2013 Member Health Plan Ratings - Heartland

Award Recipient

Blue Cross and Blue Shield of Kansas City (Heartland)

  Overall Experience? Coverage and Benefits? Provider Choice? Information and Communication? Claims Processing? Statements? Customer Service? Approval Processes?
Blue Cross and Blue Shield of Kansas City (Heartland) 5 5 4 5 5 4 5 5
Aetna (Heartland) 3 3 3 4 4 5 4 5
Anthem Blue Cross Blue Shield of Missouri (Heartland) 3 3 3 3 2 3 2 4
Blue Cross Blue Shield of Oklahoma (Heartland) 5 4 4 4 4 4 4 5
Blue Cross and Blue Shield of Kansas (Heartland) 4 4 4 4 4 4 4 3
Blue Cross and Blue Shield of Nebraska (Heartland) 4 3 4 3 4 3 4 4
BlueCross BlueShield of Arkansas (Heartland) 2 2 2 3 3 3 2 4
Cigna (Heartland) 2 3 2 3 2 3 3 3
Coventry Health Care (Heartland) 2 2 2 2 2 2 2 2
UnitedHealthcare (Heartland) 3 3 3 3 3 4 3 3
Wellmark Blue Cross and Blue Shield of Iowa (Heartland) 4 5 5 3 4 3 3 3
Scoring Legend
 Among the best
 Better than most
 About average
 The rest

*Please note that jdpower.com Ratings may not include all information used to determine J.D. Power and Associates awards. Learn more about how J.D. Power Circle Ratings are calculated.

2013 Member Health Plan Ratings - New York New Jersey

Award Recipient

Independent Health Association (New York/New Jersey)

  Overall Experience? Coverage and Benefits? Provider Choice? Information and Communication? Claims Processing? Statements? Customer Service? Approval Processes?
Independent Health Association (New York/New Jersey) 5 5 5 5 5 4 5 5
Aetna (New York/New Jersey) 3 3 3 3 3 3 3 3
BlueCross BlueShield of Western New York and BlueShield of Northeastern New York (New York/New Jersey) 4 4 3 4 4 4 4 5
Capital District Physicians Health Plan (New York/New Jersey) 5 5 4 5 4 4 4 4
Cigna (New York/New Jersey) 3 4 3 4 3 5 4 4
Emblem Health (New York/New Jersey) 2 3 2 3 3 3 2 2
Empire Blue Cross Blue Shield (New York/New Jersey) 4 4 4 4 4 5 4 4
Excellus BlueCross BlueShield (New York/New Jersey) 3 3 4 2 3 3 3 4
Horizon Blue Cross Blue Shield (New York/New Jersey) 4 4 4 3 4 3 3 4
MVP Health Care (New York/New Jersey) 3 3 4 3 4 3 4 4
Oxford Health Plan (New York/New Jersey) 2 2 2 2 2 2 2 2
UnitedHealthcare (New York/New Jersey) 3 3 3 3 3 3 3 2
Scoring Legend
 Among the best
 Better than most
 About average
 The rest

*Please note that jdpower.com Ratings may not include all information used to determine J.D. Power and Associates awards. Learn more about how J.D. Power Circle Ratings are calculated.

2013 Member Health Plan Ratings - Texas

Award Recipient

Blue Cross and Blue Shield of Texas (Texas)

  Overall Experience? Coverage and Benefits? Provider Choice? Information and Communication? Claims Processing? Statements? Customer Service? Approval Processes?
Blue Cross and Blue Shield of Texas (Texas) 5 5 5 3 3 3 5 5
Aetna (Texas) 5 5 3 5 5 5 2 3
Cigna (Texas) 2 2 2 3 3 4 2 2
Humana (Texas) 2 2 2 2 2 2 2 2
UnitedHealthcare (Texas) 3 3 3 3 3 3 3 3
Scoring Legend
 Among the best
 Better than most
 About average
 The rest

*Please note that jdpower.com Ratings may not include all information used to determine J.D. Power and Associates awards. Learn more about how J.D. Power Circle Ratings are calculated.

