The lowest-rated health plans of 2025: NCQA

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Of the 998 health plans rated by the NCQA in 2025, 18 received a rating of 2 stars or lower.

The ratings, published Sept. 16, evaluate plans on nearly 50 assessments of patient experience and clinical performance. Just 11 plans from five insurers received a 5-star rating. See the list of the best-rated plans here.

Lowest-rated health plans:

2 stars

AlohaCare
Plan type: Medicare HMO
Hawaii

BCBS’ AmeriHealth
Plan type: Medicare HMO
Michigan

Cigna
Plan type: Commercial PPO/EPO
Alabama

Healthfirst Health Plan
Plan type: Medicare HMO
New York

Molina Healthcare of Michigan
Plan type: Medicare HMO

Molina Healthcare of New York
Plan type: Commercial HMO

Molina Healthcare of Texas
Plan type: Medicare HMO

Scripps Health Plan
Plan type: Commercial HMO
California

UnitedHealthcare’s Sierra Health & Life
Plan type: Commercial PPO
Nevada

GuideWell’s Triple-S Salud
Plan type: Commercial PPO
Puerto Rico

BCBS’ USAble
Plan type: Medicare HMO
Arkansas

BCBS’ USAble
Plan type: Medicare PPO
Arkansas

1.5 stars

Calvo’s SelectCare
Plan type: Commercial HMO
Guam

Gold Coast Health Plan
Plan type: Medicaid HMO
California

Independence Blue Cross’ Keystone Health Plan East
Plan type: Medicaid HMO
Pennsylvania

1 star

BCBS North Dakota
Medicaid

L.A. Care Health Plan
Plan type: Commercial HMO
California

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