Your questions answered
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- Byron Chase
- 10 years ago
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1 About the ings These ings of private, Medicare, and Medicaid health-insurance plans (HMOs and s) are based on data and calculations from the Committee for Quality Assurance (NCQA), an independent nonprofit group. A total of 830 plans are ed in three categories: 390 private plans that people enroll in through work or on their own, 341 that serve Medicare beneficiaries in the Medicare Advantage program, and 99 that Medicaid beneficiaries enroll in. At Reports.org/health consumers can also access additional details on insurance plans and compare up to five at a time free of charge until Nov. 15. on a scale of 1 to 100 (higher is better) is based on performance on dozens of measures encompassing consumer, treatment, and prevention. Whether a plan is accredited by the NCQA is also part of its. Non-accredited plans, marked with an asterisk (*), lower on because accreditation can add up to 15 points. Accreditation is a plus but is no guarantee of quality care. Plans pay a fee to the NCQA to be evaluated for accreditation; the amount varies by plan size. covers the subcategories of treatment, prevention, and consumer, d from 1 to 5. shows where each plan stands among all plans nationwide in that category. A lower number signifies a higher ing and better performance. Your questions answered 1 Why can t I find my plan? Not all plans submit data to the Committee for Quality Assurance (NCQA). Some that do choose not to make the information public. And some plans don t submit enough data for valid statistical analysis. 1 I purchase insurance on my own instead of getting it through a job. Can I buy all of these plans? You can buy some of the private plans listed, but many are offered only to employers as group plans. Even so, many insurers sell similar health plans to companies and to individuals. But the name of the insurance product or plan and the range of benefits sold to individuals may be different from the group version s. For more details on plans offered to individuals, we recommend using the plan-finder feature at the federal government s consumer health website, Healthcare.gov. 1 What about the Medicare and Medicaid plans? If you are a Medicare beneficiary, you can obtain any of the Medicare Advantage plans ed in your state when you initially sign up or during Medicare s annual open enrollment period, which this year runs from Oct. 15 to Dec. 7. Medicaid plans are available only to households that meet their state s eligibility requirements. 1 What goes into the s on treatment, prevention, and customer? s reflect how well a plan takes care of common conditions such as diabetes and heart disease. s cover services such as prenatal care, cancer screenings, and immunizations. looks at with a plan s doctors and services, such as customer service. 1 How can I use the s and ings to pick a good plan? Don t focus too much on minor differences, such as between plans with s of, say, 82 and 86. Instead, pay attention to larger differences. The same goes for the performance s for treatment, prevention, and consumer. The difference between 2 and 3 is not as telling as the difference between 1 or 2 and 5. If you have a particular condition, look at our online ings for s pertinent to that condition, if available. Healthy individuals and families with children might want to pay close attention to how well plans do on prevention. 1 Why are HMOs and s ed together but listed separately? s lower than HMOs on. That is most likely because s collect performance data somewhat differently than HMOs do. And fewer s are accredited, which lowers their s. Differences may also reflect actual lower performance. 1 Why is information missing for some plans? Some plans don t offer some measured services or have too few enrollees using them. And a plan can choose not to submit data for a particular measure. Private health plan ings In order, within states and categories. Alabama UnitedHealthcare of Alabama UnitedHealthcare Insurance (Alabama) Aetna Life Insurance Company (Alabama) Alaska ODS Health Plan Aetna Life Insurance Company (Alaska) Arizona Health Net of Arizona Cigna HealthCare of Arizona Arizona arizona continued HMO UnitedHealthcare of Arizona Aetna Health (Pennsylvania)-Arizona Humana Health Plan of Arizona UnitedHealthcare Insurance (Arizona) Aetna Life Insurance Company (Arizona) Humana Insurance Company (Arizona) Cigna (AZ)* Arkansas UnitedHealthcare of Arkansas Aetna Life Insurance Company (Arkansas) november