2013 Member Health Plan Ratings - Florida

Award Recipient

AvMed Health Plans (Florida)

  Overall Experience? Coverage and Benefits? Provider Choice? Information and Communication? Claims Processing? Statements? Customer Service? Approval Processes?
AvMed Health Plans (Florida) 5 5 5 5 4 5 5 5
Aetna (Florida) 3 3 3 3 3 3 3 4
Cigna (Florida) 3 4 3 3 3 3 2 3
Coventry Health Care (Florida) 2 2 2 2 2 2 3 2
Florida Blue (Florida) 3 3 4 3 2 3 3 2
Humana (Florida) 3 3 3 3 4 4 4 5
UnitedHealthcare (Florida) 3 3 2 4 5 5 3 4
Scoring Legend
 Among the best
 Better than most
 About average
 The rest

*Please note that jdpower.com Ratings may not include all information used to determine J.D. Power and Associates awards. Learn more about how J.D. Power Circle Ratings are calculated.

2013 Member Health Plan Ratings - California

Award Recipient

Kaiser Foundation Health Plan (California)

  Overall Experience? Coverage and Benefits? Provider Choice? Information and Communication? Claims Processing? Statements? Customer Service? Approval Processes?
Kaiser Foundation Health Plan (California) 5 5 3 5 5 5 5 2
Aetna (California) 3 2 3 3 3 3 3 3
Anthem Blue Cross of California (California) 2 2 3 2 2 2 2 3
Blue Shield of California (California) 3 3 4 3 5 5 3 5
Cigna (California) 3 3 4 3 3 4 2 3
Health Net (California) 2 2 2 2 3 2 3 3
UnitedHealthcare (California) 3 3 5 3 4 3 2 4
Scoring Legend
 Among the best
 Better than most
 About average
 The rest

*Please note that jdpower.com Ratings may not include all information used to determine J.D. Power and Associates awards. Learn more about how J.D. Power Circle Ratings are calculated.

2013 Member Health Plan Ratings - Northwest

Award Recipient

PacificSource Health Plans (Northwest)

  Overall Experience? Coverage and Benefits? Provider Choice? Information and Communication? Claims Processing? Statements? Customer Service? Approval Processes?
PacificSource Health Plans (Northwest) 5 3 5 4 3 4 5 3
Aetna (Northwest) 3 3 3 4 3 5 3 4
Blue Cross of Idaho (Northwest) 4 3 4 3 5 5 3 4
Cigna (Northwest) 2 2 3 2 2 2 2 2
Group Health Cooperative (Northwest) 4 4 2 5 3 3 5 3
Kaiser Foundation Health Plan (Northwest) 3 5 2 5 3 3 3 3
Premera Blue Cross (Northwest) 4 3 4 3 4 3 3 4
Providence Health Plan (Northwest) 3 3 4 3 3 3 3 3
Regence BlueCross BlueShield of Oregon (Northwest) 3 2 3 2 3 3 3 4
Regence BlueShield of Washington (Northwest) 3 3 3 3 3 3 3 5
UnitedHealthcare (Northwest) 2 2 3 2 2 3 2 2
Scoring Legend
 Among the best
 Better than most
 About average
 The rest

*Please note that jdpower.com Ratings may not include all information used to determine J.D. Power and Associates awards. Learn more about how J.D. Power Circle Ratings are calculated.

2013 Member Health Plan Ratings - Illinois Indiana

Award Recipient

Blue Cross and Blue Shield of Illinois (Illinois/Indiana)

  Overall Experience? Coverage and Benefits? Provider Choice? Information and Communication? Claims Processing? Statements? Customer Service? Approval Processes?
Blue Cross and Blue Shield of Illinois (Illinois/Indiana) 5 5 5 4 5 3 4 4
Aetna (Illinois/Indiana) 3 3 2 4 2 2 2 3
Anthem Blue Cross Blue Shield of Indiana (Illinois/Indiana) 2 2 3 2 3 3 2 3
Cigna (Illinois/Indiana) 2 2 2 2 2 3 2 2
Health Alliance Medical Plans (Illinois/Indiana) 3 3 3 5 2 2 5 5
Humana (Illinois/Indiana) 2 2 2 3 2 5 2 2
UnitedHealthcare (Illinois/Indiana) 2 2 2 2 2 3 3 2
Scoring Legend
 Among the best
 Better than most
 About average
 The rest

*Please note that jdpower.com Ratings may not include all information used to determine J.D. Power and Associates awards. Learn more about how J.D. Power Circle Ratings are calculated.

