What Was Measured?

What percentage of members got information from their HMO when they asked what they would pay for a service like a prescription or an office visit?

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

Plan results are reported here if 100 HMO members or more answer the survey. If fewer than 100 HMO members answer the survey, the plan results are only included in the Plan Service star rating.

Why Is It Important?

As members pay a bigger share of their medical costs, HMOs need to help them find ways to save money.

Insurance and payment arrangements are confusing; often it is unclear how much you would spend for a medical service; and there is little information about how to shop to spend wisely. Members are more satisfied paying their share when they have all the cost information and know their options for buying services to meet their needs.

Compare California Scores to National Results

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

Plan Information on What You Pay 2012 Edition

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

Plan Information on What You Pay

We compared how HMO members rate their care and services during 2009 and 2010.
  • (Worse)
    0%
  • (Better)
    100%
Kaiser Permanente - Southern California 68%
Horizontal bar, 68 units
Blue Shield of California - HMO 66%
Horizontal bar, 66 units
Western Health Advantage 66%
Horizontal bar, 66 units
Kaiser Permanente - Northern California 60%
Horizontal bar, 60 units
Health Net of California, Inc. 59%
Horizontal bar, 59 units
UnitedHealthcare of California (formerly PacifiCare) 59%
Horizontal bar, 59 units
Aetna Health of California, Inc. Too few patients in sample to report
Anthem Blue Cross - HMO Too few patients in sample to report
CIGNA HMO Too few patients in sample to report
Score for top health plans nationwide 73%*
311.110/311.210