2 FEATURE HEALTH INSURANCE HMO arkansas continued Dash (-) indicates insufficient data. UnitedHealthcare Insurance (Arkansas) california Kaiser Foundation Health Plan of Southern California Kaiser Foundation Health Plan of Northern California Western Health Advantage Blue Shield of California Health Net of California UnitedHealthcare of California Cigna HealthCare of California Anthem Blue Cross Aetna Health of California UnitedHealthcare Insurance (California) Aetna Life Insurance Company (California) Anthem Blue Cross Anthem Blue Cross Life and Health Insurance Health Net Life Insurance Cigna (CA)* Colorado Kaiser Foundation Health Plan of Colorado Cigna HealthCare of Colorado HMO Colorado UnitedHealthcare of Colorado Aetna Health (Pennsylvania)-Colorado Rocky Mountain Health Plans* UnitedHealthcare Insurance (Colorado) Aetna Life Insurance Company (Colorado) Cigna (CO)* Rocky Mountain Health Plans* Connecticut ConnectiCare Anthem Blue Cross and Blue Shield-Connecticut Cigna HealthCare of Connecticut Oxford Health Plans (CT) Aetna Health-Connecticut UnitedHealthcare of New England Aetna Life Insurance Company (Connecticut) UnitedHealthcare Insurance (New England) Oxford Health Insurance-Connecticut Cigna (CT)* DelAware Blue Cross Blue Shield of Delaware AmeriHealth HMO (Delaware) Aetna Health (Pennsylvania)-Delaware Optimum Choice Coventry Health Care of Delaware* delaware continued Aetna Life Insurance Company (Delaware) UnitedHealthcare Insurance (Delaware) Cigna (DE)* District of Columbia Kaiser Foundation Health Plan of the Mid-Atlantic States Cigna HealthCare Mid-Atlantic Aetna Health (Pennsylvania)-Maryland MD-Individual Practice Association CareFirst BlueChoice Optimum Choice UnitedHealthcare of the Mid-Atlantic Aetna Life Insurance Company (MD/DC) UnitedHealthcare Insurance (Mid-Atlantic) BluePreferred Cigna (MD, DC)* florida Capital Health Plan Health First Health Plans AvMed Health Plans Cigna HealthCare of Florida UnitedHealthcare of Florida Aetna Health-Florida Humana Medical Plan of Florida Health Options Neighborhood Health Partnership Florida Health Care Plans* Aetna Life Insurance Company (Florida) UnitedHealthcare Insurance (Florida) Cigna (FL)* Georgia Kaiser Foundation Health Plan of Georgia (HMO) Cigna HealthCare of Georgia Kaiser Foundation Health Plan of Georgia (POS) Aetna Health-Georgia Blue Cross Blue Shield Healthcare Plan of Georgia UnitedHealthcare of Georgia Humana Employers Health Plan of Georgia Aetna Life Insurance Company (Georgia) UnitedHealthcare Insurance (Georgia) Blue Cross Blue Shield Healthcare Plan of Georgia Cigna (GA)* Hawaii Kaiser Foundation Health Plan of Hawaii Hawaii Medical Service Association (HMSA) Hawaii Medical Service Association (HMSA) consumer reports november 2011
3 hawaii continued UnitedHealthcare Insurance (Hawaii) Idaho Group Health Cooperative SelectHealth Group Health Options (Alliant)* Group Health Options (Options)* Aetna Life Insurance Company (Idaho) UnitedHealthcare Insurance (Idaho) PacificSource Health Plans (Oregon)* Illinois Health Alliance Medical Plans Medical Associates Health Plan PersonalCare Insurance of Illinois Cigna HealthCare of St. Louis HMO Illinois and Blue Advantage HMO UnitedHealthcare Services of the River Valley UnitedHealthcare Plan of the River Valley Cigna HealthCare of Illinois UnitedHealthcare of the Midwest UnitedHealthcare of Illinois Aetna Health (Pennsylvania)-Illinois Humana Health Plan-Chicago Market Group Health Plan* Humana Benefit Plan of Illinois* Health Alliance Medical Plans Aetna Life Insurance Company (Illinois) Humana Insurance Company (Illinois) PersonalCare Insurance of Illinois UnitedHealthcare Insurance (Illinois) UnitedHealthcare Insurance of Illinois Cigna (IL)* Group Health Plan* indiana Anthem Blue Cross and Blue Shield in Indiana Cigna Ohio Managed Care Humana Health Plan of Ohio HMO Illinois and Blue Advantage HMO Cigna HealthCare of Illinois Humana Health Plan of Kentucky Aetna Health (Pennsylvania)-Ohio Cigna HealthCare of Indiana UnitedHealthcare of Illinois Advantage Health Solutions Aetna Health (Pennsylvania)-Illinois UnitedHealthcare of Kentucky Dash (-) indicates insufficient data. indiana continued Welborn Health Plans* Aetna Life Insurance Company (Indiana) Anthem Blue Cross and Blue Shield in Indiana UnitedHealthcare Insurance (Indiana) Cigna (IN)* Iowa Health Alliance Medical Plans Medical Associates Health Plan Gundersen Lutheran Health Plan Wellmark Health Plan of Iowa Sanford Health Plan UnitedHealthcare Services of the River Valley UnitedHealthcare Plan of the River Valley UnitedHealthcare of the Midlands Health Alliance Medical Plans UnitedHealthcare Insurance (Midlands) Aetna Life Insurance Company (Iowa) Cigna (IA)* Kansas Blue Cross and Blue Shield of Kansas City, Good Health HMO Aetna Health (Pennsylvania)-Missouri UnitedHealthcare of the Midwest Humana Health Plan of Kansas City (HMO) Humana Health Plan of Kansas City (POS) Cigna HealthCare of Kansas/Missouri Preferred Health Systems* Coventry Health Care of Kansas* Blue Cross and Blue Shield of Kansas City UnitedHealthcare Insurance (Midwest) Aetna Life Insurance Company (Kansas) Cigna (KS)* kentucky Anthem Blue Cross and Blue Shield in Kentucky Cigna Ohio Managed Care Humana Health Plan of Ohio Humana Health Plan of Kentucky UnitedHealthcare of Ohio Aetna Health (Pennsylvania)-Ohio UnitedHealthcare of Kentucky Welborn Health Plans* Humana Health Plan of Kentucky Anthem Blue Cross and Blue Shield in Kentucky UnitedHealthcare Insurance (Kentucky) Aetna Life Insurance Company (Kentucky) november