2013 Member Health Plan Ratings - Minnesota Wisconsin

Award Recipient

HealthPartners (Minnesota/Wisconsin)

  Overall Experience? Coverage and Benefits? Provider Choice? Information and Communication? Claims Processing? Statements? Customer Service? Approval Processes?
HealthPartners (Minnesota/Wisconsin) 5 5 5 5 5 5 5 5
Anthem Blue Cross and Blue Shield of Wisconsin (Minnesota/Wisconsin) 2 2 2 2 2 2 2 3
Blue Cross Blue Shield of Minnesota (Minnesota/Wisconsin) 3 3 4 3 4 2 3 2
Dean Health Plan (Minnesota/Wisconsin) 4 5 3 4 3 3 4 4
Humana (Minnesota/Wisconsin) 2 2 2 3 2 4 3 2
Medica Health Plans (Minnesota/Wisconsin) 3 3 2 4 3 4 4 3
UnitedHealthcare (Minnesota/Wisconsin) 3 3 2 4 3 4 3 4
Scoring Legend
 Among the best
 Better than most
 About average
 The rest

*Please note that jdpower.com Ratings may not include all information used to determine J.D. Power and Associates awards. Learn more about how J.D. Power Circle Ratings are calculated.

2013 Member Health Plan Ratings - New England

Award Recipient

Anthem Health Plans of New Hampshire (New England)

  Overall Experience? Coverage and Benefits? Provider Choice? Information and Communication? Claims Processing? Statements? Customer Service? Approval Processes?
Anthem Health Plans of New Hampshire (New England) 5 5 5 4 5 4 5 5
Aetna (New England) 2 2 2 3 3 4 2 2
Anthem Blue Cross and Blue Shield of Connecticut (New England) 4 5 4 3 3 4 3 4
Anthem Blue Cross and Blue Shield of Maine (New England) 2 2 2 2 2 2 2 2
Blue Cross & Blue Shield of Rhode Island (New England) 5 3 5 3 3 4 3 3
Blue Cross Blue Shield of Massachusetts (New England) 4 5 4 3 4 3 4 3
Cigna (New England) 3 3 2 5 5 5 3 2
Harvard Pilgrim Health Care (New England) 3 5 3 3 2 2 4 4
Tufts Associated Health Plans (New England) 5 3 4 5 4 3 4 4
UnitedHealthcare (New England) 2 2 2 3 2 4 2 3
Scoring Legend
 Among the best
 Better than most
 About average
 The rest

*Please note that jdpower.com Ratings may not include all information used to determine J.D. Power and Associates awards. Learn more about how J.D. Power Circle Ratings are calculated.

2013 Member Health Plan Ratings - Mid Atlantic

Award Recipient

Kaiser Foundation Health Plan (Mid Atlantic)

  Overall Experience? Coverage and Benefits? Provider Choice? Information and Communication? Claims Processing? Statements? Customer Service? Approval Processes?
Kaiser Foundation Health Plan (Mid Atlantic) 5 5 2 5 3 4 5 4
Aetna (Mid Atlantic) 3 3 3 3 4 5 3 5
Anthem Health Plans of Virginia (Mid Atlantic) 3 3 4 3 3 2 3 4
CareFirst BlueCross BlueShield (Mid Atlantic) 4 4 5 4 5 4 4 3
Cigna (Mid Atlantic) 2 3 2 3 2 2 3 2
UnitedHealthcare (Mid Atlantic) 2 2 2 3 2 2 2 2
Scoring Legend
 Among the best
 Better than most
 About average
 The rest

*Please note that jdpower.com Ratings may not include all information used to determine J.D. Power and Associates awards. Learn more about how J.D. Power Circle Ratings are calculated.

