 3 1 4 1 101 4 1 3 1 3 1 1 1 4 1 4 1 3 1 3 1 3 1 4 1 3 1 3 1 n ove mb e r 2011 w w w.C o n su m e r R e p o rt s. o rg 81 108 175 332 102 111 129 216 43 FEATURE HEALTH INSURANCE 65 District of Columbia Kaiser Foundation Health Plan of the Mid-Atlantic States Cigna HealthCare Mid-Atlantic 84 Aetna Health (Pennsylvania)-Maryland 83 MD-Individual Practice Association 82 CareFirst BlueChoice 81 Optimum Choice 81 UnitedHealthcare of the Mid-Atlantic 81 Aetna Life Insurance Company (MD/DC) 82 UnitedHealthcare Insurance (Mid-Atlantic) 81 BluePreferred 81 Cigna (MD, DC)* 68 87 florida Capital Health Plan 90 Health First Health Plans 83 AvMed Health Plans 82 Cigna HealthCare of Florida 82 UnitedHealthcare of Florida 82 Aetna Health-Florida 81 Humana Medical Plan of Florida 81 Health Options 80 Neighborhood Health Partnership 80 Florida Health Care Plans* 69 Aetna Life Insurance Company (Florida) 81 UnitedHealthcare Insurance (Florida) 81 Cigna (FL)* 67 Georgia Kaiser Foundation Health Plan of Georgia (HMO) 86 Cigna HealthCare of Georgia 83 Kaiser Foundation Health Plan of Georgia (POS) 82 Aetna Health-Georgia 82 Blue Cross Blue Shield Healthcare Plan of Georgia 82 UnitedHealthcare of Georgia 81 Humana Employers Health Plan of Georgia 80 Aetna Life Insurance Company (Georgia) 82 UnitedHealthcare Insurance (Georgia) 80 Blue Cross Blue Shield Healthcare Plan of Georgia 77 Cigna (GA)* 66 kentucky Anthem Blue Cross and Blue Shield in Kentucky 84 Cigna Ohio Managed Care 84 *Not accredited by the NCQA. 44 con s um er r ep o rt s n ove mb e r 2 0 1 1 3 1 2 1 2 1 2 1 3 1 3 1 3 1 2 1 1 1 1 1 1 1 3 1 3 1 2 1 3 1 4 1 3 1 3 1 4 1 4 1 3 1 2 1 4 1 2 1 4 1 3 1 4 1 4 1 4 1 4 1 3 1 3 1 2 1 3 1 2 1 3 1 4 1 3 1 3 1 5 1 4 1 4 1 4 1 4 1 3 1 3 1 4 1 3 1 3 1 3 1 5 1 4 1 4 1 3 1 3 1 3 1 3 1 3 1 3 1 4 1 3 1 3 1 3 1 5 1 3 1 4 1 3 1 4 1 3 1 2 1 3 1 2 1 1 1 3 1 4 1 4 1 3 1 3 1 3 1 3 1 3 1 3 1 2 1 3 1 3 1 5 1 3 1 3 1 3 1 2 1 3 1 2 1 1 1 2 1 3 1 2 1 2 1 3 1 3 1 3 1 2 1 3 1 3 1 2 1 3 1 3 1 2 1 1 1 3 1 4 1 4 1 3 1 4 1 3 1 4 1 Overall Performance score kentucky continued Humana Health Plan of Ohio 83 164 Humana Health Plan of Kentucky 81 279 UnitedHealthcare of Ohio 81 380 Aetna Health (Pennsylvania)-Ohio 81 UnitedHealthcare of Kentucky 80 33 Welborn Health Plans* 68 79 Humana Health Plan of Kentucky 80 131 Anthem Blue Cross and Blue Shield in Kentucky 79 137 UnitedHealthcare Insurance (Kentucky) 78 194 Aetna Life Insurance Company (Kentucky) 77 216 Cigna (KY)* 63 225 maine 140 Harvard Pilgrim Health Care 184 Anthem Blue Cross and Blue Shield in Maine 87 210 Aetna Health-Maine 83 347 Martin's Point Health Care* 74 Aetna Life Insurance Company (Maine) 81 Cigna (ME)* 68 3 117 92 Johns Hopkins US Family Health Plan 88 147 Kaiser Foundation Health Plan of the Mid-Atlantic States 87 157 Cigna HealthCare Mid-Atlantic 84 Employer Health Programs 84 Aetna Health (Pennsylvania)-Maryland 83 MD-Individual Practice Association 82 CareFirst BlueChoice 81 Optimum Choice 81 227 246 259 334 180 223 352 52 UnitedHealthcare of the Mid-Atlantic 81 Coventry Health Care of Delaware* 66 Aetna Life Insurance Company (MD/DC) 82 UnitedHealthcare Insurance (Mid-Atlantic) 81 126 BluePreferred 81 158 Cigna (MD, DC)* 68 163 4 1 3 1 3 1 3 1 2 1 4 1 2 1 2 1 2 1 2 1 2 1 3 1 3 1 3 1 3 1 2 1 3 1 2 1 2 1 1 1 1 1 1 1 120 5 1 4 1 2 1 5 1 2 1 3 1 5 1 5 1 3 1 4 1 3 1 3 1 5 1 5 1 4 1 5 1 3 1 3 1 5 1 3 1 3 1 2 1 3 1 2 1 1 1 1 1 1 1 1 1 3 1 3 1 2 1 3 1 5 1 5 1 4 1 4 1 4 1 4 1 4 1 3 1 3 1 4 1 4 1 3 1 3 1 3 1 5 1 4 1 4 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 2 1 3 1 3 1 5 1 5 1 3 1 3 1 3 1 3 1 3 1 2 1 1 1 3 1 5 1 5 1 5 1 5 1 5 1 5 1 5 1 5 1 4 1 4 1 5 1 5 1 5 1 5 1 5 1 5 1 5 1 5 1 5 1 4 1 196 197 201 268 337 249 276 303 306 384 1 29 121 328 214 346 23 33 79 106 131 137 194 216 225 361 140 184 210 347 massachusetts Harvard Pilgrim Health Care 92 217 Tufts Associated Health Maintenance Organization 91 250 Health New England 89 161 Fallon Community Health Plan 88 266 Blue Cross and Blue Shield of Massachusetts 88 314 ConnectiCare 87 364 ConnectiCare of Massachusetts 87 Neighborhood Health Plan 86 91 Aetna Health (Pennsylvania)-Massachusetts 85 107 Cigna HealthCare of Massachusetts 85 172 3 1 2 1 2 1 2 1 3 1 4 1 3 1 4 1 3 1 2 1 4 1 maryland 143 203 National rank Cigna (DE)* 4 1 3 1 2 1 2 1 Better than average Treatment 79 1 1 4 1 3 1 3 1 361 1 12 13 14 15 1 Worse than average Prevention 82 UnitedHealthcare Insurance (Delaware) National rank Aetna Life Insurance Company (Delaware) Treatment 66 Prevention Delaware continued Coventry Health Care of Delaware* Plan name Overall Performance score Consumer satisfaction Plan name PPO Consumer satisfaction HMO 1 2 10 13 15 31 31 42 71 77 HMO UnitedHealthcare Insurance (New England) 83 Cigna (MA)* 69 michigan Grand Valley Health Plan 89 Priority Health 87 HealthPlus of Michigan 86 Health Alliance Plan of Michigan 86 Physicians Health Plan 85 Blue Care Network of Michigan 84 Total Health Care Plan name Aetna Life Insurance Company (Michigan) 81 Overall score 81 UnitedHealthcare Insurance (Michigan) 80 Health Alliance Plan of Michigan* 65 5 1 5 1 5 1 5 1 5 1 4 1 5 1 4 1 4 1 4 1 4 1 4 1 4 1 4 1 4 1 3 1 4 1 4 1 1 1 4 1 2 Performance1 3 1 3 1 3 1 3 1 3 1 2 1 3 1 2 1 3 1 Excellus BlueCross BlueShield 88 9 Capital District Physicians' Health Plan 88 16 Capital District Physicians' Healthcare Network 87 98 Independent Health Association 87 108 MVP Health Care 86 333 HealthNow New York 86 Univera Healthcare 85 11 HIP Health Plan of New York 85 41 Cigna HealthCare of New York 84 43 Empire BlueCross BlueShield 84 51 Oxford Health Plans of New York 84 62 Aetna Health-New York 84 85 UnitedHealthcare Insurance of New York 83 221 Martin's Point Health Care* 74 215 Universal Benefits Capital District Physicians' Healthcare Network (Self-Funded) HealthNow New York 87 86 Univera Healthcare 85 2 Excellus BlueCross BlueShield 85 375 New Hampshire Tufts Associated Health Maintenance Organization 91 Harvard Pilgrim Health Care of New England 90 Anthem Blue Cross and Blue Shield in New Hampshire 87 Anthem Health Plan of New Hampshire 87 Cigna HealthCare of New Hampshire 87 UnitedHealthcare of New England 84 Martin's Point Health Care* 74 Tufts Health Plan 90 UnitedHealthcare Insurance (New England) 83 Aetna Life Insurance Company (NH/VT) 81 Cigna (NH)* 69 New Jersey Cigna HealthCare of New Jersey 85 Aetna Health (New Jersey)-Southern New Jersey 84 AmeriHealth HMO (New Jersey) 83 Aetna Health (New Jersey)-Northern New Jersey 83 Oxford Health Plans (NJ) 82 UnitedHealthcare Insurance (New Jersey) 81 Horizon Healthcare of New Jersey 81 Horizon Blue Cross Blue Shield of New Jersey* 68 Aetna Life Insurance Company (New Jersey) 82 UnitedHealthcare Insurance (New Jersey) 81 Oxford Health Insurance-New Jersey 81 Cigna (NJ)* 68 Horizon Blue Cross Blue Shield of New Jersey* 66 5 1 5 1 4 1 4 1 5 1 2 1 5 1 5 1 3 1 2 1 4 1 5 1 5 1 5 1 5 1 4 1 4 1 4 1 5 1 4 1 3 1 3 1 5 1 5 1 5 1 5 1 5 1 4 1 5 1 5 1 4 1 3 1 4 1 4 1 4 1 3 1 2 1 1 1 1 1 2 1 4 1 2 1 3 1 2 1 3 1 3 1 4 1 4 1 4 1 3 1 3 1 3 1 3 1 3 1 4 1 4 1 3 1 3 1 3 1 4 1 4 1 4 1 4 1 3 1 3 1 4 1 4 1 3 1 2 1 3 1 4 1 3 1 86 5 Oxford Health Insurance-New York 84 25 Aetna Life Insurance Company (New York) 83 25 UnitedHealthcare Insurance of New York 82 35 Cigna (NY)* 68 101 North Carolina 328 Cigna HealthCare of North Carolina 83 Aetna Health (Pennsylvania)-North Carolina 82 UnitedHealthcare of North Carolina 81 Aetna Life Insurance Company (North Carolina) 82 UnitedHealthcare Insurance (North Carolina) 81 BlueCross BlueShield of North Carolina 81 Cigna (NC) 67 4 108 204 335 64 82 110 132 162 189 192 339 141 190 4 1 5 1 5 1 5 1 5 1 4 1 3 1 2 1 2 1 2 1 2 1 2 1 1 1 5 1 5 1 5 1 4 1 3 1 3 1 2 1 2 1 2 1 3 1 5 1 5 1 5 1 5 1 5 1 5 1 4 1 4 1 4 1 4 1 4 1 4 1 4 1 4 1 5 1 5 1 5 1 4 1 5 1 4 1 4 1 4 1 4 1 5 1 4 1 4 1 4 1 4 1 4 1 4 1 5 1 5 1 5 1 4 1 4 1 4 1 5 1 4 1 4 1 4 1 4 1 4 1 4 1 4 1 3 1 4 1 20 4 1 2 1 3 1 3 1 4 1 4 1 3 1 3 1 3 1 3 1 4 1 3 1 3 1 3 1 3 1 3 1 2 1 3 1 3 1 3 1 3 1 5 1 5 1 4 1 4 1 4 1 4 1 3 1 4 1 5 1 2 1 2 1 4 1 4 1 3 1 4 1 4 1 3 1 4 1 4 1 3 1 4 1 3 1 3 1 3 1 4 1 4 1 4 1 4 1 4 1 3 1 3 1 3 1 2 1 3 1 3 1 3 1 New York 4 253 National rank 84 101 Overall Performance score Treatment 88 Aetna Life Insurance Company (Massachussetts) 4 1 5 1 5 1 5 1 4 1 4 1 4 1 Better than average Prevention Blue Cross and Blue Shield of Massachusetts 4 1 5 1 5 1 5 1 4 1 4 1 4 1 1 12 13 14 15 1 Worse than average Consumer satisfaction 89 National rank Harvard Pilgrim Health Care 2 1 5 1 5 1 3 1 1 1 3 1 2 1 National rank 90 Treatment Tufts Health Plan Prevention 84 Treatment UnitedHealthcare of New England Prevention massachusetts continued Plan name Consumer satisfaction Overall Performance score Consumer satisfaction Plan name PPO Ohio SummaCare 85 AultCare HMO 85 Anthem Blue Cross and Blue Shield in Ohio 85 Kaiser Foundation Health Plan of Ohio 85 Cigna Ohio Managed Care 84 Paramount Health Care 83 Humana Health Plan of Ohio 83 Medical Mutual of Ohio 83 Health Plan of the Upper Ohio Valley, The 82 202 UnitedHealthcare of Ohio 81 340 Aetna Health (Pennsylvania)-Ohio 81 360 SummaCare 83 n ove mb e r 2011 w w w.C o n su m e r R e p o rt s. o rg 22 27 28 47 49 63 66 83 88 97 103 113 328 40 45 49 63 76 99 124 150 336 119 165 209 155 185 198 350 54 61 67 68 107 109 120 122 152 197 201 116 45 82 UnitedHealthcare Insurance (Ohio) 82 UnitedHealthcare Insurance of Ohio 82 AultCare 80 Anthem Blue Cross and Blue Shield in Ohio 79 Cigna (OH)* 66 Pennsylvania Geisinger Health Plan 89 UPMC Health Plan 88 UPMC Benefit Management Services 88 HealthAmerica 87 Highmark Health Insurance 87 Keystone Health Plan Central 85 Capital Advantage Insurance 85 Keystone Health Plan East 84 AmeriHealth HMO (Pennsylvania) 83 First Priority Health 83 Aetna Health-Pennsylvania 83 Cigna HealthCare of Pennsylvania 83 Geisinger Health Plan 88 UPMC Health Network 85 UPMC Benefit Management Services 85 QCC Insurance (Personal Choice) 85 Aetna Life Insurance Company (Pennsylvania) 82 UnitedHealthcare Insurance (Pennsylvania) 80 Cigna (PA)* 68 Rhode Island Tufts Associated Health Maintenance Organization 91 UnitedHealthcare of New England 84 Tufts Health Plan 90 UnitedHealthcare Insurance (New England) 83 Aetna Life Insurance Company (Rhode Island) 81 Cigna (RI)* 67 South Carolina 4 1 5 1 5 1 4 1 5 1 4 1 4 1 3 1 3 1 5 1 3 1 2 1 3 1 5 1 5 1 5 1 2 1 2 1 4 1 5 1 5 1 5 1 4 1 5 1 4 1 4 1 4 1 4 1 4 1 3 1 3 1 5 1 4 1 4 1 4 1 4 1 3 1 3 1 5 1 4 1 4 1 5 1 4 1 3 1 3 1 4 1 4 1 3 1 3 1 4 1 5 1 4 1 4 1 3 1 3 1 2 1 4 1 3 1 3 1 3 1 3 1 3 1 3 1 2 1 3 1 122 UnitedHealthcare Services of the River Valley 148 UnitedHealthcare Plan of the River Valley 82 159 Aetna Health (Pennsylvania)-Tennessee 80 167 Humana Health Plan of Tennessee* 67 167 BlueCross BlueShield of Tennessee 82 255 Aetna Life Insurance Company (Tennessee) 81 272 UnitedHealthcare Insurance (Tennessee) 80 371 Cigna (TN)* 67 5 1 2 1 5 1 3 1 1 1 3 1 5 1 4 1 5 1 4 1 3 1 3 1 5 1 4 1 5 1 4 1 3 1 3 1 2 1 3 1 2 1 3 1 2 1 2 1 2 1 3 1 3 1 3 1 2 1 2 1 2 1 2 1 BlueChoice BlueShield of South Carolina 82 Aetna Health (Pennsylvania)-North Carolina 82 Cigna HealthCare of South Carolina 81 UnitedHealthcare of North Carolina 81 Aetna Life Insurance Company (South Carolina) 80 UnitedHealthcare Insurance (South Carolina) 79 Cigna (SC)* 65 3 1 2 1 4 1 3 1 3 1 2 1 4 1 82 5 1 3 1 2 1 Tennessee Cigna HealthCare of Tennessee *Not accredited by the NCQA. 46 co n s um er r ep o rt s n ove mb e r 2 0 1 1 tennessee continued 82 Vermont 8 Blue Cross and Blue Shield of Vermont 86 18 MVP Health Care 86 18 Vermont Health Plan, The 84 30 Martin's Point Health Care* 74 36 Blue Cross and Blue Shield of Vermont 84 74 Aetna Life Insurance Company (NH/VT) 81 66 75 Cigna (VT)* 96 Virginia 111 Kaiser Foundation Health Plan of the Mid-Atlantic States Southern Health Services 85 Cigna HealthCare Mid-Atlantic 84 Optima Health Plan 84 HealthKeepers 83 Aetna Health (Pennsylvania)-Maryland 83 MD-Individual Practice Association 82 UnitedHealthcare Services of the River Valley 82 UnitedHealthcare Plan of the River Valley 82 CareFirst BlueChoice 81 Optimum Choice 81 UnitedHealthcare of the Mid-Atlantic 81 Optima Health Insurance Company 83 Aetna Life Insurance Company (Virginia) 82 UnitedHealthcare Insurance (Mid-Atlantic) 81 114 128 130 17 59 59 69 146 244 342 2 101 4 108 219 355 149 165 200 209 235 287 381 145 87 BluePreferred 81 Anthem Blue Cross Blue Shield in Virginia 79 Cigna (VA)* 67 West Virginia Health Plan of the Upper Ohio Valley, The 82 Carelink Health Plans 81 Optimum Choice 81 Aetna Life Insurance Company (West Virginia) 78 National rank 82 Aetna Life Insurance Company (Ohio) 3 1 3 1 3 1 3 1 3 1 2 1 2 1 2 1 Treatment Humana Insurance Company (Ohio) 4 1 3 1 3 1 3 1 3 1 5 1 3 1 3 1 Better than average Prevention 83 1 12 13 14 15 1 Worse than average Overall Performance score National rank Medical Mutual of Ohio Plan name Treatment ohio continued Prevention Overall Performance score Consumer satisfaction Plan name PPO Consumer satisfaction HMO 3 1 3 1 3 1 4 1 5 1 3 1 4 1 4 1 3 1 3 1 2 1 3 1 3 1 3 1 2 1 3 1 3 1 3 1 3 1 3 1 2 1 2 1 2 1 2 1 173 5 1 5 1 3 1 5 1 3 1 2 1 3 1 4 1 5 1 4 1 4 1 3 1 3 1 3 1 5 1 4 1 4 1 5 1 4 1 3 1 3 1 3 1 5 1 3 1 4 1 4 1 3 1 2 1 3 1 3 1 1 1 1 1 1 1 3 1 2 1 3 1 2 1 4 1 3 1 5 1 4 1 4 1 4 1 4 1 4 1 4 1 3 1 3 1 4 1 3 1 3 1 3 1 3 1 3 1 3 1 2 1 3 1 4 1 4 1 4 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 2 1 3 1 1 1 3 1 5 1 4 1 1 1 4 1 4 1 3 1 3 1 2 1 2 1 2 1 3 1 1 1 173 242 356 151 220 237 358 44 47 105 328 100 204 362 33 55 79 84 123 131 137 173 173 194 216 225 133 170 184 210 283 351 152 207 216 299 HMO PPO 1 12 13 14 15 1 Worse than average Better than average Medicare health plan rankings In rank order, within states and categories. 