4 kentucky continued Cigna (KY)* Louisiana Humana Health Benefit Plan of Louisiana UnitedHealthcare of Louisiana Coventry Health Care of Louisiana* Vantage Health Plan* UnitedHealthcare Insurance (Louisiana) Aetna Life Insurance Company (Louisiana) maine Harvard Pilgrim Health Care Anthem Blue Cross and Blue Shield in Maine Aetna Health-Maine Martin's Point Health Care* Aetna Life Insurance Company (Maine) Cigna (ME)* maryland Johns Hopkins US Family Health Plan Kaiser Foundation Health Plan of the Mid-Atlantic States Cigna HealthCare Mid-Atlantic Employer Health Programs Aetna Health (Pennsylvania)-Maryland MD-Individual Practice Association CareFirst BlueChoice Optimum Choice UnitedHealthcare of the Mid-Atlantic Coventry Health Care of Delaware* Aetna Life Insurance Company (MD/DC) UnitedHealthcare Insurance (Mid-Atlantic) BluePreferred Cigna (MD, DC)* massachusetts Harvard Pilgrim Health Care Tufts Associated Health Maintenance Organization Health New England Fallon Community Health Plan Blue Cross and Blue Shield of Massachusetts ConnectiCare ConnectiCare of Massachusetts Neighborhood Health Plan Aetna Health (Pennsylvania)-Massachusetts Cigna HealthCare of Massachusetts UnitedHealthcare of New England Tufts Health Plan Harvard Pilgrim Health Care Blue Cross and Blue Shield of Massachusetts massachusetts continued Aetna Life Insurance Company (Massachussetts) UnitedHealthcare Insurance (New England) Cigna (MA)* Michigan Grand Valley Health Plan Priority Health HealthPlus of Michigan Health Alliance Plan of Michigan Physicians Health Plan Blue Care Network of Michigan Total Health Care Aetna Life Insurance Company (Michigan) UnitedHealthcare Insurance (Michigan) Health Alliance Plan of Michigan* Minnesota HealthPartners Medica Sanford Health Plan PreferredOne Community Health Plan HealthPartners Medica Blue Cross Blue Shield of Minnesota Aetna Life Insurance Company (Minnesota) Mississippi UnitedHealthcare Insurance (Mississippi) Aetna Life Insurance Company (Mississippi) UnitedHealthcare Insurance (Mississippi) Cigna (MS)* Missouri Blue Cross and Blue Shield of Kansas City, Good Health HMO Cigna HealthCare of St. Louis Aetna Health (Pennsylvania)-Missouri UnitedHealthcare of the Midwest Humana Health Plan of Kansas City (HMO) Humana Health Plan of Kansas City (POS) Cigna HealthCare of Kansas/Missouri Anthem Blue Cross and Blue Shield in Missouri Group Health Plan* Coventry Health Care of Kansas* Blue Cross and Blue Shield of Kansas City UnitedHealthcare Insurance (Midwest) Aetna Life Insurance Company (Missouri) Group Health Plan* Cigna (MO)* consumer reports november 2011
5 Montana UnitedHealthcare Insurance (Montana) Aetna Life Insurance Company (ND/SD/WY/MT) Cigna (SD/MT)* Nebraska UnitedHealthcare of the Midlands UnitedHealthcare Insurance (Midlands) Aetna Life Insurance Company (Nebraska) Cigna (NE)* Nevada Aetna Health (Pennsylvania)-Arizona Saint Mary's HealthFirst Health Plan of Nevada Aetna Life Insurance Company (Nevada) UnitedHealthcare Insurance (Nevada) Cigna (NV)* New Hampshire Tufts Associated Health Maintenance Organization Harvard Pilgrim Health Care of New England Anthem Blue Cross and Blue Shield in New Hampshire Anthem Health Plan of New Hampshire Cigna HealthCare of New Hampshire UnitedHealthcare of New England Martin's Point Health Care* Tufts Health Plan UnitedHealthcare Insurance (New England) Aetna Life Insurance Company (NH/VT) Cigna (NH)* New Jersey Cigna HealthCare of New Jersey Aetna Health (New Jersey)-Southern New Jersey AmeriHealth HMO (New Jersey) Aetna Health (New Jersey)-Northern New Jersey Oxford Health Plans (NJ) UnitedHealthcare Insurance (New Jersey) Horizon Healthcare of New Jersey Horizon Blue Cross Blue Shield of New Jersey* Aetna Life Insurance Company (New Jersey) UnitedHealthcare Insurance (New Jersey) Oxford Health Insurance-New Jersey Cigna (NJ)* Horizon Blue Cross Blue Shield of New Jersey* New Mexico Presbyterian Health Plan Lovelace Health Plan new Mexico continued Blue Cross and Blue Shield of New Mexico Lovelace Insurance UnitedHealthcare Insurance (New Mexico) Blue Cross and Blue Shield of New Mexico Presbyterian Insurance Aetna Life Insurance Company (New Mexico) Cigna (NM)* New York Excellus BlueCross BlueShield Capital District Physicians' Health Plan Capital District