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Service and Access

Are members satisfied with their health plan's services?

This section (pages 4 and 5) 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 HMO/POS
AmeriHealth-HMO/POS
CIGNA-HMO/POS
Health Net-HMO/POS
Horizon-HMO
Oxford-HMO/POS
United-HMO/POS
UHP-HMO
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
AmeriHealth
CIGNA
Health Net
Horizon
Oxford
United
UHP
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:

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

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

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

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
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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