65 Windsor Health Plan* 61 Humana Insurance Company 80 Humana Insurance Company (Alabama) 77 Blue Cross and Blue Shield of Alabama* 64 Pyramid Life Insurance* 63 Connecticut Aetna Health-Connecticut 84 Health Net of Connecticut* 70 ConnectiCare* 70 Anthem Blue Cross and Blue Shield-Connecticut* 69 Oxford Health Plans (CT)* 68 WellCare of Connecticut* 64 Aetna Life Insurance Company (Connecticut) 84 UnitedHealthcare Insurance (CT, MA, RI, VT)* 67 UnitedHealthcare Insurance (Connecticut)* 65 Delaware 63 3 1 3 1 2 1 3 1 3 1 3 1 2 1 3 1 4 1 3 1 3 1 3 1 1 1 3 1 3 1 3 1 2 1 2 1 1 1 3 1 1 1 3 1 2 1 3 1 5 1 3 1 4 1 3 1 3 1 4 1 3 1 3 1 1 1 2 1 1 1 2 1 1 1 1 1 2 1 5 1 4 1 5 1 4 1 4 1 3 1 4 1 4 1 3 1 2 1 1 1 3 1 162 Physicians United Plan* 65 279 Medica Healthcare Plans* 64 330 WellCare of Florida* 63 151 HealthSun Health Plans* 63 173 Citrus Health Care* 61 296 Aetna Life Insurance Company (Florida) 84 309 UnitedHealthcare Insurance (Florida Regional) 80 Humana Insurance Company 80 73 UnitedHealthcare Insurance (Florida)* 66 188 Health Options* 65 193 Universal Health Care* 63 211 Pyramid Life Insurance* 63 232 Georgia 289 Kaiser Foundation Health Plan of Georgia 46 Aetna Health-Georgia 82 239 UnitedHealthcare of Georgia (H1111) 78 274 Blue Cross Blue Shield of Georgia* 65 UnitedHealthcare of Georgia (H2182)* 64 62 17 WellCare of Georgia* Arcadian Health Plan (Southeast Community CareH5578)* Humana Insurance Company (Georgia) 166 Humana Insurance Company 80 168 Humana Insurance Company (Tennessee) 80 46 Pyramid Life Insurance* 63 307 UnitedHealthcare Insurance (Georgia)* 63 307 District of Columbia Kaiser Foundation Health Plan of the Mid-Atlantic States UnitedHealthcare Insurance-Virginia 78 Bravo Health Mid-Atlantic 78 Aetna Life Insurance Company (MD/DC) UnitedHealthcare Insurance for EverCare (MD/DC/ VA/DE)* 84 87 63 4 1 2 1 2 1 3 1 2 1 5 1 2 1 3 1 4 1 1 1 5 1 2 1 2 1 4 1 3 1 88 Health First Health Plans 86 AvMed Health Plans 83 Aetna Health-Florida 82 UnitedHealthcare of Florida (H1080) 82 Humana Medical Plan of Florida 82 UnitedHealthcare of Florida (H9011) 80 Health Options 80 Humana Medical Plan of Florida (AdvantageCare) 80 Freedom Health 80 Optimum Healthcare 79 Universal Health Care 78 Florida Health Care Plans* 70 Leon Medical Centers Health Plans* 70 Preferred Care Partners Health Plan* 68 4 1 4 1 4 1 2 1 3 1 3 1 3 1 2 1 2 1 2 1 2 1 2 1 3 1 4 1 4 1 5 1 4 1 3 1 3 1 3 1 3 1 2 1 3 1 3 1 3 1 3 1 3 1 5 1 4 1 3 1 5 1 5 1 4 1 4 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 2 1 4 1 4 1 4 1 59 81 kentucky Florida Capital Health Plan 86 National rank 78 HealthSpring (H0150)* 67 Treatment UnitedHealthcare of Alabama UnitedHealthcare Insurance for EverCare (MD/DC/ VA/DE)* florida continued CarePlus Health Plans* Prevention Alabama Overall Performance score Consumer satisfaction Plan name National rank Treatment Prevention Overall Performance score Consumer satisfaction Plan name 3 1 2 1 4 1 2 1 4 1 1 1 3 1 3 1 3 1 3 1 3 1 2 1 2 1 3 1 3 1 1 1 3 1 1 1 2 1 4 1 3 1 3 1 3 1 3 1 2 1 2 1 3 1 3 1 2 1 2 1 1 1 2 1 4 1 3 1 2 1 3 1 3 1 2 1 2 1 249 4 1 3 1 3 1 2 1 3 1 1 1 1 1 3 1 3 1 3 1 2 1 2 1 5 1 4 1 2 1 3 1 2 1 3 1 1 1 3 1 3 1 2 1 2 1 2 1 4 1 3 1 2 1 3 1 2 1 2 1 1 1 3 1 2 1 3 1 2 1 2 1 4 1 3 1 3 1 3 1 4 1 3 1 3 1 3 1 4 1 3 1 3 1 2 1 2 1 3 1 2 1 4 1 4 1 3 1 3 1 2 1 2 1 4 1 4 1 3 1 4 1 4 1 5 1 5 1 4 1 4 1 4 1 220 17 Anthem Blue Cross and Blue Shield in Kentucky 81 Aetna Life Insurance Company (Kentucky) 84 82 104 Anthem Blue Cross and Blue Shield in Kentucky Anthem Blue Cross and Blue Shield in Indiana (Regional) Humana Insurance Company (Indiana) 80 105 Humana Insurance Company (Ohio) 80 140 Humana Insurance Company 80 143 maine 146 Aetna Health-Maine 149 Martin's Point Health Care* 72 159 Arcadian Health Plan (Northeast Community Care)* 68 164 Aetna Life Insurance Company (Maine) 84 195 UnitedHealthcare Insurance (Maine) 84 5 1 5 1 4 1 3 1 4 1 87 4 1 5 1 5 1 6 22 81 97 196 maryland 225 Kaiser Foundation Health Plan of the Mid-Atlantic States 81 86 n ove mb e r 2011 w w w.C o n su m e r R e p o rt s. o rg 272 300 303 313 331 46 144 151 260 265 306 309 31 107 161 278 295 316 339 111 151 152 309 310 123 46 100 114 130 142 151 20 179 46 68 47 Aetna Life Insurance Company (MD/DC) UnitedHealthcare Insurance for EverCare (MD/DC/ VA/DE)* Pyramid Life Insurance* 84 63 63 massachusetts Tufts Associated Health Maintenance Organization 88 Fallon Community Health Plan 88 Blue Cross and Blue Shield of Massachusetts 86 Commonwealth Care Alliance* 70 UnitedHealthcare of Massachusetts (Evercare)* 67 Blue Cross and Blue Shield of Massachusetts* 70 UnitedHealthcare Insurance (CT, MA, RI, VT)* UnitedHealthcare Insurance (Massachusetts/Rhode Island)* 67 67 4 1 2 1 3 1 4 1 3 1 2 1 5 1 5 1 4 1 4 1 3 1 3 1 3 1 3 1 5 1 5 1 5 1 3 1 4 1 4 1 3 1 3 1 5 1 5 1 5 1 5 1 3 1 5 1 4 1 4 1 86 Health Alliance Plan of Michigan 85 Blue Care Network of Michigan 85 Priority Health* 73 Molina Healthcare of Michigan* 62 Aetna Life Insurance Company (Michigan) 84 Humana Insurance Company 80 Health Alliance Plan of Michigan* 67 Pyramid Life Insurance* 63 New Jersey AmeriHealth HMO 83 Aetna Health (New Jersey)-Southern New Jersey 83 Aetna Health (New Jersey)-Northern New Jersey 83 Oxford Health Plans New Jersey 79 Horizon Healthcare of New Jersey* 67 Healthfirst Health Plan of New Jersey* 62 WellCare of New Jersey* 60 Aetna Life Insurance Company (New Jersey) 84 Pyramid Life Insurance* 63 New York MVP Health Care (Rochester Area) 87 Capital District Physicians' Health Plan 87 MVP Health Care 87 Independent Health Association 86 Univera Healthcare 86 Excellus BlueCross BlueShield 86 Empire BlueCross BlueShield 85 Aetna Health-New York 85 HealthNow New York *Not accredited by the NCQA. 84 48 con s um er r ep o rt s n ove mb e r 2 0 1 1 5 1 4 1 4 1 5 1 2 1 3 1 3 1 3 1 2 1 4 1 4 1 4 1 5 1 2 1 4 1 3 1 4 1 2 1 5 1 4 1 4 1 5 1 2 1 4 1 2 1 3 1 2 1 3 1 3 1 3 1 2 1 2 1 1 1 1 1 3 1 2 1 3 1 4 1 4 1 2 1 4 1 1 1 1 1 4 1 2 1 4 1 4 1 4 1 3 1 3 1 3 1 2 1 4 1 2 1 4 1 5 1 5 1 4 1 5 1 5 1 3 1 3 1 3 1 5 1 5 1 4 1 5 1 4 1 4 1 4 1 4 1 4 1 5 1 5 1 5 1 5 1 5 1 5 1 5 1 5 1 4 1 new york continued HIP Health Plan of New York (H3330) 168 Oxford Health Plans (NY) 81 185 UnitedHealthcare of New York (H3379) 79 83 46 Fidelis Care New York* 67 307 Managed Health* 65 309 Touchstone Health (H3327)* 65 WellCare of New York* 63 8 Liberty Health Advantage* 59 12 HealthNow New York 85 28 Excellus BlueCross BlueShield 85 200 Aetna Life Insurance Company (New York) 84 UnitedHealthcare Insurance of New York 80 Independent Health Association* 70 Empire BlueCross BlueShield* 70 MVP Health Care (H3346)* 70 MVP Health Care (H9615)* 70 Universal Benefits* 69 Pyramid Life Insurance* 63 241 194 239 240 michigan HealthPlus of Michigan Overall Performance score 21 34 39 North Carolina UnitedHealthcare of North Carolina 80 BlueCross BlueShield of North Carolina* Arcadian Health Plan (Southeast Community Care-H2899)* Aetna Life Insurance Company (North Carolina) 70 60 235 UnitedHealthcare of North Carolina 82 309 Humana Insurance Company (North Carolina) 80 Humana Insurance Company 80 84 BlueCross BlueShield of North Carolina* 68 91 Pyramid Life Insurance* 63 177 321 46 151 84 92 ohio 160 Kaiser Foundation Health Plan of Ohio 87 248 SummaCare 84 323 PrimeTime Health Plan 84 335 UPMC Health Plan 84 46 Paramount Health Care 83 309 Health Plan of the Upper Ohio Valley, The (H3672) 82 Aetna Health (Pennsylvania)-Ohio 82 15 Anthem Blue Cross and Blue Shield in Ohio 81 16 Health Plan of the Upper Ohio Valley, The (H5151) 81 18 UnitedHealthcare of Ohio 80 23 Mt. Carmel Health Plan* 68 25 WellCare of Ohio* 61 26 UPMC Health Plan 84 37 Aetna Life Insurance Company (Ohio) 84 41 Anthem Blue Cross and Blue Shield in Ohio Anthem Blue Cross and Blue Shield in Indiana (Regional) 83 66 81 National rank 71 4 1 3 1 5 1 4 1 1 1 2 1 Better than average Treatment 78 UnitedHealthcare Insurance (Maryland)* 2 1 2 1 5 1 3 1 2 1 2 1 93 1 12 13 14 15 1 Worse than average Prevention Bravo Health Mid-Atlantic National rank Aetna Health (Pennsylvania)-Maryland 82 Treatment maryland continued Plan name Prevention Overall Performance score Consumer satisfaction Plan name PPO Consumer satisfaction HMO 2 1 2 1 2 1 2 1 1 1 3 1 1 1 1 1 4 1 4 1 3 1 2 1 4 1 3 1 4 1 4 1 4 1 2 1 4 1 3 1 2 1 3 1 4 1 3 1 3 1 1 1 5 1 4 1 4 1 2 1 5 1 4 1 4 1 4 1 4 1 2 1 5 1 4 1 3 1 4 1 3 1 3 1 3 1 1 1 4 1 4 1 4 1 3 1 5 1 5 1 4 1 4 1 4 1 2 1 75 3 1 5 1 2 1 3 1 4 1 3 1 3 1 4 1 2 1 3 1 4 1 1 1 4 1 4 1 2 1 3 1 4 1 2 1 2 1 4 1 1 1 4 1 3 1 3 1 2 1 3 1 2 1 4 1 5 1 5 1 4 1 4 1 5 1 3 1 3 1 4 1 3 1 5 1 1 1 4 1 3 1 4 1 3 1 5 1 4 1 4 1 4 1 4 1 3 1 3 1 4 1 3 1 3 1 3 1 1 1 4 1 4 1 4 1 3 1 5 1 4 1 3 1 4 1 3 1 3 1 4 1 3 1 3 1 3 1 3 1 2 1 4 1 4 1 3 1 3 1 127 157 244 271 275 301 337 32 36 46 145 186 187 189 192 205 309 137 191 334 46 94 147 151 218 309 19 42 45 69 88 95 99 112 119 131 229 329 43 46 83 114 HMO 81 Humana Insurance Company (Ohio) 80 Humana Insurance Company 80 HealthAmerica Advantra (H5522)* 70 Pyramid Life Insurance* 63 Pennsylvania Geisinger Gold Classic 88 HealthAmerica Advantra 86 Keystone Health Plan Central 85 Aetna Health-Pennsylvania 85 Highmark Health Insurance 84 UPMC Health Plan 84 Keystone Health Plan East 84 Bravo Health Pennsylvania 79 Bravo Health Pennsylvania (Senior Partners) 79 Gateway Health Plan* 66 QCC Insurance (Personal Choice) 85 UPMC Health Plan 84 Aetna Life Insurance Company (Pennsylvania) 84 Humana Insurance Company 80 HealthAmerica Advantra (H5522)* 70 Keystone Health Plan Central* 69 Highmark Health Insurance (H3916)* 69 Geisinger Health Plan* 69 UnitedHealthcare Insurance (Pennsylvania Evercare)* 65 Highmark Health Insurance (H5106)* 65 Pyramid Life Insurance* 63 Rhode Island UnitedHealthcare of New England 84 UnitedHealthcare Insurance (CT, MA, RI, VT)* UnitedHealthcare Insurance (Massachusetts/Rhode Island)* 67 67 120 5 1 4 1 4 1 4 1 4 1 4 1 3 1 2 1 2 1 3 1 4 1 4 1 3 1 3 1 3 1 4 1 4 1 4 1 2 1 3 1 2 1 5 1 4 1 5 1 4 1 4 1 4 1 4 1 3 1 3 1 3 1 4 1 4 1 4 1 3 1 3 1 4 1 5 1 4 1 3 1 4 1 2 1 5 1 5 1 4 1 4 1 3 1 4 1 4 1 3 1 2 1 3 1 4 1 4 1 4 1 2 1 5 1 4 1 3 1 4 1 3 1 2 1 2 1 4 1 4 1 4 1 3 1 3 1 4 1 3 1 3 1 4 1 63 142 BlueChoice BlueShield of South Carolina* 62 151 Tennessee 201 Cariten Health Plan 309 UnitedHealthcare Plan of the River Valley (H4456) 81 UnitedHealthcare of Tennessee 77 63 Humana Insurance Company (South Carolina) 80 Humana Insurance Company 80 61 3 1 2 1 3 1 3 1 2 1 1 1 2 1 3 1 2 1 1 1 2 1 2 1 2 1 2 1 2 1 3 1 1 1 1 1 309 98 9 HealthSpring of Tennessee (H4454)* 68 24 HealthSpring of Tennessee (H4407)* 65 33 Windsor Health Plan* 61 38 Aetna Life Insurance Company (Tennessee) 84 67 Humana Insurance Company 80 69 Humana Insurance Company (Tennessee) 80 63 67 3 1 3 1 4 1 239 87 4 1 3 1 2 1 3 1 3 1 3 1 3 1 3 1 2 1 2 1 5 1 3 1 2 1 4 1 3 1 3 1 3 1 3 1 1 1 2 1 5 1 3 1 2 1 4 1 2 1 2 1 3 1 3 1 3 1 2 1 17 4 1 5 1 4 1 4 1 3 1 3 1 4 1 3 1 4 1 3 1 3 1 4 1 2 1 3 1 5 1 4 1 4 1 3 1 3 1 4 1 2 1 2 1 3 1 2 1 74 Pyramid Life Insurance* 155 vermont 156 UnitedHealthcare Insurance (CT, MA, RI, VT)* 259 virginia 40 Kaiser Foundation Health Plan of the Mid-Atlantic States 82 43 UnitedHealthcare Plan of the River Valley (H4456) 81 46 UnitedHealthcare Insurance-Virginia 78 151 Aetna Life Insurance Company (Virginia) 84 201 Humana Insurance Company (Virginia) 81 204 Humana Insurance Company 80 214 Optima Health Plan* 67 216 Anthem Blue Cross Blue Shield in Virginia* UnitedHealthcare Insurance for EverCare (MD/DC/ VA/DE)* Pyramid Life Insurance* 67 263 268 309 63 63 west virginia UPMC Health Plan 84 65 Health Plan of the Upper Ohio Valley, The (H3672) 82 239 Health Plan of the Upper Ohio Valley, The (H5151) 81 240 UPMC Health Plan 84 Humana Insurance Company (Ohio) 80 308 Humana Insurance Company 80 330 Highmark