HMO and PPO Quality Ratings Summary 2021-22 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 Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs). The 10 largest HMOs and 6 largest PPOs in the state are included in this Report Card.
What’s the difference between HMOs and PPOs?
With an HMO you can only see doctors in your HMO’s network. You will have a
primary care doctor and a medical group who refers and coordinates your care to specialists when needed. With a PPO you can choose to see out-of-network doctors. You are responsible to manage and pay the cost for out-of-network visits.
Click on each health plan name to find its consumer assistance number, service area, website and more.