The National Committee for Quality Assurance collectively awarded 17 commercial, Medicaid and Medicare plans perfect 5.0 scores after a review of over 1,000 health plans.
NCQA's 2021 list combines Healthcare Effectiveness Data and Information Set, Consumer Assessment of Healthcare Providers & Systems, and NCQA Accreditation standards scores to rank each plan on a 5.0-point scale.
Commercial (Eight plans)
- Capital District Physicians' Health Plan (HMO)
- Capital District Physicians' Healthcare Network (HMO/POS combined)
- Kaiser Foundation Health Plan of the Mid-Atlantic States (HMO)
- Tufts Associated Health Maintenance Organization (HMO, POS, EPO combined)
- Tufts Benefit Administrators (PPO)
- UPMC Benefit Management Services (HMO)
- UPMC Health Coverage (HMO)
- UPMC Health Plan (HMO)
Medicare (Seven plans)
- Kaiser Foundation Health Plan-Southern California (HMO)
- Kaiser Foundation Health Plan of Colorado (HMO)
- Kaiser Foundation Health Plan of the Mid-Atlantic States (HMO)
- Kaiser Foundation Health Plan-Northern California (HMO)
- Medical Associates Clinic Health Plan of Wisconsin dba Medical Associates Health Plans (HMO)
- Medical Associates Health Plan (HMO)
- Quartz Health Plan Corp. (HMO)
Medicaid (Two plans)
- Jai Medical Systems Managed Care Organization (HMO)
- Kaiser Foundation Health Plan of the Mid-Atlantic States (HMO)