2013 Member Health Plan Ratings - South Atlantic

Award Recipient

Kaiser Foundation Health Plan (South Atlantic)

  Overall Experience? Coverage and Benefits? Provider Choice? Information and Communication? Claims Processing? Statements? Customer Service? Approval Processes?
Kaiser Foundation Health Plan (South Atlantic) 5 5 2 5 5 5 5 5
Aetna (South Atlantic) 3 3 3 4 3 4 4 3
Anthem Blue Cross Blue Shield of Georgia (South Atlantic) 3 3 3 3 2 2 2 3
Blue Cross and Blue Shield of North Carolina (South Atlantic) 3 3 5 3 3 3 3 3
BlueCross BlueShield of South Carolina (South Atlantic) 2 2 2 2 3 3 2 4
Cigna (South Atlantic) 4 4 5 4 4 4 4 3
Coventry Health Care (South Atlantic) 2 2 2 3 2 3 4 2
UnitedHealthcare (South Atlantic) 3 3 4 3 4 4 3 3
Scoring Legend
 Among the best
 Better than most
 About average
 The rest

*Please note that jdpower.com Ratings may not include all information used to determine J.D. Power and Associates awards. Learn more about how J.D. Power Circle Ratings are calculated.

2013 Member Health Plan Ratings - Michigan

Award Recipient

Health Alliance Plan of Michigan (Michigan)

  Overall Experience? Coverage and Benefits? Provider Choice? Information and Communication? Claims Processing? Statements? Customer Service? Approval Processes?
Health Alliance Plan of Michigan (Michigan) 5 5 3 5 5 5 5 5
Blue Cross Blue Shield of Michigan (Michigan) 3 3 5 3 3 5 3 4
Priority Health (Michigan) 3 3 3 4 5 3 3 3
UnitedHealthcare (Michigan) 2 2 2 2 2 2 2 2
Scoring Legend
 Among the best
 Better than most
 About average
 The rest

*Please note that jdpower.com Ratings may not include all information used to determine J.D. Power and Associates awards. Learn more about how J.D. Power Circle Ratings are calculated.

2013 Member Health Plan Ratings - East South Central

Award Recipient

Blue Cross and Blue Shield of Alabama (East South Central)

  Overall Experience? Coverage and Benefits? Provider Choice? Information and Communication? Claims Processing? Statements? Customer Service? Approval Processes?
Blue Cross and Blue Shield of Alabama (East South Central) 5 5 5 5 5 5 5 5
Aetna (East South Central) 2 3 2 3 2 2 3 2
Anthem Blue Cross and Blue Shield of Kentucky (East South Central) 2 2 2 2 2 2 2 3
Blue Cross & Blue Shield of Mississippi (East South Central) 2 2 3 2 2 3 2 2
Blue Cross and Blue Shield of Louisiana (East South Central) 5 5 4 4 5 5 2 4
BlueCross BlueShield of Tennessee (East South Central) 4 4 3 4 5 3 5 4
Cigna (East South Central) 3 5 2 4 3 4 3 2
Humana (East South Central) 3 4 3 5 4 3 2 2
UnitedHealthcare (East South Central) 2 2 2 2 2 3 2 2
Scoring Legend
 Among the best
 Better than most
 About average
 The rest

*Please note that jdpower.com Ratings may not include all information used to determine J.D. Power and Associates awards. Learn more about how J.D. Power Circle Ratings are calculated.

2013 Member Health Plan Ratings - Pennsylvania

Award Recipient

Geisinger Health Plan (Pennsylvania)

  Overall Experience? Coverage and Benefits? Provider Choice? Information and Communication? Claims Processing? Statements? Customer Service? Approval Processes?
Geisinger Health Plan (Pennsylvania) 5 5 5 5 5 4 4 3
Aetna (Pennsylvania) 3 3 3 4 3 3 2 3
Blue Cross of Northeastern Pennsylvania (Pennsylvania) 3 4 3 3 4 4 2 4
Capital Blue Cross (Pennsylvania) 3 3 5 3 3 3 5 4
Cigna (Pennsylvania) 3 3 2 4 4 5 4 3
HealthAmerica/ HealthAssurance (Pennsylvania) 2 2 2 2 2 2 3 2
Highmark Blue Cross Blue Shield (Pennsylvania) 3 3 3 3 3 4 3 3
Highmark Blue Shield (Pennsylvania) 4 4 5 3 4 4 3 4
Independence Blue Cross (Pennsylvania) 3 4 4 3 3 2 3 3
UPMC Health Plan (Pennsylvania) 5 5 5 5 4 4 4 5
UnitedHealthcare (Pennsylvania) 2 2 2 3 3 2 3 2
Scoring Legend
 Among the best
 Better than most
 About average
 The rest