Health Insurance (H3916)* 69 148 Highmark Health Insurance (H5106)* 65 3 1 3 1 2 1 4 1 3 1 1 1 4 1 3 1 2 1 2 1 318 4 1 3 1 2 1 4 1 3 1 2 1 3 1 3 1 3 1 2 1 South Carolina Arcadian Health Plan (Southeast Community CareH5783)* Windsor Health Plan* south carolina continued Pyramid Life Insurance* National rank 3 1 2 1 2 1 5 1 2 1 Treatment 3 1 2 1 3 1 3 1 2 1 Better than average Overall Performance score Prevention 3 1 3 1 3 1 3 1 2 1 1 12 13 14 15 1 Worse than average Consumer satisfaction National rank Humana Insurance Company (Kentucky) Treatment ohio continued Plan name Prevention Overall Performance score Consumer satisfaction Plan name PPO 3 1 3 1 1 1 3 1 2 1 1 1 4 1 2 1 3 1 2 1 309 126 170 231 276 330 46 151 152 126 166 46 129 151 242 247 307 309 69 95 119 43 142 151 214 268 151 Medicaid health plan rankings In rank order, within states and categories. Delaware District of Columbia Delaware Physicians Care* DC Chartered Health Plan 70 4 1 4 1 4 1 85 82 2 1 4 1 4 1 n ove mb e r 2011 w w w.C o n su m e r R e p o rt s. o rg National rank Treatment Prevention National rank Treatment Prevention Overall Performance score Consumer satisfaction Plan name Overall Performance score Consumer satisfaction Plan name 49 49 Florida Humana Medical Plan of Florida 84 Sunshine State Health Plan (Reform Counties) 80 Sunshine State Health Plan (Non-Reform Counties) 77 Universal Health Care (Reform Counties) 75 Universal Health Care (Nonreform Counties) 73 Georgia Peach State Health Plan 82 Amerigroup Georgia Managed Care 81 WellCare of Georgia 78 Kentucky Passport Health Plan 87 maryland Priority Partners 83 MedStar Family Choice 83 Jai Medical Systems* 70 Coventry Health Care of Delaware* 63 4 1 3 1 3 1 3 1 1 1 3 1 3 1 2 1 1 1 2 1 4 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 2 1 3 1 2 1 3 1 4 1 4 1 3 1 3 1 1 1 1 1 4 1 3 1 5 1 3 1 4 1 4 1 5 1 3 1 5 1 4 1 4 1 4 1 5 1 5 1 5 1 5 1 5 1 5 1 5 1 5 1 32 Paramount Advantage 79 CareSource* 66 54 73 WellCare of Ohio* 78 Pennsylvania 81 UPMC For You 87 AmeriHealth Mercy Health Plan 85 43 Gateway Health Plan 85 52 Keystone Mercy Health Plan 85 72 Health Partners of Philadelphia 83 UnitedHealthcare of Pennsylvania 83 33 92 Boston Medical Center HealthNet Plan 90 Neighborhood Health Plan 90 Network Health 87 michigan South Carolina 82 94 UnitedHealthcare of South Carolina 80 1 Amerigroup Tennessee 83 3 UnitedHealthcare Plan of the River Valley (Middle) 83 4 UnitedHealthcare Plan of the River Valley (East) 82 7 Volunteer State Health Plan (BlueCare) 81 UnitedHealthcare Plan of the River Valley (West) 80 Tennessee 71 CareSource Michigan* 65 67 2 1 4 1 3 1 88 Capital District Physicians' Health Plan 88 5 Excellus BlueCross BlueShield 86 HealthNow New York 86 Independent Health Association 86 5 1 3 1 4 1 3 1 80 3 1 3 1 2 1 87 Midwest Health Plan 87 UnitedHealthcare Great Lakes 86 Total Health Care 86 Upper Peninsula Health Plan 86 HealthPlus of Michigan 85 McLaren Health Plan 85 OmniCare Health Plan 84 Molina Healthcare of Michigan 83 Physicians Health Plan 82 new Jersey Horizon NJ Health* New York ohio Buckeye Community Health Plan *Not accredited by the NCQA. Dash (-) indicates insufficient data. 50 con s um er r ep o rt s n ove mb e r 2 0 1 1 5 1 4 1 5 1 4 1 5 1 4 1 4 1 4 1 4 1 4 1 4 1 5 1 3 1 4 1 5 1 5 1 4 1 5 1 5 1 4 1 4 1 4 1 5 1 4 1 4 1 3 1 4 1 4 1 4 1 3 1 5 1 5 1 4 1 4 1 86 Select Health of South Carolina Health Plan of Michigan* 87 BlueCaid of Michigan 87 UnitedHealthcare of New England 84 4 1 3 1 3 1 5 1 3 1 4 1 3 1 4 1 3 1 3 1 3 1 3 1 2 1 Priority Health Rhode Island Neighborhood Health Plan of Rhode Island 40 Massachusetts Fallon Community Health Plan 79 56 13 Better than average 9 Volunteer State Health Plan (BlueCare-West) 80 12 Volunteer State Health Plan (TennCare Select) 78 14 Virginia 17 Virginia Premier Health Plan 85 18 HealthKeepers 84 20 Optima Health Plan 83 27 Southern Health Services 83 28 Amerigroup Virginia 82 31 West Virginia 38 UniCare Health Plan of West Virginia 78 44 Carelink Health Plans* 64 National rank Treatment Overall Performance score ohio continued Molina Healthcare of Ohio 1 12 13 14 15 1 Worse than average Prevention Plan name National rank Treatment Prevention Overall Performance score Consumer satisfaction Plan name PPO Consumer satisfaction HMO 3 1 3 1 3 1 2 1 3 1 2 1 3 1 2 1 3 1 3 1 64 - - 99 5 1 4 1 4 1 4 1 3 1 3 1 5 1 4 1 4 1 4 1 4 1 4 1 4 1 4 1 4 1 4 1 4 1 3 1 10 4 1 5 1 5 1 3 1 5 1 4 1 3 1 3 1 3 1 3 1 2 1 3 1 3 1 5 1 3 1 3 1 3 1 3 1 5 1 3 1 3 1 3 1 3 1 3 1 3 1 2 1 4 1 3 1 3 1 3 1 2 1 3 1 3 1 3 1 5 1 5 1 3 1 2 1 4 1 4 1 3 1 3 1 3 1 4 1 4 1 3 1 3 1 5 1 2 1 3 1 3 1 3 1 - 65 89 22 23 25 34 41 8 16 46 61 37 39 47 51 58 60 69 26 30 35 42 48 70 93 83 92 15 19 21 59 Published with permission from the National Committee for Quality Assurance based on data collected in 2010 and 2011. Some information and data on health plans in the NCQA rankings comes from the 2011 Directory of Health Plans published by Atlantic Information Services, Inc. (www.aishealth.com). About the rankings Your questions answered 1 Why can’t I find my plan? Not all plans submit data to the National Committee for Quality Assurance (NCQA). Some that do choose not to make the information public. And some plans don’t submit enough data for valid statistical analysis. 1 I purchase insurance on my own instead of getting it through a job. Can I buy all of these plans? You can buy some of the private plans listed, but many are offered only to employers as group plans. Even so, many insurers sell similar health plans to companies and to individuals. But the name of the insurance product or plan and the range of benefits sold to individuals may be different from the group version’s. For more details on plans offered to individuals, we recommend using the plan-finder feature at the federal government’s consumer health website, Healthcare.gov. 1 What about the Medicare and Medicaid plans? If you are a Medicare beneficiary, you can obtain any of the Medicare Advantage plans ranked in your state when you initially sign up or during Medicare’s annual open enrollment period, which this year runs from Oct. 15 to Dec. 7. Medicaid plans are available only to households that meet their state’s eligibility requirements. 1 What goes into the scores on treatment, prevention, and customer satisfaction? Treatment scores reflect how well a plan takes care of common conditions such as diabetes and heart disease. Prevention scores cover services such as prenatal care, cancer screenings, and immunizations. Consumer satisfaction looks at satisfaction with a plan’s doctors and services, such as customer service. 1 How can I use the scores and rankings to pick a good plan? Don’t focus too much on minor differences, such as between plans with scores of, say, 82 and 86. Instead, pay attention to larger differences. The same goes for the performance scores for treatment, prevention, and consumer satisfaction. The difference between 2 and 3 is not as telling as the difference between 1 or 2 and 5. If you have a particular condition, look at our online rankings for scores pertinent to that condition, if available. Healthy individuals and families with children might want to pay close attention to how well plans do on prevention. 1 Why are HMOs and PPOs ranked together but listed separately? PPOs score lower than HMOs on average. That is most likely because PPOs collect performance data somewhat differently than HMOs do. And fewer PPOs are accredited, which lowers their scores. Differences may also reflect actual lower performance. 1 Why is information missing for some plans? Some plans don’t offer some measured services or have too few enrollees using them. And a plan can choose not to submit data for a particular measure. Private health plan rankings HMO In rank order, within states and categories. 77 UnitedHealthcare Insurance (Alabama) 77 Aetna Life Insurance Company (Alabama) 77 Arkansas UnitedHealthcare of Arkansas 78 Aetna Life Insurance Company (Arkansas) 76 UnitedHealthcare Insurance (Arkansas) 75 Colorado Kaiser Foundation Health Plan of Colorado *Not accredited by the NCQA. 90 2 1 1 1 1 1 3 1 1 1 1 1 3 1 1 1 1 1 3 1 1 1 1 1 3 1 1 1 1 1 3 1 1 1 1 1 3 1 5 1 5 1 Overall Performance score colorado continued Cigna HealthCare of Colorado 85 307 HMO Colorado 82 305 UnitedHealthcare of Colorado 82 310 Aetna Health (Pennsylvania)-Colorado 81 Rocky Mountain Health Plans* 68 UnitedHealthcare Insurance (Colorado) 83 Aetna Life Insurance Company (Colorado) 82 Cigna (CO)* 67 Rocky Mountain Health Plans* 67 297 319 326 6 National rank UnitedHealthcare of Alabama Better than average Treatment National rank Treatment Prevention Alabama 1 12 13 14 15 1 Worse than average Prevention Plan name Overall Performance score Consumer satisfaction Plan name PPO Consumer satisfaction These rankings of private, Medicare, and Medicaid health-insurance plans (HMOs and PPOs) are based on data and calculations from the National Committee for Quality Assurance (NCQA), an independent nonprofit group. A total of 830 plans are ranked in three categories: 390 private plans that people enroll in through work or on their own, 341 that serve Medicare beneficiaries in the Medicare Advantage program, and 99 that Medicaid beneficiaries enroll in. Because of space considerations, we are presenting the rankings of health plans in three regional editions. Within categories, plans are listed by state. A complete national list is available at ConsumerReports.org/ health, where consumers can also access additional details on insurance plans and compare up to five at a time free of charge until Nov. 15. Overall score on a scale of 1 to 100 (higher is better) is based on performance on dozens of measures encompassing consumer satisfaction, treatment, and prevention. Whether a plan is accredited by the NCQA is also part of its score. Non-accredited plans, marked with an asterisk (*), score lower on average because accreditation can add up to 15 points. Accreditation is a plus but is no guarantee of quality care. Plans pay a fee to the NCQA to be evaluated for accreditation; the amount varies by plan size. Performance covers the subcategories of treatment, prevention, and consumer satisfaction, scored from 1 to 5. National rank shows where each plan stands among all plans nationwide in that category. A lower number signifies a higher ranking and better performance. 3 1 3 1 1 1 2 1 3 1 3 1 3 1 3 1 2 1 4 1 3 1 3 1 3 1 4 1 3 1 3 1 3 1 3 1 4 1 3 1 4 1 3 1 3 1 4 1 4 1 4 1 3 1 65 n ove mb e r 2011 w w w.C o n su m e r R e p o rt s. o rg 142 160 177 344 127 139 353 357 43 FEATURE HEALTH INSURANCE 90 Health First Health Plans 83 AvMed Health Plans 82 Cigna HealthCare of Florida 82 UnitedHealthcare of Florida 82 Aetna Health-Florida 81 Humana Medical Plan of Florida 81 Health Options 80 Neighborhood Health Partnership 80 Florida Health Care Plans* 69 Aetna Life Insurance Company (Florida) 81 UnitedHealthcare Insurance (Florida) 81 Cigna (FL)* 67 Georgia Kaiser Foundation Health Plan of Georgia (HMO) 86 Cigna HealthCare of Georgia 83 Kaiser Foundation Health Plan of Georgia (POS) 82 Aetna Health-Georgia 82 Blue Cross Blue Shield Healthcare Plan of Georgia 82 UnitedHealthcare of Georgia 81 Humana Employers Health Plan of Georgia 80 Aetna Life Insurance Company (Georgia) 82 UnitedHealthcare Insurance (Georgia) 80 Blue Cross Blue Shield Healthcare Plan of Georgia 77 Cigna (GA)* 66 Illinois Health Alliance Medical Plans 87 Medical Associates Health Plan 85 PersonalCare Insurance of Illinois 85 Cigna HealthCare of St. Louis 82 HMO Illinois and Blue Advantage HMO 82 UnitedHealthcare Services of the River Valley 82 UnitedHealthcare Plan of the River Valley 82 Cigna HealthCare of Illinois 81 UnitedHealthcare of the Midwest 81 UnitedHealthcare of Illinois 81 Aetna Health (Pennsylvania)-Illinois 80 Humana Health Plan-Chicago Market 78 Group Health Plan* 68 Humana Benefit Plan of Illinois* 66 Health Alliance Medical Plans 82 Aetna Life Insurance Company (Illinois) 81 Humana Insurance Company (Illinois) 80 PersonalCare Insurance of Illinois 80 *Not accredited by the NCQA. 44 con s um er r ep o rt s n ove mb e r 2 0 1 1 4 1 3 1 3 1 4 1 4 1 3 1 2 1 4 1 2 1 4 1 3 1 4 1 4 1 5 1 4 1 4 1 3 1 3 1 3 1 3 1 3 1 3 1 4 1 3 1 3 1 3 1 5 1 3 1 3 1 3 1 2 1 3 1 2 1 1 1 2 1 3 1 2 1 2 1 3 1 4 1 4 1 3 1 3 1 2 1 3 1 2 1 3 1 4 1 3 1 3 1 5 1 3 1 4 1 3 1 4 1 3 1 2 1 3 1 2 1 1 1 3 1 3 1 3 1 2 1 3 1 3 1 2 1 3 1 3 1 2 1 1 1 3 1 5 1 5 1 4 1 3 1 3 1 3 1 3 1 2 1 3 1 2 1 1 1 3 1 3 1 3 1 5 1 3 1 2 1 2 1 4 1 4 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 2 1 2 1 1 1 3 1 2 1 2 1 3 1 2 1 2 1 4 1 4 1 4 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 2 1 4 1 3 1 4 1 3 1 3 1 3 1 79 3 UnitedHealthcare