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Getting Better/ Living with Illness (continued)

How well does the health plan care for members who are sick?

This section (pages 10-13) shows how the 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 Cholesterol management of heart patients Beta blocker treatment after a heart attack Blood sugar testing for people with diabetes Eye exams for people with diabetes
Aetna- HMO/POS
AmeriHealth-HMO/POS
CIGNA-HMO/POS
Health Net-HMO/POS
Horizon-HMO
Oxford-HMO/POS
United-HMO/POS
UHP-HMO/POS Not Applicable Not Applicable
WellChoice-HMO Not Applicable Not Applicable

Due to differences in sample size, health plans with the same or similar scores can have different circle ratings.
Not Applicable - Health plan was unable to report the measure due to the small number of eligible members.

See each health plan's scores below:

Cholesterol management of heart patients Beta blocker treatment after a heart attack
Blood sugar testing for people with diabetes
Eye exams for people with diabetes

Cholesterol management of heart patients
Reducing cholesterol lowers the chances of having a heart attack. Percent of members with heart disease who had their cholesterol level controlled:

NJ Plan Average
Aetna
AmeriHealth
CIGNA
Health Net
Horizon
Oxford
United
UHP
WellChoice


Beta blocker treatment after a heart attack

Beta blockers after a heart attack can help prevent future heart attacks. Percent of members who had a heart attack and received beta blockers:

NJ Plan Average
Aetna
AmeriHealth
CIGNA
Health Net
Horizon
Oxford
United
UHP
WellChoice


Blood sugar testing for people with diabetes

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

NJ Plan Average
Aetna
AmeriHealth
CIGNA
Health Net
Horizon
Oxford
United
UHP
WellChoice


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:

NJ Plan Average
Aetna
AmeriHealth
CIGNA
Health Net
Horizon
Oxford
United
UHP
WellChoice


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Department of Health and Senior Services
P. O. Box 360
Trenton, NJ 08625-0360

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