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Blue Cross NC announces 2025 NCQA Health Plan Ratings and Quality Rating System Stars Ratings October 28, 2025 Quality-Based Programs

This year’s National Committee for Quality Assurance (NCQA) Health Plan Ratings and the Centers for Medicare & Medicaid Services (CMS) Quality Rating System (QRS) Stars Ratings for Blue Cross and Blue Shield of North Carolina (Blue Cross NC) are in. These results reflect the quality of care our members receive, how satisfied members are with their care, and our efforts to keep improving in collaboration with our network providers 

2025 NCQA Commercial Health Plan Ratings

  • Commercial PPO: 3.5 out of 5 stars 
  • Commercial EPO: 3.0 out of 5 stars 

2025 QRS Marketplace Ratings

  • Marketplace PPO: 4.0 out of 5 stars 
  • Marketplace EPO: 4.0 out of 5 stars 
  • Marketplace POS: 4.0 out of 5 stars 

These ratings enable consumers and employers to make informed choices when shopping for a quality health plan and are based on nationally recognized measures, including: 

  • Commercial products: Healthcare Effectiveness Data and Information Set (HEDIS), Consumer Assessment of Healthcare Providers and Systems (CAHPS), and National Committee for Quality Assurance (NCQA) Health Plan Accreditation Survey. 
  • Marketplace products: Qualified Health Plan (QHP) Enrollee Experience Survey, HEDIS, and Pharmacy Quality Alliance (PQA) measures. 

Thank you to our provider partners for their continued commitment and collaboration to ensure that Blue Cross NC members are getting needed and appropriate care to stay healthy and/or live well with chronic conditions.
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Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.

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