Insurance of Illinois 79 117 Cigna (IL)* 68 143 Group Health Plan* 66 147 indiana 157 Anthem Blue Cross and Blue Shield in Indiana 85 203 Cigna Ohio Managed Care 84 227 Humana Health Plan of Ohio 83 246 HMO Illinois and Blue Advantage HMO 82 259 Cigna HealthCare of Illinois 81 334 Humana Health Plan of Kentucky 81 180 Aetna Health (Pennsylvania)-Ohio 81 223 Cigna HealthCare of Indiana 81 352 UnitedHealthcare of Illinois 81 Advantage Health Solutions 80 52 Aetna Health (Pennsylvania)-Illinois 80 126 UnitedHealthcare of Kentucky 80 158 Welborn Health Plans* 68 163 Aetna Life Insurance Company (Indiana) 80 172 Anthem Blue Cross and Blue Shield in Indiana 80 217 UnitedHealthcare Insurance (Indiana) 79 250 Cigna (IN)* 64 161 Iowa 266 Health Alliance Medical Plans 87 314 Medical Associates Health Plan 85 364 Gundersen Lutheran Health Plan 84 Wellmark Health Plan of Iowa 84 39 Sanford Health Plan 84 57 UnitedHealthcare Services of the River Valley 82 70 UnitedHealthcare Plan of the River Valley 82 153 UnitedHealthcare of the Midlands 81 169 Health Alliance Medical Plans 82 173 UnitedHealthcare Insurance (Midlands) 81 173 Aetna Life Insurance Company (Iowa) 79 179 Cigna (IA)* 64 183 Kansas 228 84 240 Blue Cross and Blue Shield of Kansas City, Good Health HMO Aetna Health (Pennsylvania)-Missouri 296 UnitedHealthcare of the Midwest 81 341 Humana Health Plan of Kansas City (HMO) 81 367 Humana Health Plan of Kansas City (POS) 81 138 Cigna HealthCare of Kansas/Missouri 81 182 Preferred Health Systems* 68 234 Coventry Health Care of Kansas* 67 263 Blue Cross and Blue Shield of Kansas City 81 82 National rank Capital Health Plan Overall Performance score illinois continued UnitedHealthcare Insurance (Illinois) Better than average Treatment florida 1 12 13 14 15 1 Worse than average Prevention Plan name National rank Treatment Prevention Overall Performance score Consumer satisfaction Plan name PPO Consumer satisfaction HMO 3 1 3 1 4 1 3 1 2 1 2 1 3 1 2 1 2 1 2 1 3 1 3 1 277 4 1 4 1 3 1 3 1 2 1 2 1 2 1 3 1 2 1 3 1 1 1 3 1 4 1 3 1 4 1 4 1 3 1 4 1 3 1 4 1 3 1 3 1 3 1 3 1 2 1 2 1 3 1 2 1 2 1 4 1 2 1 2 1 2 1 2 1 3 1 4 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 2 1 3 1 2 1 3 1 2 1 2 1 1 1 2 1 5 1 5 1 4 1 4 1 3 1 3 1 3 1 3 1 5 1 3 1 3 1 4 1 4 1 4 1 4 1 4 1 3 1 3 1 3 1 2 1 2 1 2 1 2 1 2 1 4 1 4 1 4 1 4 1 4 1 3 1 3 1 3 1 4 1 2 1 2 1 2 1 5 1 2 1 3 1 3 1 3 1 4 1 4 1 3 1 3 1 3 1 3 1 3 1 2 1 2 1 2 1 3 1 3 1 2 1 4 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 277 349 363 78 107 120 169 179 196 201 206 228 232 240 268 337 236 264 275 383 39 57 87 89 93 173 173 205 138 230 269 382 95 166 183 186 186 188 348 354 213 HMO 76 379 Aetna Life Insurance Company (Mississippi) 76 84 Cigna Ohio Managed Care 84 Humana Health Plan of Ohio 83 Humana Health Plan of Kentucky 81 UnitedHealthcare of Ohio 81 Aetna Health (Pennsylvania)-Ohio 81 UnitedHealthcare of Kentucky 80 Welborn Health Plans* 68 Humana Health Plan of Kentucky 80 Anthem Blue Cross and Blue Shield in Kentucky 79 UnitedHealthcare Insurance (Kentucky) 78 Aetna Life Insurance Company (Kentucky) 77 Cigna (KY)* 63 Louisiana Humana Health Benefit Plan of Louisiana 81 UnitedHealthcare of Louisiana 79 Coventry Health Care of Louisiana* 66 Vantage Health Plan* 62 UnitedHealthcare Insurance (Louisiana) 77 Aetna Life Insurance Company (Louisiana) 77 4 1 4 1 3 1 2 1 2 1 2 1 3 1 4 1 3 1 4 1 3 1 2 1 4 1 4 1 3 1 4 1 3 1 3 1 3 1 2 1 4 1 2 1 2 1 2 1 2 1 2 1 3 1 4 1 3 1 3 1 3 1 3 1 2 1 3 1 2 1 2 1 1 1 1 1 1 1 4 1 3 1 3 1 5 1 3 1 3 1 3 1 2 1 2 1 1 1 2 1 2 1 2 1 1 1 2 1 1 1 1 1 1 1 91 107 89 Priority Health 87 HealthPlus of Michigan 86 Health Alliance Plan of Michigan 86 Physicians Health Plan 85 Blue Care Network of Michigan 84 Total Health Care 81 Aetna Life Insurance Company (Michigan) 81 UnitedHealthcare Insurance (Michigan) 80 Health Alliance Plan of Michigan* 65 Minnesota 5 1 5 1 5 1 4 1 4 1 3 1 1 1 3 1 3 1 3 1 5 1 5 1 4 1 4 1 4 1 4 1 4 1 3 1 3 1 2 1 5 1 4 1 4 1 4 1 4 1 4 1 2 1 3 1 2 1 3 1 4 1 3 1 3 1 3 1 4 1 3 1 3 1 2 1 5 1 4 1 3 1 3 1 5 1 4 1 4 1 2 1 5 1 4 1 4 1 4 1 5 1 4 1 4 1 3 1 75 Cigna (MS)* 60 Missouri 84 196 197 Aetna Health (Pennsylvania)-Missouri 82 201 UnitedHealthcare of the Midwest 81 268 Humana Health Plan of Kansas City (HMO) 81 337 Humana Health Plan of Kansas City (POS) 81 249 Cigna HealthCare of Kansas/Missouri 81 276 Anthem Blue Cross and Blue Shield in Missouri 81 Group Health Plan* 68 Coventry Health Care of Kansas* 67 Blue Cross and Blue Shield of Kansas City 81 UnitedHealthcare Insurance (Midwest) Plan name Aetna Life Insurance Company (Missouri) 80 Overall score 80 303 306 384 195 282 374 386 309 311 michigan Grand Valley Health Plan UnitedHealthcare Insurance (Mississippi) Blue Cross and Blue Shield of Kansas City, Good Health HMO Cigna HealthCare of St. Louis 120 11 41 43 51 82 Group Health Plan* 66 Cigna (MO)* 66 HealthPartners Medica 85 Sanford Health Plan 84 PreferredOne Community Health Plan 83 HealthPartners 87 Medica 85 Blue Cross Blue Shield of Minnesota 84 Aetna Life Insurance Company (Minnesota) 80 National rank 1 1 1 1 1 1 1 1 5 1 3 1 4 1 3 1 3 1 3 1 2 1 3 1 3 1 3 1 3 1 3 1 3 1 2 1 3 1 3 1 2 1 3 1 4 1 2 1 3 1 3 1 3 1 2 1 3 1 3 1 4 1 3 1 3 1 3 1 3 1 2 1 3 1 3 1 3 1 2 1 Performance 2 1 2 1 2 1 3 1 2 1 3 1 3 1 2 1 3 1 321 325 327 390 95 153 166 183 186 186 188 193 341 354 213 238 260 3 1 3 1 3 1 3 1 2 1 2 1 2 1 2 1 3 1 2 1 2 1 2 1 205 2 1 1 1 2 1 1 1 2 1 2 1 1 1 1 1 1 1 3 1 3 1 2 1 3 1 2 1 2 1 2 1 1 1 2 1 2 1 3 1 2 1 2 1 2 1 2 1 2 1 2 1 1 1 3 1 3 1 3 1 2 1 4 1 3 1 4 1 1 1 4 1 4 1 4 1 1 1 363 369 Nebraska UnitedHealthcare of the Midlands 81 UnitedHealthcare Insurance (Midlands) 81 Aetna Life Insurance Company (Nebraska) 80 Cigna (NE)* 65 New Mexico Presbyterian Health Plan 81 Lovelace Health Plan 80 Blue Cross and Blue Shield of New Mexico 78 62 Lovelace Insurance 79 85 UnitedHealthcare Insurance (New Mexico) 78 221 Blue Cross and Blue Shield of New Mexico 78 77 215 Presbyterian Insurance 253 Aetna Life Insurance Company (New Mexico) 76 375 Cigna (NM)* 62 North Dakota 87 1 1 1 1 1 1 1 1 National rank UnitedHealthcare Insurance (Mississippi) Treatment Anthem Blue Cross and Blue Shield in Kentucky 3 1 3 1 4 1 3 1 Mississippi 261 kentucky Treatment National rank 238 Prevention 65 Overall Performance score Prevention Cigna (KS)* 3 1 3 1 2 1 3 1 2 1 2 1 3 1 2 1 2 1 Better than average Consumer satisfaction 80 Plan name 1 12 13 14 15 1 Worse than average Consumer satisfaction 80 Aetna Life Insurance Company (Kansas) Treatment kansas continued UnitedHealthcare Insurance (Midwest) Prevention Overall Performance score Consumer satisfaction Plan name PPO 24 Medica 85 72 Sanford Health Plan 84 93 Medica 85 134 Aetna Life Insurance Company (ND/SD/WY/MT) 76 24 Ohio 72 SummaCare 85 90 AultCare HMO 85 245 Anthem Blue Cross and Blue Shield in Ohio 85 5 1 4 1 4 1 5 1 3 1 4 1 4 1 4 1 4 1 n ove mb e r 2011 w w w.C o n su m e r R e p o rt s. o rg 230 256 378 229 251 294 284 292 294 313 320 389 72 93 72 323 54 61 67 45 84 Paramount Health Care 83 Humana Health Plan of Ohio 83 Medical Mutual of Ohio 83 Health Plan of the Upper Ohio Valley, The 82 UnitedHealthcare of Ohio 81 Aetna Health (Pennsylvania)-Ohio 81 SummaCare 83 Medical Mutual of Ohio 83 Humana Insurance Company (Ohio) 82 Aetna Life Insurance Company (Ohio) 82 UnitedHealthcare Insurance (Ohio) 82 UnitedHealthcare Insurance of Ohio 82 AultCare 80 Anthem Blue Cross and Blue Shield in Ohio 79 Cigna (OH)* 66 Oklahoma UnitedHealthcare of Oklahoma 79 Aetna Health (Pennsylvania)-Oklahoma 78 Aetna Life Insurance Company (Oklahoma) 79 UnitedHealthcare Insurance (Oklahoma) 78 South Dakota Sanford Health Plan 84 Aetna Life Insurance Company (ND/SD/WY/MT) 76 Cigna (SD/MT)* 62 tennessee Cigna HealthCare of Tennessee 82 UnitedHealthcare Services of the River Valley 82 UnitedHealthcare Plan of the River Valley 82 Aetna Health (Pennsylvania)-Tennessee 80 Humana Health Plan of Tennessee* 67 BlueCross BlueShield of Tennessee 82 Aetna Life Insurance Company (Tennessee) 81 UnitedHealthcare Insurance (Tennessee) 80 Cigna (TN)* 67 3 1 2 1 3 1 3 1 2 1 2 1 2 1 1 1 2 1 2 1 2 1 1 1 4 1 4 1 3 1 3 1 3 1 2 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 2 1 3 1 68 Texas 107 Cigna HealthCare of Texas 82 109 Scott and White Health Plan 81 120 UnitedHealthcare of Texas 81 122 Aetna Health-Texas 81 152 Humana Health Plan of Texas (Austin) 81 3 1 3 1 4 1 2 1 1 1 1 1 3 1 1 1 1 1 5 1 3 1 3 1 3 1 4 1 5 1 3 1 4 1 4 1 3 1 3 1 3 1 2 1 3 1 3 1 3 1 2 1 3 1 2 1 3 1 3 1 3 1 3 1 2 1 2 1 2 1 2 1 197 UnitedHealthcare Benefits of Texas 80 201 Humana Health Plan of Texas (Houston) 79 116 Humana Health Plan of Texas (South) 79 122 Aetna Life Insurance Company (Texas) 81 148 UnitedHealthcare Insurance (Texas) 80 159 Humana Insurance Company (Texas) 80 167 Cigna (TX)* 66 167 Wisconsin 255 Group Health Cooperative of South Central Wisconsin 90 272 Security Health Plan of Wisconsin 87 371 Unity Health Plans 86 Arise Health Plan 86 273 Network Health Plan 86 298 Dean Health Plan 86 288 Medical Associates Health Plans 85 304 Medica 85 MercyCare 84 93 Gundersen Lutheran Health Plan 84 323 UnitedHealthcare of Wisconsin 83 387 Humana Wisconsin Health Organization Insurance 83 Anthem Blue Cross and Blue Shield of Wisconsin 82 145 HMO Illinois and Blue Advantage HMO 82 173 Group Health Cooperative of Eau Claire* 71 173 Health Tradition Health Plan* 70 242 Medica 85 356 UnitedHealthcare Insurance (Wisconsin) 82 151 Humana Insurance Company (Wisconsin) 81 220 Aetna Life Insurance Company (Wisconsin) 80 237 Cigna (WI)* 65 358 3 1 3 1 3 1 2 1 3 1 3 1 3 1 2 1 3 1 3 1 3 1 3 1 3 1 4 1 3 1 3 1 2 1 2 1 2 1 2 1 3 1 2 1 2 1 3 1 3 1 2 1 3 1 3 1 3 1 2 1 2 1 2 1 2 1 3 1 2 1 2 1 3 1 4 1 4 1 4 1 4 1 4 1 5 1 3 1 3 1 4 1 3 1 3 1 3 1 3 1 5 1 5 1 3 1 3 1 2 1 2 1 3 1 5 1 4 1 5 1 4 1 4 1 4 1 4 1 4 1 4 1 4 1 3 1 4 1 3 1 3 1 4 1 4 1 4 1 3 1 2 1 2 1 2 1 5 1 5 1 4 1 5 1 4 1 4 1 4 1 4 1 4 1 4 1 4 1 3 1 4 1 3 1 4 1 4 1 4 1 4 1 4 1 2 1 2 1 National rank 4 1 3 1 4 1 4 1 3 1 4 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 2 1 2 1 2 1 Treatment Cigna Ohio Managed Care 4 1 4 1 4 1 3 1 4 1 5 1 2 1 2 1 4 1 4 1 3 1 3 1 3 1 3 1 5 1 3 1 3 1 Better than average Prevention 85 1 12 13 14 15 1 Worse than average Overall Performance score National rank Kaiser Foundation Health Plan of Ohio Plan name Treatment ohio continued Prevention Overall Performance score Consumer satisfaction Plan name PPO Consumer satisfaction HMO 171 181 208 222 224 252 271 274 199 241 247 366 7 38 46 48 50 53 57 72 86 87 118 135 144 169 330 331 72 154 218 265 377 Medicare health plan rankings HealthSpring (H0150)* *Not accredited by the NCQA. 46 78 65 co n s um er r ep o rt s n ove mb e r 2 0 1 1 61 162 Humana Insurance Company 80 279 Humana Insurance Company (Alabama) 77 2 1 1 1 1 1 3 1 3 1 2 1 3 1 1 1 1 1 National rank Treatment Prevention National rank Treatment 3 1 2 1 1 1 3 1 2 1 2 1 alabama continued Windsor Health Plan* Alabama UnitedHealthcare of Alabama Overall Performance score Consumer satisfaction Plan name Overall Performance score Consumer satisfaction Plan name Prevention In rank order, within states and categories. 