Blue Cross and Blue Shield of Massachusetts HMO Blue, Johns Hopkins U.S. Family Health Plan and Tufts Associated Health Maintenance Organization are among the top-rated health insurance plans in the United states, according to National Committee for Quality Assurance's 2016 Health Insurance Plan Ratings.

The six lowest ranked health insurance providers, available on the health insurance marketplace, alphabetized by name of health care provider: Cigna Health and Life Insurance, New Mexico; Connecticut General Life Insurance, New Mexico; Hawaii Medical Service Association; Humana Health Plans of Puerto Rico; Rocky Mountain Hospital and Medical Services (Anthem), Nevada; and UnitedHealthcare of Oklahoma. These plans received between a 2.0 and 1.5 rating, with 1.0 being the lowest possible for the type of health insurance. 

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The top types of private (commercial) health insurance plans with a top 5.0 rating are Blue Cross and Blue Shield of Massachusetts HMO Blue; Capital District Physicians' Health Plan (Albany NY); Capital District Physicians' Healthcare Network (CDPHN); Capital Health Plan (Tallahassee, Fla.); Johns Hopkins U.S. Family Health Plan — HMO; Kaiser Foundation Health Plan of the Mid-Atlantic States; Kaiser Foundation Health Plan I — Northern California; Martin's Point U.S. Family Health Plan (ME); Tufts Associated Health Maintenance Organization; Tufts Benefit Administrators; UPMC Benefit Management Services; UPMC Health Coverage; and UPMC Health Plan.

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The best states
If you are looking for a top-rated health insurance option for coverage options for out of pocket costs, it helps to live in Massachusetts, Rhode Island or Wisconsin. This was one of the findings of the National Committee for Quality Assurance's 2016 Health Insurance Plan Ratings.

Rounding out the top 10 health plans by state are Maine, New Hampshire, Minnesota, Vermont and New York, Hawaii and Iowa. According to the ranking, the health plans of the south and west do not appear on the NCQA's Health Insurance Plan Ratings 2016–2017's Top 10 List.

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Health plans in New England and the Great Lakes region performed the best with the highest percentage of plans receiving a 4.5 or 5.0 out of 5 rating The NCQA metrics NCQA's Health Insurance Plan Ratings 2016–2017 compare the quality and services of 1,401 health plans and rated 1,012: 503 private (commercial), 338 Medicare and 171 Medicaid. The ratings consist of three performance categories: consumer satisfaction with medical care, plan benefits, plan options, network of providers, and other metrics; prevention and treatment.

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Also in the ratings, the number of high and low-performing health plans are not a common occurrence. Of the 1,012 plans that were rated, 10% earned a top rating of 4.5 or 5.0 out of 5 and only 3% earned the ratings of 1.5 to 2.0.

"Most plans are in the middle, approximating a "bell curve" when all plans' performances" are taken into account, according to NCQA.

Also see: " Advisers on the move: 50-year vet steps down NCQA also found that top-rated plans share many similarities between Private (Commercial), Medicare and Medicaid plans.

Under a new agreement, NCQA and WebMD are teaming up to publish the ratings.