NCQA uses the points to determine the number of stars a health plan receives in each Report Card category.
More stars mean higher performance.
Health plans with 3 or 4 stars in a category received 80 points or more out of a total of 100 points for that Report Card category. Health plans have a zero in a Report Card category if they earned fewer than 55 points. Health plans for which NCQA Denied, Suspended, or Revoked accreditation are not eligible to receive stars for any of the Report Card categories. NCQA evaluates how well the health plan provides its members with access to needed care and with good customer service. To evaluate these activities, NCQA reviews records of actual complaints, appeals and health plan denials, interviews health plan staff and grades the results from consumer surveys.