330 151 173 HMO 61 Arkansas Community Care* 60 Humana Insurance Company (Texas) 80 Humana Insurance Company 80 Humana Insurance Company (Tennessee) 80 Humana Insurance Company (Arkansas) 77 Mercy Health Plan of Missouri* 69 Pyramid Life Insurance* 63 Colorado Kaiser Foundation Health Plan of Colorado 90 PacifiCare of Colorado 83 Rocky Mountain Health Plans* 69 Denver Health Medical Plan* 66 UnitedHealthcare of Colorado* 64 Humana Health Plan (Colorado)* 64 Colorado Access Health Plan* 64 Aetna Life Insurance Company (Colorado) 84 Humana Insurance Company (Colorado)* 65 Pyramid Life Insurance* 63 Florida Capital Health Plan 88 Health First Health Plans 86 AvMed Health Plans 83 Aetna Health-Florida 82 UnitedHealthcare of Florida (H1080) 82 Humana Medical Plan of Florida 82 UnitedHealthcare of Florida (H9011) 80 Health Options 80 Humana Medical Plan of Florida (AdvantageCare) 80 Freedom Health 80 Optimum Healthcare 79 Universal Health Care 78 Florida Health Care Plans* 70 Leon Medical Centers Health Plans* 70 Preferred Care Partners Health Plan* 68 CarePlus Health Plans* 67 Physicians United Plan* 65 Medica Healthcare Plans* 64 WellCare of Florida* 63 HealthSun Health Plans* 63 Citrus Health Care* 61 Aetna Life Insurance Company (Florida) 84 2 1 3 1 3 1 3 1 3 1 3 1 5 1 2 1 4 1 3 1 5 1 1 1 2 1 2 1 1 1 3 1 3 1 2 1 4 1 4 1 4 1 2 1 3 1 3 1 3 1 2 1 2 1 2 1 2 1 2 1 3 1 4 1 4 1 3 1 2 1 4 1 2 1 4 1 1 1 3 1 1 1 1 1 3 1 3 1 2 1 2 1 5 1 2 1 5 1 4 1 4 1 4 1 2 1 2 1 3 1 4 1 3 1 2 1 5 1 4 1 3 1 3 1 3 1 3 1 2 1 3 1 3 1 3 1 3 1 3 1 5 1 4 1 3 1 3 1 3 1 1 1 3 1 1 1 2 1 4 1 1 1 1 1 2 1 2 1 3 1 2 1 3 1 2 1 5 1 4 1 3 1 4 1 3 1 3 1 3 1 4 1 3 1 2 1 5 1 5 1 4 1 4 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 2 1 4 1 4 1 4 1 3 1 3 1 2 1 2 1 1 1 2 1 4 1 National rank florida continued 296 UnitedHealthcare Insurance (Florida Regional) 80 309 Humana Insurance Company 80 UnitedHealthcare Insurance (Florida)* 66 330 Health Options* 65 332 Universal Health Care* 63 150 Pyramid Life Insurance* 63 151 Georgia 152 Kaiser Foundation Health Plan of Georgia 86 169 Aetna Health-Georgia 82 213 UnitedHealthcare of Georgia (H1111) 78 309 Blue Cross Blue Shield of Georgia* 65 UnitedHealthcare of Georgia (H2182)* 64 62 206 WellCare of Georgia* Arcadian Health Plan (Southeast Community CareH5578)* Humana Insurance Company (Georgia) 255 Humana Insurance Company 80 286 Humana Insurance Company (Tennessee) 80 3 87 59 81 291 Pyramid Life Insurance* 63 293 UnitedHealthcare Insurance (Georgia)* 63 46 Illinois 269 Health Alliance Medical Plans 86 309 Medical Associates Health Plan 86 Humana Benefit Plan of Illinois 83 UnitedHealthcare Plan of the River Valley (H4456) 81 UnitedHealthcare of the Midwest 81 Humana Health Plan-Chicago Market 80 UnitedHealthcare Insurance (Illinois) 77 6 22 81 97 104 105 140 143 146 149 159 164 195 196 225 249 272 300 303 Group Health Plan* 70 Essence Healthcare (H2610)* 69 HealthSpring of Illinois* 62 Harmony Health Plan of Illinois* 61 Health Alliance Medical Plans 84 Aetna Life Insurance Company (Illinois) 84 Humana Insurance Company (KS, MO) 83 UnitedHealthcare Insurance-Midwest 83 Humana Insurance Company (Illinois) 81 Humana Insurance Company (Kentucky) 81 Humana Insurance Company 80 Humana Benefit Plan of Illinois* 68 PersonalCare Insurance of Illinois* 68 Pyramid Life Insurance* 63 indiana 313 Clarian Health Plans* 69 331 Welborn Health Plans* 69 46 Aetna Life Insurance Company (Indiana) 84 National rank Windsor Health Plan* Overall Performance score Treatment 63 Arkansas Better than average Prevention Pyramid Life Insurance* 3 1 3 1 1 1 2 1 2 1 2 1 Plan name 1 12 13 14 15 1 Worse than average Consumer satisfaction Blue Cross and Blue Shield of Alabama* 64 Treatment alabama continued Prevention Overall Performance score Consumer satisfaction Plan name PPO 3 1 3 1 3 1 3 1 2 1 2 1 3 1 3 1 3 1 3 1 2 1 2 1 3 1 2 1 3 1 3 1 2 1 2 1 144 4 1 3 1 3 1 2 1 3 1 1 1 1 1 3 1 3 1 3 1 2 1 2 1 5 1 4 1 2 1 3 1 2 1 3 1 1 1 3 1 3 1 2 1 2 1 2 1 4 1 3 1 2 1 3 1 2 1 2 1 1 1 3 1 2 1 3 1 2 1 2 1 5 1 5 1 4 1 3 1 3 1 2 1 2 1 4 1 4 1 2 1 1 1 5 1 3 1 4 1 4 1 3 1 3 1 3 1 4 1 4 1 2 1 5 1 5 1 3 1 3 1 3 1 2 1 1 1 4 1 4 1 2 1 2 1 3 1 4 1 3 1 3 1 3 1 3 1 3 1 3 1 2 1 2 1 4 1 4 1 3 1 3 1 3 1 3 1 2 1 4 1 3 1 1 1 1 1 4 1 4 1 4 1 3 1 3 1 3 1 2 1 3 1 4 1 2 1 4 1 4 1 4 1 5 1 4 1 4 1 3 1 4 1 4 1 n ove mb e r 2011 w w w.C o n su m e r R e p o rt s. o rg 151 260 265 306 309 31 107 161 278 295 316 339 111 151 152 309 310 27 29 89 126 128 141 174 198 203 315 328 44 46 82 90 117 120 151 222 223 309 208 209 46 47 80 Humana Insurance Company (Ohio) 80 Humana Insurance Company 80 Advantage Health Solutions* 67 Pyramid Life Insurance* 63 Iowa Medical Associates Health Plan 86 UnitedHealthcare Insurance (Midlands) 83 UnitedHealthcare of the Midlands 83 UnitedHealthcare Plan of the River Valley (H4456) 81 Humana Insurance Company (Illinois) 81 Humana Insurance Company (IA, MO, NE)* 67 Pyramid Life Insurance* 63 Kansas Humana Health Plan of Kansas City 84 Coventry Health Care of Kansas* 68 Humana Insurance Company (KS, MO) 83 Humana Insurance Company 80 UnitedHealthcare Insurance (Kansas) 79 Coventry Health and Life Insurance* 68 Pyramid Life Insurance* 63 kentucky Anthem Blue Cross and Blue Shield in Kentucky 81 Aetna Life Insurance Company (Kentucky) 84 Anthem Blue Cross and Blue Shield in Kentucky Anthem Blue Cross and Blue Shield in Indiana (Regional) Humana Insurance Company (Indiana) 82 81 80 Humana Insurance Company (Ohio) 80 Humana Insurance Company 80 Louisiana Humana Health Benefit Plan of Louisiana 82 Vantage Health Plan* 64 WellCare of Louisiana* 62 Arcadian Health Plan (H7179)* 59 Humana Insurance Company 80 Pyramid Life Insurance* 63 michigan HealthPlus of Michigan 86 Health Alliance Plan of Michigan 85 Blue Care Network of Michigan 85 Priority Health* 73 Molina Healthcare of Michigan* *Not accredited by the NCQA. 62 48 con s um er r ep o rt s n ove mb e r 2 0 1 1 4 1 3 1 3 1 3 1 2 1 2 1 3 1 2 1 5 1 4 1 4 1 3 1 3 1 3 1 2 1 5 1 3 1 4 1 3 1 3 1 3 1 2 1 4 1 4 1 3 1 3 1 3 1 3 1 2 1 4 1 4 1 4 1 3 1 2 1 3 1 2 1 4 1 3 1 3 1 3 1 2 1 4 1 2 1 4 1 3 1 4 1 2 1 3 1 4 1 2 1 4 1 3 1 3 1 3 1 4 1 3 1 3 1 3 1 4 1 3 1 3 1 2 1 2 1 3 1 2 1 4 1 4 1 3 1 3 1 2 1 2 1 4 1 5 1 2 1 2 1 3 1 2 1 4 1 2 1 2 1 1 1 3 1 2 1 3 1 1 1 1 1 1 1 2 1 2 1 5 1 4 1 4 1 5 1 2 1 4 1 4 1 4 1 5 1 2 1 5 1 4 1 4 1 5 1 2 1 Overall Performance score michigan continued Aetna Life Insurance Company (Michigan) 84 114 Humana Insurance Company 80 130 Health Alliance Plan of Michigan* 67 134 Pyramid Life Insurance* 63 142 Minnesota 151 Group Health (Cost) 88 233 Medica (Cost)* 71 309 UCare (H2459)* 71 HealthPartners (MSHO)* 69 29 PrimeWest Health* 69 79 Medica* 67 80 mississippi 126 HealthSpring of Tennessee (H4454)* 68 65 117 HealthSpring of Tennessee (H4407)* 243 Windsor Health Plan* 61 309 Humana Insurance Company 80 Humana Insurance Company (Tennessee) 80 72 Humana Insurance Company (Mississippi) 77 224 Pyramid Life Insurance* 63 82 Missouri 151 Humana Health Plan of Kansas City 84 158 UnitedHealthcare of the Midwest 81 230 Mercy Health Plan of Missouri* 70 309 Group Health Plan* 70 Essence Healthcare (H2610)* 69 123 Coventry Health Care of Kansas* 68 46 Harmony Health Plan of Missouri* 60 100 Humana Insurance Company (KS, MO) 83 114 UnitedHealthcare Insurance-Midwest 83 130 Humana Insurance Company 80 142 Mercy Health Plan of Missouri* 69 151 Coventry Health and Life Insurance* 68 Pyramid Life Insurance* 63 96 Nebraska 287 UnitedHealthcare Insurance (Midlands) 83 319 UnitedHealthcare of the Midlands 83 338 Pyramid Life Insurance* 63 151 New MExico 309 Presbyterian Health Plan 83 Lovelace Health Plan 82 21 Presbyterian Insurance 81 34 UnitedHealthcare Insurance (NM/TX) 77 39 Pyramid Life Insurance* 63 177 UnitedHealthcare Insurance (New Mexico)* 62 321 Humana Insurance Company (New Mexico)* 62 3 1 3 1 3 1 2 1 4 1 3 1 4 1 2 1 4 1 2 1 3 1 2 1 5 1 5 1 5 1 3 1 5 1 3 1 5 1 5 1 5 1 4 1 3 1 3 1 5 1 4 1 4 1 4 1 3 1 3 1 4 1 3 1 2 1 3 1 3 1 3 1 2 1 4 1 3 1 1 1 3 1 2 1 2 1 2 1 3 1 2 1 1 1 2 1 3 1 1 1 2 1 4 1 3 1 5 1 4 1 4 1 4 1 1 1 4 1 4 1 3 1 5 1 3 1 2 1 4 1 3 1 5 1 4 1 4 1 3 1 1 1 3 1 3 1 3 1 5 1 4 1 2 1 4 1 3 1 3 1 4 1 3 1 3 1 2 1 4 1 3 1 2 1 3 1 4 1 2 1 4 1 3 1 4 1 4 1 4 1 3 1 2 1 2 1 2 1 3 1 3 1 3 1 2 1 2 1 1 1 2 1 4 1 4 1 4 1 2 1 2 1 1 1 2 1 4 1 3 1 3 1 1 1 2 1 3 1 1 1 National rank 3 1 3 1 2 1 2 1 2 1 3 1 4 1 2 1 Better than average Treatment UnitedHealthcare Insurance (Indiana) 4 1 3 1 4 1 3 1 3 1 3 1 4 1 2 1 70 1 12 13 14 15 1 Worse than average Prevention 80 81 National rank Anthem Blue Cross and Blue Shield in Indiana Anthem Blue Cross and Blue Shield in Indiana (Regional) Humana Insurance Company (Indiana) 84 Treatment indiana continued Plan name Prevention Overall Performance score Consumer satisfaction Plan name PPO Consumer satisfaction HMO 46 151 235 309 11 182 183 210 217 246 231 276 330 151 152 172 309 72 128 197 198 203 224 333 82 90 151 213 230 309 79 80 309 85 101 110 171 309 320 322 HMO Medica* 67 Pyramid Life Insurance* 63 ohio Kaiser Foundation Health Plan of Ohio 87 SummaCare 84 PrimeTime Health Plan 84 UPMC Health Plan 84 Paramount Health Care 83 Health Plan of the Upper Ohio Valley, The (H3672) 82 Aetna Health (Pennsylvania)-Ohio 82 Anthem Blue Cross and Blue Shield in Ohio 81 Health Plan of the Upper Ohio Valley, The (H5151) 81 UnitedHealthcare of Ohio 80 Mt. Carmel Health Plan* 68 WellCare of Ohio* 61 UPMC Health Plan 84 Aetna Life Insurance Company (Ohio) 84 Anthem Blue Cross and Blue Shield in Ohio Anthem Blue Cross and Blue Shield in Indiana (Regional) Humana Insurance Company (Kentucky) 83 Humana Insurance Company (Ohio) 80 81 81 Humana Insurance Company 80 HealthAmerica Advantra (H5522)* 70 Pyramid Life Insurance* 63 Oklahoma UnitedHealthcare of Oklahoma 80 CommunityCare Managed Healthcare Plans of Oklahoma* 65 GlobalHealth* 62 Aetna Life Insurance Company (Oklahoma) 84 Humana Insurance Company 80 Humana Insurance Company (Oklahoma) 76 Pyramid Life Insurance* 63 South Dakota Medica (Cost)* 71 Medica* 67 Pyramid Life Insurance* 63 tennessee Cariten Health Plan 82 UnitedHealthcare Plan of the River Valley (H4456) 81 UnitedHealthcare of Tennessee 77 HealthSpring of Tennessee (H4454)* 68 HealthSpring of Tennessee (H4407)* 65 Windsor Health Plan* 61 5 1 5 1 4 1 3 1 3 1 3 1 2 1 2 1 2 1 4 1 5 1 5 1 4 1 4 1 5 1 3 1 3 1 4 1 3 1 5 1 1 1 4 1 3 1 4 1 3 1 3 1 3 1 3 1 3 1 2 1 5 1 4 1 4 1 4 1 4 1 3 1 3 1 4 1 3 1 3 1 3 1 1 1 4 1 4 1 4 1 3 1 3 1 2 1 3 1 3 1 2 1 5 1 4 1 3 1 4 1 3 1 3 1 4 1 3 1 3 1 3 1 3 1 2 1 4 1 4 1 3 1 3 1 3 1 2 1 2 1 5 1 2 1 3 1 4 1 2 1 3 1 3 1 2 1 2 1 2 1 3 1 2 1 4 1 3 1 1 1 2 1 2 1 1 1 1 1 4 1 2 1 1 1 2 1 5 1 5 1 4 1 3 1 3 1 3 1 2 1 2 1 2 1 4 1 3 1 2 1 4 1 3 1 2 1 3 1 3 1 2 1 4 1 3 1 1 1 3 1 3 1 1 1 3 1 2 1 1 1 tennessee continued Aetna Life Insurance Company (Tennessee) 84 182 Humana Insurance Company 80 246 Humana Insurance Company (Tennessee) 80 309 Pyramid Life Insurance* 63 Texas 19 Scott and White Health Plan 42 UnitedHealthcare Benefits of Texas 82 45 Aetna Health-Texas 80 69 Humana Health Plan of Texas 80 88 Bravo Health Texas 78 95 Evercare of Texas 76 99 KelseyCare Advantage* 71 112 HealthSpring (H4513)* 65 119 SelectCare of Texas* 65 85 131 Physicians Health Choice of Texas* 64 229 Arcadian Health Plan (Texas Community Care)* 63 329 SelectCare Health Plans* 62 43 WellCare of Texas* 61 46 Aetna Life Insurance Company (Texas) 82 83 Humana Insurance Company (Kentucky) 81 114 Humana Insurance Company (Texas) 80 120 Humana Insurance Company 80 142 UnitedHealthcare Insurance (NM/TX) 77 151 Coventry Health and Life Insurance* 68 201 HealthSpring Life and Health* 65 309 Pyramid Life Insurance* 63 First Health Life and Health Insurance* 60 135 Wisconsin 267 Gundersen Lutheran Health Plan 88 324 Group Health (Cost) 88 46 Security Health Plan of Wisconsin 88 151 Medical Associates Health Plans 86 176 UnitedHealthcare of Wisconsin 83 309 Dean Health Plan* 71 Medica (Cost)* 71 182 Partnership Health Plan* 70 246 UCare (H4270)* 70 309 Medica* 67 Independent Care Health Plan* 64 98 Today's Health* 64 126 Humana Insurance Company (Wisconsin) 84 170 Humana Insurance Company (Kentucky) 81 231 Humana Insurance Company 80 276 Network Health Plan* 71 330 Pyramid Life Insurance* 63 3 1 3 1 3 1 2 1 4 1 3 1 2 1 2 1 4 1 2 1 3 1 2 1 5 1 3 1 2 1 3 1 2 1 1 1 5 1 3 1 3 1 3 1 3 1 2 1 1 1 2 1 3 1 3 1 3 1 2 1 3 1 3 1 2 1 1 1 5 1 3 1 3 1 2 1 3 1 1 1 4 1 3 1 3 1 2 1 1 1 1 1 2 1 3 1 3 1 3 1 3 1 2 1 4 1 2 1 2 1 1 1 4 1 3 1 3 1 3 1 2 1 2 1 5 1 2 1 2 1 2 1 2 1 2 1 2 1 4 1 3 1 2 1 2 1 1 1 4 1 3 1 2 1 1 1 5 1 5 1 5 1 5 1 3 1 5 1 5 1 4 1 5 1 3 1 2 1 2 1 4 1 3 1 3 1 5 1 2 1 5 1 5 1 5 1 5 1 4 1 5 1 5 1 4 1 4 1 3 1 3 1 2 1 4 1 3 1 3 1 5 1 2 1 5 1 5 1 5 1 4 1 4 1 4 1 4 1 4 1 4 1 3 1 2 1 2 1 3 1 3 1 2 1 4 1 2 1 n ove mb e r 2011 w w w.C o n su m e r R e p o rt s. o rg National rank Overall Performance score Treatment 71 Better than average Prevention North DAkota Medica (Cost)* 1 12 13 14 15 1 Worse than average Consumer satisfaction Plan name National rank Treatment Prevention Overall Performance score Consumer satisfaction Plan name PPO 46 151 152 309 35 103 132 139 165 175 180 262 264 298 312 317 325 102 120 150 151 171 230 281 309 336 5 11 13 29 78 181 182 190 202 246 285 294 71 120 151 184 309 49 HMO PPO 1 12 13 14 15 1 Worse than average Better than average Medicaid health plan rankings In rank order, within states and categories. Colorado Rocky Mountain Health Plans* 72 Denver Health Medical Plan* 69 Florida Humana Medical Plan of Florida 84 Sunshine State Health Plan (Reform Counties) 80 Sunshine State Health Plan (Non-Reform Counties) 77 Universal Health Care (Reform Counties) 75 Universal Health Care (Nonreform Counties) 73 Georgia Peach State Health Plan 82 Amerigroup Georgia Managed Care 81 WellCare of Georgia 78 Indiana UnitedHealthcare of the Midlands/Share Advantage 87 New Mexico 4 1 3 1 3 1 3 1 1 1 32 56 4 1 3 1 3 1 3 1 3 1 66 WellCare of Ohio* 54 45 Tennessee 54 Amerigroup Tennessee 83 37 63 3 1 3 1 4 1 UnitedHealthcare Plan of the River Valley (Middle) 83 5 1 3 1 3 1 39 97 UnitedHealthcare Plan of the River Valley (East) 82 3 1 3 1 3 1 3 1 5 1 47 - 87 Midwest Health Plan 87 UnitedHealthcare Great Lakes 86 Total Health Care 86 Upper Peninsula Health Plan 86 HealthPlus of Michigan 85 McLaren Health Plan 85 OmniCare Health Plan 84 Molina Healthcare of Michigan 83 Physicians Health Plan 82 78 66 HealthCare