Physicians' Healthcare Network Independent Health Association MVP Health Care HealthNow New York Univera Healthcare HIP Health Plan of New York Cigna HealthCare of New York Empire BlueCross BlueShield Oxford Health Plans of New York Aetna Health-New York UnitedHealthcare Insurance of New York Martin's Point Health Care* Universal Benefits Capital District Physicians' Healthcare Network (Self-Funded) HealthNow New York Univera Healthcare Excellus BlueCross BlueShield Oxford Health Insurance-New York Aetna Life Insurance Company (New York) UnitedHealthcare Insurance of New York Cigna (NY)* North Carolina Cigna HealthCare of North Carolina Aetna Health (Pennsylvania)-North Carolina UnitedHealthcare of North Carolina Aetna Life Insurance Company (North Carolina) UnitedHealthcare Insurance (North Carolina) BlueCross BlueShield of North Carolina Cigna (NC)* North Dakota Medica Sanford Health Plan Medica Aetna Life Insurance Company (ND/SD/WY/MT) november
6 Ohio SummaCare AultCare HMO Anthem Blue Cross and Blue Shield in Ohio Kaiser Foundation Health Plan of Ohio Cigna Ohio Managed Care Paramount Health Care Humana Health Plan of Ohio Medical Mutual of Ohio Health Plan of the Upper Ohio Valley, The UnitedHealthcare of Ohio Aetna Health (Pennsylvania)-Ohio SummaCare Medical Mutual of Ohio Humana Insurance Company (Ohio) Aetna Life Insurance Company (Ohio) UnitedHealthcare Insurance (Ohio) UnitedHealthcare Insurance of Ohio AultCare Anthem Blue Cross and Blue Shield in Ohio Cigna (OH)* Oklahoma UnitedHealthcare of Oklahoma Aetna Health (Pennsylvania)-Oklahoma Aetna Life Insurance Company (Oklahoma) UnitedHealthcare Insurance (Oklahoma) Oregon Kaiser Foundation Health Plan of the Northwest Providence Health Plans-Oregon* UnitedHealthcare Insurance (Oregon) Aetna Life Insurance Company (Oregon) ODS Health Plan PacificSource Health Plans (Oregon)* Cigna (OR)* Health Net of Oregon* Regence BlueCross BlueShield of Oregon* Pennsylvania Geisinger Health Plan UPMC Health Plan UPMC Benefit Management Services HealthAmerica Highmark Health Insurance Keystone Health Plan Central Capital Advantage Insurance Keystone Health Plan East pennsylvania continued AmeriHealth HMO (Pennsylvania) First Priority Health Aetna Health-Pennsylvania Cigna HealthCare of Pennsylvania Geisinger Health Plan UPMC Health Network UPMC Benefit Management Services QCC Insurance (Personal Choice) Aetna Life Insurance Company (Pennsylvania) UnitedHealthcare Insurance (Pennsylvania) Cigna (PA)* Rhode Island Tufts Associated Health Maintenance Organization UnitedHealthcare of New England Tufts Health Plan UnitedHealthcare Insurance (New England) Aetna Life Insurance Company (Rhode Island) Cigna (RI)* South Carolina BlueChoice BlueShield of South Carolina Aetna Health (Pennsylvania)-North Carolina Cigna HealthCare of South Carolina UnitedHealthcare of North Carolina Aetna Life Insurance Company (South Carolina) UnitedHealthcare Insurance (South Carolina) Cigna (SC)* South Dakota Sanford Health Plan Aetna Life Insurance Company (ND/SD/WY/MT) Cigna (SD/MT)* Tennessee Cigna HealthCare of Tennessee UnitedHealthcare Services of the River Valley UnitedHealthcare Plan of the River Valley Aetna Health (Pennsylvania)-Tennessee Humana Health Plan of Tennessee* BlueCross BlueShield of Tennessee Aetna Life Insurance Company (Tennessee) UnitedHealthcare Insurance (Tennessee) Cigna (TN)* Texas Cigna HealthCare of Texas Scott and White Health Plan UnitedHealthcare of Texas Aetna Health-Texas consumer reports november 2011
7 texas continued Humana Health Plan of Texas (Austin) UnitedHealthcare Benefits of Texas Humana Health Plan of Texas (Houston) Humana Health Plan of Texas (South) Aetna Life Insurance Company (Texas) UnitedHealthcare Insurance (Texas) Humana Insurance Company (Texas) Cigna (TX)* utah SelectHealth UnitedHealthcare of Utah Aetna Life Insurance Company (Utah) UnitedHealthcare Insurance (Utah) Humana Insurance Company (Utah) Vermont Blue Cross and Blue Shield of Vermont MVP Health Care Vermont Health Plan, The Martin's Point Health Care* Blue Cross and Blue Shield of Vermont Aetna Life Insurance Company (NH/VT) Cigna (VT)* Virginia Kaiser Foundation Health Plan of the Mid-Atlantic States Southern Health Services Cigna HealthCare Mid-Atlantic Optima Health Plan HealthKeepers Aetna Health (Pennsylvania)-Maryland MD-Individual Practice Association UnitedHealthcare Services of the River Valley UnitedHealthcare Plan of the River Valley CareFirst BlueChoice Optimum Choice UnitedHealthcare of the Mid-Atlantic Optima Health Insurance Company Aetna Life Insurance Company (Virginia) UnitedHealthcare Insurance (Mid-Atlantic) BluePreferred Anthem Blue Cross Blue Shield in Virginia Cigna (VA)* Washington Kaiser Foundation Health Plan of the Northwest Group Health Cooperative Community Health Plan of Washington Dash (-) indicates