If you are an HMO member, good customer service means that you feel that you are treated well and you get information about your questions.
What can HMOs do to make sure they provide good customer service?
Highly rated HMOs put systems in place and train their staff to help you get the information that you need.
What do the stars mean?
The scores show the percentage of health plan members who highly rated their HMO on its customer service. The higher score means more members said they are getting good customer service.
The scores are based on information from a survey of a sample of at least 100 HMO members who contacted their plan in 2014 or 2015.
Data Disclaimer
The data source for data for the Report Cards is Quality Compass® 2025 and is used with the permission of the National Committee for Quality Assurance (NCQA). Quality Compass® 2025 includes Healthcare Effectiveness Data and Information Set (HEDIS®) and Consumer Assessment of Healthcare Providers and Systems (CAHPS®) data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors. NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass and HEDIS are registered trademarks of NCQA. CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
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