USA of Missouri* 66 Missouri Care* *Not accredited by the NCQA. Dash (-) indicates insufficient data. 62 50 con s um er r ep o rt s n ove mb e r 2 0 1 1 National rank CareSource* BlueCaid of Michigan Molina Healthcare of Missouri* Treatment 72 9 Harmony Health Plan of Missouri 95 79 4 1 3 1 3 1 5 1 3 1 4 1 3 1 4 1 3 1 3 1 3 1 3 1 2 1 Missouri 77 79 87 87 - 63 ohio Priority Health 85 - Blue Cross and Blue Shield of New Mexico* 81 13 Blue Plus 59 75 3 1 4 1 4 1 Medica 2 1 2 1 2 1 3 1 Amerigroup Community Care of New Mexico 87 Minnesota 3 1 3 1 3 1 3 1 73 78 57 62 Paramount Advantage 3 1 - 71 79 Molina Healthcare of Ohio 56 65 80 Presbyterian Health Plan 3 1 3 1 3 1 3 1 3 1 3 1 - 2 1 2 1 3 1 50 Lovelace Health Plan 3 1 4 1 3 1 4 1 3 1 52 79 CareSource Michigan* 81 3 1 3 1 3 1 3 1 3 1 3 1 2 1 3 1 2 1 Anthem Blue Cross and Blue Shield in Indiana Health Plan of Michigan* Molina Healthcare of New Mexico 3 1 3 1 3 1 3 1 2 1 81 michigan 36 80 Managed Health Services Passport Health Plan 5 1 3 1 4 1 Buckeye Community Health Plan 3 1 3 1 3 1 3 1 3 1 2 1 3 1 3 1 2 1 Kentucky 83 43 82 UniCare Health Plan of Kansas* Consumer satisfaction 5 1 4 1 5 1 1 1 4 1 5 1 MDwise kansas NeBRASKA 82 3 1 3 1 2 1 1 1 2 1 Overall Performance score Prevention Plan name National rank Treatment Prevention Overall Performance score Consumer satisfaction Plan name 5 1 4 1 5 1 4 1 5 1 4 1 4 1 4 1 4 1 4 1 4 1 5 1 3 1 5 1 5 1 4 1 4 1 4 1 5 1 4 1 4 1 3 1 4 1 4 1 4 1 3 1 5 1 4 1 5 1 5 1 4 1 4 1 3 1 3 1 4 1 3 1 2 1 3 1 3 1 2 1 3 1 3 1 2 1 2 1 12 14 17 18 20 Volunteer State Health Plan (BlueCare) 81 UnitedHealthcare Plan of the River Valley (West) 80 Volunteer State Health Plan (BlueCare-West) 80 Volunteer State Health Plan (TennCare Select) 78 Texas 3 1 3 1 2 1 3 1 3 1 65 89 99 51 58 60 69 70 3 1 3 1 3 1 4 1 4 1 4 1 86 87 5 1 4 1 5 1 6 Molina Healthcare of Texas 80 Superior HealthPlan* Wisconsin Security Health Plan of Wisconsin 3 1 3 1 3 1 3 1 2 1 64 55 27 28 31 38 44 83 92 11 24 71 90 91 96 Published with permission from the National Committee for Quality Assurance based on data collected in 2010 and 2011. Some information and data on health plans in the NCQA rankings comes from the 2011 Directory of Health Plans published by Atlantic Information Services, Inc. (www.aishealth.com). About the rankings Your questions answered 1 Why can’t I find my plan? Not all plans submit data to the National Committee for Quality Assurance (NCQA). Some that do choose not to make the information public. And some plans don’t submit enough data for valid statistical analysis. 1 I purchase insurance on my own instead of getting it through a job. Can I buy all of these plans? You can buy some of the private plans listed, but many are offered only to employers as group plans. Even so, many insurers sell similar health plans to companies and to individuals. But the name of the insurance product or plan and the range of benefits sold to individuals may be different from the group version’s. For more details on plans offered to individuals, we recommend using the plan-finder feature at the federal government’s consumer health website, Healthcare.gov. 1 What about the Medicare and Medicaid plans? If you are a Medicare beneficiary, you can obtain any of the Medicare Advantage plans ranked in your state when you initially sign up or during Medicare’s annual open enrollment period, which this year runs from Oct. 15 to Dec. 7. Medicaid plans are available only to households that meet their state’s eligibility requirements. 1 What goes into the scores on treatment, prevention, and customer satisfaction? Treatment scores reflect how well a plan takes care of common conditions such as diabetes and heart disease. Prevention scores cover services such as prenatal care, cancer screenings, and immunizations. Consumer satisfaction looks at satisfaction with a plan’s doctors and services, such as customer service. 1 How can I use the scores and rankings to pick a good plan? Don’t focus too much on minor differences, such as between plans with scores of, say, 82 and 86. Instead, pay attention to larger differences. The same goes for the performance scores for treatment, prevention, and consumer satisfaction. The difference between 2 and 3 is not as telling as the difference between 1 or 2 and 5. If you have a particular condition, look at our online rankings for scores pertinent to that condition, if available. Healthy individuals and families with children might want to pay close attention to how well plans do on prevention. 1 Why are HMOs and PPOs ranked together but listed separately? PPOs score lower than HMOs on average. That is most likely because PPOs collect performance data somewhat differently than HMOs do. And fewer PPOs are accredited, which lowers their scores. Differences may also reflect actual lower performance. 1 Why is information missing for some plans? Some plans don’t offer some measured services or have too few enrollees using them. And a plan can choose not to submit data for a particular measure. Private health plan rankings HMO In rank order, within states and categories. Alaska ODS Health Plan 78 Aetna Life Insurance Company (Alaska) 76 Arizona Health Net of Arizona 83 Cigna HealthCare of Arizona 82 UnitedHealthcare of Arizona 80 Aetna Health (Pennsylvania)-Arizona 80 Humana Health Plan of Arizona 79 UnitedHealthcare Insurance (Arizona) *Not accredited by the NCQA. 81 80 2 1 1 1 2 1 1 1 1 1 2 1 Humana Insurance Company (Arizona) 79 322 Cigna (AZ)* 66 3 1 2 1 2 1 1 1 2 1 2 1 115 UnitedHealthcare of Arkansas 78 Arkansas 156 Aetna Life Insurance Company (Arkansas) 76 239 UnitedHealthcare Insurance (Arkansas) 75 262 california 290 Kaiser Foundation Health Plan of Southern California 89 176 Kaiser Foundation Health Plan of Northern California 88 National rank Treatment arizona continued 293 3 1 3 1 3 1 3 1 2 1 3 1 Better than average Overall Performance score Aetna Life Insurance Company (Arizona) 4 1 3 1 2 1 3 1 2 1 3 1 1 12 13 14 15 1 Worse than average Prevention Plan name National rank Treatment Prevention Overall Performance score Consumer satisfaction Plan name PPO Consumer satisfaction These rankings of private, Medicare, and Medicaid health-insurance plans (HMOs and PPOs) are based on data and calculations from the National Committee for Quality Assurance (NCQA), an independent nonprofit group. A total of 830 plans are ranked in three categories: 390 private plans that people enroll in through work or on their own, 341 that serve Medicare beneficiaries in the Medicare Advantage program, and 99 that Medicaid beneficiaries enroll in. Because of space considerations, we are presenting the rankings of health plans in three regional editions. Within categories, plans are listed by state. A complete national list is available at ConsumerReports.org/ health, where consumers can also access additional details on insurance plans and compare up to five at a time free of charge until Nov. 15. Overall score on a scale of 1 to 100 (higher is better) is based on performance on dozens of measures encompassing consumer satisfaction, treatment, and prevention. Whether a plan is accredited by the NCQA is also part of its score. Non-accredited plans, marked with an asterisk (*), score lower on average because accreditation can add up to 15 points. Accreditation is a plus but is no guarantee of quality care. Plans pay a fee to the NCQA to be evaluated for accreditation; the amount varies by plan size. Performance covers the subcategories of treatment, prevention, and consumer satisfaction, scored from 1 to 5. National rank shows where each plan stands among all plans nationwide in that category. A lower number signifies a higher ranking and better performance. 1 1 2 1 3 1 1 1 2 1 3 1 3 1 3 1 3 1 254 3 1 1 1 1 1 3 1 1 1 1 1 3 1 1 1 1 1 297 326 3 1 5 1 5 1 3 1 5 1 5 1 14 n ove mb e r 2011 w w w.C o n su m e r R e p o rt s. o rg 281 359 319 12 43 FEATURE HEALTH INSURANCE Health Net of California 81 UnitedHealthcare of California 81 Cigna HealthCare of California 80 Anthem Blue Cross 79 Aetna Health of California 77 UnitedHealthcare Insurance (California) 81 Aetna Life Insurance Company (California) 81 Anthem Blue Cross 80 Anthem Blue Cross Life and Health Insurance 80 Health Net Life Insurance 79 Cigna (CA)* 66 Colorado Kaiser Foundation Health Plan of Colorado 90 Cigna HealthCare of Colorado 85 HMO Colorado 82 UnitedHealthcare of Colorado 82 Aetna Health (Pennsylvania)-Colorado 81 Rocky Mountain Health Plans* 68 UnitedHealthcare Insurance (Colorado) 83 Aetna Life Insurance Company (Colorado) 82 Cigna (CO)* 67 Rocky Mountain Health Plans* 67 Hawaii Kaiser Foundation Health Plan of Hawaii 87 Hawaii Medical Service Association (HMSA) 84 Hawaii Medical Service Association (HMSA) 84 UnitedHealthcare Insurance (Hawaii) 79 Idaho Group Health Cooperative SelectHealth 85 82 Group Health Options (Alliant)* 68 Group Health Options (Options)* 68 Aetna Life Insurance Company (Idaho) 77 UnitedHealthcare Insurance (Idaho) 76 PacificSource Health Plans (Oregon)* 66 Illinois Health Alliance Medical Plans 87 Medical Associates Health Plan 85 PersonalCare Insurance of Illinois 85 Cigna HealthCare of St. Louis 82 HMO Illinois and Blue Advantage HMO 82 UnitedHealthcare Services of the River Valley 82 UnitedHealthcare Plan of the River Valley 82 Cigna HealthCare of Illinois *Not accredited by the NCQA. Dash (-) indicates insufficient data. 44 81 con s um er r ep o rt s n ove mb e r 2 0 1 1 4 1 3 1 4 1 3 1 3 1 2 1 1 1 3 1 3 1 2 1 2 1 2 1 3 1 3 1 3 1 2 1 2 1 3 1 2 1 2 1 3 1 3 1 2 1 2 1 2 1 3 1 Overall Performance score illinois continued UnitedHealthcare of the Midwest 81 178 UnitedHealthcare of Illinois 81 211 Aetna Health (Pennsylvania)-Illinois 80 231 Humana Health Plan-Chicago Market 78 243 Group Health Plan* 68 285 Humana Benefit Plan of Illinois* 66 312 Health Alliance Medical Plans 82 212 Aetna Life Insurance Company (Illinois) 81 Humana Insurance Company (Illinois) 80 PersonalCare Insurance of Illinois 80 UnitedHealthcare Insurance (Illinois) 79 UnitedHealthcare Insurance of Illinois 79 226 257 257 270 372 3 1 3 1 3 1 1 1 2 1 3 1 3 1 3 1 3 1 2 1 5 1 4 1 3 1 3 1 3 1 4 1 3 1 3 1 3 1 3 1 5 1 4 1 3 1 4 1 3 1 3 1 4 1 4 1 4 1 3 1 4 1 4 1 5 1 3 1 5 1 4 1 3 1 3 1 5 1 4 1 4 1 104 - 286 3 1 3 1 2 1 2 1 3 1 3 1 3 1 4 1 3 1 3 1 3 1 1 1 1 1 2 1 5 1 4 1 4 1 4 1 1 1 1 1 3 1 5 1 5 1 4 1 3 1 3 1 3 1 3 1 2 1 4 1 4 1 3 1 3 1 3 1 3 1 3 1 3 1 4 1 4 1 4 1 3 1 3 1 3 1 3 1 3 1 6 65 Cigna (IL)* 68 Group Health Plan* 66 indiana Anthem Blue Cross and Blue Shield in Indiana 85 Cigna Ohio Managed Care 84 Humana Health Plan of Ohio 83 HMO Illinois and Blue Advantage HMO 82 Cigna HealthCare of Illinois 81 Humana Health Plan of Kentucky 81 Aetna Health (Pennsylvania)-Ohio 81 Cigna HealthCare of Indiana 81 UnitedHealthcare of Illinois 81 Advantage Health Solutions 80 Aetna Health (Pennsylvania)-Illinois 80 UnitedHealthcare of Kentucky 80 Welborn Health Plans* 68 Aetna Life Insurance Company (Indiana) 80 56 Anthem Blue Cross and Blue Shield in Indiana 80 136 UnitedHealthcare Insurance (Indiana) 79 343 Cigna (IN)* 64 142 160 177 344 127 139 353 357 37 80 345 Iowa Health Alliance Medical Plans 87 Medical Associates Health Plan 85 Gundersen Lutheran Health Plan 84 Wellmark Health Plan of Iowa 84 39 Sanford Health Plan 84 57 UnitedHealthcare Services of the River Valley 82 70 UnitedHealthcare Plan of the River Valley 82 153 UnitedHealthcare of the Midlands 81 169 Health Alliance Medical Plans 82 173 UnitedHealthcare Insurance (Midlands) 81 173 Aetna Life Insurance Company (Iowa) 79 179 Cigna (IA)* 64 308 317 365 3 1 2 1 1 1 3 1 3 1 3 1 5 1 3 1 2 1 2 1 3 1 3 1 4 1 3 1 3 1 2 1 2 1 1 1 3 1 2 1 2 1 3 1 2 1 2 1 2 1 2 1 3 1 2 1 3 1 3 1 3 1 2 1 4 1 3 1 4 1 3 1 3 1 3 1 2 1 2 1 3 1 3 1 4 1 4 1 3 1 3 1 2 1 2 1 2 1 3 1 2 1 3 1 1 1 3 1 4 1 3 1 4 1 4 1 3 1 4 1 3 1 4 1 3 1 3 1 3 1 3 1 2 1 2 1 3 1 2 1 2 1 4 1 2 1 2 1 2 1 2 1 3 1 4 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 2 1 3 1 2 1 3 1 2 1 2 1 1 1 2 1 5 1 5 1 4 1 4 1 3 1 3 1 3 1 3 1 5 1 3 1 3 1 4 1 4 1 4 1 4 1 4 1 3 1 3 1 3 1 2 1 2 1 2 1 2 1 2 1 4 1 4 1 4 1 4 1 4 1 3 1 3 1 3 1 4 1 2 1 2 1 2 1 National rank 3 1 3 1 1 1 2 1 1 1 1 1 1 1 3 1 3 1 3 1 3 1 1 1 1 1 Better than average Treatment 81 125 1 12 13 14 15 1 Worse than average Prevention Blue Shield of California National rank Western Health Advantage 83 Treatment california continued Plan name Prevention Overall Performance score Consumer satisfaction Plan name PPO Consumer satisfaction HMO 183 228 240 296 341 367 138 182 234 263 277 277 349 363 78 107 120 169 179 196 201 206 228 232 240 268 337 236 264 275 383 39 57 87 89 93 173 173 205 138 230 269 382 HMO 5 1 5 1 5 1 4 1 4 1 3 1 1 1 3 1 3 1 3 1 5 1 5 1 4 1 4 1 4 1 4 1 4 1 3 1 