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Home > Insurance Division > Life and Health > Life & Health Actuarial > HMO Performance Report
2008 New Jersey HMO Performance Report
Service and Access


Are members satisfied with their HMO’s services?

A comparison of each HMO’s performance to the New Jersey HMO average shows how effective the HMOs are in providing services to their members.

Higher than average scores mean better performance.

Circles compare each selected HMO's score to the average for New Jersey HMOs. Bar graphs show scores for each HMO on these topics.
Performance Compared to the Average
higher Higher than the New Jersey HMO average
same About the Same as the New Jersey HMO average
lower Lower than the New Jersey HMO average

HMO Rating of
HMO
Getting
needed care
Claims processing Customer
service
Aetna - HMO/POS same same same same
AmeriHealth - HMO/POS same same same same
CIGNA - HMO/POS same same same same
Health Net - HMO/POS same same same same
Horizon - HMO lower same lower lower
Oxford - HMO/POS lower same same same

Due to differences in sample size, HMOs with the same or similar scores can have different circle ratings.

 
Rating of HMO
Percent of members who rated their HMO a 9 or 10 on a scale from 0 (worst possible) to 10 (best possible):
  Getting needed care
Percent of members reporting it was always easy to • get appointments with specialists • get needed care, tests or treatment:
Rating of HMO   Getting needed care
     
Claims processing
Percent of members reporting their HMO alwayshandled their claims quickly • correctly:
  Customer service
Percent of members reporting they always • got needed help from customer service • were treated with courtesy and respect • found forms easy to fill out:
Claims processing   Customer service

 
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New Jersey Department of Banking and Insurance