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. Performance Summary
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Living with Illness
. Getting Better /
Living with Illness (Part 2)
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. Taking Responsibility for Your Health Care
. Contacting Your Health Plan
. Other Important Resources
. Appeals and Complaints
. Consumer Bill of Rights
. HMO and POS Plan Differences

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Plan Comparison Tool


2000 HMO Performance Report

Service and Access

Are members satisfied with their health plan's services?


This section shows how the largest health plans compare to the New Jersey plan average in providing service to their members.

Higher than average scores mean better performance.


Performance Compared to the Average

  Higher than the New Jersey health plan average

  About the Same as the New Jersey health plan average

  Lower than the New Jersey health plan average

Health Plan Rating of
health plan
Getting
needed care
Claims
processing
Customer
service
Aetna USHC-HMO/POS
AmeriHealth-HMO/POS
AtlantiCare-HMO
CIGNA-HMO/POS
Horizon-HMO
Oxford-HMO/POS
PHS-HMO/POS
Prudential-HMO/POS
United-HMO/POS
University-HMO/POS

Due to differences in sample size, health plans with the same or similar scores can have different circle ratings.

See each health plan's scores below:

Rating of health plan

Percent of members who rated their health plan a 9 or 10 on a scale from 0 (worst possible) to 10 (best possible):

NJ Plan Average
Aetna USHC-HMO/POS
AmeriHealth-HMO/POS
AtlantiCare-HMO
CIGNA-HMO/POS
Horizon-HMO
Oxford-HMO/POS
PHS-HMO/POS
Prudential-HMO/POS
United-HMO/POS
University-HMO/POS

Getting needed care

Percent of members who said they had no problem obtaining a personal doctor they like a referral to see a specialist necessary care timely approvals for care:

NJ Plan Average
Aetna USHC-HMO/POS
AmeriHealth-HMO/POS
AtlantiCare-HMO
CIGNA-HMO/POS
Horizon-HMO
Oxford-HMO/POS
PHS-HMO/POS
Prudential-HMO/POS
United-HMO/POS
University-HMO/POS

Claims processing

Percent of members who said their plan always handled their claims in a reasonable time correctly:

NJ Plan Average
Aetna USHC-HMO/POS
AmeriHealth-HMO/POS
AtlantiCare-HMO
CIGNA-HMO/POS
Horizon-HMO
Oxford-HMO/POS
PHS-HMO/POS
Prudential-HMO/POS
United-HMO/POS
University-HMO/POS

Customer service

Percent of members who said they had no problem finding or understanding written information getting needed help from customer service completing paperwork:

NJ Plan Average
Aetna USHC-HMO/POS
AmeriHealth-HMO/POS
AtlantiCare-HMO
CIGNA-HMO/POS
Horizon-HMO
Oxford-HMO/POS
PHS-HMO/POS
Prudential-HMO/POS
United-HMO/POS
University-HMO/POS


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