3 1 2 1 5 1 4 1 4 1 4 1 4 1 4 1 2 1 3 1 2 1 3 1 Humana Health Plan of Kansas City (POS) 81 166 Cigna HealthCare of Kansas/Missouri 81 183 Anthem Blue Cross and Blue Shield in Missouri 81 Humana Health Plan of Kansas City (HMO) 81 Humana Health Plan of Kansas City (POS) 81 186 Group Health Plan* 68 186 Coventry Health Care of Kansas* 67 Cigna HealthCare of Kansas/Missouri 81 Preferred Health Systems* 68 Coventry Health Care of Kansas* 67 Blue Cross and Blue Shield of Kansas City 81 UnitedHealthcare Insurance (Midwest) 80 Aetna Life Insurance Company (Kansas) 80 Cigna (KS)* 65 Louisiana Humana Health Benefit Plan of Louisiana 81 UnitedHealthcare of Louisiana 79 Coventry Health Care of Louisiana* 66 Vantage Health Plan* 62 UnitedHealthcare Insurance (Louisiana) 77 Aetna Life Insurance Company (Louisiana) 77 Michigan Grand Valley Health Plan 89 Priority Health 87 HealthPlus of Michigan 86 Health Alliance Plan of Michigan 86 Physicians Health Plan 85 Blue Care Network of Michigan 84 Total Health Care 81 Aetna Life Insurance Company (Michigan) 81 UnitedHealthcare Insurance (Michigan) 80 Health Alliance Plan of Michigan* 65 Minnesota HealthPartners 87 Medica 85 Sanford Health Plan 84 PreferredOne Community Health Plan 83 HealthPartners Plan name Medica 87 Overall score 85 Blue Cross Blue Shield of Minnesota 84 Aetna Life Insurance Company (Minnesota) 80 Missouri Blue Cross and Blue Shield of Kansas City, Good Health HMO Cigna HealthCare of St. Louis 84 Aetna Health (Pennsylvania)-Missouri 82 UnitedHealthcare of the Midwest 81 82 4 1 5 1 5 1 3 1 4 1 4 1 3 1 3 1 4 1 3 1 3 1 4 1 Performance 4 1 5 1 5 1 3 1 4 1 4 1 3 1 4 1 4 1 2 1 2 1 3 1 5 1 3 1 2 1 3 1 3 1 3 1 3 1 3 1 4 1 3 1 3 1 3 1 188 Blue Cross and Blue Shield of Kansas City 81 348 UnitedHealthcare Insurance (Midwest) 80 354 Aetna Life Insurance Company (Missouri) 80 213 Group Health Plan* 66 238 Cigna (MO)* 66 261 Montana 379 UnitedHealthcare Insurance (Montana) 76 Aetna Life Insurance Company (ND/SD/WY/MT) 76 195 Cigna (SD/MT)* 62 282 Nebraska 374 UnitedHealthcare of the Midlands 81 386 UnitedHealthcare Insurance (Midlands) 81 309 Aetna Life Insurance Company (Nebraska) 80 311 Cigna (NE)* 65 Nevada 11 Aetna Health (Pennsylvania)-Arizona 80 41 Saint Mary's HealthFirst 79 43 Health Plan of Nevada 78 51 Aetna Life Insurance Company (Nevada) 78 62 UnitedHealthcare Insurance (Nevada) 76 85 Cigna (NV)* 62 221 New Mexico 215 Presbyterian Health Plan 81 253 Lovelace Health Plan 80 375 Blue Cross and Blue Shield of New Mexico 78 Lovelace Insurance 79 24 UnitedHealthcare Insurance (New Mexico) 78 72 Blue Cross and Blue Shield of New Mexico 78 93 Presbyterian Insurance 77 134 Aetna Life Insurance Company (New Mexico) 76 24 Cigna (NM)* 62 72 North Dakota 90 Medica 85 245 Sanford Health Plan 84 Medica 85 95 Aetna Life Insurance Company (ND/SD/WY/MT) 76 153 Oklahoma 166 UnitedHealthcare of Oklahoma 79 183 Aetna Health (Pennsylvania)-Oklahoma 78 National rank 81 82 Treatment UnitedHealthcare of the Midwest National rank 2 1 1 1 2 1 1 1 1 1 1 1 81 95 Treatment 3 1 2 1 2 1 1 1 2 1 2 1 Humana Health Plan of Kansas City (HMO) 4 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 2 1 2 1 2 1 missouri continued Prevention 4 1 3 1 3 1 5 1 3 1 3 1 National rank 3 1 3 1 3 1 2 1 2 1 2 1 3 1 3 1 2 1 3 1 2 1 2 1 Prevention 84 Consumer satisfaction Blue Cross and Blue Shield of Kansas City, Good Health HMO Aetna Health (Pennsylvania)-Missouri Better than average Overall Performance score Treatment Prevention 5 1 2 1 3 1 3 1 3 1 4 1 4 1 3 1 3 1 3 1 3 1 3 1 Kansas 1 12 13 14 15 1 Worse than average Consumer satisfaction Plan name Overall Performance score Consumer satisfaction Plan name PPO 3 1 3 1 4 1 3 1 3 1 3 1 3 1 3 1 2 1 3 1 3 1 2 1 2 1 2 1 3 1 3 1 3 1 2 1 3 1 2 1 2 1 2 1 3 1 3 1 3 1 2 1 4 1 3 1 3 1 2 1 2 1 3 1 3 1 186 2 1 1 1 1 1 2 1 1 1 1 1 3 1 1 1 1 1 3 1 3 1 3 1 3 1 2 1 2 1 2 1 2 1 3 1 2 1 2 1 2 1 1 1 2 1 1 1 2 1 3 1 3 1 3 1 2 1 2 1 1 1 1 1 1 1 3 1 2 1 2 1 2 1 1 1 1 1 2 1 1 1 2 1 1 1 2 1 2 1 1 1 1 1 1 1 3 1 3 1 2 1 3 1 2 1 2 1 2 1 1 1 2 1 2 1 3 1 2 1 2 1 2 1 2 1 2 1 2 1 1 1 3 1 3 1 3 1 2 1 4 1 3 1 4 1 1 1 4 1 4 1 4 1 1 1 3 1 2 1 2 1 2 1 2 1 2 1 n ove mb e r 2011 w w w.C o n su m e r R e p o rt s. o rg 186 188 193 341 354 213 238 260 363 369 315 323 387 205 230 256 378 262 291 302 300 316 388 229 251 294 284 292 294 313 320 389 72 93 72 323 273 298 45 Aetna Life Insurance Company (Oklahoma) 79 UnitedHealthcare Insurance (Oklahoma) 78 Oregon Kaiser Foundation Health Plan of the Northwest 88 Providence Health Plans-Oregon* 68 UnitedHealthcare Insurance (Oregon) 80 Aetna Life Insurance Company (Oregon) 80 ODS Health Plan 78 PacificSource Health Plans (Oregon)* 66 Cigna (OR)* 66 Health Net of Oregon* 66 Regence BlueCross BlueShield of Oregon* 62 South Dakota Sanford Health Plan 84 Aetna Life Insurance Company (ND/SD/WY/MT) 76 Cigna (SD/MT)* 62 Texas Cigna HealthCare of Texas 82 Scott and White Health Plan 81 UnitedHealthcare of Texas 81 Aetna Health-Texas 81 Humana Health Plan of Texas (Austin) 81 UnitedHealthcare Benefits of Texas 80 Humana Health Plan of Texas (Houston) 79 Humana Health Plan of Texas (South) 79 Aetna Life Insurance Company (Texas) 81 UnitedHealthcare Insurance (Texas) 80 Humana Insurance Company (Texas) 80 Cigna (TX)* 66 utah 3 1 2 1 2 1 3 1 1 1 1 1 2 1 3 1 2 1 1 1 2 1 3 1 2 1 2 1 3 1 5 1 3 1 2 1 2 1 1 1 2 1 2 1 2 1 1 1 5 1 5 1 4 1 3 1 2 1 3 1 4 1 3 1 2 1 3 1 3 1 4 1 2 1 1 1 1 1 3 1 1 1 1 1 Community Health Plan of Washington 76 Providence Health Plans-Oregon* 68 21 Group Health Options (Alliant)* 68 338 Group Health Options (Options)* 68 233 Aetna Life Insurance Company (Washington) 81 267 UnitedHealthcare Insurance (Washington) 80 293 Cigna (WA)* 66 365 Health Net of Oregon* 66 370 Regence BlueShield* 65 373 Regence BlueCross BlueShield of Oregon* 62 385 Wisconsin Group Health Cooperative of South Central Wisconsin 90 Security Health Plan of Wisconsin 87 323 Unity Health Plans 86 387 Arise Health Plan 86 Network Health Plan 86 Dean Health Plan 86 Medical Associates Health Plans 85 Medica 85 MercyCare 84 Gundersen Lutheran Health Plan 84 UnitedHealthcare of Wisconsin 83 Humana Wisconsin Health Organization Insurance 83 Anthem Blue Cross and Blue Shield of Wisconsin 82 241 HMO Illinois and Blue Advantage HMO 82 247 Group Health Cooperative of Eau Claire* 71 366 Health Tradition Health Plan* 70 4 1 3 1 2 1 2 1 3 1 21 79 Aetna Life Insurance Company (Utah) 79 UnitedHealthcare Insurance (Utah) 78 Humana Insurance Company (Utah) 76 3 1 1 1 2 1 1 1 1 1 88 2 1 5 1 5 1 85 93 3 1 1 1 1 1 1 1 1 1 UnitedHealthcare of Utah Washington 304 3 1 2 1 3 1 3 1 3 1 2 1 2 1 2 1 2 1 3 1 2 1 2 1 82 171 181 208 222 224 252 271 274 199 Medica 85 136 UnitedHealthcare Insurance (Wisconsin) 82 289 Humana Insurance Company (Wisconsin) 81 280 Aetna Life Insurance Company (Wisconsin) 80 301 Cigna (WI)* 65 324 Wyoming Aetna Life Insurance Company (ND/SD/WY/MT) 76 UnitedHealthcare Insurance (Wyoming) 73 Better than average 3 1 1 1 3 1 2 1 2 1 2 1 2 1 3 1 2 1 3 1 3 1 4 1 5 1 - 2 1 3 1 5 1 3 1 4 1 3 1 4 1 3 1 3 1 2 1 3 1 2 1 3 1 2 1 3 1 2 1 2 1 1 1 2 1 3 1 4 1 4 1 4 1 4 1 4 1 5 1 3 1 3 1 4 1 3 1 3 1 3 1 3 1 5 1 5 1 3 1 3 1 2 1 2 1 3 1 5 1 4 1 5 1 4 1 4 1 4 1 4 1 4 1 4 1 4 1 3 1 4 1 3 1 3 1 4 1 4 1 4 1 3 1 2 1 2 1 2 1 5 1 5 1 4 1 5 1 4 1 4 1 4 1 4 1 4 1 4 1 4 1 3 1 4 1 3 1 4 1 4 1 4 1 4 1 4 1 2 1 2 1 2 1 1 1 1 1 1 1 1 1 1 1 National rank Treatment Prevention Washington continued Group Health Cooperative 3 1 4 1 3 1 3 1 2 1 2 1 2 1 2 1 3 1 2 1 2 1 3 1 1 12 13 14 15 1 Worse than average Overall Performance score 288 3 1 3 1 3 1 2 1 3 1 3 1 3 1 2 1 3 1 3 1 3 1 3 1 SelectHealth Kaiser Foundation Health Plan of the Northwest Plan name National rank Treatment oklahoma continued Prevention Overall Performance score Consumer satisfaction Plan name PPO Consumer satisfaction HMO 56 318 338 343 345 191 248 368 373 376 385 7 38 46 48 50 53 57 72 86 87 118 135 144 169 330 331 72 154 218 265 377 323 329 Medicare health plan rankings PacifiCare of Arizona *Not accredited by the NCQA. Dash (-) indicates insufficient data. 46 82 co n s um er r ep o rt s n ove mb e r 2 0 1 1 2 1 4 1 4 1 106 81 Humana Health Plan of Arizona 81 3 1 3 1 3 1 3 1 2 1 4 1 National rank arizona continued UnitedHealthcare Insurance (Arizona) Treatment National rank Treatment Prevention Arizona Overall Performance score Prevention Plan name Overall Performance score Consumer satisfaction Plan name Consumer satisfaction In rank order, within states and categories. 115 122 HMO 64 Mercy Care Plan* 64 Health Choice Generations* 64 Arcadian Health Plan (Desert Canyon Community Care)* 63 Aetna Life Insurance Company (Arizona) 84 Humana Insurance Company (Arizona) 81 Humana Insurance Company (Kentucky) 81 Humana Insurance Company 80 UnitedHealthcare of Arizona* 65 Sierra Health & Life (R5674)* 63 Pyramid Life Insurance* 63 66 66 Arkansas Windsor Health Plan* 61 Arkansas Community Care* 60 Humana Insurance Company (Texas) 80 Humana Insurance Company 80 Humana Insurance Company (Tennessee) 80 Humana Insurance Company (Arkansas) 77 Mercy Health Plan of Missouri* 69 Pyramid Life Insurance* 63 california Kaiser Foundation Health Plan of Northern California 90 Kaiser Foundation Health Plan of Southern California 90 Health Net of California 81 Aetna Health of California 81 UnitedHealthcare of California 81 Blue Shield of California 81 Care1st Health Plan 78 CareMore HealthPlan (H0544)* 68 GemCare Health Plan* 67 Scan Health Plan Legacy/Connections* Scan Health Plan Classic/Connections/Options/ Signature* Partnership HealthPlan of California* 66 Inter Valley Health Plan* 65 66 66 Health Plan of San Mateo* 65 Scan Health Plan Gold/Gold Select/Silver* 64 Citizens Choice Healthplan* 63 Anthem Blue Cross* 63 HMO California/Brand New Day* 63 2 1 3 1 3 1 3 1 3 1 3 1 5 1 2 1 4 1 4 1 2 1 3 1 3 1 4 1 2 1 3 1 4 1 3 1 3 1 3 1 4 1 2 1 2 1 2 1 2 1 1 1 1 1 1 1 3 1 3 1 2 1 2 1 5 1 2 1 5 1 5 1 4 1 3 1 4 1 3 1 3 1 4 1 3 1 4 1 4 1 3 1 3 1 3 1 3 1 3 1 3 1 2 1 1 1 1 1 2 1 2 1 3 1 2 1 3 1 2 1 5 1 5 1 3 1 3 1 3 1 2 1 3 1 4 1 3 1 2 1 3 1 3 1 1 1 2 1 3 1 1 1 1 1 - california continued Inland Empire Health Plan* 199 Chinese Community Health Plan* 61 58 61 227 Molina Healthcare of California Partner Plan* 250 Easy Choice Health Plan* 56 252 Health Net Life Insurance* 69 256 Anthem Blue Cross Life and Health Insurance* 65 Pyramid Life Insurance* 63 288 292 297 302 46 113 120 151 270 304 309 330 332 150 151 152 169 213 309 1 2 108 121 124 125 Colorado Kaiser Foundation Health Plan of Colorado 90 PacifiCare of Colorado 83 Rocky Mountain Health Plans* 69 Denver Health Medical Plan* 66 UnitedHealthcare of Colorado* 64 Humana Health Plan (Colorado)* 64 Colorado Access Health Plan* 64 Aetna Life Insurance Company (Colorado) 84 Humana Insurance Company (Colorado)* 65 Pyramid Life Insurance* 63 Hawaii Kaiser Foundation Health Plan of Hawaii 88 Hawaii Medical Service Association (HMSA) 83 UnitedHealthcare Insurance (Hawaii Regional) 80 UnitedHealthcare Insurance (Hawaii) 79 Humana Insurance Company (Hawaii)* 65 idaho Blue Cross of Idaho Health Services* 68 UnitedHealthcare Insurance (Idaho) 80 Regence BlueShield of Idaho* 64 Illinois Health Alliance Medical Plans 86 Medical Associates Health Plan 86 Humana Benefit Plan of Illinois 83 UnitedHealthcare Plan of the River Valley (H4456) 81 163 UnitedHealthcare of the Midwest 81 228 Humana Health Plan-Chicago Market 80 245 UnitedHealthcare Insurance (Illinois) 77 252 Group Health Plan* 70 256 Essence Healthcare (H2610)* 69 257 HealthSpring of Illinois* 62 273 Harmony Health Plan of Illinois* 61 283 Health Alliance Medical Plans 84 288 Aetna Life Insurance Company (Illinois) 84 305 Humana Insurance Company (KS, MO) 83 311 UnitedHealthcare Insurance-Midwest 83 314 Humana Insurance Company (Illinois) 81 National rank Scan Health Plan Legacy/Connections* Scan Health Plan Classic/Connections/Options/ Signature* Scan Health Plan Gold/Gold Select/Silver* 3 1 4 1 3 1 4 1 2 1 3 1 3 1 2 1 3 1 2 1 4 1 3 1 3 1 2 1 3 1 2 1 2 1 Overall Performance score Treatment 68 66 2 1 5 1 5 1 3 1 4 1 4 1 3 1 3 1 2 1 2 1 4 1 3 1 3 1 3 1 3 1 2 1 2 1 Better than average Prevention 70 2 1 4 1 3 1 2 1 3 1 3 1 2 1 2 1 2 1 3 1 3 1 3 1 3 1 3 1 2 1 2 1 2 1 153 1 12 13 14 15 1 Worse than average Consumer satisfaction Banner MediSun* Cigna HealthCare of Arizona (Cigna Medicare Select Plus RX)* Health Net of Arizona* National rank Aetna Health (Pennsylvania)-Arizona 79 Treatment arizona continued Plan name Prevention Overall Performance score Consumer satisfaction Plan name PPO 1 1 1 1 1 1 1 1 4 1 3 1 2 1 1 1 3 1 1 1 1 1 4 1 3 1 2 1 2 1 2 1 1 1 1 1 4 1 3 1 2 1 326 4 1 3 1 5 1 1 1 2 1 2 1 1 1 3 1 3 1 2 1 5 1 4 1 4 1 4 1 2 1 2 1 3 1 4 1 3 1 2 1 5 1 4 1 3 1 4 1 3 1 3 1 3 1 4 1 3 1 2 1 4 1 4 1 