insufficient data. washington continued Providence Health Plans-Oregon* Group Health Options (Alliant)* Group Health Options (Options)* Aetna Life Insurance Company (Washington) UnitedHealthcare Insurance (Washington) Cigna (WA)* Health Net of Oregon* Regence BlueShield* Regence BlueCross BlueShield of Oregon* West Virginia Health Plan of the Upper Ohio Valley, The Carelink Health Plans Optimum Choice Aetna Life Insurance Company (West Virginia) Wisconsin Group Health Cooperative of South Central Wisconsin Security Health Plan of Wisconsin Unity Health Plans Arise Health Plan Network Health Plan Dean Health Plan Medical Associates Health Plans Medica MercyCare Gundersen Lutheran Health Plan UnitedHealthcare of Wisconsin Humana Wisconsin Health Organization Insurance Anthem Blue Cross and Blue Shield of Wisconsin HMO Illinois and Blue Advantage HMO Group Health Cooperative of Eau Claire* Health Tradition Health Plan* Medica UnitedHealthcare Insurance (Wisconsin) Humana Insurance Company (Wisconsin) Aetna Life Insurance Company (Wisconsin) Cigna (WI)* Wyoming Aetna Life Insurance Company (ND/SD/WY/MT) UnitedHealthcare Insurance (Wyoming) november
8 Medicare health plan ings In order, within states and categories. HMO Alabama 50 consumer reports november 2011 UnitedHealthcare of Alabama HealthSpring (H0150)* Windsor Health Plan* Humana Insurance Company (Alabama) Blue Cross and Blue Shield of Alabama* Arizona PacifiCare of Arizona UnitedHealthcare Insurance (Arizona) Humana Health Plan of Arizona Aetna Health (Pennsylvania)-Arizona Banner MediSun* Cigna HealthCare of Arizona (Cigna Medicare Select Plus RX)* Health Net of Arizona* Scan Health Plan Legacy/Connections* Scan Health Plan Classic/Connections/Options/ Signature* Scan Health Plan Gold/Gold Select/Silver* Mercy Care Plan* Health Choice Generations* Arcadian Health Plan (Desert Canyon Community Care)* Aetna Life Insurance Company (Arizona) Humana Insurance Company (Arizona) Humana Insurance Company (Kentucky) UnitedHealthcare of Arizona* Sierra Health & Life (R5674)* Arkansas Windsor Health Plan* Arkansas Community Care* Humana Insurance Company (Texas) Humana Insurance Company (Tennessee) Humana Insurance Company (Arkansas) Mercy Health Plan of Missouri* california Kaiser Foundation Health Plan of Northern California Dash (-) indicates insufficient data. California continued Kaiser Foundation Health Plan of Southern California Health Net of California Aetna Health of California UnitedHealthcare of California Blue Shield of California Care1st Health Plan CareMore HealthPlan (H0544)* GemCare Health Plan* Scan Health Plan Legacy/Connections* Scan Health Plan Classic/Connections/Options/ Signature* Partnership HealthPlan of California* Inter Valley Health Plan* Health Plan of San Mateo* Scan Health Plan Gold/Gold Select/Silver* Citizens Choice Healthplan* Anthem Blue Cross* HMO California/Brand New Day* Inland Empire Health Plan* Chinese Community Health Plan* Molina Healthcare of California Partner Plan* Easy Choice Health Plan* Health Net Life Insurance* Anthem Blue Cross Life and Health Insurance* Colorado Kaiser Foundation Health Plan of Colorado PacifiCare of Colorado Rocky Mountain Health Plans* Denver Health Medical Plan* UnitedHealthcare of Colorado* Humana Health Plan (Colorado)* Colorado Access Health Plan* Aetna Life Insurance Company (Colorado) Humana Insurance Company (Colorado)* Connecticut Aetna Health-Connecticut Health Net of Connecticut* ConnectiCare* Anthem Blue Cross and Blue Shield-Connecticut* Oxford Health Plans (CT)*
9 connecticut continued WellCare of Connecticut* Aetna Life Insurance Company (Connecticut) UnitedHealthcare Insurance (CT, MA, RI, VT)* UnitedHealthcare Insurance (Connecticut)* Delaware UnitedHealthcare Insurance for EverCare (MD/DC/ VA/DE)* District of Columbia Kaiser Foundation Health Plan of the Mid-Atlantic States UnitedHealthcare Insurance-Virginia Bravo Health Mid-Atlantic Aetna Life Insurance Company (MD/DC) UnitedHealthcare Insurance for EverCare (MD/DC/ VA/DE)* Florida Capital Health Plan Health First Health Plans AvMed Health Plans Aetna Health-Florida UnitedHealthcare of Florida (H1080) Humana Medical Plan of Florida UnitedHealthcare of Florida (H9011) Health Options Humana Medical Plan of Florida (AdvantageCare) Freedom Health Optimum Healthcare Universal Health Care Florida Health Care Plans* Leon Medical Centers Health Plans* Preferred Care Partners Health Plan* CarePlus Health Plans* Physicians United Plan* Medica Healthcare Plans* WellCare of Florida* HealthSun Health Plans* Citrus Health Care* Aetna Life Insurance Company (Florida) UnitedHealthcare Insurance (Florida Regional) UnitedHealthcare Insurance (Florida)* Health Options* Universal Health Care* Georgia Kaiser Foundation Health Plan of Georgia Aetna Health-Georgia georgia continued UnitedHealthcare