What Was Measured?

What percentage of HMO members highly rated their HMO on paying claims correctly and quickly?

These results are based on a survey of a sample of HMO members who contacted their plan.

Why Is It Important?

High scores mean that HMO members’ reported that claims were paid correctly and quickly.

Compare California Scores to National Results

Click here to compare these California health plan scores to the top health plans nationwide.

Paying Claims 2012 Edition

Look for differences of at least 4%. Smaller differences usually are not significant.

Paying Claims

We compared how HMO members rate their care and services during 2009 and 2010.
  • (Worse)
    0%
  • (Better)
    100%
Western Health Advantage 91%
Horizontal bar, 91 units
Aetna Health of California, Inc. 90%
Horizontal bar, 90 units
Blue Shield of California - HMO 87%
Horizontal bar, 87 units
Health Net of California, Inc. 87%
Horizontal bar, 87 units
UnitedHealthcare of California (formerly PacifiCare) 87%
Horizontal bar, 87 units
Anthem Blue Cross - HMO 84%
Horizontal bar, 84 units
CIGNA HMO 79%
Horizontal bar, 79 units
Kaiser Permanente - Northern California 78%
Horizontal bar, 78 units
Kaiser Permanente - Southern California 77%
Horizontal bar, 77 units
Score for top health plans nationwide 93%*
311.110/311.210