3 1 2 1 3 1 5 1 4 1 3 1 3 1 2 1 5 1 3 1 3 1 2 1 3 1 4 1 4 1 3 1 3 1 2 1 3 1 3 1 3 1 2 1 5 1 5 1 4 1 3 1 3 1 2 1 2 1 4 1 4 1 2 1 1 1 5 1 3 1 4 1 4 1 3 1 5 1 5 1 3 1 3 1 3 1 2 1 1 1 4 1 4 1 2 1 2 1 3 1 4 1 3 1 3 1 3 1 4 1 4 1 3 1 3 1 3 1 3 1 2 1 4 1 3 1 1 1 1 1 4 1 4 1 4 1 3 1 3 1 n ove mb e r 2011 w w w.C o n su m e r R e p o rt s. o rg 327 340 341 212 266 309 3 87 206 255 286 291 293 46 269 309 7 76 133 154 280 221 138 284 27 29 89 126 128 141 174 198 203 315 328 44 46 82 90 117 47 PersonalCare Insurance of Illinois* 68 Pyramid Life Insurance* 63 indiana Clarian Health Plans* 69 Welborn Health Plans* 69 Aetna Life Insurance Company (Indiana) 84 Anthem Blue Cross and Blue Shield in Indiana Anthem Blue Cross and Blue Shield in Indiana (Regional) Humana Insurance Company (Indiana) 84 80 UnitedHealthcare Insurance (Indiana) 80 Humana Insurance Company (Ohio) 80 Humana Insurance Company 80 Advantage Health Solutions* 67 Pyramid Life Insurance* 63 81 Iowa Medical Associates Health Plan 86 UnitedHealthcare Insurance (Midlands) 83 UnitedHealthcare of the Midlands 83 UnitedHealthcare Plan of the River Valley (H4456) 81 Humana Insurance Company (Illinois) 81 Humana Insurance Company (IA, MO, NE)* 67 Pyramid Life Insurance* 63 Kansas Humana Health Plan of Kansas City 84 Coventry Health Care of Kansas* 68 Humana Insurance Company (KS, MO) 83 Humana Insurance Company 80 UnitedHealthcare Insurance (Kansas) 79 Coventry Health and Life Insurance* 68 Pyramid Life Insurance* 63 Louisiana Humana Health Benefit Plan of Louisiana 82 Vantage Health Plan* 64 WellCare of Louisiana* 62 Arcadian Health Plan (H7179)* 59 Humana Insurance Company 80 Pyramid Life Insurance* 63 Michigan HealthPlus of Michigan 86 Health Alliance Plan of Michigan 85 Blue Care Network of Michigan 85 Priority Health* *Not accredited by the NCQA. 73 48 con s um er r ep o rt s n ove mb e r 2 0 1 1 3 1 2 1 3 1 4 1 2 1 4 1 5 1 3 1 4 1 4 1 4 1 4 1 3 1 4 1 4 1 4 1 4 1 3 1 4 1 3 1 3 1 3 1 4 1 2 1 3 1 2 1 2 1 2 1 3 1 4 1 2 1 3 1 3 1 3 1 2 1 2 1 3 1 2 1 5 1 4 1 4 1 3 1 3 1 3 1 2 1 5 1 3 1 4 1 3 1 3 1 3 1 2 1 4 1 4 1 3 1 3 1 3 1 3 1 2 1 4 1 4 1 4 1 3 1 2 1 3 1 2 1 4 1 3 1 3 1 3 1 2 1 4 1 2 1 4 1 3 1 4 1 2 1 3 1 4 1 2 1 4 1 5 1 2 1 2 1 3 1 2 1 4 1 2 1 2 1 1 1 3 1 2 1 3 1 1 1 1 1 1 1 2 1 2 1 5 1 4 1 4 1 5 1 4 1 4 1 4 1 5 1 5 1 4 1 4 1 5 1 Overall Performance score michigan continued Molina Healthcare of Michigan* 62 151 Aetna Life Insurance Company (Michigan) 84 222 Humana Insurance Company 80 223 Health Alliance Plan of Michigan* 67 309 Pyramid Life Insurance* 63 Minnesota 208 Group Health (Cost) 88 209 Medica (Cost)* 71 46 UCare (H2459)* 71 70 HealthPartners (MSHO)* 69 114 PrimeWest Health* 69 Medica* 67 130 134 142 151 233 309 29 79 80 126 117 243 309 72 224 82 151 158 230 309 96 287 319 338 151 309 21 34 39 177 Missouri National rank 68 3 1 3 1 3 1 2 1 2 1 Better than average Treatment 80 Humana Benefit Plan of Illinois* 3 1 3 1 4 1 4 1 2 1 120 1 12 13 14 15 1 Worse than average Prevention Humana Insurance Company National rank Humana Insurance Company (Kentucky) 81 Treatment illinois continued Plan name Prevention Overall Performance score Consumer satisfaction Plan name PPO Consumer satisfaction HMO 2 1 3 1 3 1 3 1 2 1 2 1 4 1 3 1 4 1 2 1 2 1 4 1 2 1 3 1 2 1 321 5 1 5 1 5 1 3 1 5 1 3 1 5 1 5 1 5 1 4 1 3 1 3 1 5 1 4 1 4 1 4 1 3 1 3 1 4 1 3 1 5 1 4 1 4 1 3 1 1 1 3 1 3 1 3 1 5 1 4 1 2 1 4 1 3 1 3 1 4 1 3 1 3 1 2 1 4 1 3 1 2 1 3 1 4 1 2 1 309 46 151 235 309 11 182 183 210 217 246 Mercy Health Plan of Missouri* 69 Coventry Health and Life Insurance* 68 Pyramid Life Insurance* 63 4 1 3 1 5 1 4 1 4 1 4 1 1 1 4 1 4 1 3 1 5 1 3 1 2 1 63 2 1 2 1 2 1 309 UnitedHealthcare Insurance (Midlands) 83 UnitedHealthcare of the Midlands 83 80 Pyramid Life Insurance* 63 4 1 3 1 4 1 4 1 4 1 3 1 2 1 2 1 2 1 Humana Health Plan of Kansas City 84 UnitedHealthcare of the Midwest 81 Mercy Health Plan of Missouri* 70 Group Health Plan* 70 Essence Healthcare (H2610)* 69 Coventry Health Care of Kansas* 68 Harmony Health Plan of Missouri* 60 Humana Insurance Company (KS, MO) 83 UnitedHealthcare Insurance-Midwest 83 Humana Insurance Company 80 Montana Pyramid Life Insurance* Nebraska Nevada Health Plan of Nevada 80 Humana Health Plan of Nevada* 66 PacifiCare of Nevada* 66 Aetna Life Insurance Company (Nevada) 84 Humana Insurance Company (Las Vegas)* 64 Sierra Health & Life (R5674)* 63 New MExico Presbyterian Health Plan 83 Lovelace Health Plan 82 Presbyterian Insurance 81 UnitedHealthcare Insurance (NM/TX) 77 Pyramid Life Insurance* 63 UnitedHealthcare Insurance (New Mexico)* 62 2 1 3 1 2 1 3 1 2 1 2 1 3 1 3 1 4 1 4 1 2 1 2 1 3 1 3 1 3 1 4 1 3 1 2 1 3 1 3 1 3 1 2 1 2 1 1 1 4 1 4 1 4 1 2 1 2 1 1 1 4 1 3 1 3 1 1 1 2 1 3 1 72 128 197 198 203 224 333 82 90 151 213 230 79 309 136 251 254 46 299 304 85 101 110 171 309 320 HMO 71 182 Medica* 67 Pyramid Life Insurance* 63 5 1 5 1 4 1 3 1 3 1 3 1 2 1 2 1 2 1 North DAkota Oklahoma UnitedHealthcare of Oklahoma CommunityCare Managed Healthcare Plans of Oklahoma* GlobalHealth* 80 Aetna Life Insurance Company (Oklahoma) 84 65 62 Humana Insurance Company 80 Humana Insurance Company (Oklahoma) 76 Pyramid Life Insurance* 63 Oregon Kaiser Foundation Health Plan of the Northwest Kaiser Foundation Health Plan of the Northwest (Demonstration Project) UnitedHealthcare of Oregon 88 UnitedHealthcare Insurance (Oregon/Washington) 81 Providence Health Plans-Oregon* 89 83 72 PacificSource* 69 Samaritan Advantage Health Plans* 69 Trillium Community Health Plan* 67 Atrio Health Plans* 65 Marion Polk Community Health Plan Advantage* 64 UnitedHealthcare Insurance (Oregon) 81 Health Net Life Insurance* 69 Regence BlueCross BlueShield of Oregon* 68 ODS Health Plan* 66 South Dakota Medica (Cost)* 71 Medica* 67 Pyramid Life Insurance* 63 Texas Scott and White Health Plan 85 UnitedHealthcare Benefits of Texas 82 Aetna Health-Texas 80 Humana Health Plan of Texas 80 Bravo Health Texas 78 Evercare of Texas 76 KelseyCare Advantage* 71 HealthSpring (H4513)* 65 SelectCare of Texas* 65 Physicians Health Choice of Texas* 64 Arcadian Health Plan (Texas Community Care)* 63 SelectCare Health Plans* 62 3 1 4 1 2 1 3 1 3 1 2 1 2 1 2 1 3 1 2 1 4 1 3 1 1 1 2 1 2 1 1 1 1 1 4 1 2 1 1 1 2 1 4 1 4 1 3 1 3 1 5 1 4 1 3 1 3 1 3 1 2 1 3 1 4 1 4 1 3 1 5 1 5 1 4 1 3 1 5 1 4 1 4 1 3 1 4 1 2 1 3 1 4 1 4 1 3 1 5 1 5 1 4 1 3 1 5 1 4 1 4 1 4 1 2 1 2 1 3 1 4 1 3 1 3 1 5 1 5 1 4 1 3 1 3 1 3 1 2 1 2 1 2 1 5 1 3 1 2 1 3 1 2 1 1 1 5 1 3 1 3 1 3 1 3 1 2 1 5 1 3 1 3 1 2 1 3 1 1 1 4 1 3 1 3 1 2 1 1 1 1 1 4 1 3 1 3 1 3 1 2 1 2 1 5 1 2 1 2 1 2 1 2 1 2 1 texas continued WellCare of Texas* 61 Aetna Life Insurance Company (Texas) 82 Humana Insurance Company (Kentucky) 81 246 Humana Insurance Company (Texas) 80 309 Humana Insurance Company 80 UnitedHealthcare Insurance (NM/TX) 77 135 Coventry Health and Life Insurance* 68 267 HealthSpring Life and Health* 65 324 Pyramid Life Insurance* 63 46 First Health Life and Health Insurance* 60 National rank Medica (Cost)* Humana Insurance Company (New Mexico)* Overall Performance score Treatment 2 1 2 1 1 1 322 1 1 2 1 3 1 3 1 3 1 2 1 3 1 3 1 2 1 1 1 2 1 3 1 3 1 3 1 3 1 2 1 4 1 2 1 2 1 1 1 2 1 4 1 3 1 2 1 2 1 1 1 4 1 3 1 2 1 1 1 325 3 1 3 1 3 1 3 1 2 1 3 1 3 1 3 1 2 1 2 1 151 utah 176 UnitedHealthcare of Utah* 309 Humana Insurance Company (Kentucky) 81 Regence BlueCross BlueShield of Utah* 67 4 Humana Insurance Company (Utah)* 66 10 Sierra Health & Life (R5674)* 63 3 1 3 1 3 1 4 1 2 1 77 Better than average Prevention 62 1 12 13 14 15 1 Worse than average Consumer satisfaction Plan name National rank Treatment new mexico continued Prevention Overall Performance score Consumer satisfaction Plan name PPO 81 Washington 102 120 150 151 171 230 281 309 336 116 120 238 261 304 89 4 1 5 1 5 1 4 88 4 1 5 1 5 1 10 207 Kaiser Foundation Health Plan of the Northwest Kaiser Foundation Health Plan of the Northwest (Demonstration Project) Group Health Cooperative 88 UnitedHealthcare of Washington 83 237 UnitedHealthcare Insurance (Oregon/Washington) 81 277 Community Health Plan of Washington 78 290 Providence Health Plans-Oregon* 72 109 Essence Healthcare (H1837)* 68 66 5 1 4 1 3 1 2 1 5 1 3 1 3 1 2 1 4 1 4 1 4 1 3 1 3 1 5 1 4 1 3 1 3 1 5 1 4 1 4 1 2 1 4 1 3 1 3 1 3 1 2 1 14 215 5 1 3 1 3 1 1 1 5 1 4 1 2 1 3 1 4 1 4 1 3 1 3 1 3 1 5 1 5 1 5 1 5 1 3 1 5 1 5 1 4 1 5 1 3 1 2 1 2 1 5 1 5 1 5 1 5 1 4 1 5 1 5 1 4 1 4 1 3 1 3 1 2 1 5 1 5 1 5 1 4 1 4 1 4 1 4 1 4 1 4 1 3 1 2 1 2 1 118 178 212 UnitedHealthcare of Washington (Evercare)* 226 Arcadian Health Plan (H5416)* 65 258 Health Net Life Insurance* 69 Regence BlueCross BlueShield of Oregon* 68 67 182 Regence BlueShield* 246 Asuris Northwest Health* 67 309 Regence BlueShield of Idaho* 64 35 Gundersen Lutheran Health Plan 88 103 Group Health (Cost) 88 Wisconsin 132 Security Health Plan of Wisconsin 88 139 Medical Associates Health Plans 86 165 UnitedHealthcare of Wisconsin 83 175 Dean Health Plan* 71 180 Medica (Cost)* 71 262 Partnership Health Plan* 70 264 UCare (H4270)* 70 298 Medica* 67 312 Independent Care Health Plan* 64 317 Today's Health* 64 n ove mb e r 2011 w w w.C o n su m e r R e p o rt s. o rg 86 118 167 178 219 253 282 212 226 234 236 284 5 11 13 29 78 181 182 190 202 246 285 294 49 84 Humana Insurance Company (Kentucky) 81 Humana Insurance Company 80 Network Health Plan* 71 3 1 3 1 2 1 4 1 71 Overall Performance score wisconsin continued Pyramid Life Insurance* National rank 4 1 3 1 3 1 5 1 Better than average Treatment 4 1 3 1 3 1 5 1 1 12 13 14 15 1 Worse than average Prevention National rank Humana Insurance Company (Wisconsin) Treatment Wisconsin continued Plan name Prevention Overall Performance score Consumer satisfaction Plan name PPO Consumer satisfaction HMO 63 2 1 2 1 2 1 309 5 1 4 1 3 1 2 1 2 1 2 1 309 120 Wyoming 151 Rocky Mountain Health Plans* 69 184 Pyramid Life Insurance* 63 206 Medicaid health plan rankings In rank order, within states and categories. California 79 Community Health Group 79 L.A. Care Health Plan 78 Molina Healthcare of California Partner Plan 77 Care1st Health Plan 76 Anthem Blue Cross of California Partnership Plan 75 Inland Empire Health Plan 73 Colorado 2 1 3 1 2 1 1 1 1 1 1 1 1 1 3 1 2 1 3 1 3 1 3 1 2 1 3 1 3 1 3 1 2 1 3 1 2 1 - 2 1 Medica 87 67 Blue Plus 85 68 Missouri 74 Harmony Health Plan of Missouri 78 75 Molina Healthcare of Missouri* 66 79 HealthCare USA of Missouri* 66 80 Missouri Care* 62 3 1 3 1 4 1 3 1 83 5 1 3 1 4 1 36 55 2 1 1 1 - 98 3 1 4 1 3 1 4 1 3 1 50 NeBRASKA 82 91 5 1 5 1 5 1 2 Molina Healthcare of New Mexico 81 MDwise 82 45 Lovelace Health Plan 80 Managed Health Services 81 54 Presbyterian Health Plan 79 Anthem Blue Cross and Blue Shield in Indiana 79 3 1 3 1 3 1 3 1 3 1 2 1 3 1 3 1 2 1 63 Amerigroup Community Care of New Mexico 75 Blue Cross and Blue Shield of New Mexico* 63 72 Denver Health Medical Plan* 69 Hawaii Indiana kansas 56 3 1 - Priority Health 87 BlueCaid of Michigan 87 4 1 3 1 3 1 5 1 3 1 4 1 3 1 4 1 3 1 3 1 3 1 3 1 2 1 michigan Midwest Health Plan 87 UnitedHealthcare Great Lakes 86 Total Health Care 86 Upper Peninsula Health Plan 86 HealthPlus of Michigan 85 McLaren Health Plan 85 OmniCare Health Plan 84 Molina Healthcare of Michigan 83 Physicians Health Plan 82 Health Plan of Michigan* 71 CareSource Michigan* 65 *Not accredited by the NCQA. Dash (-) indicates insufficient data. 50 con s um er r ep o rt s n ove mb e r 2 0 1 1 5 1 4 1 5 1 4 1 5 1 4 1 4 1 4 1 4 1 4 1 4 1 5 1 3 1 5 1 4 1 5 1 5 1 4 1 4 1 66 5 1 4 1 5 1 1 1 4 1 5 1 Rocky Mountain Health Plans* UniCare Health Plan of Kansas* National rank Consumer satisfaction Minnesota Health Net of California Kaiser Foundation Health Plan of Hawaii Treatment Overall Performance score Prevention Plan name National rank Treatment Prevention Overall Performance score Consumer satisfaction Plan name 87 UnitedHealthcare of the Midlands/Share Advantage Nevada Health Plan of Nevada* New Mexico Texas 2 1 3 1 3 1 2 1 3 1 3 1 2 1 2 1 3 1 3 1 3 1 3 1 3 1 3 1 - 2 1 2 1 3 1 11 24 71 90 91 96 57 62 77 95 - 97 Molina Healthcare of Texas 80 5 1 5 1 4 1 4 1 4 1 5 1 4 1 4 1 3 1 4 1 4 1 4 1 3 1 9 Superior HealthPlan* 70 86 12 Utah 3 1 3 1 3 1 4 1 4 1 4 1 14 Molina Healthcare of Utah 84 29 Washington 4 1 3 1 4 1 17 18 Molina Healthcare of Washington 81 53 20 Community Health Plan of Washington 75 76 27 Wisconsin 3 1 2 1 4 1 2 1 2 1 3 1 28 Security Health Plan of Wisconsin 87 5 1 4 1 5 1 6 55 31 38 44 83 92 Published with permission from the National Committee for Quality Assurance based on data collected in 2010 and 2011. Some information and data on health plans in the NCQA rankings comes from the 2011 Directory of Health Plans published by Atlantic Information Services, Inc. (www.aishealth.com).
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