of Georgia (H1111) Blue Cross Blue Shield of Georgia* UnitedHealthcare of Georgia (H2182)* WellCare of Georgia* Arcadian Health Plan (Southeast Community Care- H5578)* Humana Insurance Company (Georgia) Humana Insurance Company (Tennessee) UnitedHealthcare Insurance (Georgia)* Hawaii Kaiser Foundation Health Plan of Hawaii Hawaii Medical Service Association (HMSA) UnitedHealthcare Insurance (Hawaii Regional) UnitedHealthcare Insurance (Hawaii) Humana Insurance Company (Hawaii)* idaho Blue Cross of Idaho Health Services* UnitedHealthcare Insurance (Idaho) Regence BlueShield of Idaho* Illinois Health Alliance Medical Plans Medical Associates Health Plan Humana Benefit Plan of Illinois UnitedHealthcare Plan of the River Valley (H4456) UnitedHealthcare of the Midwest Humana Health Plan-Chicago Market UnitedHealthcare Insurance (Illinois) Group Health Plan* Essence Healthcare (H2610)* HealthSpring of Illinois* Harmony Health Plan of Illinois* Health Alliance Medical Plans Aetna Life Insurance Company (Illinois) Humana Insurance Company (KS, MO) UnitedHealthcare Insurance-Midwest Humana Insurance Company (Illinois) Humana Insurance Company (Kentucky) Humana Benefit Plan of Illinois* PersonalCare Insurance of Illinois* indiana Clarian Health Plans* Welborn Health Plans*
10 52 consumer reports november 2011 indiana continued Aetna Life Insurance Company (Indiana) Anthem Blue Cross and Blue Shield in Indiana Anthem Blue Cross and Blue Shield in Indiana (Regional) Humana Insurance Company (Indiana) UnitedHealthcare Insurance (Indiana) Humana Insurance Company (Ohio) Advantage Health Solutions* Iowa Medical Associates Health Plan UnitedHealthcare Insurance (Midlands) UnitedHealthcare of the Midlands UnitedHealthcare Plan of the River Valley (H4456) Humana Insurance Company (Illinois) Humana Insurance Company (IA, MO, NE)* Kansas Humana Health Plan of Kansas City Coventry Health Care of Kansas* Humana Insurance Company (KS, MO) UnitedHealthcare Insurance (Kansas) Coventry Health and Life Insurance* kentucky Anthem Blue Cross and Blue Shield in Kentucky Aetna Life Insurance Company (Kentucky) Anthem Blue Cross and Blue Shield in Kentucky Anthem Blue Cross and Blue Shield in Indiana (Regional) Humana Insurance Company (Indiana) Humana Insurance Company (Ohio) Louisiana Humana Health Benefit Plan of Louisiana Vantage Health Plan* WellCare of Louisiana* Arcadian Health Plan (H7179)* maine Aetna Health-Maine Martin's Point Health Care* Arcadian Health Plan (Northeast Community Care)* maine continued Aetna Life Insurance Company (Maine) UnitedHealthcare Insurance (Maine) maryland Kaiser Foundation Health Plan of the Mid-Atlantic States Aetna Health (Pennsylvania)-Maryland Bravo Health Mid-Atlantic UnitedHealthcare Insurance (Maryland)* Aetna Life Insurance Company (MD/DC) UnitedHealthcare Insurance for EverCare (MD/DC/ VA/DE)* massachusetts Tufts Associated Health Maintenance Organization Fallon Community Health Plan Blue Cross and Blue Shield of Massachusetts Commonwealth Care Alliance* UnitedHealthcare of Massachusetts (Evercare)* Blue Cross and Blue Shield of Massachusetts* UnitedHealthcare Insurance (CT, MA, RI, VT)* UnitedHealthcare Insurance (Massachusetts/Rhode Island)* michigan HealthPlus of Michigan Health Alliance Plan of Michigan Blue Care Network of Michigan Priority Health* Molina Healthcare of Michigan* Aetna Life Insurance Company (Michigan) Health Alliance Plan of Michigan* Minnesota Group Health (Cost) Medica (Cost)* UCare (H2459)* HealthPartners (MSHO)* PrimeWest Health* Medica* mississippi HealthSpring of Tennessee (H4454)* HealthSpring of Tennessee (H4407)* Windsor Health Plan* Humana Insurance Company (Tennessee) Humana Insurance Company (Mississippi)
11 Missouri Humana Health Plan of Kansas City UnitedHealthcare of the Midwest Mercy Health Plan of Missouri* Group Health Plan* Essence Healthcare (H2610)* Coventry Health Care of Kansas* Harmony Health Plan of Missouri* Humana Insurance Company (KS, MO) UnitedHealthcare Insurance-Midwest Mercy Health Plan of Missouri* Coventry Health and Life Insurance* Montana Nebraska UnitedHealthcare Insurance (Midlands) UnitedHealthcare of the Midlands Nevada Health Plan of Nevada Humana Health Plan of Nevada* PacifiCare of Nevada* Aetna Life Insurance Company (Nevada) Humana Insurance Company (Las Vegas)* Sierra Health & Life (R5674)* New Jersey AmeriHealth HMO Aetna Health (New Jersey)-Southern New Jersey Aetna Health (New Jersey)-Northern New Jersey Oxford Health Plans New Jersey Horizon Healthcare of New Jersey* Healthfirst Health Plan of New Jersey* WellCare of New Jersey* Aetna Life Insurance Company (New Jersey) New MExico Presbyterian Health Plan Lovelace Health Plan Presbyterian Insurance UnitedHealthcare Insurance (NM/TX) UnitedHealthcare Insurance (New Mexico)* Humana Insurance Company (New Mexico)* New