PPO Quality Ratings Summary 2014-15 Edition

Quality health care is getting the right care at the right time.

This Report Card shows the quality of health care for millions of Californians who get their care through commercial insurance provided by Preferred Provider Organizations (PPOs). The 6 largest PPOs in the state are included in this Report Card.

The PPO Report Card includes health care quality scores for two major areas:

  • Clinical Performance Scores – See the “PPO Provides Recommended Care” column below. To find more information on 10 health conditions/topics go to the dark blue box in the right column.
  • Patient Experience Scores – See the 2 columns below under “Patients Rate their Experience.” Additional information is found in the light blue box in the right column.

The Report Card also provides other helpful information on each PPO. Click on each health plan name to find its consumer assistance number, service area, website and more.

PPO Provides Recommended Care

The California Office of the Patient Advocate compared PPO members’ records in 2013 to a set of national standards for quality of care to make sure that health plans are offering quality preventive care and service to members.

Patients Rate Their Experience

Click on plan name for plan’s star ratings and information:

Getting Care
Members rated ease of getting doctor appointments, tests and treatments during 2013.
PPO Helps Members Get Answers
Members who contacted their plan rated the customer service provided and whether they got accurate information on plan costs and claims payment during 2012 and 2013.
Aetna PPO FairTwo stars PoorOne star PoorOne star
Anthem Blue Cross PPO GoodThree stars GoodThree stars FairTwo stars
Blue Shield of California/Blue Shield Life PPO FairTwo stars FairTwo stars PoorOne star
CIGNA PPO GoodThree stars PoorOne star PoorOne star
Health Net PPO FairTwo stars FairTwo stars PoorOne star
UnitedHealthcare Insurance Co., Inc. FairTwo stars FairTwo stars FairTwo stars

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