September 2005
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 Ratings HMOs

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Recommendations

See a summary of survey findings, as well as choices that merit first consideration.


Many health-care plans cluster in the same area of our Ratings from year to year, indicating that the care the plans provide, whether good or not so good, has been consistent over time.

Kaiser Permanente (OR, WA), whose parent is the nation’s largest nonprofit health-care provider, covering more than 8 million consumers in 9 states and Washington, D.C., and Capital District Physicians’ Health Plan, which serves more than 385,000 members in 29 New York counties, topped our charts in 2003 and receive consistently high marks for billing and customer support.

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Guide to the Survey

The Ratings are based on 35,719 responses to our 2004 Annual Questionnaire about readers’ experiences in 76 managed-care plans between May 2003 and April 2004. (HMO Ratings are based
on more than 12,000 replies, PPO Ratings on more than 23,000.) The results reflect experiences of Consumer Reports subscribers, who may not be representative of the U.S. population.

Reader score represents overall satisfaction with the health plan. A score of 100 would mean all enrollees were completely satisfied; 80, very satisfied on average; and 60, fairly satisfied. Differences of less than 6 points are not meaningful. The following results indicate how the plan compared with the average of the plans.

HMOs

   

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In order of reader score.
Better
Worse

Plan

Reader score Survey results

 

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Kaiser Permanente, Northwest (OR, WA)

84

Capital District Physicians' Health Plan (NY)

83

Independent Health (Western NY)

83

Blue Choice (Excellus BCBS, Rochester, NY, area)

82

Group Health Cooperative (ID, WA)

81

Kaiser Permanente, Northern California

81

HealthPartners (MN, WI)

80

Kaiser Permanente, Southern California

80

Harvard Pilgrim Health Care (Northeastern U.S.)

80

HMO Blue (MA)

79

Tufts Health Plan (Northeastern U.S.)

79

M.D. IPA (DC, MD, VA)

79

MVP Health Plan (NY)

78

HAP (Health Alliance Plan of Michigan)

78

United Healthcare of the Midwest (IL, KS, MO)

78

Plan

Reader score Survey results

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Kaiser Permanente, Colorado

77

Keystone Health Plan East (PA)

77

Kaiser Permanente, Mid-Atlantic (DC, MD, VA)

77

Empire Blue Cross Blue Shield (Eastern and Southeastern NY)

77

Blue Care Network of Michigan

76

Medica Health Plans (MN)

75

Health Net of the Northeast

75

HealthAmerica Pennsylvania

75

PacifiCare of California

74

HMO Illinois

74

Aetna Health, New Jersey

74

Humana Medical Plan (FL)

74

Blue Cross of California

73

Health Net of California

73

PacifiCare of Colorado

73

Oxford Health Plans (NY)

73

HIP Health Plan of New York

73

PacifiCare of Arizona

73

Blue Shield of California Access + HMO

72

Aetna Health, Pennsylvania

70

Note: A dash (—) indicates insufficient sample size for meaningful comparison.