York MVP Health Care (Rochester Area) Capital District Physicians' Health Plan MVP Health Care Independent Health Association Univera Healthcare Excellus BlueCross BlueShield Empire BlueCross BlueShield Aetna Health-New York HealthNow New York HIP Health Plan of New York (H3330) Oxford Health Plans (NY) UnitedHealthcare of New York (H3379) Fidelis Care New York* Managed Health* Touchstone Health (H3327)* WellCare of New York* Liberty Health Advantage* HealthNow New York Excellus BlueCross BlueShield Aetna Life Insurance Company (New York) UnitedHealthcare Insurance of New York Independent Health Association* Empire BlueCross BlueShield* MVP Health Care (H3346)* MVP Health Care (H9615)* Universal Benefits* North Carolina UnitedHealthcare of North Carolina BlueCross BlueShield of North Carolina* Arcadian Health Plan (Southeast Community Care-H2899)* Aetna Life Insurance Company (North Carolina) UnitedHealthcare of North Carolina Humana Insurance Company (North Carolina) BlueCross BlueShield of North Carolina* North DAkota Medica (Cost)* Medica* ohio Kaiser Foundation Health Plan of Ohio SummaCare november
12 ohio continued PrimeTime Health Plan UPMC Health Plan Paramount Health Care Health Plan of the Upper Ohio Valley, The (H3672) Aetna Health (Pennsylvania)-Ohio Anthem Blue Cross and Blue Shield in Ohio Health Plan of the Upper Ohio Valley, The (H5151) UnitedHealthcare of Ohio Mt. Carmel Health Plan* WellCare of Ohio* UPMC Health Plan Aetna Life Insurance Company (Ohio) Anthem Blue Cross and Blue Shield in Ohio Anthem Blue Cross and Blue Shield in Indiana (Regional) Humana Insurance Company (Kentucky) Humana Insurance Company (Ohio) HealthAmerica Advantra (H5522)* Oklahoma UnitedHealthcare of Oklahoma CommunityCare Managed Healthcare Plans of Oklahoma* GlobalHealth* Aetna Life Insurance Company (Oklahoma) Humana Insurance Company (Oklahoma) Oregon Kaiser Foundation Health Plan of the Northwest Kaiser Foundation Health Plan of the Northwest (Demonstration Project) UnitedHealthcare of Oregon UnitedHealthcare Insurance (Oregon/Washington) Providence Health Plans-Oregon* PacificSource* Samaritan Advantage Health Plans* Trillium Community Health Plan* Atrio Health Plans* Marion Polk Community Health Plan Advantage* UnitedHealthcare Insurance (Oregon) Health Net Life Insurance* Regence BlueCross BlueShield of Oregon* ODS Health Plan* Pennsylvania Geisinger Gold Classic pennsylvania continued HealthAmerica Advantra Keystone Health Plan Central Aetna Health-Pennsylvania Highmark Health Insurance UPMC Health Plan Keystone Health Plan East Bravo Health Pennsylvania Bravo Health Pennsylvania (Senior Partners) Gateway Health Plan* QCC Insurance (Personal Choice) UPMC Health Plan Aetna Life Insurance Company (Pennsylvania) HealthAmerica Advantra (H5522)* Keystone Health Plan Central* Highmark Health Insurance (H3916)* Geisinger Health Plan* UnitedHealthcare Insurance (Pennsylvania Evercare)* Highmark Health Insurance (H5106)* Rhode Island UnitedHealthcare of New England UnitedHealthcare Insurance (CT, MA, RI, VT)* UnitedHealthcare Insurance (Massachusetts/Rhode Island)* South Carolina Arcadian Health Plan (Southeast Community Care- H5783)* Windsor Health Plan* Humana Insurance Company (South Carolina) BlueChoice BlueShield of South Carolina* South Dakota Medica (Cost)* Medica* Tennessee Cariten Health Plan UnitedHealthcare Plan of the River Valley (H4456) UnitedHealthcare of Tennessee HealthSpring of Tennessee (H4454)* HealthSpring of Tennessee (H4407)* Windsor Health Plan* Aetna Life Insurance Company (Tennessee) Humana Insurance Company (Tennessee) consumer reports november 2011
13 tennessee continued Texas Scott and White Health Plan UnitedHealthcare Benefits of Texas Aetna Health-Texas Humana Health Plan of Texas Bravo Health Texas Evercare of Texas KelseyCare Advantage* HealthSpring (H4513)* SelectCare of Texas* Physicians Health Choice of Texas* Arcadian Health Plan (Texas Community Care)* SelectCare Health Plans* WellCare of Texas* Aetna Life Insurance Company (Texas) Humana Insurance Company (Kentucky) Humana Insurance Company (Texas) UnitedHealthcare Insurance (NM/TX) Coventry Health and Life Insurance* HealthSpring Life and Health* First Health Life and Health Insurance* utah UnitedHealthcare of Utah Humana Insurance Company (Kentucky) Regence BlueCross BlueShield of Utah* Humana Insurance Company (Utah)* Sierra Health & Life (R5674)* vermont UnitedHealthcare Insurance (CT, MA, RI, VT)* virginia Kaiser Foundation Health Plan of the Mid-Atlantic States UnitedHealthcare Plan of the River Valley (H4456) UnitedHealthcare Insurance-Virginia Aetna Life Insurance Company (Virginia) Humana Insurance Company (Virginia) Optima Health Plan* Anthem Blue Cross Blue Shield in Virginia* UnitedHealthcare Insurance for EverCare (MD/DC/ VA/DE)* Washington Kaiser Foundation