2009 Health Plan

Claims Processing: This score is based on how health plan members rate the ease of submitting a claim, the time it took to settle a claim and the ease of understanding the claims process. Close Statements: This score is based on how health plan members rate their insurance statements on ease of understanding, usefulness, and timeliness of receiving. Close Customer Service: This score is based on how health plan members rate the customer service representative on their knowledge, ability to answer questions, their courtesy and friendliness, and their timeliness of handling requests. This score is also based on ratings of the ease of contacting a representative, using the automated phone system, and online experience. Close Approval Processes: This score is based on how health plan members rate the ease of getting approval for seeing a specialist, hospital admissions, and receiving non-routine diagnostics. Close