*Please note that jdpower.com Ratings may not include all information used to determine J.D. Power and Associates awards. Learn more about how J.D. Power Circle Ratings are calculated.

2013 Member Health Plan Ratings - Colorado

Award Recipient

Kaiser Foundation Health Plan (Colorado)

  Overall Experience? Coverage and Benefits? Provider Choice? Information and Communication? Claims Processing? Statements? Customer Service? Approval Processes?
Kaiser Foundation Health Plan (Colorado) 5 5 2 5 3 5 5 5
Aetna (Colorado) 4 4 5 4 3 4 4 2
Anthem Blue Cross Blue Shield of Colorado (Colorado) 2 2 3 2 3 3 2 2
Cigna (Colorado) 2 2 3 2 2 2 3 3
UnitedHealthcare (Colorado) 3 3 4 3 5 4 4 3
Scoring Legend
 Among the best
 Better than most
 About average
 The rest

*Please note that jdpower.com Ratings may not include all information used to determine J.D. Power and Associates awards. Learn more about how J.D. Power Circle Ratings are calculated.

2013 Member Health Plan Ratings - Ohio

Award Recipient

UnitedHealthcare (Ohio)

  Overall Experience? Coverage and Benefits? Provider Choice? Information and Communication? Claims Processing? Statements? Customer Service? Approval Processes?
UnitedHealthcare (Ohio) 5 5 5 5 5 5 5 3
Aetna (Ohio) 2 2 2 2 2 2 2 2
Anthem Blue Cross Blue Shield of Ohio (Ohio) 3 3 3 3 3 3 4 3
Cigna (Ohio) 2 3 2 2 2 3 2 3
Humana (Ohio) 4 3 3 4 2 4 2 5
Medical Mutual of Ohio (Ohio) 4 4 4 4 4 3 2 4
Scoring Legend
 Among the best
 Better than most
 About average
 The rest

*Please note that jdpower.com Ratings may not include all information used to determine J.D. Power and Associates awards. Learn more about how J.D. Power Circle Ratings are calculated.

2013 Member Health Plan Ratings - Mountain

Award Recipient

SelectHealth (Mountain)

  Overall Experience? Coverage and Benefits? Provider Choice? Information and Communication? Claims Processing? Statements? Customer Service? Approval Processes?
SelectHealth (Mountain) 5 5 5 5 5 5 5 5
Aetna (Mountain) 3 3 2 3 3 4 3 2
Anthem BlueCross and BlueShield of Nevada (Mountain) 2 2 2 3 3 3 3 3
Blue Cross Blue Shield of Arizona (Mountain) 4 3 4 3 3 3 3 4
Blue Cross and Blue Shield of New Mexico (Mountain) 2 2 2 2 3 3 3 4
Cigna (Mountain) 3 3 2 3 2 3 2 2
Presbyterian Health Plan (Mountain) 3 4 3 3 2 2 4 3
Regence BlueCross BlueShield of Utah (Mountain) 3 4 4 3 3 3 4 4
UnitedHealthcare (Mountain) 3 2 3 3 3 3 2 2
Scoring Legend
 Among the best
 Better than most
 About average
 The rest

*Please note that jdpower.com Ratings may not include all information used to determine J.D. Power and Associates awards. Learn more about how J.D. Power Circle Ratings are calculated.

  • The introduction of health insurance exchanges is generating interest among health plan members who purchase insurance directly, as well as those who have high deductibles and/or lower levels of overall satisfaction, according to the J.D. Power and Associates 2013 Member Health Plan StudySM released today.

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