Quality Matters Performance Summary Service and Access Doctors and Medical Care Staying Healthy Getting Better / Living with Illness Choosing Your Health Plan 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 Return to Cover Page Plan Comparison Tool
			Getting Better / Living with Illness How well does the health plan care for members who are sick? This section shows how the largest health plans compare to the New Jersey plan average in working with doctors to care for members who are sick or living with chronic illness. 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	Blood sugar testing for people with diabetes	Eye exams for people with diabetes	Frequent users* getting needed care	Frequent users* getting care quickly
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	NR
University-HMO/POS

Due to differences in sample size, health plans with the same or similar scores can have different circle ratings.
NR = Not Reported - Health Plan did not meet audit requirements or did not report the measure.
* Frequent users had five or more visits to a doctor during the year.

Blood sugar testing for people with diabetes

Controlling blood sugar levels can prevent complications of diabetes. Percent of members with diabetes who had a blood sugar (glycohemoglobin) test:

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

Eye exams for people with diabetes

Regular eye exams can reduce the risk of blindness from diabetes. Percent of members with diabetes who received an eye exam in the past year:

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

Frequent users* getting needed care

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

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

Frequent users* getting care quickly

Percent of frequent users who always were able to obtain advice, timely appointments and care never waited over 15 minutes past an appointment:

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