2001 NJ HMO Performance Report

	Cover Letter
	Quality Matters
	Performance Summary
	Service and Access
	Doctors and Medical Care
	Staying Healthy
	Getting Better / Living with Illness
	Getting Better / Living with Illness (Part 2)
	Choosing Your Health Plan
	Taking Responsibility for Your Health Care
	Contacting Your Health Plan
	Appeals and Complaints
	Other Important Resources
	HMO and POS Differences
	Consumer Bill of Rights
	Return to Cover Page
	Performance Report (PDF)
	Plan Comparison Tool Allows you to choose specific plans for comparison

Service and Access

Are members satisfied with their health plan's services?

This section shows how the 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

CIGNA-HMO/POS

Horizon-HMO

One Health -HMO

Oxford-HMO/POS

PHS-HMO/POS

United-HMO/POS

University-HMO/POS

WellChoice-HMO

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
Getting needed care

Claims processing
Customer Service
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

CIGNA-HMO/POS

Horizon-HMO

One Health

Oxford-HMO/POS

PHS-HMO/POS

United-HMO/POS

University-HMO/POS

WellChoice

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:

Claims processing

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

Customer service

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

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