Health Plan of the Northwest washington continued Kaiser Foundation Health Plan of the Northwest (Demonstration Project) Group Health Cooperative UnitedHealthcare of Washington UnitedHealthcare Insurance (Oregon/Washington) Community Health Plan of Washington Providence Health Plans-Oregon* Essence Healthcare (H1837)* UnitedHealthcare of Washington (Evercare)* Arcadian Health Plan (H5416)* Health Net Life Insurance* Regence BlueCross BlueShield of Oregon* Regence BlueShield* Asuris Northwest Health* Regence BlueShield of Idaho* west virginia UPMC Health Plan Health Plan of the Upper Ohio Valley, The (H3672) Health Plan of the Upper Ohio Valley, The (H5151) UPMC Health Plan Humana Insurance Company (Ohio) Highmark Health Insurance (H3916)* Highmark Health Insurance (H5106)* Wisconsin Gundersen Lutheran Health Plan Group Health (Cost) Security Health Plan of Wisconsin Medical Associates Health Plans UnitedHealthcare of Wisconsin Dean Health Plan* Medica (Cost)* Partnership Health Plan* UCare (H4270)* Medica* Independent Care Health Plan* Today's Health* Humana Insurance Company (Wisconsin) Humana Insurance Company (Kentucky) Network Health Plan* Wyoming Rocky Mountain Health Plans* november
14 Medicaid health plan ings In order, within states and categories. HMO California Dash (-) indicates insufficient data. 56 consumer reports november 2011 Health Net of California Community Health Group L.A. Care Health Plan Molina Healthcare of California Partner Plan Care1st Health Plan Anthem Blue Cross of California Partnership Plan Inland Empire Health Plan Colorado Rocky Mountain Health Plans* Denver Health Medical Plan* Delaware Delaware Physicians Care* District of Columbia DC Chartered Health Plan Florida Humana Medical Plan of Florida Sunshine State Health Plan (Reform Counties) Sunshine State Health Plan (Non-Reform Counties) Universal Health Care (Reform Counties) Universal Health Care (Nonreform Counties) Georgia Peach State Health Plan Amerigroup Georgia Managed Care WellCare of Georgia Hawaii Kaiser Foundation Health Plan of Hawaii Indiana MDwise Managed Health Services Anthem Blue Cross and Blue Shield in Indiana kansas UniCare Health Plan of Kansas* Kentucky Passport Health Plan maryland Priority Partners MedStar Family Choice Jai Medical Systems* Coventry Health Care of Delaware* Massachusetts Fallon Community Health Plan massachusetts continued Boston Medical Center HealthNet Plan Neighborhood Health Plan Network Health michigan Priority Health BlueCaid of Michigan Midwest Health Plan UnitedHealthcare Great Lakes Total Health Care Upper Peninsula Health Plan HealthPlus of Michigan McLaren Health Plan OmniCare Health Plan Molina Healthcare of Michigan Physicians Health Plan Health Plan of Michigan* CareSource Michigan* Minnesota Medica Blue Plus Missouri Harmony Health Plan of Missouri Molina Healthcare of Missouri* HealthCare USA of Missouri* Missouri Care* NeBRASKA UnitedHealthcare of the Midlands/Share Advantage Nevada Health Plan of Nevada* new Jersey Horizon NJ Health* New Mexico Molina Healthcare of New Mexico Lovelace Health Plan Presbyterian Health Plan Amerigroup Community Care of New Mexico Blue Cross and Blue Shield of New Mexico* New York Capital District Physicians' Health Plan Excellus BlueCross BlueShield HealthNow New York Independent Health Association
15 ohio Buckeye Community Health Plan Molina Healthcare of Ohio Paramount Advantage CareSource* WellCare of Ohio* Pennsylvania UPMC For You AmeriHealth Mercy Health Plan Gateway Health Plan Keystone Mercy Health Plan Health Partners of Philadelphia UnitedHealthcare of Pennsylvania Rhode Island Neighborhood Health Plan of Rhode Island UnitedHealthcare of New England South Carolina Select Health of South Carolina UnitedHealthcare of South Carolina Tennessee Amerigroup Tennessee UnitedHealthcare Plan of the River Valley (Middle) UnitedHealthcare Plan of the River Valley (East) Volunteer State Health Plan (BlueCare) UnitedHealthcare Plan of the River Valley (West) Volunteer State Health Plan (BlueCare-West) Volunteer State Health Plan (TennCare Select) Texas Molina Healthcare of Texas Superior HealthPlan* Utah Molina Healthcare of Utah Virginia Virginia Premier Health Plan HealthKeepers Optima Health Plan Southern Health Services Amerigroup Virginia Washington Molina Healthcare of Washington Community Health Plan of Washington West Virginia Published with permission from the Committee for Quality Assurance based on data collected in 2010 and Some information and data on health plans in the NCQA ings comes from the 2011 Directory of Health Plans published by Atlantic Information Services, Inc. ( UniCare Health Plan of West Virginia Carelink Health Plans* Wisconsin Security Health Plan of Wisconsin Dash (-) indicates insufficient data. november
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